The Intern At Work
@InternAtWork
Your Canadian internal medicine podcast written by residents for residents and students. By @AlisonLaiMD, @KallirroiLaiya, & @MeraliZahra.
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Happy Monday Twitterverse! If you've checked out our website recently, you'll notice a "Support Our Pod" button, let us explain! Here at the I@W, we are committed to bringing you a high-quality, evidence-based podcast on IM topics meant to serve you better on the wards & on call
🔁 Throwback Thursday: Diabetes Trial Files Edition 📌 Intensive glycemic control 📌 Captopril for diabetic nephropathy 📌 CABG/PCI vs. medical therapy in T2DM + CAD 🧵 Read more: diabetestrialfiles.substack.com/p/diabetes-tri… #Diabetes #Cardiology #Nephrology #FOAMed
📢 New Nephro Trial Files! 🩸 Conservative dialysis boosts kidney recovery in AKI 💊 Pravastatin shows no benefit in early ADPKD 📉 Baxdrostat drops SBP by up to 15.7 mmHg in resistant HTN 🔗 nephrotrialfiles.substack.com/p/nephro-trial… #NephJC #MedTwitter #FOAMed #KidneyTwitter #Nephrology #RCT
🎙️ @RoundsTable Listeners, This week, Dr. @JohnFralick8 breaks down a new RCT comparing rituximab vs conventional therapy for inducing remission in EGPA #MedTwitter #FOAMed #MedEd #Rheumatology #EGPA #ClinicalTrials
📬 Stay in the Loop with Medicine Pods! Sign up for our monthly newsletter at medicinepods.com to get the latest podcast episodes and medical infographics, delivered straight to your inbox! #MedEd #MedTwitter
🫁 Confused by ABGs? @FralickMike's one-pager makes sense of: ✅Metabolic and respiratory acidosis/alkalosis ✅Key compensation patterns Grab the full book here: amazon.ca/One-Pagers-War… #MedTwitter #InternalMedicine
🎓 Residents & Royal College candidates, this one's for you: Unlock your exam success with our new “Royal College Resources” page — a curated hub of videos, podcasts & clinical‑practice guideline review. 👉 medicinepods.com/royal-college/ #RoyalCollege #MedEd #InternalMedicine
🫀 New in Cardio Trial Files: ▪️ Aspirin + OAC in CCS ↑ CV events + bleeding ▪️ AF screening by mail ↑ dx, no ↓ strokes ▪️ UFH at FMC > Cath Lab for PCI reperfusion 🔗 cardiotrialfiles.substack.com/p/cardio-trial… #MedTwitter #CardioTrials #RCT
🎙️ @RoundsTable Listeners, This week Dr. @FralickMike is joined by returning guest Dr. Yatin Chadha to talk about his new beyond Radiology online course series! 🧠 CT Head Basics for Clinicians ❓ Artifact or Pathology? beyondmd.ca #MedTwitter #MedEd #Radiology
📚 New Trial Files Throwback! 🫀Apixaban > aspirin in AFib for stroke prevention 🍺Symptom-triggered > fixed-schedule benzos for EtOH withdrawal Read here: trialfiles.substack.com/p/trial-files-… #CardioTwitter #AddictionMed #TrialFiles #MedTwitter #EBM
🎙️ @RoundsTable Listeners - new infographic drop! 🩺 Continue or withhold RAS inhibitors before noncardiac surgery? ➡️ No diff in mortality/CV/AKI, but ↑ intraop hypotension & ↓ postop hypertension (BJA Open, 2025) #MedTwitter #FOAMed #MedEd #Cardiology #ClinicalTrials
🌡️New Allergy & Immunology Trial Files: • Barzolvolimab: promising CSU results • Tezepelumab: no primary endpoint met, delayed effect possible • Lebrikizumab: strong efficacy in AD w/ prior CsA failure Details👇 🔗 allergyimmtrialfiles.substack.com/p/allergy-and-… #CSU #AD #Immunology #MedTwitter
🎙️ @RoundsTable Listeners, Dr. @FralickMike goes solo this week to unpack a new systematic review & meta-analysis on whether to continue or withhold RAS inhibitors before noncardiac surgery⚖️ #MedTwitter #FOAMed #MedEd #Cardiology #PerioperativeCare #ClinicalTrials
🎙️ New @RoundsTable infographics! 🩸 UGIB + Cirrhosis: Shorter/no antibiotics ≈ longer for mortality, slightly ↑ infection risk (JAMA IM 2025) 🫀 Dialysis + Spironolactone: No ↓ in CV death/HF hospitalization (Lancet 2025) #MedTwitter #FOAMed #MedEd #ClinicalTrials
🧬 New IBD Trial Files! 🔹 PROFILE: Top-down infliximab therapy better than step-up for Crohn’s (79% vs 15% remission) 🔹 UNIFI LTE: Ustekinumab safe & effective over 3 yrs for UC 📖 ibdtrialfiles.substack.com/p/ibd-trial-fi… #IBD #Crohns #UlcerativeColitis #GI #MedTwitter #FOAMed
🧠Critical Care Trial Files – Throwback Edition 📉ARDSNet: Low tidal volume ↓ mortality (31% vs 39.8%) 🩸65 Trial: MAP 60–65 mmHg ≈ usual care for vasodilatory shock 🦠RECOVERY: Dexamethasone ↓ mortality in COVID-19 🔗criticalcaretrialfiles.substack.com/p/critical-car… #ARDS #ICU #COVID19 #MedTwitter
🩸New Thrombo Trial Files! 🧠LMWH ± ICD for VTE in neurosurgery – no added benefit 🦵U/S screening ↑ DVT detection in ICU but no outcome benefit 🧒Apixaban vs. no AC in ALL/lymphoma kids – safe, not significant 🔗thrombotrialfiles.substack.com/p/thrombo-tria… #VTE #Thrombosis #Lymphoma #MedTwitter
🩸New Heme Onc Trial Files! 📌10-yr data on ibrutinib in CLL (RESONATE-2) 📌Ibrutinib+rituximab > chemo in MCL (ENRICH) 📌ATO+ATRA beats chemo in high-risk APL (APOLLO) Read more: hemeonctrialfiles.substack.com/p/hemeonc-tria… #HemeOnc #OncTwitter #CLL #MCL #APL #MedTwitter #ClinicalTrials #FOAMed
🎙️ @RoundsTable Listeners, We’re back with a Classic Rapid Fire episode! 🔥 Drs. Mike & John Fralick break down two new studies: 💊 Spironolactone in dialysis patients (ACHIEVE Trial) 🩸 Antibiotic prophylaxis for UGIB in cirrhosis #MedTwitter #MedEd #ClinicalTrials
🚨 New Trial Files! 💥 Baxdrostat lowers SBP by ~15 mmHg in resistant HTN 🧬 Telitacicept doubles SRI-4 response in active SLE 💊 Oral GLP-1 (orforglipron) cuts HbA1c ~1.5% in early T2DM 🔗 trialfiles.substack.com/p/trial-files-… #Cardiology #Hypertension #SLE #Diabetes #GLP1 #EBM #MedTwitter
🩸 New Diabetes Trial Files 💉 Ecnoglutide: –13% weight loss in obesity 🤰 Lifestyle before pregnancy ≠ ↓ GDM risk 💊 Fotagliptin + Metformin: –0.53% HbA1c vs placebo 📖 diabetestrialfiles.substack.com/p/diabetes-tri… #DiabetesTrialFiles #Diabetes #Endocrinology #GLP1 #T2DM #GDM #FOAMed #EBM
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