Knowledgeable Provider

Dr. Todd Oyen returns to discuss his personal experience living with CMT. As it happens, September is CMT awareness month so this is the perfect time to share this special conversation. Links: 1) Charcot Marie Tooth Association 2) Hereditary Neuropathy Foundation 3) Muscular Dystrophy Association 4) World Tang Soo Do Association 5) Oyen's North Alabama Tang Soo Do 6) Dr. Oyen's YouTube Channel

Apparently Jody doesn't know how to let it go. Listen as he rants about incidents from the distant past that still get under his skin. If you observe Festivus, consider this an early airing of grievances. Sound effects by Voicemod.

The new PCAB Voquenza (vonoprazan) is being marketed as a superior alternative to PPI therapy for acid-related conditions (GERD with or without erosive esophagitis, H. pylori eradication). Are these two mechanisms of action really that different? Jody investigates. References: 1) Prescriber information: https://www.phathompharma.com/wp-content/uploads/VOQUEZNA-tablets-Prescriber-Information.pdf 2) György Miklós Buzás, Dual acid-pump blocking as novel therapeutic approach to treatment of acid-related diseases, Medical Hypotheses, Volume 187, 2024, 111338, ISSN 0306-9877, https://doi.org/10.1016/j.mehy.2024.111338. 3) Katzka DA, Kahrilas PJ. Potassium-Competitive Acid Blocker Suppression of Gastric Acid in Erosive Esophagitis: Is Stronger and Longer Better? Gastroenterology. 2023 Jan;164(1):14-15. doi: 10.1053/j.gastro.2022.10.022. Epub 2022 Oct 28. PMID: 36341738. 4) Shin JM, Sachs G. Pharmacology of proton pump inhibitors. Curr Gastroenterol Rep. 2008 Dec;10(6):528-34. doi: 10.1007/s11894-008-0098-4. PMID: 19006606; PMCID: PMC2855237. 5) Simadibrata DM, Syam AF, Lee YY. A comparison of efficacy and safety of potassium-competitive acid blocker and proton pump inhibitor in gastric acid-related diseases: A systematic review and meta-analysis. J Gastroenterol Hepatol. 2022 Dec;37(12):2217-2228. doi: 10.1111/jgh.16017. Epub 2022 Oct 26. PMID: 36181401; PMCID: PMC10092067. 6) Oshima T, Miwa H. Potent Potassium-competitive Acid Blockers: A New Era for the Treatment of Acid-related Diseases. J Neurogastroenterol Motil. 2018 Jul 30;24(3):334-344. doi: 10.5056/jnm18029. PMID: 29739175; PMCID: PMC6034668

During the week prior to Hurricane Ike making landfall in Texas, paramedics from all over the country helped evacuate patients from the storm's path. In this episode of Critical Incident from Knowledgeable Provider, Jody shares his personal experiences from that response.

It's back-to-school time! Are you ready? Jody shares his suggestions for passing those exams with flying colors. How To Study A Textbook by Tom Meyer

The sad story of a patient whose diagnosis was delayed until it was too late.

Requested by KP listeners! An update on a patient from the previous prostate cancer episode and a deep dive into the history of prostate cancer screening. References: Kazuto, I. et al. Screening for prostate cancer: History, evidence, controversies and future perspectives toward individualized screening. International journal of urology. 2019; 26(10). doi:10.1111/iju.14039 Albertsen PC. The Evolving Paradigm of Prostate Cancer Screening. JAMA Netw Open. 2019;2(8):e198392. doi:10.1001/jamanetworkopen.2019.8392 USPSTF Final Recommendation Statement: Prostate Cancer Screening, 2018. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening Wei JT, Barocas D, Carlsson S, et al. Early detection of prostate cancer: AUA/SUO guideline part I: prostate cancer screening. J Urol. 2023;210(1):45-53.

Angie Carmody is an American Sign Language interpreter with Huntsville City Schools in Huntsville, Alabama. She talks with Jody about her years of experience in the field and offers some helpful insights about communicating with deaf people. Links: Alabama Institute for the Deaf and Blind Deaf Access Solutions Stayawhile Cabin Rental (Vrbo) Stayawhile Cabin Rental (airbnb)

Jody reviews lipid management for primary care. Sources & Links: Pignone, M. & Cannon, C.P. Low-density lipoprotein cholesterol-lowering therapy in the primary prevention of cardiovascular disease. UpToDate. ⁠AHA/ACC 2018 Cholesterol Management Guidelines⁠ Canadian PEER Lipid Practice Guidelines Triglycerides (Mayo Clinic) Cholesterol Basics (Johns Hopkins) Good vs Bad Cholesterol (AHA) Don't Be Afraid of Statins (Harvard Health) Cholesterol Too Low? (Mayo Clinic)

Dr. Oyen and Jody swap "war stories" from their EMS careers. Crazy codes, celebrity encounters, the Olympics, hurricanes, non-human patients; you really never know what you're going to run into out in the field.

Jody shares his general approach to managing hypertension in primary care. Links: 2020 IHS Hypertension Guidelines 2023 EHS Hypertension Guideline Update Racial & Ethnic Disparities in Hypertension

Michael David Smith is the former director of the Colbert County, AL Emergency Management Agency. He speaks with Jody about the agency's role during both day-to-day operations and large-scale disasters.

Uncle Jody is talking about the good ol' days again.

Dr. Oyen discusses what he has learned about teaching and connecting with students over his long career in EMS education. Dr. Oyen's YouTube Channel Northwest-Shoals Community College EMS Department

On the one-year anniversary of Knowledgeable Provider Jody reflects on the past, looks to the future, and discusses the current state of affairs at KP Pod HQ. Huge thanks to everyone who has listened!

Recently retired Colbert County, AL EMA director Michael David Smith discusses the medical helicopter crash that claimed the lives of crew members Allan Bragwell, Tiffany Miles, and Michael Baker on December 30th, 2007.

Jody (or someone who sounds suspiciously like him) discusses the phenomenon of impostor syndrome and how it affects medical professionals. References: 1) Chen C. Doctor who? Reflecting on impostor syndrome in medical learners. Can Fam Physician. 2020 Oct;66(10):e268-e269. PMID: 33077468; PMCID: PMC7571643. 2) Wikipedia. Impostor syndrome. Retrieved from https://en.wikipedia.org/wiki/Impostor_syndrome. 3) Wikipedia. Dunning-Kruger effect. Retrieved from https://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect.

Monoclonal antibodies are used to treat cancer. Or is it asthma? Skin conditions? Wait, didn't we use those for covid, too?? The answer is yes! Jody reviews the basic mechanism of these versatile medications as well as their naming conventions and a bit about how they are discovered. References: 1) Manis, J. Overview of therapeutic monoclonal antibodies. UpToDate. 2) Mayo Clinic Staff. Monoclonal antibody drugs for cancer: How they work. Retrieved from https://www.mayoclinic.org/diseases-conditions/cancer/in-depth/monoclonal-antibody/art-20047808

Rob recalls his experiences working in Madison County, AL during the tornado outbreak on April 27th, 2011. This interview was recorded in 2011, about a month after the storms hit. It was done using a handheld recorder with the intention of producing a written account, so the audio quality is not great. Rob mentioned that meteorologist Gary Dobbs was injured during the storm while broadcasting live from his home. You can find the full story of that incident here: https://www.al.com/news/2021/04/alabama-forecaster-gary-dobbs-got-the-ride-of-his-life-from-an-f-5-tornado-on-april-27-2011.html

In this episode of Calhoun's Crossing The Streams podcast, Jody participates in a panel discussion about whether or not teaching students about the Tuskegee syphilis study might contribute to vaccine hesitancy.