CORE IM
@coreimpodcast.bsky.social
Medicine Podcast || Inspiring curiosity & critical thinking || 5 Pearls || Mind the Gap || Hoofbeats || At the Bedside || Gray Matters || Biweekly Wed. #MedSky
5/ Thanks to all for diving into this debate on diabetes drugs!
Authors: @shreyatrivedimd.bsky.social, Dr. Tracy Rabin, Dr. Kenneth Fifer and Dr. Cary Blum
Graphic: Amy Mu
Audio: Kathreene Gala
Authors: @shreyatrivedimd.bsky.social, Dr. Tracy Rabin, Dr. Kenneth Fifer and Dr. Cary Blum
Graphic: Amy Mu
Audio: Kathreene Gala
November 5, 2025 at 12:06 PM
5/ Thanks to all for diving into this debate on diabetes drugs!
Authors: @shreyatrivedimd.bsky.social, Dr. Tracy Rabin, Dr. Kenneth Fifer and Dr. Cary Blum
Graphic: Amy Mu
Audio: Kathreene Gala
Authors: @shreyatrivedimd.bsky.social, Dr. Tracy Rabin, Dr. Kenneth Fifer and Dr. Cary Blum
Graphic: Amy Mu
Audio: Kathreene Gala
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...
2/ Thanks, Dr. Stephen Cooper!
October 29, 2025 at 11:29 AM
2/ Thanks, Dr. Stephen Cooper!
1/ 🚨 NEW video on Lp(a) ‼️
Let’s review what it is, who should be screened, and what we can do about it if it’s elevated
🎥: www.youtube.com/watch?v=lKkf...
Behind the scenes: www.youtube.com/watch?v=Xh9L...
🖥️: www.coreimpodcast.com/2025/04/02/l...
Let’s review what it is, who should be screened, and what we can do about it if it’s elevated
🎥: www.youtube.com/watch?v=lKkf...
Behind the scenes: www.youtube.com/watch?v=Xh9L...
🖥️: www.coreimpodcast.com/2025/04/02/l...
October 29, 2025 at 11:29 AM
1/ 🚨 NEW video on Lp(a) ‼️
Let’s review what it is, who should be screened, and what we can do about it if it’s elevated
🎥: www.youtube.com/watch?v=lKkf...
Behind the scenes: www.youtube.com/watch?v=Xh9L...
🖥️: www.coreimpodcast.com/2025/04/02/l...
Let’s review what it is, who should be screened, and what we can do about it if it’s elevated
🎥: www.youtube.com/watch?v=lKkf...
Behind the scenes: www.youtube.com/watch?v=Xh9L...
🖥️: www.coreimpodcast.com/2025/04/02/l...
TRUE ‼️
Use this handy chart to remember conversions and glucocorticoid/mineralocorticoid activity of steroids!
www.coreimpodcast.com/2023/06/28/s...
Use this handy chart to remember conversions and glucocorticoid/mineralocorticoid activity of steroids!
www.coreimpodcast.com/2023/06/28/s...
October 28, 2025 at 11:10 AM
TRUE ‼️
Use this handy chart to remember conversions and glucocorticoid/mineralocorticoid activity of steroids!
www.coreimpodcast.com/2023/06/28/s...
Use this handy chart to remember conversions and glucocorticoid/mineralocorticoid activity of steroids!
www.coreimpodcast.com/2023/06/28/s...
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 11:02 AM
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...
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...
October 14, 2025 at 11:02 AM
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
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...
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...
5/ There are some non-pharmacologic ways to manage orthostatic hypotension ‼️
✨ Hydrate
✨ Compression
✨ Mobility
🛑 Avoid standing quickly
🛑Avoid high carb meals
🛑 Don’t forget to address culprit meds!
✨ Hydrate
✨ Compression
✨ Mobility
🛑 Avoid standing quickly
🛑Avoid high carb meals
🛑 Don’t forget to address culprit meds!
September 11, 2025 at 11:05 AM
5/ There are some non-pharmacologic ways to manage orthostatic hypotension ‼️
✨ Hydrate
✨ Compression
✨ Mobility
🛑 Avoid standing quickly
🛑Avoid high carb meals
🛑 Don’t forget to address culprit meds!
✨ Hydrate
✨ Compression
✨ Mobility
🛑 Avoid standing quickly
🛑Avoid high carb meals
🛑 Don’t forget to address culprit meds!
4/
Signs of neurogenic:
✨ Insufficient heart rate response upon standing
✨ Comes on after a delay of 5+ minutes (early disease)
✨ Comes suddenly (late disease)
✨ Concomitant symptoms of neurogenic/autonomic disease
Signs of neurogenic:
✨ Insufficient heart rate response upon standing
✨ Comes on after a delay of 5+ minutes (early disease)
✨ Comes suddenly (late disease)
✨ Concomitant symptoms of neurogenic/autonomic disease
September 11, 2025 at 11:05 AM
4/
Signs of neurogenic:
✨ Insufficient heart rate response upon standing
✨ Comes on after a delay of 5+ minutes (early disease)
✨ Comes suddenly (late disease)
✨ Concomitant symptoms of neurogenic/autonomic disease
Signs of neurogenic:
✨ Insufficient heart rate response upon standing
✨ Comes on after a delay of 5+ minutes (early disease)
✨ Comes suddenly (late disease)
✨ Concomitant symptoms of neurogenic/autonomic disease
1/ 🚨 NEW #GrayMatters: Orthostatics part 1️⃣
Orthostatic hypotension is VERY common ‼️
✨ 20% of those over 60 years old
✨ 50% in nursing homes
Causes:
✨ Decreased venous return
✨ Neurogenic
🖥️: www.coreimpodcast.com/2025/09/11/o...
Sponsor: Oakstone CME
Orthostatic hypotension is VERY common ‼️
✨ 20% of those over 60 years old
✨ 50% in nursing homes
Causes:
✨ Decreased venous return
✨ Neurogenic
🖥️: www.coreimpodcast.com/2025/09/11/o...
Sponsor: Oakstone CME
September 11, 2025 at 11:05 AM
1/ 🚨 NEW #GrayMatters: Orthostatics part 1️⃣
Orthostatic hypotension is VERY common ‼️
✨ 20% of those over 60 years old
✨ 50% in nursing homes
Causes:
✨ Decreased venous return
✨ Neurogenic
🖥️: www.coreimpodcast.com/2025/09/11/o...
Sponsor: Oakstone CME
Orthostatic hypotension is VERY common ‼️
✨ 20% of those over 60 years old
✨ 50% in nursing homes
Causes:
✨ Decreased venous return
✨ Neurogenic
🖥️: www.coreimpodcast.com/2025/09/11/o...
Sponsor: Oakstone CME
5/ There are some non-pharmacologic ways to manage orthostatic hypotension ‼️
✨ Hydrate
✨ Compression
✨ Mobility
🛑 Avoid standing quickly
🛑Avoid high carb meals
🛑 Don’t forget to address culprit meds!
✨ Hydrate
✨ Compression
✨ Mobility
🛑 Avoid standing quickly
🛑Avoid high carb meals
🛑 Don’t forget to address culprit meds!
September 11, 2025 at 11:05 AM
5/ There are some non-pharmacologic ways to manage orthostatic hypotension ‼️
✨ Hydrate
✨ Compression
✨ Mobility
🛑 Avoid standing quickly
🛑Avoid high carb meals
🛑 Don’t forget to address culprit meds!
✨ Hydrate
✨ Compression
✨ Mobility
🛑 Avoid standing quickly
🛑Avoid high carb meals
🛑 Don’t forget to address culprit meds!
4/
Signs of neurogenic:
✨ Insufficient heart rate response upon standing
✨ Comes on after a delay of 5+ minutes (early disease)
✨ Comes suddenly (late disease)
✨ Concomitant symptoms of neurogenic/autonomic disease
Signs of neurogenic:
✨ Insufficient heart rate response upon standing
✨ Comes on after a delay of 5+ minutes (early disease)
✨ Comes suddenly (late disease)
✨ Concomitant symptoms of neurogenic/autonomic disease
September 11, 2025 at 11:05 AM
4/
Signs of neurogenic:
✨ Insufficient heart rate response upon standing
✨ Comes on after a delay of 5+ minutes (early disease)
✨ Comes suddenly (late disease)
✨ Concomitant symptoms of neurogenic/autonomic disease
Signs of neurogenic:
✨ Insufficient heart rate response upon standing
✨ Comes on after a delay of 5+ minutes (early disease)
✨ Comes suddenly (late disease)
✨ Concomitant symptoms of neurogenic/autonomic disease
1/ 🚨 NEW #GrayMatters: Orthostatics part 1️⃣
Orthostatic hypotension is VERY common ‼️
✨ 20% of those over 60 years old
✨ 50% in nursing homes
Causes:
✨ Decreased venous return
✨ Neurogenic
🖥️: www.coreimpodcast.com/2025/09/11/o...
Sponsor: Oakstone CME
Orthostatic hypotension is VERY common ‼️
✨ 20% of those over 60 years old
✨ 50% in nursing homes
Causes:
✨ Decreased venous return
✨ Neurogenic
🖥️: www.coreimpodcast.com/2025/09/11/o...
Sponsor: Oakstone CME
September 11, 2025 at 11:05 AM
1/ 🚨 NEW #GrayMatters: Orthostatics part 1️⃣
Orthostatic hypotension is VERY common ‼️
✨ 20% of those over 60 years old
✨ 50% in nursing homes
Causes:
✨ Decreased venous return
✨ Neurogenic
🖥️: www.coreimpodcast.com/2025/09/11/o...
Sponsor: Oakstone CME
Orthostatic hypotension is VERY common ‼️
✨ 20% of those over 60 years old
✨ 50% in nursing homes
Causes:
✨ Decreased venous return
✨ Neurogenic
🖥️: www.coreimpodcast.com/2025/09/11/o...
Sponsor: Oakstone CME
#TBT to our #BeyondJournalClub episode on RSV vaccine trials 💉
Takeaway: Abrysvo and Arexvy seem protective with reassuring side effect profiles BUT true efficacy difficult to discern with small number of RSV cases in both trials
🖥️: www.coreimpodcast.com/2024/01/31/r...
Takeaway: Abrysvo and Arexvy seem protective with reassuring side effect profiles BUT true efficacy difficult to discern with small number of RSV cases in both trials
🖥️: www.coreimpodcast.com/2024/01/31/r...
September 4, 2025 at 11:03 AM
#TBT to our #BeyondJournalClub episode on RSV vaccine trials 💉
Takeaway: Abrysvo and Arexvy seem protective with reassuring side effect profiles BUT true efficacy difficult to discern with small number of RSV cases in both trials
🖥️: www.coreimpodcast.com/2024/01/31/r...
Takeaway: Abrysvo and Arexvy seem protective with reassuring side effect profiles BUT true efficacy difficult to discern with small number of RSV cases in both trials
🖥️: www.coreimpodcast.com/2024/01/31/r...
3/ Thanks to all:
Author: Tom Mulvey
Editor: Marissa LoCastro
Author: Tom Mulvey
Editor: Marissa LoCastro
September 3, 2025 at 10:57 AM
3/ Thanks to all:
Author: Tom Mulvey
Editor: Marissa LoCastro
Author: Tom Mulvey
Editor: Marissa LoCastro
1/ 🚨 NEW #ReadingRoom: Extra-axial bleeds 🩸
Part 1: Let’s review CT head findings for epidural, subdural, and subarachnoid bleeds!
Part 1: Let’s review CT head findings for epidural, subdural, and subarachnoid bleeds!
September 3, 2025 at 10:57 AM
1/ 🚨 NEW #ReadingRoom: Extra-axial bleeds 🩸
Part 1: Let’s review CT head findings for epidural, subdural, and subarachnoid bleeds!
Part 1: Let’s review CT head findings for epidural, subdural, and subarachnoid bleeds!
1/ 🚨 NEW #WhiteboardAnimation: COPD Classification (GOLD guidelines simplified)
This classification system takes into account spirometry and symptoms to guide treatment 🫁 💨
🎥: www.youtube.com/watch?v=NJLZ...
🖥️: www.coreimpodcast.com/2025/08/20/c...
This classification system takes into account spirometry and symptoms to guide treatment 🫁 💨
🎥: www.youtube.com/watch?v=NJLZ...
🖥️: www.coreimpodcast.com/2025/08/20/c...
August 20, 2025 at 11:06 AM
1/ 🚨 NEW #WhiteboardAnimation: COPD Classification (GOLD guidelines simplified)
This classification system takes into account spirometry and symptoms to guide treatment 🫁 💨
🎥: www.youtube.com/watch?v=NJLZ...
🖥️: www.coreimpodcast.com/2025/08/20/c...
This classification system takes into account spirometry and symptoms to guide treatment 🫁 💨
🎥: www.youtube.com/watch?v=NJLZ...
🖥️: www.coreimpodcast.com/2025/08/20/c...
10/ Thanks to all!
By: @shreyatrivedimd.bsky.social, Dr. Casey Kim,
Experts: Dr. Eric Bow, Dr. Lauren Merz and Dr. Jason Freed
Graphic: Dr. Jesse Powell
By: @shreyatrivedimd.bsky.social, Dr. Casey Kim,
Experts: Dr. Eric Bow, Dr. Lauren Merz and Dr. Jason Freed
Graphic: Dr. Jesse Powell
August 13, 2025 at 10:58 AM
10/ Thanks to all!
By: @shreyatrivedimd.bsky.social, Dr. Casey Kim,
Experts: Dr. Eric Bow, Dr. Lauren Merz and Dr. Jason Freed
Graphic: Dr. Jesse Powell
By: @shreyatrivedimd.bsky.social, Dr. Casey Kim,
Experts: Dr. Eric Bow, Dr. Lauren Merz and Dr. Jason Freed
Graphic: Dr. Jesse Powell
9/ First line treatment:
🦠 Antipseudomonal antibiotic
Vanco is NOT considered standard of care, but added in specific scenarios
🦠 Hemodynamic instability
🦠 Known MRSA colonization AND infection source likely MRSA
Maybe anti-fungal if >3 days of ANC < 200 + context 🤔
🦠 Antipseudomonal antibiotic
Vanco is NOT considered standard of care, but added in specific scenarios
🦠 Hemodynamic instability
🦠 Known MRSA colonization AND infection source likely MRSA
Maybe anti-fungal if >3 days of ANC < 200 + context 🤔
August 13, 2025 at 10:58 AM
9/ First line treatment:
🦠 Antipseudomonal antibiotic
Vanco is NOT considered standard of care, but added in specific scenarios
🦠 Hemodynamic instability
🦠 Known MRSA colonization AND infection source likely MRSA
Maybe anti-fungal if >3 days of ANC < 200 + context 🤔
🦠 Antipseudomonal antibiotic
Vanco is NOT considered standard of care, but added in specific scenarios
🦠 Hemodynamic instability
🦠 Known MRSA colonization AND infection source likely MRSA
Maybe anti-fungal if >3 days of ANC < 200 + context 🤔
6/ Neutrophil recovery time depends on the cause‼️
🦠 10-14 days: Viral infections and immune mediated drug neutropenia
🦠 3-4 weeks: Dose dependent drug neutropenias
🦠 Variable: Autoimmune diseases & myelodysplastic syndromes (MDS)
🦠 10-14 days: Viral infections and immune mediated drug neutropenia
🦠 3-4 weeks: Dose dependent drug neutropenias
🦠 Variable: Autoimmune diseases & myelodysplastic syndromes (MDS)
August 13, 2025 at 10:58 AM
6/ Neutrophil recovery time depends on the cause‼️
🦠 10-14 days: Viral infections and immune mediated drug neutropenia
🦠 3-4 weeks: Dose dependent drug neutropenias
🦠 Variable: Autoimmune diseases & myelodysplastic syndromes (MDS)
🦠 10-14 days: Viral infections and immune mediated drug neutropenia
🦠 3-4 weeks: Dose dependent drug neutropenias
🦠 Variable: Autoimmune diseases & myelodysplastic syndromes (MDS)