The Intern At Work: Internal Medicine

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.

Dr. Jeffrey Carson, a distinguished professor at Rutgers, dives into the controversial world of blood transfusion strategies for myocardial infarction patients. He discusses his influential meta-analysis on transfusion thresholds, shedding light on the evolving debate between restrictive and liberal approaches. Carson highlights findings from the MINT Trial and newly issued guidelines from major heart associations that advocate for a more liberal strategy. Additionally, he touches on the future of personalized transfusion practices and the role of AI in academic assessments.

Send us a textIn this episode, we review the pathophysiology, symptompatology and treatment options for individuals with chronic pain. In addition, we review how to take a pain history to help differentiate between different types of pain. Our medicine minute discusses the SPACE trial. Written by: Dr. Lakindu Somaweera (Internal Medicine Resident)Reviewed by: Dr. Hasitha Welihinda (Palliative Care Specialist) and Dr. Lindsay Anderson (General Internist)Support the show

Dr. Lisa Dubrofsky, a nephrologist from Toronto with expertise in hypertension and cardiology, shares vital insights on chronic kidney disease (CKD) management. She discusses pivotal changes in CKD guidelines, including the significance of albuminuria and standardized equations for kidney function assessment. Dr. Dubrofsky also explores the potential of cystatin C as a diagnostic marker and highlights innovative treatments, such as SGLT2 inhibitors and finirinone, reshaping nephrology. Get ready for an engaging dive into the future of kidney care!

Dr. Jameel Abdulrehman, a hematologist at the University of Toronto, dives into the intricate world of venous thromboembolism (VTE) management. He discusses the latest CHEST Guidelines and compares direct oral anticoagulants to traditional therapies like warfarin. The conversation highlights risk assessment strategies, emphasizing gender-specific responses to anticoagulation. Abdulrehman also sheds light on extended anticoagulation for cancer-related thrombosis and managing superficial vein thrombosis, showcasing the complexities of treatment decisions.

Send us a textIn this episode, Dr. Maya Stein interviews Dr. Kevin Singh about the 2016 Canadian Cardiovascular Society Guidelines on Perioperative Cardiac Risk Assessment and Management for Patients Who Undergo Noncardiac Surgery.Produced and Hosted By: Dr. Maya Stein (Internal Medicine resident)Special Guest: Dr. Kevin Singh (General Internist)Sound Editing by: Dr. Alison Lai (General Internist)Support the show

Send us a textIn this episode, Dr. Sheliza Halani speaks with Dr. Kevin Venus (General Internist) about the 2020 update to the Hypertension Canada Guidelines for the Prevention, Diagnosis, Risk Assessment, and Treatment of Hypertension.Host: Dr. Sheliza HalaniSound Editing: Dr. Alison LaiProducers: Dr. Catherine Leurer and Dr. Sheliza HalaniSupport the show

Join Dr. Laiya Carayannopoulos, an intensivist from McMaster, as she dives into critical care insights. The discussion kicks off with a comparison of high-flow nasal oxygen and non-invasive ventilation for acute respiratory failure, revealing insights from a significant clinical trial. Next, the focus shifts to the debate between catheter ablation and antiarrhythmic drugs for ventricular tachycardia, highlighting new data and the need for timely referrals. Tune in for a blend of research findings and practical implications for modern care!

Send us a textDr. John Fralick sits down with Dr. Nicole Hawe, a first-year Internal Medicine resident at the University of British Columbia, to discuss her third place winning clinical vignette from the Canadian Society of Internal Medicine Annual Meeting 2024.Support the show