Advertise on podcast: Core IM | Internal Medicine Podcast

“Should you stop screening for colorectal cancer (CRC) at 75?”  This episode explores how to individualize screening decisions based on life expectancy, prior colonoscopy findings, and procedural risks. Learn how to navigate these nuanced conversations, avoid age-based assumptions, and use strategies like mailed FIT kits and offering screening choices to help more patients get screened. 🔹Sponsor: Search “Amazon Pharmacy Nationwide Home Delivery" in your EHR to get home delivery (often same-day). Learn more here! 🔹Transcript and Show Notes 01:18 | Screening >75 yo? 10:06 | Takeaways on Colorectal Cancer Screening After 75  10:37 | Systems thinking: How do we get to an 80% screening rate Tags: Core IM, Internal Medicine, Colorectal Cancer Screening, Gastroenterology, Cancer Screening  Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

“What’s the best way to screen?” This episode breaks down the pros, limitations, and follow-up needs of FIT, Cologuard, CT colonography, and colonoscopy to help you choose the right CRC screening option for your patients. Also learn practical colonoscopy surveillance intervals based on polyp size, number, and pathology. 🔹Sponsor: Search “Amazon Pharmacy Nationwide Home Delivery" in your EHR to get home delivery (often same-day). Learn more here! 🔹Transcript and Show Notes 01:24 | Screening Options Besides Colonoscopy 11:22 | How FIT, FIT-DNA, and CT colonography differ and when each makes sense. 12:52 | Colonoscopy and Frequency 19:29 | How adenoma number, size, and histology guide surveillance intervals.  Tags: Core IM, Internal Medicine, Colorectal Cancer Screening, Gastroenterology, Cancer Screening  Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

“The triglycerides are high. Now what?” This episode breaks down a practical approach to elevated TGs, from knowing when to check ApoB or non-HDL-C to choosing lifestyle changes, lipid-lowering medications, and when to suspect an underlying genetic disorder.  🔹Transcript and Show Notes 02:17 | Check a non-HDL-C or ApoB if TGs are ≥150 mg/dL  07:18 | Address waist circumference and lifestyle before meds for high TGs 10:52 | Dr. Watson’s 3-day carbohydrate responsiveness trial  17:07 | Order a fasting or nonfasting lipid panel? 19:00 | When do you reach for TG-lowering medications?  25:26 | Familial chylomicronemia syndrome (FCS) Tags: CoreIM, Medical Education, Hypertriglyceridemia, ACC AHA lipid guidelines, lipid guidelines 2026, cardiovascular risk  Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

“Too young for colon cancer.” This episode unpacks the red flags of early-onset colorectal cancer (CRC), from blood in the stool and iron deficiency anemia to persistent abdominal pain and changes in bowel habits, and offers practical pearls for closing the clinical loop. Also learn why a “negative” family history may need a yearly refresh. 🔹Sponsor: Search “Amazon Pharmacy Nationwide Home Delivery" in your EHR to get home delivery (often same-day). Learn more here! 🔹Transcript and Show Notes 01:45 | Colorectal cancer rising in younger adults  06:42 | Why screening starts at age 45 08:15 | What may be driving early-onset colorectal cancer  13:37| Key takeaways: symptoms, follow-up, and family history  Tags: Colorectal Cancer Screening, Internal Medicine, Gastroenterology, Cancer Screening, Oncology Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

“It didn’t work.” This episode breaks down practical treatment options (dosing options for naltrexone, acamprosate, topiramate, gabapentin) and counseling pearls to help you meet patients where they are and support their recovery. Also discover blind spots in detox and rehab centers. 🔹Transcript and Show Notes 🔹 Explore ACP’s Substance Use Disorder Education Hub for videos and an AI-powered patient simulation to practice alcohol-use conversations: https://www.coreimpodcast.com/SUDhub Alcohol Use and Chronic Health Conditions Mini Video Series 01:55 | #1: Naltrexone 12:06 | #2 Acamprosate 16:15 | #3: Topiramate 21:12 | #4: Other meds 29:31 | #5: Detox and rehab blind spots  Tags: CoreIM, Medical Education, Addiction Medicine, Alcohol Withdrawal, Addiction Treatment, GLP-1, pharmacology Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Have you ever lost a patient and found yourself thinking about them long after the shift ended? This episode explores the grief clinicians can carry after a patient dies, including the losses that aren’t always obvious. We also discuss ways to work through that grief, recognize when it becomes complicated, and lean on your team for support.   🔹Transcript and Shownotes 04:12 | What is Clinician Grief? 10:02 | Types of Losses 10:22 | Loss of a close relationship with a particular patient 12:56 | Loss due to a professional's identification with the pain of family members 13:56 | Loss of one's unmet goals and expectations and one's professional self-image and role 18:47 | Loss related to one's personal system of beliefs and assumptions about life 21:30 | Past unresolved losses or anticipated future losses 23:29 | The death of the self 25:44 | Coping Tags: CoreIM, Medical Education, Clinician Wellbeing, Burnout, Secondary Traumatic Stress, Complicated Grief, Coping With Grief, Medical humanities, medical ethics Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

How to choose between RUQ ultrasound, CT, HIDA, MRCP, EUS, and ERCP based on the clinical picture? When should you move from diagnostic imaging to therapeutic ERCP, and what should you know about sphincterotomy, stents, and stone removal? Plus, how to interpret bile duct dilation without jumping straight to obstruction? 🔹Sponsor: Oakstone CME Use the code "CORE25" for 25% off: https://www.coreimpodcast.com/MKSAP 🔹Transcript and Shownotes 02:11 | Pearl 1: Gallbladder Problems Spectrum 07:33 | Pearl 2: Choose Imaging Strategically: Start with RUQUS, Escalate as Needed 14:34 | Pearl 3: Biliary Tree Diagnostics 19:19 | Pearl 4: Invasives that are Diagnostic and Therapeutic 27:06 | Pearl 5: Stenting in ERCP Tags: CoreIM, Internal Medicine, Medical Education, Gallstones, Cholecystitis, Biliary Disease, ERCP, Biliary Imaging Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Throwback: Should you really fluid-restrict every patient with SIADH? When can IV fluids make hyponatremia better or worse? Are salt tabs actually doing enough? And what can urine studies tell you before you start treatment? Join us for a practical, physiology-driven approach to hyponatremia management, from fluids and solutes to loop diuretics and identifying the underlying cause.  🔹Sponsor: Search “Amazon Pharmacy Nationwide Home Delivery" in your EHR to get home delivery (often same-day). Learn more here. 🔹Transcript and Shownotes 6:46 | Pearl 1: Key Principles 15:13 | Pearl 2: Fluids in hyponatremia 26: 03 | Pearl 3: Solutes in hyponatremia management 35:49 | Pearl 4: Lasix in hyponatremia management 40:05 | Pearl 5: Etiologies Tags: CoreIM, Internal Medicine, Medical Education, SIADH, Fluid Restriction, Nephrology, Hospital Medicine, Urine Osmolality Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Why can lower-dose combinations be more effective and better tolerated than maximizing one medication? How to troubleshoot common challenges such as amlodipine edema, gout, electrolyte abnormalities, and the patient who says they cannot tolerate anything? Why ACT (ARBs, Calcium Channel Blockers, Thiazides) is the preferred first-line framework, and how to personalize medication choices based on comorbidities and side effects. 🔹Sponsor: Oakstone CME Use the code "CORE25" for 25% off: https://www.coreimpodcast.com/MKSAP  🔹Transcript and Shownotes 03:00 | Diagnosing Hypertension  04:10 | When to Start Combination Therapy Instead of Monotherapy  07:00 | Choosing First-Line Therapy Using the ACT Framework  13:23 | Why ARBs Are Often Preferred Over ACE Inhibitors  16:02 | Choosing the Right ARB: Candesartan vs Losartan  18:39 | Comparing Potency & Duration Across First-Line Antihypertensives  20:54 | Amlodipine Edema: Why It Happens and How to Fix It  23:54 | Thiazides: Practical Tips, Electrolyte Problems & Class-Killer Side Effects  29:33 | Managing Patients Who 'Can't Tolerate' Blood Pressure Medications  Tags: Hypertension Management, High Blood Pressure, Primary Care, Internal Medicine, Core IM Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Learn from primary care docs what has been practiced and changed from the 2026 ACC/AHA Lipid Guidelines! Learn how the new CPR framework (Calculate, Personalize, Reclassify) and PREVENT risk calculator change statin decisions, why LDL targets are back, and when to use Lp(a), ApoB, and coronary artery calcium (CAC) testing. Discover updated risk-enhancing factors, expanded indications for non-statin therapies, and practical strategies to personalize lipid management for both primary and secondary 🔹Sponsor: Search “Amazon Pharmacy Nationwide Home Delivery" in your EHR to get home delivery (often same-day). Learn more here. 🔹Transcript and Shownotes:   01:17 | Highlight #1 & #2: CPR and PREVENT Score 03:14 | Highlight #3: Updated ASCVD Risk Categories Using the PREVENT Score 05:30 | Highlight #4: LDL Targets Are Back 07:20 | Highlight #5: High-Risk Conditions That Bypass the PREVENT Score 08:41 | Highlight #6: Lp(a) Screening for Everyone 11:51 | Highlight #7: When to Use ApoB Testing 13:16 | Highlight #8: Reproductive Risk Factors 15:29 | Highlight #9: Using CAC to Guide Statin Therapy 19:09 | Highlight #10: Non-Statin Therapies Tags: CoreIM, Internal Medicine, Medical Education, Cholesterol, Statins, LDL, ASCVD, Preventive Cardiology, LpA, ApoB, CAC, ACC2026, Cardiology, PrimaryCare  Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

MASLD affects nearly one in three adults worldwide, yet many patients remain undiagnosed until advanced fibrosis or cirrhosis develops. So, which patients should clinicians actually be screening? When is a FIB-4 enough, and when should we move to elastography or hepatology referral? And are we finally entering an era where we can meaningfully treat MASH? In this Beyond Journal Club episode, we unpack the evolving language of steatotic liver disease and take a close look at two major trials: MAESTRO-NASH studying resmetirom, the first FDA-approved liver-directed therapy for MASH, and ESSENCE, evaluating semaglutide in biopsy-confirmed disease. Along the way, we explore what these biopsy-based histologic endpoints really mean, why placebo responses were surprisingly high, and whether improvements in steatohepatitis and fibrosis will ultimately translate into better clinical outcomes for patients. This episode is for clinicians trying to understand where the field is headed, which patients deserve closer attention, and how metabolic liver disease is increasingly becoming part of everyday primary care and hospital medicine. 🔹Sponsor: Oakstone CME Use the code "CORE25" for 25% off: https://www.coreimpodcast.com/MKSAP  🔹Transcript and Shownotes:   01:57 | Understanding MASLD as a Systemic Disease  05:45 | MASLD vs MASH vs Met-ALD: Spectrum Steatotic Liver Disease  08:55 | How to Screen for Fibrosis (FIB-4 & FibroScan)  16:15 | Lifestyle Treatment & Weight Loss Targets  19:00 | ESSENCE Trial: Semaglutide for MASH  21:58 | MAESTRO-NASH Trial: Resmetirom  27:27 | Future Treatments for MASH  30:51 | Key Takeaways for Clinicians  Tags: CoreIM, Internal Medicine, Medical Education, Hepatology, Fatty Liver Disease, Metabolic Dysfunction Associated Steatohepatitis, Nonalcoholic Fatty Liver Disease, Liver Fibrosis Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

What blood pressure should we target in patients on hemodialysis? Why volume control remains the foundation of treatment? How blood pressure targets differ from the general population. Learn practical pearls on medication timing around dialysis, drug dialyzability, antihypertensive selection, and strategies to prevent intradialytic complications while optimizing long-term outcomes.  🔹Sponsor: Search “Amazon Pharmacy Nationwide Home Delivery" in your EHR to get home delivery (often same-day). Learn more here.  🔹Transcript and Shownotes:   02: 19 | Pearl 1: Blood Pressure Targets  09: 40 | Pearl 2: Timing Medications and Dialyzability  15: 31 | Pearl 3 - Pharmacologic Management Nuances in Dialysis Patients  22: 57 | Putting It All Together: The Medication Hierarchy  Tags: CoreIM, Internal Medicine, Medical Education, Nephrology, ESRD, End-Stage Kidney Disease, Hypertension, Kidney Health, Dry Weight, Volume Overload Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Why is fluid management the most important part of dialysis care? This episode explores the fundamentals of hemodialysis, why ESKD patients have unique physiology, and how volume overload, not just hypertension, drives many complications. Learn practical pearls on dry weight, sodium restriction, diuretics, and the strategies that can reduce hospitalizations and improve patient outcomes.  🔹Sponsor: Oakstone CME Use the code "CORE25" for 25% off: https://www.coreimpodcast.com/MKSAP  🔹Transcript and Shownotes:   02:49 | Pearl 1: Foundations of Dialysis 09:21 | Pearl 2: Distinct Physiology 11:42 | Pearl 3: Why is fluid management so important? 19:43 | Pearl 4: Fluid Management Pro-tips 25:31 | Pearl 5: Diuretics in Patients with Residual Kidney Function Tags: CoreIM, Internal Medicine, Medical Education, Nephrology, Dialysis, End-stage kidney disease, Hypertension, Kidney Health, Dry Weight, Volume Overload Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Can AI manage post-op atrial fibrillation or does medicine still require human judgment? Using post-op AFib as a case study, we explore where algorithms help, where evidence falls short, and why clinical context still matters. When evidence is incomplete, and every patient is different, can AI truly practice medicine or only assist the clinicians who do? This episode explores the space between algorithms, uncertainty, and human judgment in modern medical care.  🔹Sponsor: Search “Amazon Pharmacy Nationwide Home Delivery" in your EHR to get home delivery (often same-day). Learn more here. 🔹Transcript and Shownotes:   02:51 | Broad workup for reversible causes and other etiologies of AFib that may occur post-op 05:10 | Considerations for management of post-op atrial fibrillation 13:00 | Stroke risk in atrial fibrillation 20:49 | Outpatient management of atrial fibrillation  25:54 | The role of AI in medical decision-making Tags: CoreIM, Internal Medicine, Medical Education, Atrial Fibrillation, Cardiology, Open Evidence Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

We start with a gripping story of seizures and use it as a jumping-off point to unpack practical pearls for in-flight emergencies. Along the way: what’s actually in the emergency medical kit, when planes divert, how ground medical support works, altitude physiology, legal protections, and how to stay calm when medicine suddenly happens at 35,000 feet. By the end, you may still sweat a little…but hopefully less than before. 🔹Sponsor: Oakstone CME Use the code "CORE25" for 25% off: https://www.coreimpodcast.com/MKSAP  🔹Transcript and Shownotes:   04:40 | Emergency Medical Kit (EMK) Standard Contents 08:50 | Role of Ground-Based Medical Support & Flight Diversion Decision-Making 19:35 | Interpreting Hypoxia at Altitude 22:06 | In-Flight Liability 23:35 | Common Chief Concerns & Useful Additional Medications 24:53 | How to Be Resourceful in an Austere Environment Tags: CoreIM, Internal Medicine, Medical Education, In-flight Care, Medical Emergencies, Clinical Reasoning, Seizure Management, Hypoxia, Airway Management, Cardiac Emergency, Syncope, Respiratory Distress Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy