Shreya P. Trivedi MD, MHPE

All the best in one place!

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?

YouTube video by Jared Rubenstein Palliative Care PSA - We’re the fire department, not the fire.

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.

Omg no Monica wtf 😔

Praying he gets home to you three soon 🙏🏾🙏🏾

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

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

a white cat is sitting on a box with the words `` make it make sense '' written above it . ALT: a white cat is sitting on a box with the words `` make it make sense '' written above it .

I’ve also had numerous patients tell me that when they’re on the diabetic diet, they can’t order oatmeal for breakfast but they can order tater tots? 🤷🏽‍♀️

💚💚

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 .

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 Academic Medicine is welcoming applications to expand the journal’s team of associate editors. Associate editors work closely with the editor-in-chief, deputy editors, and the editorial s…

📢 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

I never read any of them 🤦🏽‍♀️

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

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

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.

Permethrin-Treated Baby Wraps for the Prevention of Malaria | NEJM Malaria remains a major cause of childhood death in sub-Saharan Africa. We leveraged the traditional practice of mothers carrying children on their backs in cloth wraps to assess whether treating t...

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