podcastlijstje

The Curbsiders Internal Medicine Podcast

Alle afleveringen

500 afleveringen, van nieuw naar oud

  1. Reboot #108 POCUS: Point-of-care Ultrasound for the Internist

    7 augustus 2019 · 1 uur

    Afspelen
    Point-of-care Ultrasound AKA POCUS ain’t no hocus. Dr. Renee Dversdal (@ReneeDversdal) Director of the Oregon Health & Science University Point of Care Ultrasound and General Medicine Ultrasound Fellowship Director, joins The Curbsiders to discuss her craft. Topics include: Defining POCUS, the value POCUS adds to the physical exam, training pathways and the appropriateness of billing. This episode is sponsored for CME-MOC credit by the American College of Physicians. ACP members can claim free credit at www.acponline.org/curbsiders (goes live at 9am on release date). Follow this link to read the ACP’s statement in support of POCUS in Internal Medicine. Lees meer

    Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written by: Christopher Chiu MD, FACP and Renee Dversdal MD, FACP

    Produced and CME questions by: Christopher Chiu MD, FACP

    Edited by: Matthew Watto MD, FACP

    Hosts: Matthew Watto MD, FACP; Stuart Brigham MD; Christopher Chiu MD, FACP

    Guest Expert: Renee Dversdal MD, FACP

    Special thanks to our POCUS friends!

    ACP

    We can speak first hand that the following courses are amazing POCUS learning experiences! Sign up today

    Point-of-Care Ultrasound: Foundational Skills for Internists

    November 7-8, 2019 and November 9-10, 2019 (same 2-day course repeated back to back)

    Crowne Plaza O’Hare Hotel and Conference Center, Rosemont, IL

    Registration is now open at acponline.org/pocus

    Point-of-Care Ultrasound: Foundational Skills for Internists

    April 21-22, 2020 (during Internal Medicine Meeting 2020)

    Los Angeles Convention Center

    Registration will open at the end of September

    Point-of-Care Ultrasound: Advanced Skills for Outpatient Practice

    April 22, 2020 (during Internal

  2. #164 Stroke and TIA Deconstructed

    5 augustus 2019 · 1 uur 15 min

    Afspelen
    Update your management of stroke and TIA in primary care. Stroke neurologist, Chris Favilla MD (University of Pennsylvania), walks us through the plumbing of the brain, so we can identify ischemic risks in stroke and TIA patients to prevent recurrences. Learn factors that make a TIA high risk, which imaging studies to order, new research around aspirin dosing, dual antiplatelets, DOACs, cardiac monitoring and more! ACP members can claim CME-MOC credit at https://www.acponline.org/curbsiders (CME goes live at 0900 ET on the episode’s release date). Lees meer

    Full show notes at https://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Producers: Molly Heublein MD; Matthew Watto MD, FACP

    Writer (including CME questions): Molly Heublein MD

    Cover Art: Bryan Brown MD

    Hosts: Stuart Bringham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP

    Editor: Emi Okamoto, MD; Matthew Watto MD, FACP

    Guest: Chris Favilla, MD

  3. #163 Hotcakes: Burnout, iron for heart failure, aspirin & VTE prevention

    29 juli 2019 · 42 min

    Afspelen
    Summary Lees meer

    The sun is shining, the cakes are hot, and the takes are even hotter. Welcome to our July 2019 Hotcakes episode! Join us as our beloved hosts Chris, Matt, Stuart and Paul share some of the latest practice-changing knowledge, news and research in medical science. Today’s discussion covers studies on the use of IV iron supplementation for heart failure, aspirin as VTE prophylaxis after arthroplasty, and the relationship between physician burnout and ability to address patients’ social determinants of health. Honorable mentions include a throwback to the life-changing magic of Pokémon GO.

    Full show notes available at http://thecurbsiders.com/podcast. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and Produced by: Sarah Phoebe Roberts MPH, Christopher Chiu MD

    Hosts: Matthew Watto MD, Stuart Brigham MD, Paul Williams MD, and Christopher Chiu MD

    Editor: Christopher Chiu MD, Emi Okamoto MD

    Cover-Art: Matthew Watto MD

  4. #162 Gender & Sexual Harassment in Medicine, #MeToo

    22 juli 2019 · 1 uur 2 min

    Afspelen
    Dr. Reshma Jagsi (TIME’S UP Healthcare; UMichigan) schools us on sexual harassment and describes the systemic and cultural changes that need to happen to effect real change. She unpacks the definition of sexual harassment, describes the state of the #MeToo and TIME’s UP movements across the science and medicine fields and highlights how we all can recognize/respond to harassment. Lees meer

    This is the third episode of our Women in Medicine series. Last August, you heard us talk to Dr. Vinny Arora about the paucity of women in leadership positions, finding sponsors for career advancement, and being bold about career decisions. In December, we spoke to Dr. Susan Hingle about work-life integration. Her advice? Stop worrying about what other people think, acknowledge that being a doctor is hard, especially for women due to disproportionate out-of-work responsibilities, and define a beautiful life that is individualized to you.

    Full show notes available at http://thecurbsiders.com/podcast. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Leah Witt MD, Shreya Trivedi MD, Nora Taranto MD, Sarah P. Roberts MPH.

    Editor: Matthew Watto MD

    Hosts: Shreya Trivedi MD, Chris Chiu MD, Leah Witt MD

    Guest: Reshma Jagsi MD, DPhil

    Special thanks to: Hannah Abrams MS4, Beth Garbitelli MS2, and Molly Heublein MD

  5. #161 A Rash Approach to Rashes with Helena Pasieka MD

    15 juli 2019 · 1 uur 19 min

    Afspelen
    Tackle rashes with wisdom from Kashlak’s resident Skinternist (or Internist-Externist) Dr. Helena Pasieka (MedStar, Georgetown), board certified in both Internal Medicine and Dermatology. She offers “a rash approach to rashes” including: initial triage, ‘inside job’ vs ‘outside job’, differential diagnosis, a review of common culprits, basic management techniques, and how to determine if the reaction is life-threatening. Plus, Dr Pasieka teaches us how to handle family and friends asking, “Can you take a look at this rash?”. Lees meer

    Full show notes at https://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and Produced: Beth Garbitelli MS2

    Infographic and Cover Art: Beth Garbitelli MS2

    Hosts: Stuart Bringham MD, Matthew Watto MD, Paul Williams MD

    Editor: Matthew Watto MD

    Guest: Helena Pasieka MD

  6. #160 Hotcakes: E-cigarettes, UTIs, Heart Failure

    10 juli 2019 · 45 min

    Afspelen
    Confession: we have been holding out on you. Specifically, we’ve been sitting on a special episode of Hotcakes and Hot Takes that we recorded this March, with featured guest Armand Gottlieb, MD of the online publication The Scope. But here it is! We hope you’ll enjoy our discussion of topics like the ever-controversial e-cigarettes for smoking cessation question, outcomes related to antibiotic treatment of UTIs among elderly adults, and the role of sacubitril-valsartan for acute decompensated heart failure in inpatient settings (the PIONEER-HF study). Special guest is Dr. Armand Gottlieb @ArmandGottlieb, who was a third year internal medicine resident at Columbia University Medical Center in New York City at the time of recording. He is a co-Editor of the The Scope, a free and brief weekly roundup of the most recent and relevant medical literature. Lees meer

    Full show notes available at http://thecurbsiders.com/podcast. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and Produced by: Sarah Phoebe Roberts MPH, Christopher Chiu MD

    Hosts: Matthew Watto MD, Stuart Brigham MD, Paul Williams MD, and Christopher Chiu MD

    Guest Presenter and Content Planning: Armand Gottlieb, MD

    Editor: Christopher Chiu MD

    Cover-Art: Christopher Chiu MD

    Pick of the Week

    The SCOPE. The week’s best in evidence-based medicine, written in plain language and delivered to your inbox. Sign-up for weekly emails or download the app.

  7. #159 Atrial Fibrillation Review and Update with James Furgerson MD

    8 juli 2019 · 1 uur 20 min

    Afspelen
    Take control of atrial fibrillation with expert insights and pearls from cardiologist, Dr. James Furgerson, in this jam-packed episode! You’ll learn why atrial fibrillation is such a big deal, how to diagnose it, how to treat it and when to call in for reinforcements. Dr. James Furgerson, MD is a cardiologist from San Antonio, Texas with over 20 years in academics. Buckle up - This episode is going to send your heart racing! You might even skip a beat! Full notes at https://thecurbsiders.com. Lees meer

    ACP members can claim CME-MOC credit at https://www.acponline.org/curbsiders (CME goes live at 0900 ET on the episode’s release date).

    Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Writer and Producer: Cyrus Askin MD

    Infographic: Cyrus Askin MD

    Cover Art: Cyrus Askin MD

    Hosts: Matthew Watto MD, Paul Williams MD, Cyrus Askin MD

    Editors: Matthew Watto MD

    Guest: James Furgerson MD

  8. #158 Medicine and Incarceration

    1 juli 2019 · 59 min

    Afspelen
    Expand your knowledge about how--and how well--we manage the health of incarcerated patients in the United States, with the expert knowledge of correctional health experts Drs. Aaron Fox @adfoxmd, Jon Giftos @JonGiftosMD, and Emily Wang @ewang422. Correctional medicine is a black box for many providers who do not work in prison and jail settings. But it’s ever more relevant to primary care physicians everywhere, with increasing rates of incarceration the last decade. In this episode, recorded live at SGIM 2019 #SGIM19, Dr. Fox, Dr. Giftos, and Dr. Wang talk us through the variability of the correctional healthcare systems throughout the country, the challenges to health for patients both while incarcerated and in the transition after release, and some essential nuts and bolts for providers about how to provide better care to this vulnerable population. Lees meer

    Full show notes available at https://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Justin Berk MD MPH MBA, Nora Taranto MD

    Cover Image: Beth Garbitelli MS2

    Infographic: Beth Garbitelli MS2

    Hosts: Matthew Watto MD, Paul Williams MD, Justin Berk MD MPH MBA

    Edited by: Matthew Watto MD

    Guests: Aaron Fox MD, Jon Giftos MD, Emily Wang MD MAS

    Sponsor

    This episodes was recorded LIVE at #SGIM19 in Washington DC! Join the Society for General Internal Medicine today!

  9. #156 Chronic Pain, Opioids, Tapers

    24 juni 2019 · 1 uur 6 min

    Afspelen
    Rethink how you’re diagnosing and managing chronic pain with high-yield tips from pain experts and primary care doctors Soraya Azari MD @azarimugs (UCSF), and Phoebe Cushman MD, MS (UMass Memorial). Because let’s face it, managing chronic pain can be very difficult. Expand your toolbox for management-- including the importance of activity, empowering your patient, risk stratification for patients prior to opioid initiation, how to identify opioid use disorder, and how to taper opioids. Plus, updates on recent practice changing articles in chronic pain. Lees meer

    Full show notes at https://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Nora Taranto MD

    Hosts: Nora Taranto MD, Paul Williams MD, Matthew Watto MD

    Edited by: Emi Okamoto MD, Matthew Watto MD

    Guests: Soraya Azari MD; Phoebe Cushman MD, MS

    Sponsor

    This episodes was recorded LIVE at #SGIM19 in Washington DC! Join the Society for General Internal Medicine today!

  10. #155 LGBT Health in Primary Care

    17 juni 2019 · 53 min

    Afspelen
    Build your knowledge base to improve primary care for LGBT patients! This episode is chock full of clinical pearls and updates for LGBT health from SGIM presenters, Dr. Jenny Siegel (Boston University) and Dr. Megan McNamara (Louis Stokes Cleveland VAMC). They define common gender identity terms and provide tips on how to take a sexual history. You’ll develop an approach to the unique clinical concerns of LGBT patients and learn how to phrase medical information in a gender neutral framework. This is a must listen episode for all health care providers! Lees meer

    Full show notes at https://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and Produced by: Carolyn Chan MD

    Graphics: Hannah Abrams

    Hosts: Carolyn Chan MD, Paul Williams MD, Matthew Watto MD

    Guest: Megan McNamara MD, Jenny Siegel MD

    Sponsor

    This episodes was recorded LIVE at #SGIM19 in Washington DC! Join the Society for General Internal Medicine today!

  11. #154 DVT and PE Master Class with Michael Streiff MD

    10 juni 2019 · 1 uur 9 min

    Afspelen
    What do Judas Priest, surfing, and clots have in common? They are the passionate interests of expert Dr. Michael Streiff who guides us through the diagnosis and management of DVT and PE aka venous thromboembolism (VTE). By the end of the episode you will know how to catch a clot very Wells! We dive deep into the treatment options, literature, and some unique cases. ACP members can claim CME-MOC credit at https://acponline.org/curbsiders (CME goes live at 0900 ET on the episode’s release date). Lees meer

    Full show notes available at https://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by (including CME questions): Justin Berk MD, MPH, MBA

    Cover art by: Kate Grant MBChB DipGUMed

    Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Stuart Brigham MD

    Edited by: Matthew Watto, MD, FACP

    Guest: Michael Streiff MD

  12. #153 Heart Disease in Women with Dr Bairey Merz

    3 juni 2019 · 54 min

    Afspelen
    Expand your idea of ischemic heart disease to include non-obstructive patterns, which as our guest, Dr Noel Bairey Merz, a clinical investigative cardiologist whose multiple roles include Director of the Barbra Streisand Women’s Heart Center and the Preventive Cardiac Center at the Smidt Cedars-Sinai Heart Institute, shares with us, is incredibly common, especially in women. Learn to recognize these women and treat according to guidelines, preventing unnecessary IHD mortality in our female (and some male) patients. We review a variety of non-obstructive pathologies and the best techniques to evaluate them. Lees meer

    Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Shreya Trivedi MD, Molly Heublein MD

    Hosts: Paul Williams MD, FACP; Shreya Trivedi MD; Molly Heublein MD

    Edited by: Matthew Watto MD, FACP; Emi Okamoto MD

    Graphics by: Hannah Abrams

    Guest: Dr. C Noel Bairey Merz MD, FACC, FAHA

    Curbsiders' Schwag!

    We’ve got the perfect father’s day gift for every internal medicine nerd. The Curbsiders have opened our own online shop. Get your Curbsiders t-shirts, hoodies, stickers, and coffee mugs. Help support the show and gain instant bragging rights. Note: All purchases come with admitting privileges at Kashlak Memorial Hospital!

  13. #152 Dare to Lead: Becoming a PGY2

    29 mei 2019 · 1 uur 18 min

    Afspelen
    Dare to lead. Master the transition to PGY2 with tips from expert educator Abby Spencer MD, MS, FACP, IM Residency Program Director and Vice Chair for Education for the Medicine Institute at Cleveland Clinic and Shreya Trivedi MD, GIM Fellow at NYU School of Medicine. Topics include: how to run work rounds, preparing your team for attendings rounds, how to teach on the fly, finding your leadership style, and what to read during residency. This is the first of three episodes that we’re co-developing with the American College of Physicians for their Resident Transitions Series. Lees meer

    Full show notes available at http://thecurbsiders.com/podcast. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Shreya Trivedi MD

    Graphics and Show Notes by: Hannah R Abrams

    Hosts: Paul Williams MD, FACP; Stuart Brigham MD; Matthew Watto MD, FACP; Shreya Trivedi MD

    Guest: Abby Spencer MD, MS, FACP

    Sponsor

    The Resident Transitions Series is brought to you by The American College of Physicians with support from its Council of Resident/Fellow Members. Visit acponline.org/resident to learn more about the benefits of Resident/Fellow Membership and join our proud internal medicine community today!

  14. #151 Anaphylaxis with Dr Olajumoke Fadugba MD

    27 mei 2019 · 39 min

    Afspelen
    Recognize common presentations of anaphylaxis and stop under-treating this deadly allergic reaction with tips from Dr. Olajumoke Fadugba, Assistant Professor of Medicine, University of Pennsylvania! We review the basic pathophysiology and the standard criteria for diagnosing anaphylaxis, treatment basics, the primary importance of epinephrine, and the utility of adjunctive therapies. Also included are great tips on counseling patients about auto-injectable epinephrine, and a reminder not to panic...even when you inject your own thumb?! ACP members can claim CME-MOC credit at https://acponline.org/curbsiders (CME goes live at 0900 ET on the episode’s release date). Lees meer

    Full show notes available at https://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Writer (interview, show notes & CME questions) and cover art: Emi Okamoto MD

    Infographic by: Emi Okamoto MD

    Hosts: Matthew Watto MD, FACP; Stuart Brigham MD

    Editors: Matthew Watto MD, FACP

    Guest: Olajumoke Fadugba MD

    Special thanks to Sarah Phoebe Roberts MPH for booking!

  15. #150 HFpEF with Dr Clyde Yancy MD

    20 mei 2019 · 48 min

    Afspelen
    HFpEF (heart failure with preserved ejection fraction) with master cardiologist, Dr Clyde Yancy MD, Chief of Cardiology and Professor of Medicine (Cardiology) and Medical Social Sciences, Northwestern, Feinberg School of Medicine. Topics include: pathophysiology, HFpEF phenotypes, how to interpret a borderline ejection fraction, evidence based therapies, diuretics, and future directions (pulmonary artery monitors, intra-atrial shunts, ARNI compounds), and more! Lees meer

    Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Paul Williams MD, FACP; Sarah Phoebe Roberts MPH

    Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Stuart Brigham MD

    Show Notes: Justin Berk MD, MPH, MBA; and Beth Garbitelli MS1

    Infographics: Beth Garbitelli MS1

    Editor: Matthew Watto MD, FACP

    Guest: Clyde Yancy MD, MSc, MACC, FAHA, MACP, FHFSA

  16. Recap SGIM19 Day 2

    17 mei 2019 · 41 min

    Afspelen
    Recap of random pearls and highlights from SGIM19 Day 2 including: methadone and buprenorphine, perioperative buprenorphine, medical cannabis, HPV vaccination, young adult medicine, academic promotions, long term sequelae of childhood kidney disease, stage 1 hypertension, some great free resources in addiction medicine, and more! Special thanks to the Society for General Internal Medicine for their hospitality. Lees meer

    Full show notes available at https://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written, produced, and cohosted by: Paul Williams MD, Matthew Watto MD, Justin Berk MD, Carolyn Chan MD, Shreya Trivedi MD, Nora Taranto MS4 (soon to be MD!)

    Edited by: Matthew Watto MD

  17. Recap SGIM19 Day 1

    13 mei 2019 · 40 min

    Afspelen
    Recap of random pearls and highlights from SGIM19 Day 1 including: Kidney stone treatment (roller coasters, sex and tamsulosin), aspirin, SGLT2 inhibitors to reduce kidney events, oral antibiotics for endocarditis, preferred physician attire, sexual harassment, writing letters of recommendation, triple therapy for COPD, DAPT for stroke, and more! Special thanks to the Society for General Internal Medicine for their hospitality. Lees meer

    Full show notes available at https://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written, produced, and cohosted by: Paul Williams MD, Matthew Watto MD, Justin Berk MD, Carolyn Chan MD, Shreya Trivedi MD, Abby Spencer MD, MS, Nora Taranto MS4 (soon to be MD!)

    Edited by: Matthew Watto MD

    Special Guest: Abby Spencer MD, MS

  18. #149 Hip Pain for Primary Care

    6 mei 2019 · 44 min

    Afspelen
    Identify and treat the most common causes of hip pain in the outpatient setting with returning guest, Dr Ted Parks. A large majority of hip pain in the office setting will be due to one of three conditions (hip osteoarthritis, greater trochanteric pain syndrome, and lumbo-sacral back pain). Learn to easily identify these conditions, how to initiate conservative treatment, and more about hip replacements. ACP members can visit https://acponline.org/curbsiders to claim free CME-MOC credit for this episode and show notes (goes live 0900 EST). Lees meer

    Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Molly Heublein MD, Nora Taranto MS4

    CME questions by: Molly Heublein MD, Nora Taranto MS4

    Hosts: Matthew Watto MD, Paul Williams MD, Stuart Brigham MD, Molly Heublein MD

    Edited by: Matthew Watto MD, Emi Okamoto MD

    Guest Presenter: Ted Parks MD

  19. Telehealth with Ana María López MD

    2 mei 2019 · 55 min

    Afspelen
    Electric cars, virtual reality, nanotechnology, and now… telemedicine? We chat with Dr. Ana María López MD, FACP about the future of telehealth, how to implement it in your practice, and the challenges you might face in doing so. Dr. López is immediate past president of the American College of Physicians (ACP) as well as Vice Chair of Medical Oncology and Chief of New Jersey Division Sidney Kimmel Cancer Center of Thomas Jefferson University. Her main areas of professional interest and expertise include cancer prevention and equity, integrative oncology, implementation of innovations in health care including telemedicine, and women’s health. We learned immensely from our talk with her and we hope you will, too! ACP members can claim free CME & MOC credit at https://acponline.org/curbsiders. Download Dr Brigham’s telehealth cheat sheet as a PDF at http://thecurbsiders.com/podcast. Lees meer

    Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Hannah Abrams, Stuart Brigham MD

    Cohosts: Matt Watto MD, Stuart Brigham MD, Paul Williams MD, Hannah Abrams

    Guest: Ana María López MD

  20. #148 Benign Prostatic Hyperplasia for the Internist

    29 april 2019 · 1 uur 2 min

    Afspelen
    This week we narrow in on the enlarging prostate and decipher the common issue of benign prostatic hyperplasia with Adam C. Reese MD, Associate Professor of Urology at the Lewis Katz School of Medicine at Temple University and Chief of Urologic Oncology at Temple University Hospital. Learn how to interpret the symptom profile for patients presenting with common urinary issues, what to feel for in the digital rectal exam, how to treat BPH, and when to refer. Lees meer

    ACP members can visit https://acponline.org/curbsiders to claim free CME-MOC credit for this episode and show notes (goes live 0900 EST).

    See you at SGIM 2019!

    Find us in our red Curbsider’s t-shirts handing out Curbsiders and Kashlak stickers/patches at SGIM 2019 in Washington DC! We’ll be recording full length shows and daily recaps!

    Credits

    Written and produced by: Paul Williams MD

    Hosts: Paul Williams MD, Matthew Watto MD

    Images and infographics: Elena Gibson, Beth Garbitelli

    Show Notes: Elena Gibson, Beth Garbitelli

    Edited by: Matthew Watto MD, Chris Chiu MD

    Guest: Adam Reese MD

    Time Stamps

    00:00 SGIM announcement

    00:30 Disclaimer, intro and guest bio

    03:20 Guest one liner, book recommendation, favorite failure and surgical M&M

    10:56 Case of benign prostatic hyperplasia, defining terms and obstructive/voiding versus storage/irritative symptoms

    16:11 IPSS score and evaluating symptoms

    22:10 Digital rectal exam. Will this give any useful information?

    26:55 Taking a history about BPH and some lifestyle modifications

    29:20 Lab studies for urinary tract symptoms and interpreting PSA and free PSA

    36:20 Initial therapy for BPH and managing patient expectations, alpha blocker side effects

    39:25 Choice of agent and monitoring symptoms on therapy

    42:25 Nonpharmacologic management of bladder complaints

    45:10 Who and when to refer to urology

    47:33 Counseling about use of 5 alpha reductase inhibitors, their side effects and is there a risk for high grade cancer?

    52:35 Phosphodiesterase inhibitor…

  21. Random Pearls #IM2019 Day 3

    22 april 2019 · 36 min

    Afspelen
    Random pearls from ACP #IM2019 Day 3. The Curbsiders crew is joined by Dr Alan Dow of VCU to discuss highlights from ACP’s Internal Medicine Meeting in Philadelphia including: sleep deprivation, the glymphatics system, inflammatory back pain, heart failure, dermatology pearls, a new definition for pulmonary hypertension and more! Lees meer

    "Sorry, no time stamps or full show notes for this one. We're too tired." -The Curbsiders

    Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    #IM2019 Curbsiders Crew

    Guest: Renee Dversdal MD, Alan Dow MD, Alia Chisty MD

    Cohosts: Paul Williams MD, Stuart Brigham MD, Shreya Trivedi MD, Molly Heublein MD, Emi Okamoto MD, Justin Berk MD, Cyrus Askin MD, Matthew Watto MD, Chris Chiu MD

    Director of operations: Chris Chiu MD

    Twitter: Cyrus Askin MD, Hannah Abrams MS3

    Instagram: Beth Garbitelli MS1

    Facebook: Chris Chiu MD

    Off-air producer: Sarah Phoebe Roberts MPH, Nora Taranto MS4

    Marketing: Jen Watto

  22. Random Pearls #IM2019 Day 2

    19 april 2019 · 45 min

    Afspelen
    Random pearls from ACP #IM2019 Day 2. The Curbsiders crew is joined by Dr Alia Chisty (future PD at Penn State Hershey) at ACP’s Internal Medicine Meeting in Philadelphia to discuss highlights including: baloxavir a new drug for flu, stress testing and coronary CT angiography pearls, celiac disease, H. pylori pearls, and a bunch of random pearls from infectious diseases, palliative care and more! Lees meer

    "Sorry, no time stamps or full show notes for this one. We're too tired." -The Curbsiders

    Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    #IM2019 Curbsiders Crew

    Guest: Renee Dversdal MD, Alan Dow MD, Alia Chisty MD

    Cohosts: Paul Williams MD, Stuart Brigham MD, Shreya Trivedi MD, Molly Heublein MD, Emi Okamoto MD, Justin Berk MD, Cyrus Askin MD, Matthew Watto MD, Chris Chiu MD

    Director of operations: Chris Chiu MD

    Twitter: Cyrus Askin MD, Hannah Abrams MS3

    Instagram: Beth Garbitelli MS1

    Facebook: Chris Chiu MD

    Off-air producer: Sarah Phoebe Roberts MPH, Nora Taranto MS4

    Marketing: Jen Watto

  23. Random Pearls #IM2019 Day 1

    15 april 2019 · 48 min

    Afspelen
    Random pearls from #IM2019 Day 1. The Curbsiders crew is joined by Kashlak’s POCUS Chief, Renee Dversdal MD at ACP’s Internal Medicine Meeting in Philadelphia to discuss day 1 highlights inlcuding: POCUS, lyme rash, back pain, syphilis, women’s health, patient handoffs, the flip-flop fungal sign a ton of cardiology pearls (ie diuretics, paracentesis for CHF, beta blockers, LBBB, when is it safe to have intercourse after an MI?) and more! Lees meer

    "Sorry, no time stamps or full show notes for this one. We're too tired." -The Curbsiders

    Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    #IM2019 Curbsiders Crew

    Guest: Renee Dversdal MD, Alan Dow MD, Alia Chisty MD

    Cohosts: Paul Williams MD, Stuart Brigham MD, Shreya Trivedi MD, Molly Heublein MD, Emi Okamoto MD, Justin Berk MD, Cyrus Askin MD, Matthew Watto MD, Chris Chiu MD

    Director of operations: Chris Chiu MD

    Twitter: Cyrus Askin MD, Hannah Abrams MS3

    Instagram: Beth Garbitelli MS1

    Facebook: Chris Chiu MD

    Off-air producer: Sarah Phoebe Roberts MPH

    Marketing: Jen Watto

  24. #147 Rheumatoid Arthritis for the Internist

    8 april 2019 · 1 uur 18 min

    Afspelen
    Join(t) us in learning about rheumatoid arthritis care for the internist with Robert McLean MD, rheumatologist, Associate Clinical Professor at Yale, and President Elect of the ACP! We discuss the complexity of rheumatoid arthritis, how to differentiate from other arthritic conditions, and how to have a patient-centered framework for the evaluation and treatment of affected patients. ACP members can claim CME-MOC credit at on ACP's site.. Lees meer

    Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Writer (Interview & CME questions): Cyrus Askin MD

    Show Notes and Infographic by: Elena Gibson MS4

    Hosts: Matthew Watto MD, Stuart Brigham MD

    Editors: Matthew Watto MD, Emi Okamoto MD

    Guest: Robert McLean MD

  25. #146 NephMadness: Pain Meds in Chronic Kidney Disease

    1 april 2019 · 1 uur 24 min

    Afspelen
    Pain management in patients with chronic kidney disease (CKD) often goes something like this: NSAIDs are evil, acetaminophen hardly works, opioids are dangerous, and all the rest (tramadol, gabapentinoids, antidepressants) are messy. But, we tackle the complexities of pain management in patients with chronic kidney disease in this special @NephMadness 2019 episode that, on a scale of 1-10, will leave you feeling very relieved in addressing pain. Lees meer

    Full show notes available at https://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Earn CME and read about each region in NephMadness 2019 at AJKD blog.

    Credits

    Written and produced by: Justin Berk MD, Samantha Gelfand MD

    NephMadness Pun Contest produced by: Hannah R Abrams MS3

    Cover art by: Kate Grant MBChB, Dip GUMed

    Hosts: Matthew Watto MD, Paul Williams MD, Stuart Brigham MD

    Edited by: Matthew Watto MD, Emi Okamoto MD

    Guests: Samantha Gelfand MD, Matthew Sparks MD, David Juurlink MD

  26. #145 NephMadness: Hepatorenal Syndrome vs AKI

    25 maart 2019 · 1 uur 19 min

    Afspelen
    Does your sympathetic nervous system get activated when you notice acute kidney injury in patients with cirrhosis? Ever wonder how to really diagnose hepatorenal syndrome (HRS)? Think you have the bile-acid-stones to start diuretics on a patient requiring pressor support for kidney failure? You have come to the right place! Listen to @kidney_boy Joel Topf, HRS expert Juan Carlos Velez (@veleznephhepato), and self-proclaimed most-handsome-nephrologist Bill Whittier (@TWhittier_RUSH) tackle the complex pathophysiology and treatment of hepatorenal syndrome in this NephMadness 2019 special episode! Lees meer

    Fill out your bracket for NephMadness 2019 today and sign up as part of The Curbsiders! Earn CME and read about each region at AJKD blog.

    Full show notes available at https://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Justin Berk MD, Nora Taranto MS4

    Infographic by: Alex M @nephroguy

    Hosts: Matthew Watto MD

    Edited by: Matthew Watto MD, Emi Okamoto MD

    Guests: Joel Topf MD, Juan Carlos Velez MD, Bill Whittier MD

    Sponsor

    Get your ACP membership today and use the code CURB100 to save $100 when you join by March 31, 2019.

  27. HCP: Primary Care Workforce with Fatima and Deep

    20 maart 2019 · 1 uur 2 min

    Afspelen
    Some precocious policy wonks take a deep dive into the evolving trends and future directions for our primary care workforce. Experts, Dr. Fatima Syed and Dr. Deep Shah return to school us on Physician Supply and Demand, the Access Gap, role of NPs and PAs, Retail Clinics, and Managed Care Clinics. ACP members can visit https://acponline.org/curbsiders to claim free CME-MOC credit for this episode and show notes (goes live 0900 EST). Lees meer

    Catch up on our previous discussions with Dr. Syed and Dr. Shah: Episode #62: Pod Save Health Care: The Curbsiders Foray into health policy and Episode #120 Health Policy, Patients, Payments, Paperwork for more context. We also did an overview of health care policy essentials with Dr. Sue Bornstein in Episode #64: Stuff You Should Know About Health Policy

    Full show notes available at http://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Fatima Syed MD, MSc; Deep Shah MD, MSc

    CME questions by: Chris Chiu MD, Beth Garbitelli MS1,

    Hosts: Stuart Brigham MD, Paul Williams MD, Matthew Watto MD,

    Images and infographics: Beth Garbitelli MS1

    Edited by: Matthew Watto MD, Chris Chiu MD

    Guest: Fatima Syed MD, MSc, Deep Shah MD, MSc

  28. #144 NephMadness: Inpatient Hypertension

    18 maart 2019 · 44 min

    Afspelen
    Inpatient hypertension is tricky. What’s the best way to answer those overnight nursing phone calls for elevated blood pressures? What’s the role of treating hypertensive urgency in the hospital? Plus, Our nephrology experts put a new issue on the generalist’s radar: are ACE-inhibitors dangerous to give (or hold) during an operation? This NephMadness 2019 episode, features special guests Dr. Pascale Khairallah (@Khairallah_P), Dr. Charlie Wray (@WrayCharles) and Dr. Joel Topf (@kidneyboy) to better understand the role of anti-hypertensives in the inpatient setting and keep your blood pressure down on those overnight calls. Lees meer

    Fill out your bracket for NephMadness 2019 today and sign up as part of The Curbsiders!

    Full show notes available at https://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Justin Berk MD, MPH, MBA; Pascale Khairallah MD

    Hosts: Matthew Watto MD, Paul Williams MD, Stuart Brigham MD

    Edited by: Matthew Watto, MD

    Guest: Pascale Khairallah MD, Charlie Wray DO, Joel Topf MD

    Sponsor

    Get your ACP membership today and use the code CURB100 to save $100 when you join by March 31, 2019.

  29. #143 NephMadness: Fluid Wars

    15 maart 2019 · 52 min

    Afspelen
    The battle over the superiority of resuscitation fluids is coming to a boil. Enter the Fluid Wars. Are Lactated Ringers superior to normal saline? Will LR increase a patient’s lactate? What about albumin? The Curbsiders quench the thirst for knowledge by turning to masters Dr. Pascale Khairallah (@Khairallah_P), Dr. Charlie Wray (@WrayCharles) and Dr. Joel Topf (@kidneyboy) for guidance in this special @NephMadness episode that will get your feet wet with the complicated world of fluid resuscitation. Lees meer

    Fill out your bracket for NephMadness 2019 today and sign up as part of The Curbsiders!

    Full show notes available at https://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday.

    Credits

    Written and produced by: Justin Berk MD, Pascale Khairallah MD

    NephMadness Pun Contest produced by: Hannah R Abrams MS3

    Hosts: Matthew Watto MD, Paul Williams MD, Stuart Brigham MD

    Edited by: Matthew Watto MD

    Guest: Pascale Khairallah MD, Charlie Wray DO, Joel Topf MD

  30. #142 Cirrhosis TIPS for Acute Complications

    11 maart 2019 · 1 uur 31 min

    Afspelen
    Cirrhosis TIPS for the decompensated cirrhotic & acute on chronic liver failure from expert hepatologist and keto-practitioner Scott Matherly MD, @liverprof and chief hepatologist at @KashlakHospital. We walk through acute management of variceal bleeds, when to suspect SBP in decompensated cirrhosis (all the time, it turns out), how much fluid to remove in paracentesis, and some definitions about what decompensated cirrhosis and acute on chronic liver failure really mean. Lees meer

    Take our pretest on cirrhosis!

    Full show notes available at http://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Nora Taranto MS4, Matthew Watto MD

    Pretest by: Cyrus Askin MD

    Hosts: Matthew Watto MD, Paul Williams MD,

    Images and infographics: Hannah Abrams MS3

    Edited by: Matthew Watto MD

    Guest: Scott Matherly MD

    Sponsor

    Get your ACP membership today and use the code CURB100 to save $100 when you join by March 31, 2019.

  31. Reboot - Diuretics, leg cramps, and resistant hypertension

    4 maart 2019 · 1 uur 5 min

    Afspelen
    Listen to our first ever discussion with @kidney_boy, Joel Topf MD. It’s a classic episode with a fresh intro as we prepare for @NephMadness 2019 with our friends from Twitter and @AJKDonline Lees meer

    Dominate leg cramps, diuretic therapy, and resistant hypertension with tips from @kidney_boy, Joel Topf MD @kidney_boy, Chief of Nephrology Kashlak Memorial Hospital, co-creator @NephMadness. We start with basic renal physiology and build up to the treatment of resistant hypertension.

    Corrections: Dr Topf posted the following corrections on his blog PBfluids.com 3/22/2017

    “I enjoyed the experience immensely, but in an hour of talking off the cuff I made some embarrassing mistakes:

    In describing water reabsorption I said it occured in the cortical collecting duct rather than the medullary collecting duct.

    In describing my cure for cramps I tell the story of Gitelman’s and say it is like congenital loop diuretics rather than congenital thiazide diuretics

    I mucked up the story about the MRFIT story and how it allowed a head to head comparison of HCTZ and chlorthalidone. I really oversold what happened.”

    Full show notes at https://thecurbsiders.com/podcast. Join our newsletter mailing list. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written by: Matthew Watto MD

    Produced by: Stuart Brigham MD and Matthew Watto MD

    Cohosts: Stuart Brigham MD and Matthew Watto MD

    Guest: Joel Topf MD

    Sponsor

    Get your ACP membership today and use the code CURB100 to save $100 when you join by March 31, 201

  32. #141 Wound Care Pearls

    25 februari 2019 · 1 uur 11 min

    Afspelen
    Demystify chronic wound care management with high yield pearls from wound care expert Dr. Elizabeth (Foy) White-Chu. She takes us through a simple yet thorough approach to manage complex chronic wounds. We discuss everything from selecting a dressing, to pain management, and what kind of water should you really use when cleansing a wound. Answers to all of these burning questions and more await you, so don’t waste anymore time! Press play and let Dr. White-Chu take you on a journey through evidence based practices for the management of chronic wounds. ACP members can visit https://acponline.org/curbsiders to claim free CME-MOC credit for this episode and show notes (goes live 0900 EST). Lees meer

    Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written by: Carolyn Chan MD

    CME questions by: Justin Berk MD

    Produced by: Matthew Watto MD

    Hosts: Matthew Watto MD, Paul Williams MD, Carolyn Chan MD

    Guest: Dr. Elizabeth (Foy) White-Chu

    Sponsor

    Check out the ACP's Medical Knowledge Self Assessment Program, MKSAP 18.

  33. #140 Psychopharmacology 2.0 - Antidepressant Master Class

    18 februari 2019 · 59 min

    Afspelen
    Dive deep into the psychopharmacology of depression with Dr Patrick Finley, PharmD at UCSF. Learn practical tips including how to switch from one antidepressant to another, what to expect with SSRI and SNRI withdrawal, and how to choose a second (or third) antidepressant for refractory depression. We also summarize the safety around antidepressants in the peripartum period. ACP members can visit https://acponline.org/curbsiders to claim free CME-MOC credit for this episode and show notes (goes live 0900 EST). Lees meer

    Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Molly Heublein, MD

    CME questions by: Molly Heublein, MD

    Hosts: Matthew Watto MD, Paul Williams MD, Stuart Brigham MD, Molly Heublein, MD

    Edited by: Matthew Watto MD

    Guest Presenter: Patrick Finley, PharmD BCPP

    Sponsor

    Check out the ACP's Medical Knowledge Self Assessment Program, MKSAP 18.

  34. #139 Genetic Testing in Primary Care

    11 februari 2019 · 1 uur 23 min

    Afspelen
    Join us at the forefront as we talk genetic testing in primary care with Dr Dallas Read, esteemed gynecologist and **the only** medical geneticist at Tufts Medical Center. Topics include: what internists should be comfortable testing for in the office, how and when to refer for screening, what tests to order, how to interpret test results, how to handle direct-to-consumer results or requests, and so much more! For years, the medical community has been talking about the immense potential for genetic testing to guide diagnosis and treatment. But has it realized its full potential? The answer to that seems to be a resounding no at the moment--but the days of ubiquitous genetic testing to identify disease and disease risk may not be so far off after all. ACP members can visit https://acponline.org/curbsiders to claim free CME-MOC credit for this episode and show notes (goes live 0900 EST). Lees meer

    Coming to you from the Curbsiders, we hope you’ll enjoy this latest episode about the genes you wear, whether you want to put them on or not. Genes, Genes, they’re (maybe) good for your heart. But do patients want to know if they are, or if they aren’t?

    Full show notes available at http://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Nora Taranto MS4

    CME questions by: Nora Taranto MS4

    Hosts: Stuart Brigham MD, Matthew Watto MD, Nora Taranto MS4

    Images and infographics: Beth Garbitelli MS1

    Edited by: Matthew Watto MD, Chris Chiu MD

    Guest: Dr. Dallas Reed MD

    Sponsor

    Check out the ACP's Medical Knowledge Self Assessment Program, MKSAP 18.

  35. #138 Inflammatory Bowel Disease: Crohn’s and Ulcerative Colitis

    4 februari 2019 · 1 uur 26 min

    Afspelen
    Learn expert tips for the diagnosis and management of inflammatory bowel disease (IBD) from Dr. Adam Ehrlich, Assistant Professor of Medicine and co-director of the Inflammatory Bowel Disease Program at Temple University Hospital. In this episode, we learn about the initial work-up, general principles of management, and important primary care considerations for Crohn’s disease and ulcerative colitis (ie endoscopic surveillance, immunizations, bone health/osteoporosis, and more!). Lees meer

    Full show notes available at https://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Paul Williams MD

    Edited by: Matthew Watto MD

    Hosts: Matthew Watto MD, Stuart Brigham MD, Paul Williams MD

    Guest: Adam Ehrlich MD

    Sponsor

    Check out the ACP's Medical Knowledge Self Assessment Program, MKSAP 18.

  36. #137 Hyperkalemia Master Class with Joel Topf MD

    28 januari 2019 · 1 uur 21 min

    Afspelen
    Master the management of hyperkalemia with tools, tips and tactics from @kidney_boy, Joel Topf MD, Chief of Nephrology @KashlakHospital. We cover: common causes of hyperkalemia; the U-shaped curve of potassium levels and mortality; albuterol nebs; how to safely use insulin; potassium binding resins and colonic necrosis; Does it make sense to give loop diuretics and fluids?; Should we be using fludrocortisone?; Plus, answers to all your questions about a high potassium diet and oral potassium supplements! Join us for Dr Topf’s masterful insights on hyperkalemia and potassium homeostasis. Lees meer

    Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Sponsor

    Join us at ACP's Internal Medicine Meeting 2019 April 11-13th in Philadelphia, PA . We'll see you there!

    Credits

    Written and produced by: Matthew Watto, MD

    Hosts: Matthew Watto MD, Paul Williams MD, Stuart Brigham MD

    Infographic: Matthew Watto MD

    Edited by: Matthew Watto MD

    Guest: Dr Joel Topf MD

  37. #136 Sickle Cell Disease, Management & Complications

    21 januari 2019 · 1 uur 9 min

    Afspelen
    Stuck on sickle cell disease? We hammer out the basics of diagnosis, common sickle cell variants and their manifestations, preventive medicine, acute and chronic pain management, opioid use, and how to recognize and treat common complications like anemia, fever and acute chest syndrome. Sickle cell expert, Sophie Lanzkron MD, Associate Professor of Medicine and Oncology and Director of the Sickle Cell Center for Adults at Johns Hopkins joins! Lees meer

    Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Sponsor

    ACP's Internal Medicine Meeting 2019 April 11-13th in Philadelphia, PA. We'll see you there!

    Credits

    Written (including CME questions) and produced by: Justin Berk MD, Martha Brucato MD PhD, Beth Garbitelli MS1

    Hosts: Paul Williams MD, Justin Berk MD, Matthew Watto MD

    Edited by: Matthew Watto MD

    Guest: Sophie Lanzkron MD MHS

    Time Stamps

    00:00 Announcements, intro

    02:30 A quick refresher on hemoglobinopathy

    03:45 Guest bio

    05:03 Guest one-liner, movie recommendation, career advice, picks of the week

    10:53 ACP Internal Medicine Meeting 2019 (ad read)

    12:33 Clinical case; defining sickle cell; pathophysiology

    16:23 Different types of hemoglobinopathy genotypes and phenotypes

    20:20 Preventive care for sickle cell disease

    22:56 Taking a history at the initial visit in patient with sickle disease

    26:40 Life expectancy in SCD

    28:30 Hydroxyurea

    30:40 Chronic red blood cell transfusion therapy; complications; monitoring

    37:07 Silent cerebral infarcts and mild cognitive impairment in SCD

    40:10 Chronic pain management; opioid use disorder in sickle cell disease

    46:00 Acute pain crisis management; PCAs vs bolus therapy

    54:08 Reticulocyte count in sickle cell disease

    55:40 Itching, opioids and naloxone?

    58:10 Red blood cell transfusion threshold in sickle cell disease (anemia)
    …

  38. #135 Perioperative Medicine with Dr Avital O'Glasser

    14 januari 2019 · 1 uur 25 min

    Afspelen
    Optimize perioperative risk and dominate perioperative medicine. Topics include surgical risk calculators, preoperative labs, stress testing, use of BNP and troponins, postoperative MI, cardiac and pulmonary risk stratification, and more! We’re joined by perioperative medicine expert, Avital O’Glasser MD, Associate Professor of Medicine at Oregon Health & Science University and Assistant Program Director for Scholarship and Social Media. ACP members can visit https://acponline.org/curbsiders to claim free CME-MOC credit for this episode and show notes (goes live 0900 EST). Lees meer

    Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Matthew Watto MD

    CME questions by: Matthew Watto MD

    Hosts: Matthew Watto MD, Stuart Brigham MD

    Edited by: Matthew Watto MD

    Guest: Avital O’Glasser MD

    Time Stamps

    00:00 Disclaimer, intro and guest bio

    04:20 Guest one-liner, book and movie recommendations, career advice

    11:20 ACP Internal Medicine Meeting 2019 details

    14:02 Patient with coronary artery calcifications going for elective hip surgery and wants "clearance"

    20:50 Functional capacity

    25:00 Preoperative stress testing and coronary revascularization

    31:55 Canadian guidelines, BNP and troponin testing

    36:30 The METS trial and predicting perioperative cardiac events and mortality

    40:44 Preoperative testing (labs, imaging, urine studies)

    50:24 Choosing your perioperative cardiac and surgical risk calculator (RCRI, MICA, ACS-NSQIP)

    59:50 Communicating risk to patient and their surgeon

    61:30 Pulmonary risk assessment and complications

    70:35 Perioperative use of opioids

    75:30 Who needs an echocardiogram prior to surgery?

    79:00 Canceling a patient's surgery

    82:55 Take home points

    83:45 Outro

  39. #134 Urinary Tract Infections Delirium and Voltaire

    7 januari 2019 · 54 min

    Afspelen
    “Urinary tract infections” (UTIs) are overdiagnosed. Antibiotics are overprescribed. UTIs are inappropriately blamed for geriatric syndromes (eg delirium) despite little supporting evidence. Our guest, Tom Finucane MD, Emeritus Professor of Medicine at Johns Hopkins makes us question everything. Topics: How can we diagnose “UTI”? Who needs treatment? Do urinary tract symptoms matter? Does malodorous urine correlate with infection? Who’s at risk for pyelonephritis and sepsis? Don’t miss this paradigm changing episode. And stop using the term “urinary tract infection” unless it’s prefaced by air quotes! Lees meer

    Sponsor: Join ACP's Internal Medicine Meeting 2019 April 11-13th in Philadelphia, PA . We'll see you there!

    Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Matthew Watto MD

    Hosts: Matthew Watto MD, Paul Williams MD

    Edited by: Matthew Watto MD

    Guest: Tom Finucane MD, MACP

    Time Stamps

    00:00 Disclaimer, intro and guest bio

    04:00 Guest one liner, book recommendation, career advice

    08:22 The “medical ignorome”

    13:40 ACP Internal Medicine Meeting 2019 details

    16:20 Case of malodorous urine; Urine is NOT sterile; Defining terms

    25:14 Stop saying UTI unless using air quotes

    28:34 What symptoms or history matters in evaluation for “UTI”? And can we predict who will become systemically ill?

    34:47 Voltaire and when treatment is warranted for “urinary tract infections”

    37:15 Delirium in an older adult with possible UTI, how to work it up, and who warrants antibiotics

    51:55 Take home points

    53:38 Outro

  40. 2018 Recap Extravaganza

    31 december 2018 · 51 min

    Afspelen
    Take a trip down memory lane with top clinical pearls and favorite moments from The Curbsiders in 2018. Lees meer

    Welcome to our 2018 Recap Extravaganza! Since last year, the Curbsiders team has grown substantially and the podcast has undergone several exciting developments. These include our collaboration with ACP that allows us to provide CME and MOC credit for select episodes, our new partnership with Human Dx as featured in our Kashlak Morning Reports, and the launch of our Women in Medicine series. For our 2017 year-end show, we had listeners vote for their favorite episodes from the past year. This year, we're changing it up a bit and have invited our Curbsider colleagues to share their picks for pearliest pearls and most illuminating episodes of 2018. We hope you’ll enjoy hearing the team’s highlights, and we’ll be back in 2019 with fresh content. Note: No CME-MOC credit for this episode, but stay tuned in 2019 for eligible episodes.

    Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Chris Chiu MD and Sarah Phoebe Roberts, MPH

    Hosts: Matthew Watto MD, Paul Williams MD, Stuart Brigham MD, Chris Chiu MD

    Edited by: Chris Chiu MD

    Time Stamps

    00:00 Disclaimer, Intro

    06:39 Clinical Reasoning Pearls

    12:35 Pulmonary Hypertension Pearls

    15:52 Women In Medicine Pearls

    20:40 Iron Deficiency Pearls

    24:52 Tick-Borne Illness Pearls

    28:00 STI Pearls

    31:00 Physical Exam Pearls

    32:51 “Things we do for no reason” Pearls

    36:16 Host Picks

    42:38 Paul Wraps-up the Year

    43:38 Outro and Curbsider Team sign-offs

  41. #133 Herpes for Everyone

    24 december 2018 · 58 min

    Afspelen
    Master the diagnosis and management of Genital Herpes with tips from expert, Robert Bettiker MD . Topics include: the natural history, diagnosis & screening guidelines for genital herpes; cold sores; options for primary and recurrent episodes including prophylaxis; and consideration of specific populations including symptomatic and asymptomatic patients, pregnancy and MSM (men who have sex with men). We also discuss partner notification and treatment. Lees meer

    Full show notes available at http://thecurbsiders.com/podcast. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Kate Grant MBChB DipGUMed, Matthew Watto MD

    Images by: Kate Grant MBChB DipGUMed

    Hosts: Stuart Brigham MD, Paul Williams MD, Matthew Watto MD

    Guest: Robert Bettiker MD

    Time Stamps

    00:00 Disclaimer, guest bio, intro

    01:50 Guest one liner, memorable teaching moment and a few failures

    10:50 Intro to herpes

    12:25 Case 1: Genital herpes in a married man

    15:42 Overview of testing options

    18:50 Marital counseling in Herpes

    22:18 Prophylaxis in serodiscordant partners and asymptomatic shedding

    25:08 Case 2: Severe outbreak of genital herpes in a young woman

    31:50 Case 3: Young male with recent exposure to herpes

    38:45 Herpes 1 (HSV1) versus Herpes 2 (HSV2)

    44:12 Case 4: Herpes in pregnancy

    50:45 Do topical agents work for herpes

    55:05 Take home points

    56:10 Outro

    57:52 Stuart shares a PUN!

  42. #132 A Case of Abdominal Pain

    19 december 2018 · 50 min

    Afspelen
    Sharpen your diagnostic schema for abdominal pain and eosinophilia with this mystery case http://hdx.org/Rxg (click link to follow along). Reza Manesh MD, editor of Global Morning Report at The Human Diagnosis Project aka Human Dx attempts to solve this challenging case with the help of The Curbsiders. Lees meer

    Use this link http://hdx.org/Rxg to follow along with the case on the Human Dx app and check out more Global Morning Report cases.

    Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Hannah R Abrams

    Hosts: Matthew Watto MD, Paul Williams MD, Stuart Brigham MD

    Edited by: Matthew Watto MD

    Guest: Reza Manesh MD

    Special thanks to: Steph Sherman, Zaven Sargsyan, Anand Jagannath, John Inou Hwang, and Rabih Geha for contributing and editing the cases; and to Tyler Brandon for helping to coordinate these wonderful episodes.

    Time Stamps

    00:00 Announcement, disclaimer, intro, guest bio

    01:20 Picks of the week

    05:42 How Reza fell in love with clinical reasoning

    08:58 Case of 50 yo male with abdominal pain

    21:14 Some unexpected findings

    43:00 Case conclusion/answer, cognitive autopsy and Reza’s take home points

    48:35 Outro

  43. #131 A Case of Cough and Dyspnea

    17 december 2018 · 48 min

    Afspelen
    Hone your diagnostic skills with this mystery case of cough and dyspnea http://hdx.org/pdp (click link to follow along). The Curbsiders deconstruct the case and discuss their diagnostic schemas for these common problems with the help of returning guest, Reza Manesh MD, editor of Global Morning Report at The Human Diagnosis Project aka Human Dx. Lees meer

    Use this link http://hdx.org/pdp to follow along with the case on the Human Dx app or website and check out more Global Morning Report cases.

    Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Hannah R Abrams

    Hosts: Matthew Watto MD, Paul Williams MD, Stuart Brigham MD

    Edited by: Matthew Watto MD

    Guest: Reza Manesh MD

    Special thanks to: Steph Sherman, Zaven Sargsyan, Anand Jagannath, John Inou Hwang, and Rabih Geha for contributing and editing the cases; and to Tyler Brandon for helping to coordinate these wonderful episodes.

    Time Stamps

    00:00 Announcement, disclaimer, intro, guest bio

    03:13 When and how to practice clinical reasoning

    05:53 Creating diagnostic schemas and Clinical Problem Solvers Podcast

    09:40 A bit on Human Dx and the show format

    12:00 Case of a 40 yo male with a cough

    23:22 Some insights from Reza on “signal versus noise”

    37:10 Case conclusion/answer, cognitive autopsy and Reza’s take home points

    45:36 Outro

  44. #130 Work-Life Fit: Women In Medicine

    13 december 2018 · 53 min

    Afspelen
    Create a successful partnership and career withs tips from Wonder Woman, Sue Hingle MD of ACP. Lees meer

    Work-Life Balance: is it a myth, or attainable if we could just find the right fit? In this episode, we chat with Dr. Susan Hingle about identifying our work-life priorities and re-evaluating these priorities throughout our lives. We strategize about achieving personal and professional goals (pro tip: stop worrying about what others think!). Dr. Hingle is Professor in the Department of Internal Medicine and Vice Chair of Education and Faculty Development and Associate Internal Medicine Residency Program Director at Southern Illinois University. She is also the Immediate Past Chair of the Board of Regents of the American College of Physicians (ACP). She has served at the ACP in a variety of ways, including as a member of the ACP Women’s Task Force. Her clinical expertise is in women’s health, health promotion, and disease prevention. Enjoy the episode!

    ACP members can visit https://acponline.org/curbsiders to claim free CME-MOC credit for this episode and show notes (goes live 0900 EST). Full show notes available at http://thecurbsiders.com/podcast. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Nora Taranto MS4, Shreya Trivedi MD, Leah Witt MD, Sarah P. Roberts MPH.

    CME Questions by: Shreya Trivedi MD

    Editors: Matthew Watto MD and Chris Chiu MD

    Hosts: Shreya Trivedi MD, Paul Williams MD, Leah Witt MD

    Guest: Susan Hingle MD

    Time Stamps

    00:00 Disclaimer, intro and guest bio

    02:52 Guest one liner, WIM Moment of awakening, advice for her younger self

    07:45 Picks of the week

    10:30 Physician with family and caregiver responsibility; How to plan for personal and professional goals

    18:20 What to look for in a partner, how to work with them to achieve work life fit, and non-traditional roles

    28:35 Advice on family planning

    31:40 Residency programs and life events

    32:55 Should you go part…

  45. #129 Depression and Suicide: Occupational Hazards of Practicing Medicine

    10 december 2018 · 1 uur 9 min

    Afspelen
    Dr Elisabeth Poorman MD joins us to discuss the natural history of physician depression in residency and beyond. We share some of our own personal stories, and discuss how we can support one another and reach out for help, how to take care of our mental health in an emotionally demanding career, how to deal with licensing questions and worry about stigma, and what systemic changes may be coming (read: we think need to be coming) down the line. The problem of depression and suicide is a particularly real one in medicine, a profession that is, by its very nature traumatic and emotionally draining (both in terms of work demands and also the sick and dying patients we treat). Lees meer

    N.b. This is a sensitive topic. If this is triggering for anyone listening, the national suicide hotline number 1-800-273-8255. Moreover, if anyone needs or wants guidance on available resources, Dr. Elisabeth Poorman has made herself available either via email, private msg on FB or twitter (@DrPoorman), or any of us on twitter. We are happy to talk and see that you get support you need.

    Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Nora Taranto MS4, Shreya Trivedi MD

    Hosts: Stuart Brigham MD, Shreya Trivedi MD, Matthew Watto MD

    Edited by: Matthew Watto MD

    Guest: Elisabeth Poorman, MD

  46. #128 Aspirin Overhyped and Overused

    3 december 2018 · 53 min

    Afspelen
    Aspirin’ to figure out if ASA can help prevent a heart attack? Interpreting all the new trials doesn’t have to cause chest pain! Join Dr. Ambarish Pandey from UT Southwestern as he helps The Curbsiders ASCEND the mountains of the latest studies to ARRIVE at some well-informed conclusions on the role of aspirin in primary prevention for cardiac events. The team also discusses secondary prevention, aspirin and dual (or triple) antiplatelet therapy, and whether it’s okay to stop giving aspirin to older adults without known CAD (Spoiler alert: it’s okay). ACP members can visit https://acponline.org/curbsiders to claim free CME-MOC credit for this episode and show notes (goes live 0900 EST). Lees meer

    Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Justin Berk MD, Matthew Watto MD

    CME questions by: Justin Berk MD

    Hosts: Matthew Watto MD, Paul Williams MD, Stuart Brigham MD

    Edited by: Matthew Watto MD and Chris Chiu MD

    Guest: Dr. Ambarish Pandey MD

    Time Stamps

    00:00 Disclaimer, intro and guest bio

    04:15 Guest one liner, book recommendation, career and research advice

    11:07 Case of aspirin for primary prevention, aspirin’s public persona, and nocebo effects of statins

    21:40 ARRIVE and ASCEND trials

    28:14 Aspree trial

    32:38 Coronary artery calcium; aspirin use for secondary prevention

    37:42 Dual antiplatelet therapy and the DAPT score

    41:25 Should we continue aspirin when a patient also needs a DOAC?

    46:14 Should we continue DAPT in a patient who needs a DOAC (or warfarin)?

    49:40 Deprescribing aspirin for primary prevention in older adults?

    50:51 Closing remarks

    52:33 Outro

  47. Hotcakes: Exercise, Aspirin, Fish Oil and Hypertension

    29 november 2018 · 49 min

    Afspelen
    Tony Breu MD joins us for some hotcakes, and “cold cakes” including: how aspirin and zodiac sign affect the treatment of acute MI, a recent study on how exercise is probably still good for you, the recently announced REDUCE-IT trial, and the evidence (or lack thereof) for the treatment of hypertensive urgency. Welcome to another edition of Hotcakes and Hot Takes, where we discuss the most interesting articles and news that we have been reading. Special guest is the prolific Dr. Tony Breu (@tony_breu) who is an Assistant Professor of Medicine at Harvard Medical School and a Hospitalist and Director of Internal Medicine Resident Education at the VA Boston Healthcare System. He is known for his series on "Things We Do For No Reason” as well as his thought-provoking “Tweetorials” online. ACP members can visit https://acponline.org/curbsiders to claim free CME-MOC credit for this episode and show notes (goes live 0900 EST on day of release). Lees meer

    Full show notes available at http://thecurbsiders.com/podcast. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and Produced by: Sarah Phoebe Roberts MPH, Christopher Chiu MD

    CME Questions: Christopher Chiu MD

    Hosts: Matthew Watto MD, Stuart Brigham MD, Paul Williams MD, and Christopher Chiu MD

    Guest Presenter and Content Planning: Anthony Breu MD

    Editor: Christopher Chiu MD

    Cover-Art: Christopher Chiu MD

    Time stamps

    00:00 Disclaimer, intro, guest bio

    05:53 Discussion on Tweetorials

    08:00 Cold Cake: ISIS-2 and the treatment of acute MI with aspirin

    14:04 ISIS-2 and zodiac subgroup analysis

    16:19 What is the relationship between cardiorespiratory fitness on mortality?

    24:40 Discussion of the REDUCE-IT study

    33:00 Cold Cake: VA Cooperative study and the evidence for treating essential hypertension

    36:42 TWDFNR and the treatment of hypertensive urgency

    46:36 Wrap-up and outro

  48. #127 STIs: Syphilis, Gonorrhea and Chlamydia

    26 november 2018 · 1 uur 16 min

    Afspelen
    Master the diagnosis and management of common STIs (sexually transmitted infections) with tips from expert, Dana Dunne MD, Associate Professor of Medicine in Infectious Diseases at Yale. Topics include: the stages and many presentations of syphilis, syphilis treatment and counseling, the natural history, diagnosis, and screening guidelines for gonorrhea and chlamydia, treatment options in the age of growing resistance, and a discussion of partner notification and treatment. Lees meer

    Full show notes available at http://thecurbsiders.com/podcast. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Bryan Brown MD

    Hosts: Bryan Brown MD, Paul Williams MD, Matthew Watto MD

    Guest: Dana Dunne MD

    Special thanks to Kate Grant MBChB, Dip GUMed for her contribution of knowledge and artwork.

    Time Stamps

    00:00 Announcement, disclaimer, intro and guest bio

    04:29 Guest onliner, book recommendation, advice for learners/teacher, and picks of the week

    11:00 A case of syphilis, clinical manifestations and discussion of the stages

    26:05 Testing for syphilis

    39:05 Mandatory reporting and partner tracing

    42:40 Counseling patients with syphilis

    44:44 A case of gonorrhea and chlamydia, clinical manifestations, screening guidelines

    52:30 How to counsel patients to obtain samples from urethra, rectum, vagina, oropharynx; Mycoplasma genitalium

    59:40 CDC treatment guidelines, Super gonorrhea, test of cure, and treatment of partners

    72:35 Take home points

    74:30 Outro

  49. #126 Kashlak Morning Report with Human Dx

    19 november 2018 · 1 uur 6 min

    Afspelen
    Practice solving diagnostic puzzles with The Curbsiders and Internist / Diagnostician, Reza Manesh MD, Assistant Program Director for Clinical Reasoning of the Osler Medical Training Program at Johns Hopkins! Solve along with us at these links: Case 1 http://hdx.org/I2B and Case 2 http://hdx.org/uM2. Topics include: clinical reasoning terminology, how to use cases to practice diagnostic reasoning, how to build a diagnostic schema, and how to conduct your own cognitive autopsy. Lees meer

    Full show notes available at http://thecurbsiders.com/podcast. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and Produced by: Hannah Abrams

    Hosts: Hannah Abrams, Paul Williams MD, Stuart Brigham MD, Matthew Watto MD

    Guest: Reza Manesh MD

    Special thanks to: Doctors Steph Sherman, Zaven Sargsyan, Anand Jagannath, John Inou Hwang, and Rabih Geha for contributing cases

    Time Stamps

    00:00 Disclaimer, intro and guest bio

    04:02 Guest one liner, book recommendation, favorite failure, advice for learners

    11:27 Human Dx Project and Global Morning Report

    15:35 Diagnostic terminology

    21:25 Case #1, Reza solves

    33:40 Diagnostic autopsy and teaching points for case #1

    38:00 Case #2, The Curbsiders solve

    57:30 Diagnostic autopsy and teaching points for case #2

    61:33 Take home points and a plug

    64:30 Outro

  50. #125 Hidden Curriculum

    15 november 2018 · 1 uur 3 min

    Afspelen
    Check out this audio treasure map to find the hidden curriculum and learn how it can change your practice. Learn how positive teaching spans not just the classroom or bedside but, how we simply talk about patients. Sanjay Desai MD, coauthor of ACP’s Position Paper on Hidden Curriculum and Internal Medicine program director at Johns Hopkins guides us through several cases that illustrate how our institutional norms can shape the practice of medicine...for better or worse. ACP members can visit https://acponline.org/curbsiders to claim free CME-MOC credit for this episode and show notes (goes live 0900 EST). Lees meer

    Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

    Credits

    Written and produced by: Sanjay Desai MD; Justin Berk MD, MPH, MBA; Matthew Watto MD

    CME questions by: Justin Berk MD

    Editors: Chris Chiu MD & Matthew Watto MD

    Hosts: Justin Berk MD, MPH, MBA; Matthew Watto MD; Paul Williams MD

    Guest: Sanjay Desai MD

    Time Stamps

    00:00 Disclaimer, Intro and guest bio

    04:00 Guest one liner, book recommendations, career advice

    10:50 Intro to the hidden curriculum and ACP’s three recommendations

    22:00 Case #1: A patient with schizophrenia

    32:10 Case #2: The iPatient

    38:07 Case #3: Attending forgets to wash their hands

    41:10 Case #4: A dying patient’s primary care doctor saves the day

    46:26 Case #5: A case of violating duty hours

    60:10 Take home points

    62:00 Outro