Attention trainees! Are you worried that you won’t be able to experience the embarrassment of the patient story changing between seeing you and then the attending after you graduate? Then consider primary care, where the same thing happens when you send the patient to the ER.

Trying to eat healthy in America was an annoying challenge. I was shocked by how expensive and hard to find nutritious options were compared to Europe. Back home, I can easily grab a healthy meal without breaking the bank, but in the US, it felt like a treasure hunt.

Truer words have never been spoken.

Medicine is so different from when i started in the early 90s. We can do so much good, but also it feels much harder to give excellent care. Were there inflection points that changed medicine, or more like the frog in boiling water? System feels so hostile to pts &clinicians

Fascinating, humbling graph to study

#TriviaTuesday Let’s talk fluids- How much of 1L of D5W stays in the intravascular space? ⤵️ 🖥️: coreimpodcast.com/2022/04/27/flu… Check back later for the answer and explanation ✨!

1/ 🚨 NEW episode w/ cardiorenal cases & examples of diuretic resistance 🫀 🫘 Think about diuretic resistance if no congestion relief despite appropriate/escalating doses of diuretics! 🖥️: coreimpodcast.com/2024/08/28/diu… Some causes below ⤵️

Really well-constructed explanations by CORE IM. This was a great listen!

Always remember: the world is small and the best use of power is kindness and collaboration.

i’m not an anxious new attending, you are

This is what contributes to my burnout On call work ass off, stay late to teach trainee, call multiple colleagues to coordinate care for complex patient and still enjoy day! but then come home to email from admin Why didn't you click the appropriate box in epic (boss CC'd)

“Dr Goodman you don’t understand the health system looses money if you don’t click those boxes and quality score is lower” Ok figure out a way to solve the problem that doesn’t involve the doctor doing redundant work. I’m sure a bunch of highly paid admins can solve this!

The most reliable indicator of whether someone is in pain is THE PATIENT REPORT.

I love this. So collaborative, relational, and thoughtful. Imagine someone thinking this hard about your hospitalized loved one! Also—Kyle Walding , sadly the not-so-new attendings still do stuff like this. Thank you for caring so much about your patient!🫶🏽🤓

1/ 🚨 #JustInTheNickOfTme- NEW videos on iron deficiency! 🖥️: coreimpodcast.com/2024/09/04/iro… 📺: youtube.com/watch?v=sbs5cr… First- let’s review iron physiology and how that relates to iron studies ⤵️

Good news for those of us big feelers who show it

Saw back to school referred to as the beginning of school shooting season. The truth hurts. It doesn’t have to be this way.

…was interested and had the space and time to come along, without the pressure of notes and orders hanging over their head. The work required every day in medicine takes so much of the fun out of it and that’s a shame.

BIG NEWS in Ontario Canada today as ALL major community laboratories switch to clinical decision limits for ferritin in diagnosing iron deficiency. <30 ug/L for adults <20 ug/L for children 👏🏽👏🏽👏🏽👏🏽👏🏽👏🏽👏🏽👏🏽👏🏽👏🏽👏🏽👏🏽

1/ 🚨 PART ✌️of #JustInTheNickOfTime on iron deficiency! 🖥️: coreimpodcast.com/2024/09/04/iro… 📺: youtube.com/watch?v=_cKoFE… How can TSAT help in our diagnosis of iron deficiency? ⤵️