Hospital and Internal Medicine Podcast

About Hospital and Internal Medicine Podcast

Intended for the medical professional who enjoys learning for the sake of it. Dr. Porat is a practicing Colorado Hospitalist and Board Certified in Internal Medicine.

Publisher

Gil Porat, M.D., FACP, CPT

Category

health & fitness · science

Language

en

Explicit

No

First episode

2 Jul 2012

Latest episode

12 Sept 2026

Latest episodes

1 of 136 episodes have a transcript.

1. 

   12 Sept 2026TRANSCRIPT

   Science vs. Hospital Habit: Why We Ignore the Data on Salt, Fluids, and Metformin

   Host Dr. John Smith interviews Dr. Jane Doe, a leading cardiologist, discussing how hospital habits often contradict data on salt, fluids, and metformin, urging evidence-based practice changes.

2. 

   16 Jun 2026

   Elevated Lactate vs Lactic Acidosis: Words That Change Care And Outcomes

   This episode clarifies the difference between an elevated lactate level (hyperlactatemia) and true lactic acidosis, which requires evidence of metabolic acidosis (low pH or low bicarbonate). It discusses common causes of raised lactate, why mislabeling affects treatment location and mortality risk, and how EHRs and coding practices can perpetuate the confusion. Listeners will learn when to document lactic acidosis versus elevated lactate, the clinical implications for resuscitation and disposition, and the importance of precise medical terminology. If you find elevated ascorbic acid (Vitamin C) in the blood, you don't diagnose the patient as having an ascorbic acidosis. Likewise, just because lactic acid is elevated in the blood does not mean it is an acidosis (though sometimes it can be - learn the difference).

3. 

   25 May 2026

   When Stool Turns to Stone: Manually Disimpact Again or Buy Coca Cola? Fecalomas, Risks, and Treatments

   Fecalomas—rock‑hard impacted stool that cause obstruction, stercoral colitis, perforation, and even death—most often in immobile elderly patients or those on opioids. Standard treatments include aggressive bowel regimens, enemas, manual disimpaction, endoscopic fragmentation, and surgery. There are also case reports of using Coca‑Cola enemas to soften and reduce fecalomas when conventional measures failed.

Inside a recent episode

Science vs. Hospital Habit: Why We Ignore the Data on Salt, Fluids, and Metformin

Published 12 Sept 2026 · Transcript excerpt

[…] Let me start with a quote from the Journal of Hospital Medicine in February of 2026, where it says, trials comparing dietary salt restrictions in patients hospitalized with acute heart failure showed no improvement in outcomes for those randomized to lower salt targets. patient heart failure data also fails to show a reduction in heart failure admissions and mortality with salt restrictions and that's the end of the quote but let's look specifically what we're really talking about with low salt diets for acute heart failure what have trials shown us that there's no difference in weight they've shown us there's no difference in congestion and there's no difference in readmission for heart failure So there's no improvement in outcomes. […]

Reach and audience

Public platform figures. Ratings count people who left a rating, not total listeners.

Apple Podcasts (US)

4.7 / 5

574 ratings

Spotify

4.8 / 5

21 ratings

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