Core IM | Internal Medicine Podcast

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 Branch Basics: https://branchbasics.com/COREIM and use the code CoreIM for 15% * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Uncommon Goods: https://uncommongoods.com/COREIM* Check out Washington Red Raspberries: https://redrazz.orgAdvertising 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 Branch Basics: https://branchbasics.com/COREIM and use the code CoreIM for 15% * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Uncommon Goods: https://uncommongoods.com/COREIM* Check out Washington Red Raspberries: https://redrazz.orgAdvertising 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 Branch Basics: https://branchbasics.com/COREIM and use the code CoreIM for 15% * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Uncommon Goods: https://uncommongoods.com/COREIM* Check out Washington Red Raspberries: https://redrazz.orgAdvertising 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 Branch Basics: https://branchbasics.com/COREIM and use the code CoreIM for 15% * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Uncommon Goods: https://uncommongoods.com/COREIM* Check out Washington Red Raspberries: https://redrazz.orgAdvertising 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 Branch Basics: https://branchbasics.com/COREIM and use the code CoreIM for 15% * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Uncommon Goods: https://uncommongoods.com/COREIM* Check out Washington Red Raspberries: https://redrazz.orgAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

 Get CME Credit with ACP! Full Transcript with references and show notes Time Stamps4:30 What is the daily risk of thrombosis if HIT Is left untreated?5:40 What happens during platelet activation?07:11 How long does it take for patients to develop for IgG antibodies to Heparin to form?09:52 Is HIT common?10:28 Who is at higher risk for HIT?11:48 Why does low molecular weight heparin have a lower risk for HIT than unfractionated heparin?15:30 Approach to thrombocytopenia17:44 How do medications cause thrombocytopenia?18:38 With medications, what is the time course between medication initiation and thrombocytopenia?22:20 What is the sensitivity and specificity of anti-PF4 antibody?23:58 How does the serotonin-release assay (SRA) work?29:10 What type of anticoagulant do you choose for treating HIT?31:58 Why is it important to not use warfarin in patients with platelet counts <150,000?33:32 What is the treatment duration for a patient has confirmed HIT?36:29 Dr. Cuker’s story and the "Scarlet H"39:07 Dr. Linkin’s Recap42:25 Dr. Linkin’s story44:37 Pearl 5: Throwback to coronary calcium scores  Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Branch Basics: https://branchbasics.com/COREIM and use the code CoreIM for 15% * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Uncommon Goods: https://uncommongoods.com/COREIM* Check out Washington Red Raspberries: https://redrazz.orgAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

House of God author, Samuel Shem and Prof Katharine Watson share thought-provoking takes on Gallows Humor. Laugh and listen to this captivating take on the different shades of humor in the day-to-day of medicine. Time Stamps02:33 Episode preview and Guest Introductions04:20 Definition of Gallows Humor07:25 Gallows Humor by Comedians vs Patients vs PhysiciansThe Good08:15 Benefits/Functions of Humor in General11:10 Connection13:07 Coping/Catharsis16:22 Resistance Against Oppression19:03 Humor as our Authenticity/HumanityThe Bad, The Ugly21:01 Unintended Audiences (e.g., patients, families)25:30 “Corporeal” Joking28:00 Toxic Role Modeling31:10 Desensitization/Losing EmpathyTips, Takeaways & Conclusion33:48 Challenging Inappropriate Jokes35:45 Excessive Gallows Humor: Signal of Distress?37:17 Using Gallows Humor: Questions to Ask Yourself38:40 Keeping the Faith!41:11 Excerpt from Man’s 4th Best Hospital by Samuel ShemTranscript and ReferencesTag: medical humanities, medical ethics, CoreIM, IMCoreFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Branch Basics: https://branchbasics.com/COREIM and use the code CoreIM for 15% * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Uncommon Goods: https://uncommongoods.com/COREIM* Check out Washington Red Raspberries: https://redrazz.orgAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

A 65-year-old man's mysterious fatigue unfolds as hosts dive into outpatient diagnostics. They discuss the challenges of patient communication and the need for personalized approaches beyond standard tests. The spotlight turns to a complex case of anemia that leads to a life-changing diagnosis of endocarditis. Listeners learn the significance of logical reasoning in medicine and the development of illness scripts. The case concludes with a successful treatment story, urging engagement and reflection on clinical practices.