Shreya P. Trivedi MD, MHPE
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shreyatrivedimd.bsky.social
Shreya P. Trivedi MD, MHPE
@shreyatrivedimd.bsky.social
1.9K followers 120 following 130 posts
@CoreIMPodcast.Bsky.social | #MedTwitter | Internist | #FOAMed Creative Soul | #MedEd nerd | #WomenInMedicine | Boy Mom | #MedSky |
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Reposted by Shreya P. Trivedi MD, MHPE
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.
1/ 🚨 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...
Reposted by Shreya P. Trivedi MD, MHPE
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...
Reposted by Shreya P. Trivedi MD, MHPE
1/ 🚨 NEW #5Pearls: Hepatorenal Syndrome (HRS) part 1️⃣

AKI + portal HTN 🟰hepatorenal syndrome

🖥️: www.coreimpodcast.com/2025/10/15/h...
Reposted by Shreya P. Trivedi MD, MHPE
Answer: YES

Review the REVISE trial w/ @NEJMGroup below ⤵️

www.coreimpodcast.com/2024/12/11/s...
Reposted by Shreya P. Trivedi MD, MHPE
#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?
Reposted by Shreya P. Trivedi MD, MHPE
"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.
“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... 🎁
Opinion | How the Manosphere Hijacks Young Men’s Interest in Science
www.nytimes.com
Omg no Monica wtf 😔

Praying he gets home to you three soon 🙏🏾🙏🏾
Reposted by Shreya P. Trivedi MD, MHPE
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 🤦🏽‍♀️🤦🏽‍♀️
Reposted by Shreya P. Trivedi MD, MHPE
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)
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 .
media.tenor.com
Reposted by Shreya P. Trivedi MD, MHPE
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
The biggest reason for longer waits is staffing shortages, which are driven by more people leaving healthcare practice than entering, esp nursing, due to bad management practices (often related to private equity).

This administration’s immigration policies will significantly worsen these shortages.
Reposted by Shreya P. Trivedi MD, MHPE
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
Vance: "If you're an American citizen & you've been to the hospital in the last few years, you've probably noticed wait times are especially large & very often somebody who's there in the ER is an illegal alien. Why do those people get healthcare benefits at hospitals paid for by American citizens?"
Reposted by Shreya P. Trivedi MD, MHPE
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...
Reposted by Shreya P. Trivedi MD, MHPE
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)
Reposted by Shreya P. Trivedi MD, MHPE
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.
BREAKING: The ICE officer who shoved an Ecuadorian woman to the floor at a Manhattan immigration courthouse has been “relieved of duties” and is under investigation, DHS says.
Reposted by Shreya P. Trivedi MD, MHPE
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....
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...
www.nejm.org
Reposted by Shreya P. Trivedi MD, MHPE