Alle afleveringen van The Curbsiders Internal Medicine Podcast – pagina 2 van 10

#505 Demystifying Dizziness with Dr. David Hale

17 november 2025 · 1 uur 8 min

Afspelen

Dizziness can be a daunting presenting symptom. Demystify dizziness with us by breaking it down by timing and triggers, various pertinent physical maneuvers, and even an approach to chronic dizziness. We are joined by our esteemed guest Dr. David Hale (Johns Hopkins)! Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Case 1

Defining dizziness and vertigo

Timing and triggers

Episodic dizziness/vertigo

Dix-hallpike and Epley maneuver

Case 2

Acute vestibular syndrome and the HINTS+ exam

Case 3

Chronic dizziness

Persistent postural-perceptual dizziness

Takeaways and outro

Credits

Writer, Producer, Shows Notes, Infographic/Cover Art: Edison Jyang, MD

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

Reviewer: Sai S Achi MD, MBA, FACP

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: David Hale, MD

Disclosures

Dr. Hale reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Sponsor: DoxGPT by Doximity

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Sponsor: Freed

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Sponsor: Quince

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#504: Adult Eating Disorders in the GLP-1 Era

10 november 2025 · 1 uur 3 min

Afspelen

Explore how GLP-1 meds can help or harm eating disorders with Dr. Laura Bridge Lees meer

When weight-loss meds meet eating disorders: GLP-1 drugs are reshaping medicine, but could they also be fueling disordered eating? Join Dr. Laura Bridge as we unpack the risks, red flags, and how to keep “healthy” from turning harmful. Also, how to approach restrictive eating disorders, bulimia, and binge eating disorder as a PCP.

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Introduction

Defining Eating Disorders

Screening & Permission to Discuss

Clinical Approach & History Gathering

Treatment Framework

GLP-1 Contraindications

Dr. Bridge’s Take-Home Points

Credits

Producer, writer, show notes, cover art and infographics: Isabel Valdez, PA-C

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

Reviewer: Molly Heublein MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Laura Bridge MD, FACP

Disclosures

Dr. Laura Bridge no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Sponsor: Locumstory

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Sponsor: Panacea Legal

Panacea Legal is giving Curbsiders listeners one more reason to feel thankful with 50% off any contract review service by using promo code CURB50. But hurry, this offer is only available for the first 10 doctors who use the code. Visit Panacea.Legal today

Sponsor: Hydrow

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#503: Falls with Dr. Alyson Michener and Suzanne Zukoski, MSPT

3 november 2025 · 1 uur 6 min

Afspelen

More than just mechanical! Lees meer

Keep older adult patients on their feet, literally! Learn to map the Age-Friendly 5Ms Framework onto multifactorial risk factor assessment and management and incorporate other evidence-based fall prevention interventions with the expertise of an interdisciplinary team. We are joined by geriatrician Alyson Michener (@AlysonMichener University of Pennsylvania) and physical therapist Suzanne Zukoski (Good Shepherd Penn Partners).

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Rapid fire questions

Case

Terminology

Applying the Geriatric 5Ms Framework

Physical Therapist Assessment

Targeted Diagnostic Testing

Multifactorial Risk Factor Assessment and Management

Anticoagulation and Falls

Discharge Disposition

Exercise Programs

Home Modifications

Outro

Credits

Producer: Abigail Schmucker, MD; Rachel Miller, MD, MSEd

Writers: Abigail Schmucker, MD; Rachel Miller, MD, MSEd; Alyson Michener, MD; Suzanne Zukoski, MSPT, MSG, GCS

Show Notes: Abigail Schmucker, MD

Infographic and Cover Art: Rachel Miller, MD, MSEd

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

Reviewer: Leah Witt, MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Alyson Michener, MD; Suzanne Zukoski, MSPT, MSG, GCS

Disclosures

Alyson Michener and Suzanne Zukoski report no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

The production of this episode was supported by the Penn Geriatrics AGE-SMART Geriatric Workforce Enhancement Grant. This podcast content is solely the responsibility of the authors and does not necessarily represent the official views of the Health Resources and Services Administration or the U.S. Department of Health and Human Services.

Sponsor: Continuing Education Company

Visit CMEmeeting.org/curbsiders and use promo code Cu…

REBOOT: #471 Iron Deficiency Anemia with Dr. Tom DeLoughery

27 oktober 2025 · 1 uur 7 min

Afspelen

We have a classic episode for you.. Conquer the art of managing patients with iron deficiency anemia. We are joined by the amazing Dr. Tom DeLoughery, @Bloodman (Oregon Health & Science University). Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Rapid fire questions/Picks of the Week

Case

History and Physical

Laboratory Findings

Management of Iron Deficiency Anemia

Diet

Oral Supplementation

Unexplained Iron Deficiency

Case 2

IV Iron Supplementation

IV iron reactions

Case 3

Laboratory Follow Up Post Supplementation

When to Refer to a Hematology/Oncology specialist?

Outro

Credits

Producer,Writer, Show Notes, Cover Art, and Infographics: Sai S Achi MD MBA FACP

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

Reviewer: Leah Witt, MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Dr. Tom DeLoughery MD, MACP, FAWM

Sponsor: FIGS

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Sponsor: Uncommon Goods

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Sponsor: Continuing Education Company

Visit CMEmeeting.org/curbsiders and use promo code Curb30 to get 30% off all online courses and webcasts—just for Curbsiders listeners.

#502 Inflammatory Bowel Disease with Dr. Aline Charabaty

20 oktober 2025 · 1 uur 21 min

Afspelen

Update your approach to the evaluation and management of IBD with Dr. Aline Charabaty (@DCharabaty). Review updates in management options, imaging modalities and preventive health recommendations. Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Case

Initial presentation and evaluation

Imaging and endoscopic findings

Treatment options

Treatment goals

Diet Recommendations

Preventive Health

Vitamin Deficiencies

Flare evaluation

Inpatient care

Credits

Written and Produced by: Elena Gibson MD

Infographic and Cover Art:Elena Gibson MD

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

Reviewer: Emi Okamoto MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Aline Charabaty MD, FACG, AGAF

Disclosures

Dr. Charabaty reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Sponsor: Quince

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Sponsor: Freed

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Sponsor: Permanente Medical Group

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#501 GERD vs NERD: Reflux Updates with Dr. James Callaway

13 oktober 2025 · 1 uur 4 min

Afspelen

Update your approach to the evaluation and management of GERD with Dr. James Callaway. Learn when to consider ambulatory reflux monitoring and how to determine if someone has an indication for long-term PPI therapy. Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Case

Definitions and symptoms

Reflux mechanisms and triggers

Medications for Acid suppression

Endoscopy and Ambulatory Reflux Monitoring

Stopping the PPI

Additional etiologies of reflux symptoms

Outro

Credits

Written and Produced by: Elena Gibson MD

Infographic and Cover Art:Elena Gibson MD

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

Reviewer: Sai S Achi MD, MBA, FACP

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: James Callaway MD

Disclosures

Dr. Callaway reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Sponsor: Panacea Financial

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Sponsor: Mint Mobile

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Sponsor: Continuing Education Company

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500th Ep Bonus AMA: Diabetes Meds, AI in Medicine, Thyroid Antibodies, Sleep Meds, Top 5 Lists, Favorite Failures, and More!

8 oktober 2025 · 49 min

Afspelen

In this bonus episode, Matt and Paul answer Patreon listener questions on various topics, including the role of AI in medicine, concerns about antibiotics and their impact on health, insomnia treatments, thyroid health, reflections on career burnout and more. They also share personal anecdotes and insights emphasizing the importance of continuous learning and adaptation in the medical field. Lees meer

Chapters
00:00 Exploring AI in Medicine
04:50 Cultural Shifts in Music Appreciation
10:16 Navigating Medical Questions and Antibiotics
14:57 Insomnia Medications and Sleep Hygiene
19:58 Thyroid Health and Selenium
24:59 Reflections on Career and Burnout
29:55 Closing Thoughts and Gratitude

#500: COPD Update with Cyrus Askin

6 oktober 2025 · 1 uur 18 min

Afspelen

GOLD Updates, Novel Treatments, and Managing Comorbidities in COPD Care Lees meer

Level up your COPD care with practical, evidence-based strategies. Learn how to confirm airflow obstruction with spirometry (and use LLN/Z-scores thoughtfully), stage patients with the A/B/E framework, and build treatment around long-acting bronchodilation—adding ICS selectively based on exacerbations and eosinophils. We’ll highlight the nonpharmacologic moves that change outcomes (smoking cessation, vaccination, pulmonary rehab, oxygen when indicated), when to reach for add-ons (azithromycin, roflumilast), how to approach chronic hypercapnia with home NIV, and what’s new (hello, ensifentrine). Pulmonologist and longtime Curbsiders member Dr. Cyrus Askin (@Askins_Razor ) returns to share real-world pearls for diagnosing, treating, and managing comorbidities in COPD.

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Case 1

Diagnostic Workup

Understanding the Ratio, LLN/Z-Scores, and Equity

Symptom abd Risk Staging (A/B/E)

Case 2

Foundational Care

Initial Inhaler Strategy

Progression & Hypercapnia: NIV & Adherence Counseling

Add-On Pharmacologic Options for Frequent Exacerbators

What’s New and Emerging

Comorbidities and When to Refer

Take-Home Points Recap

Plugs, CME, and Credits

Credits

Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD.

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

Reviewer: Emi Okamoto MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Cyrus Askin MD

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REBOOT: #460 Heart Failure with Preserved Ejection Fraction

29 september 2025 · 45 min

Afspelen

We have a classic episode for you. Preserve your sanity while treating heart failure with preserved ejection fraction. Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) illuminates this confounding cardiac condition. Lees meer

#499 Inpatient DOAC Dilemmas with Dr. Jori May

22 september 2025 · 1 uur 4 min

Afspelen

Sorting out DOAC Drama in the Hospital Lees meer

Is it treatment failure or not? Join us for a great conversation with Dr. Jori May (University of Alabama-Birmingham) on all the nuances around DOAC treatment failure and treatment indications for the hospitalized patient.

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Rapid fire questions/Picks of the Week

Case 1

Definitions

Missed Doses

Lab Monitoring

Medical Conditions impacting DOACs

Imaging

D-dimer Usefulness

Treatment Switching

Case 2

LV Thrombus

Reversibility

Outro

Credits

Producer, Writer, Show Notes, Hosts: Meredith Trubitt MD, Monee Amin MD

Infographic, Cover Art: Caroline Coleman MD

Reviewer: Rahul Ganatra MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Jori May MD

Sponsor: Continuing Education Company

Curbsiders listeners: use promo codeCurb30 for 30% off all online courses and webcasts.Head to CMEmeeting.org/curbsiders to learn more

Sponsor: FIGS

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Sponsor: Quince

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#498 Opioid Withdrawal with Dr. Ashish Thakrar

15 september 2025 · 1 uur 14 min

Afspelen

Grow your management tools for opioid withdrawal in the hospital. Investigate how to decide between methadone and buprenorphine, additional medications to manage symptoms and how and when to use short-acting opioids for management of withdrawal. We’re joined by Ashish Thakrar, MD at the University of Pennsylvania. Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Show Segments

Intro, disclaimer, guest bio

Guest one-liner

Case from Kashlak; Definitions

Symptoms of opioid withdrawal

Medications for the management of opioid withdrawal

Buprenorphine precipitated withdrawal

Starting Buprenorphine: Experiences and Strategies

Titrating Methadone: Dosage and Adjuncts

Adjunctive short-acting opioids

Emerging Trends in Drug Supply: Xylazine and Medetomidine

Outro

Credits

Producer, Show Notes: Zina Huxley-Reicher

Infographics: Zina Huxley-Reicher MD and Zoya Surani

Hosts: Carolyn Chan, MD MHS, Zina Huxley-Reicher MD, Shawn Cohen, MD

Reviewer: Payel Jhoom Roy, MD, MSc

Showrunner: Carolyn Chan, MD, MHS

Technical Production: PodPaste

Guest: Ashish Thakrar, MD MHSP

Sponsor: Mint Mobile

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Sponsor: Freed

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Sponsor: FIGS

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#497 Methamphetamine Use Disorder: Tailoring and Ramping up Management with Dr. Phillip Coffin

8 september 2025 · 59 min

Afspelen

In this high-yield episode of Curbsiders Addiction Medicine, we dive deep into a practical and compassionate approach to caring for patients using methamphetamines and/or living with methamphetamine use disorder. We explore the latest pharmacologic options, harm reduction strategies, contingency management, and innovative ideas for monitoring and supporting patients. Whether you’re in primary care or other subspecialty settings, this episode is packed with pearls for every clinician with our amazing guest, Dr. Phillip Coffin, Director of the Center on Substance Use and Health in the SFDPH. Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Credits

Producer/Script Writer/Show Notes: Era Kryzhanovskaya, MD

Infographic and Cover Art: Zoya Surani

Hosts: Carolyn Chan, MD. MHS and Era Kryzhanovskaya, MD

Reviewer: Sarah Leyde MD

Showrunner: Carolyn Chan, MD, MHS

Technical Production: PodPaste

Guest: Dr. Phillip Coffin

Show Segments

Intro, disclaimer, guest bio

Guest one-liner

Case from Kashlak; Definitions

Four-tier approach to taking care of patients with methamphetamine use/use disorder

Medications for treatment

Psychosocial treatment

Harm reduction

New horizons in treatment

Outro

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REBOOT: #457 Cold and Flu Season: Upper Respiratory Infections

1 september 2025 · 1 uur 2 min

Afspelen

We have a classic episode for you. Dive deep into upper respiratory viral infections with Dr Amber Bird, MD (Penn). Feel confident on when to order testing, recommend symptom relieving treatments, and avoid unnecessary antibiotics. Lees meer

Sponsors
Continuing Education Company
Curbsiders listeners: use promo code Curb30 for 30% off all online courses and webcasts. Head to CMEmeeting.org/curbsiders to learn more.

FIGS
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#496 Hotcakes: Cannabidiol (CBD)-induced liver injury, IV iron for HFrEF, bedtime BP meds, Carpal Tunnel Syndrome & RA, & Finerenone for HFpEF

25 augustus 2025 · 57 min

Afspelen

Join us as we review recent practice-changing articles on cannabidiol (CBD)-induced liver injury, IV iron for HFrEF, bedtime administration of blood pressure meds, carpal tunnel syndrome & rheumatoid arthritis , & FDA approval of finerenone for HFpEF. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), Nora Taranto (@norataranto) and Matt Watto (@doctorwatto). Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!

Credits

Written and Hosted by: Rahul Ganatra MD, MPH; Nora Taranto MD, Paul Williams, MD, FACP, Matthew Watto MD, FACP

Cover Art: Rahul Ganatra MD, MPH

Reviewer: Emi Okamoto, MD

Technical Production: Pod Paste

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

Intro, disclaimer

CBD-induced liver injury

IV Iron in HFrEF

Bedtime administration of BP medications

Carpal tunnel syndrome and RA

FDA approves Finerenone for HFpEF

Outro

Sponsor: Permanente

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#495 Fungal Infections -Histo/Blasto/Cocci with Dr. Andrej Spec

18 augustus 2025 · 1 uur 9 min

Afspelen

Why we need to stop calling them “endemic” mycoses & more fungi fun! Lees meer

Feeling muddled about endemic mycoses? We tackle the clinical presentation of diseases like histoplasmosis, blastomycosis, and coccidioidomycosis, the importance of testing, and how to diagnose fungal infections with our esteemed guest Dr. Andrej Spec, MD!

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Introduction and icebreaker, Fish Club?! 00:00

Case 1 from Kashlak 07:27

Diagnostic framework for dimorphic fungi 11:58

Imaging presentations for fungal pneumonia, diagnostic schemas 18:23

Testing options 27:48

Treatment options 35:44

Dimorphic Fungi Mnemonics 45:50

Retail testing for mold 48:47

Case 2 from Kashlak 56: 42

Takeaways and Conclusions 1:05:19

Credits

Producer, Writer, Show Notes: Beth “Garbs” Gasperlin MD

Infographic and Cover Art: Zoya Surani

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Gasperlin MD

Reviewer: Leah Witt Gaspard MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Andrej Spec MD

Disclosures

Dr. Spec reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Sponsor: Quince
Go to Quince.com/curb for free shipping on your order and three hundred and sixty-five -day returns.

Sponsor: Continuing Education Company
Special offer for Curbsiders listeners: Save 30% on all online courses and live webcasts with promo code CURB30. Visit www.CMEmeeting.org/curbsiders to explore all offerings and claim your discount.

Sponsor: Freed
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#494 C. diff, Diarrhea, the Microbiome, and New Therapies with Dr. Cynthia Sears. Live from Johns Hopkins Grand Rounds

11 augustus 2025 · 53 min

Afspelen

Dominate C. diff! Learn to distinguish colonization from infection, select first-line therapies, and counsel patients on recurrence prevention and microbiome recovery. We’re joined by IDSA past president and expert on foodborne and intestinal infections, Dr. Cindy Sears (Johns Hopkins University) for a comprehensive update on Clostridioides difficile (C. diff, Cdiff, CDAD, CDI). Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

00:00 Intro

03:00 Guest bio and hobby

04:25 Case of Charles Fleur Fontaine

06:00 Risk factors and epidemiology

08:00 Antibiotic hierarchy of risk

10:00 Diagnosis, testing strategies

14:00 Defining severity

17:30 Treatment options

20:00 Microbiome recovery strategies

24:00 Probiotics and postbiotics

27:00 Infection control counseling

30:00 C. diff and colon cancer

32:00 Recurrent C. diff strategies

35:00 Why some FMT and bezlotoxumab were discontinued

38:00 Microbiota replacement therapies

43:00 Prophylaxis strategies

45:00 Future therapies and ongoing research

47:00 Audience Q&A

52:00 Outro

Credits

Written and Produced by: Matthew Watto, MD, FACP

Cover Art and Infographic by:

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

Reviewer: Sai S Achi MD,MBA,FACP

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Cynthia Sears MD

Disclosures

Dr. Sears reports no relevant financial disclosures. Dr. Williams financial relationships disclosed include a Merck grant or research support. This relationship has not ended.

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Bonus: Hypermobility Q&A with Bendy Bodies Dr. Linda Bluestein

7 augustus 2025 · 47 min

Afspelen

In this special bonus episode, Dr. Linda Blustein (Bendy Bodies https://bit.ly/m/BendyBodies) addresses listener questions about Ehlers-Danlos syndrome (EDS) and hypermobility spectrum disorders. Lees meer

00:00 – Introduction
00:59 – Can PCPs diagnose hEDS without a geneticist?
03:19 – Limitations of the Beighton Score
05:40 – 2017 hEDS criteria & upcoming revisions
10:29 – How to find a knowledgeable provider
12:52 – SVT vs POTS in a patient with EDS family history
19:53 – How to ask your provider if they’re comfortable treating dysautonomia
22:17 – MTHFR variants and hEDS
29:23 – Celiac, gluten sensitivity & EDS
31:48 – Food allergy vs sensitivity testing
34:11 – Lipoedema and hypermobility
39:00 – LDN, Ketotifen, and Cromolyn
43:41 – Medication sensitivity in EDS/POTS/MCAS patients
45:47 – Wrap up and resources

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REBOOT: #452 NAFLD/MASLD with Dr. Elliot Tapper

4 augustus 2025 · 1 uur 10 min

Afspelen

We have a classic Curbsiders episode for you. Expert guest Dr. Elliot Tapper (@ebtapper) shares his framework for approaching NAFLD/MASLD and the treatment tools he recommends including lifestyle modifications and medications.

#493: Joint Pain in Older Adults with Dr. Una Makris

28 juli 2025 · 1 uur 12 min

Afspelen

An age-friendly approach to arthralgias. Lees meer

Attack arthralgias with ease! Learn how to evaluate and manage common joint complaints in older adults. We’re joined by Dr Una Makris, @unamakris.bsky.social (UT Southwestern).

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Case 1 from Kashlak

General approach to joint pain in older adults

Diagnosing osteoarthritis

Management of osteoarthritis in older adults

Non-pharmacological interventions

Pharmacological interventions: topicals, orals, injectables

When to refer for joint replacement

Case 2 from Kashlak

Diagnosis of Late onset rheumatoid arthritis (LORA)

Differential Diagnosis and Distinguishing features

Lab work/Imaging

When to refer to rheumatology

Approach to managing LORA

The 5Ms framework

Initial treatment with glucocorticoids

Ageism as a driver of undertreatment in older adults

Treating to target

Key takeaways

Outro

Credits

Producers, Writers and Show Notes: Joseph (Lee) Young, MD, Leah Witt, MD, Rachel Miller, MD

Cover Art and Infographic: Leah Witt, MD

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

Reviewer: Emi Okamoto, MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Dr. Una Makris

Disclosures

Dr. Makris reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Sponsor: Heart of Care

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Sponsor: FIGS

Curbsiders listeners can get 15% off. Just go to wearFIGS.com and use code FIGSRX.

REBOOT: #454 Kidney Boy on Managing Diabetes and Hypertension in CKD

24 juli 2025 · 1 uur 1 min

Afspelen

Here is a classic Curbsiders episode with one of our favourite guests of all time, Dr Joel Topf. Lees meer

Learn how to manage diabetes and hypertension in chronic kidney disease with expert tips from Kidney Boy, Kashlak’s Chief of Nephrology, Dr. Joef Topf @kidney_boy.

Finerenone is FDA approved for managing CKD in patients with diabetes. **Update as of July 2025: The non-steroidal mineralocorticoid recepter antagonist, finerenone is now FDA approved to treat heart failure with LVEF at or above 40% based on results of the FINEARTS-HF trial. **

Claim CME for this episode at curbsiders.vcuhealth.org!

Heart of Care
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Quince
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#492 Hair and Nails with Helena Pasieka MD MS

21 juli 2025 · 1 uur 25 min

Afspelen

Combing through common dermatologic complaints in Primary Care Lees meer

Hone your framework for assessing generalized and patchy hair loss and learn how to counsel patients about the hair loss advice they hear on social media. We discuss useful tests and treatments, psychosocial factors in relation to hair loss, variations in hair types and mention relevant nail conditions.

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Examination of hair and nails, ethnic hair types and cultural hair styles and practices.

Lab tests- clinically useful tests, and those to avoid

Telogen Effluvium

Scaly itchy scalp, seborrheic dermatosis, psoriasis

Androgenic alopecia and age-related hair loss

Topical and oral treatments

Examining the nails, conditions related to nail polishes and prosthetics

Patchy hair loss, alopecia areata, Discoid Lupus Erythematosis

Dr Pasieka’s take home points

Outro

Credits

Written & Produced by: Kate Grant MBChB, MRCGP

Show Notes, Infographic & Cover Art : Kate Grant MBChB, MRCGP

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

Reviewer: Leah Witt MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Helena Pasieka MD MS

Disclosures

Dr. Pasieka reports no relevant financial disclosures. Dr. Pasieka’s views are her own and do not represent those of her employer or the department of defense.

The Curbsiders report no relevant financial disclosures.

Sponsor: Continuing Education Company

Curbsiders listeners get 45% off select online courses—that’s the biggest discount CEC has ever offered, and it’s exclusive to you with promo code Curb45, through July 30. You can also use Curb30 for 30% off all webcasts and on demand replay courses. Check it all out at CMEmeeting.org/curbsiders.

Sponsor: FIGS

Curbsiders listeners can get 15% off. Just go to wearFIGS.com and use code FIGSRX.

S…

PATREON UNLOCKED #39 Exclusive! Travel Medicine

17 juli 2025 · 40 min

Afspelen

Matt and Paul recap top pearls from a recent episode on Travel Medicine with Dr. Boghuma Titanji (audio version) and share their picks of the week. Below are links to the original interview & show notes.
#449 Travel Medicine Lees meer

Picks of the week:
Paul recommends: Clutch - Psychic Warfare; Harry Nilsson - The Point
Watto - Mr. McMahon (Netflix Docuseries)

#491: Benign Hematology with Brad Beeler

14 juli 2025 · 1 uur 15 min

Afspelen

Decode low neutrophils, recognize thalassemia without chasing iron, and sharpen your approach to bleeding disorders in primary care. Lees meer

Crack the code on confusing labs. Learn from Dr. Bradley Beeler, an academic hematologist, how to recognize thalassemia without over-ordering tests, why a low neutrophil count in a healthy patient might not be a problem, and how to tackle bleeding disorders in primary care.

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Case 1: Duffy-null associated neutrophil count

Case 2: Bleeding disorders

Case 3: Thalassemia

Outro

Credits

Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD.

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

Reviewer: Sai S Achi MD, MBA, FACP

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Bradley Beeler MD

Disclosures

Dr. Beeler reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Sponsor: Panacea

Search The Podcast for Doctors (By Doctors) on Spotify, Apple Podcasts, or wherever you listen.

Sponsor: Locumstory

Locumstory.com is simply a free, unbiased educational resource about locum tenens.

Sponsor: Continuing Education Company

Curbsiders listeners get 45% off select online courses — that’s the biggest discount CEC has ever offered, and it’s exclusive to you with promo code Curb45, through July 30. You can also use Curb30 for 30% off all webcasts and on demand replay courses. Check it all out at CMEmeeting.org/curbsiders.

490: Update! Anticoagulation for Venous Thromboembolism with Dr. Tara Lech, PharmD

7 juli 2025 · 1 uur 21 min

Afspelen

Master the latest approaches for treating venous thromboembolism with expert tips on direct oral anticoagulant (DOAC) selection, dosing, and duration. Learn how to tailor anticoagulation for special populations, handle treatment failures, and navigate long-distance travel risks. We’re joined by Dr. Tara Lech, PharmD, CACP (Beth Israel Lahey Health, @AnticoagPharmD, @anticoagpharmd.bsky.social‬). Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Case 1 from Kashlak

Choosing the right anticoagulant

Distal deep vein thrombosis management

Anticoagulation in special populations

Case 2 from Kashlak

Understanding treatment failure

Anticoagulation reversal agents

Outro

Credits

Producer, Writer, Show Notes, Infographic, Cover Art: Ben Furman

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

Reviewer: Leah Witt, MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Tara Lech, PharmD

Disclosures

Dr. Lech reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Sponsor: Grammarly

Let Grammarly take the busywork off your plate so you can focus on high-impact work. Download Grammarly for free at Grammarly.com/PODCAST.

Sponsor: Freed

CURB50 to get $50 off your first month when you subscribe at freed.ai

Sponsor: JournalFeed

Try JournalFeed free for 7 days—and get 20% off your first year with code CURB25 at journalfeed.org/curb.

#489 Live from SHM #Converge2025 Rheumatology for the Hospitalist

30 juni 2025 · 46 min

Afspelen

Take the ache out of those joint aches! Lees meer

Learn about inpatient diagnosis and management of crystalline arthropathies as well as a brief conversation about those rheumatology NOS cases. We’re joined by Dr. Kimberly Trotter, MD (University of Chicago).

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Rapid fire questions/Picks of the Week

Case 1

Differential Diagnosis of arthropathy

Risk factors for Gout

Diagnostic Evaluation

Acute Treatments

Long-term Treatments

Transitions of Care for Crystalline Arthropathy

Case 2

History and Physical Exam

Diagnostic Work up

Treatment

Outro

Credits

Writer, Producer, Show Notes, Hosts: Meredith Trubitt MD, Monee Amin MD

Infographic, Cover Art: Caroline Coleman, MD

Reviewer: Sai Achi MD, MBA, FACP

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Kimberly Trotter, MD

Disclosures

Dr. Trotter reports financial relationship with GSK-Membership on Advisory Committee. The Curbsiders report no relevant financial disclosures.

Sponsor: Bombas

Head over to Bombas.com and use code CURB for 20% off your first purchase.

#488 DIGEST: Cytisinicline for smoking cessation, partner treatment for BV, combination therapy with statins and ezetimibe, and exercise and survival in colon cancer

23 juni 2025 · 59 min

Afspelen

Join us as we review recent practice-changing articles on the effect of combination statin and ezetimibe in reducing myalgias, male partner treatment for BV, semaglutide for MASH/liver fibrosis, exercise and cancer risk, and cytisinicline for smoking cessation. Fill your brain hole with some delicious apps and entrees from our spring Digests! Featuring Paul Williams (@PaulNWilliamz), Nora Taranto (@norataranto), special guest epidemiologist Alexander Chaitoff (@alexchaitoff) and Matt Watto (@doctorwatto). Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!

Credits

Written and Hosted by: Nora Taranto MD; Alexander Chaitoff MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP, Alex Chaitoff MD MPH

Cover Art: Nora Taranto MD

Reviewer: Leah Witt MD

Technical Production: Pod Paste

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

Intro, disclaimer

Self-collected HPV tests for cervical cancer screening

Semaglutide for MASH/Liver Fibrosis

Male Partner Treatment for BV

Statins plus ezetimibe versus high-dose statins alone for statin-associated muscle symptoms

Exercise and Colon Cancer Risk

Cytisinicline for Smoking Cessation

Outro

Disclosures

Dr. Wiliams reports financial relationship with Merck for grant or research support. Dr Chaitoff reports financial relationship with Alosa Health for Consulting. Other Curbsiders members report no relevant financial disclosures.

Sponsor: FIGS

Curbsiders listeners can get 15% off. Just go to wearFIGS.com and use code FIGSRX

Sponsor: Quince

Go to Quince.com/curb for free shipping on your order and 365 day returns.

Sponsor: Continuing Education Company

Curbsiders listeners get 45% off select online courses with promo code Curb45, through July 30. You can also use Curb30 for 30% off all webcasts and on demand replay courses. Check it all out at CMEmeeting.org/curbsiders.

#487 Chronic Pain & Opioid Use Disorder with Dr. Jessie Merlin

16 juni 2025 · 1 uur 22 min

Afspelen

Dive into practical, evidence-based approaches to managing pain in patients with opioid use disorder, bust common myths, and explore strategies to support patients. This episode will enhance your skills in providing holistic, patient-centered care. We’re joined by Dr. Jessica Merlin, @JessicaMerlinMD (University of Pittsburgh). Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Credits

Producer, Show Notes, Infographics: Carolyn Chan MD, MHS

Hosts: Carolyn Chan, MD, MHS and Shawn Cohen MD

Reviewer: Payel Jhoom Roy MD, MSc

Showrunner: Carolyn Chan, MD, MHS

Technical Production: PodPaste

Guest: Jessica Merlin MD, PhD, MBA

Sponsor: JournalFeed

Try JournalFeed free for 7 days — and get 20% off your first year with code CURB25 at journalfeed.org/curb.

Sponsor: Freed

Usecode: CURB50 to get $50 off your first month when you subscribe at freed.ai

Sponsor: Mint Mobile

Get your summer savings and shop premium wireless plans at MINTMOBILE.com/CURB

#486 Infertility in Clinical Practice: A Primary Care Approach With Dr Brindha Bavan

9 juni 2025 · 1 uur 10 min

Afspelen

Get confident supporting your patients with infertility in primary care! We cover who needs a workup, how to evaluate both partners, and when to refer—plus tips on coding, counseling, and emotional support. Reproductive endocrinologist Dr. Brindha Bavan shares practical insights to empower PCPs on the front lines of fertility care. Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Case from Kashlak

Definitions of infertility

Male factor infertility evaluation

History

Semen analysis

lifestyle

Female factor infertility evaluation

Anatomical approach

Basic testing

More advanced testing

Unexplained infertility treatment

Success of infertility treatments

Financial impact/advocacy

Oocyte preservation

Outro

Credits

Producer, Writer, Show notes, Cover Art, Infographics: Molly Heublein MD

Hosts: Molly Heublein MD, Era Kryzhanovskaya MD

Reviewer: Emi Okamoto MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Brindha Bavan MD

Disclosures

Dr. Brindha Bavan reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Sponsor: Grammarly

Download Grammarly for free at Grammarly.com/PODCAST.

Sponsor: FIGS

We’ve teamed up with FIGS, and now Curbsiders listeners can get 15% off. Just go to wearFIGS.com and use code FIGSRX.

Sponsor: Panacea Financial

Learn more at PanaceaFinancial.com.

#485: Things We Do For No Reason™Live from SHM #Converge2025

2 juni 2025 · 1 uur 4 min

Afspelen

Brush up on your high-value care by exploring four Things We Do For No Reason with experts Dr. Tony Breu (@tony_breu, Harvard University) and Dr. Lenny Feldman (@DocLennyF, Johns Hopkins University). Follow along as they explore lactate-guided resuscitation in shock, beta blocker use with cocaine, holding anticoagulation in patients with fall risk, and discharge before noon. Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Picks of the Week

Part 1: Things We Do for No Reason™: Using lactate as our resuscitation guide in sepsis

Part 2: Things We Do for No Reason™: Discontinuing β-blockers in patients who use cocaine

Part 3: Things We Do for No Reason™: Discontinuing anticoagulation in older patients with atrial fibrillation and a high risk of falls

Part 4: Things We Do for No Reason™: Discharge before noon

Outro

Credits

Producers: Caroline Coleman MD, Monee Amin MD, Meredith Trubitt MD

Writers: Monee Amin MD and Meredith Trubitt MD

Show Notes, Infographic, Cover Art: Caroline Coleman, MD

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

Reviewer: Emi Okamoto MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Lenny Feldman, MD and Tony Breu, MD

Disclosures

Dr. Breu and Dr Feldman report no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Sponsor: FIGS

Curbsiders listeners can get 15% off. Just go to wearFIGS.com and use code FIGSRX

Sponsor: Freed

Usecode: CURB50 to get $50 off your first month when you subscribe at Freed.ai

Sponsor: Locumstory

Learn about locums and get insights from real-life physicians, PAs and NP sat Locumstory.com

Sponsor: Continuing Education Company

Curbsiders listeners get 45% off select online courses—that’s the biggest discount CEC has ever offered,
and it’s exclusive to you with promo code Curb45, through J…

#484 Hotcakes: Vitamin D3, Omega-3 Fatty Acids, and Physical Performance, Gabapentin and Falls, Gepotidacin for UTI, and Intermittent Fasting for Weight Loss

26 mei 2025 · 57 min

Afspelen

Join us as we review recent practice-changing articles on the effect of vitamin D3 and omega-3 fatty acids on physical performance, gabapentin and falls, gepotidacin for uncomplicated UTI, and intermittent fasting for weight loss. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), special guest Laura Glick (@LauraRGlick) and Matt Watto (@doctorwatto). Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!

Credits

Written and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP

Cover Art: Rahul Ganatra MD, FACP

Reviewer: Sai S Achi, MD,MBA,FACP

Technical Production: Pod Paste

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

Intro, disclaimer

Vitamin D3 vs omega-3 fatty acids and physical performance

Gabapentin vs duloxetine and risk of falls

Gepotidacin vs nitrofurantoin for uncomplicated UTI

Intermittent fasting vs daily calorie restriction for weight loss

Outro

Sponsor: Bombas

Head over to Bombas.com/curb and use code curb for 20% off your first purchase.

#483: Diabetic Dilemmas in Older Adults, Pregnancy and Corticosteroid Use with Jeff Colburn, MD

19 mei 2025 · 1 uur 15 min

Afspelen

This episode doesn't sugarcoat the truth about tricky diabetes management! Lees meer

Wrangle wild blood sugars among older adults, pregnant individuals, and those taking corticosteroids! Join our Kashlak resident endocrinologist Dr. Jeff Colburn, as we dive into diabetic dilemmas. We will help you dodge dangerous lows and navigate tricky treatment traps in these special populations. Get the un-sugar-coated truth on managing complex diabetes cases!

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Diabetes in Older Adults (Geriatrics)

General Approach

Risks of Hypoglycemia

4Ms Framework

Insulin Management

Oral Medications

Diabetes in Pregnancy

Preconception Counseling

Eye Health Monitoring

Insulin Therapy During Pregnancy

Postpartum Care

Steroid-Induced Hyperglycemia

General Approach

Postprandial Insulin Adjustment

NPH Insulin Usage

Initiating Insulin

Role of GLP-1RA and SGLT2-inhibitors

Take-home Points

Outro

Credits

Producer, Writer, and Show Notes: Isabel Valdez, PA-C

Infographic and Cover Art: Zoya Surani, BA, MS

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

Reviewer: Leah Witt, MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Jeff Colburn, MD

Disclosures

Dr. Jeff Colburn reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Sponsor: Continuing Education Company

Special offer for Curbsiders listeners: Save 30% on all online courses and live webcasts with promo code CURB30. Visit www.CMEmeeting.org/curbsiders to explore all offerings and claim your discount.

Sponsor: Freed

Visit Freed.ai and Usecode: CURB50 to get $50 off your first month when you subscribe.

Sponsor: Quince

Go to Quince.com/curb for free shipping on your order and 365 day returns.

UNLOCKED #43 Exclusive! HFrEF (TFTC audio)

14 mei 2025 · 31 min

Afspelen

Join us at patreon.com/curbsiders today and save 20% on NEW Annual Memberships with promo code: UNLOCKED. Lees meer

*This offer expires at 3am EST on May 15, 2025.

Matt and Paul recap top pearls from a recent episode on heart failure with reduced ejection fraction (HFrEF) and the importance of understanding the underlying causes of heart failure with Dr. Michelle Kittleson (video version). They also answer listener questions and share their picks of the week.

Chapters:
00:00 Introduction and Humor
01:41 Understanding Heart Failure
04:50 Guideline-Directed Medical Therapy
09:57 Practical Approaches to Treatment
13:58 The Importance of Medication Adherence
16:22 Dietary Considerations in Heart Failure
18:24 ED Follow-Ups and Patient Management
20:38 SGLT2 Inhibitors and Infections
25:58 Patient Counseling and Preventative Care
26:33 Picks of the Week

REBOOT #458 Heart Failure with Reduced Ejection Fraction - Kittleson Rules Outpatient Heart Failure Volume 1

12 mei 2025 · 1 uur

Afspelen

We’re taking a break this week, but we’ll be back next week with a brand-new episode. Lees meer

Provide superb outpatient care for your patients with HFrEF. Identify underlying causes of heart failure and titrate medications with ease. Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) breaks down the nuances of treating this common cardiac condition.

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

00:00 Introduction

03:22 Case Presentation: Newly Diagnosed Heart Failure

07:26 Using Physical Exam Findings to Guide Diuresis

11:58 The Four Pillars of Guideline-Directed Medical Therapy for Heart Failure

15:07 Optimizing Therapy and Follow-Up in Heart Failure Patients

22:10 The Benefits of High-Intensity Initiation and Titration of Guideline-Directed Medical Therapy

28:02 Consideration of Other Medications

40:02 Referral to Advanced Heart Failure Specialist

49:11 Optimizing Therapy and Follow-Up

55:33 Conclusion and Book Recommendation

Credits

Writer and Producer: Deborah Gorth MD, PhD

Infographic and Cover Art: Zoya Surani

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

Reviewer: Emi Okamoto MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Michelle Kittleson MD, PhD

Sponsor: Mint Mobile

Get your summer savings and shop premium wireless plans at MINTMOBILE. com/CURB.

Sponsor: American College of Physicians

Order ACP MKSAP today at acponline.org. Curbsiders Listeners who use promo code CORECS will receive a MKSAP gift pack with their subscription.

Sponsor: Panacea Legal

Learn more and schedule your free consultation at Panacea.Legal.

#482 Recap from SHM #Converge25

5 mei 2025 · 1 uur 25 min

Afspelen

Highlights and Pearls from SHM’s Annual Meeting Lees meer

We recap the top pearls for the hospitalist from #SHM #Converge25 hitting updates in GI, stroke, anticoagulation, perioperative medicine, artificial intelligence, and more.

Note: There is no CME for this episode, but visit curbsiders.vcuhealth.org to claim credit for past episodes.

Show Segments

Intro

Care of the Patient Experiencing Homelessness

Updates in GI

Delirium

Adaptive Leadership

Transgender Health

Capacity Assessment

Heart Failure

Care of the Transplanted Kidney

Precipitated Withdrawal

IV contrast

Alcohol Withdrawal

MRSA Nares Swabs

Bugs, Bite, and Fever

Perioperative Medicine

Parkinson’s Disease

Stroke

Outro

Credits

Producer, Writer, Show Notes: Meredith Trubitt MD, Monee Amin MD, Caroline Coleman MD

Cover Art: Caroline Coleman, MD

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

Reviewer: Rahul Ganatra, MD MPH

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Michelle Brooks MD, Avital O’Glasser MD, Rahul Ganatra MD MPH

Disclosures

The Curbsiders report no relevant financial disclosures.

Sponsor: Freed

Visit www.getfreed.ai and sse code: CURB50 to get $50 off your first month when you subscribe!

Sponsor: Locumstory

Learn about locums and get insights from real-life physicians, PAs and NPs at Locumstory.com.

Sponsor: Grammarly

Download Grammarly for free at Grammarly.com/PODCAST.

Sponsor: Continuing Education Company

Special offer for Curbsiders listeners: Save 30% on all online courses and live webcasts with promo code CURB30. Visit www.CMEmeeting.org/curbsiders to explore all offerings and claim your discount.

#481 Prediabetes and Diabetes Prevention with Dr. Scott Isaacs

28 april 2025 · 1 uur 28 min

Afspelen

Conquer prediabetes and diabetes prevention! We’re joined by Dr. Scott Isaacs, who provides essential pearls on navigating screening tests for diabetes and prediabetes, identifying atypical cases of prediabetes, and individualizing management of prediabetes with lifestyle changes and medications. Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Case from Kashlak

Why screen for prediabetes and diabetes?

Who to screen for prediabetes and diabetes

How to screen for prediabetes and diabetes

Role of the physical exam

Explaining a diagnosis of prediabetes to patients

Atypical types of prediabetes

Management of prediabetes: lifestyle changes

Management of prediabetes: medications

Outro

Credits

Producer, Writer, and Show Notes: Malini Gandhi MD

Infographic and Cover Art: Zoya Surani

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

Reviewer: Sai Achi MD,MBA,FACP

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Scott Isaacs MD

Disclosures

Dr. Isaacs reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Sponsor: FIGS

Go to WearFIGS.com and as a Nurses Week exclusive get 20% off everything starting this Thursday May 1st thru May 7th.

Sponsor: Bombas

Enjoy worldwide shipping to over two hundred countries. Head over to Bombas.com/curb and use code curb for twenty percent off your first purchase.

Sponsor: Continuing Education Company

Visit www.CMEmeeting.org/curbsiders. Special offer for Curbsiders listeners: Save 30% on all online courses and live webcasts with promo code CURB30.

#480 Hypermobility with Dr. Linda Bluestein

21 april 2025 · 1 uur 19 min

Afspelen

Don’t bend the knee to hypermobility! Learn how to evaluate patients for possible joint hypermobility, what associated conditions to be mindful of, and where to start with management. We’re joined by Dr. Linda Bluestein, @BluesteinLinda (https://www.hypermobilitymd.com), who shares her years of experience in treating patients with hypermobility! Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro and getting to know our guest

Case from Kashlak

Hypermobility definitions and background

Initial screening for hypermobility

Physical examination

Associated conditions and symptoms

Management principles of joint hypermobility

Outro

Credits

Writer and Producer: Paul Williams, MD, FACP

Show Notes: Paul Williams, MD, FACP

Infographic and Cover Art: Paul Williams, MD, FACP

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

Reviewer: Emi Okamoto, MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Linda Bluestein, MD

Disclosures

Dr. Bluestein reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Sponsor: Quince

Go to Quince.com/curb for free shipping on your order and 365 returns.

Sponsor: Mint Mobile

Shop data plans at MINTMOBILE.com/CURB to get 3 months of premium wireless service from Mint Mobile for $15 a month

Sponsor: Continuing Education Company

Special offer for Curbsiders listeners: Save 30% on all online courses and live webcasts with promo code CURB30. Visit www.CMEmeeting.org/curbsiders to explore all offerings and claim your discount.

#479 Managing Treatment-Resistant Depression featuring Dr. Jessi Gold

14 april 2025 · 1 uur 28 min

Afspelen

Lead the way in depression management! We’re joined by Dr. Jessi Gold, a psychiatrist and mental health advocate, who provides essential pearls on ways to recognize the multifaceted nature of depression and similarly presenting medical conditions. We also discuss the complexities of treatment options including various medication options and therapies, and how to choose between these treatments. Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Case 1 from Kashlak

Medical conditions that can mimic depression

Diagnosis of depression

How to explain depression to family

Initial treatment options for depression

Case 2 from Kashlak

Suicide risk assessment

Trialing, augmenting, and tapering of medications

Pharmacogenetic testing

Alternate treatment options: TMS, ECT, ketamine, psilocybin, cannabis

Outro

Credits

Written and Produced by: Zoya Surani

Show Notes, Infographic, and Cover Art: Zoya Surani

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

Reviewer: Sai Achi MD,MBA,FACP

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Jessi Gold, MD

Disclosures

Dr. Gold reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Sponsor: Panacea Financial

Visit PanaceaFinancial.com to explore financial solutions designed to make your life better.

Sponsor: FIGS

Go to WearFIGS.com and use the code FIGSRX to get 15% off your first order.

Sponsor: Ezresus

Listeners of the Cribsiders get access to a 2-month free trial, letting them use 100% of the features of the app. For more information visit www.ezresus.com/curbsiders

Sponsor: Freed

Visit Freed.ai and use code CURB50 to get $50 off your first month when you subscribe!

#478 Dementia 2.0 with Anna Chodos

7 april 2025 · 1 uur 26 min

Afspelen

Updates in classification, evaluation, and treatment Lees meer

Become dexterous with dementia management! We’re talking with Dr. Anna Chodos about cognitive domains, diagnostic criteria, patient and caregiver resources, new antibody therapies, and brain health plans!

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Rapid fire questions

The Terminology of Neurocognitive Disorders

Cognitive Domains: A Comprehensive Approach

Physical Examination Insights

Medical Workup for Dementia

Imaging and Biomarkers in Dementia Diagnosis

Referral Considerations for Dementia Patients

Understanding Dementia Stages and Prognosis

Implementing Brain Health Plans

Medications for Dementia Management

Controversies in Monoclonal Antibody Therapies

The Importance of Early Detection and Planning

Outro

Credits

Producers, Writers and Show Notes: Leah Witt, MD and Margaret Heller, MD

Infographic and Cover Art: Leah Witt, MD

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

Reviewer: Emi Okamoto, MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Anna Chodos, MD

Disclosures

Dr. Chodos received remuneration from Novo Nordisk for participating in a task force looking at the feasibility of incorporating biomarkers for Alzheimer's disease into primary care. The financial relationship has ended. The Curbsiders report no relevant financial disclosures.

The production of this episode was supported by the Penn Geriatrics AGE-SMART Geriatric Workforce Enhancement Grant. This podcast content is solely the responsibility of the authors and does not necessarily represent the official views of the Health Resources and Services Administration or the U.S. Department of Health and Human Services.

Sponsor: Locumstory

Locumstory.com is simply a free, unbiased educational resource about locum tenens.

Sponsor: Grammarly

Downl…

#477 Hotcakes: Suzetrigine for acute pain, SGLT2i and PAD, Safety of Lowering LDL, Restrictive vs Liberal Transfusion Strategy in MI revisited

31 maart 2025 · 43 min

Afspelen

Join us as we review recent practice-changing articles on suzetrigine for acute pain, the risk of PAD events from SGLT2 inhibitors, the safety of very low LDL, and the benefits of restrictive vs liberal transfusion strategies in acute MI with anemia. Fill your brain hole with a delicious stack of hotcakes! Featuring Rahul Ganatra (@rbganatra), Matt Watto (@doctorwatto), and special guest Molly Brett (Paul Williams got a break and took a much-needed vacation this week!). Lees meer

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Credits

Written and Hosted by: Rahul Ganatra MD, MPH; Molly Brett MD, and Matthew Watto MD, FACP

Cover Art: Matthew Watto MD, FACP

Reviewer: Leah Witt, MD

Technical Production: Pod Paste

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

Intro, guest introduction, disclaimer

Cognitive safety of very low LDL Cholesterol

Suzetrigine for acute pain

Risk for amputation associated with SGLT2 inhibitors

Transfusion strategies in acute MI with anemia revisited

Outro

Sponsor: Freed

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#476 Medications for Alcohol Use Disorder 2.0 with Dr Stephen Holt

24 maart 2025 · 55 min

Afspelen

Make MAUD your topira-MATE Lees meer

Level up your treatment for people with alcohol use disorder. Learn about medication options beyond the first line, when they’re appropriate and not, and how to work with your patients to set goals that fit them. We’re joined by Dr Stephen Holt (Yale University School of Medicine)

Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Credits

Written, produced, show notes, cover art and infographics by: Shawn Cohen MD

Hosts: Carolyn Chan, MD. MHS, Shawn Cohen MD, and Paul Williams MD

Reviewer: Kento Sonoda MD

Showrunner: Carolyn Chan, MD, MHS

Technical Production: PodPaste

Guest: Stephen Holt MD

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#475 Perioperative Update with Dr. Avital O’Glasser

17 maart 2025 · 1 uur 37 min

Afspelen

2024 ACC/AHA guideline update, including biomarker testing, MINS, and other consulting tips Lees meer

Master perioperative medicine! Learn when to hold ACE inhibitors, how to manage OSA without delaying surgery, and why "NPO after midnight" is outdated. We’re joined by Dr. Avital O’Glasser, our Chief of Perioperative Medicine!

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Case

Preoperative Assessment & Consulting Tips

Risk Calculators

Frailty

Pulmonary Considerations

Cardiovascular Meds & BP Management

NPO: Why Are We Still Doing This?

Biomarkers & Postoperative Risk

MINS

Outro

Credits

Written and produced, show notes, cover art, CME, and infographics: Paul Wurtz MD.

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

Reviewer: Molly Heublein MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Avital O’Glasser MD

Disclosures

Dr. O’Glasser reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Sponsor: EZResus

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For more information, www.ezresus.com/curbsiders and Use promo code Curbsiders

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#474 Resistant Hypertension the Next Frontier

10 maart 2025 · 1 uur 13 min

Afspelen

Treat Hypertension Like No Doctor Has Ever Treated Hypertension Before Lees meer

Treating hypertension never gets boring. Learn about emerging therapies and how to continue to tackle this common diagnosis like a pro. Dr. Jordy Cohen (@jordybc.bsky.social) leads us through her approach to keeping the BP where it should be (University of Pennsylvania).

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

00:00 Introduction and Current Interests

01:55 Understanding Hypertension

11:59 Blood Pressure Measurement Techniques

19:58 Treatment Goals and Guidelines for Hypertension

30:02 Managing Resistant Hypertension and New Treatments

36:00 Exploring GLP-1 Agonists and Blood Pressure Benefits

39:06 Aldosterone Synthase Inhibitors: A New Hope

42:00 Innovative Approaches: Small Interfering RNAs in Hypertension

47:06 Renal Denervation: A Controversial Procedure

55:01 Understanding Resistant Hypertension and Testing Protocols

Credits

Writer and Producer: Deborah Gorth MD, PhD

Show Notes: Ben Furman and Deborah Gorth MD, PhD

Cover Art and Infographic: Deborah Gorth MD, PhD and Meryl Gorth RD, MPH

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

Reviewer: Sai Achi MD, MBA, FACP

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Jordana Cohen MD, MSCE

Disclosures

Dr. Jordana Cohen and The Curbsiders report no relevant financial disclosures.

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#473 Rapid Response Series: Narrow Complex Tachyarrhythmias with Dr. Noble Maleque

3 maart 2025 · 59 min

Afspelen

Don’t miss a beat as our guest Dr. Noble Maleque guides us through dominating narrow complex tachyarrhythmias (while keeping our own heart rates under control too). @Nobility75 (Emory University) Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Case 1, part 1: Unstable narrow tachyarrhythmias

Case 1, part 2: Stable, narrow tachyarrhythmias – regular rhythm

Vagal tone: Valsalva, Modified Valsalva, or Carotid Massage?

Adenosine

2nd line AV nodal blockade: metoprolol, diltiazem

Case 2: Stable, narrow tachyarrhythmias – irregular rhythm

AV nodal blockade

Amiodarone and diltiazem

Rapid fire questions/Picks of the Week

Outro

Credits

Please consolidate if performing multiple jobs (e.g. Written and Produced by: Cyrus Askin MD; cover art and infographic by Kate Grant)

Producer, writer, Infographic, cover art, and show notes by: Caroline Coleman, MD

Hosts: Meredith Trubitt, MD and Monee Amin, MD

Reviewer: Rahul Ganatra, MD MPH

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Noble Maleque, MD

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#472 DIGEST: cfDNA & cancer in Pregnancy, Vitamin K2 for Leg Cramps, PRN anti-hypertensives, GLP-1 Agonists for AUD, Short-Course Antibiotics

24 februari 2025 · 51 min

Afspelen

Join us as we review recent articles and news featured in The DIGEST issues #59-61, including cfDNA and incidental detection of cancer in pregnancy, vitamin K2 for nocturnal leg cramps, the danger of as-needed anti-hypertensive medications in the hospital, GLP-1 agonists for alcohol use disorder, short-course (7 vs 14 days) antibiotics for bacteremia, and patient-collected HPV testing for cervical cancer screening. Fill your brain hole with a fully digestible meal! Featuring Laura Glick MD, Nora Taranto (@norataranto), Paul Williams (@paulnwilliamz), and Matt Watto (@doctorwatto). Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

00:00 Introduction and Overview

02:57 The IDENTIFY study: Non-Invasive Prenatal Testing and Cancer Detection with cfDNA

05:54 Implications of Non-Reportable Results in Prenatal Testing

08:51 Vitamin K2: A New Approach to Managing Nocturnal Leg Cramps

12:07 Practicality and Future of Vitamin K2 in Clinical Practice

23:21 The Dangers of As-Needed Antihypertensives in the hospital

32:21 Exploring GLP-1 Agonists for Alcohol Use Disorder

40:24 Shorter Antibiotic Courses in Sepsis

46:09 Advancements in Patient-Collected HPV Screening for cervical cancer

Credits

Written and Produced by: Nora Taranto MD, Laura Glick MD, Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Notes: Nora Taranto MD

Cover Art: Matthew Watto MD, FACP

Hosts: Nora Taranto MD, Laura Glick MD, Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Emi Okamoto MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Disclosures

The Curbsiders report no relevant financial disclosures.

Sponsor: Bombas

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Sponsor: Ro…

#471 Iron Deficiency Anemia with Dr. Tom DeLoughery

17 februari 2025 · 1 uur 7 min

Afspelen

Conquer the art of managing patients with iron deficiency anemia. We are joined by the amazing Dr. Tom DeLoughery, @Bloodman (Oregon Health & Science University). Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Rapid fire questions/Picks of the Week

Case

History and Physical

Laboratory Findings

Management of Iron Deficiency Anemia

Diet

Oral Supplementation

Unexplained Iron Deficiency

Case 2

IV Iron Supplementation

IV iron reactions

Case 3

Laboratory Follow Up Post Supplementation

When to Refer to a Hematology/Oncology specialist?

Outro

Credits

Producer,Writer, Show Notes, Cover Art, and Infographics: Sai S Achi MD MBA FACP

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

Reviewer: Leah Witt, MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Dr. Tom DeLoughery MD, MACP, FAWM

Sponsor: Mint Mobile

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#470 Thyroid Nodules and Thyroid Cancer for Primary Care

10 februari 2025 · 1 uur 19 min

Afspelen

Management and Ongoing Monitoring of Thyroid Neoplasms Lees meer

Join us as we dive deep into the approach for thyroid nodules with our two fantastic guests, Dr. Kaniksha Desai (Stanford Medicine) and Dr. Ana Chindris (Mayo Clinic)! Learn how to stratify these nodules for cancer risk and walk alongside our patients during treatment for thyroid cancer.

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro, guest bios

Case From Kashlak

Thyroid nodule evaluation and management

Thyroid cancer diagnosis and treatment

GLP-1s relationship to thyroid nodules and cancer

Outro

Credits

Writer, producer, show notes, infographic, cover art: Alise Burke, MD

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

Reviewer: Emi Okamoto MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Kaniksha Desai MD and Ana Chindris MD

Sponsor: Panacea

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Sponsor: Babbel

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#469 Inpatient Heart Failure

3 februari 2025 · 1 uur 26 min

Afspelen

Diuresing ‘til the heart's content Lees meer

Master inpatient heart failure management! Learn key tips for initiating guideline-directed medical therapy, diuretic therapy pearls, and ensuring smooth transitions of care. We are joined by Dr. Gurusher Panjrath @PanjrathG (GW School of Medicine and Health Sciences-Dr. Panjrath)

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Rapid Fire Questions/Picks of the Week

Case Aliquot 1

Defining Heart Failure

POCUS in Heart Failure

Timing/Indications for Echocardiography

Initiating Diuretic Therapy

Adjusting Diuretic Therapy/Drip vs Bolus

Adjunct Diuretic Therapy

Afterload Reduction

Monitoring Diuretic Response

Inpatient Sodium and Fluid Restriction

Case Aliquot 2

Classifying Heart Failure

Pharmacotherapy for HFrEF

Pharmacotherapy for HFpEF

Ischemic Evaluation

Interval Summary/Highlights

Case Aliquot 3

Considerations for Initial Care of Cardiogenic Shock

Choosing Inotrope/Vasopressor

Right Heart Catheterization

Case Aliquot 4

Discharge Medications for Heart Failure

Titration of Goal Directed Medical Therapy

Post Discharge Follow Up

Washout Period for ACEi/ARB

Cost/Barriers of ARNI

Patient Education

Take Home Points

Outro

Credits

Writer, Producer, and Show Notes by: Reaford Blackburn, Jr., MD

Infographic & Cover Art: Caroline Coleman MD

Hosts: Monee Amin, MD and Meredith Trubitt, MD

Reviewer: Rahul Ganatra MD

Technical Production: PodPaste

Guest: Gurusher Panjrath, MD

Sponsor: CME Meeting

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#468: Asthma Update with Cyrus Askin

27 januari 2025 · 1 uur 20 min

Afspelen

2024 GINA Strategy, peak expiratory flow insights, SMART therapy, and other asthma pearls that will leave you breathless Lees meer

Master the art of diagnosing and managing asthma with practical, evidence-based strategies. Learn how to approach the initial interview, gain comfort with key diagnostic tools like spirometry and PEF, and optimize therapy using the latest GINA report. We’re joined by Dr. Cyrus Askin, a longtime Curbsiders member returning as our guest expert to share his insights as a pulmonologist.

X profile (formerly twitter): @Askins_Razor

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Case

Topic

Rapid fire questions/Picks of the Week

Outro

Credits

Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD.

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

Reviewer: Sai S Achi MD, MBA, FACP

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Cyrus Askin MD

Sponsor: Babble

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#467 Unintentional Weight Loss with Dr. Eva Szymanski

20 januari 2025 · 1 uur 4 min

Afspelen

Become a mini geriatrician in our new Geriatrics series! Lees meer

Geriatricize your knowledge of caring for older adults with unintentional weight loss! You’ll round out your history taking and weight gain plan by harnessing the age-friendly “5Ms”. We’re joined by Dr. Eva Szymanski (@eva_szy), expert geriatrician at Penn Medicine.

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Rapid fire questions

Case

Defining Unintentional Weight Loss

Applying the Geriatric 5Ms Framework

Diagnostic Work-Up

Addressing Ageism in Medical Decisions

Defining Geriatric Syndromes

Weight Loss Treatments

Outro

Credits

Producer: Leah Witt, MD, Rachel Miller, MD, MSEd

Writers: Abigail Schmucker, MD, Joseph Young, MD, Margaret Heller, MD, Alyson Michener, MD, Leah Witt, MD

Show Notes, Infographic and Cover Art: Leah Witt, MD

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

Reviewer: Molly Heublein, MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Eva Szymanski, MD

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#466 Cirrhosis Update with Scott Matherly

13 januari 2025 · 1 uur 17 min

Afspelen

Update your approach to cirrhosis evaluation and management with Dr. Scott Matherly Associate Professor of Hepatology and Gastroenterology at Virginia Commonwealth University Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro, disclaimer, guest bio

Case from Kashlak; Definitions

Cirrhosis Diagnosis and Initial Evaluation

Cirrhosis Physical Examination

Decompensated Cirrhosis Management

Ascites and TIPS

MELD and transplant consideration

Outro

Credits

Written and Produced by: Elena Gibson MD

Infographic and Cover Art: Edison Jyang MD

Hosts: Paul Williams MD, FACP; Elena Gibson MD

Reviewer: Emi Okamoto MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Scott Matherly MD

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