Ladies and

Jell and welcome back to the med geeks podcast.

We are here with our second part of sort of GI myths, things we do for no no reason and sort of getting better at patient care.

I'm Dr. Nkets San Paul.

I'm an internist and a astronologist and a astronologist and we're going to continue this topic

which has really been supported greatly by amazing data that's put out by the

Journal of Hospital Medicine.

So let's just jump in and talk about our first topic.

So imagine you have a patient. They're elderly. They have left lower

quadrant pain. The CDC shows an elevated white count. They have a long history of

constipation.

What are you thinking?

That's right.

Left lower quadrant pain in a white count, possibly even a fever.

That's diverticulitis until proven otherwise by the CAT scan. So you know these patients come in a lot, the

constipation is a big risk factor. Patient gets better with antibiotics after the

CT scan confirms the issue and they get sent home. And now you got to

counsel the patient. You tell them you got to be

regular, eat fiber, hydration, maybe even bleed for laxatives. You know that they may even need

a colonoscopy down the line after this episode of Diberticulitis says quote-unquote cooled off.

That's right, it is recommended.

But you have to start asking yourself because you know the next thing you're going to say is,

...