The Intern At Work: Internal Medicine

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!

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.

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