Everyday Medicine is a podcast from the Division of General Internal Medicine at The Ohio State University. This podcast is focused on primary care and aims to provide current information to medical professionals from our local experts in Ohio. (Sponsored by the Ohio Chapter of the American College of Physicians.)
Dr. Duncan Campbell discusses celiac disease with Christopher Chiu, covering its diagnosis, symptoms, and treatment, offering medical professionals insights into effective patient care in this interview.
17 Apr 2025TRANSCRIPT
Episode 15 - Alcohol Use Disorder (Screening)
Dr. Christopher Chiu interviews Dr. Dan Jonas, Division Director of General Internal Medicine at Ohio State University, about screening tools and strategies for alcohol use disorder in primary care.
16 Jan 2025TRANSCRIPT
Episode 14 - Diabetic Retinopathy (LIVE at Ohio ACP)
In this episode Christopher Chiu speaks with Dr. Harrison Jackson about diabetic retinopathy. The discussion focuses on the importance of screening for diabetic retinopathy to prevent vision loss, emphasizing ADA guidelines for patients with type 1 and type 2 diabetes. Dr. Jackson outlines common barriers to screening adherence and proposes solutions, including in-office retinal photography and artificial intelligence as promising tools to improve screening rates. The conversation provides insights on integrating these technologies into primary care to enhance patient outcomes.
00:00 Introduction to Everyday Medicine Podcast
00:36 Guest Introduction: Dr. Harrison Jackson
01:28 Understanding Diabetic Retinopathy
02:41 Screening Guidelines for Diabetic Retinopathy
03:55 Barriers to Screening Compliance
05:28 Effective Strategies for Screening
07:33 In-Office Retinal Photography
09:14 Cost and AI in Retinal Photography
10:15 Future of Retinal Screening and AI
15:15 Key Takeaways and Conclusion
9 Jan 2025TRANSCRIPT
Episode 13 - HIV Pre-exposure Prophylaxis (PrEP)
In this episode of Everyday Medicine, Christopher Chiu is joined by clinical pharmacist Lindsey Lee, who provides an in-depth overview of PrEP (Pre-Exposure Prophylaxis), its effectiveness in preventing HIV, the populations that should be considered for PrEP, and the disparities in its usage. They discuss various PrEP medications, including oral options like Truvada and Descovy, and the injectable Apretude, addressing their indications, side effects, and monitoring requirements. Lee also talks about prescribing practices, counseling patients, and ensuring adherence to PrEP regimens, as well as resources for patients who face financial barriers to accessing PrEP. The episode highlights the importance of primary care physicians in managing and discussing PrEP with eligible patients.
00:00 Introduction to Everyday Medicine
00:53 Guest Introduction: Pharmacist Lindsey Lee
01:10 Understanding PrEP Therapy
01:34 Who Should Consider PrEP?
04:30 Oral Medications for PrEP
06:34 Injectable PrEP: Apretude
08:06 Baseline Labs and Monitoring
10:04 Counseling Patients on PrEP
15:11 Intermittent PrEP: The 2-1-1 Method
18:04 Affordability and Assistance Programs
19:03 Conclusion and Final Thoughts
2 Jan 2025TRANSCRIPT
Episode 12 - Point of Care Ultrasound (LIVE at Ohio ACP)
In this episode of Everyday Medicine, hosted by Christopher Chiu, Dr. Paul Shaniuk discusses Point of Care Ultrasound (POCUS) during the Ohio chapter of the American College of Physicians' Annual Conference. Dr. Shaniuk, a hospitalist at the VA Northeast Ohio Healthcare System, explains POCUS, which is performed by clinicians at the bedside for real-time diagnostic interpretation. He describes the evolution and significance of POCUS compared to the traditional stethoscope. The conversation covers practical applications, including assessing dyspneic patients, cardiac evaluation, and volume status assessment, as well as the differences between POCUS and formal ultrasounds. Dr. Shaniuk also talks about how clinicians can obtain training and credentialing in POCUS, the integration of POCUS into daily practice, and the importance of developing robust POCUS programs within medical institutions.
00:00 Introduction to Everyday Medicine
00:37 Introducing Dr. Paul Shaniuk and POCUS
04:04 Practical Uses of POCUS in Hospital Medicine
08:05 POCUS in Outpatient and Primary Care
10:57 Training and Credentialing in POCUS
15:07 Building a POCUS Program
19:54 Final Thoughts and Takeaways
20:45 Closing Remarks
26 Dec 2024TRANSCRIPT
Episode 11 - ADHD (Treatment)
In this follow-up episode to ADHD diagnosis, Dr. Christopher Chiu interviews Dr. Stephen Koesters about treatment approaches for ADHD in both children and adults. They discuss pre-treatment assessments, non-medication strategies, medication options including stimulants and non-stimulants, and practical approaches to monitoring and managing treatment.
[00:01:24] - Discussion of pre-treatment assessments
[00:03:59] - Overview of non-medication treatment options
[00:08:24] - Introduction to medication categories (stimulant vs. non-stimulant)
00:09:00] - Detailed discussion of non-stimulant medications
[00:11:54] - Overview of stimulant medications
[00:17:07] - Discussion of medication formulations for young children
[00:20:44] - Follow-up care and monitoring
[00:23:16] - Discussion of drug screening and monitoring
[00:26:02] - Managing medication side effects
[00:29:27] - Discussion of drug holidays
[00:31:08] - Final management tips and pearls
19 Dec 2024TRANSCRIPT
Episode 10 - ADHD (Diagnosis)
Dr. Christopher Chiu interviews Dr. Stephen Koesters, an experienced internal medicine and pediatrics physician at Ohio State University, about ADHD diagnosis in both children and adults. They discuss the prevalence of ADHD, diagnostic criteria, assessment tools, and practical approaches to diagnosis in primary care settings.
[00:00:30] - Introduction of Dr. Stephen Koesters
[00:01:40] - Discussion of what ADHD is and its neurochemical basis
[00:02:44] - Overview of ADHD prevalence in children and adults
[00:04:14] - Discussion of adult ADHD recognition and diagnosis challenges
[00:05:24] - Impact of undiagnosed ADHD on patients
[00:06:37] - Core symptoms and diagnostic criteria
[00:07:18] - Approach to diagnosis in children
[00:09:57] - Overview of diagnostic tools and rating scales
[00:12:18] - Detailed discussion of Vanderbilt forms
[00:15:29] - Adult ADHD assessment tools (ASRS)
[00:16:49] - Discussion of comorbid conditions
[00:18:04] - Guidelines for referrals and neuropsychological testing
12 Dec 2024TRANSCRIPT
Episode 9 - Weight Stigma & Weight Inclusive Medical Care
Dr. Christopher Chiu interviews Dr. Laura Bridge, a general internal medicine physician at Ohio State University with expertise in eating disorders, about weight stigma in healthcare and weight-inclusive medical care. They discuss the impact of weight stigma on patient health outcomes, the relationship between weight and health, and practical approaches to providing weight-inclusive care in primary care settings.
Time-Stamped Show Notes:
[00:00:39] - Introduction of Dr. Laura Bridge
[00:02:07] - Beginning discussion of weight stigma
[00:03:24] - Examination of correlation vs. causation in weight and health
[00:05:59] - Discussion of effects of weight stigma on patients
[00:07:50] - Explanation of weight cycling and its impacts
[00:10:16] - Connection between weight stigma and disordered eating
[00:11:59] - Healthcare providers' role in addressing weight stigma
[00:17:03] - Overview of Health at Every Size (HAES) movement
[00:19:46] - Final discussion of healthcare provider biases and impact
5 Dec 2024TRANSCRIPT
Episode 8 - High Value Advice for Medical Educators (LIVE at Ohio ACP)
Dr. Christopher Chiu interviews Dr. Richard Wardrop III, a distinguished medical educator and immediate past program director at Cleveland Clinic, at the Ohio ACP regional meeting. They discuss the concept of high-value medical education, examining traditional practices, evidence-based approaches, and future directions for medical education. The conversation explores how to maximize educational value while considering resources, outcomes, and patient care.
[00:00:21] - Introduction at Ohio ACP regional meeting
[00:02:26] - Discussion of high-value medical education concept
[00:04:09] - Framework for assessing educational value
[00:07:19] - Examples of low vs high-value educational practices
[00:09:43] - Discussion of "zombie practices" in medical education
[00:11:22] - Overview of Wardrop's Maxims
[00:14:01] - Analysis of "Choosing Wisely" campaign effectiveness
[00:16:40] - Discussion of successful system-level changes
[00:18:15] - Future priorities for medical education
28 Nov 2024TRANSCRIPT
Episode 7 - What is a Primary Care Track?
Dr. Christopher Chiu and Dr. Mark Troyer, Associate Program Director, explore the unique aspects of The Ohio State University's Internal Medicine Primary Care Track, emphasizing outpatient care, community building, and career preparation.
21 Nov 2024TRANSCRIPT
Episode 6 - Obesity Medicine (Medication Management)
Chris Chiu discusses medication management for obesity treatment with Dr. Allison Rhodes and Dr. Sara Li, exploring options and practical implementation in primary care settings.
14 Nov 2024TRANSCRIPT
Episode 5 - Obesity Medicine (Evaluation and Counseling)
In this episode of Everyday Medicine, Chris Chiu discusses obesity medicine with Dr. Allison Rhodes and Dr. Sara Li, focusing on evaluation and counseling approaches. The experts share insights on how to effectively discuss weight management with patients, set realistic goals, and implement comprehensive lifestyle interventions. They emphasize the importance of using non-stigmatizing language and individualizing treatment approaches while addressing various barriers to weight management.
9 Feb 2024TRANSCRIPT
Episode 4 - Pre-Op Evaluation
Chris Chiu and Kevin Consevage delve into the intricacies of pre-operative assessment, emphasizing its role as a risk mitigation strategy rather than surgical clearance. This episode offers a comprehensive breakdown of assessing surgery types, patient functionality, and the necessary pre-op evaluations and medications.
2 Feb 2024TRANSCRIPT
Episode 3 - Down Syndrome Guidelines
In this informative episode, Christopher Chiu and Michael Neiger discuss the comprehensive care of adults with Down Syndrome. The conversation highlights the recent advancements in medical care and the evolution of life expectancy for individuals with Down Syndrome.
26 Jan 2024TRANSCRIPT
Episode 2 - Pharmacy Driven Population Health
Christopher Chiu and Kelli Barnes delve into the critical role of pharmacy in population health management. They discuss a comprehensive six-step process for enhancing patient outcomes through pharmacy-led initiatives.
19 Jan 2024TRANSCRIPT
Episode 1 - STI Updates: Chlamydia and Gonorrhea
Join Dr. Christopher Chiu and Dr. Francisco Magaña in a detailed discussion about the latest in STI screening for Chlamydia and Gonorrhea, patient communication, and treatment. This episode is a treasure trove of information for medical professionals dealing with sexually transmitted infections.
10 Jan 2024TRANSCRIPT
Episode 0 - Everyday Medicine (Trailer)
Welcome to Everyday Medicine, a podcast from the Division of General Internal Medicine at The Ohio State University. This podcast is focused on primary care and aims to provide current information to medical professionals from our experts in Ohio. We are graciously sponsored by collaboration with The Ohio Chapter of The American College of Physicians.
Inside a recent episode
Episode 16 - Celiac Disease
Published 24 Apr 2025 · Transcript excerpt
[…] And so CELAC disease is something that we see across the spectrum from children all the way to adults, correct? Right. Yeah, it can happen as early as when gluten is introduced to the diet, usually in the first year of life after six months or so, but also seems to have a peak later in adulthood somewhere between the 20s and 40s as well. So anywhere along that spectrum. All right. So can you dive a little more into the prevalence? How common is it in the general population? And are there specific groups that we find that are higher risk than others? Yeah. So from my review, the prevalence right now is somewhere around 0 .6 to 1 % of the population, but that prevalence seems to be increasing. […]
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