Hey folks, Scott Wangar here and this is the M-Crit podcast. Today on the podcast we're going to be

discussing adrenal insufficiency and it's a diagnosis that if you do not consider you'll probably

miss and in some patients if you miss it they can die. This actually is a life threatening diagnosis

even though we just put it in the waste basket of vague endocrinology type stuff. I have a guest

today, Karen Amrine, she is amazing, she is the only critical care endocrinologist I know

and the discussion I had with her is just wonderful. Now if you're hearing this version of the show

it's because you are not yet an M-Crit member which is crazy because you are missing out

on the guidance to maximize your care of critically ill patients. What M-Crit allows you is to have

an up-to-date cutting-edge understanding of resuscitation and critical care. You don't have the time

to read 60 journals a month and actually apply that knowledge and actually transform that knowledge

into a logistical form that you could actually use on your patients. I mean if you do

then more power to you but most people do not. What M-Crit allows you to do is to maximize the

care of your patients. To essentially have the information you need to save lives. You know,

furthering that goal in one month what I'm going to be doing is releasing two members a

additional episode each month going over all of the new information I pick up from those 60

journals and actually putting in a super quick rapid fire fashion so that you will know not just

the in-depth topic we do each month on M-Crit but you'll have a broad base knowledge of all the

things going on in critical care. That may be the topic of future episodes and may just be a one-off

but at least you will now share in the goodness of knowledge to help you take care of your patients.

Okay, let's get right into the show. So the first question I ask everyone is who are you and what do

you do? So my name is Karen I'm Ryan and I'm an endocrinologist with some experience in intensive care

most currently obviously so I've been working in endocrinology in the last years mainly

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