Medgeeks Clinical Review Podcast

When my daughter was six months old, her platelet count dropped to 2,000. Over the next two years she was diagnosed with a mitochondrial disease (MELAS), lupus, and immune thrombocytopenia (ITP), and was seen by nine different specialists. Not one of them connected those findings to each other. This is the story of what almost losing her taught me about chronic disease, why our current model of medicine keeps failing complex and chronically ill clients, and why I am back on the podcast after almost a decade away. I am Andrew Reid, founder of Medgeeks. I trained as a Physician Assistant, spent five years in primary care, and have spent over a decade since educating clinicians. None of it prepared me for my own daughter. To help her, I had to go back and learn the biology underneath chronic disease: mitochondrial medicine, biochemistry, molecular biology, genetics, metabolomics, and clinical nutrition. What I found changed how I think about every client I see. Going forward, this show is about that biology and the clinical reasoning that follows from it. Mitochondrial function, the cell danger response, metabolic health, autoimmune disease, insulin resistance, and the systems-based, root-cause approach to chronic disease that conventional training leaves out. We also get into the other side of that same continuum: building muscle, exercise as medicine, sleep, nutrition, and the levers that move someone toward genuinely optimal health. The goal is simple: better health, with better science. Whether you are a clinician reasoning through complex clients, someone facing chronic illness in your own life or your family's, or you are already healthy and want to understand how to optimize and protect that health for the long run, this is the work I want to do in front of you. Learn more here: medgeeks.co If this resonated, the best thing you can do is follow the show wherever you listen and leave a review. It genuinely helps more clinicians and more families find this work. Thank you for being here.

In the next podcast episode, we will continue our talk on hemophilia. Specifically the treatment of hemophilia. We'll discuss the different types of therapy available, from traditional factor replacement to emerging gene-techniques. Join Dr. Niket Sonpal as he helps us manage hemophilia patients.

Hereditary elliptocytosis, a blood disorder marked by abnormally shaped red blood cells, can significantly impact quality of life. In this episode, we delve into the world of elliptocytosis, exploring its causes, symptoms, and the challenges faced by those living with this condition. Common symptoms include fatigue, anemia, jaundice, and abdominal or splenic pain. Diagnosis typically involves a blood test examining red blood cell shape and size. Treatment may include medications, blood transfusions, and potentially splenectomy. Join Dr. Niket Sonpal as we discuss this rare, genetic blood conditon.

In this next episode, it might leave you feeling red in the face. We will dive into the world of glucose-6-phosphate dehydrogenase (G6PD) deficiency. A condition that can lead to hemolytic anemia, a condition where the red blood cells break down prematurely. We'll discuss the genetic condition and its causes, the signs and symptoms your patient might present with, the diagnosis and treatments such as avoiding triggers, regular blood tests and possibly blood transfusions. Join Dr. Niket Sonpal on this often overlooked condition. September 16, 2024

In this episode, we will answer some food/drink questions that many of your patients might as you. Is my avocados turning brown a good or bad thing? Is it safe to drink unpasteurized milk? Does diet sodas cause you to gain weight? Join Dr. Niket Sonpal as he answers some of the burning questions about some popluar food/drinks. September 2, 2024 —

In this episode, we dive deep into the dangerous world of TikTok medical advice. We expose the shocking trends circulating on the platform, from the absurd to the downright perilous. From nutrition fads that defy established guidelines and evidence-based medicine to bizarre beauty treatments like fecal facials, we uncover the truth behind these viral sensations. We'll also discuss the alarming claims about Castrol oil as a detoxifier and the misconception that sun exposure can cure acne. Join Dr. Niket Sonpal as we separate fact from fiction and protect your health from the misinformation epidemic on TikTok. August 19, 2024 — Do you work in primary care medicine? Primary Care Medicine Essentials is our brand new program specifically designed for primary care providers to increase their core medical knowledge & improve patient flow optimization. Learn more here: Primary Care Essentials —

In this episode, we explore cholangitis—an often overlooked yet critical inflammatory condition affecting the bile ducts. These tiny tubes transport bile from the liver to the gallbladder and small intestine. We break down the complexities of cholangitis into easy-to-understand terms, examining its causes, symptoms, and treatment options. Our discussion emphasizes the importance of recognizing cholangitis's early signs. Early detection and intervention are crucial in preventing serious complications. We also address the emotional and physical challenges faced by individuals living with this condition, providing resources for support and information. Join Dr. Niket Sonpal as we illuminate the small but significant impact cholangitis can have on one's life. August 5, 2024 — Do you work in primary care medicine? Primary Care Medicine Essentials is our brand new program specifically designed for primary care providers to increase their core medical knowledge & improve patient flow optimization. Learn more here: Primary Care Essentials —

In the latest podcast episode, we tackle a common concern about an abdominal troublemaker known as appendicitis. Classic symptoms of appendicitis include nausea, vomiting, and pain that typically starts near the navel and then migrates to the lower right abdomen. To diagnose appendicitis, a thorough physical exam is essential. However, the most definitive diagnostic tool is a CT scan, which provides detailed images of the appendix and can confirm the diagnosis. Once diagnosed, the primary treatment for appendicitis is surgical removal of the appendix, known as an appendectomy. There are two main types of appendectomy: laparoscopic and open surgery. Join Dr. Niket Sonpal as we delve into the intricacies of appendicitis, from recognizing the early warning signs to understanding the best practices for diagnosis and treatment. July 22, 2024 — Do you work in primary care medicine? Primary Care Medicine Essentials is our brand new program specifically designed for primary care providers to increase their core medical knowledge & improve patient flow optimization. Learn more here: Primary Care Essentials —

This episode dives into Onychomycosis, commonly known as nail fungus. We'll explore how these fungi affect your toenails, causing discoloration, thickening, and crumbling. Don't worry! We'll cover various treatment options, from topical solutions to oral medications, and even laser treatments. Plus, get tips on preventing nail fungus through good foot hygiene. Join Dr. Niket Sonpal, he'll help you tackle onychomycosis and reclaim your healthy toenails. July 8, 2024 — Do you work in primary care medicine? Primary Care Medicine Essentials is our brand new program specifically designed for primary care providers to increase their core medical knowledge & improve patient flow optimization. Learn more here: Primary Care Essentials —

We will continue our discussion on ischemic episodes with a focus on ischemic colitis. We will examine what disrupts blood flow to the colon, leading to symptoms such as cramping abdominal pain, bloody diarrhea, and urgency to defecate. We will delve into risk factors, including underlying vascular disease, extreme exercise, and in some cases, colonoscopies. A thorough medical history and physical examination, along with an x-ray to check for any free air, are essential. We will also discuss various treatments depending on the severity of the condition. Join Dr. Niket Sonpal for this gut checkup. June 24, 2024 — Do you work in primary care medicine? Primary Care Medicine Essentials is our brand new program specifically designed for primary care providers to increase their core medical knowledge & improve patient flow optimization. Learn more here: Primary Care Essentials —

In this episode, we will explore the complex and often misunderstood condition known as Acute Mesenteric Ischemia. This condition, which involves an interruption of the blood flow to the intestines, can lead to severe abdominal pain and require emergency treatment. We'll discuss the various causes, signs and symptoms, and treatment options for Acute Mesenteric Ischemia. We'll also delve into the importance of early detection and intervention in preventing serious complications. Join Dr. Niket Sonpal as he navigates us through this challenging medical condition. June 10, 2024 — Do you work in primary care medicine? Primary Care Medicine Essentials is our brand new program specifically designed for primary care providers to increase their core medical knowledge & improve patient flow optimization. Learn more here: Primary Care Essentials —

In this week's podcast, we will discuss Superior Mesenteric Artery (SMA) syndrome, a condition where the duodenum, part of the small intestine, gets compressed between the aorta and the superior mesenteric artery. Patients with this syndrome typically present with upper abdominal pain, nausea, vomiting, and unintentional weight loss. The diagnosis begins with an x-ray or CT scan. We will also discuss the treatment options to restore normal digestion. Join Dr. Niket Sonpal as he provides insights into this gut ailment. May 27, 2024 — Do you work in primary care medicine? Primary Care Medicine Essentials is our brand new program specifically designed for primary care providers to increase their core medical knowledge & improve patient flow optimization. Learn more here: Primary Care Essentials —

In this podcast series, we aim to shed light on stenosing tenosynovitis, also known as Trigger Finger. This happens when the tendon that controls the finger can't glide smoothly in the sheath that surrounds it. Join Dr. Niket Sonpal as he will guides us through various aspects of the condition, its causes, symptoms, and various treatments available. Through expert insights and practical advice, the podcast aims to provide listeners with a clearer understanding of the condition, empowering them to make more informed decisions about their health. May 13, 2024 — Do you work in primary care medicine? Primary Care Medicine Essentials is our brand new program specifically designed for primary care providers to increase their core medical knowledge & improve patient flow optimization. Learn more here: Primary Care Essentials —