Core IM | Internal Medicine Podcast

What are common mistakes with protein on the UA? What questions should you ask while obtaining a history that could clue you into nephrotic syndrome? Are kidney biopsies risky business? Is there an associated clot risk in patients with nephrotic syndrome?Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-imShow note, Transcript and References: https://www.coreimpodcast.com/2020/09/02/5-pearls-on-nephrotic-syndrome/Amboss Article on Nephrotic Syndrome: https://www.amboss.com/us/knowledge/Nephrotic_syndrome?utm_source=affiliate&utm_medium=link&utm_campaign=coreim-01Time Stamps:03:22 Evaluating Proteinuria09:37 Nephrotic Syndrome specifics22:31 Who to biopsy31:39 Diuretics37:16 Thrombosis RiskTags - CoreIM, IM Core, edema, proteinuria, kidneys, thrombosis, urinalysis, diuresis Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out FIGS and use our code FIGSRX for a great deal: https://wearfigs.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

How tough is it to forge your career in clinical research? What struggles do physicians face in finding protected time? Are there setbacks and frequent rejections? How can you follow your passion and find success?Show note, Transcript and References: https://www.coreimpodcast.com/2020/08/19/research-careers…rs-in-gim-series/Time Stamps:1:28 Origins6:57 Mentorship14:30 Reality, Roadbumps, and Failures18:17 The path of many fellowships Tags - CoreIM, IM Core, clinical investigator, general internal medicineFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out FIGS and use our code FIGSRX for a great deal: https://wearfigs.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Are fall prevention programs helping our patients? Should patients receive outpatient PT based on clinical diagnosis? How has the landscape changed because of insurance reimbursement?Show note, Transcript and References: https://www.coreimpodcast.com/2020/08/05/physical-therapi…education-series/ Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-imTime Stamps:01:47 Functional Assessment07:47 Documentation14:35 Outpatient PT18:14 Durable Medical Equipment22:55 ReimbursementTags: Core IM, IM Core, physical therapy, durable medical equipment, IPE, multidisciplinary team, interdisciplinaryFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out FIGS and use our code FIGSRX for a great deal: https://wearfigs.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

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 our code FIGSRX for a great deal: https://wearfigs.comAdvertising 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 our code FIGSRX for a great deal: https://wearfigs.comAdvertising 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 our code FIGSRX for a great deal: https://wearfigs.comAdvertising 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 our code FIGSRX for a great deal: https://wearfigs.comAdvertising 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 our code FIGSRX for a great deal: https://wearfigs.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy