The Intern At Work: Internal Medicine

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.

Send us a textWritten by: Dr. Yining (Nancy) Chen (Internal Medicine Resident) Reviewed by: Dr. Shaun Ong (Respirologist) & Dr. Lori Wik (General Internist)Support the show

Send us a textLet's talk about the BCR:ABL negative MPNs! Written by Dr. Sarah Ge (Internal Medicine Resident), reviewed by Dr. Christopher Hillis @HemeHillis (Hematology) and Dr. John Neary @jddneary (General Internal Medicine). Infographic by Dr. Caitlyn Vlasschaert @DrFlashHeart (Internal Medicine Resident).Support the show

Send us a textWritten by: Dr. Roslyn Mainlaind (Internal Medicine Resident) Reviewed by: Dr. Lindsay Anderson (General Internist) & Dr. Karine Gauthier (Hematologist)Support the show

Rajender Hanmiah, an academic internist with 27 years of experience, shares insights from the Canadian Conference of Internal Medicine. He discusses innovative blood biomarkers for Alzheimer's diagnosis and critical findings on atrial fibrillation risks. The conversation dives into promising new treatments for NASH, alongside challenges in drug trials, including significant side effects. Key highlights also cover the intersection of liver disease, long COVID, and the importance of continued vaccination efforts in tackling public health issues.