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This week, we’ll start a new micronutrient series, water-soluble vitamins. We’ll break down the basics of water-soluble vitamins, explaining their role in health and why we need them. Unlike fat-soluble vitamins, our bodies do not store them, and we need them regularly in our diet. Join Dr. Niket Sonpal as he sets the stage for this new micronutrie…
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Do you ever feel like your hand is falling asleep all the time? Is it tingling or having a numb feeling? This common condition that is cramping your style is carpal tunnel syndrome. Carpal tunnel syndrome can be caused by repetitive hand motion, pregnancy and other medical conditions. The symptoms that your patient might experience is numbness, tin…
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In our State of the Union (medical edition), we will go over a number of changes in the medical field. We’ll crack open CDC guideline updates, explore a potential cancer link in acne medications, a melatonin gummy warning and debunking a TikTok trend. Join Dr. Niket Sonpal as he addresses the State of the Union (medical edition). March 11, 2024 — D…
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Does your thumb hurt from doing repetitive movements such as texting or scrolling? In this episode, we will dive into a very common pain and swelling around the thumb tendons. In the past, we used to call it the Blackberry thumb, but now it’s more like iPhone or Android thumb. This condition is known as de Quervain tenosynovitis. We’ll discuss how …
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In this episode, we will discuss portal hypertensive gastropathy (PHG). The most common cause for PHG is cirrhosis and can cause bleeding, ulcers and other complications. Join Dr. Niket Sonpal as he will go over the symptoms such as nausea, hematemesis and indigestion. Diagnosing PHG will include an upper endoscopy and possible biopsy if needed. Th…
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In this latest podcast episode, we will talk about radiation. No, not the radiation that gives you superpowers like in the movies. But, radiation proctitis, which is inflammation of the rectum caused by exposure to radiation therapy. Typically for pelvic cancers like prostate, cervical and rectal cancers. There are two types of radiation proctitis,…
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In this week’s episode of Bugs and Drugs, we will dive into two worlds of food borne bacteria. One can be found in reheated rice, known as Bacillus cereus. The other is found in raw or undercooked pork, known as Yersinia enterocolitica. B. cereus can present with vomiting syndrome or diarrheal syndrome. You won’t need to do any testing unless there…
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In the latest episode of Bugs and Drugs, let’s dive into the microscopic world of Entamoeba histolytica. What is Entamoeba histolytica you ask? It is a parasitic infection that primarily affects the large intestine but can also travel to other organs like the liver. It can come from contaminated water and/or foods cooked with contaminated water. Th…
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In this latest Bugs and Drugs episode, we will discuss a very rare bacterial disease that primarily affects the gastrointestinal tract. However, it can affect other organs such as joints, heart and lungs. This infectious disease is known as Tropheryma whipplei or Whipple disease. Your patient might present with chronic diarrhea, weight loss, abdomi…
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For those that travel to paradise, you are looking forward to sunshine, sandy toes and…intestinal pain? Tropical Sprue, not to be confused with traveler’s diarrhea, is a chronic malabsorption syndrome that can plague those living in or visiting tropical regions. Symptoms like chronic diarrhea, weight loss, and fatigue can turn your dream vacation i…
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In this episode, we will talk about a microbe lurking in your water. It can cause intestinal problems such as diarrhea, stomach cramps and bloating. It’s found in contaminated water and undercooked or raw foods and is one of the most common waterborne illnesses in the United States. This microscopic parasite is giardia. Giardia can be diagnosed fro…
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Knees causing trouble again? This time, it is not gout, but an imposter known as pseudogout. Now what is pseudogout, you ask? Think of it as gout’s mischievous twin. Like gout, it triggers sudden knee pain and inflammation, but instead of uric acid crystals, it is calcium pyrophosphate dihydrate (CPPD) crystals in your joints. The symptoms are simi…
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Happy New Year! Have you or your patient ever experienced a pain in your toe so agonizing it feels like someone stabbed you in the joint? Then you might have what used to be known as, “the disease of kings,” also known as gout. We will dive into exploring gout, busting myths, exploring remedies and offering tips to keep those crystals calm. Join Dr…
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Happy holidays! Let’s take a deep dive into the world of water, that essential liquid we sometimes take for granted. In this episode, we’ll be busting some myths about water’s most popular misconceptions.Is the pH in that alkaline water better for you? Is 8 cups of water enough to keep you hydrated throughout the day? Does dark urine mean you are d…
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As the holidays approach, one of the classic holiday movies that will be playing is Home Alone. As you may know, Kevin, the pint-sized architect of chaos, unleashes some amazing booby traps on the Wet Bandits. Ever wonder how they could have survived after each trap? Join Dr. Niket Sonpal as he peels back and examines the (not-so-realistic) physics…
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With the holiday season in full swing, it also comes with more people getting sick and getting sinus infections. The specific sinus infection that we will discuss is rhinosinusitis, which is an inflammation of the lining of the sinuses and the nasal cavity. It can be caused by a variety of factors, including allergies, infections and structural abn…
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In the latest podcast episode, we will discuss a common foot condition known as plantar fasciitis. It is the inflammation of the thick band of tissue that runs along the bottom of the foot. This tissue plays a crucial role in supporting the arch of the foot and absorbing shock while walking or running. Dr. Niket Sonpal will go over the symptoms, mo…
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In this episode, we will go over some common bicep injuries, which sometimes can be masked as shoulder pain. The bicep is located in the front of the upper arm and is responsible for bending the elbow. Bicep injuries can range from mild to severe, and can be caused by a variety of factors, including overuse, sudden trauma, and underlying medical co…
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Do you know what can cause chest pain and difficulty swallowing? Both, distal esophageal spasm (DES) and hypercontractile esophagus (HE). DES causes spasms of the lower esophageal sphincter, while HE causes contractions of the esophagus that are stronger than normal, also known as jackhammer esophagus. Join Dr. Niket Sonpal as he discusses the symp…
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In our latest podcast, we will discuss a common infection of the outer ear known as otitis externa or Swimmer’s Ear. It is caused by water getting trapped in the ear and creating a moist environment for bacteria and fungi. Some symptoms of swimmer’s ear are itching, discharge and hearing loss. The best ways to prevent swimmer’s ear, including dryin…
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Happy Halloween! In this episode, we will talk about some myths in medicine. First, we will talk about diverticulitis and we used to tell patients not to eat nuts and seeds. Next, we will talk about statins and myopathy. When we thought we should tell patients to take statins in general. The last myth will discuss STDs. Join Dr. Niket Sonpal as he …
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In this week’s podcast, we will discuss two common overuse injuries of the elbow, commonly known as tennis elbow and golfer’s elbow. Both are caused by repetitive use of the forearm muscles from a variety of activities, not just tennis or golf. Tennis elbow, also known as lateral epicondylitis, is inflammation of the tendon on the outside of the el…
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In this week’s podcast, we will start our next series on dysphagia, specifically achalasia. Achalasia is a rare esophageal disorder that affects the nerves and muscles of the esophagus, in which the muscle does not relax properly. Making it difficult for food and liquid to pass into the stomach. We will discuss the symptoms your patient might prese…
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In this podcast episode, we will discuss Achilles tendinopathy, which is a common injury that affects runners, athletes and anyone who decides to start a new workout regimen and doesn’t wear the proper footwear. The Achilles tendon is a band of tissue that connects the calf muscle and the heel bone. Achilles tendinopathy is an overuse injury of thi…
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In this episode of the Liver Series, Dr. Niket Sonpal discusses drug-induced liver injury (DILI), a common and potentially serious side effect of many medications. DILI can occur in people of all ages, but is more common in older adults and people with pre-existing liver disease. DILI can be caused by a wide variety of medications, including over-t…
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Coffee is one of the most popular drinks in the world, and for good reason. It’s delicious, it gives you a boost of energy, and it’s been linked to a number of health benefits. There are also some myths and things added to coffee that will have you scratching your head. Join Dr. Niket Sonpal as he discusses that cup of Joe that we all enjoy. Septem…
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This week’s podcast, we will discuss eosinophilic esophagitis (EoE). Which is a chronic inflammatory condition of the esophagus and can be characterized by an accumulation of eosinophils, a white blood cell, in the esophageal lining. Join Dr. Niket Sonapl as he discusses the symptoms your patient might present with are difficulty swallowing, chest …
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In this episode of our Liver Series, we will discuss a couple of liver diseases that may occur during pregnancy: intrahepatic cholestasis of pregnancy (ICP) and acute fatty liver of pregnancy (AFLP). Intrahepatic cholestasis is a liver condition that occurs late in pregnancy. It’s caused by a backup of bile acids in the liver. Acute fatty liver is …
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We all love the magic of movies and might wonder if that could actually happen in real life. Would a lightsaber to the upper chest instantly kill a person? Can Harry Potter’s scar really hurt like in the movies when “He-Who-Not-Be-Named” gets close? Can Magneto really pull iron out of the guard’s body? Join Dr. Niket Sonpal as he goes over some of …
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In this episode of the Liver Series, will discuss acetaminophen toxicity. Which is a common over-the-counter- pain reliever and fever reducer. However, it can be toxic to the liver if taken in high doses or in combination with other medications that can damage the liver. Join Dr. Niket Sonpal as he discusses the symptoms of acetaminophen toxicity, …
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In this week’s podcast, we are going to take a break from the Liver Series and continue our other series: In the News. Where we will discuss the latest topics around the medical world. Some of the topics we will discuss are the new Covid variant, which is the new dominant variant in the US. Next is the rise of vibrio vulnificus (the bug you learned…
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In our next episode for the Liver Series, we will discuss Ischemic Hepatitis, a condition that occurs when the liver does not receive enough blood flow. This can be caused by a variety of factore, including heart failure, sepsis and shock. Join Dr. Niket Sonpal as he discusses the symptoms of Ischemic Hepatitis, which can include jaundice, fatigue,…
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In this next episode of our Liver Series, we will discuss a rare genetic disorder that causes copper to build up in the body known as Wilson’s Disease. Which can lead to damage to the liver, brain and other organs. Join Dr. Niket Sonpal explains how Wilson’s Disease is diagnosed and treated. He will also discuss the symptoms of Wilson’s Disease, wh…
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In this week’s podcast, we will discuss the Alpha-1 Antitrypsin Deficiency (AATD). AATD is a relatively rare genetic disorder that affects both the liver and the lungs.There are no symptoms in early childhood. However, as people get older, they may develop lung problems, such as chronic obstructive pulmonary disease (COPD) or emphysema. Dr. Niket S…
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In this episode of the Liver Series, we will discuss Caroli Disease, a rare congenital disorder of the liver. Caroli disease is characterized by the presence of multiple bile duct cysts throughout the liver. Dr. Sonpal will discuss the different symptoms, diagnosis and the treatments for the disease. The cause of the disease is unknown, but with th…
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It’s mid July and this summer has been extremely hot. In this week’s podcast, we’ll discuss exertional heat illness, a group of conditions that can occur when the body’s temperature regulation system is overwhelmed by exercise or exposure to high temperatures. We’ll cover the three types of heat illness, the different treatments for those who show …
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Welcome to the first episode for our Liver Series! In this episode, we’ll be discussing Autoimmune Hepatitis (AIH), a chronic liver disease caused by the body’s immune system attacking the liver. We will go over the symptoms that can include fatigue, jaundice, dark urine and nausea to name a few. Dr. Niket Sonpal will talk about the diagnostic proc…
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July is here! Which means the summer travel season is officially in full swing. It also brings those pesky mosquitoes that we all hate. But, did you know, there are hardly any at Disneyland? In this episode, Dr. Niket Sonpal will discuss how Disneyland keeps its property mosquito-free. The 4th of July is a time for celebration, but it’s also a time…
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In this week’s episode, we will talk about microscopic colitis, a chronic inflammatory condition of the colon that is often misdiagnosed with irritable bowel syndrome (IBS). Some symptoms are watery diarrhea, abdominal pain and urgency. Join Dr. Niket Sonpal to discuss the diagnosis, treatments and/or lifestyle changes that can help manage microsco…
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Is microwaving your food bad for you? Is eating only boxed foods good for you? In this week’s episode, Dr. Niket Sonpal discusses the importance of a healthy diet for overall well-being. He debunks some common misconceptions about some, “healthy eating,” and shares his tips for better nutrition. — Never pay for another course, workshop or seminar a…
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In this next podcast about another knee pain, we will talk about Patellofemoral Pain Syndrome (PFPS). Also known as the runner's knee. We will discuss the symptoms that your patient will present with and worsen during activities like jumping, running or climbing stairs. Next, will be the various tests that should be done to confirm PFPS and the tre…
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Another week, another pain…in the side this time. We are referring to the side of the knee, iliotibial (IT) band syndrome. A common cause of lateral knee pain/injury from overuse. Dr. Niket Sonpal will go over the anatomy of the IT band and its function and attachments. He mentions there are multiple factors that contribute to its development, such…
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This week’s podcast will point out the pain in the butt (gluteus maximus). Where we will explore key aspects of this pain known as Piriformis Syndrome. The main points of this podcast will be the anatomy and the role of the piriformis muscle. Along with the symptoms your patient might present with and the risk factors that come with this syndrome. …
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In this latest podcast, we will update you on different topics in the medical world. From breast cancer screening to artificial sweeteners to genetically altered brussels sprouts. Join Dr. Niket Sonpal as he keeps us all updated on various topics from around the medical world. — Never pay for another course, workshop or seminar again. Become a memb…
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In this week’s podcast, we will cover umbilical hernias. Including some causes, signs & symptoms, and the treatment you will recommend to your patient. An umbilical hernia occurs when fatty tissue or intestine pushes through a weak spot in the abdominal muscle. This can be more common in obese or pregnant women. The signs & symptoms you may see are…
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In this week's podcast, we will talk about our lovable Winnie the Pooh and his friends. Not their adventures in the Hundred Acre Wood, but their potential mental health disorders. The first is Pooh, of course, and his binge eating (honey) disorder. Next, Eeyore is suffering from persistent depressive disorder. Then there is Tigger! Who could be dia…
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Our next topic in the Mental Health Series is Generalized Anxiety Disorder (GAD). We all have anxiety in our daily life such as sitting in traffic or getting an assignment done in school or at work. It is when that anxiety is so great that it is debilitating for that person. GAD is one of the most common mental disorders in the community and clinic…
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Our next topic for the mental health series is Major Depressive Disorder (MDD). In the US the disorder costs about 200 billion dollars annually. Everything from medical costs to lost days at work. MDD is characterized by persistent and severe depressive symptoms that impact one’s ability to function in their daily life. Which has to be present for …
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The next topic in the mental health series is obsessive compulsive disorder (OCD). We all have a little OCD in us. This disorder is characterized by unwanted, persistent and/or impulses that are followed by repetitive behavior(s) that affect one's daily life. Join Dr. Niket Sonpal as he helps you diagnose a patient with OCD. — Never pay for another…
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What is the difference between a panic attack and panic disorder? Can you have one without the other? In the United States, there is a prevalence of about 2.5% to 8% having a panic disorder. Join Dr. Niket Sonpal, as he discusses the 13 different symptoms that a person might have when suffering from a panic disorder. Then, you’ll want to take a his…
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