Core IM | Internal Medicine Podcast

What goes into decision making? What are the invisible tugs that may keep patients from acting in line with their values? Why isn't it part of the formal capacity assessment?Show notes, Transcript and References: https://www.coreimpodcast.com/2020/07/22/capacity-2-0-and-voluntarism/Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-imTime Stamps:2:57 Defining voluntarism5:36 Four elements that influence voluntarism10:26 How do you incorporate voluntarism into the capacity assessment?16:11 Discussions with uncooperative patients19:14 Protecting unrepresented patients21:30 Clinician perspective25:06 Moral distressTags: medical humanities, ethics, psychiatry, IM Core, CoreIMFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out FIGS and use the code FIGSRX for 15% off your first purchase: https://wearfigs.com* Check out Washington Red Raspberries: https://redrazz.org* Get 15% off Branch Basics with code COREIM at https://branchbasics.com/COREIM! #branchbasicspodAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Unpack a famous historical legend's medical dilemma on a special "Historical CPC" episode!Show notes, transcript and references: https://www.coreimpodcast.com/2020/07/08/22729/Time Stamps:02:55 HPI07:33 Past Medical History04:25 Physician Exam findings24:22 Historical Figure Revealed26:30 Reflections on top 3 diagnosisTags: cognitive and neuropsychiatric disturbances, rabies, mercury poisoning, cholera, delirium, COREIM, IMCORE, clinical reasoning caseFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out FIGS and use the code FIGSRX for 15% off your first purchase: https://wearfigs.com* Check out Washington Red Raspberries: https://redrazz.org* Get 15% off Branch Basics with code COREIM at https://branchbasics.com/COREIM! #branchbasicspodAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Delve into the essentials of managing decompensated heart failure on general medicine floors. Discover key clinical assessments and relevant lab findings. Explore guideline-directed therapy with a focus on beta-blockers and ACE inhibitors. Learn effective diuretic dosing strategies and how to monitor volume removal safely. Understand the implications of diuretic-induced metabolic alkalosis and methods to address it. Gain insights into the role of brain natriuretic peptide in patient care and the importance of thorough documentation in clinical practice.

Explore the intricate world of patient discharge options, from skilled nursing facilities to assisted living. The hosts break down terms and payment structures, shedding light on the challenges patients face, especially during the pandemic. Discover the importance of clear communication for smooth transitions and the nuances of different care settings. Plus, enjoy a whimsical wrap-up that creatively summarizes these vital healthcare insights. Tune in for a fun and informative discussion!

Let's dive deeper into the dogma of salt restriction in heart failure! Show notes, transcript and references: https://www.coreimpodcast.com/2020/05/20/salt-restriction-in-heart-failure-mind-the-gap-segment/ Get CME-MOC credit with ACP! Time Stamp01:37 Sodium restriction guidelines07:13 Current data in outpatient data11:32 Do inpatient studies show signal?13:44 Physiology behind sodium balance16:27 Take away and clinical applicabilityFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out FIGS and use the code FIGSRX for 15% off your first purchase: https://wearfigs.com* Check out Washington Red Raspberries: https://redrazz.org* Get 15% off Branch Basics with code COREIM at https://branchbasics.com/COREIM! #branchbasicspodAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

How do you navigate new challenges with goals of care with your patients in clinics?Show Notes, Transcript, References: https://www.coreimpodcast.com/2020/05/06/outpatient-advanced-care-planning-during-covid-19/Time Stamps01:32 COVID Crisis as an Outpatient and Advance Care Planning (ACP)08:06 The virtual visit12:44 Vital Talk Mnemonic: “CALMER”22:03 Challenges to Outpatient COVID Care26:03 Parting ThoughtsFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out FIGS and use the code FIGSRX for 15% off your first purchase: https://wearfigs.com* Check out Washington Red Raspberries: https://redrazz.org* Get 15% off Branch Basics with code COREIM at https://branchbasics.com/COREIM! #branchbasicspodAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

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 FIGS and use the code FIGSRX for 15% off your first purchase: https://wearfigs.com* Check out Washington Red Raspberries: https://redrazz.org* Get 15% off Branch Basics with code COREIM at https://branchbasics.com/COREIM! #branchbasicspodAdvertising 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 FIGS and use the code FIGSRX for 15% off your first purchase: https://wearfigs.com* Check out Washington Red Raspberries: https://redrazz.org* Get 15% off Branch Basics with code COREIM at https://branchbasics.com/COREIM! #branchbasicspodAdvertising 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 FIGS and use the code FIGSRX for 15% off your first purchase: https://wearfigs.com* Check out Washington Red Raspberries: https://redrazz.org* Get 15% off Branch Basics with code COREIM at https://branchbasics.com/COREIM! #branchbasicspodAdvertising 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 FIGS and use the code FIGSRX for 15% off your first purchase: https://wearfigs.com* Check out Washington Red Raspberries: https://redrazz.org* Get 15% off Branch Basics with code COREIM at https://branchbasics.com/COREIM! #branchbasicspodAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy