The Terms of Science Podcasts for entertainment education and information process only can't talk about this discussed, should not be used to the diet of treat cure, or bring it into these organizations, but more than use the same as express on the podcast for solo to those, and should not be interpreted perfectly as a visual positive or position of any entity, the psychro-photsy, cash-like morons, or antifiliate outreach programs, if there are any, in fact, there are not.

We're not going to talk about this.

Welcome back to the curbsiders, and Paul Stewart is not here tonight, but we had a great guest, and I think he's going to be really jealous that he didn't get to talk to Dr. Fannouken.

I certainly hope so.

Paul, before I get too far into things, why don't you tell them what it is that we do on this show?

Happy to, as always, Matt. We are the Internal Medicine Podcast that uses expert interviews to bring you clinical pearls and practice changing knowledge.

And then as per usual, we will talk to our guests upfront about what makes them them, what they do to decompress, what makes them a human being, and as always, you could skip ahead if there is no joy in your heart.

And if you choose to do so, just look at the timestamps in the show notes, and they'll guide you to the actual bulk of the interview.

On this episode, we're going to be talking with Dr. Fannouken about urinary tract infections, and I'm saying that with air quotes, which will be thoroughly explained as we go through the episode.

But we are going to get into does acute, uncomplicated cystitis ever actually need treatment?

What do you do with the delirious older adult patient with a geriatric syndrome that may or may not include fever?

Do all those patients really have a quote urinary tract infection?

And also, who really does benefit from antibiotics?

We try to get our best answers and go through the evidence about all of this.

And I think you're really going to love this episode with our guest, Dr. Thomas Fannouken.

He is an emeritus professor of medicine at John Hopkins.

He graduated from Harvard College and Emory University School of Medicine, then did a residency in primary care, internal medicine at George Washington University.

After five years at West Virginia University, he joined Hopkins and stayed for 31 years.

He's worked in Dominica, Mexico, and Uganda serve seven years on the American Bar Association's commission on legal problems of the elderly and shared the ethics committee at John Hopkins Bayview for 12 years.

A clinician educator in Hopkins bustling geriatrics division, Dr. Fannouken is called attention to drug over treatment of diabetes, dementia, stomach ache, UTI, delirium, insomnia, and more.

And to the overuse of feeding tubes and CPAP.

He has received a variety of teaching awards, much of his time with learners has focused on three main topics.

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