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The Intern At Work: Internal Medicine

Medicine Pods: The Intern at Work

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A pan-Canadian learner-generated internal medicine podcast. The Intern at Work is written by residents for residents, and is meant to serve you better on the wards and on call. Disclaimer: This podcast is intended for educational use only and is not intended as the sole resource for clinical management. All scripts are original scripts. Podcasts produced out of Canada and may contain Canadian specific guidelines. Created by: Alison Lai Executive Producers: Laiya Carayannopoulos, Zahra Merali
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Send us a text As a result of the rapid adoption CAR-T therapy for certain lymphoid malignancies and multiple myeloma, of these treatments, CRS and ICANS will become more common in IM wards in the coming years. Take a listen to learn about how to treat this emerging condition. This episode was written by Dr. Veronica Ramirez (Internal Medicine Resi…
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Send us a text Take a listen to learn everything there is to know about this less common GI diagnosis- GAVE! Written by Dr. Zuhal Mohmand (Internal Medicine resident) and reviewed by Dr. Elizabeth Squirell (Gastroenterologist), Dr. Michelle Ricci (Gastroenterologist) and Dr. Heather Johnson (General Internal Medicine). Infographic by Sapriya Birk (…
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Send us a text Written by: Dr. Tharaniya Vallipuram (Internal Medicine Resident) & Dr. Liang Chen (General Internal Medicine & ICU Fellow) Reviewed by: Dr. Jed Lipes (Intensivist & General Internist) & Dr. Evan Wong (Intensivist & General Surgeon) Don't forget to check out Episode 238 - Tracheostomy 101 before listening to this week's episode on tr…
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Send us a text Let's talk about the BCR:ABL negative MPNs! Written by Dr. Sarah Ge (Internal Medicine Resident), reviewed by Dr. Christopher Hillis @HemeHillis (Hematology) and Dr. John Neary @jddneary (General Internal Medicine). Infographic by Dr. Caitlyn Vlasschaert @DrFlashHeart (Internal Medicine Resident). Support the show…
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Send us a text Take a listen to our live recording of The Canadian Conference of Internal Medicine Top papers of the year 2024 session! We talk about recent studies involving alzheimer's dementia, community acquired pneumonia, atrial fibrillation, MASLD and long covid. Host: Dr. Zahra Merali, Expert: Dr. Rajender Hanmiah. Check out www.medicinepods…
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Send us a text In this episode, we discuss the clinical presentation, work-up, and treatment of CMML. Our medicine minute discusses emerging evidence on the use of ruxolitinib for CMML treatment. Written by: Dr. Elliot Smith (Internal Medicine Resident) Reviewed by: Dr. Stephanie Lee (Hematology and Oncology) and Dr. Christophe Langois (General Int…
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Send us a text Up to 30% of all healthcare offers no clinical value to patients. Reducing this care has the co-benefit of decreasing healthcare's carbon footprint. In this special CSIM episode, host Dr. Zahra Merali sits down with guests Dr. Billy Silverstein @WKSilverstein (General Internist, University of Toronto) and Dr. Owen Luo @OwenLuo5 (Inte…
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Send us a text In the final part of our series leading up to CSIM Dr. Mike Fralick of the Rounds Table sits down with Dr. Raj Hanmiah to discuss the papers that didn't make the cut for the top papers of the year. Join us as we record live at CSIM during the Top Papers breakfast session on October 17th for the reveal of the top 5 of the year! Suppor…
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Send us a text There are everyday practices we can stop or reduce that don’t add value to patient care and harm the environment. In this special CSIM episode, host Dr. Zahra Merali sits down with guests Dr. Mathilde Gaudreau @MathildeGSimard (General Internist, University of Ottawa), Dr. Nabha Shetty (General Internist, Dalhousie University) and Dr…
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Send us a text In this episode, we review the screening, monitoring and treatment approaches to patients with diabetes in pregnancy. Our medicine minute reviews the MiTy trial - a landmark randomized controlled trial that provided direct safety data on the use of metformin in pregnancy. Written by: Dr. Ryan Peters (Internal Medicine Resident) Revie…
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Send us a text In part two of our series leading up to CSIM Dr. Zahra Merali sits down with Dr. Raj Hanmiah to discuss the papers that didn't make the cut for the top papers of the year. Keep tuning in to hear the rest and join us as we record live at CSIM during the Top Papers breakfast session on October 17th for the reveal of the top 5 of the ye…
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Send us a text In this episode, we discuss the epidemiology, clinical manifestations, investigations and treatment of ITP. Our medicine minute discusses the Harrington-Hollingsworth Experiment. Written by: Dr. Vanessa Giuliano (Internal Medicine Resident) Reviewed by: Drs. Taylor Dear and Zachary Liederman (Hematology) and Dr. Kevin Venus (General …
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Send us a text In the first of our series leading up to CSIM we sit down with Dr. Raj Hanmiah to discuss the papers that didn't make the cut for the top papers of the year. Keep tuning in to hear the rest and join us as we record live at CSIM during the Top Papers breakfast session on October 17th for the reveal of the top 5 of the year! Support th…
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Send us a text In this episode, we discuss the history, epidemiology, clinical presentation, investigations and management for invasive aspergillosis. Written by: Dr. Ravinder Sandhu (Internal Medicine Resident) Reviewed by: Dr. Terrence Ho (Respirology) and Dr. John Neary (General Internal Medicine) Sound Editing by: Tony Walsh Support the show…
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Send us a text In this episode, we discuss the history, related legislation and procedures regarding Medical Assistance in Dying. This episode discusses the state of Medical Assistance in Dying in Canada in 2024. We encourage listeners to continue to be up-to-date on the local legislation and practices. Written by: Dr. Valerie Kim (Internal Medicin…
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Send us a text This week, Dr. Laiya Carayannopoulos from the Intern at Work Podcast and Dr. Mike Fralick from The Rounds Table, our new Medicine Pods collaboration, discuss two recent papers exploring the novel management of two rare diseases – ATTR Amyloidosis and Hereditary Angioedema. Two papers, here we go! Support the show…
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Send us a text "Bad Gut Feeling" Medical & Surgical Management of The Hospitalized IBD Patient. This ask a fellow kicks off our first episode of the new academic year with one of our Queens site leads, Michael Scaffidi (Internal Medicine Resident) hosts Dr. Fiona Milne @not_shreks_wife (Gastroenterology fellow) and Dr. Daniel Potter (General Surger…
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Send us a text In this episode, we review the acute presentation of hepatorenal syndrome. We review the nomenclature, epidemiology, clinical presentation, investigations and management of hepatorenal syndrome. Our medicine minute reviews the utility of terlipressin in treatment of HRS. Written by: Dr. Elias Hazan (Internal Medicine Resident) Review…
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Send us a text In this episode, we provide a broad introduction to tracheostomies. This includes indications and contraindications, tracheostomy equipment, procedural options and potential complications of tracheostomies. The medicine minute discusses the TRACMAN trial published in JAMA in 2013. Written by: Drs . Tharaniya Vallipuram (Internal Medi…
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Send us a text In this episode, we discuss the presentation, typical timing of onset, investigations and treatment for individuals with intrahepatic cholestasis of pregnancy. We also discuss the potential complications of ICP. Written by: Dr. Kristina Wade (Internal medicine resident) Reviewed by: Dr Giada Sebastiani (Hepatologist) and Dr Camille S…
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Send us a text How can we best prevent diabetic related complications before surgery? Learn all about it in this weeks perioperative episode. This episode was written by Dr. Michael Wong (Internal Medicine Resident) and reviewed by Dr. Robyn Houlden (Endocrinology) and Dr. Kristen Marosi (General Internal Medicine). Infographic by Dr. Valarie Kim (…
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Send us a text In this episode, we discuss the pathophysiology, clinical manifestations and treatment of familial mediterranean fever (FMF). Our medicine minute discusses the history of colchicine use in FMF. Written by: Dr. Sara Choi (Internal Medicine Resident) Reviewed by: Dr. Zijing Wu (General Internist) and Dr. Marie Clements-Baker (Rheumatol…
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Send us a text You may know an approach to anemia, or thrombocytopenia...but what about when all cell lines are down? Take a listen to our hematology focused episode of pancytopenia! Written by Jia Li (Lily) Liu (Internal Medicine Resident) and Dr. Owen Dan Luo (Internal Medicine Resident) and reviewed by Dr. Laura Habib (Hematologist-Oncologist), …
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Send us a text In today's episode we take you through our approach to a disease with a wide array of clinical presentations and evolving treatment landscape - hypertrophic obstructive cardiomyopathy. Written by: Dr. Kate Haichin (Internal Medicine Resident) Reviewed by: Dr. Michael Chetrit (Cardiologist) & Dr. John Angelopoulos (General Internist) …
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Send us a text Do you know you valvulopathies? Learn everything there is to know about mitral stenosis! This episode was written by Dr. David Ji (Internal Medicine Resident) and reviewed by Dr. Murray Kornbluth (Cardiology) and Dr. Samuel Mamane (General Internal Medicine). Infographic by Julie Simone (Medical Student). Support the show…
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Send us a text This week we go through the ultimate in rare diagnoses - PNH. We talk about when to suspect it, how patients may present, and an approach to treatment and management. Bonus points if you can correctly guess how many attempts it took to pronounce "phosphatidylinositol!" Written by: Dr. Angela Dong (Internal Medicine Resident) Reviewed…
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Send us a text Welcome to Part 2 of our collaboration with #NephMadness! This week we sit down with Dr. Jeff Kott (Nephrologist and Critical Care Fellow) from the NephMadness Exec to discuss the latest and greatest in hyponatremia correction rates. Support the showDi The Intern At Work
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Send us a text We partnered up with the NephMadness team to release two special episodes on hyponatremia. In this one we take you through a new(er) approach to hyponatremia and its workup. Stay tuned later this week for our Ask a Fellow episode where we cover the latest and greatest controversy on rates of correction! Written by: Dr. Caitlyn Vlassc…
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Send us a text In both the developed and underdeveloped world, it's important to be aware of common nutritional deficiencies and their manifestations in our adult patients! This episode was written by: Dr. Igor Sljivic (Internal Medicine Resident). Reviewed by: Dr. Andrew Appleton (General Internal Medicine) and Dr. Marko Markobrada (General Intern…
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Send us a text In this episode, we discuss the physiology and pathophysiology behind acid-base disorders. We then outline a 5 step approach to interpreting acid-base disorders. For reference, please refer to the infographic on our website at www.theinternatwork.com. Written by: Dr. Caroline Najjar, (Internal Medicine Resident) Reviewed by: Dr. Bern…
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Send us a text What is that rare endocrine tumour that can cause watery diarrhea? You may have heard of a VIPoma, but how much do you actually know about it? This episode was written by Dr. Tiffany Mach (Internal Medicine Resident) and reviewed by Dr. Vincent Larouche (Endocrinology) and Dr. Maral Koolian (General Internal Medicine). Infographic by…
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Send us a text In this episode, we review the clinical presentation, diagnostic criteria, work-up and management of a patient presenting with Takatsubo (or stress-induced) Cardiomyopathy. Our medicine minute discusses the JAMA discusses the higher incidence of stress cardiomyopathy noted during the COVID-19 pandemic. Written by: Dr. Mehras Motamed …
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Send us a text Ever wonder what to do with that finding of an unexpected nodule on chest xray? Here we walk you through the approach including risk stratification, follow-up, and work-up. Written by: Dr. Brandon Luu (Internal Medicine Resident) Reviewed by: Dr. Lee Fidler (Respirologist) and Dr. Laiya Carayannopoulos (Internist & Intensivist) Suppo…
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Send us a text In this episode, we review the physiology and pathophysiology, etiology, clinical exam, investigations and treatment in patients with splenomegaly. Our medicine minute addresses the COMFORT II trial published in the New England Journal of Medicine in 2012. Written by: Drs. Owen Luo and Jia Li (Lily) Liu (Internal medicine residents) …
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Send us a text HFpEF is the lesser talked about, but still equally important type of CHF! We discuss the evidence and give you a run-down on everything you need to know about HFpEF. Written by Dr. Aishwarya Roshan, Internal Medicine resident, and reviewed by Dr. Krishnan Ramanathan, Cardiology and CICU, and Dr. Alison Lai, Internal Medicine. Infogr…
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Send us a text This week we bring you a two-in-one! We cover polycythemia vera and essential thrombocytosis. Written by: Dr. RuiQi (Richard) Chen (Internal Medicine Resident) Reviewed by: Dr. Hassan Sibai (Hematology) and Dr. Christopher Langlois (GIM) Support the showDi The Intern At Work
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Send us a text In this episode, we review the epidemiology, diagnostic criteria, investigation and management of hepatitis B. Our medicine minute reviews the current CDC guidelines and recommendations for screening in the general population. Written by: Drs. Amine Zoughlami and Ikram Abow-Mohamed Reviewed by: Dr. Phillip wong (Hepatologist) and Dr.…
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Send us a text In this weeks episode you'll learn about two often confused syndromes that cause elevated body temperature! Episode written by Dr. Thomas Kiebalo (Internal Medicine Resident) and reviewed by Dr. Peter Wu (Clinical Pharmacology and Toxicology and General Internal Medicine) and Dr. Gillian Spiegle (General Internal Medicine). Infograph…
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Send us a text You may know what to do with hyperglyecmia- but do you know what to do when the glucose goes low? Learn how to treat this dangerous (and less taught) condition in this weeks episode! This episode was written by Isabel Shamsudeen (Internal Medicine Resident), and reviewed by Dr. Tayyab Khan (Endocrinology) and Dr. Saira Zafar (General…
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