#208 AI vs. Human with Post-Op AFib: Bread & Butter Series
Core IM | Internal Medicine Podcast
Core IM Team
4.8 • 1.2K Ratings
🗓️ 27 May 2026
⏱️ 30 minutes
🧾️ Download transcript
Summary
Can AI manage post-op atrial fibrillation or does medicine still require human judgment? Using post-op AFib as a case study, we explore where algorithms help, where evidence falls short, and why clinical context still matters. When evidence is incomplete, and every patient is different, can AI truly practice medicine or only assist the clinicians who do? This episode explores the space between algorithms, uncertainty, and human judgment in modern medical care.
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02:51 | Broad workup for reversible causes and other etiologies of AFib that may occur post-op
05:10 | Considerations for management of post-op atrial fibrillation
13:00 | Stroke risk in atrial fibrillation
20:49 | Outpatient management of atrial fibrillation
25:54 | The role of AI in medical decision-making
Tags: CoreIM, Internal Medicine, Medical Education, Atrial Fibrillation, Cardiology, Open Evidence
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Transcript
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| 0:00.0 | I am genuinely glad Amazon Pharmacy now exists as another option for our patients. Think about how many |
| 0:06.6 | patients never start their meds because getting to the pharmacy became one more barrier, whether it was |
| 0:10.7 | transportation, caregiving responsibilities, or being relatively homebound or just life getting in the way. |
| 0:16.0 | And that's where I think Amazon Pharmacy can really help bridge gaps for our patients. They have |
| 0:20.3 | really intentionally built |
| 0:21.6 | the experience about reducing that friction. So in your EHR, all you have to do is search for |
| 0:26.6 | Amazon Pharmacy nationwide home delivery, just like you would search for any local pharmacy. |
| 0:31.7 | Send the prescription electronically and the patient gets a text message that walks him through |
| 0:35.5 | the setup. And then patients can get meds delivered right to their home. |
| 0:39.3 | They can talk to a licensed pharmacist 24-7. |
| 0:42.0 | And they see transparent praising upfront, right? |
| 0:45.1 | Amazon Pharmacy already applies manufacturer coupons automatically. |
| 0:49.0 | You can learn more at pharmacy.amazon.com, backslash prescribers. |
| 0:53.6 | But yeah, it is really awesome that now we have the option to say to our patients, hey, do you want your meds to go to the local pharmacy, or do you want it to deliver it fast and to the comfort and convenience of your home? That's honestly, like how everything in medicine works, which is when we start out and we have seen things a couple of times, We're like, oh, this is simple and it's |
| 1:11.5 | straightforward. And that there's something about you do this 100 times and then 200 times and then |
| 1:18.1 | 500 times. And the questions that seem like they're so basic and straightforward and like, |
| 1:25.1 | oh, duh, like that's obvious. Well, you often realize that actually |
| 1:29.3 | it's just convention. It's not actually based on the level of evidence that any of us would |
| 1:34.1 | want our family to be taken care of. And so, but like, it's passed down and it's, like, codified |
| 1:39.7 | through the unwritten language of medicine. And I'm looking forward to talking about the case. |
| 1:43.9 | Welcome to the bread and butter series, a new series where we compare and contrast cases |
| 1:47.7 | to help you better appreciate the nuances that we all tend to oversimplify. |
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