Core IM | Internal Medicine Podcast

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

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 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 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 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

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 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 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 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

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.

Why is prognostication hard? How do we improve at communicating prognosis? How should we approach uncertainty? Explore this and more on this At the Bedside episode!Prognosis Calculators, Transcript and ReferencesTime Stamps02:48 What is prognosis?04:00 Why offer prognostication?08:32 Why is prognostication hard?16:41 How do we improve at communicating prognosis?21:56 How should we approach uncertainty?31:06 Take AwaysTag: life expectancy, 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

Dive deeper into hx of the influenza virus, how vaccines are made and vaccine effectiveness ! Time Stamps 02:59 The history of the influenza virus08:18 What does the influenza vaccine target?13:20 Chickens, and bugs, and mammalian cells, oh my! How the vaccine is made.14:00 What to do about egg allergies.15:53 Vaccine effectiveness and herd immunity.17:43 Waning immunity and other debatesShow Notes, Transcript and ReferencesGet CME-MOC credit with ACP!Find 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

Explore gaps in your knowledge about the home health world, particularly on home health aides!Get CME-MOC credit with ACP !Full transcript, show notes, referencesTime Stamps:02:33 What support do our patients have at home and how does those people play a role in their care?06:00 Are there various types of home care workers?07:25 What role do home attendants play in caring for a patient?08:31 What tasks do home health aides do?10:11 What are the types of "skilled carez'?13:17 What can Medicare cover for older adults in terms of home health aides?15:17 How does Medicare define homebound?16:03 How does having Medicaid impact access to home care?19:10 What if a patient isn’t eligible for Medicare or Medicaid?19:43 What is the cost to use a private agency for home health services?24:02 What are some challenges that home health aides face?25:42 What are “plans of care”?30:01 Who makes up the home care workforce?31:52 When patients get discharged from the hospital, do they go home to the same home care assistance?Find 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