The Curbsiders Internal Medicine Podcast
The Curbsiders Internal Medicine Podcast
The Curbsiders Internal Medicine Podcast
#109: Things We Do For No Reason: A High Value Episode
1 hour 7 minutes Posted Aug 20, 2018 at 12:00 am.
Announcements
Disclaimer, intro, and guest bio
Guest one liner, some recommendations, and advice
Defining high value care and things we do for no reason (TWDFNR)
Why do clinicians order useless testing?
Urine electrolytes for acute kidney injury
Renal ultrasound for acute kidney injury
Stop ordering folate for anemia workup
How many units should I transfuse?
Prealbumin and albumin for malnourishment.
Iodine, shellfish and contrast allergy
Patient leaving against medical advice
Switching from IV to oral antibiotics
Dr Feldman’s plugs
Outro
0:00
1:07:04
Download MP3
Show notes
Things We Do For No Reason #TWDFNR highlights some widespread practices that are difficult to justify based on lack of proven health benefits, but significant cost (both financial and non-financial harms). Avoid these low value practices and inflated medical bills with tips from expert, Dr Lenny Feldman, MD, FACP, Associate Professor of Medicine Johns Hopkins. Topics include: renal ultrasound and urine electrolytes in acute kidney injury (AKI), folate deficiency and anemia work-up, prealbumin and malnutrition, blood transfusions, shellfish and contrast allergies, monitoring after switch from IV or oral antibiotics, and “against medical advice” discharges.
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Credits:
Written and produced by: Justin Berk MD, MPH, MBA
Editor: Matthew Watto, MD
Hosts: Justin Berk MD, MPH, MBA; Matthew Watto MD; Paul Williams MD, FACP
Guest: Lenny Feldman MD, FACP
Time Stamps