iiinova — where your digital self keeps evolving

Reposted by Shreya P. Trivedi MD, MHPE

Thanh Neville, MD, MSHS @thanh-neville.bsky.social · 29/05/2026

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

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Shreya P. Trivedi MD, MHPE @shreyatrivedimd.bsky.social · 18/03/2026

Thanks for sharing this 🙏🏾🙏🏾 it’s all so humbling. appreciate honest reflections, insights and humor: “is this a spam caller or an insurance company?”

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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 15/03/2026

Chef’s kiss 😘

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josh farkas 💊 @pulmcrit.bsky.social · 08/03/2026

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

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Indu Partha, MD FACP @indupartha.bsky.social · 25/02/2026

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...

podcasts.apple.com

#201: Dementia Part 1: Gray Matters Segment

Podcast Episode · Core IM | Internal Medicine Podcast · February 25 · 45m

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Canadian Liberal @cliff229.bsky.social · 09/02/2026

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)

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Gabriel Bosslet @gbosslet.bsky.social · 02/02/2026

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

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Michael S. Balzer @balzer-lab.org · 03/02/2026

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 🧪

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Gabriel Bosslet @gbosslet.bsky.social · 03/02/2026

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

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josh farkas 💊 @pulmcrit.bsky.social · 24/01/2026

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

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josh farkas 💊 @pulmcrit.bsky.social · 23/01/2026

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

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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 12/01/2026

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

It seems to be a recurring problem, though. As you can see from the link above, Science's team found that several of these clinical centers have previously fouled up trial data for other companies and other drugs, and that alone should make any responsible CRO avoid them like radioactive waste zones. But the problems are even deeper. It appears that many of these Miami-area centers are cheerfully enrolling "professional patients" who are signing up for as many trials as possible to collect the payments and benefits, and who are likely as not throwing the pills themselves away. By this point in the article, my head was in my hands, and I'm sure that's a common reaction. This sort of idiotic fraud is the exact opposite of medical research.

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Reposted by Shreya P. Trivedi MD, MHPE

Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 08/01/2026

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...

apple.news

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

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Shreya P. Trivedi MD, MHPE @shreyatrivedimd.bsky.social · 06/01/2026

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

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Anthony Lau, PharmD BCPS @alaurx.bsky.social · 08/12/2025

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

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Paul Williams @paulnwilliams.bsky.social · 08/12/2025

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.

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NEJM.org @nejm.org · 22/11/2025

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

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CORE IM @coreimpodcast.bsky.social · 19/11/2025

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

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Jade Teakell, MD @jmteakell.bsky.social · 08/11/2025

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

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CORE IM @coreimpodcast.bsky.social · 05/11/2025

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...

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Noah markewitz @noahmarkewitz11.bsky.social · 22/10/2025

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.

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Noah markewitz @noahmarkewitz11.bsky.social · 15/10/2025

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!

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CORE IM @coreimpodcast.bsky.social · 15/10/2025

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

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CORE IM @coreimpodcast.bsky.social · 14/10/2025

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

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CORE IM @coreimpodcast.bsky.social · 14/10/2025

#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?

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Jason Sterlace @sterlace.bsky.social · 03/10/2025

"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.

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Shreya P. Trivedi MD, MHPE @shreyatrivedimd.bsky.social · 04/10/2025

Omg no Monica wtf 😔 Praying he gets home to you three soon 🙏🏾🙏🏾

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Reposted by Shreya P. Trivedi MD, MHPE

Monica Maalouf, MD @maaloufmd.bsky.social · 03/10/2025

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

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Shreya P. Trivedi MD, MHPE @shreyatrivedimd.bsky.social · 03/10/2025

Hahah omg I didn’t appreciate that aspect of consistent lol 🤦🏽‍♀️🤦🏽‍♀️

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josh farkas 💊 @pulmcrit.bsky.social · 02/10/2025

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)

media.tenor.com

a man in scrubs is eating a piece of food while sitting in a hospital bed .

ALT: a man in scrubs is eating a piece of food while sitting in a hospital bed .

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Soumya Rangarajan, MD, MPP @soumya-goblue.bsky.social · 01/10/2025

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

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Ryan Marino, MD @ryanmarino.bsky.social · 01/10/2025

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

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CORE IM @coreimpodcast.bsky.social · 01/10/2025

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...

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CORE IM @coreimpodcast.bsky.social · 01/10/2025

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

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Shreya P. Trivedi MD, MHPE @shreyatrivedimd.bsky.social · 29/09/2025

I never read any of them 🤦🏽‍♀️

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Shreya P. Trivedi MD, MHPE @shreyatrivedimd.bsky.social · 28/09/2025

Oo how does this actually work? They give 30 questions every 5 years and you have a month to finish? 🤔

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Shreya P. Trivedi MD, MHPE @shreyatrivedimd.bsky.social · 27/09/2025

That and Fabulous four (but that was bc there was a baby)

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Thanh Neville, MD, MSHS @thanh-neville.bsky.social · 26/09/2025

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.

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