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Conversations with CEI

Clinical Education Initiative

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Conversations with Clinical Education Initiative (CEI) features clinical experts in HIV Primary Care and Prevention, Sexual Health, Hepatitis C and Drug User Health. Our episodes feature CEI clinicians’ experience and insight on the current health issues, alongside the latest news and guidelines on our areas of expertise. This podcast is produced by the CEI, a New York State Department of Health AIDS Institute program.
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Viremic – Cases in HIV

Dr. Eileen Scully & Dr. Christopher Hoffmann

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Hosted by Eileen Scully, MD, PhD, and Christopher Hoffmann, MD, MSC, MPH, both HIV specialists at Johns Hopkins, Viremic explores quandaries in adult HIV care. Each case discussion includes medical history and diagnoses, challenges in care and treatment, and key evidence and guidelines that informed clinical decision‑making. All clinical discussions presented on Viremic are for informational purposes only and are not offered as medical or clinical practice advice for patients or clinicians. ...
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Psychiatry Boot Camp

Mark Mullen, MD

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Your clear, practical introduction to the field of psychiatry. Each episode features a leading expert unpacking complex topics like suicide risk, schizophrenia, catatonia, and childhood anxiety. Originally created as a crash course for new doctors, Psychiatry Boot Camp has grown into essential listening for professionals preparing for residency, advancing their careers, or sharpening their clinical decision-making. Hosted by psychiatrist and educator Dr. Mark Mullen, the program delivers exp ...
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Bowel and Bladder Matters Podcast

Coloplast Professional US

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The Bowel and Bladder Matters Podcast is brought to you by Coloplast® Professional. We believe clinician education related to ostomies and continence, as well as your professional growth and development, matters. Bowel and bladder issues impact the lives of those you care for. We are pleased to bring you more education about these conditions. Join us in conversations with thought leaders to gain insights about ostomies, continence and professional growth and development. Together, let’s expl ...
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In this episode, Dr. Peter Dziegielewski explores the concept of liquid biopsy—an innovative approach to cancer diagnosis. Learn about its applications in tracking treatment efficacy, monitoring minimal residual disease, and the evolving role of circulating tumor DNA. This episode is essential for anyone interested in the future of oncology. Don’t …
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We are joined by Kurt Bramer from Advanced CPR Solutions again this week to continue the series on Heads Up CPR and other promising sudden cardiac arrest treatments. He and Dr. Joe Holley kicked off the discussion in two previous episodes. Elevated CPR Series Episode One Elevated CPR Series Episdoe Two We open this week’s episode with a holiday sev…
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A 32-year-old man with well-controlled HIV, seen after a recent relationship split and sexual activity with new partners, is screened and diagnosed with syphilis. Eileen discusses this case with guest Dr. Matthew Hamill, who reviews his approach to STI screening and risk reduction, emphasizing an approach that normalizes screening. Matthew then rev…
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Kurt Bramer from Advanced CPR Solutions comes back on the show this week to continue the series on Heads Up CPR and other promising sudden cardiac arrest treatments. He and Dr. Joe Holley kicked off the discussion in a previous episode. Elevated CPR Series Episode One Elevated CPR Series Episode Three In this second episode installment of the sudde…
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On June 18, 2025, the FDA approved Yeztugo, the brand name for subcutaneous lenacapavir, a prescription medication used for the pre-exposure prophylaxis of HIV. Subcutaneous lenacapavir is administered twice a year (every six months) to reduce the risk of sexually acquired HIV-1 infection in adults and adolescents at risk. With patients only needin…
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Kurt Bramer from Advanced CPR Solutions comes on the show this week with Dr. Joe Holley. Kurt has a background in EMS since 1979 and worked as an emergency manager in Minneapolis. He currently works for Advanced CPR Solutions as a clinical educator. Sudden cardiac arrest is a global disaster that rivals the recent viral pandemic in scope. Cardiac a…
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This month, host Dr. Marguerite Urban chats with Dr. Jason Zucker, an adult and pediatric infectious diseases physician at Columbia University and the assistant medical director of the New York City HIV/STI Prevention Training Center, about an emerging fungal infection, Trichophyton mentagrophytes Genotype VII, also known as TMVII. Curious about wh…
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A 54-year-old woman with longstanding HIV and obesity is stable on ART, but concerned that it is causing weight gain. How best to address this growing concern? Listen as Chris and Eileen decipher the evidence related to weight gain and ART and weigh the best strategies for addressing this increasingly common and social media inflected concern for p…
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Marcus Coleman Vice President of Community Resilience Strategy, for the United Way Worldwide joins the podcast episode. He talks with the team about the 138 year history of the United Way and its commitment to 4 areas of community resilience: Disaster, Resilient Ecosystems, Economic Resilience, and Personal Resilience (personal connectedness and so…
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credit — National Hurricane Center Tonight on the Disaster Podcast we dig into the expected impacts Hurricane Melissa will carry into Jamaica as it impacts the island country in the Caribbean. Disaster meteorologist Dan DePodwin and disaster emergency management expert Becky DePodwin join us this evening to look at the storm’s origins and projected…
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A 62-year-old patient with HIV for ~40 yrs presents on the life-saving TRIO regimen after a beloved care provider retires. Will a switch improve his quality of life? Eileen and Chris suspect that a change to a once-a-day regimen with fewer pills will maintain his viral suppression and make life easier, but the TRIO regimen inspires dedication in ma…
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Tim Conley, Emergency Management Supervisor Mercy Health Care System. He’s also the co-founder of the IDMC (Interstate Disaster Medical Collaborative) with our co-host Sam Bradley. Sam invited Tim on the show to talk about his Illinois Regional Healthcare Coordination system. This allows local healthcare systems to collaborate to provide emergency …
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Subspecialists request simplified ART for a 56-year-old woman with a long ART history, who is taking a DOAC, has evolving renal function, and some drug resistance. Which factors to prioritize? Eileen and Chris have some, but not a complete medical history. Listen as they work through the information they do have, consider 7 questions key in making …
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On September 9th, CEI hosted its first in-person conference dedicated to hepatitis C and drug user health. A group of New York State-based clinicians met in Catskill for a full day agenda focused on (1) integrating wellness into clinical practice as a way to improve patient care and outcomes, and (2) innovative decision- making frameworks to help c…
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This week’s Disaster Podcast episode is a stump the weatherman episode with our disaster meteorologist, Dan Depodwin. Co-host Sam Bradley and Dan’s wife and disaster emergency management expert, Becky DePodwin take turns with the terms. Dan rises to the occasion as he does every year and answers most of them correctly. Scroll down for more of the t…
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How to formulate an effective ART regimen acceptable to 56-year-old man, with unsuppressed HIV, 20+ yr. ART history, extensive drug resistance, and adherence challenges? Listen as Eileen and Chris interpret resistance testing results, discuss barriers to treatment and adherence for this patient, and evaluate the possibility of using one of the nove…
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In this week’s episode of the Disaster Podcast, we start off with a discussion of the possibility of dual hurricanes in close proximity inside the Atlantic Basin. This gives rise to the term Fujiwara Effect, which discusses the impacts two nearby storm systems have on each other based upon their relative storm strengths. Disaster meteorologist Dan …
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Healthy 48-year-old man with HIV for 15 years, stable viral suppression, looking to optimize health—diet, exercise, immune-boosting supplements, safest HIV and HTN meds. Listen as Chris and Eileen discuss their approach to giving patients the good news about their health, health maintenance, supplement use, and whether to stay the course or switch …
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In this episode of Conversations with CEI, Dr. Steven Fine unpacks some of the latest developments and research presented at the 2025 International AIDS Society (IAS) Conference on HIV Science, held in Kigali, Rwanda. From innovative treatment strategies to advancements in prevention and global health equity, Dr. Fine highlights the pivotal discuss…
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New COVID-19 vaccine policy, proviral DNA testing, then the case of a woman with 10+ years viral suppression, CKD, and CVD, identified as a statin candidate after a significant cardiac event. With no family history of CVD, her risks included exposure to older ARVs and smoking 1 to 3 cigarettes/day. Listen as Drs. Scully and Hoffmann delve into non-…
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In this episode of the Disaster Podcast, the team brings in professionals from across several hospital systems to look at how they prepare for incoming mass casualty patients. We talk about the kinds of drills the systems run, and also look at the various departments and how they respond in each type of situation. On the show are Dr. Joe Holley fro…
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Julie Roberts from JK Roberts, LLC drops by the podcast this week to address business disaster continuity plans. Julie led communications efforts at both the Federal and State levels including NOAA. Julie discusses the importance of building a disaster plan for businesses of all sizes. These plans include creating contingencies around suppliers and…
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After brief mention of an HIV vaccine, the hosts turn to the challenges of treating cryptococcal meningitis in a 46-year-old woman with profound immune suppression after being off ART for 6-12 months. Emphasizing the high potential for morbidity and mortality, Chris and Eileen focus on the complexities of cryptococcal meningitis medical management,…
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Dan Zehner from the Natural Hazards Engineering Research Infrastructure (NHERI) drops in the podcast to report on the recent documentary output from the research group. The links below contain a lot of information on how the NHERI research grants have turned into actionable infrastructure and building code improvement suggestions. Dan and co-hosts …
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The demographics of HIV care are rapidly changing, and with them, the clinical needs of patients aging with HIV. In this episode, host Dr. Tony Urbina, Medical Director for CEI's HIV Primary Care and Prevention Center of Excellence, sits down with geriatrician Dr. Angela Condo to explore the unique intersection of geriatric medicine and HIV care. D…
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After presenting with fatigue, malaise, and muscle cramps, a 28-yr-old man with history of STIs is diagnosed with new renal failure (Cr >9 mg/dL) and HIV (VL ~3 mil. copies/mL). Drs. Scully and Hoffmann note the missed opportunities for HIV prevention, then review HIV-associated kidney disease and evaluate regimens safe for rapid ART initiation. Re…
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In this episode, I speak with Dr. Nicholas Kontos, Program Director of the Consultation–Liaison Psychiatry Fellowship at Massachusetts General Hospital, about one of the field’s most challenging topics: malingering and factitious disorder. We discuss how to move beyond the impulse to “catch deception” and instead adopt a framework of clinical curio…
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Midwife and Paramedic Jessica Arno, the Combat Midwife, returns this week to talk focus on pediatric emergencies in the disaster environment. She and the Disaster Podcast team talk about unique challenges facing responders who encounter sick and injured kids. Jessica stresses the importance of understanding age-appropriate behaviors and presentatio…
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Functional Neurological Disorder (FND) sits at the crossroads of neurology and psychiatry and for many clinicians, it’s still one of the most challenging diagnoses to understand, explain, and treat. In this episode, I’m joined by Dr. Caitlin Adams, psychiatrist at Massachusetts General Hospital, for a deep dive into how to recognize, diagnose, and …
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This week features a discussion of maternity and pediatric care in disaster situations with Jessica Arno, the Combat Midwife. Jessica is a midwite, paramedic, and battlefield-born educator who’s trained over 100,000 combat medics, Special Warfare medics, and EMS professionals in OB/GYN and pediatric emergencies. From Afghan refugee camps to rural f…
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Mid-50s-yr-old man with HIV since the early 1990s presented for evaluation of persistent low-level viremia, despite consistent engagement in care and ART. Genotypic testing found only a variety of minor mutations. The patient and his care provider were concerned about the health consequences, including the risk of inflammatory diseases in the futur…
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Pregnancy and postpartum are times of profound change and nowhere is that complexity more visible than in psychiatry. In this episode, Dr. Christina Wichman, Professor of Psychiatry and Obstetrics & Gynecology, Medical Director of The Periscope Project, and Director of Women’s Mental Health at the Medical College of Wisconsin, joins us for a deep d…
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Disaster meteorologist, Dan DePodwin, joins the show this week to discuss the severe weather patterns that have led to dangerous flash flooding all across the country so far in July. The team discusses how this weather affects millions of Americans this summer. Disaster emergency management expert, Becky DePodwin shares her thoughts on messaging to…
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Eating disorders are among the most lethal conditions in psychiatry and some of the most misunderstood. In this episode, I’m joined by Dr. Patricia Westmoreland and Dr. Anne O’Melia, two internationally recognized experts with eight combined board certifications spanning psychiatry, internal medicine, pediatrics, and consultation-liaison psychiatry…
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Live from Canandaigua…it’s the 11th Annual NYS Sexual Health Conference! The CEI Sexual Health Center of Excellence hosted the 11th Annual NYS Sexual Health Conference in-person on Friday May 2, 2025, in beautiful Canandaigua, NY. This was the Center’s second in-person conference since the COVID-19 pandemic and was the Center’s largest in-person ev…
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48-yr-old man with HIV for 12 years presented 1 year after his last visit with a history of methamphetamine use, inconsistent engagement in care, and a new diabetes diagnosis. He reported no recent ART and no meth use for about 8 months. On returning to care, his viral load was 250,000 copies/mL, the CD4 count was 230 cells/mm3, creatinine levels w…
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In this episode, I sit down with Dr. Mira Zein, clinical associate professor at Stanford and co-author of the APA Resource Document on Decisional Capacity Determinations, to break down one of the most frequent and misunderstood consults in psychiatry. We go deep into the Appelbaum–Grisso criteria and discuss how they apply to real-world cases where…
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Chuck Costanza joins the Disaster Podcast team tonight. He’s the Vice President of Client Engagement for Global Guardian. They provide global threat assessments for companies, helping them protect their employees from the effects of things like major disasters. The team discusses global security issues surrounding things like climate change. It aff…
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