{"podcast":{"title":"Core IM | Internal Medicine Podcast","slug":"core-im-internal-medicine-podcast-60389","podcast_index_feed_id":60389,"rss_url":"https://feeds.redcircle.com/2c03e755-c428-4b8e-9150-95ef1ed2492b","website_url":"https://redcircle.com/shows/core-im-internal-medicine-podcast","image_url":"https://media.redcircle.com/images/2025/6/13/2/b2137ab0-0bbb-43a6-aaaa-b4b07adec3de_fcdc-ce25-48d2-986c-b209f60d7ebb_496745-915727.jpg","author":"Core IM Team","episode_count":217,"summary":"Core Internal Medicine via following series: 5 Pearls || Clinically relevant pearls Mind the Gap || Why do we do what we do? Gray Matters || Management Reasoning Hoofbeats || Dissecting clinical reasoning At the Bedside || Explore everyday challenges","last_synced_at":"2026-06-10T20:19:29.041629+00:00","page_url":"https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389"},"episode":{"title":"#188 Orthostatic Hypotension Part 2: Gray Matters Segment","slug":"188-orthostatic-hypotension-part-2-gray-matters-segment","published_at":"2025-09-22T08:44:26+00:00","page_url":"https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389/188-orthostatic-hypotension-part-2-gray-matters-segment","show_page_url":"https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389","url":"https://www.coreimpodcast.com/2025/09/22/orthostatic-hypotension-part-2-gray-matters/","audio_url":"https://pscrb.fm/rss/p/audio2.redcircle.com/episodes/04447338-2934-4b40-8f1b-53302693d324/stream.mp3","summary":"Medications for orthostatic hypotension! When to initiate treatment, how to use them safely, and what to do when new issues arise during treatment. How do those change if someone has autonomic failure? What do you do when your patient has hypertension AND also has orthostatic hypotension? 🔹 Sponsor : Oakstone CME’ Use the code \"CORE25\" for 25% off: https://www.coreimpodcast.com/MKSAP 🔹 Transcript & Show Notes Timestamps (+/- 1-2 mins): (00:28) | Case Recap: Beyond Non-Pharm Strategies (03:07) | Midodrine: Timing, Testing, & Supine Hypertension (06:23) | Fludrocortisone: Benefits vs. Risks (09:01) | Droxidopa: Evidence, Side Effects, Access Issues (10:11) | Pyridostigmine & NSAIDs: Secondary Options (12:31) | Balancing Hypertension and Orthostatic Hypotension (14:29) | Functional Hypotension & Risk Stratification (18:45) | Symptomatic Patients: What to Stop, What to Continue (20:19) | Autonomic Disease: Supine & Nocturnal Hypertension (21:47) | Bed Elevation, Compression, & Non-Pharm Pearls Tags: Internal Medicine, Geriatrics, Autonomic Dysfunction, Hypertension, Syncope, Falls, Patient Safety, Medical Education, physician assistant, nurse practitioner, hospitalist, primary care, neurology Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy","meta_description":"Medications for orthostatic hypotension! When to initiate treatment, how to use them safely, and what to do when new issues arise during treatment. How do…","key_points":[],"chapters":[],"topics":[],"duration_seconds":2135,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/core-im-internal-medicine-podcast-60389/episodes/188-orthostatic-hypotension-part-2-gray-matters-segment/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389/188-orthostatic-hypotension-part-2-gray-matters-segment.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}