Core IM | Internal Medicine Podcast

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#158 Diuretics Resistance Cases

mercredi 28 août 2024 • Durée 28:40

Listen to 3 cardiorenal cases that highlight that “without flow it really doesn't matter what you're doing with the diuretic!”

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Transcript and Show notes

Cardiorenal Considerations: 5 Pearls Segment

Subscribe to Core IM’s YouTube Channel for more behind the scenes, whiteboard animations and more!

Timestamps:

(01:53) | Case 1: Diuretic Resistance from Ascites and Intra-abdominal Hypertension

(09:57) | Case 2: Diuretic Resistance from Low Cardiac Output

(26:34) | Case 3: Diuretic Resistance from Inadequate Renal Perfusion Pressure

Tags: IMCore, CoreIM, Diuretics, Cardiorenal, Medical Education, nephrology, cardiology, CCU, ICU, critical care

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#157 Handoffs: Contingency Planning

mercredi 7 août 2024 • Durée 31:08

Signouts! How can we do them better? Hear these memorable stories & ask yourself these FIVE questions when getting your handoff ready for the covering team.

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Show notes & transcripts

Behind the Scenes YouTube Interview

Subscribe to Core IM’s YouTube Channel for more behind the scenes, whiteboard animations and more!

Timestamps:

(02:44) | What makes this patient different from others with similar symptoms or diagnosis?

(07:28) | Does your covering team have the tools to follow up on tasks and information they need for success?

(16:06) | Is the handoff updated?

(18:26) | What information about goals of care and prognosis should be communicated to the night team, especially for critically ill patients?

(22:41) | What are we still uncertain about?

(25:30) | Closing thoughts

Tags: IMCore, CoreIM, Contingency Planning, Handoffs, Medical Education, Nocturnists. Signouts, hospitalist

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#148 Iron Deficiency Treatment: 5 Pearls Segment

mercredi 27 mars 2024 • Durée 39:42

How do you choose btw PO vs. IV iron? What is the best counseling for oral iron formulations? How do you choose between different IV iron formulations? Should you use the Ganzoni formula? What is a Fishbane reaction? And how is it different from anaphylaxis?

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Behind the Scenes YouTube Interview

Transcript and Show Notes

Time stamps:

(02:09) | Spaced repetition from the last Gray Matters Episode

(05:29) | Choosing between oral and IV iron

(11:17) | Considerations with oral iron repletion

(24:02) |Considerations with IV iron repletion

(32:36) | Complications and side effects of IV iron

Tags: hematology, primary care, CoreIM, IMcore, nurse practitioner, physician assistant

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#65 COVID Reflections- Disconnections and Connections: At the Bedside Segment

Épisode 65

mercredi 29 avril 2020 • Durée 18:35

Episode Outline

Disconnection/connection: Patients
Disconnection/connection: Family/friends
Disconnection: Security, Certainty
Connection: Other clinicians

Sharing fears, supporting each other)
Shared ethos in healthcare (one workforce, no division of specialty or hierarchy)

Conclusion: Post-traumatic growth / Peri-Traumatic Growth

Thank you to everyone we interviewed, particularly to the voices you heard:

Dr. Kimberly Manning (@gradydoctor)

Dr. John Hwang (Hoofbeats segment)

Dr. Steve Liu (Mind the Gap segment)

Dr Katherine Arthur

Dr. Maria Garcia-Jimenez

Dr. Kelsey Luoma

Hosts:

Dr. Margot Hedlin (@MargotHedlin) - Introduction and Ending

Dr. Tamar Schiff

Dr. Michael Shen (also audio editing)

Dr. Jafar Al-Mondhiry (@mondhiry)

tags: COVID19, COVID-19, CoreIM, coronavirus, narrative medicine

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#64 Inpatient Goals of Care with COVID-19

Épisode 64

mercredi 22 avril 2020 • Durée 29:37

What is your approach to goals of care conversations, particularly during COVID-19? How do you navigate some of the new challenges with COVID19?

Show notes, transcript and references: https://www.coreimpodcast.com/2020/04/22/goc-on-inpatient-service-during-covid-19/

Time stamps:

05:54 Laying the groundwork
08:56 Asking permission, eliciting values and making a recommendation
15:55 When a patient is dying
16:42 Sharing the prognosis first
20:28 Functional status post-CPR
21:52 Headline statement
23:40 Virtual and PPE Communication Challenges
25:28 Separate process from outcome

Tag: coronavirus, COVID, CoreIM, Sars-cov-2, medicine floors, wards, advanced care planning

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#63 Practical Tips for COVID-19 Floors

Épisode 63

dimanche 12 avril 2020 • Durée 34:28

How do you organize your day? How do you minimize exposure of yourself and your colleagues? What are the new things to keep in mind with discharging patients?

Show notes, transcripts and references:

CME Credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im

Time Stamps

02:37 Entrance and Exit strategy
04:25 Prioritizing patient acuity
08:14 PPE uses
11:11 Respiratory concerns in COVID-19 patients
16:35 Patient examination
18:49 Family updates
20:56 Oxygen requirements
23:12 Medications
24:08 Discharging patients
31:00 What we mean by isolation

tag: coronavirus, COVID, CoreIM, sars-cov-2, medicine wards

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#62 Transgender Health, Hormone Therapy and Preventive Screening: 5 Pearls Segment

Épisode 62

mercredi 1 avril 2020 • Durée 32:05

Practical tips on starting estrogen or testosterone on patients who are transgender and approach to primary care with cancer screening.

CME Credit with ACP; https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im

Show notes, transcripts, and references: https://www.coreimpodcast.com/2020/04/01/5-pearls-on-transgender-health-hormone-therapy-and-preventive-screening/

Time Stamps:

02:54 Hormone therapy contraindications
07:09 Time course for hormone changes
10:21 Hormone risks
19:09 Hormone treatment options
25:22 Preventative Care Screening

Tags: CoreIM, gender affirming care

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#61 Transgender Health, Gender Affirming Care: 5 Pearls Segment

Épisode 61

mercredi 18 mars 2020 • Durée 22:44

Practical tips on Gender Affirming Care!

Show notes, transcript and references

Time Stamps:

02:43 The Gender Unicorn and how it helps us better understand gender identity, expression, and sex assigned at birth
11:15 Gender dysphoria
14:16 The organ or anatomical inventory
16:46 The inevitability of mistakes
18:39 Ways to ensure gender-affirming care in clinic

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#60 Capacity Part 1: At the Bedside Segment

mercredi 4 mars 2020 • Durée 30:25

What goes into a capacity assessments? Is it just reciting risks, benefits and alternatives? Explore this and more on this At the Bedside Episode!

Show notes, Transcript and References: https://www.coreimpodcast.com/?p=22310

Time Stamps:

2:04 Introduction to decision making
4:12 Choice
8:24 Understanding
11:22 Appreciation
13:58 Reasoning
21:55 Common myths and misconceptions
25:11 When and how to call a psychiatry consult for capacity assessment
27:47 Conclusion

Tags: CoreIM, AMA Discharges, Psych, Competency, medical ethics, medical humanties

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#59 Flu Diagnosis and Treatment: Mind the Gap Series

mercredi 19 février 2020 • Durée 18:45

What are the new guidelines for influenza treatment? What are the diagnostic ratios of flu symptoms and tests? Time Stamps03:10 The art of diagnosing the flu
05:17 Bayesian statistics and the diagnostic odds ratio
07:09 The ins and outs of diagnostic testing for the flu
08:44 Changes in influenza guidelines - testing and treatment
11:17 The not-so-rosy origin story of neuraminidase inhibitors (NAIs)
13:47 Neuraminidase inhibitors (NAIs), mortality benefit and limitations of studies
15:49Take aways

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Core IM | Internal Medicine Podcast – Détails, épisodes et analyse

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Core IM | Internal Medicine Podcast – Détails, épisodes et analyse

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