
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

🩸Thrombo Trial Files Throwback 🦵GIFT: Low-INR warfarin missed noninferiority but caused less bleeding 🎗️Enoxaparin: Weight-adjusted dosing safe, uncovered more VTE 🫀Rosuvastatin: Reduced thrombin generation post-VTE Read more: thrombotrialfiles.substack.com #EBM #VTE #MedTwitter

🩸 Heme Onc Throwback Thursday 💊 Imatinib beat interferon in CML (87% vs 35% response) 🧬 Ruxolitinib outperformed BAT in PV (78% hematocrit control) 🔥 Midostaurin improved survival in FLT3-mutated AML Read now: hemeonctrialfiles.substack.com #HemeOnc #MedTwitter #Oncology

🎙️ @RoundsTable Listeners, Ep. 138 is your guide to surviving (and thriving in) Internal Medicine clerkship. Dr. Mike Fralick sits down with med student Mihir Pandya to share what actually helps on the wards. #ClerkshipPrep #MedTwitter #InternalMedicine #MedStudentTips
💉 Why not aim for Hb 130 in CKD? 🫀 Why did Swan-Ganz fall out of favor in HF? 🧠 Why 30-day AFib monitoring post-stroke? This week’s Trial Files Throwback breaks it down. 📖 trialfiles.substack.com/p/trial-files-… #EBM #MedTwitter #ClinicalTrials

🎙️@RoundsTable Listeners, In this solo episode, Dr. @JohnFralick8 breaks down a new RCT comparing fecal microbiota transplantation to vancomycin for initial C. difficile infection. #MedTwitter #InfectiousDiseases #CDiff #FMT
🫀 ESC 2025 special edition of qMonthly! ✅ Aspirin + anticoagulation post-stent? Worse outcomes ✅ Digitoxin reduced death & HF hospitalizations in HFrEF ✅ Apixaban cut recurrent VTE from 10% to 1.3% in high-risk patients 📩 medicinepods.com #ESC2025 #MedTwitter

🎙️ @RoundsTable Listeners, Solo ep with @FralickMike! He reviews a new trial of aspirin in patients with chronic coronary syndrome on oral anticoagulation. #MedTwitter #Cardiology
📬 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

📑 Trial Files Guidelines Edition 2024 KDIGO CKD Guidelines: 🧮 Stage w/ eGFR + albuminuria 🧪 Use cystatin C when creatinine unreliable 💊 SGLT2i = SOC across CKD, continue until dialysis 🔗 trialfiles.substack.com/p/trial-files-… #CKD #Nephrology #Guidelines #MedEd

🎙️ @RoundsTable Listeners: Hot off #ESC2025 Drs. @FralickMike & @JohnFralick8 break down K+ for arrhythmias, digitoxin in HFrEF, RSV vax, & apixaban for VTE in this Rapid Fire episode.
🚨 Introducing Allergy & Immunology Trial Files 🚨 🌟 Remibrutinib ↓ urticaria activity in CSU 🧬 Donidalorsen ↓ HAE attacks by 81% 💊 Direct oral challenge safe for low-risk penicillin allergy 🔗 allergyimmtrialfiles.substack.com/p/allergy-and-… #Allergy #Immunology #MedEd

🚨Introducing Trial Files Guidelines 2025 ACG Crohn’s Guidelines ❌Mesalamine not recommended 🧪Fecal calprotectin to guide care 💊Newer biologics added 🚭Smoking = major risk factor 🔧Drain perianal abscesses before advanced therapy 🔗 ibdtrialfiles.substack.com/p/trial-files-… #IBD #Crohns

🎙️ @RoundsTable Listeners, @FralickMike chats with Dr. Mina Tadrous (I'm Pharmacy podcast) on podcasting, AI & drug discovery, and even a 90’s rap battle. Don’t miss it! Check out the I'm Pharmacy podcast (new season begins 17 Sep 2025), now on medicinepods.com #MedEd
🚨 ESC 2025 Trials 🩸 HI-PRO: Apixaban ↓ recurrent VTE 10%→1.3% w/o ↑ bleeding 🦠 RSVpreF: 83% ↓ RSV hospitalizations in ≥60 yrs ❤️ DIGIT-HF: Digitoxin ↓ death/HF hospitalizations 🔗 trialfiles.substack.com/p/esc-2025-spe… #ESC2025 #Cardiology #VTE #RSV #HFrEF

🎙️@RoundsTable Listeners: Solo ep with @FralickMike! He revisits a classic trial of dexamethasone in adults with acute bacterial meningitis. medicinepods.com/the-rounds-tab… #MedTwitter #MedEd
📝New qMonthly • Albuterol–budesonide as-needed reduces severe exacerbations in mild asthma • Semaglutide improves A1C + leads to 9kg weight loss in T1DM with obesity 📬Get concise, evidence-based updates straight to your inbox: medicinepods.com #MedTwitter #MedEd

🎙️ @RoundsTable Listeners, Solo ep with @FralickMike! He reviews a trial of mifepristone for glycemic control in adults with T2DM + hypercortisolism #MedEd #MedTwitter #T2DM
📬 Stay in the Loop with Medicine Pods! Sign up for our monthly newsletter at medicinepods.com to get the latest podcast episodes, medical infographics, and our featured qMonthly topics— delivered straight to your inbox! #MedEd #InternalMedicine

📜 This week's Throwback Trials: 🩺 IDEAL: Early dialysis ≈ late, no survival benefit ⚖️ STAMPEDE: Bariatric surgery > med therapy for T2DM 🫁 PROSEVA: Proning ↓ severe ARDS mortality 16% vs 33% 🔗 trialfiles.substack.com/p/trial-files-… #MedTwitter #MedEd #Nephrology #Diabetes #ARDS

🎙️ @RoundsTable Listeners, Drs. @FralickMike & @JohnFralick8 review zoledronate for fracture prevention in early postmenopausal women & semaglutide in adults with T1D + obesity. Two papers, let’s go! Listen now at medicinepods.com‼️ #MedTwitter #MedEd
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