Best Roger Musa Podcasts (2025)

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Atrial Flutter for Hospitalists: Master the ECG, Anticoagulation, Critical Distinction from Atrial Fibrillation, and the Ablation Advantage 31:09

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18d ago31:09

31:09

In this episode of Hospital Medicine Unplugged, we sprint through atrial flutter—spot the sawtooth, choose the fastest safe path to sinus, and keep strokes off the table. We open with the do-firsts: confirm the rhythm and triage the “why.” Grab a 12-lead ECG—regular narrow tachycardia with classic sawtooth F-waves (atrial ~240–300 bpm, often 2:1 AV…

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Atrial Fibrillation Management in Hospitalized Patients: Early Rhythm Control, Ablation, and the 48-Hour Anticoagulation Rule 38:31

18d ago38:31

38:31

In this episode of Hospital Medicine Unplugged, we blitz inpatient atrial fibrillation (AF)—fix the trigger, pick rate vs rhythm, and prevent stroke—so you can move fast and safely. We open with the do-firsts: vitals + hemodynamics, bedside ECG, labs (electrolytes, Mg, CBC, TSH when relevant), pulse oximetry/ABG, and a deliberate hunt for reversibl…

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Hepatorenal Syndrome (HRS-AKI) in Hospitalized Patients: Navigating the Razor-Thin Margin of Survival in Cirrhosis—New Guidelines, Albumin, and the Transplant Bridge 30:46

18d ago30:46

30:46

In this episode of Hospital Medicine Unplugged, we sprint through hepatorenal syndrome–AKI (HRS-AKI)—exclude look-alikes fast, start albumin + vasoconstrictor early, watch the lungs, and loop in transplant. We open with the do-firsts: clinical diagnosis by exclusion—rule out hypovolemia, nephrotoxins, structural kidney disease. Pull diuretics/ACEi/…

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Cardiorenal Syndrome in the Hospitalized Patient: Targeting Venous Congestion and Pseudo-AKI with the VeXUS Protocol 42:46

19d ago42:46

42:46

In this episode of Hospital Medicine Unplugged, we blitz cardiorenal syndrome (CRS)—define fast, subtype smart, decongest early, protect kidneys, and tighten the cardio–nephro handshake. We start with the frame: CRS = bidirectional heart–kidney dysfunction where trouble in one organ triggers or worsens the other. Know the five plays: Type 1 (acute …

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Mallory-Weiss Tears in Hospitalized Patients: Identifying the High-Stakes Bleeders and Mastering Mechanical Hemostasis 26:48

20d ago26:48

26:48

In this episode of Hospital Medicine Unplugged, we cut through the Mallory-Weiss tear—spot it fast, stop the bleed, stabilize smart, and endoscope right. We open with the why and who: a longitudinal mucosal laceration at the gastroesophageal junction, triggered by vomiting, retching, or sudden pressure surges. Alcohol, reflux esophagitis, hiatal he…

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Inpatient Management of Portal Hypertension: Decompensation and the Preemptive TIPS Revolution in Hospitalized Patients 26:05

20d ago26:05

26:05

In this episode of Hospital Medicine Unplugged, we tackle portal hypertension in hospitalized cirrhosis—find it fast, control bleeding, dry the belly, clear the brain, and pick the right patients for TIPS and transplant. We open with the diagnosis play: suspect it in cirrhosis with splenomegaly/ascites/varices. Gold standard is HVPG; CSPH = ≥10 mmH…

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Acute Upper GI Bleeding (UGIB) in Hospitalized Patients: Mastering the Critical First Hours of Hematemesis Management for Hospitalists 31:27

21d ago31:27

31:27

In this episode of Hospital Medicine Unplugged, we blitz acute peptic ulcer bleeding—risk fast, resuscitate right, scope within 24 hours, secure hemostasis, run high-dose PPIs, and crush recurrence. We open with the do-firsts: airway/breathing/circulation, 2 large-bore IVs, orthostatics, urine output, type & cross, and labs (CBC, BMP, INR/LFTs). Ri…

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Peptic Ulcer Bleeding in the Hospitalized Patient: From Emergency Resuscitation to the 72-Hour PPI Mandate and Anticoagulation Balancing Act 40:41

21d ago40:41

40:41

In this episode of Hospital Medicine Unplugged, we take on acute peptic ulcer bleeding (PUB)—triage fast, stabilize smart, scope early, seal the vessel, and lock in acid suppression + secondary prevention. We start at the door with risk stratification: use the Glasgow–Blatchford Score (GBS)—≤1 means very-low risk and potential outpatient management…

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Diverticulitis in Hospitalized Patients: The New Evidence on Antibiotics, Abscess Drainage, and Who Needs Surgery 33:40

21d ago33:40

33:40

In this episode of Hospital Medicine Unplugged, we blitz acute diverticulitis—spot it early, stage it right, treat what matters, and prevent the encore. We open with the why: ~200,000 US admissions/year and >$6.3B in costs. Risk stacks with age >65, obesity, NSAIDs/steroids/opioids, HTN/DM2, connective-tissue disease, and genetics. Patients roll in…

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Acute Variceal Bleeding in the Hospitalized Patient: The Critical 3-Step Protocol, Restrictive Resuscitation, and Why Early TIPS is a Game Changer for High-Risk Patients 26:19

21d ago26:19

26:19

In this episode of Hospital Medicine Unplugged, we dive into acute variceal bleeding—a high-stakes emergency in cirrhotic patients where seconds count and outcomes hinge on rapid, coordinated care. We start with the crash course in recognition and stabilization: ICU-level monitoring, two large-bore IVs, and cautious transfusion—targeting a hemoglob…

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Prinzmetal's Angina for the Hospitalist: The Supply-Side Crisis—Diagnosis, Monitoring, and Why Beta Blockers Are Deadly 27:37

23d ago27:37

27:37

In this episode of Hospital Medicine Unplugged, we tackle Prinzmetal’s (variant) angina—catch the transient ST changes, prove the spasm, stop the vasoconstriction, and prevent malignant arrhythmias. We open with the do-firsts: targeted history (rest pain, night/early-AM clustering, hyperventilation/cold/drug triggers), ECG during pain (repeat until…

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Management of TB in the Hospitalized Patient: Molecular Speed, Isolation Rules, and Tailored Drug Strategies for Hospitalists 32:35

23d ago32:35

32:35

In this episode of Hospital Medicine Unplugged, we tackle hospital-focused TB—isolate fast, diagnose accurately, treat immediately, and coordinate with public health. We open with the do-firsts: airborne isolation (negative pressure + N95s), notify public health, obtain CXR and 2–3 sputums for AFB smear/culture, and run first-line NAAT (Xpert MTB/R…

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Life Over Limb: Decoding the High-Stakes Decision for Lower Extremity Amputation in the Hospitalized Patient 22:39

23d ago22:39

22:39

In this episode of Hospital Medicine Unplugged, we cut through hospital-focused amputation decisions—prioritize life over limb, align with patient goals, and plan for function from day one. We open with the do-firsts: stabilize sepsis and perfusion, control infection with source control, tighten inpatient glucose, and stage limb threat (WIfI, GLASS…

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Contrast-Induced Nephropathy in Hospitalized Patients: KDIGO Guidelines, Dual Mechanism Injury, and Essential Prevention Protocols 29:56

23d ago29:56

29:56

In this episode of Hospital Medicine Unplugged, we unpack contrast-induced nephropathy (CIN)—spot the risks, flood the kidneys (not the lungs), cut the contrast, and prevent a hospital-acquired AKI before it starts. We open with the do-firsts: identify high-risk inpatients—those with CKD (especially eGFR <30), diabetes, heart failure, advanced age,…

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Hungry Bone Syndrome: Decoding the Post-Surgery Mineral Debt, Risk Stratification, and Aggressive Management Protocols in Hospitalized Patients 26:26

23d ago26:26

26:26

In this episode of Hospital Medicine Unplugged, we dive into hungry bone syndrome (HBS)—spot it early, replace hard, monitor relentlessly, and shorten the stay. We open with the do-firsts: check calcium, phosphate, magnesium, ALP, and PTH q6–12h in the first 48–72 hours post-op; screen symptoms (paresthesias, cramps, tetany) and get an ECG for QTc …

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Empyema Management in the Hospitalized Patient: Conquering the 47% Mortality Risk in Hospital-Acquired Pleural Infections 33:16

24d ago33:16

33:16

In this episode of Hospital Medicine Unplugged, we take on pleural empyema in the hospital—recognize fast, drain early, cover smart, escalate on time—because delays and resistant bugs kill. We set the stage: hospital-acquired empyema hits harder than community-acquired (~47% vs ~17% mortality), driven by MRSA and Pseudomonas/Gram-negatives, poly-mi…

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The Hospitalist's Guide to Dysphagia: Stroke, ICU, and the Stepwise Guide to Diagnosis and Management in Hospital Medicine 34:46

24d ago34:46

34:46

In this episode of Hospital Medicine Unplugged, we tackle hospital-acquired dysphagia—spot it early, screen systematically, intervene fast—to cut pneumonia, malnutrition, and mortality. We start with the big drivers: critical illness, intubation/mechanical ventilation, tracheostomy, prolonged stay, and neuro disease (esp. acute stroke). In the ICU,…

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Guillain-Barré Syndrome (GBS): The Hospitalist's Guide to Early Recognition, Prognosis, and Choosing IVIg vs. Plasma Exchange 30:13

24d ago30:13

30:13

In this episode of Hospital Medicine Unplugged, we blitz Guillain–Barré Syndrome (GBS)—recognize early, monitor relentlessly, start immunotherapy on time, prevent complications. We open with the do-firsts in the hospital: admit all suspected GBS; check vital capacity (VC) & negative inspiratory force (NIF) at baseline and serially; continuous telem…

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Wernicke-Korsakoff in the Hospitalized Patient: Why the Preventable Brain Disease is Still Critically Underdiagnosed and Demanding 500mg IV Thiamine 27:25

26d ago27:25

27:25

In this episode of Hospital Medicine Unplugged, we discuss Wernicke–Korsakoff syndrome—spot it early, slam thiamine, stop the slide to irreversible amnesia. We open with the do-firsts: high clinical suspicion in anyone with alcohol use disorder, malnutrition, bariatric surgery, cancer, hyperemesis, or refeeding. Don’t chase labs; give thiamine now—…

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Type 1 vs. Type 2 NSTEMI: The Critical Distinction Hospitalists Must Master for Life-Saving Care 31:31

26d ago31:31

31:31

In this episode of Hospital Medicine Unplugged, we untangle type 1 vs type 2 NSTEMI—different mechanisms, different playbooks, different outcomes—and why hospital factors often tip the scales for type 2. We set the stage fast: • Type 1 NSTEMI = atherothrombosis—plaque rupture/erosion → thrombus. Classic chest pain, ischemic ECG, higher use of angio…

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Why We Must STOP Routine Inpatient Thrombophilia Testing for Acute VTE: ASH Guidelines, False Positives, and the Harm of Mislabeling in the Hospitalized Patient 29:29

28d ago29:29

29:29

In this episode of Hospital Medicine Unplugged, we demystify inpatient thrombophilia workups—why not to test now, who (rarely) to test later, and how to time it so results actually matter. We start with the do-firsts: treat the clot (full-intensity anticoagulation), document provoking factors, and plan follow-up. Thrombophilia status does not chang…

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Hemodialysis vs. Peritoneal Dialysis: Understanding the Differences Between HD versus PD for Optimal Patient Outcomes 37:31

27d ago37:31

37:31

In this episode of Hospital Medicine Unplugged, we put hospital dialysis on the clock—HD for speed and control, PD for stability and flexibility—and show you how to choose fast and safely at the bedside. We open with what hospitals actually do: HD is the default—3x weekly with AVF/AVG/catheter, machines, trained staff, and water systems—because it …

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CPAP vs. BiPAP in the Hospitalized Patient: The Hospitalist's Guide on When to Ventilate and When to Oxygenate 33:29

27d ago33:29

33:29

In this episode of Hospital Medicine Unplugged, we pit CPAP vs BPAP—who’s first-line, who’s for the exceptions, and how to choose fast at the bedside. We open with the big picture: CPAP remains first-line for uncomplicated OSA—it’s effective, more cost-effective, and no clear superiority of BPAP for routine outcomes or adherence in general OSA. BPA…

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Evidence-Based Wound Care for the Hospitalist: TIME Framework, Debridement, and Why Your Wounds Get Stuck 29:39

26d ago29:39

29:39

In this episode of Hospital Medicine Unplugged, we get hands-on with evidence-based wound care—assess precisely, prevent infection, match the dressing to the wound, and escalate smartly for the tough ones. We start with the do-firsts: identify wound type (SSI, pressure injury, DFU, traumatic), map size/depth/exudate, scan for infection signs, and h…

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Inpatient Dialysis in the Hospitalized Patient: Mastering Urgent AKI Management, AEIOU Criteria, and Safe Prescription Secrets 39:00

1M ago39:00

39:00

In this episode of Hospital Medicine Unplugged, we cut straight into heparin-induced thrombocytopenia (HIT)—the paradoxical clotting disorder that flips heparin from anticoagulant to prothrombotic trigger. Fast recognition and decisive action save lives here. The first move: stop all heparin—IV, subQ, flushes, even coated catheters—and immediately …

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Pheochromocytoma and Paraganglioma Crisis Management: The Essential Step-by-Step Guide for Hospitalists 25:05

1M ago25:05

25:05

In this episode of Hospital Medicine Unplugged, we sprint through pheochromocytoma—confirm biochemically, block before you cut, resect definitively, and guard the perioperative hemodynamics. We open with the do-firsts: biochemical confirmation (plasma-free or 24-h urine fractionated metanephrines/normetanephrines; >3× ULN is highly suggestive), the…

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HIT or HITT? Mastering Heparin-Induced Thrombocytopenia Diagnosis, The 4Ts Score, and Therapeutic Management Pitfalls in Hospitalized Patients 31:09

1M ago31:09

31:09

In this episode of Hospital Medicine Unplugged, we sprint through heparin-induced thrombocytopenia (HIT)—recognize early, stop heparin immediately, and start full-dose non-heparin anticoagulation to prevent limb- and life-threatening thrombosis. We open with the do-firsts: discontinue ALL heparin (including flushes, heparin-coated lines) and start …

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The Great Vitamin D Paradox: Targeting Severe Deficiency and Rethinking the Magic Number 30 in Hospital Medicine 32:46

1M ago32:46

32:46

In this episode of Hospital Medicine Unplugged, we spotlight vitamin D deficiency in hospitalized patients—who’s at risk, how to diagnose, and when (and how) to treat. We start with definitions that matter: deficiency = <20 ng/mL, severe = <12 ng/mL, though the 2024 Endocrine Society now urges individualized assessment over rigid cutoffs. Hospital …

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Small Bowel Obstruction in the Hospitalized Patient: The 72-Hour Rule, Strangling Signs, and When to Call the Surgeon 36:49

1M ago36:49

36:49

In this episode of Hospital Medicine Unplugged, we run the playbook for small bowel obstruction (SBO)—triage fast, resuscitate early, image smart, don’t miss strangulation, and know when to operate. We open with the do-firsts: IV access + balanced crystalloids, labs (CBC, electrolytes, creatinine, lactate), strict NPO, NG tube for decompression whe…

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Takotsubo Cardiomyopathy Crisis: Decoding the Catecholamine Storm, LVOTO Risk, and Critical Acute Management in the Hospitalized Patient 29:38

1M ago29:38

29:38

In this episode of Hospital Medicine Unplugged, we tackle Takotsubo cardiomyopathy (TTC)—spot the mimic fast, stabilize without harming LVOTO, prevent thromboembolism, and plan recovery. We open with the do-firsts: treat like ACS until proven otherwise—ECG, troponin, CXR, labs; urgent coronary angiography to exclude obstruction. Then confirm with i…

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Cerebral Venous Sinus Thrombosis in the Hospitalized Patient: The Hospitalist's Roadmap to Diagnosis, Anticoagulation (Even with Bleeding), and Long-Term Outcomes 35:32

1M ago35:32

35:32

In this episode of Hospital Medicine Unplugged, we sprint through cerebral venous sinus thrombosis (CVST)—diagnose fast, anticoagulate early (even with ICH), escalate wisely, and individualize duration. We open with the do-firsts: therapeutic heparin now—LMWH preferred for predictable dosing and lower HIT risk; UFH is fine if procedures are likely …

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Hematuria in the Hospitalized Patient: Master the Evidence-Based Approach to Risk, Workup, and The Anticoagulation Trap 32:56

1M ago32:56

32:56

In this episode of Hospital Medicine Unplugged, we sprint through hematuria in the hospital—classify fast, stabilize what’s dangerous, risk-stratify smartly, and image with purpose. We open with the do-firsts: confirm gross vs. microscopic (≥3 RBC/HPF) on a proper urinalysis; repeat if contamination or a transient cause is likely. Don’t blame antic…

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Ascending Cholangitis Emergency in Hospitalized Patients: The Core Triad Roadmap to Biliary Decompression and Why Every Hour Counts 40:12

1M ago40:12

40:12

In this episode of Hospital Medicine Unplugged, we cut through ascending cholangitis—recognize fast, resuscitate early, hit bugs hard, drain the duct. We open with the do-firsts: aggressive IV fluids, hemodynamic stabilization, early broad-spectrum antibiotics, and urgent source control planning. Loop in GI/advanced endoscopy, interventional radiol…

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Acute Mesenteric Ischemia in the Hospitalized Patient: The Abdominal Stroke Protocol—Early Anticoagulation, CTA, and Why You Can't Wait for Labs 34:35

1M ago34:35

34:35

In this episode of Hospital Medicine Unplugged, we race through acute mesenteric ischemia (AMI)—recognize early, image fast, revascularize now, salvage bowel. We open with the do-firsts: high-flow crystalloids, bowel rest + NG decompression, broad-spectrum antibiotics, and therapeutic anticoagulation (arterial/venous causes) unless contraindicated.…

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Syncope Simplified: An Evidence-Based Hospitalist's Guide to Risk Stratification and Management (ACC/AHA/HRS Guidelines) 23:17

1M ago23:17

23:17

In this episode of Hospital Medicine Unplugged, we sprint through syncope—recognize the dangerous few, spare the benign many, and let the ECG lead the way. We open with the do-firsts: define it right—transient LOC from global cerebral hypoperfusion with rapid, spontaneous recovery. Sort into the big three: cardiac, reflex/neurally mediated, and ort…

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Right Ventricular Crisis Management: Inpatient Pulmonary Hypertension, Hemodynamics, and the Failing Right Ventricle in the Hospitalized Patient 31:23

1M ago31:23

31:23

In this episode of Hospital Medicine Unplugged, we sprint through pulmonary hypertension (PH)—confirm the hemodynamics, protect the right ventricle, keep PAH therapy on, and don’t confuse Group 1 with the rest. We open with the do-firsts: classify and hunt triggers. PH is mPAP >20 mm Hg; PAH (Group 1) adds PAWP ≤15 mm Hg and PVR ≥3 WU. Identify pre…

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Catastrophic Clotting and the Triple Threat: Diagnosing and Managing Antiphospholipid Syndrome (APS) in the Hospitalized Patient 42:31

1M ago42:31

42:31

In this episode of Hospital Medicine Unplugged, we sprint through antiphospholipid syndrome (APS)—spot it early, anticoag fast, prevent recurrence, never miss CAPS. We open with the do-firsts: assess for acute thrombosis (venous/arterial/microvascular), pregnancy history, triggers (infection, surgery, anticoagulant interruption), and extra-criteria…

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Cyclic Vomiting Syndrome in the Hospitalized Patient: Master the Acute Inpatient Protocol, Dextrose, and Opioid-Sparing Pain Control 30:36

1M ago30:36

30:36

By Roger Musa, MD

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Appendicitis Revolution: Risk Stratification, Antibiotics-First, and the End of Automatic Surgery in Hospitalized Patients 25:37

1M ago25:37

25:37

By Roger Musa, MD

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Hypophosphatemia in the Hospitalized Patient: Mastering Hypophosphatemia Risk, Mechanisms, and Repletion Protocols in High-Acuity Patients 28:41

1M ago28:41

28:41

By Roger Musa, MD

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Hyperviscosity in the Hospitalized Patient: The Critical Bedside Diagnosis and Acute Management of Hyperviscosity Syndrome 30:58

1M ago30:58

30:58

By Roger Musa, MD

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Hip Fracture Management of the Hospitalized Patient: The 48-Hour Imperative and Evidence-Based Management of Geriatric Hip Fractures 24:10

1M ago24:10

24:10

By Roger Musa, MD

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DIC for the Hospitalist: Sepsis, Trauma, and the Critical Balancing Act of Clotting and Bleeding 34:46

1M ago34:46

34:46

In this episode of Hospital Medicine Unplugged, we cut through DIC—systemic coagulation activation that causes microvascular thrombosis + consumptive bleeding—and show how to diagnose fast, treat the trigger, and tailor hemostatic support without fueling harm. We open with the core phenotypes: SIC (sepsis) → early microthrombosis/organ dysfunction …

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Febrile Neutropenia in the Hospitalized Patient: The Critical Golden Hour, Risk Triage, and Antibiotic Stewardship for the Hospitalist 25:15

1M ago25:15

25:15

In this episode of Hospital Medicine Unplugged, we sprint through febrile neutropenia (FN)—antibiotics within 1 hour, risk-stratify smartly, de-escalate responsibly, and don’t miss invasive fungi. We open with the do-firsts: rapid triage + focused exam (subtle signs count), two sets of blood cultures (peripheral + each central-line lumen), CBC with…

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Adrenal Crisis in the Hospitalized Patient: Rapid Recognition, Aggressive Management, and System-Level Prevention for Hospitalists 27:53

1M ago27:53

27:53

In this episode of Hospital Medicine Unplugged, we blitz adrenal crisis—recognize fast, give hydrocortisone now, flood with isotonic saline, fix triggers, and keep it from coming back. We open with the do-firsts: suspect crisis in any patient with known/suspected adrenal insufficiency who rolls in with hypotension/shock, abdominal pain, collapse, o…

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Oncologic Emergencies in the Hospitalized Patient: The Hospitalist's Guide to Rapid, High-Stakes Management of Life-Threatening Cancer Crises 31:33

1M ago31:33

31:33

In this episode of Hospital Medicine Unplugged, we sprint through oncologic emergencies—recognize early, stabilize ABCs, start disease-directed therapy fast. We sort the chaos into four bins: metabolic, hematologic, structural, and treatment-related. Across all bins: secure airway/breathing/circulation, get oncology on board, control symptoms, and …

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Superior Vena Cava Syndrome in the Hospitalized Patients: Grading, Stenting, and the Critical Biopsy-First Rule for Hospitalists 32:37

1M ago32:37

32:37

In this episode of Hospital Medicine Unplugged, we blitz superior vena cava syndrome (SVCS)—recognize fast, image smart, stent early, treat the cause. We open with the do-firsts: airway and hemodynamic check, head-of-bed elevation, supplemental O₂, and lower-threshold ICU triage if stridor, confusion/syncope, hypotension. Contrast CT chest is your …

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Navigating the Ethical Abyss: Systematic The Hospitalist's Guide to Management of Medical Futility and the Essential Role of Ethics Consultation 30:27

1M ago30:27

30:27

In this episode of Hospital Medicine Unplugged, we face medical futility head-on—fair process over unilateral calls, structured communication over chaos, and ethics consultation as the engine that moves hard cases forward. We start with the do-firsts: name the problem, clarify goals, and convene the team (primary, ICU, nursing, palliative, social w…

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TTP Emergency in the Hospitalized Patient: ISTH 2025 Updates on Diagnosis, Caplacizumab, and the AdamTS13 Window to Survival 31:51

1M ago31:51

31:51

In this episode of Hospital Medicine Unplugged, we take on thrombotic thrombocytopenic purpura (TTP)—a hematologic sprint against time. Recognize fast, exchange plasma early, shut down antibody production, and stay ahead of relapse. TTP is a life-threatening thrombotic microangiopathy marked by microangiopathic hemolytic anemia, severe thrombocytop…

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Fungemia Crisis Management: The Four Pillars of Evidence-Based Care, From Echinocandins to the Candida Auris Threat in the Hospitalized Patient 34:44

1M ago34:44

34:44

In this episode of Hospital Medicine Unplugged, we blitz fungemia—treat early, pull the source, and outpace resistance (looking at you, Candida auris). We open with the do-firsts: draw blood cultures (multiple sets) before therapy if you can, then start an echinocandin—caspofungin, micafungin, or anidulafungin—for most adults. They’re fungicidal, s…