After spending close to an hour explaining a complicated cancer diagnosis, treatment, and expectations.

Patient 'can I call my son on phone so he can hear what you just said to me?'

1/ 🚨 NEW Rhythm Control in AFib: Behind the Scenes Interviews 🫀

Pillars of AF treatment:

1️⃣ Prevent stroke
2️⃣ Prevent heart failure
3️⃣ Improve quality of life

🖥️: coreimpodcast.com/2024/05/26/beh…
🎥: youtube.com/playlist?list=…

2/ … considering Seattle mortgage, childcare & eldercare, & 2 physician loans that need to be paid while my spouse is also on unpaid paternity leave.

Meanwhile local tech companies giving 20wks+ paid leave.

We need better parental leave in medicine / the US in general!

In ED or elsewhere, notes with simple, meaningful, couple-line narratives describing clinical status / events / interventions are gold.

ER nursing notes can be a real treasure trove of information🙏🏾🏆

On a lighter note. Academic Deadlines.:D

grinds my gears: “with a complex medical history”

adds literally nothing to the evaluation—

Women: not shocked

🚨New! 🚨In JAMA Network Open, we describe how virtual scribes reduce physicians' EHR time & the factors that predict greater response w/ Ted Melnick David Bates Christine Sinsky & many others!
A study across Mass General MDs and Brigham and Women's Hospital
jamanetwork.com/journals/jaman…

u ever have those days where u feel like ur body is only making 5 ATP per glucose molecule instead of 38 ATP😩 😩

I was reading 2023 Nobel laureate Katalin Kariko's book, Breaking Through. She was brutally honest about the academic system in US.

And, here is an example section from her book.

I am a bipolar doctor. I wanna share one of my symptoms that is suuuper stigmatized. I hope you share this.

I've had auditory hallucinations.

I've heard things during depression. It scared me. It started off with me thinking my partner was speaking to me when he wasnt.../1

The hosts of Beyond Journal Club, a podcast by CORE IM in collaboration with NEJM Group, discuss how evidence from the MANDALA trial demonstrates the benefits of inhaled glucocorticoids as part of a combination rescue inhaler for asthma. Listen now: nej.md/3UdZf8P

Holy wow, I had a lot of knowledge gaps filled in by this episode (particularly an illness script for IRAES). Amazing job as always!

I’m always humbled/surprised at how much #constipation plays into someone’s reason for admission 🙏🏾

In short, you can get “itis” everywhere

The goal of immunotherapy is to get the body to recognize the cancer as non-self…

BUT sometimes the body can recognize itself as non-self…

AND that’s where IRAEs come in= inflammation anywhere in the body!

⤵️ snippet from yesterday!

coreimpodcast.com/2024/05/22/imm…

Was such a privilege to learn from our experts and create this foundational episode about checkpoint inhibitors and their adverse events! Stay tuned for part 2 :)

Finally immune checkpoint inhibitors made a little more sense to me! 🤲

I can’t tell you how often I pull up these two on rounds

I feel like I reference the hyponatremia one every day

CORE IM