#424 Hotcakes: Transfusion in Acute MI, COVID-19 Rebound after Paxlovid, Every-other-day Iron Revisited, Oral Phenylephrine Doesn’t Work, and Stop Correcting Serum Calcium

The Curbsiders Internal Medicine Podcast

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

4.8 • 3.1K Ratings

🗓️ 29 January 2024

⏱️ 56 minutes

🔗️ Recording | iTunes | RSS

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Summary

Join us as we review recent practice-changing articles on transfusion thresholds in acute MI, COVID-19 rebound after treatment with ritonavir-boosted nirmatrelvir (PaxlovidTM), the prevalence of iron deficiency, as well as the debut of our new “corrections and omissions” section, in which we cover important knowledge updates on oral iron dosing and correcting serum calcium. And, find out why oral phenylephrine does not work and what you should prescribe instead for upper respiratory symptoms. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto).

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Credits

Written, Produced, and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP
Cover Art: Matthew Watto MD, FACP
Reviewer: Rahul Ganatra MD, MPH
Technical Production: Pod Paste
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

00:00 Introduction and Calcium Puns
03:11 Iron Deficiency and Iron Supplementation
12:20 Corrected Calcium
18:09 Virologic Rebound after nirmatrelvir/ritonavir (Paxlovid™)
32:09 Phenylephrine and its Ineffectiveness
37:00 Restrictive vs. Liberal Transfusion Strategy in MI (MINT trial)
49:20 Outro

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Transcript

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0:00.0	Hey listeners it's 2024 and we are so excited for everything ahead this year.
0:05.5	If you haven't done so already make sure to check out our Patreon at
0:09.1	Patreon dot com slash curbsideers where you can get access to bonus episodes we've already
0:13.9	released 18 of them and they come out twice a month plus you can get access to
0:18.0	add free episodes and our private discord server to hang out with other members of
0:22.4	the cashlack community.
0:23.7	That's Patreon.com slash curbsideers.
0:30.1	I got a vaccine the other day and I asked the nurse giving me the vaccine if they moonlight as IT.
0:37.8	You know why? No. Because Paul, they were excellent at installing antivirus.
0:45.0	That's real bad.
0:49.0	Yeah, that's real bad.
0:51.0	Yeah, that's real bad.
0:52.0	I... Yet I got very excited about it when I read it.
0:54.8	You really did.
0:55.8	Yeah, it's a brilliant amazing combination of shame and joy that you had there.
1:00.6	So I'm looking for a calcium pun, Matt. And I have to tell you, the title is page,
1:04.0	100 plus Cracking Calcium Puns, a bona fide laugh ride, and I knew I was in the right place.
1:08.6	So I just want to let you know, this is at OG puns.com.
1:11.6	These, and these are all like chemistry-centric, which I like.
1:14.2	So, Matt, why did the calcium go to therapy?
1:17.6	I don't know.
1:18.5	It had too many unresolved bonds.
	...

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