Jody reviews lipid management for primary care.Sources & Links:Pignone, M. & Cannon, C.P. Low-density lipoprotein cholesterol-lowering therapy in the primary prevention of cardiovascular disease. UpToDate.⁠AHA/ACC 2018 Cholesterol Management Guidelines⁠Canadian PEER Lipid Practice GuidelinesTriglycerides (Mayo Clinic)Cholesterol Basics (Johns Hopki…

Dr. Oyen and Jody swap "war stories" from their EMS careers. Crazy codes, celebrity encounters, the Olympics, hurricanes, non-human patients; you really never know what you're going to run into out in the field.

Jody shares his general approach to managing hypertension in primary care. Links: 2020 IHS Hypertension Guidelines 2023 EHS Hypertension Guideline Update Racial & Ethnic Disparities in Hypertension

Michael David Smith is the former director of the Colbert County, AL Emergency Management Agency. He speaks with Jody about the agency's role during both day-to-day operations and large-scale disasters.

Uncle Jody is talking about the good ol' days again.

Dr. Oyen discusses what he has learned about teaching and connecting with students over his long career in EMS education. Dr. Oyen's YouTube Channel Northwest-Shoals Community College EMS Department

On the one-year anniversary of Knowledgeable Provider Jody reflects on the past, looks to the future, and discusses the current state of affairs at KP Pod HQ. Huge thanks to everyone who has listened!

Recently retired Colbert County, AL EMA director Michael David Smith discusses the medical helicopter crash that claimed the lives of crew members Allan Bragwell, Tiffany Miles, and Michael Baker on December 30th, 2007.

Jody (or someone who sounds suspiciously like him) discusses the phenomenon of impostor syndrome and how it affects medical professionals. References: 1) Chen C. Doctor who? Reflecting on impostor syndrome in medical learners. Can Fam Physician. 2020 Oct;66(10):e268-e269. PMID: 33077468; PMCID: PMC7571643. 2) Wikipedia. Impostor syndrome. Retrieved…

Monoclonal antibodies are used to treat cancer. Or is it asthma? Skin conditions? Wait, didn't we use those for covid, too?? The answer is yes! Jody reviews the basic mechanism of these versatile medications as well as their naming conventions and a bit about how they are discovered. References: 1) Manis, J. Overview of therapeutic monoclonal antib…

Rob recalls his experiences working in Madison County, AL during the tornado outbreak on April 27th, 2011. This interview was recorded in 2011, about a month after the storms hit. It was done using a handheld recorder with the intention of producing a written account, so the audio quality is not great. Rob mentioned that meteorologist Gary Dobbs wa…

In this episode of Calhoun's Crossing The Streams podcast, Jody participates in a panel discussion about whether or not teaching students about the Tuskegee syphilis study might contribute to vaccine hesitancy.

An update on #NephMadness 2024 standings and Jody's recollection of participating in the 2011 ITLS competition.

Jody summarizes all of the information in this year's #NephMadness from AJKD. The topics are: Animal House: Gila Monster vs Mourning Dove Preeclampsia: Diagnosis & Treatment vs Risk Factors, Prevention, & Long-Term Sequelae Toxicology: Supportive Care & Antidotes vs Extracorporeal Therapies Hyponatremia Correction: Rapid Correction vs Slow Correcti…

Medical professionals don't go looking for trouble as a general rule but sometimes it finds us. We frequently encounter medical situations outside the familiar environments we work in and have to decide whether or not to get involved.Please enjoy this previously unheard conversation from my interview with super NP April Klar.…

Luke Pike is a civilian paramedic, a combat medic in the AL National Guard, and a patient living with paroxysmal atrial fibrillation. He discusses diagnosis and treatment of narrow complex tachycardia from both sides of the electric fence. References & Resources: AHA Tachycardia With A Pulse Algorithm (2020) Ruan CH. Instantly Converting Atrial Fib…

Case records of the New Decatur Clinic: Amiodarone-induced interstitial pneumonitis. References: Amiodarone Wikipedia Page Borghi C, Cicero AF, Agnoletti D, Fiorini G. Pathophysiology of cough with angiotensin-converting enzyme inhibitors: How to explain within-class differences? Eur J Intern Med. 2023 Apr;110:10-15. doi: 10.1016/j.ejim.2023.01.005…

Jody summarizes what he learned recently at the HH Cardiology Update 2024, held at UA Huntsville College of Nursing. Resources: UAH Kinesiology CPET Nunn AVW, Guy GW, Brysch W, Bell JD. Understanding Long COVID; Mitochondrial Health and Adaptation-Old Pathways, New Problems. Biomedicines. 2022 Dec 2;10(12):3113. doi: 10.3390/biomedicines10123113. P…

Jody shares his most memorable water-related incidents.

David discusses living with ARFID, a relatively new diagnosis that healthcare professionals may not be familiar with. After a lifetime of navigating the challenges of being a "picky eater," receiving a diagnosis and structured treatment has been extremely rewarding. ARFID Resources: 1. ARFID Support Group for Adults (Facebook) 2. The Picky Eater's …

Paramedic Dylan Kessler shares the story of performing his first surgical cricothyrotomy on a (barely) live patient under less than ideal circumstances. Live Demo of Cricothyrotomy Procedure (YouTube) Cadaver Demo of Cricothyrotomy Procedure (YouTube) KP Website Support the Show Credits Intro music: "Amazing Grace" Performed by USAF Band, Air Force…

Carloss Bauer recently stopped smoking after decades of varsity-level tobacco use. She talks with Jody about her long history of smoking, her decision to stop, and how she managed to pull it off. Contact Ms. Bauer via email at carlossbauer@bellsouth.net. Resources: Help.org addiction resources Mayo Clinic Nicotine Dependence Center University of Ro…

A man codes unexpectedly then just as unexpectedly...uncodes? Credits Intro music: "Amazing Grace" Performed by USAF Band, Air Force Strings Ensemble International Mosaic Outro music: "That's Why" Composed by SMSgt John Henley Performed by USAF Concert Band Heritage to Horizons Podcast Links: Support the show Visit our website Got a critical incide…

For non-Spotify listeners, here is the commentary portion of this week's musical episode without any of the songs included. Here's the playlist: 100 in a 55 by Pop Evil Hero by Chad Kroeger feat. Josey Scott Smokin' & Ridin' by Ja Rule Downfall by Matchbox 20 So Right by Dave Matthews Band Lessons in Love, Hope, and Faith - Part 1 The Road by Siste…

The next episode is a super fun musical journey. Unfortunately if you want to ride the bus you'll have to get your ticket from Spotify.

This new segment is all about sharing the stories we collect throughout our medical careers. The ones we tell at parties, the ones we only talk about with our colleagues, and the ones we would prefer to forget. In this episode Jody shares a heartbreaking tragedy from early in his EMS career. Got a story you want to share? Email it to thekppod@gmail…

Brian James, MD is a family physician in Decatur, Alabama. He and Jody discuss the many nuances of practicing medicine in the real world. Topics include strategies for patient interaction, off-label prescribing, and the business side of managing a medical practice. Support the show

Joshua Palmer is a college student living with type 1 diabetes since age 17. Here he shares the story of his diagnosis and how he has dealt with the challenges of managing his condition. Contact Joshua by email at palmerjg59@gmail.com. Resources: Beyond Type 1 She's Diabetic YouTube Channel UC Anschutz Medical Campus Barbara Davis Center Support th…

Jody reviews the process of diagnosing prostate cancer including screening considerations, diagnostic modalities, and calculating prognosis. Sources USPSTF Prostate Cancer Screening Recommendation UpToDate Articles: Benway, B & Andriole, G. Prostate biopsy Freedland, S. Measurement of prostate-specific antigen Preston, M. Screening for prostate can…

Jody reviews iron physiology, interpretation of iron studies, and treatment of iron imbalance. References: Abbaspour N, Hurrell R, Kelishadi R. Review on iron and its importance for human health. J Res Med Sci. 2014 Feb;19(2):164-74. PMID: 24778671; PMCID: PMC3999603 Mobarra N, Shanaki M, Ehteram H, Nasiri H, Sahmani M, Saeidi M, Goudarzi M, Pourka…

Former IT guy Rob Daniels discusses what it takes to keep a hospital's technology infrastructure running, the eye-opening nature of doing a non-clinical job in a clinical setting, and why it's a bad idea to watch porn while you should be taking care of patients. A.J. Jacobs: My Journey to Thank All the People Responsible for My Morning Coffee Suppo…

Jody shares more about his personal experience being a male nurse. Support the show Want to get in touch? Email any time at thekppod@gmail.com.By Jody Marks, MSN, AGACNP-BC, FNP-BC

Nursing hasn't always been a female dominated profession. Prior to the Civil War, most nurses were men. We discuss the cultural issues that pushed women out of nursing during the antebellum period as well as the relatively recent increase in the number of male nurses. Jody participates in this panel discussion with other faculty members of Calhoun …

Medical assistant Katie Glenn takes us through the surprisingly simple process of applying the sensor of the Freestyle Libre 2 continuous glucose monitor. Link: YouTube video demonstration (not us) Support the show Want to get in touch? Email any time at thekppod@gmail.com.By Jody Marks, MSN, AGACNP-BC, FNP-BC

We review the evidence, or rather the lack thereof. We also review the recently updated ACG/AGA guidelines for management of chronic idiopathic constipation in adults. Links: AGA/ACG Guideline on Chronic Idiopathic Constipation Management in Adults AFP Article on Pediatric Constipation Management Effect of Irritant Purgatives on the Myenteric Plexu…

Why did no one teach us how to fill out all these forms?! Jody goes through the tedious process of trying to get an imaging study covered by a patient's insurance company. After the effort (SPOILER ALERT) fails, he reviews what could have been done differently. He also discusses ACR Appropriateness Criteria for determining which imaging studies to …

April Klar is a nurse practitioner in the emergency room of a busy level 1 trauma center in Huntsville, AL. She has worked in emergency medicine for over 20 years. On today's episode she discusses how she has managed to have such a long career in such a stressful environment. Also we have a special cameo appearance of KP's canine correspondent, Ben…

Mark discusses living with and managing type 2 diabetes. He also shares how being both Black and gay has influenced his interactions with the healthcare system and offers his insights into the larger issue of healthcare disparity in the United States. Thrive Alabama Website Supporting Articles: 1) Maternal Mortality Rates in the United States, 2021…

Jody reviews hyperparathyroidism including the underlying pathophysiology, diagnosis, and treatment. Sources: Sternlicht H, Glezerman IG. Hypercalcemia of malignancy and new treatment options. Ther Clin Risk Manag. 2015 Dec 4;11:1779-88. doi: 10.2147/TCRM.S83681. PMID: 26675713; PMCID: PMC4675637 Overbaugh, J.L.H.K.H.C. K. (2021). Lippincott Course…

Alex Gallenstein, NRP, FP-C talks with Jody about his experience doing perhaps the most glamorous and coveted job in EMS. Links: MedicTests.com Article On Gas Laws GMR Membership Information Erlanger Life Force Website Newsweek Article About the Cost of Air Medical Services Support the show Want to get in touch? Email any time at thekppod@gmail.com…

Jody delves into his recent Google searches to share what he learned. Topics include: Adult RSV vaccines, HPV testing & cervical cancer screening, transdermal testosterone therapy, fluid resuscitation for major burns, CT myelography, acute blood loss, and terminology for abnormal uterine bleeding. Stick around for fun with ICD codes! Links: CDC Evi…

Patti offers tips for taking care of kids in non-pediatric settings, dealing with parents of sick kids, and discusses the emotional impact of her work. Patti is a former PICU RN and current PICU NP with over 20 years of experience in pediatric acute care. The interview was conducted via Skype on June 7th, 2023. Support the show Want to get in touch…

An interview with paramedics Terrie Armstrong and Tina Lansaw about their experiences during the unprecedented storms that hit Alabama on April 27th, 2011, recorded about a month after the incident occurred. Terrie & Tina's disaster area photos: https://drive.google.com/drive/folders/1bN0x73NJZG3KBnW5SmSJeGSzaZQHKZ1Q?usp=drive_link AL.com article a…

How do you decide when to refer a patient to a specialist? Jody discusses his thoughts about and experiences with patient referrals. Support the show Want to get in touch? Email any time at thekppod@gmail.com.By Jody Marks, CRNP, AGACNP-BC, FNP-BC

Jody discusses how bias affects us as individuals as well as the medical field in general. Stick around to earn your wings fighting the GLP-1 craze and review the link between metformin and B12 deficiency. Harvard Implicit Association Test: https://implicit.harvard.edu/implicit/takeatest.html Smithsonian Bias Exhibit: https://www.sites.si.edu/s/top…

A quick overview of those super easy to remember, never-changing recommendations for screening and vaccination! Support the show Want to get in touch? Email any time at thekppod@gmail.com.By Jody Marks, CRNP, AGACNP-BC, FNP-BC

Welcome to Knowledgeable Provider, a podcast about medicine!By Jody Marks, CRNP, AGACNP-BC, FNP-BC