The Intern At Work: Internal Medicine

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

Send us a textDr. Laiya Carayannopoulos sits down with Nick Sanchez (MD student) to discuss his second place winning clinical vignette from the Canadian Society of Internal Medicine Annual Meeting. He takes us through a fantastic case of upper GI bleeding! Support the show

Send us a textDr. Zahra Merali (Host) sits down with Dr. Shaima Kaka (Internal Medicine resident) to discuss her first place winning clinical vignette (oral case report) from the Canadian Conference of Medicine Annual Meeting 2024. They discuss a curious case of hyperglycaemia and jitters! Support the show

Drs. Mike and John Fralick dive into the top randomized controlled trials of 2024. They highlight finerenone’s impact on heart failure outcomes and discuss innovative uses of tirzepatide for obstructive sleep apnea and liver conditions. Semaglutide’s positive effects on kidney health in diabetes patients also takes center stage. The hosts review findings on antibiotic durations for bloodstream infections, revealing shorter treatment might be just as effective. They wrap up with thoughts on the importance of credible data and community engagement.

Veronica Ramirez, an Internal Medicine Resident, dives deep into the implications of CAR-T therapy in treating cancer. She discusses the rising prevalence of Cytokine Release Syndrome (CRS) and Immune Effector Cell-Associated Neurotoxicity Syndrome (ICANS) in medical wards. Listeners will learn about essential treatment protocols and the importance of early diagnosis. With recent advancements in managing these conditions, this conversation is a must for anyone interested in cutting-edge cancer therapies and internal medicine!

Send us a textTake a listen to learn everything there is to know about this less common GI diagnosis- GAVE! Written by Dr. Zuhal Mohmand (Internal Medicine resident) and reviewed by Dr. Elizabeth Squirell (Gastroenterologist), Dr. Michelle Ricci (Gastroenterologist) and Dr. Heather Johnson (General Internal Medicine). Infographic by Sapriya Birk (Medical Student). Support the show

Explore how to handle tracheostomy emergencies with expert insights. The discussion delves into essential management strategies through real-life clinical case studies. Discover critical steps for diagnosing and mitigating complications. Learn how to ensure patient safety during these urgent scenarios and gain valuable knowledge for navigating high-stress situations in healthcare.

In this conversation, Dr. Beth Abramson, a Cardiologist at Unity Health and Associate Professor of Medicine at the University of Toronto, shares her expertise on peripheral arterial disease (PAD). She discusses the critical impact of PAD on health, particularly in individuals over 50. The importance of the Ankle Brachial Index as a diagnostic tool is emphasized, alongside strategies for managing cardiovascular risks like smoking cessation and hypertension. The role of personalized treatment and lifestyle changes for patients with asymptomatic PAD is also highlighted.

Dr. Nisha Andany, a clinician teacher and infectious diseases program director at the University of Toronto, shares her expertise on Pneumocystis jirovecii pneumonia (PJP). She discusses the shifting demographics and risk factors, particularly in immunocompromised individuals. The conversation highlights how symptoms differ between HIV-positive and negatively affected patients. Dr. Andany elaborates on diagnostic strategies, treatment approaches tailored to severity, and the critical importance of prophylaxis based on CD4 counts.