#216 Homeless Healthcare with Stefan Kertesz MD

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 28 May 2020

⏱️ 66 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Learn the nuances of caring for and building relationships with patients experiencing homelessness from expert internal medicine and addiction physician Stefan Kertesz, return guest from Episode 74 on Opioids and Health Policy (highly recommend a re-listen, y’all!). Topics: the challenge of creating a welcoming and useful space for individuals experiencing homelessness, how to meet patients where they’re at--both physically and mentally--the challenge of managing diuretics for those without stable access to a bathroom (avoid, if possible), and how absolutely essential the foot exam is.

Credits

Written and Produced by Nora Taranto MD
Infographics by Nora Taranto MD
Cover Art by Kate Grant MBChB, MRCGP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Nora Taranto MD
Editor: Carolyn Chan (written materials); Clair Morgan of nodderly.com
Guest: Stefan Kertesz MD

Sponsor: VCU Health CE

Time Stamps

00:00 Intro, disclaimer, guest bio
3:17 Guest one-liner
8:55 Picks of the Week*: Dr. Kertesz’s Book Recommendation: Saul Weiner’s On Becoming A Healer; Nora’s Pick of the week: BackStory (especially their episode on dynamite!) https://www.backstoryradio.org/
10:07 Case from Kashlak
10:56 Language: How to ask where a patient lives?
13:25 Terminology: Persons Experiencing Homelessness:
14:35 The stats on prevalence of health and illness in the homeless population, and the importance of both medical and environmental factors
20:44 How to start the visit, and how to establish trust early on?
27:40 Why is the mortality rate higher?
35:15 Special conditions and Medication Considerations: Hypertension, Diuretics, Insulin and Food Insecurity, Substance Use Disorders, Feet, and Hepatitis C
54:15 COVID and homeless healthcare
57:00 Care Models
62:30 Take Home Points and Outro

Transcript

Click on a timestamp to play from that location

0:00.0	The Curbsiders podcast is for entertainment, education, and information purposes only, and
0:07.0	the topics discussed should not be used solely to die in a street cure or prevent any diseases
0:09.7	or conditions.
0:10.7	For the more the views and statements expressed on the podcast are solely those of those,
0:12.2	and should not be interpreted to reflect the official policy or position of any entity
0:14.4	that's either on the possibly, cash like more hospital and affiliate outreach programs.
0:16.8	If indeed there are any, in fact there are none.
0:18.6	Pretty much we aren't responsible if you screw up, you should always do your own homework
0:20.4	and let's know when we're wrong.
0:31.0	Well Paul, this was a good one.
0:33.6	I had a lot of fun tonight.
0:35.2	We just talked about homeless healthcare with returning guests to find curtace.
0:40.4	This is the Curbsiders, but before we get too far, can you tell the audience what do
0:45.4	we do on this show?
0:47.4	Always happy too.
0:48.4	We are the Internal Medicine podcast.
0:49.9	We use expert interviews to renew clinical pearls and practice changing knowledge and
0:53.0	what expert we have, someone who's been on the show before, who I could talk endlessly
0:57.5	about, but won't because we have the great Nora Toronto here, our producer for the episode
1:01.8	who's going to tell us exactly who we talked to and what we talked about.
1:04.9	Awesome.
1:05.9	Hey guys, I'm so excited to be with you tonight and to have had the privilege to talk to
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from The Curbsiders Internal Medicine Podcast, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of The Curbsiders Internal Medicine Podcast and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.