It’s really hard to find the extra episodes and the videos and reviews that are mentioned. I paid for the service but haven’t been able to really gain much from it

Is there a tier where I can have you on speed dial? Seriously though, I have followed you through all of your platforms over the years and have learned so much from EVERY EPISODE in terms of problem representation, framework, clinical reasoning, not to mention kindness, respect and humility in medicine! You both embody the type of medical professional I hope to be. Thank you for all you are doing and please, please, please keep up these recordings forever

First, you guys are amazing. I found your podcast after listening to an episode where you guested on the curbsiders, and I’ve been hooked since! I’m working my way through all of the rlr episodes, and recently listened to the episode about a patient with chf and cholesystalgia. The very next week, I saw a patient in my small community ED with days of RUQ pain. Recent history of infective endocarditis, complicated by significant aortic regurgitation requiring valve replacement. Valve replacement surgery complicated by 3rd degree heart block post operatively requiring pacemaker placement. Vitals were stable in triage, physical exam showed well healing surgical incisions, no signs of infection, regular rate and rhythm, mechanical valve clearly auscultated. Patient was tender in RUQ, +Murphys. No rebound or guarding. laboratory workup was unremarkable with the exception of being slightly supratherapeutic on warfarin (INR 3.3 with a target of 2-3) , ruq US showed some gallbladder wall edema, but no stones or pericholecystic fluid. per radiology report, “in the right clinical setting, this could be consistent with acute cholecystitis”.

Something did not quite feel like an acute chole, so I did a quick POCUS and on subxiphoid view I noted a HUGE effusion.

He ended up being transferred to tertiary center for pericardial window placement. I reviewed his op report, he had a 900 cc hemopericardium! Slow bleed after surgery that didn’t resolve due to anticoagulation.

*learns something new on podcast*

Week passes

*opportunity to cement learning walks into ED*

Thank you guys for everything you do! Your work helps create better clinicians!!

Rabih and Reza are all-star clinicians that teach with such authenticity and humbleness the art of clinical reasoning. Learning their diagnostic schemas through videos and diagrams and reinforcing the knowledge in the context of case discussions will give you unparalleled confidence in being complete with your differential diagnosis in such a straight forward and conceptual manner. I have found so much joy in medicine through their resources and discussions!

Fascinating cases and comprehensive discussion! The teaching videos and the reasoning process are amazing! Highly recommend!