The Intern At Work: Internal Medicine

Explore how to handle tracheostomy emergencies with expert insights. The discussion delves into essential management strategies through real-life clinical case studies. Discover critical steps for diagnosing and mitigating complications. Learn how to ensure patient safety during these urgent scenarios and gain valuable knowledge for navigating high-stress situations in healthcare.

In this conversation, Dr. Beth Abramson, a Cardiologist at Unity Health and Associate Professor of Medicine at the University of Toronto, shares her expertise on peripheral arterial disease (PAD). She discusses the critical impact of PAD on health, particularly in individuals over 50. The importance of the Ankle Brachial Index as a diagnostic tool is emphasized, alongside strategies for managing cardiovascular risks like smoking cessation and hypertension. The role of personalized treatment and lifestyle changes for patients with asymptomatic PAD is also highlighted.

Dr. Nisha Andany, a clinician teacher and infectious diseases program director at the University of Toronto, shares her expertise on Pneumocystis jirovecii pneumonia (PJP). She discusses the shifting demographics and risk factors, particularly in immunocompromised individuals. The conversation highlights how symptoms differ between HIV-positive and negatively affected patients. Dr. Andany elaborates on diagnostic strategies, treatment approaches tailored to severity, and the critical importance of prophylaxis based on CD4 counts.

Send us Fan MailWritten by: Dr. Yining (Nancy) Chen (Internal Medicine Resident) Reviewed by: Dr. Shaun Ong (Respirologist) & Dr. Lori Wik (General Internist)Support the show

Send us Fan MailLet'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

A clinical deep dive into leukostasis using a memorable snowstorm analogy. Physiology of blast-driven microvascular obstruction is broken down into simple parts. Classic organ presentations and focused exam priorities are highlighted. Practical investigation pitfalls and urgent management steps are reviewed, including cytoreduction, tumor lysis caution, and transfusion guidance.

Rajender Hanmiah, an academic internist with 27 years of experience, shares insights from the Canadian Conference of Internal Medicine. He discusses innovative blood biomarkers for Alzheimer's diagnosis and critical findings on atrial fibrillation risks. The conversation dives into promising new treatments for NASH, alongside challenges in drug trials, including significant side effects. Key highlights also cover the intersection of liver disease, long COVID, and the importance of continued vaccination efforts in tackling public health issues.

Send us Fan MailIn 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 Internal Medicine)Support the show

Send us Fan MailUp 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 (Internal Medicine Resident, McGill University) to discuss 4 of the Choosing Wisely Canada’s climate-conscious recommendations (https://choosingwiselycanada.org/climate/).  They were integral in creating these recommendations, and have a wealth of practical tips about how we can implement them into our own practice! Infographic by Julia Simone (medical student). If you have not heard Part 1- make sure to go back and listen to other Canada-wide experts in this area.Support the show

Send us Fan MailIn 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! Support the show