#78 ID Pearls with Paul Sax MD

The Curbsiders Internal Medicine Podcast

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

4.8 • 3.1K Ratings

🗓️ 15 January 2018

⏱️ 66 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

It's a potpourri of Infectious Diseases with tips from expert, Dr Paul Sax, MD, Clinical Director of the Division of Infectious Diseases at Brigham and Women's Hospital, and Professor of Medicine at Harvard Medical School. We discuss the man flu, the flu vaccine, travel medicine, malaria, lyme disease, post lyme syndrome, chronic lyme, shingles, cellulitis, abscesses, antibiotics, c diff, antibiotic associated diarrhea, the dangers of fluoroquinolones, why doxycycline is awesome, and more! Told you it was a potpourri. Dr Shreya Trivedi joins Matt and Paul as guest host.

Show Notes, MCQ by Shreya Trivedi, MD
Edited by Matthew Watto, MD
Infographics and cover image by Matthew Watto, MD

Full show notes available at http://thecurbsiders.com/podcast

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Time Stamps:

00:00 Announcement
01:38 Intro
03:46 Picks of the Week
06:47 Guest bio
08:47 Getting to know our guest
15:40 Flu vaccination
19:54 Barriers to the flu vaccine
23:34 Can you give the flu vaccine to an ill patient
24:14 Man flu
26:27 Travel Medicine
30:35 Tick bites
33:49 Lyme serologies
35:38 Lyme prophylaxis
37:37 Chronic lyme disease and post lyme syndrome
38:55 Penicillin and antibiotic allergies
41:48 Fluoroquinolones and adverse reactions
45:24 Should antibiotics be given after an I&D of an abscess
49:34 Antibiotic associated diarrhea, C diff
52:10 Probiotics, stool transplantation, and C diff
54:50 Shingles, recurrent zoster, complications, and the new subunit vaccine
61:45 Using salad tongs at a buffet
63:04 Take home points
64:26 Outro

Tags:

ID, infectious, diseases, disease, flu, influenza, lyme, doxycycline, cdiff, antibiotics, infection, cellulitis, abscess, vaccine, zoster, shingles, malaria, travel, assistant, care, doctor, education, family, foam, foamed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student

Transcript

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0:00.0	Before we get into the episode here, I wanted to make take a moment to talk about something
0:07.0	that affected the curbsiders family. One of our founding members, Dr. Tony Sidderry, had
0:12.8	a tragedy this Christmas. His four-year-old son, Leon, died suddenly of influenza. And Tony
0:21.0	and his wife, Lara, have set up a memorial fund called the Leon Sidderry Memorial Fund.
0:27.9	They have a GoFundMe page where they're trying to raise $100,000, which they'll be donating
0:33.0	to children who are sick around the holidays. I think this is a great cause. And we wanted
0:38.8	to dedicate this episode specifically because it's an episode focusing on infectious diseases
0:44.9	and we do talk about influenza on this episode. Our hearts go out to Tony and Lara and their
0:51.9	extended family. We will be posting the link to the GoFundMe in the show notes, but
0:58.0	I'll give it now on air. It's gofundme.com forward slash Leon-Sidderry SIDARI-memorial-fund.
1:09.8	And you can go there and give a donation. I will also link to the curbsiders Cafe Press
1:16.5	Store where we will be donating all proceeds for curbsiders t-shirts to the Leon Sidderry Memorial
1:23.9	Fund. And our hearts go out to Tony and Lara and their entire family for this tragic
1:31.1	loss. Thank you. And now on to our regularly scheduled show.
1:46.5	Welcome back to the curbsiders. The Internal Medicine Podcast that uses expert
2:16.3	interviews to bring you clinical pearls and practice changing knowledge. I'm Dr. Matthew
2:23.9	Wato here with my two co-hosts. Dr. Paul Williams. Dr. Shreya Trivedi. And no Dr. Stuart
2:32.2	Brigham. The audience will be sad to hear, but it's going to be a great show. And Shreya,
2:38.5	I understand you now have your own podcast. Is that right?
2:42.6	Oh, yes. It's called Core-I-M. It's a new medicine podcast. And we go over quick, high
2:49.8	yield evidence-based pearls on a medicine topic. We ask questions like, why do we do what
2:54.6	we do in medicine? So often in medicine we're told just to do things like replete electrolytes
	...

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