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 In this episode, we discuss an approach to inflammatory eye disease, with a focus on uveitis, scleritis, and episcleritis. Written by: Dr. Oswald Chen. Reviewed by: Dr. Alexa Smith and Dr. Allen Tran. Support the show저자 Medicine Pods: The Intern at Work
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Send us a text In this episode, we discuss an approach to using point-of-care ultrasound (PoCUS), with 3 cases to take you through the steps of acquiring images and using them to refine your differential and management. Written by: Dr. Phelopater Sedrak. Reviewed by: Dr. Rushil Chaudhary and Dr. Kim A. Connelly. Support the show…
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A ‘Darling’ Discovery: An Approach to Histoplasmosis and Blastomycosis
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21:36Send us a text In this episode, we cover the history of histoplasmosis and blastomycosis, as well as an approach to their diagnosis and management. Written by: Dr. Mario Corrado. Reviewed by: Dr. Alina Blazer and Dr. David Fox. Support the show저자 Medicine Pods: The Intern at Work
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All about the Transition from Junior to Senior Resident
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20:06Send us a text In this episode, Dr. Maya Stein and Dr. Valerie Kim chat about that daunting but exciting transition from junior to senior medical resident, as they share personal reflections but also general strategies and specific local educational initiatives at the University of Toronto. Episode written by Dr. Maya Stein, Dr. Valerie Kim (Intern…
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Send us a text After almost 10 years of running The Intern at Work, the founding members and executive team are ready to hand over the podcast to a new producing team featuring Drs. Valerie Kim, Maya Stein and Annie Wu. Tune in to listen to how The Intern at Work started, and the future directions it might take. Support the show…
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287. Swan Diving into Hemodynamics - An approach to Right Heart and Pulmonary Artery Catheterization
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25:35Send us a text This week we have a physiology heavy hitter - we review cardiac hemodynamics and how to translate those principles into the use and application of PA catheters. Written by: Dr. Paul Mundra (Internal Medicine Resident) Reviewed by: Dr. Craig Ainsworth (Cardio-Intensivist) & Dr. Hugh Traquair (General Internist) Don't forget to use cod…
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286. Ask a Fellow - Hematologic Conditions in Pregnancy
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34:27Send us a text In this episode, our host Dr. Arjun Pandey (Internal Medicine Resident) interviews special guest Dr. Stefan Jevtic (Hematology Fellow) on hematologic conditions in pregnancy. They discuss the clinical presentation, investigations and management of thrombocytopenia, anemia, VTE and other hematologic conditions in pregnancy. Be sure to…
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Send us a text Learn all about an approach to gastric cancer for the internist! Episode written by Dr. Gurjit Mander (Internal Medicine) Reviewed by by Dr. Arjun Kundra (Gastroenterology) and Dr. Genevieve Chick (General Internal Medicine) Infographic by Dr. Gurjit Mander Support the show저자 Medicine Pods: The Intern at Work
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284. Looking Beneath the Surface - An Approach to BPSD
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14:35Send us a text This week we take you through a common and challenging symptomatology experienced by patients who have dementia - behavioural and psychosocial symptoms in dementia, or BPSD. Written by: Dr. Rafique Van Umm (Internal Medicine Resident) Reviewed by: Dr. Tricia Woo (Geriatrician) & Dr. Marianne Talman (General Internist) Support the sho…
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283. Putting out the Fire: A clinical approach to Adult Onset Still’s Disease
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14:27Send us a text In this episode, we discuss the pathophysiology, clinical features and diagnostic approach to Adult Onset Still's Disease. Our medicine minute discusses the Yamaguchi Criteria for diagnosis of Adult Onset Still's Disease. Written by: Dr. Samira Adus (Internal Medicine Resident) Reviewed by: Dr. Kimberly Legault (Rheumatology) and Dr.…
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Send us a text In this episode, Dr. Matthew Fuda (Internal Medicine Resident) discusses the 2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: Executive Summary with Dr. Karen Konieczny (Cardiologist, Electrophysiologist). Host: Dr. Matthew Fuda Special Guest: Dr. Karen Konieczny (…
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281. I@W x RoundsTable - Brensocatib for Bronchiectasis and Alteplase for Posterior Circulation Ischemic Stroke
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26:08Send us a text Dr. Laiya Carayannopoulos & Dr. Mike Fralick connect to bring you another crossover episode, this time covering new studies on therapies for bronchiectasis and posterior circulation stroke. Take a listen and let us know what you think! Support the show저자 Medicine Pods: The Intern at Work
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Send us a text Why do our patients need pacemakers and what should you know about them? Written by Dr. Alyssa Chow (Internal Medicine Resident) and reviewed by Dr. Steve Montague (General Internal Medicine) and Dr. Aws Almufleh (Cardiology). Infographic Alyssa Chow and Sapirya Birk (Medical Student). Support the show…
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Send us a text Today we dive into the life-saving (and often intimidating!) technology known as ECMO. Written by: Dr. Pavan Malhi (Internal Medicine Resident) Reviewed by: Dr. Liang Chen (General Internist & Critical Care Medicine Fellow) & Dr. Jed Lipes (Intensivist, General Internist) Support the show…
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279. The Rounds Table - 2025 ACC/AHA Clinical Practice Guidelines for Acute Coronary Syndrome
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20:47Send us a text Today we're introducing a new format—the first episode in our Clinical Practice Guidelines series. This week, Drs. Mike and John Fralick discuss the 2025 ACC/AHA Clinical Practice Guidelines for Acute Coronary Syndrome. Here we go! Support the show저자 Medicine Pods: The Intern at Work
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277. The Rounds Table- Top Papers from the 2025 American College of Cardiology (ACC) Session
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20:40Send us a text Episode 112 - Top Papers from the 2025 American College of Cardiology (ACC) Session Welcome back Rounds Table Listeners! We are back today with a special Rapid Fire Podcast! This week, Drs. Mike and John Fralick discuss top papers from the 2025 American College of Cardiology (ACC) Annual Scientific Session. Hot off the presses, here …
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Send us a text There's more to falls than meets the eye! Learn all about an approach to this extremely common problem in our older adult population. Episode written by Dr. Annabel Chan (Internal Medicine Resident) and reviewed by Dr. Sudeep Gill (Geriatric Medicine) and Dr. Marie Leung (General Internal Medicine). Infographic by Julia Simone (Medic…
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275. A Long Time Coming - An Approach to the Chronic Complications of Diabetes
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12:36Send us a text In this episode, we review the macrovascular and microvascular complications of longstanding diabetes. Our medicine minute discusses the ADVANCE trial published in 2008 and the DAPA-CKD trial published in 2020. Written by: Dr. Nour Marafie, Internal Medicine Resident Reviewed by: Dr. Melissa-Rosina Pasqua, endocrinologist and Dr. Jen…
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274. The Rounds Table - Restrictive versus Liberal Transfusion in Myocardial Infarction
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28:46Send us a text For patients w/ myocardial infarction & anemia, at what hemoglobin should you transfuse? Tune into Rounds Table where Dr. Mike Fralick interviews Dr. Jeffrey Carson to discuss his individual patient data meta-analysis published in NEJM Evidence. Support the show저자 Medicine Pods: The Intern at Work
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273. Silencing the Endless Alarm: An Approach to Chronic Pain
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13:58Send us a text In this episode, we review the pathophysiology, symptompatology and treatment options for individuals with chronic pain. In addition, we review how to take a pain history to help differentiate between different types of pain. Our medicine minute discusses the SPACE trial. Written by: Dr. Lakindu Somaweera (Internal Medicine Resident)…
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Send us a text In this episode, we have Dr. Lisa Dubrofsky (Nephrology, University of Toronto) speaking about the KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Host: Dr. Catherine Leurer (Geriatrics Fellow) Sound editing by: Krzystof Kowalik Support the show…
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Send us a text In this episiode, Dr. Sheliza Halani interview Dr. Jameel Abdulrehman (Hematology, Thrombosis) about the latest recommendations in the CHEST 2021 Antithrombotic Therapy for VTE Disease: Second Update of the CHEST Guideline and Expert Panel Report Host: Dr. Sheliza Halani Guest: Dr. Jameel Abdulrehman, Hematologist, Assistant Professo…
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270. (Repeat) The Internist's Guide to Peri-operative Cardiac Risk Management
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16:32Send us a text In this episode, Dr. Maya Stein interviews Dr. Kevin Singh about the 2016 Canadian Cardiovascular Society Guidelines on Perioperative Cardiac Risk Assessment and Management for Patients Who Undergo Noncardiac Surgery. Produced and Hosted By: Dr. Maya Stein (Internal Medicine resident) Special Guest: Dr. Kevin Singh (General Internist…
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269. (Repeat) The Internist's Guide to Chronic Hypertension
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30:52Send us a text In this episode, Dr. Sheliza Halani speaks with Dr. Kevin Venus (General Internist) about the 2020 update to the Hypertension Canada Guidelines for the Prevention, Diagnosis, Risk Assessment, and Treatment of Hypertension. Host: Dr. Sheliza Halani Sound Editing: Dr. Alison Lai Producers: Dr. Catherine Leurer and Dr. Sheliza Halani Su…
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Send us a text This week, Dr. Mike Fralick and special guest, Dr. Laiya Carayannopoulos from the Intern at Work Podcast and our Medicine Pods collaboration, discuss two recent papers exploring oxygenation in acute respiratory failure and the use of ablation versus anti-arrhythmic medication for ventricular tachycardia. Two papers, here we go! High-…
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Send us a text Dr. John Fralick sits down with Dr. Nicole Hawe, a first-year Internal Medicine resident at the University of British Columbia, to discuss her third place winning clinical vignette from the Canadian Society of Internal Medicine Annual Meeting 2024. Support the show저자 Medicine Pods: The Intern at Work
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266. CSIM Special Episode - The GI Bleed You Can't (Un)See
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35:52Send us a text Dr. Laiya Carayannopoulos sits down with Nick Sanchez (MD student) to discuss his second place winning clinical vignette from the Canadian Society of Internal Medicine Annual Meeting. He takes us through a fantastic case of upper GI bleeding! Support the show저자 Medicine Pods: The Intern at Work
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265. CSIM Special Episode- When the Brain Gets the Jitters: A Curious Case of Hemichorea
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14:57Send us a text Dr. Zahra Merali (Host) sits down with Dr. Shaima Kaka (Internal Medicine resident) to discuss her first place winning clinical vignette (oral case report) from the Canadian Conference of Medicine Annual Meeting 2024. They discuss a curious case of hyperglycaemia and jitters! Support the show…
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Send us a text Happy Holidays Rounds Table Listeners! For our penultimate episode of 2024, we are back with a special treat! This week, Drs. Mike and John Fralick chat about the top five RCTs published over the past year: Finerenone in Heart Failure with Mildly Reduced or Preserved Ejection Fraction (0:00 – 3:40). Tirzepatide for the Treatment of O…
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263. Cytokines Everywhere All at Once: Approach to CRS and ICANS
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17:17Send 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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262. The Watermelon Phenomenon - A Deep Dive into Gastric Antral Vascular Ectasia
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10:52Send 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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261. Trach 102 - An Approach to Tracheostomy Associated Emergencies
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17:15Send 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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260. The Internist's Guide to Peripheral Arterial Disease
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19:45Send us a text In this episode, Dr. Maya Stein (General Internal Medicine fellow) interviews Dr. Beth Abramson (Cardiologist) on the 2022 CCS guidelines for peripheral arterial disease. Support the show
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Send us a text In this episode, Dr. Sheliza Halani interviews Dr. Nisha Andany (Infectious Diseases) about the latest guidelines regarding the epidemiology, clinical presentation, investigations, treatment and prevention of PJP. Support the show
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258. It Ain't Easy Being Wheezy - An approach to Chronic Asthma Management
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16:46Send us a text Written by: Dr. Yining (Nancy) Chen (Internal Medicine Resident) Reviewed by: Dr. Shaun Ong (Respirologist) & Dr. Lori Wik (General Internist) Support the show저자 Medicine Pods: The Intern at Work
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257. Superfluous Production- Approach to Myeloproliferative Neoplasm's
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16:01Send 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 Written by: Dr. Roslyn Mainlaind (Internal Medicine Resident) Reviewed by: Dr. Lindsay Anderson (General Internist) & Dr. Karine Gauthier (Hematologist) Support the show저자 Medicine Pods: The Intern at Work
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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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253. CSIM Special Episode- Internists can Help the Planet, Part 2
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42:56Send 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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252. CSIM Special Episode - Top Papers Runners Up Part 3
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29:50Send 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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251. CSIM Special Episode- Internists can Help the Planet, Part 1
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55:21Send 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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250. A Little Too Sweet—The Internist’s Approach to Diabetes in Pregnancy
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16:58Send 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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249. CSIM Special Episode - Top Papers Runners Up Part 2
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25:19Send 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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248. Unplugged - The Platelet Destroying Pathology of ITP
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16:01Send 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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247. CSIM Special Episode - Top Papers Runners Up Part 1
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27:13Send 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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246. A Fungal Foe - An Approach to Invasive Aspergillosis
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12:23Send 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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245. Medical Assistance in Dying: Supporting Our Patients from Living to Dying
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16:28Send 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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243. Ask a Fellow- Medical & Surgical Management of The Hospitalized IBD Patient
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26:16Send 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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