#40: Pseudo endocrine disorders, fatigue, and the Schmerbsiders?

The Curbsiders Internal Medicine Podcast

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

4.8 • 3.1K Ratings

🗓️ 22 May 2017

⏱️ 54 minutes

🔗️ Recording | iTunes | RSS

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Summary

Learn “weird” endocrine stuff! How to approach vague complaints like fatigue and weight gain. Reverse T3 syndrome, Wilson’s T3 syndrome, and adrenal fatigue; Do they exist? Learn how to help the challenging patient who is convinced they have an endocrine disorder in this discussion recorded live from AACE 2017 with Dr. Michael T. McDermott, Professor of Medicine, University of Colorado Denver School of Medicine.

For full show notes visit http://thecurbsiders.com/podcast

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Time Stamps

00:00 Intro

05:36 Guest intro

07:50 Definition of “pseudo” endocrine

10:02 Case introduction

13:39 “Reverse T3 Syndrome”, the thyroid and fatigue

20:45 Growth hormone

25:10 Fatigue, and where to start

33:00 Adrenal fatigue

38:00 Lab testing

39:34 Take home points

42:12 Stuart on the thyroid and reverse T3

45:30 Paul’s approach to multisystem complaints

51:12 Outro

Tags: adrenal, assistant, care, doctor, education, endocrine, family, fatigue, foam, foamed, growth, health, hormone, hospitalist, hospital, internal, internist, nurse, medicine, medical, physician, practitioner, primary, resident, student, thyroid, t3

Transcript

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0:00.0	Yeah, and Dr. Colburn, by the way, was a fantastic guest host, which made me entirely
0:03.8	uncomfortable.
0:04.8	I don't like these cracking jokes.
0:06.2	I don't like how capable you seem without me and Stuart.
0:09.0	Right.
0:10.0	I feel like it's slippery slope around here.
0:12.0	I wasn't going to do this on air, but you guys are both fired.
0:15.4	It's okay.
0:16.4	All right.
0:17.4	We're going to start the, was it Schmerbsciders?
0:20.9	Schmerbsciders?
0:21.9	The Schmerbsciders.
0:22.9	Yeah.
0:23.9	I promise not to take you to court over that.
0:26.4	Wonderful.
0:27.4	Hello.
0:34.4	And welcome back to the Curbsciders.
0:42.3	Hello, Matthew.
0:43.3	Hello, Stuart.
0:44.3	Hi.
0:45.3	Very formal tonight.
0:46.3	He made me real uncomfortable.
	...

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