Shreya P. Trivedi MD, MHPE
@shreyatrivedimd.bsky.social
@CoreIMPodcast.Bsky.social | #MedTwitter | Internist | #FOAMed Creative Soul | #MedEd nerd | #WomenInMedicine | Boy Mom | #MedSky |
Reposted by Shreya P. Trivedi MD, MHPE
Fruits & vegetables 🍊🥑🥦are ⭐️NOT⭐️ the problem.
❌Myth: restricting dietary K is useful to prevent hyperkalemia
❌Myth: Avoid fruits/veg - the main source of dietary K+
#Kidneywk
❌Myth: restricting dietary K is useful to prevent hyperkalemia
❌Myth: Avoid fruits/veg - the main source of dietary K+
#Kidneywk
November 8, 2025 at 6:25 PM
Fruits & vegetables 🍊🥑🥦are ⭐️NOT⭐️ the problem.
❌Myth: restricting dietary K is useful to prevent hyperkalemia
❌Myth: Avoid fruits/veg - the main source of dietary K+
#Kidneywk
❌Myth: restricting dietary K is useful to prevent hyperkalemia
❌Myth: Avoid fruits/veg - the main source of dietary K+
#Kidneywk
Reposted by Shreya P. Trivedi MD, MHPE
1/ 🚨 NEW episode on first line meds for Type 2 DM ‼️
Let’s dive in and discuss whether tried and true metformin vs. newer options, like SGLT2i or GLP1RA, are better for YOUR patient 🌊
🖥️: www.coreimpodcast.com/2025/11/05/d...
Let’s dive in and discuss whether tried and true metformin vs. newer options, like SGLT2i or GLP1RA, are better for YOUR patient 🌊
🖥️: www.coreimpodcast.com/2025/11/05/d...
November 5, 2025 at 12:06 PM
1/ 🚨 NEW episode on first line meds for Type 2 DM ‼️
Let’s dive in and discuss whether tried and true metformin vs. newer options, like SGLT2i or GLP1RA, are better for YOUR patient 🌊
🖥️: www.coreimpodcast.com/2025/11/05/d...
Let’s dive in and discuss whether tried and true metformin vs. newer options, like SGLT2i or GLP1RA, are better for YOUR patient 🌊
🖥️: www.coreimpodcast.com/2025/11/05/d...
Reposted by Shreya P. Trivedi MD, MHPE
Had so much to say about HRS we had to split it into two episodes!
Check out part 2 on HRS treatment, Transplant, and a topic near and dear to my heart, palliative care.
Check out part 2 on HRS treatment, Transplant, and a topic near and dear to my heart, palliative care.
1/ 🚨 NEW #5Pearls: Hepatorenal Syndrome Part ✌️
Let’s dive into treatment 🌊!
1️⃣ Vasoconstrictors
2️⃣ Albumin
3️⃣ Diuretics
Goal: raise MAP by 10-15 ‼️
🖥️: www.coreimpodcast.com/2025/10/22/h...
Let’s dive into treatment 🌊!
1️⃣ Vasoconstrictors
2️⃣ Albumin
3️⃣ Diuretics
Goal: raise MAP by 10-15 ‼️
🖥️: www.coreimpodcast.com/2025/10/22/h...
October 22, 2025 at 12:05 PM
Had so much to say about HRS we had to split it into two episodes!
Check out part 2 on HRS treatment, Transplant, and a topic near and dear to my heart, palliative care.
Check out part 2 on HRS treatment, Transplant, and a topic near and dear to my heart, palliative care.
Reposted by Shreya P. Trivedi MD, MHPE
It has been a dream to be able to be a part of my favorite podcast.
Check out this very fun episode on one of the most interesting diseases, Hepatorenal Syndrome!
Check out this very fun episode on one of the most interesting diseases, Hepatorenal Syndrome!
1/ 🚨 NEW #5Pearls: Hepatorenal Syndrome (HRS) part 1️⃣
AKI + portal HTN 🟰hepatorenal syndrome
🖥️: www.coreimpodcast.com/2025/10/15/h...
AKI + portal HTN 🟰hepatorenal syndrome
🖥️: www.coreimpodcast.com/2025/10/15/h...
October 15, 2025 at 11:19 AM
It has been a dream to be able to be a part of my favorite podcast.
Check out this very fun episode on one of the most interesting diseases, Hepatorenal Syndrome!
Check out this very fun episode on one of the most interesting diseases, Hepatorenal Syndrome!
Reposted by Shreya P. Trivedi MD, MHPE
1/ 🚨 NEW #5Pearls: Hepatorenal Syndrome (HRS) part 1️⃣
AKI + portal HTN 🟰hepatorenal syndrome
🖥️: www.coreimpodcast.com/2025/10/15/h...
AKI + portal HTN 🟰hepatorenal syndrome
🖥️: www.coreimpodcast.com/2025/10/15/h...
October 15, 2025 at 11:04 AM
1/ 🚨 NEW #5Pearls: Hepatorenal Syndrome (HRS) part 1️⃣
AKI + portal HTN 🟰hepatorenal syndrome
🖥️: www.coreimpodcast.com/2025/10/15/h...
AKI + portal HTN 🟰hepatorenal syndrome
🖥️: www.coreimpodcast.com/2025/10/15/h...
Reposted by Shreya P. Trivedi MD, MHPE
October 14, 2025 at 11:02 AM
Reposted by Shreya P. Trivedi MD, MHPE
#TriviaTuesday
Does stress ulcer prophylaxis with a PPI reduce clinically-important bleeding compared to no prophylaxis in mechanically ventilated patients in a contemporary ICU setting?
Does stress ulcer prophylaxis with a PPI reduce clinically-important bleeding compared to no prophylaxis in mechanically ventilated patients in a contemporary ICU setting?
October 14, 2025 at 11:02 AM
#TriviaTuesday
Does stress ulcer prophylaxis with a PPI reduce clinically-important bleeding compared to no prophylaxis in mechanically ventilated patients in a contemporary ICU setting?
Does stress ulcer prophylaxis with a PPI reduce clinically-important bleeding compared to no prophylaxis in mechanically ventilated patients in a contemporary ICU setting?
Reposted by Shreya P. Trivedi MD, MHPE
And the great original video I discuss with @drjrubenstein.bsky.social is available at:
www.youtube.com/watch?v=BbNi...
#AdvanceCarePlanning
www.youtube.com/watch?v=BbNi...
#AdvanceCarePlanning
Palliative Care PSA - We’re the fire department, not the fire.
YouTube video by Jared Rubenstein
www.youtube.com
October 7, 2025 at 9:05 AM
And the great original video I discuss with @drjrubenstein.bsky.social is available at:
www.youtube.com/watch?v=BbNi...
#AdvanceCarePlanning
www.youtube.com/watch?v=BbNi...
#AdvanceCarePlanning
Reposted by Shreya P. Trivedi MD, MHPE
"After 30 years as a researcher, science communicator and university science teacher, I’ve been unsettled by what appears to be a growing skepticism of science among some of my Generation Z students..."
Some people mistakenly believe that skepticism *is* science.
Some people mistakenly believe that skepticism *is* science.
“framing science as a debate to be won makes it easy to paint established scientists as opponents who must be overcome”
An interesting thesis and suggestion of a solution
www.nytimes.com/2025/10/03/o... 🎁
An interesting thesis and suggestion of a solution
www.nytimes.com/2025/10/03/o... 🎁
Opinion | How the Manosphere Hijacks Young Men’s Interest in Science
www.nytimes.com
October 3, 2025 at 1:08 PM
"After 30 years as a researcher, science communicator and university science teacher, I’ve been unsettled by what appears to be a growing skepticism of science among some of my Generation Z students..."
Some people mistakenly believe that skepticism *is* science.
Some people mistakenly believe that skepticism *is* science.
Reposted by Shreya P. Trivedi MD, MHPE
My husband was detained by ICE today
Juan Muñoz, an American citizen, father of 2, and local government official, was peacefully protesting w. other elected officials. He was assaulted and taken away
I have had zero contact or updates since
#SOS
@duckworth.senate.gov @durbin.senate.gov
Juan Muñoz, an American citizen, father of 2, and local government official, was peacefully protesting w. other elected officials. He was assaulted and taken away
I have had zero contact or updates since
#SOS
@duckworth.senate.gov @durbin.senate.gov
October 3, 2025 at 5:12 PM
My husband was detained by ICE today
Juan Muñoz, an American citizen, father of 2, and local government official, was peacefully protesting w. other elected officials. He was assaulted and taken away
I have had zero contact or updates since
#SOS
@duckworth.senate.gov @durbin.senate.gov
Juan Muñoz, an American citizen, father of 2, and local government official, was peacefully protesting w. other elected officials. He was assaulted and taken away
I have had zero contact or updates since
#SOS
@duckworth.senate.gov @durbin.senate.gov
Reposted by Shreya P. Trivedi MD, MHPE
be kind and give your patients a REGULAR DIET
caffeine-free diets ➡️ caffeine withdrawal
sodium-restricted diets aren't evidence-based (use diuretics to balance volume)
treat hyperglycemia with insulin (not by artificially restricting carbs)
(renal diet for hyperkalemic renal failure = exception)
caffeine-free diets ➡️ caffeine withdrawal
sodium-restricted diets aren't evidence-based (use diuretics to balance volume)
treat hyperglycemia with insulin (not by artificially restricting carbs)
(renal diet for hyperkalemic renal failure = exception)
a man in scrubs is eating a piece of food while sitting in a hospital bed .
ALT: a man in scrubs is eating a piece of food while sitting in a hospital bed .
media.tenor.com
October 2, 2025 at 8:02 PM
be kind and give your patients a REGULAR DIET
caffeine-free diets ➡️ caffeine withdrawal
sodium-restricted diets aren't evidence-based (use diuretics to balance volume)
treat hyperglycemia with insulin (not by artificially restricting carbs)
(renal diet for hyperkalemic renal failure = exception)
caffeine-free diets ➡️ caffeine withdrawal
sodium-restricted diets aren't evidence-based (use diuretics to balance volume)
treat hyperglycemia with insulin (not by artificially restricting carbs)
(renal diet for hyperkalemic renal failure = exception)
Reposted by Shreya P. Trivedi MD, MHPE
📢 Academic Medicine Call for Associate Editor Applications: @acadmedjournal.bsky.social is welcoming applications to expand the journal’s team of associate editors. Learn more here: https://bit.ly/4nyTFKD. #MedEd #ScholarlyPublishing #MedSky
Academic Medicine Call for Associate Editor Applications
Academic Medicine is welcoming applications to expand the journal’s team of associate editors. Associate editors work closely with the editor-in-chief, deputy editors, and the editorial s…
academicmedicineblog.org
October 1, 2025 at 7:54 PM
📢 Academic Medicine Call for Associate Editor Applications: @acadmedjournal.bsky.social is welcoming applications to expand the journal’s team of associate editors. Learn more here: https://bit.ly/4nyTFKD. #MedEd #ScholarlyPublishing #MedSky
Reposted by Shreya P. Trivedi MD, MHPE
We are fast going to find out in the #medical #fellowship match in #December how much more short staffed #nephrology and #Geriatrics clinics are going to be when the 50% of those specialties made up of #H1B #immigrants don’t come to the US anymore
The biggest reason for longer waits is staffing shortages, which are driven by more people leaving healthcare practice than entering, esp nursing, due to bad management practices (often related to private equity).
This administration’s immigration policies will significantly worsen these shortages.
This administration’s immigration policies will significantly worsen these shortages.
October 1, 2025 at 7:40 PM
We are fast going to find out in the #medical #fellowship match in #December how much more short staffed #nephrology and #Geriatrics clinics are going to be when the 50% of those specialties made up of #H1B #immigrants don’t come to the US anymore
Reposted by Shreya P. Trivedi MD, MHPE
ER doc here! This is a lie. Wait times are up because the American healthcare system is an unsustainable business model and a for-profit national healthcare system just doesn’t work. These problems will continue to get worse until we change that system. It literally has nothing to do with immigrants
Vance: "If you're an American citizen & you've been to the hospital in the last few years, you've probably noticed wait times are especially large & very often somebody who's there in the ER is an illegal alien. Why do those people get healthcare benefits at hospitals paid for by American citizens?"
October 1, 2025 at 6:49 PM
ER doc here! This is a lie. Wait times are up because the American healthcare system is an unsustainable business model and a for-profit national healthcare system just doesn’t work. These problems will continue to get worse until we change that system. It literally has nothing to do with immigrants
Reposted by Shreya P. Trivedi MD, MHPE
1/ 🚨 NEW #BeyondJournalClub w/ @NEJMGroup: The Bolland study
Question: Does infrequent zoledronate therapy in patients without osteoporosis prevent fractures?
Answer: ⤵️
www.coreimpodcast.com/2025/10/01/b...
Question: Does infrequent zoledronate therapy in patients without osteoporosis prevent fractures?
Answer: ⤵️
www.coreimpodcast.com/2025/10/01/b...
October 1, 2025 at 12:30 PM
1/ 🚨 NEW #BeyondJournalClub w/ @NEJMGroup: The Bolland study
Question: Does infrequent zoledronate therapy in patients without osteoporosis prevent fractures?
Answer: ⤵️
www.coreimpodcast.com/2025/10/01/b...
Question: Does infrequent zoledronate therapy in patients without osteoporosis prevent fractures?
Answer: ⤵️
www.coreimpodcast.com/2025/10/01/b...
Reposted by Shreya P. Trivedi MD, MHPE
8/ Thanks to all for breaking (pun-intended) this down!
By: Dr. Sarah Gorey, Dr. Clem Lee Dr. Greg Katz and @shreyatrivedimd.bsky.social
Experts: Dr. Annie Garment and Dr. Ole-Petter R. Hamnvik
Graphic: Dr. Jimin Hwang
Audio: Kathreene Gala RN
By: Dr. Sarah Gorey, Dr. Clem Lee Dr. Greg Katz and @shreyatrivedimd.bsky.social
Experts: Dr. Annie Garment and Dr. Ole-Petter R. Hamnvik
Graphic: Dr. Jimin Hwang
Audio: Kathreene Gala RN
October 1, 2025 at 12:30 PM
8/ Thanks to all for breaking (pun-intended) this down!
By: Dr. Sarah Gorey, Dr. Clem Lee Dr. Greg Katz and @shreyatrivedimd.bsky.social
Experts: Dr. Annie Garment and Dr. Ole-Petter R. Hamnvik
Graphic: Dr. Jimin Hwang
Audio: Kathreene Gala RN
By: Dr. Sarah Gorey, Dr. Clem Lee Dr. Greg Katz and @shreyatrivedimd.bsky.social
Experts: Dr. Annie Garment and Dr. Ole-Petter R. Hamnvik
Graphic: Dr. Jimin Hwang
Audio: Kathreene Gala RN
Reposted by Shreya P. Trivedi MD, MHPE
Yes, it's a good thing that DHS is condemning this ICE officer, but let's realize this only happened because 1) the video went viral and 2) the ICE agent was unmasked.
We need to hold them accountable to actions like this everyday.
We need to hold them accountable to actions like this everyday.
BREAKING: The ICE officer who shoved an Ecuadorian woman to the floor at a Manhattan immigration courthouse has been “relieved of duties” and is under investigation, DHS says.
September 26, 2025 at 10:20 PM
Yes, it's a good thing that DHS is condemning this ICE officer, but let's realize this only happened because 1) the video went viral and 2) the ICE agent was unmasked.
We need to hold them accountable to actions like this everyday.
We need to hold them accountable to actions like this everyday.
Reposted by Shreya P. Trivedi MD, MHPE
Ever since I learned about this study enrolling I have been eagerly awaiting the results. Researchers in Uganda took a centuries-old cultural practice mothers carrying babies on their backs in cloth wraps and turned it into a public health tool. You got to love it!
www.nejm.org/doi/full/10....
www.nejm.org/doi/full/10....
Permethrin-Treated Baby Wraps for the Prevention of Malaria | NEJM
Malaria remains a major cause of childhood death in sub-Saharan Africa. We leveraged
the traditional practice of mothers carrying children on their backs in cloth wraps
to assess whether treating t...
www.nejm.org
September 24, 2025 at 9:13 PM
Ever since I learned about this study enrolling I have been eagerly awaiting the results. Researchers in Uganda took a centuries-old cultural practice mothers carrying babies on their backs in cloth wraps and turned it into a public health tool. You got to love it!
www.nejm.org/doi/full/10....
www.nejm.org/doi/full/10....
Reposted by Shreya P. Trivedi MD, MHPE
Reposted by Shreya P. Trivedi MD, MHPE
September 8, 2025 at 10:23 PM
Reposted by Shreya P. Trivedi MD, MHPE
OpenEvidence refused to believe that RSV vaccination is recommended for patients over 50 with comorbidities.
Just make sure you’re double-checking its math.
Just make sure you’re double-checking its math.
September 17, 2025 at 2:33 PM
OpenEvidence refused to believe that RSV vaccination is recommended for patients over 50 with comorbidities.
Just make sure you’re double-checking its math.
Just make sure you’re double-checking its math.
Reposted by Shreya P. Trivedi MD, MHPE
Did we all take organic chemistry & the MCAT & miss the social part of our early 20’s and work 80 hours a week for 3+ years for the brain worm guy who doesn’t know what a p-value is to destroy our nation’s public health system? No.
Time to lean into our expertise and speak up.
Time to lean into our expertise and speak up.
September 19, 2025 at 11:26 PM
Did we all take organic chemistry & the MCAT & miss the social part of our early 20’s and work 80 hours a week for 3+ years for the brain worm guy who doesn’t know what a p-value is to destroy our nation’s public health system? No.
Time to lean into our expertise and speak up.
Time to lean into our expertise and speak up.
Reposted by Shreya P. Trivedi MD, MHPE
You say "happy birthday," I say "Another year older, another loss of 0.9 ml/min of eGFR"
September 19, 2025 at 3:41 PM
You say "happy birthday," I say "Another year older, another loss of 0.9 ml/min of eGFR"
Reposted by Shreya P. Trivedi MD, MHPE
Interesting diuretic resistance study. Adunctive thiazides take the lead over loop intensification? Nice discussion on mechanisms of DR, both practical and hypothetical. #nephsky
journals.lww.com/jasn/abstrac...
journals.lww.com/jasn/abstrac...
Loop Diuretic Dose Intensification versus Adjuvant Thiazide ... : Journal of the American Society of Nephrology
g diuretic resistance mechanism could optimize diuretic response.
Methods:
Patients hospitalized with heart failure and diuretic resistance (6-hour cumulative natriuresis <100 mmol after IV loop di...
journals.lww.com
September 17, 2025 at 8:15 PM
Interesting diuretic resistance study. Adunctive thiazides take the lead over loop intensification? Nice discussion on mechanisms of DR, both practical and hypothetical. #nephsky
journals.lww.com/jasn/abstrac...
journals.lww.com/jasn/abstrac...
Reposted by Shreya P. Trivedi MD, MHPE
1/ 🚨 NEW #WhiteboardAnimation: ILD 🫁
Let’s talk ILD classification & management ⤵️
🎥: www.youtube.com/watch?v=GjBg...
🖥️: www.coreimpodcast.com/2025/09/14/i...
Let’s talk ILD classification & management ⤵️
🎥: www.youtube.com/watch?v=GjBg...
🖥️: www.coreimpodcast.com/2025/09/14/i...
September 15, 2025 at 11:02 PM
1/ 🚨 NEW #WhiteboardAnimation: ILD 🫁
Let’s talk ILD classification & management ⤵️
🎥: www.youtube.com/watch?v=GjBg...
🖥️: www.coreimpodcast.com/2025/09/14/i...
Let’s talk ILD classification & management ⤵️
🎥: www.youtube.com/watch?v=GjBg...
🖥️: www.coreimpodcast.com/2025/09/14/i...