Core IM | Internal Medicine Podcast

The podcast dives into the groundbreaking MINT trial, exploring its potential to reshape anemia treatment in acute myocardial infarction. It contrasts liberal and restrictive transfusion strategies, underscoring how past studies like TRIC have informed current practices. The discussion highlights the risks of increased transfusions and calls for careful anemia management. Insights shed light on personalized approaches to transfusion thresholds, emphasizing the importance of nuanced patient assessments over one-size-fits-all guidelines.

Dive into the complex world of moral distress in healthcare. Experts share strategies to support healthcare professionals facing ethical dilemmas. Discover the significance of open communication and collaborative solutions among teams. Learn about the role of mentorship in easing the transition from training to practice. The importance of community becomes clear as listeners share their own experiences, fostering connection and resilience. This discussion shines a light on the need for systemic change in advocating for patient care and professional well-being.

Explore the distinctions between moral distress, moral residue, and moral injury as they affect healthcare professionals. The discussion highlights the ethical dilemmas faced in high-pressure environments, particularly in neonatal care. Experts delve into the systemic challenges that lead to emotional turmoil, including cumbersome workflows and the disconnect between administrative demands and patient care. Understanding these issues is crucial for fostering open communication and improving both clinician well-being and patient outcomes.

Explore the intricacies of diuretic resistance with three compelling cardiorenal case studies. Discover how intra-abdominal hypertension and low cardiac output challenge effective diuretic use. Learn the importance of renal perfusion and hemodynamic assessments in managing fluid issues, particularly in critically ill patients. Uncover key interventions and decision-making strategies that can improve patient outcomes in complex scenarios involving heart and kidney complications.

Explore the art of patient handoffs with memorable stories and five essential questions to enhance communication. Discover the weight of delivering complete information about patient goals and their prognosis to night teams, especially for critically ill individuals. Navigate the complexities of emergency situations where consent and language barriers come into play. Uncover the importance of effective communication during overnight shifts to ensure continuity of care, ultimately impacting patient outcomes.

Explore the philosophy of hospice care and who qualifies for it. Learn about the hospice team composition and payment options. Understand the different levels of care available and limitations of Medicare benefits. Dive into the importance of caregiver support and the value of hospice care in enhancing end-of-life experiences.

Explore microskills from 'Microskills: Small Actions, Big Impact' for navigating the professional world gracefully. Learn about mastering email communication, receiving and processing feedback in residency, meaningful end-stage conversations in healthcare, and expressing gratitude to mentors.

Exploring the impact of colonoscopy on preventing colon cancer, analyzing NordICC trial, the complexities in studying colon cancer screening benefits, debate over analysis methods, comparison of colonoscopy and sigmoidoscopy, controversy in screening colonoscopy, and importance of advising patients on lifestyle modifications.

Explore the complexities of HFpEF: causes, diastolic dysfunction, BNP levels, scoring systems, and treatment options. Learn about the challenges in diagnosis, risk scores, alternative maneuvers, and comprehensive management strategies. Delve into the nuances of HFpEF management with medications, gender differences, and research updates.

Learn about how immune checkpoint inhibitors work and the different immune-related adverse events, including when they can present and what factors influence adverse effects. Discover the role of complementary medicine in this patient population. Sponsored by Panacea Financial, discussing side effects, oncology, and the importance of disability insurance.