This episode of my new Let's Talk Now LTN project is relevant to Generalist Medicine.

I really enjoy talking and being inspired with Marc-David Munk MD, a Canadian-American physician with a recent book release:  Urgent Calls from Distant Places: An Emergency Doctor's Notes About Life and Death on the Frontiers of East Africa.

We get to talk about writing the book, his work in East Africa with AMREF Flying Doctors, challenges working in the ER in North American health care system, and his retraining in Palliative Care Medicine. He has also worked as an innovator in health care delivery with, for example, CVS pharmacy and Iora Health, and he mentions some alternative ways of approaching primary care delivery.

Questions or comments? Email [email protected]

It is with a poignant sadness that I close the GeM Generalist Medicine Podcast - a project which has been filled with fun, learning and memories over the past 9 years.

If you have any feedback, please email me at [email protected]

I am moving on to a new podcast project - Lets Talk Now  (LTN)

Thank you so kindly for listening - it has been a true joy and pleasure to make these and be on this learning journey with you,

Aaron Rothstein

A discussion through the challenging topic of ECGs - how to put it in clinical context, some key pearls and approaches. If you find this hard, you are not alone!

We're back! After a year sabbatical, Dr Rogy Masri and Dr Aaron Rothstein discuss finding meaning in medicine.  This talk deals with how to cope with the current challanges, finding purpose and how two people are navigating their medical careers. We hope this will give you food for thought on building and enriching your own career.

I'm here with Dr. Blake MacKay to discuss the basics of ultrasound. Blake is a generalist with a strong interest in ultrasound and training through CPoCUS.  We discuss ultrasound basics including an array of clinical uses which can help guide management. Motivates me to do more ultrasound!

This is a discussion on the resurgent topic of Psychedelic Medicine. I talk with Dr. Ryan Patchett-Marble, a generalist physician with strong interest in addictions and mindfulness who has recently become interested in this emerging field. 

Additional Info:

Ryan and a patient he treated with Psilocybin:  https://nosm.brightspacestreaming.com/1/Watch/660834.aspx

Resources PDF - https://genmed.libsyn.com/

Let's talk about the hot topic of fever! We'll talk about why we get fevers, whether we should treat them, and different causes of fever including forms of hyperthermia. We'll also touch on special populations such as febrile neutropenia and febrile infants.

I am very excited to discuss Interventional Cardiology with my cousin Eric Rothstein who works at Dartmouth-Hitchcock Medical Centre in New Hampshire. We discuss the field of Interventional as well as some STEMI/Acute Coronary Syndrome insights, with a bit on stable ischemic heart disease and mechanical circulatory support.

I speak to Dr. Larry Willms about a very fundamental topic that doesn't get much discussion in medical learning - Food and Nutrition. We discuss the things that are well-established consensus in the field, why we get so confounded by nutrition research and fads, how to communicate the information to patients as well as some thoughts and ideas we have on the subject!

I am joined by Dr. Josh Smith, an EM registrar in Dunedin, New Zealand, who discusses with me a basic approach to patients in the ER. 

We talk about key principles including that patients often require early treatment before we have much information, that a disposition is often more important than a definitive diagnosis and that we should be considering life threatening diagnoses early in our assessment. We also touch on identifying sick patients, how patient scenarios can evolve, and ways to deal with uncertainty in medicine.

We are joined by local family and ER physician Jesse Zroback to discuss his passion and excitement for Space! We talk about his recent work with Canadian Space Agency, becoming one of the final candidates to become Canada's 4th generation of astronaut, as well as more generally the concept of Space Medicine -  medical considerations in space, application to life on Earth, and a bit on the current climate around Space travel!