Shreya P. Trivedi MD, MHPE
@shreyatrivedimd.bsky.social
@CoreIMPodcast.Bsky.social | #MedTwitter | Internist | #FOAMed Creative Soul | #MedEd nerd | #WomenInMedicine | Boy Mom | #MedSky |
Did you know that the beautiful stone countertops that are in so many kitchens are the cause of respiratory failure (from silicosis) for 1000's of workers? I am so proud of my colleague's (Dr. Fazio), whose work will lead to policy changes that will ban their use & save lives. @domucla.bsky.social
Listen to this special #NephMadness episode of @coreimpodcast.bsky.social to hear @shreyatrivedimd.bsky.social, @noahmarkewitz11.bsky.social , and @jrkott27.bsky.social discuss all things POCUS: www.coreimpodcast.com/2026/03/23/p...
POCUS for AKI & Dialysis | Real Cases That Changed Management – Core IM Podcast
coreimpodcast.com
New JAMA review attempts to equate pulmonary congestion with systemic congestion ("volume overload") This is sloppy & often wrong Pts w/ LV failure often have pulmonary congestion w/o systemic congestion Pts w/ RV failure usually have systemic congestion w/ dry lungs CVP isn't PCWP #EMIMCC
So grateful to @shreyatrivedimd.bsky.social and Nick Villano for giving me this opportunity. I am so happy and excited to be able to share information on a very important topic…an illness that impacts patients and caregivers alike. Day in, day out. Please listen! podcasts.apple.com/us/podcast/c...
#201: Dementia Part 1: Gray Matters Segment
Podcast Episode · Core IM | Internal Medicine Podcast · February 25 · 45m
podcasts.apple.com
Stupidity is a lack of intellectual capacity, an inability to learn. Ignorance is a state of not knowing, a state that can possibly be changed with communication and education. We can make better use of our time and energy if we can spot the difference. (Hint: True magat = Stupid)
Medicine is crazy People in my health system send me PDFs of documents through the EHR that I then have to print out sign and then have someone fax it back to the original person so they can put it back into the EHR
Classic Fred Luft #Nephrology 101 editorial on a study testing the effect of potassium supplement on natriuresis: Eliminating sodium with potassium 🔗 academic.oup.com/ndt/article/... #NephSky #MedSky 🧪
Universities that tout the benefits of AI without advocating hard for the changes required for our planet to support AI (read: rapid shift to 100% renewable energy, strict water reclamation and reuse rules) are not helping humanity
reminder to liberally check carbon monoxide levels during snowmageddon CO levels can be measured on venous blood along with routine labs (no need for a separate arterial puncture) emcrit.org/ibcc/co/ #EMIMCC
end-stage academia: how to game the system to score more grants and publications this is ultimately a zero-sum rat race that doesn't help patients or science
Remember the TOPCAT story of what happened in Russia and Georgia? This is worse: www.science.org/content/blog... And in South Florida. From @dereklowe.bsky.social
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...
Edmonton doctors call on Alberta government to declare state of emergency as hospitals overflow — The Globe and Mail
Physicians are raising alarms weeks after a man died at a local hospital after waiting hours for treatment
apple.news
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
Trump Can’t Cap Overhead Rate on NIH Grants to Research Universities, Appeals Court Rules
The ruling is a victory for higher-education associations who challenged the proposed 15-percent cap, calling it illegal and claiming it would devastate the research enterprise.
chronicle.com
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.
CORE IM@coreimpodcast.bsky.social · 10mo ago1/ 🚨 NEW #5Pearls: Hepatorenal Syndrome Part ✌️ Let’s dive into treatment 🌊! 1️⃣ Vasoconstrictors 2️⃣ Albumin 3️⃣ Diuretics Goal: raise MAP by 10-15 ‼️ 🖥️: www.coreimpodcast.com/2025/10/22/h...
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!
CORE IM@coreimpodcast.bsky.social · 10mo ago1/ 🚨 NEW #5Pearls: Hepatorenal Syndrome (HRS) part 1️⃣ AKI + portal HTN 🟰hepatorenal syndrome 🖥️: www.coreimpodcast.com/2025/10/15/h...
1/ 🚨 NEW #5Pearls: Hepatorenal Syndrome (HRS) part 1️⃣ AKI + portal HTN 🟰hepatorenal syndrome 🖥️: www.coreimpodcast.com/2025/10/15/h...
#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
Palliative Care PSA - We’re the fire department, not the fire.
YouTube video by Jared Rubenstein
youtube.com
"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.
Megan Ranney MD MPH@meganranney.bsky.social · 11mo ago“framing science as a debate to be won makes it easy to paint established scientists as opponents who must be overcome” An interesting thesis and suggestion of a solution www.nytimes.com/2025/10/03/o... 🎁
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
