Core IM | Internal Medicine Podcast

Have you ever thought about where the 1g/dL hemoglobin appropriate bump after 1 unit of pRBC transfusion? How does the patient's intravascular volume affect this? What rise in hemoglobin should you expect? What factors can impact this?Show notes, Transcript and References:  https://www.coreimpodcast.com/2022/01/05/1-to-1-prbc-bump…-the-gap-segment/Time stamps01:22 Unpacking the question 01:55 The math 04:32 Functional hemoglobin08:50 Donor and Patient 11:18 Scenarios12:58 Summary14:34 Clarification Tags: IM Core, CoreIM, hemoglobin, intravascular volume, irradiation, donationFind 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

Let’s apply to cases! We use the 7 questions framework to 3 practical casesShow notes, Transcript and References: https://www.coreimpodcast.com/2021/12/22/treatment-over-objection-part-2/Time stamps2:19 Case 1: Review of Framework7:59 Case 29:04 Consent vs. Assent 11:11 Role of Consult Services13:16 Role of Surrogates15:29 Conclusion Tags: IM Core, CoreIM, autonomy, capacity, human dignity, non-maleficence, ethics, medical humanitiesFind 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

Get a very useful framework to help you weigh the risks and benefits of treatment over objection!Show notes, Transcript and References: https://www.coreimpodcast.com/2021/12/08/treatment-over-objection/Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Time stamps03:02 Ethical and emotional challenges10:08 Case 118:55 Study of the 7 Questions22:46 Conclusion  Tags: IM Core, CoreIM, autonomy, capacity, human dignity, non-maleficence, 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

What degree of hyperkalemia makes you worried enough to send your patient to the ED? Are ECG changes sensitive in detecting hyperkalemia? Do you know how to advise your patient on dietary changes? What medications can you effectively use in the outpatient setting?Show notes, Transcript and References: https://www.coreimpodcast.com/2021/11/17/hyperkalemia-mind-the-gap-segment/ Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Time stamps01:01 Introductions07:58 Nutrition17:13 Medications20:48 Outpatient medications26:16 RecapTags: IM Core, CoreIM, outpatient, blood work, diet, electrolytes, ECG, nephrology, chronic kidney disease, nutritionFind 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 essential tips for conducting geriatric assessments, focusing on the significance of meticulous evaluations in revealing hidden medical needs. Explore practical strategies for assessing mobility and cognitive functions, including use of tools like the mini-cog and MoCA. Learn how toenail length can indicate overall health and the challenges faced by older adults. Gain insights on the importance of thoughtful medication management and deprescribing in improving care outcomes for the elderly.

Should we use oral diabetes agents in our hospitalized patients? Do you hold metformin for fear of lactic acidosis? Do you typically order an insulin sliding scale? When can you comfortably restart PTA meds?Time Stamps:02:25 Can we give metformin in the hospital?10:50 Incretin-based therapies14:49 Sodium Glucose Cotransporter-2 Inhibitors16:27 Sulfonylurea & Thiazolidinediones18:00 Basal Insulin inpatientShow notes, Transcript and References: https://www.coreimpodcast.com/2021/10/13/oral-diabetes-medications-in-hospitalization-mind-the-gap-segment/ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Tags: Core IM, IM Core, glucose, insulin, hospitalized patients, oral medications, sliding scale, DPP-4, GLP-1Find 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 practical phrases can you incorporate to help patients who use drugs? What changes can you make to ensure person-first language? What safe drug practices can you advise? What is MOUD?Show notes, Transcript and References: https://www.coreimpodcast.com/2021/09/29/5-pearls-on-stig…oid-use-disorder/ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Time Stamps:04:24 Starting the Conversation 10:43 The Shared Agenda14:46 Exploring patient goals18:54 Reducing drug use24:09 Reducing harm in opioid use29:06 RecapTags: Core IM, IM Core, MOUD, buprenorphine, patient centeredness, motivational interviewing, safe practicesFind 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

Physicians discuss nuanced code status conversations, including information gathering, informed consent, giving recommendations, and avoiding mistakes. They emphasize the importance of shared decision making, documentation, and respectful conversations with patients about goals of care.

What are the differences in resources, nursing and clinician oversight and who pays for what?! Show notes, transcript and references: https://www.coreimpodcast.com/2020/06/10/snf-sar-nh-alf-and-more-discharge-options-interprofessional-education-series/ ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Time stamps: 04:07 SAR vs SNF 13:35 Long term Nursing Home Care 18:30 Assisted Living Facility 24:40 Acute rehab 26:11 LTACH 27:49 Home Tags: Subacute rehab, skilled nursing facility, long-term acute care hospital, CoreIM, Core_IM, hospital medicine, family medicine, emergency medicine, physician assistant, nurse practitioner, interprofessional educationFind 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 indications for a stress test?  How to choose stress protocol in a stress test?  How to choose diagnostic imaging in a stress test?  How do we interpret results from stress tests, and how should this be communicated to patients? For full transcript, infographic and show notes: https://www.coreimpodcast.com/2019/04/24/stress-testing/ Tags: Internal Medicine, Internist, Primary Care Physician, Hospitalists, Emergency Medicine, Nurse Practitioner, Physician Assistant, Family Physician, Cardiology, angina, ischemiaFind 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