Core IM | Internal Medicine Podcast

Episode OutlineDisconnection/connection: PatientsDisconnection/connection: Family/friendsDisconnection: Security, CertaintyConnection: Other cliniciansSharing fears, supporting each other)Shared ethos in healthcare (one workforce, no division of specialty or hierarchy)Conclusion: Post-traumatic growth / Peri-Traumatic GrowthThank you to everyone we interviewed, particularly to the voices you heard:Dr. Kimberly Manning (@gradydoctor)Dr. John Hwang (Hoofbeats segment)Dr. Steve Liu (Mind the Gap segment)Dr Katherine ArthurDr. Maria Garcia-JimenezDr. Kelsey LuomaHosts:Dr. Margot Hedlin (@MargotHedlin) - Introduction and EndingDr. Tamar SchiffDr. Michael Shen (also audio editing)Dr. Jafar Al-Mondhiry (@mondhiry) tags: COVID19, COVID-19, CoreIM, coronavirus, narrative medicineFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Eko Core 500 Digital Stethoscope: https://ekohealth.com/COREIM* Check out FIGS and use code FIGSRX for 15% off your 1st order: https://wearfigs.com* Check out Washington Red Raspberries for recipes, farmers' stories, and which grocery stores carry: https://www.coreimpodcast.com/redrazzAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

What is your approach to goals of care conversations, particularly during COVID-19? How do you navigate some of the new challenges with COVID19?Show notes, transcript and references: https://www.coreimpodcast.com/2020/04/22/goc-on-inpatient-service-during-covid-19/Time stamps:05:54 Laying the groundwork08:56 Asking permission, eliciting values and making a recommendation15:55 When a patient is dying16:42 Sharing the prognosis first20:28 Functional status post-CPR21:52 Headline statement23:40 Virtual and PPE Communication Challenges25:28 Separate process from outcomeTag: coronavirus, COVID, CoreIM, Sars-cov-2, medicine floors, wards, advanced care planningFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Eko Core 500 Digital Stethoscope: https://ekohealth.com/COREIM* Check out FIGS and use code FIGSRX for 15% off your 1st order: https://wearfigs.com* Check out Washington Red Raspberries for recipes, farmers' stories, and which grocery stores carry: https://www.coreimpodcast.com/redrazzAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

How do you organize your day? How do you minimize exposure of yourself and your colleagues? What are the new things to keep in mind with discharging patients?Show notes, transcripts and references:CME Credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-imTime Stamps02:37 Entrance and Exit strategy04:25 Prioritizing patient acuity08:14 PPE uses11:11 Respiratory concerns in COVID-19 patients16:35 Patient examination18:49 Family updates20:56 Oxygen requirements23:12 Medications24:08 Discharging patients31:00 What we mean by isolationtag: coronavirus, COVID, CoreIM, sars-cov-2, medicine wardsFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Eko Core 500 Digital Stethoscope: https://ekohealth.com/COREIM* Check out FIGS and use code FIGSRX for 15% off your 1st order: https://wearfigs.com* Check out Washington Red Raspberries for recipes, farmers' stories, and which grocery stores carry: https://www.coreimpodcast.com/redrazzAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Practical tips on starting estrogen or testosterone on patients who are transgender and approach to primary care with cancer screening.CME Credit with ACP; https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-imShow notes, transcripts, and references: https://www.coreimpodcast.com/2020/04/01/5-pearls-on-transgender-health-hormone-therapy-and-preventive-screening/Time Stamps:02:54 Hormone therapy contraindications07:09 Time course for hormone changes10:21 Hormone risks19:09 Hormone treatment options25:22 Preventative Care ScreeningTags: CoreIM, gender affirming careFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Eko Core 500 Digital Stethoscope: https://ekohealth.com/COREIM* Check out FIGS and use code FIGSRX for 15% off your 1st order: https://wearfigs.com* Check out Washington Red Raspberries for recipes, farmers' stories, and which grocery stores carry: https://www.coreimpodcast.com/redrazzAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Practical tips on Gender Affirming Care!Show notes, transcript and referencesTime Stamps:02:43 The Gender Unicorn and how it helps us better understand gender identity, expression, and sex assigned at birth11:15 Gender dysphoria14:16 The organ or anatomical inventory16:46 The inevitability of mistakes18:39 Ways to ensure gender-affirming care in clinic Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Eko Core 500 Digital Stethoscope: https://ekohealth.com/COREIM* Check out FIGS and use code FIGSRX for 15% off your 1st order: https://wearfigs.com* Check out Washington Red Raspberries for recipes, farmers' stories, and which grocery stores carry: https://www.coreimpodcast.com/redrazzAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

What goes into a capacity assessments? Is it just reciting risks, benefits and alternatives? Explore this and more on this At the Bedside Episode!Show notes, Transcript and References: https://www.coreimpodcast.com/?p=22310Time Stamps:2:04 Introduction to decision making4:12 Choice8:24 Understanding11:22 Appreciation13:58 Reasoning21:55 Common myths and misconceptions25:11 When and how to call a psychiatry consult for capacity assessment27:47 ConclusionTags: CoreIM, AMA Discharges, Psych, Competency, medical ethics, medical humantiesFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Eko Core 500 Digital Stethoscope: https://ekohealth.com/COREIM* Check out FIGS and use code FIGSRX for 15% off your 1st order: https://wearfigs.com* Check out Washington Red Raspberries for recipes, farmers' stories, and which grocery stores carry: https://www.coreimpodcast.com/redrazzAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Discover the latest guidelines for diagnosing and treating influenza, with a focus on the intricacies of diagnosis. Learn about the significance of likelihood ratios and the superiority of PCR testing over antigen tests. The conversation dives into the treatment landscape, including the challenges with neuraminidase inhibitors and their historical context. There’s a humorous nod to the evolution of flu diagnosis from the 19th century to today, shedding light on the importance of timely and precise patient care. A thought-provoking exploration awaits!

What is the difference between a case manager and social worker? What are the limitations that social workers and case managers face? How do you create a safe space for the interdisciplinary team?Show Notes and ReferencesGet CME-MOC credit with ACP!Time Stamps:03:54 What are the various roles within a multidisciplinary teams?10:42 Understanding limitations of social workers and case managers15:55 The “behind the scenes” paperwork18:42 Insurance and medications22:17 Insurance and disposition options25:08 The importance of creating a safe space for better communicationFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Eko Core 500 Digital Stethoscope: https://ekohealth.com/COREIM* Check out FIGS and use code FIGSRX for 15% off your 1st order: https://wearfigs.com* Check out Washington Red Raspberries for recipes, farmers' stories, and which grocery stores carry: https://www.coreimpodcast.com/redrazzAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

What are the symptoms? What distinguishes coronavirus from other influenza-like illness? When coronavirus is suspected, what should you do?Show notes and referencesCME credit: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-imACP Interactive Learning ModuleTime Stamps01:30 Novel parts of coronavirus03:00 What symptoms do patients present with for the novel coronavirus?04:22 What distinguishes coronavirus from other influenza-like illness?05:31 When coronavirus is suspected, what should you do?07:13 What does testing for coronavirus entail?09:06 What kind of isolation is required?10:13 Do patients need to be isolated in biocontainment units?10:42 What is treatment for the novel coronavirus?12:30 Potential for vaccines15:23 What is R0?17:12 Animal reservoirs with 2019-nCoV, SARS, and MERS19:18 What should we tell patients for prevention?Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Eko Core 500 Digital Stethoscope: https://ekohealth.com/COREIM* Check out FIGS and use code FIGSRX for 15% off your 1st order: https://wearfigs.com* Check out Washington Red Raspberries for recipes, farmers' stories, and which grocery stores carry: https://www.coreimpodcast.com/redrazzAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Dr. David Stern, Dr. Patrick Cox, and Dr. Barbara Porter, all esteemed general internists from NYU School of Medicine, dive into the complexities of diagnosing a patient with psychiatric symptoms and fever. They discuss the importance of learning from diagnostic errors and the role of cognitive biases in clinical decision-making. The conversation highlights the intricate balance between data gathering and hypothesis generation. They emphasize reflective learning and the need for cognitive forcing strategies to enhance diagnostic accuracy in medicine.