The Podcast by KevinMD

What if one of the most common escalation strategies for acute heart failure doesn't actually improve outcomes? Internal medicine physicians Benjamin P. Geisler, Jeffrey L. Greenwald, and Kathy May Tran, editors of 50 Studies Every Hospitalist Should Know, join the show to break down what the DOSE trial really tells us about managing diuretics on the wards. Based on their KevinMD article "Managing acute heart failure: evidence from the DOSE trial," they explain why continuous furosemide infusions showed no clinical advantage over intermittent boluses for decongestion, and what that means for your daily practice. You will hear how headline-driven medicine can mislead clinicians, why knowing who was excluded from a trial matters as much as the results, and how evidence-based medicine teaching is evolving in the age of AI. Whether you are a hospitalist, a trainee on the wards, or a primary care physician managing heart failure transitions, this episode will sharpen how you read and apply the studies that shape patient care.

Tune into our episode "2026 Cholesterol Guidelines: LDL goals, lipoprotein(a), and coronary calcium scoring," brought to you by Novartis Pharmaceuticals Corporation.
For the first time in eight years, LDL cholesterol goals have changed, and preventive cardiologist Seth Baum says the new guidelines are a long-overdue course correction. He breaks down the new LDL targets for your highest-risk patients, why the LDL hypothesis should be retired in favor of the LDL fact, why lipoprotein(a) screening finally belongs in every patient's workup, what a coronary calcium score over 300 really means for how aggressively you treat, and how to talk to statin-skeptical patients without losing their trust. Listen now at KevinMD.com/cholesterol.
VISIT SPONSOR → https://kevinmd.com/cholesterol

Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story.
PARTNER WITH KEVINMD → https://kevinmd.com/influencer
SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast
RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

What happens when the nurses sent to care for your medically fragile child have never even touched the equipment keeping him alive? Patient advocate Ashley Youngdale knows firsthand. As the mother of a son with Mobius syndrome who required a trach and ventilator, she became his primary nurse, trainer, and care coordinator when the pediatric home health care system fell short. In this episode, based on her KevinMD article "Pediatric home health care oversight: Why accountability is failing," Ashley reveals how the nursing shortage does more than leave shifts unfilled. It erodes the very accountability structures meant to protect vulnerable patients. You will hear why credentials do not guarantee competence, how blurred boundaries with home care nurses can put families at risk, and why parents must learn to enforce their own standards when oversight systems fail. If you care for a medically complex child or work in home health nursing, this conversation will change how you think about who is truly responsible for patient safety.

Tune into our episode "2026 Cholesterol Guidelines: LDL goals, lipoprotein(a), and coronary calcium scoring," brought to you by Novartis Pharmaceuticals Corporation.
For the first time in eight years, LDL cholesterol goals have changed, and preventive cardiologist Seth Baum says the new guidelines are a long-overdue course correction. He breaks down the new LDL targets for your highest-risk patients, why the LDL hypothesis should be retired in favor of the LDL fact, why lipoprotein(a) screening finally belongs in every patient's workup, what a coronary calcium score over 300 really means for how aggressively you treat, and how to talk to statin-skeptical patients without losing their trust. Listen now at KevinMD.com/cholesterol.
VISIT SPONSOR → https://kevinmd.com/cholesterol

Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story.
PARTNER WITH KEVINMD → https://kevinmd.com/influencer
SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast
RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

What happens when a physician who spent decades treating patients suddenly finds himself on the other side of the exam table, unable to get a simple answer about his own aneurysm? Jeffrey Junig, a psychiatrist and addiction medicine specialist, shares how a life-saving surgery and a casually dropped diagnosis exposed the growing disconnect between clinical excellence and patient experience. Based on his KevinMD article, "Why quality of life in health care is often overlooked," this conversation digs into what gets lost in 15-minute visits, why patients turn to the internet when doctors won't engage, and how even a physician with full access to medical literature struggled to advocate for his own care. You'll hear practical advice for patients who feel rushed or dismissed, honest reflection on polypharmacy and the limits of app-based communication, and a powerful case for why the doctor-patient relationship remains the most undervalued tool in medicine. If you've ever left a clinic feeling unheard, this episode will remind you that your questions deserve real answers.

Tune into our episode "2026 Cholesterol Guidelines: LDL goals, lipoprotein(a), and coronary calcium scoring," brought to you by Novartis Pharmaceuticals Corporation.
For the first time in eight years, LDL cholesterol goals have changed, and preventive cardiologist Seth Baum says the new guidelines are a long-overdue course correction. He breaks down the new LDL targets for your highest-risk patients, why the LDL hypothesis should be retired in favor of the LDL fact, why lipoprotein(a) screening finally belongs in every patient's workup, what a coronary calcium score over 300 really means for how aggressively you treat, and how to talk to statin-skeptical patients without losing their trust. Listen now at KevinMD.com/cholesterol.
VISIT SPONSOR → https://kevinmd.com/cholesterol

Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story.
PARTNER WITH KEVINMD → https://kevinmd.com/influencer
SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast
RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

What if the biggest driver of unnecessary ER visits, malpractice claims, and patient anxiety isn't a missed diagnosis but a missed sentence? Alan P. Feren, a retired surgeon, independent physician, health care consultant, and patient advocate, returns to the show to break down why clinical reasoning that stays inside a doctor's head fails everyone involved. Based on his KevinMD article, "Clinical communication skills: the power of structured language," this conversation introduces his five disciplines of language, a practical framework that helps physicians translate their thinking into words patients can actually use. You'll learn why vague instructions like "return if symptoms worsen" leave patients guessing, how 30 to 40 percent of malpractice suits trace back to communication failures, and why naming what has been ruled out can matter just as much as naming the diagnosis. Feren also addresses treatment burden, the overlooked question of whether a patient can realistically follow the plan you just prescribed. None of this requires extra time or systemic overhaul, just a shift in how you structure what you already say. If you want one framework that improves patient satisfaction, reduces downstream costs, and restores meaning to the clinical encounter, press play.

Tune into our episode "2026 Cholesterol Guidelines: LDL goals, lipoprotein(a), and coronary calcium scoring," brought to you by Novartis Pharmaceuticals Corporation.
For the first time in eight years, LDL cholesterol goals have changed, and preventive cardiologist Seth Baum says the new guidelines are a long-overdue course correction. He breaks down the new LDL targets for your highest-risk patients, why the LDL hypothesis should be retired in favor of the LDL fact, why lipoprotein(a) screening finally belongs in every patient's workup, what a coronary calcium score over 300 really means for how aggressively you treat, and how to talk to statin-skeptical patients without losing their trust. Listen now at KevinMD.com/cholesterol.
VISIT SPONSOR → https://kevinmd.com/cholesterol

Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story.
PARTNER WITH KEVINMD → https://kevinmd.com/influencer
SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast
RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

What happens when patients from opposite ends of the political spectrum sit together in your waiting room and start talking like neighbors? Psychiatrist Farid Sabet-Sharghi explores why the medical office remains one of the last spaces where shared humanity overrides division. Based on his KevinMD article, "Physician neutrality: a beacon of ethics in a divided world", this conversation moves from the exam rooms of a polarized America to the prisons of Iran, where physicians and nurses risked torture and death to treat wounded protesters. Sabet-Sharghi shares the story of his father, a pediatrician arrested for his Bahai faith, who opened a clinic inside the very prison that held him. He draws a line from that radical moral courage to the quieter tests physicians face every day: speaking up when colleagues are mistreated, pushing back when systems reduce healers to "providers" and "prescribers," and refusing to let financial stratification erode the dignity of primary care. You'll hear why he now prefers "unbending moral integrity" over neutrality, how physician burnout connects to a lost sense of calling, and what younger doctors need to hear about why their work still matters. This is a conversation that will remind you why you entered medicine in the first place.

Tune into our episode "2026 Cholesterol Guidelines: LDL goals, lipoprotein(a), and coronary calcium scoring," brought to you by Novartis Pharmaceuticals Corporation.
For the first time in eight years, LDL cholesterol goals have changed, and preventive cardiologist Seth Baum says the new guidelines are a long-overdue course correction. He breaks down the new LDL targets for your highest-risk patients, why the LDL hypothesis should be retired in favor of the LDL fact, why lipoprotein(a) screening finally belongs in every patient's workup, what a coronary calcium score over 300 really means for how aggressively you treat, and how to talk to statin-skeptical patients without losing their trust. Listen now at KevinMD.com/cholesterol.
VISIT SPONSOR → https://kevinmd.com/cholesterol

Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story.
PARTNER WITH KEVINMD → https://kevinmd.com/influencer
SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast
RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended