Core IM | Internal Medicine Podcast

How do you manage GDMT in a frail older adult? When is a guardian needed and what is the process for obtaining guardianship?Sponsor: Echonous, the maker of Kosmos, is redefining point-of-care ultrasound at half the price (or less) of comparable carts. Mention Core IM at the Demo to get a free A.I application of choice!Behind The Scenes YouTube InterviewShow Notes & TranscriptTimestamps:(04:03) | Deep Dive 1: How do you approach guideline-directed medical therapy of heart failure with reduced ejection fraction in a frail older adult?(11:55) | Deep Dive 2: When is a guardian needed and what is the process for obtaining guardianship?(28:30) | Deep Dive 3: How do you re-evaluate GDMT in a frail older adult once an adverse event has occurred?(33:27) | Reflections(37:06) | RecapTags: IMCore, CoreIM, nursing home, primary care, cardiology, palliative care hospital medicine, interprofessional education, social work, case managementFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Thrive Market for 30% off your first order, plus a FREE $60 gift! : https://thrivemarket.com/coreim* Sponsor: FIGS! Use code FIGSRX for 15% off: https://wearfigs.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Join guest_name_1, an expert on RSV vaccines and vaccine trials, as they discuss the results of the RENOIR and AReSVi trials. Discover the challenges in creating an RSV vaccine and how to interpret vaccine trials. Explore the development of an RSV vaccine for older adults and the importance of considering patient's health status and risk factors when making vaccination recommendations.

This podcast covers the topics of hypomagnesemia and hypophosphatemia, discussing the impact of PPIs on magnesium absorption, the framework for identifying low phosphate levels, the role of magnesium in the body and its effects on kidney function, managing hypomagnesemia and magnesium deficits, and the causes of hypophosphatemia including inadequate phosphate intake and urinary causes.

Dr. Autumn Feaster discusses managing conflict and communication in healthcare, emphasizing the need for conflict mediation. The podcast explores the impact of COVID-19 on difficult patients and challenging behaviors, the perpetuation of inequities in medicine, and the importance of understanding perspectives. It also delves into distinguishing positions from interests, understanding the emotion of anger, and finding the speaker's truth in conflict.

Exploring the use of steroids in community-acquired pneumonia (CAP), discussing conflicting findings, the CAPE COD trial, and the potential for improved outcomes. Analyzing the impact of steroids on CAP mortality rates, including significant reduction in mortality risk. Discussing whether the findings should change clinical practice for severe pneumonia. Exploring the use of steroids in hypoxic and unresponsive patients, highlighting the need for further research.

This podcast discusses topics such as approaching syncope history in patients with implantable devices, distinguishing between benign vagal episodes and life-threatening arrhythmias, avoiding heparin products for patients with pacemakers or ICDs, new technologies and devices for contractility and heart failure, and anticoagulation and technology update.

Explore the pros and cons of using Cr or Cystatin C to assess eGFR in CKD staging. Learn about the limitations of creatinine as a biomarker for kidney function and the importance of considering glomerular filtration rate and albuminuria. Discover the implications of low GFR in patient care, the advantages of using cystatin C and measuring albuminuria, and the flaws of using creatinine in evaluating renal function.

Learn about the importance of genetic counseling and incorporating Lynch syndrome into clinical practice. Discover the challenges and reclassification in genetic testing, the role of general internists in managing hereditary disorders, and the impact of GINA on insurance coverage. Explore prevention and treatment options for Lynch syndrome, and the need for primary care providers to have knowledge about genetic testing.

Dr. Melanie Honig, an ophrologist, joins the hosts to discuss the evidence, framework, goals, and treatment options for hypokalemia in internal medicine. They explore the relationship between potassium levels and cardiac complications, discuss treatment options including the benefits of using torsamide over furosemide, and question the necessity of routinely checking morning labs. They also emphasize the importance of engaging with all clinicians to bring about change in hypokalemia treatment.

#136 How Did Diabetes Medications Become Weight Loss Meds? SURMOUNT-1 trial explores the difference between semaglutide and tirzepatide in outcomes and mechanism. Discussion on the history of obesity treatment and how medications for diabetes were found to have a weight loss benefit. The effectiveness of tirzepatide as a weight loss drug compared to semaglutide. Speculations on future medications with similar potential.