Overflowing ERs with 3 deaths in one ER waiting room No room to offload ambulance patients Admitted patients in the hallways Edmonton (and everywhere else with a rip roaring flu season) apple.news/AOw1VHQFjSxy...

a huge victory for universities, worth billions of dollars: Trump can’t cap indirect-cost rates on NIH grants, appeals court rules www.chronicle.com/blogs/the-tr... via @andyandy.bsky.social

There’s something quietly comforting about the first week back after the holidays The return of routine. Kids back in school. Headspace. 🙏

Examples of common IV antibiotics and their sodium content: - Ampicillin: 731 mg/dose → 2,924 mg/day - Ceftriaxone: 55 mg/dose → 110 mg/day - Metronidazole: 324 mg/dose → 973 mg/day - Piperacillin-Tazobactam: 556 mg/dose → 1,668 mg/day - Vancomycin: 885 mg/dose → 1,770 mg/day

What a joy it must be to work at an urgent care and just prescribe antibiotics for viral illness with wild abandon so you can later take credit for the work that the passage of time did.

What are the challenges of recommending bisphosphonates to patients who have normal bone density? Dr. Ann Garment discusses this in the latest episode of Beyond Journal Club, a collaboration between @coreimpodcast.bsky.social and NEJM Group. Full episode: nej.md/4q7hOK3  #MedSky

2/ Volume overload 🚫🟰 venous congestion 💧 Volume overload: evidence of excess extracellular volume 💧 Venous congestion: high back pressure leading to reversal of blood flor from RA into end organs, which can cause injury

Fruits & vegetables 🍊🥑🥦are ⭐️NOT⭐️ the problem. ❌Myth: restricting dietary K is useful to prevent hyperkalemia ❌Myth: Avoid fruits/veg - the main source of dietary K+ #Kidneywk

1/ 🚨 NEW episode on first line meds for Type 2 DM ‼️ Let’s dive in and discuss whether tried and true metformin vs. newer options, like SGLT2i or GLP1RA, are better for YOUR patient 🌊 🖥️: www.coreimpodcast.com/2025/11/05/d...

Had so much to say about HRS we had to split it into two episodes! Check out part 2 on HRS treatment, Transplant, and a topic near and dear to my heart, palliative care.

It has been a dream to be able to be a part of my favorite podcast. Check out this very fun episode on one of the most interesting diseases, Hepatorenal Syndrome!

1/ 🚨 NEW #5Pearls: Hepatorenal Syndrome (HRS) part 1️⃣ AKI + portal HTN 🟰hepatorenal syndrome 🖥️: www.coreimpodcast.com/2025/10/15/h...

Answer: YES Review the REVISE trial w/ @NEJMGroup below ⤵️ www.coreimpodcast.com/2024/12/11/s...

#TriviaTuesday Does stress ulcer prophylaxis with a PPI reduce clinically-important bleeding compared to no prophylaxis in mechanically ventilated patients in a contemporary ICU setting?

And the great original video I discuss with @drjrubenstein.bsky.social is available at: www.youtube.com/watch?v=BbNi... #AdvanceCarePlanning

"After 30 years as a researcher, science communicator and university science teacher, I’ve been unsettled by what appears to be a growing skepticism of science among some of my Generation Z students..." Some people mistakenly believe that skepticism *is* science.

My husband was detained by ICE today Juan Muñoz, an American citizen, father of 2, and local government official, was peacefully protesting w. other elected officials. He was assaulted and taken away I have had zero contact or updates since #SOS @duckworth.senate.gov @durbin.senate.gov

be kind and give your patients a REGULAR DIET caffeine-free diets ➡️ caffeine withdrawal sodium-restricted diets aren't evidence-based (use diuretics to balance volume) treat hyperglycemia with insulin (not by artificially restricting carbs) (renal diet for hyperkalemic renal failure = exception)

📢 Academic Medicine Call for Associate Editor Applications: @acadmedjournal.bsky.social is welcoming applications to expand the journal’s team of associate editors. Learn more here: https://bit.ly/4nyTFKD. #MedEd #ScholarlyPublishing #MedSky

We are fast going to find out in the #medical #fellowship match in #December how much more short staffed #nephrology and #Geriatrics clinics are going to be when the 50% of those specialties made up of #H1B #immigrants don’t come to the US anymore

ER doc here! This is a lie. Wait times are up because the American healthcare system is an unsustainable business model and a for-profit national healthcare system just doesn’t work. These problems will continue to get worse until we change that system. It literally has nothing to do with immigrants

1/ 🚨 NEW #BeyondJournalClub w/ @NEJMGroup: The Bolland study Question: Does infrequent zoledronate therapy in patients without osteoporosis prevent fractures? Answer: ⤵️ www.coreimpodcast.com/2025/10/01/b...

8/ Thanks to all for breaking (pun-intended) this down! By: Dr. Sarah Gorey, Dr. Clem Lee Dr. Greg Katz and @shreyatrivedimd.bsky.social Experts: Dr. Annie Garment and Dr. Ole-Petter R. Hamnvik Graphic: Dr. Jimin Hwang Audio: Kathreene Gala RN

Yes, it's a good thing that DHS is condemning this ICE officer, but let's realize this only happened because 1) the video went viral and 2) the ICE agent was unmasked. We need to hold them accountable to actions like this everyday.

Ever since I learned about this study enrolling I have been eagerly awaiting the results. Researchers in Uganda took a centuries-old cultural practice mothers carrying babies on their backs in cloth wraps and turned it into a public health tool. You got to love it! www.nejm.org/doi/full/10....

MAHA gold-standard science. By @glaucomflecken.bsky.social

OpenEvidence refused to believe that RSV vaccination is recommended for patients over 50 with comorbidities. Just make sure you’re double-checking its math.

Did we all take organic chemistry & the MCAT & miss the social part of our early 20’s and work 80 hours a week for 3+ years for the brain worm guy who doesn’t know what a p-value is to destroy our nation’s public health system? No. Time to lean into our expertise and speak up.

You say "happy birthday," I say "Another year older, another loss of 0.9 ml/min of eGFR"

Interesting diuretic resistance study. Adunctive thiazides take the lead over loop intensification? Nice discussion on mechanisms of DR, both practical and hypothetical. #nephsky journals.lww.com/jasn/abstrac...

1/ 🚨 NEW #WhiteboardAnimation: ILD 🫁 Let’s talk ILD classification & management ⤵️ 🎥: www.youtube.com/watch?v=GjBg... 🖥️: www.coreimpodcast.com/2025/09/14/i...

Learned a ton of specific, practical strategies and the WHY from some wonderful neurologists 🤗

1/ 🚨 NEW #GrayMatters: Orthostatics part 1️⃣ Orthostatic hypotension is VERY common ‼️ ✨ 20% of those over 60 years old ✨ 50% in nursing homes Causes: ✨ Decreased venous return ✨ Neurogenic 🖥️: www.coreimpodcast.com/2025/09/11/o... Sponsor: Oakstone CME

Amazing video from @nytimes.com about #MAHA www.nytimes.com/video/opinio... . If you find yourself looking down on your MAHA friends/family- watch this.

Going to add this to my lecture slides.

Spironolactone does not work for dialysis ACHIEVE published in @thelancet.com @lastwalsh.bsky.social and colleagues www.thelancet.com/journals/lan... Coming soon to a #NephJC near you

1/ 🚨 NEW #5Pearls: Neutropenia 🦠 Let’s review the what, when, and why of neutropenia, including management of febrile neutropenia 🥵 🖥️: www.coreimpodcast.com/2025/08/13/n...

Since Dobbs, 35% of obstetricians have left the state of Idaho That is a lot jamanetwork.com/journals/jam...

1/ 🚨 NEW #StoriesForTheFeels In the midst of burnout and inboxes, this episode is a breath of fresh air 💨 Dr. Rosasco shares three stories remind us that showing up as a human is still part of the job🤍 🖥️ : www.coreimpodcast.com/2025/07/28/s... Sponsor: Oakstone CME ACP MKSAP Companion

1/ 🚨 NEW #Hoofbeats episode! Let’s diagnose BOTH the patient and the clinician by figuring out the disease process and the cognitive processes that led us towards/away from it 🩺 🖥️: www.coreimpodcast.com/2025/07/21/d...

1/ 🚨 NEW #5Pearls: Pleural Effusions 🌊 Did you know up to 30% of pleural effusions of have more than one etiology? Let’s dive in! 🖥️: www.coreimpodcast.com/2025/07/09/p... Sponsor: Oakstone CME Featuring: @pulmpeeps.bsky.social

Great news guys. Those 17 million people who are about to lose their healthcare won’t even need it after we get rid of the synthetic dyes.

1/ 🚨 NEW: July stories 3.0 🩺 Listen for some good laughs and memorable stories as a humble reminder for mixed emotions and experiences the transition can bring! 🖥️: www.coreimpodcast.com/2025/07/02/j...

Pt: Somedays I feel like 18 and somedays 118. Why can’t my body just decide?! Me: I know! Is anything #consistent these days?! 🤔 #MedSky

Conference fees. Maintenance of certification fees. State license renewal fees. DEA registration renewal fee. Professional society membership renewal fees. 💸💸💸💸💸💸💸💸💸

Fulbright board resigns citing interference by Trump administration reut.rs/402V1Ds

TRUTH: “Research isn’t complete until evidence drives change.” ~ @aaronecarroll.bsky.social at @academyhealth.bsky.social #ARM25 #medsky #publichealth @meganranney.bsky.social @scottgottliebmd.bsky.social @madhupai.bsky.social @shematologist.medsky.social @richardferro.xyz @epiellie.bsky.social