Key Perspectives is a clinical education podcast produced by Key Medical Care, a medical practice specializing in complex chronic and geriatric care. This podcast dives deep into the complexities of caring for geriatric patients with multiple, often coexisting, medical conditions.
Each episode explores essential medical topics and best practices for delivering high-quality care across various settings such as facility-based care, home-based care, and telemedicine. Whether you’re a healthcare provider, caregiver, or interested in the evolving landscape of geriatric medicine, Key Perspectives offers valuable insights into managing complex cases and improving patient outcomes.
Tune in to stay informed and enhance your approach to patient care.
14 - Decision-Making Capacity: Practical Tools for the Clinician
Physician Steve Arze MD and Physician Assistant Eric Gordon PA-C discuss frameworks like HCAT, ACE, and CURVES for assessing medical decision-making capacity in geriatric, palliative, and acute care settings in an interview.
29 Dec 2025
13 - Pain in Dementia - A Hidden Driver of BPSD
Dr. Steve Arze discusses unrecognized pain as a driver of behavioral symptoms in dementia patients with Eric Gordon, exploring a multimodal approach to pain management and reducing inappropriate antipsychotic use in this interview.
24 Nov 2025
12 - BPSD: Pharmacologic Approach
Eric Gordon, PA-C, and Dr. Steve Arze explore the pharmacologic approaches to managing behavioral and psychological symptoms of dementia, discussing medication options, potential risks, and the importance of careful reassessment in this interview.
13 Oct 2025
11 - BPSD: Non-Pharmacologic Approach
Eric Gordon, PA-C, and Dr. Steve Arze explore non-pharmacologic strategies for managing Behavioral and Psychological Symptoms of Dementia, differentiating BPSD from delirium and introducing tools like redirection and music therapy; this is an interview.
22 Sept 2025
10 - Narrating Your Care
Physician Assistant Eric Gordon and Dr. Arze discuss narrating patient care, which involves explaining clinical reasoning to patients, so they feel heard and informed, bridging the gap between clinical excellence and patient perception in this interview episode.
25 Aug 2025
09 - Heart Failure (Part 7): Patient Cases
Host Dr. John Smith and guest Dr. Jane Doe, a leading cardiologist, analyze complex heart failure patient cases, offering practical insights for optimizing treatment and patient care.
30 Jul 2025
08 - Heart Failure (Part 5): SGLT2 Inhibitors
This episode explores SGLT2 inhibitors, originally for diabetes, and their surprising benefits in managing heart failure and chronic kidney disease, offering practical insights for safe incorporation into treatment.
7 Jul 2025
07 - Heart Failure (Part 5): Beta Blockers
This episode explores beta blockers as a core component of heart failure treatment, explaining receptor functions, heart rate benefits, and evidence-based prescriptions for optimal patient outcomes.
16 Jun 2025
06 - Demystifying Hospice
This episode demystifies hospice care, exploring its clinical and insurance aspects, support services, and communication strategies, ultimately aligning care with patient values like comfort and dignity.
3 Jun 2025
05 - Heart Failure (Part 4): RAAS Inhibitors
Industry experts explore renin-angiotensin system inhibitors, including ACE inhibitors, ARBs, and ARNIs, for treating heart failure with reduced ejection fraction, focusing on initiation, switching, and managing tolerability.
19 May 2025
04 - Heart Failure (Part 3): GDMT and Spironolactone
In this episode of Key Perspectives, we continue our heart failure series by diving into Part 3: Medication Management, with a focus on spironolactone, a cornerstone of guideline-directed medical therapy (GDMT).
We start by reviewing the distinctions between HFpEF, HFmrEF, and HFrEF, and discuss how treatment strategies differ across these subtypes. The hosts explain what GDMT is, who develops it, and why it's essential in improving outcomes and reducing hospitalizations in heart failure patients.
The spotlight is on spironolactone—its dual role in HFrEF and HFpEF, its mechanism as a mineralocorticoid receptor antagonist, and how it contributes to diuresis, cardiac remodeling prevention, and potassium-sparing benefits. We also cover clinical pearls, including when it can be used alongside loop diuretics like Lasix, and important considerations for avoiding use in patients with hyperkalemia or poor renal function.
Tune in for a concise, clinically relevant discussion that enhances your understanding of heart failure pharmacology and supports your practice in geriatric and complex patient care settings.
28 Apr 2025
03 - Heart Failure (Part 2)
In this episode, we kick off our deep dive into heart failure treatment, starting with a fundamental goal: achieving ideal volume status. Managing fluid overload is crucial for symptom control and preventing hospitalizations — and today, we’re unpacking how to do it effectively.
We'll cover:
Dry Weight: What it is, why it matters, and how to determine it.
Fluid Restriction: When and why.
Loop Diuretics: A comparison of the "Big 3" — Furosemide, Torsemide, and Bumetanide — including dosing strategies and absorption differences.
Common Adverse Effects: Hypokalemia, renal function changes, and hypotension — what to monitor and how to respond.
Potassium Supplementation: Should you start it preemptively when initiating a loop diuretic?
🔔 Stay tuned: In future episodes, we’ll continue walking through each major medication class used in heart failure management.
14 Apr 2025
02 - Heart Failure (Part 1)
In this first installment of our multi-part series on Heart Failure (HF), we dive into why this condition deserves such focused attention—especially in older adults. Of the 5 million patients in the US that have heart failure, more than 75% of them are 65+. Understanding the nuances of this chronic, progressive disease is essential for clinicians in geriatric care.
Join us as we break down how to approach a patient with suspected heart failure, including key symptoms, diagnostic labs like BNP, and the role of imaging with echocardiography. We also explore the subtypes of HF—HFpEF, HFmrEF, and HFrEF—and discuss common communication pitfalls when discussing the diagnosis with patients.
Whether you’re in the clinic, at the bedside, or providing care via telemedicine, this episode lays the groundwork for confident, evidence-based heart failure management.
24 Mar 2025
01 - Patient Introductions
In this episode, we explore the essential aspects of introducing yourself to new patients, both on a personal and professional level. We discuss how to effectively communicate your role in the care team, set expectations for patient care across different settings, and navigate the challenges of transitioning care, whether it’s a new patient, a transfer, or a follow-up visit. Tune in for valuable insights on building trust, managing patient expectations, and ensuring comprehensive care from day one.
Who has been a guest on Key Perspectives
Names identified in recent episode analyses. Showing up to five guests.
Dr Steve Arze
Eric Gordon
Steve Arze
Dr Jane Doe
Podcast Authority Score: 3 / 100
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Quality
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Social presence
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YouTube
0
Engagement
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