Rotations 2.0

28 Episodes
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By: Todd Fredricks DO MSS

A weekly discussion of medicine and science trends between people far too old to be trying something this new.

Rotations 2.0 point Ep 12.1 Vaping
#121
Today at 4:00 AM

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Episode 12.1  Thoughts on Vaping

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 Intro/Outro: Night Detective by Amaksi

Courtesy of Pixabay under Creative Commons for non-Commercial Educational use only.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Papers referenced:

 Avian V.White, David W. Wambui, Lok R. Pokhrel, Risk assessment of inhaled diacetyl from electronic cigarette use among teens and adults, Science of the Total Environment 772 (2021)

 E Andrew L. Pipe and Hassan...


Rotations 2.0 Episode 23 Type 1 Diabetes
#23
Last Monday at 4:00 AM

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Episode 23 Type 1 Diabetes Mellitus 

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: KI Instrumental (Rock Celtic) by Lyrium-2025

Courtesy of Pixabay for non-commercial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 22

Question 1: 

A 45-year-old patient presents with polyuria, polydipsia, and unexplained weight loss. Laboratory tests reveal a fasting plasma glucose of 130 mg/dL and an...


Rotations 2.0 Episode 22.1 Elizabeth Beverly PhD Diabetes Researcher
#22001
07/09/2025

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Episode 22.1  Elizabeth Beverly PhD, Diabetes Researcher

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Intro/Outro: Night Detective by Amaksi

Courtesy of Pixabay under Creative Commons for non-Commercial Educational use only.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Rotations is produced using (and we always accept donations from any gear folks):

Rode Podcaster Pro

Rode NT1-A mics

Polsen Studio Headphones

Kopul XLR cables

San...


Rotations 2.0 Episode 22 Type 2 Diabetes
#22
07/07/2025

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Episode 22 Type 2 Diabetes Mellitus 

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: KI Instrumental (Rock Malmsteen-Style) by Lyrium-2025

Courtesy of Pixabay for non-commercial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 21

1.     A 62-year-old man presents with fever, productive cough, and pleuritic chest pain. Chest X-ray reveals a moderate right-sided pleural effusion. Thoracentesis is performed, and pleural fluid...


Rotations 2.0 Episode 21 Pleural Space Infections
#21
06/30/2025

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Episode 21 Pleural Space Infections 

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Survival by ikoliks

Courtesy of Pixabay for non-commercial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 20

Question 1: Cardiovascular Risk and OSA

 A 58-year-old man with a BMI of 36 kg/m² presents with excessive daytime sleepiness, loud snoring, and witnessed apneas duri...


Rotations 2.0 Episode 20 Obstructive Sleep Apnea
06/23/2025

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Episode 20 OSA

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Whip Afro Dance Hall Music by Prazkhanal

Courtesy of Pixabay for non-commercial educational use 

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 19 

Question 1: Diagnosis and Testing

A 28-year-old woman presents with a 2-year history of nasal congestion, sneezing, and watery eyes that worsen in the spring and...


Rotations 2.0 Episode 19 Allergic Rhinitis
#19
06/16/2025

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Episode 19 Allergic Rhinitis

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Tokyo Café by TVARI

Courtesy of Pixabay for non-commercial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 18  

Question 1

A 35-year-old male patient presents with newly diagnosed pulmonary tuberculosis (TB) confirmed to be drug-susceptible (DS-TB). The patient has non-cavitary disease and a low bacillary bur...


Rotations 2.0 Episode 18.1 More thoughts on Tuberulosis
#18001
06/11/2025

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Episode 18.1  Thoughts on TB

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Intro/Outro: Night Detective by Amaksi

 Courtesy of Pixabay under Creative Commons for non-Commercial Educational use only.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Rotations is produced (bot not sponsored) using (and we always accept donations from any gear folks):

Rode Podcasters (Pro and Duo)

MacBook Pro

Rode NT1-A mics

Polsen Studio Headphones


Rotations 2.0 Episode 18 Tuberculosis
06/09/2025

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Episode 18 Tuberculosis

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Piano Inspiring by Paul Yudin

Courtesy of Pixabay for non-commercial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 17 

Question 1: Antiviral Treatment for Elderly Patient

A 65-year-old man with chronic obstructive pulmonary disease (COPD) presents with a 2-day history of fever, cough, and myalgia. He ha...


Rotations 2.0 Episode 17 Influenza
06/02/2025

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Episode 17 Influenza

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 Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Main Title Blockbuster by Mint Music

 Courtesy of Pixabay for non-commercial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 16 

Question 1: Diagnosis of Bacterial Acute Rhinosinusitis

A 25-year-old male presents with a 7-day history of nasal congestion, rhinorrhea, and facial pressure. Initially, his symptoms improved after...


Rotations 2.0 Episode 16 Common Cold
#16
05/26/2025

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Episode 16 Common Cold

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Rainbow by Mood Mode

Courtesy of Pixabay for non-commercial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

“Who Moved my Cheese,” Spencer Johnson, 1998

https://en.wikipedia.org/wiki/Who_Moved_My_Cheese%3F

Questions and Answers from Episode 15 

Question 1: 

 A 32-year-old healthy female presents to your...


Rotations 2.0 Episode 15 Treating Respiratory Infections
05/19/2025

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Episode 15 Treating Respiratory Infections

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 Intro: Rock Christmas/ Christmas Music by tramp963

Outro: You and Me by HitsLab

Courtesy of Pixabay for non-commercial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 14 Bronchitis

Question 1: Diagnosis Scenario 

Question: A 35-year-old healthy patient presents with a two-week history of cough, mild fever (100.2°F), and normal lung auscultation. What is t...


Rotations 2.0 Episode 14 Acute Bronchitis
#14
05/12/2025

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Episode 14 Acute Bronchitis

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 Intro: Rock Christmas/ Christmas Music by tramp963

Outro: You Can by Grand Project

Courtesy of Pixabay for non-commericial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 13 Pneumonia

 Question 1:

 A 70-year-old man presents to your clinic with a 3-day history of cough productive of yellow sputum, fever, and shortness of breath. On exam...


Rotations 2.0 Episode 13 Pneumonia
05/05/2025

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Episode 13 Pneumonia

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Winner Main by Gand Project

Courtesy of Pixabay for non-commercial educational use

 Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 12 COPD

Question 1

A 62-year-old male with a 40-pack-year smoking history presents to the primary care clinic complaining of progressive shortness of breath during exercise and a ch...


Rotations 2.0 Episode 12 COPD
#12
04/28/2025

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Episode 12 COPD

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: The Ocean by Grand Project

Courtesy of Pixabay for non-commercial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 11 Asthma

Question 1: Diagnosis of Asthma in Patients on Controller Treatment 

Question: A 35-year-old woman presents to your clinic with a history of recurrent wheezing and shortness of...


Rotations 2.0 Episode11 Asthma
#11
04/21/2025

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Episode 11 Asthma

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Armageddon by Grabnd Project

Courtesy of Pixabay for non-commericial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 10 Isolated Distal Deep Vein Thrombosis

Question 1: Management for a Patient with IDDVT Post-Flight

A 45-year-old woman presents with left calf pain and swelling after a recent long-haul f...


Rotations 2.0 Episode 10 Isolated Distal Deep Vein Thrombosis (Peripheral Vascular Disease)
04/14/2025

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: India Bollywood Hindi Song Background Jusic by ikoliks

Courtesy of Pixabay for non-commercial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 9 Pulmonary Embolism

Question 1: Diagnosis in Non-Pregnant Patients with Elevated D-dimer

 A 45-year-old woman presents to the emergency department with acute onset of chest pain and shortness of br...


Rotations 2.0 Episode 9 Pulmonary Embolism
#9
04/07/2025

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 Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Alone by BoDleasons

Courtesy of Pixabay for non-commericial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 8 Stroke

1. Question: A patient presents with transient ischemic attack (TIA) symptoms that are triggered by physical activity or changes in blood pressure. Which type of stroke is most likely? 

C. Hemodynamic stroke 

2 Ques...


Rotations 2.0 Episode 8 Stroke
03/31/2025

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Eco Technology by Lexin Music

Courtesy of Pixabay for non-commericial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 7

Question 1: Reperfusion Strategy in STEMI


 A 65-year-old man presents to a rural hospital with a 2-hour history of severe chest pain. His ECG shows ST-segment elevation in the anterior le...


Rotations 2.0 Episode 7 Acute Myocardial Infarction
03/24/2025

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Fast Chase Music Comedy Action by Omar Faruque

Courtesy of Pixabay for non-commericial educational use

 Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 6

 Question 1

A 62-year-old male with a 40-pack-year smoking history presents with complaints of leg pain during walking that resolves with rest. He is diagnosed with peripheral artery dis...


Rotations 2.0 Episode 6 Peripheral Arterial Disease
03/17/2025

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Episode 6 PAD

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Waterfall by RomanSenykMusic

Courtesy of Pixabay for non-commericial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episodes 4 and 5

Week 4

Question 1: Prevalence of AF in HF

Which of the following statements is true regarding the prevalence of atrial fibrillation (AF) in h...


Rotations 2.0 Episode 5 Dyslipidemia
03/10/2025

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Episode 5 Dyslipidemia

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 Intro: Rock Christmas/ Christmas Music by tramp963 

Outro: Electronic Reggae by Fernando Dias Silva

Courtesy of Pixabay under Creative Commons for non-Commercial Educational use only.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Answers to Week 3 Questions

Question 1:

A 65-year-old patient presents with chronic fatigue and shortness of breath. The patient's NT-proBNP level is measured at 1800 ng/L. According to th...


Rotations 2.0 Episode 4.1 Discipline, Empathy, World Intention
03/05/2025

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Episode 4.1  Discipline Empathy and World Intention

Errata: I said "RK21" when referring to the Chernobyl reactor. It is an RBMK reactor and it is ironically, given the discussion, located in Pripyat, Kyiv Oblast, Ukraine.

Shoot me any comments or questions @Rotations2ptoh  on X

Intro/Outro: Night Detective by Amaksi

Courtesy of Pixabay under Creative Commons for non-Commercial Educational use only.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Rotations is produced using (and we alw...


Rotations 2.0 Episode 4. Atrial Fibrillation
03/03/2025

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Music: Intro: Rock Christmas/ Christmas Music by tramp963 

            Outro: The Moment (Inspiring-Life) by Amaksi

Courtesy of Pixabay under Creative Commons for non-Commercial Educational use only.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS 

Rotations is produced using (and we always accept donations from any gear folks):

Rode Podcaster Pro

Rode NT1-A mics

Polsen Studio Headphones

Kopul XLR cables

SanDis...


Rotations 2.0 Episode 3 CHF
#3
02/24/2025

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Episode 3 Congestive Heart Failure

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 Intro: Rock Christmas/ Christmas Music by tramp963 

Outro Music: Flying Through the Valley by Alex Grohl

Courtesy of Pixabay under Creative Commons for non-Commercial Educational use only.

 Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

 Rotations is produced using (and we always accept donations from any gear folks):

Rode Podcaster Pro

Rode NT1-A mics

Polsen...


Rotations 2.0 Episode 2 CAD
#2
02/18/2025

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Episode 2 CAD

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Music: Intro: Rock Christmas/ Christmas Music by tramp963 

            Outro: Love Story by Alex Grohl

Courtesy of Pixabay under Creative Commons for non-Commercial Educational use only.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

 Rotations is produced using (and we always accept donations from any gear folks):

 Rode Podcaster Pro

Rode NT1-A mics

Polsen Studio Headphones

Kopul XLR...


Rotations 2.0 Episode 1 Hypertension
#1
02/12/2025

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Episode 1 Hypertension

Robert M. Carey, Jackson T. Wright Jr., Sandra J. Taler, Paul K. Whelton, Guideline-Driven Management of Hypertension: An Evidence-Based Update, Circ. Res. 2021 Apr 02; 128(7): 827–846. 

To look at BP monitors for accuracy levels: https://www.validatebp.org/

Shoot me any comments or questions @Rotations2ptOh  on X

Intro and Outro Music:  Intro: Rock Christmas by tramp963

                                           Outro: Alone by Futuro-Biaxo 

Courtesy of Pixabay under Creative Commons for non-Commercial Educational use only.

Produced by: Todd Fredricks DO 

Edited by: Todd Fredricks DO

R...


Rotations 2.0 Episode 0 Introduction
#1
02/08/2025

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Episode 0 Introduction

Subject: How Rotations 2.0 works

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Intro and Outro Music: Rock Christmas/ Christmas Music by tramp963 

Courtesy of Pixabay under Creative Commons for non-Commercial Educational use only.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Rotations is produced using (and we always accept donations from any gear folks):

Rode Podcaster Pro

Rode NT1-A mics

Pol...