The Intern At Work: Internal Medicine

This discussion dives into the complex behavioral and psychological symptoms associated with dementia, addressing the unique challenges clinicians face. It emphasizes understanding different dementia types and evaluation strategies for effective management. The importance of tailored treatment plans is explored, balancing non-pharmacologic approaches with medication when necessary. Listeners gain valuable insights into compassionate care methods and rapid response techniques for severe agitation in patients.

Send us a textIn this episode, we discuss the pathophysiology, clinical features and diagnostic approach to Adult Onset Still's Disease. Our medicine minute discusses the Yamaguchi Criteria for diagnosis of Adult Onset Still's Disease.Written by: Dr. Samira Adus (Internal Medicine Resident)Reviewed by: Dr. Kimberly Legault (Rheumatology) and Dr. John Neary (General Internal Medicine)Support the show

In this discussion, Dr. Karen Konieczny, a board certified cardiologist and electrophysiologist from St. Michael's Hospital, delves into the complexities of pacemaker implantation. She highlights the rising trends in pacemaker use among aging populations and addresses unique cases like cardiac sarcoidosis. The episode also navigates sinus node dysfunction, discusses advanced pacemaker technologies like leadless options, and underscores the importance of careful evaluation in treatment decisions, especially for elderly patients.

Dr. Laiya and Dr. Mike explore the promising effects of brensocatib for reducing exacerbations in bronchiectasis, addressing a significant unmet need. They delve into the trial design, participant demographics, and efficacy results, noting its potential as a first dedicated therapy. The discussion shifts to alteplase for posterior circulation stroke, examining its efficacy and safety in a late-window scenario. Despite some positive findings, they emphasize critical limitations, leaving the treatment's role in practice uncertain.

Alyssa Chow, an Internal Medicine Resident with a focus on cardiology, dives into the fascinating world of pacemakers. She shares the innovative history behind these lifesaving devices and their critical role in managing bradyarrhythmias. Alyssa discusses assessment strategies for patients and highlights the importance of diagnosing syncope. Additionally, she explains the mechanisms behind different types of pacemakers, including essential guidelines from the 2018 American College of Cardiology. Tune in for a deep dive into cardiac care!

Dive into the latest guidelines on Acute Coronary Syndrome, focusing on revolutionary changes in antiplatelet therapy. Learn about the critical role of LDL regulation and the latest strategies for patients with NSTEMI. Discover insights into risk assessment tools and the impact of artificial intelligence in cardiology. Plus, enjoy some quirky egg cracking tips and chill music recommendations, adding fun to your listening experience!

Send us a textToday we dive into the life-saving (and often intimidating!) technology known as ECMO. Written by: Dr. Pavan Malhi (Internal Medicine Resident)Reviewed by: Dr. Liang Chen (General Internist & Critical Care Medicine Fellow) & Dr. Jed Lipes (Intensivist, General Internist)Support the show

In a rapid-fire session, experts discuss groundbreaking findings from the 2025 American College of Cardiology conference. They dive into the efficacy of reduced-dose apixaban for cancer-related blood clots, highlighting its potential advantages. The DAPA-TAVI trial sheds light on the promising role of SGLT2 inhibitors in heart failure management. Additionally, the cardiovascular benefits of oral semaglutide in high-risk diabetes patients are explored, revealing significant reductions in adverse events. A sprinkle of humor is added with a mention of a new comedy series.

In this insightful discussion, Dr. Annabel Chan, an Internal Medicine Resident and author, dives into the complexities surrounding falls in older adults. She highlights the physiological changes that increase fall risk and stresses the importance of thorough assessments and preventative measures. The conversation also underscores the essential collaboration among healthcare professionals to tackle this pressing issue, featuring alarming statistics and recent U.S. guidelines that aim to improve safety for seniors. Tune in for valuable insights!

Explore the challenging world of diabetes with a deep dive into both macrovascular and microvascular complications. Discover how chronic hyperglycemia affects patient care through real-life case studies, like that of a patient struggling with foot pain. The discussion also emphasizes vital prevention strategies, including blood pressure management and screenings, to mitigate risks. Plus, gain insights from pivotal trials like ADVANCE and DAPA-CKD that shed light on effective management techniques.