I'm Dr. Joseph Kumka, Gastroenterology Fellow, educator, and creator of this podcasts. Whether you're a resident gearing up for the boards, a fellow diving deep into subspecialty topics, or a practicing clinician hungry for high-yield updates—you’re in the right place. Subscribe, engage, and let's raise the bar together.
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Joe on Joe is the only podcast where Joe Slepski talks exclusively about G.I. Joe A Real American Hero, the cartoon that defined a generation.
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I'm Dr. Joseph Kumka, Gastroenterology Fellow, educator, and host of evidence-based, board-oriented medical podcasts. Whether you're a resident gearing up for the boards, a fellow diving deep into subspecialty topics, or a practicing clinician hungry for high-yield updates—you’re in the right place.
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Brutally honest dating and relationship advice from an opposites-attract kind of couple who see life and love very differently: against her better judgement, she still believes in fairy tales; and he sees the simple truths through relationship BS-penetrating x-ray vision. Together, they give advice from opposing perspectives and try to guide you through the uncomplicated complicated journey to love.
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A Gastroenterologist's Guide to Crohn's Management
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17:58Treat-to-Target Approach to Crohn's Disease Management 1.0 Introduction: The Treat-to-Target Paradigm in Crohn's Disease The management of Crohn's disease has undergone a fundamental transformation. We have moved beyond the limited goal of simple symptom control and embraced a more ambitious objective: achieving deep, durable, and steroid-free remi…
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You on Joe: After Action Kickstarter w/ Josh Eggebeen
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59:55He's back! Friend of the show Josh Eggebeen returns with a ton of updates for you After Action Report fans! He's got news on the past Kickstarter fullfillment times and more importantly... Announcing a whole new book from the After Action Crew! Listen to find out what that is! Don't forget if you're going to Codename: Iowa you can meet Josh and Me!…
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A Gastroenterologist's Guide to IBD Diagnosis and Surveillance
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17:09Podcast Show Notes: Decoding IBD - A Gastroenterologist's Guide to Diagnosis, Management, and Surveillance Introduction: Navigating the Overlap Between Crohn's and Ulcerative Colitis The clinical overlap between Ulcerative Colitis (UC) and Crohn's Disease (CD) can be significant, often making diagnosis based on symptoms alone a formidable challenge…
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Clostridioides difficile Infection (CDI) Treatment Protocol 1.0 Purpose and Scope This protocol establishes a standardized, evidence-based framework for the diagnosis and management of Clostridioides difficile infection (CDI). Its strategic importance lies in unifying our clinical approach to improve patient outcomes, reduce the incidence of recurr…
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Joe on Joe Illustrated: G.I. Joe Special Missions #5
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43:53Stop what you're doing and go read this issue! It is imperative that you read this issue again because it is absolutely one of the best G.I. Joe stories ever told and I'm so happy to be revisiting it! Herb Trimpe's artwork is working next level and Larry Hama's story is an absolute merciless beast of a fable. It really plays out like an episode of …
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Inpatient Management of Inflammatory Bowel Disease Flares with Bloody Stools 1.0 Purpose and Scope This protocol provides a standardized, evidence-based framework for the systematic management of hospitalized patients presenting with inflammatory bowel disease (IBD) flares accompanied by bloody stools. Its strategic importance lies in ensuring time…
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Neuroendocrine Tumors (NETs) and Gastrointestinal Stromal Tumors (GISTs) 1.0 Foundational Principles of Neuroendocrine and Mesenchymal Tumors 1.1 Introduction The diagnosis of a gastrointestinal mass prompts a critical evaluation to determine its cellular origin and biological drivers. While neuroendocrine neoplasms (NENs) and gastrointestinal stro…
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Esophagogastric Malignancies
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15:26Clinical Pathway for Upper GI Malignancies: A Guide for Gastroenterology Fellows Introduction This document provides a comprehensive, evidence-based clinical pathway for the diagnosis, staging, treatment, and surveillance of the three primary upper GI malignancies encountered in our practice: esophageal cancer, gastric adenocarcinoma, and gastric l…
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Gastric Polyps and Metaplasia, and Hypersecretory Disorders
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17:11Gastric Metaplasia, Hypertrophic and Hypersecretory Disorders 1.0 Hypertrophic & Hypersecretory Gastropathies Disorders of gastric mucosal growth and acid secretion, while individually rare, present unique diagnostic and management challenges in clinical gastroenterology. A strategic approach is crucial for differentiating between these conditions,…
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Diagnosis and Management of Key Gastrointestinal Infections 1.0 Helicobacter pylori Infection: A Comprehensive Protocol The effective management of Helicobacter pylori infection represents a critical competency for gastroenterologists in training. A systematic approach, from accurate diagnosis through confirmed eradication, is essential for prevent…
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Upper GI Motility Disorders
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14:40Diagnostic and Management Pathways for Gastric Motility and Vomiting Disorders 1.0 Initial Patient Assessment: Symptom-Based Triage 1.1. Introduction to Symptom-Directed Diagnosis A meticulous clinical history is the cornerstone of an accurate diagnosis for upper gastrointestinal disorders. While imaging and physiological tests are essential, the p…
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Manometry in Motility Disorders
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14:00Diagnosis and Management of Esophageal Motility Disorders Introduction This protocol provides a standardized, evidence-based framework for the diagnosis and management of esophageal motility disorders, grounded in the Chicago Classification v4.0. Its purpose is to equip gastroenterology fellows with a systematic approach to patient care, beginning …
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Esophagogastric Functional Disorders
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18:20Diagnosis and Management of Esophagogastric Functional Disorders 1.0 Introduction to Esophagogastric Disorders of Gut-Brain Interaction (DGBI) Patients presenting with upper gastrointestinal symptoms such as heartburn, chest pain, and dyspepsia represent a common and complex clinical challenge. This protocol provides a structured, evidence-based pa…
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Crohn's Treatment Guidelines
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36:33A Phenotype-Driven Guide to Biologic Selection in Crohn's Disease The management of Crohn's disease has undergone a paradigm shift, moving away from a reactive model focused on symptom control towards a proactive, treat-to-target strategy. This modern approach aims to alter the natural history of the disease by achieving deep, objective remission, …
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Barrett's and other Esophageal Disorders
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17:40Diagnosis and Management of Common Esophageal Disorders 1.0 Initial Patient Assessment and Triage The initial triage of a patient presenting with esophageal symptoms is a critical determinant of clinical outcomes. A systematic approach, predicated on recognizing distinct symptom patterns and alarm features, is essential for directing the urgency an…
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Diagnosis and Management of Gastroesophageal Reflux Disease (GERD) 1.0 Initial Patient Assessment and Triage The initial patient encounter is a critical triage point for determining the urgency and direction of the diagnostic workup. The primary objective is to stratify patients based on the presence or absence of "alarm features." These features m…
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Management of Peptic Ulcer Disease (PUD) and Ulcer Bleeding 1.0 Introduction and Scope 1.1 Purpose and Definition of PUD The strategic management of Peptic Ulcer Disease (PUD) is critical to ensuring optimal patient outcomes and efficient resource utilization. This protocol establishes a standardized, evidence-based framework for the diagnosis, ris…
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Clinical Practice Guideline: Diagnosis and Management of Dyspepsia and Peptic Ulcer Disease 1.0 Introduction and Scope Dyspepsia represents one of the most common and complex symptom presentations encountered in both primary care and gastroenterology. Its management requires a nuanced understanding of a broad differential diagnosis, ranging from be…
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Joe on Joe Illustrated: G.I. Joe Special Missions #4
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42:00One of my earliest owned comic books in my collection, Special Missions #4 is the topic this week for Joe on Joe Illustrated! There's something about an upside down Lifeline that tugs at my heart. Also, I must have tugged on the spine of my copy because it is raggedy! Great issue with some tremendous Herb Trimpe artwork! Plus, I put a call out to a…
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Joe on Joe Illustrated: Special Missions 3
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1:02:17How about a San Diego Comic Con wrapup? Talking all about the Cold Slither concert and amazing time had at the show! Then I get into page by page discussion of G.I. Joe Special Missions #3 which is an absolutely fantastic adventure! I cannot wait for you to hear the breakdown! Subscribe to the Joe on Joe Podcast! www.joeonjoe.com Apple Podcasts Pod…
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Cardiology - Cardiovascular Disease and Cancer
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32:02Cardiovascular Disease in Cancer I. Cardiotoxicity of Radiation Therapy to the Thorax Prevalence and Significance: Radiation therapy, while improving survival in patients with thoracic malignancies (e.g., Hodgkin lymphoma, early-stage breast cancer), has led to cardiovascular disease becoming "the most common nonmalignant cause of death in patients…
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Cardiology - Cardiomyopathies in Pregnancy
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36:55Cardiovascular Disease Executive Summary This briefing document summarizes key information regarding cardiovascular health during pregnancy, drawing insights from "Pregnancy and Cardiovascular Disease - Cardiovascular Medicine Text - MKSAP 19.pdf". It highlights the increasing maternal mortality in the US due to cardiovascular disorders, the physio…
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Cardiology - Congenital Disease
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1:11:45Adult Congenital Heart Disease (ACHD) Date: October 26, 2023 Purpose: This briefing document summarizes key themes, important ideas, and facts regarding Adult Congenital Heart Disease (ACHD) based on the provided source material. Executive Summary Medical and surgical advancements have led to a growing population of adults with congenital heart dis…
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Cardiology - Peripheral Arterial Disease
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27:16Peripheral Arterial Disease I. Overview and Epidemiology Peripheral Artery Disease (PAD) is primarily characterized by the narrowing of the aortic bifurcation and arteries of the lower extremities, including the iliac, femoral, popliteal, and tibial arteries. The most common cause is atherosclerosis. PAD is a significant health concern, considered …
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Cardiology - Aortopathies
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25:11Aortic Diseases: A Comprehensive Briefing Date: October 26, 2023 Purpose: This briefing document provides a detailed overview of various aortic diseases, including chronic conditions like aneurysms and acute, life-threatening syndromes such as dissection and rupture. It consolidates key information on definitions, causes, risk factors, symptoms, di…
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Cardiology - Pericardial Disease
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22:41Pericardial Disease Briefing Document 1. Acute Pericarditis Definition: Acute pericarditis is the inflammation of the pericardium, the fibrous sac surrounding the heart. Key Characteristics & Diagnosis (at least two of four criteria): Chest Pain: Typically "sharp, severe, and positional." It is worse when supine and improves with sitting up and lea…
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Cardiology - Cardiomyopathies
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26:02Myocardial Disease 1. Hypertrophic Cardiomyopathy (HCM) 1.1 Overview and Clinical Presentation Definition: HCM is an "autosomal dominant heritable disorder related to mutations in the genes that primarily encode sarcomeric proteins." It is characterized by increased left ventricular (LV) wall thickness without other underlying causes (e.g., hyperte…
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Cardiology - Vavulopathies
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37:34Valvular Heart Disease 1. Summary Valvular Heart Disease (VHD) is a significant cardiac condition affecting approximately 20 million people in the United States, primarily age-dependent. It involves structural or functional valve abnormalities leading to either regurgitation (failure to close competently) or stenosis (failure to open effectively). …
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Cardiology - Arrhythmias
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38:00Arrhythmias I. Introduction to Arrhythmias Cardiac arrhythmias are disruptions in the heart's rhythm or rate, manifesting in seven basic patterns: early beats, bigeminal beats, grouped beats, pauses, bradycardia, tachycardia, and chaotic rhythms. This document will detail the diagnosis and management of specific rhythm disorders. II. Approach to th…
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Cardiology - Heart Failure
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53:53Heart Failure I. Overview of Heart Failure Heart failure (HF) is a complex clinical syndrome resulting from structural or functional impairment in blood ejection or ventricular filling. It manifests with signs of fluid overload and/or decreased cardiac output. Key Characteristics: Fluid overload symptoms: Dyspnea (shortness of breath), paroxysmal n…
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Cardiology - Diagnostics
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31:52Diagnostic Testing in Cardiology I. Foundational Principles of Diagnostic Testing The document begins by establishing the "diagnostic cornerstone" of CVD as the "clinical history and physical examination." This initial assessment is critical for ensuring a "focused and appropriate diagnostic evaluation." Subsequent cardiovascular testing serves bot…
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Cardiology - Coronary Artery Disease
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46:27Coronary Artery Disease (CAD) This briefing summarizes key information regarding Coronary Artery Disease, covering stable angina pectoris, acute coronary syndromes (ACS), and management in specific patient populations. I. Stable Angina Pectoris Definition and Diagnosis: Stable angina pectoris is characterized as "reproducible angina (discomfort or …
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Cold Slither: Behind The Rock
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41:36I know! I've released this a few times but this week is the big Cold Slither concert down at San Diego Comic Con and I would be absolutely remiss if I didn't pull this rerun out! I hope you still enjoy it, and I'll be back in a week or so with a San Diego wrap up and who knows what else! Thanks for listening to one of my favorite episodes ever! Sub…
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You on Joe: Agent Chuckles with Beach Head... Fashionista!
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40:05Welcome back friend of the show, Agent Chuckles! We're talking about his fantastic You Tube channel and his new series of Beach Head adventures! Basically, it's Project Runway meets Beach Head's particular brand of Drill Sergeant. Please give him a subscribe! Subscribe to the Joe on Joe Podcast! www.joeonjoe.com Apple Podcasts PodBean YouTube Help …
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You on Joe w/ Chuck Costas from Propstore.com
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55:50If you're paying attention to the G.I. Joe world this week, you know we're in the midst of an amazing auction of live action props and costumes from the G.I. Joe movies! Chuck Costas, the VP of Business Development for Propstore, joined me this week to talk about that auction and the amazing pieces that are in it, but more importantly, his own love…
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You on Joe: Robo Toy Fest w/ Josh Eggebeen
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39:34Welcome back listeners and I hope Joe Fest in Augusta was an absolute blast! This week Josh Eggebeen returns to the show to talk their kickstarter for Command Files Part 2! We met up at the Robo Toy Fest SoCal Joe Show in early June and had an on the floor interview about all things International G.I. Joe! If you're in the Southern California area,…
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You on Joe: Command Files Vol. 2 w/ Greg Agustin
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1:09:42Welcome back to the show, Greg Agustin! We talk about his Volume 2 of Command Files, which is in it's final push over on Kickstarter! If you haven't backed it, please check it out today. Ends on June 30th, 2025 A great, fun conversation about organizing your G.I. Joe teams, display innovations and the power of duct tape. Subscribe to the Joe on Joe…
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Joe on Joe Illustrated: G.I. Joe Special Missions #2
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51:28Back with Issue #2 of Special Missions and boy is this a doozy. Not for the faint of heart, we deal with some real world issues and it's handled very deftly by Larry Hama and Herb Trimpe. A real cracking adventure set agains real world enemies, this one is not to be missed. Subscribe to the Joe on Joe Podcast! www.joeonjoe.com Apple Podcasts PodBea…
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Joe on Joe Theater Presents: Shirley Feeney Starring in G.I. Columbo
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46:38I have an extremely special episode for you this week, in tribute to one of the stars of our G.I. Columbo special, Shirley Feeney. She was small, but mighty, and her bark was literally heard around the world with her stunning performance in this episode as Junkyard. Rest in Power. Shirley Wilhelmina Feeney Slepski 2015-2025 --------------- Subscrib…
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