Alle afleveringen van The Curbsiders Internal Medicine Podcast – pagina 3 van 10

REBOOT #421 Antiphospholipid Syndrome with Dr. Arielle Langer

6 januari 2025 · 1 uur 16 min

Afspelen

We're taking a short winter break, but we’ll be back with new shows in time for Christmas and New Years! Can’t wait for more new episodes? Sign up for our Patreon with 15% off an annual membership at patreon.com/curbsiders (https://www.patreon.com/c/curbsiders) and get instant access to 40 plus bonus episodes! Lees meer

Conquer your fear of antiphospholipid syndrome! Dr. Arielle Langer leads us through what clinical features raise suspicion for antiphospholipid syndrome, how to interpret laboratory testing, and the nuances of antiphospholipid syndrome management.

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

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#465 Hospital Medicine Recap Extravaganza: Diabetic Foot, Sepsis, Syncope, Acute Coronary Syndrome, and more!

30 december 2024 · 39 min

Afspelen

Join us as Monee and Meredith with the rest of the hospital medicine team reflect on the past year, discussing some favorite insights gained covering a range of topics, including diabetic foot infections, sepsis, sickle cell inpatient management, syncope, psychiatry for the hospitalist, and acute coronary syndrome. Lees meer

No CME for this episode, but claim CME for past shows at curbsiders.vcuhealth.org!

Show Segments

Introduction

Picks of the Year

Diabetic Foot Infections

Sepsis

Sickle Cell Inpatient Management

Psychiatry Primer

Syncope

Acute Coronary Syndrome

Reflections from the Year

Credits

Written, Produced, and hosted by: Meredith Trubitt MD; Monee Amin MD

Script Written: Caroline Coleman, MD, RJ Blackburn, MD

Cover Art: Caroline Coleman, MD

Reviewer: Rahul Ganatra MD

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

Technical Production: PodPaste

Sponsor: Rosetta Stone

Redeem your 50% off at rosettastone.com/curbsiders

#464 Recap Extravaganza: Dental Pain, Cardiac Amyloidosis, Diabetes & CGMs, Hyperparathyroidism, Neck Pain, Endometriosis, Rhinitis, and more!

23 december 2024 · 1 uur 1 min

Afspelen

Join us as Paul and Watto reflect on the past year, discussing some favorite insights gained covering a range of topics, including dental pain management, cardiac amyloidosis, the impact of continuous glucose monitoring on diabetes care, the complexities of diagnosing primary hyperparathyroidism, hepatitis B screening and vaccination, GLP-1 agonists, travel medicine, endometriosis, rhinitis, and recurrent UTIs. Plus, we feature listener voicemails sharing their favorite episodes and why they love the Curbsiders! Lees meer

No CME for this episode, but claim CME for past shows at curbsiders.vcuhealth.org!

Show Segments

00:00 Introduction and Year-End Reflections

02:59 Picks of the Year

05:53 Dental Pain and Oral Care Insights

10:25 Cardiac Amyloidosis

14:33 Listener mail- diabetes

16:33 Neck Pain

19:08 Continuous Glucose Monitoring in Diabetes

23:57 Hyperparathyroidism

30:48 Hepatitis B

34:01 Listener mail- obesity

36:14 Travel Medicine: Malaria, Diarrhea, and Vaccination

40:38 Endometriosis

46:08 Rhinitis and Environmental Allergies

49.24 Recurrent UTIs

55:08 Reflections on Nine Years of Curbsiders

Credits

Written, Produced, and hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP

Cover Art: Matthew Watto MD, FACP

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

Sponsor: AquaTru

Today listeners receive 20% OFF any AquaTru purifier! Just go to AquaTru.com and enter code “CURB“ at checkout.

Sponsor: Freed

Visit Freed.ai. Use code CURB50 to get $50 off your first month.

Sponsor: Quince

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REBOOT #429 Anxiety 2.0: with Dr. Jessi Gold

16 december 2024 · 1 uur 29 min

Afspelen

We're taking a short winter break, but we’ll be back with new shows in time for Christmas and New Years! Can’t wait for more new episodes? Sign up for our Patreon with 15% off an annual membership at patreon.com/curbsiders (https://www.patreon.com/c/curbsiders) and get instant access to 40 plus bonus episodes! Lees meer

Elevate your primary care management of anxiety. Become confident in counseling patients about a new anxiety diagnosis, 2nd and 3rd line medications, augmentation for anxiety treatment, and options for non-pharmacological anxiety treatment. We are joined by psychiatrist and mental health expert Dr. Jessi Gold, @drjessigold (University of Tennessee System; drjessigold.com). Check out her book, How Do You Feel?

Visit our website for detailed show notes for this episode.

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

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. use code CURB50 for $50 off your first month.

Sponsor: Litter Robot
As a special holiday offer, Whisker is offering up to $100 off Litter-Robot bundles. AND, as a special offer to listeners, you can get an additional $50 off when you go to stopscooping.com/CURB

Sponsor: Pattern
With huge discounts for doctors in training, now is truly the best time to request your disability insurance quotes with Pattern at patternlife.com/curbsiders.

REBOOT #433 CGMs, Insulin, and How to Adjust Diabetes Meds to Glucose Patterns

9 december 2024 · 1 uur 12 min

Afspelen

We're taking a short winter break, but we’ll be back with new shows in time for Christmas and New Years! Can’t wait for more new episodes? Sign up for our Patreon with 15% off an annual membership at patreon.com/curbsiders (https://www.patreon.com/c/curbsiders) and get instant access to 40 plus bonus episodes! Lees meer

Step up your diabetes game! Learn the ins and outs of continuous glucose monitors (CGM) including key features, what and how to order, interpreting CGM data (time in range, time above range, etc.), and how to make adjustments to a patient’s insulin regimen, aka “insulin pattern matching”. We discuss common scenarios including overnight hypoglycemia, exercise-induced hypoglycemia, post-prandial hyperglycemia, what to do when the patient runs high all the time, and how to incorporate GLP1 agonists and SGLT2 inhibitors into a patient's regimen. Returning guest and Paul’s favorite frenemy, Dr. Jeff Colburn (VCU Health) returns!

Visit our website for detailed show notes for this episode.

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

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: OpenEvidence
If you haven't tried it out yet check it out, it will save you time and help you make better decisions go to openevidence.com/curbsiders

Sponsor: Panacea Legal
Physicians deserve to be informed of the risks and benefits of their employment contract. Let Panacea Legal help you today at Panacea.Legal

REBOOT #415 Bipolar Disorder With Dr. Kevin Johns

2 december 2024 · 1 uur 15 min

Afspelen

We're taking a short winter break, but we’ll be back with new shows in time for Christmas and New Years! Can’t wait for more new episodes? Sign up for our Patreon with 15% off an annual membership at patreon.com/curbsiders (https://www.patreon.com/c/curbsiders) and get instant access to 40 plus bonus episodes! Lees meer

Diagnosing and treating bipolar disorder is not always black-and-white. Dr. Kevin Johns teaches us how to not get tripped up on this tricky diagnosis. (The Ohio State University Wexner Medical Center)

Visit our website for detailed show notes for this episode.

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

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: Uncommon Goods

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Sponsor: Bombas

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#463 Tofurkey-cakes: A Hypertension Triple Pill, Arm Position & BP, early TAVR, Liberal vs Restrictive Transfusions, New Periop Guidelines

25 november 2024 · 44 min

Afspelen

Join us as we review recent practice-changing articles on a new triple pill for hypertension, how arm position affects blood pressure, early TAVR for asymptomatic patients with severe AS, liberal versus restrictive transfusion strategy in patients with acute brain injury, and a quick overview of the 2024 ACC/AHA perioperative medicine guidelines. Fill your brain hole with a delicious stack of tofurkey cakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), Jen DeSalvo (@drjendesalvo), and Matt Watto (@doctorwatto). Lees meer

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

Credits

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

Cover Art: Matthew Watto MD, FACP

Reviewer: Rahul Ganatra MD, MPH

Technical Production: Pod Paste

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

Show Segments

Intro, disclaimer

A new triple pill for hypertension

How arm position affects blood pressure

Early TAVR for asymptomatic patients with severe AS

Liberal versus restrictive transfusion strategy in patients with acute brain injury

A quick overview of the 2024 ACC/AHA perioperative medicine guidelines

Outro

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: AquaTru

Today listeners receive 20% off any AquaTru purifier! Just go to AquaTru.com and enter code “CURB“ at checkout.

Sponsor: Uncommon Goods

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#462 Male Hypogonadism Pearls with Dr. Bradley Anawalt: Insights on Testosterone Deficiency

18 november 2024 · 1 uur 27 min

Afspelen

Risks/benefits in older males, when to test, fertility considerations, and more. Lees meer

Master male hypogonadism diagnosis and management. Discover when and how to test, how to tackle confounding conditions, and why lifestyle changes may be more effective than testosterone therapy in certain patients. We are joined by Dr. Brad Anawalt, an expert in endocrine care, to guide us through the essentials.

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

Show Segments

Intro

Case 1

History and Physical

Laboratory Testing

Effect of Lifestyle on Testosterone

Case 2

Prostate and Cardiovascular risk

Treatment Options and Considerations

Secondary Causes of Hypogonadism

Case 3

Testicular Size and Klinefelter Syndrome

hCG and Clomiphene

Monitoring and Follow-Up

Take-Home Points

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 D. Anawalt MD

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: Pattern

With huge discounts for doctors in training, now is truly the best time to request your disability insurance quotes with Pattern at patternlife.com/curbsiders.

Sponsor: Litter Robot

As a special holiday offer, Whisker is offering up to $100 off Litter-Robot bundles. AND, as a special offer to listeners, you can get an additional $50 off when you go to stopscooping.com/CURB.

#461: Facial Nerve Follies: Understanding Bell's Palsy

11 november 2024 · 1 uur 3 min

Afspelen

A Bell-Ringer of a Presentation Lees meer

Is it a stroke or is it botox? No, it’s Bell’s palsy! Learn how to differentiate facial palsy from other sinister diagnoses. Join us as Dr. Jordan Amar (Assistant Professor of Clinical Neurology at USC Keck School of Medicine) gives us Bell’s palsy pointers (and a great mnemonic, if there is such a thing).

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

Show Segments

Introduction

Rapid fire questions and Reflex Hammers

Case #1: Ms. Melanie

Framework for Bell's Palsy

Bell's Palsy vs Stroke: How to Differentiate

Approach to History and Physical Exam

Case #2: Mr. Lopez

Red Flags in Facial Palsy (GROWLS FACE)

Workup: From Imaging to Labs and What Not to Do

Treatment: The Role of Steroids and Antivirals

Supportive Care, Complications and Prognosis

Take-Home Points

Outro

Credits

Producer and Writer: Isabel Valdez, PA-C

Show Notes: Paul Wurtz MD, Ben Furman MPH MS3, Isabel Valdez, PA-C

Infographic and Cover Art: Zoya Surani, MS2

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: Jordan Amar, MD

Sponsor: Beginly Health

Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started

Sponsor: OpenEvidence

If you haven't tried it out yet check it out, it will save you time and help you make better decisions go to openevidence.com/curbsiders

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

#460 HFpEF: Heart Failure with Preserved Ejection Fraction

4 november 2024 · 45 min

Afspelen

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

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

Show Segments

00:00 Introduction and Advice for Physicians

02:24 Case Presentation

04:16 Understanding HFpEF

08:11 Differential Diagnosis of Dyspnea and Edema

11:30 Diagnosing HFPEF: H2F-PEF Score and Testing

17:07 Managing Comorbidities in HFpEF

20:54 Non-Pharmacological Interventions: Weight Loss and Exercise

23:16 Understanding the Challenges of HFpEF

25:08 Medications

30:13 Promising Results of GLP-1 Receptor Agonists

36:38 Managing Salt and Water Intake

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: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: Bombas

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

Sponsor: Beginly Health

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#459 DIGEST: Finerenone for Heart Failure, PCV21 and the latest Pneumonia Vaccine Recs, 24-hour vs 15-hour Oxygen Therapy, and PREVENT vs PCE for Cardiovascular Risk Estimation

28 oktober 2024 · 50 min

Afspelen

Join us as we review recent articles and news featured in The DIGEST issues #56 and #57, including finerenone for heart failure, the skinny on pneumonia vaccines and the latest, PCV21, long-term oxygen therapy (the REDOX trial), and the PREVENT vs PCE cardiovascular risk equations. Fill your brain hole with a fully digestible meal! Featuring Alex Chaitoff (@alexchaitoff), Rahul Ganatra (@rbganatra), Nora Taranto (@norataranto), and Matt Watto (@doctorwatto). Lees meer

Note: **Update on Pneumonia Vaccine from ACIP: After we recorded and just before we published this episode, the CDC updated its vaccine guidance to include pneumonia vaccination for all adults aged 50 years and older to receive either PCV20, PCV21, or the combination of PCV15 followed by PPSV23 one year later (CDC site accessed 24 Oct 2024).**

Claim CME for this episode at curbsiders.vcu health.org!

Credits

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

Cover Art: Matthew Watto MD

Reviewer: Emi Okamoto MD

Technical Production: Pod Paste

Showrunners: Matthew Watto MD, FACP

Show Segments

Introduction + Pun

Exploring Finerenone in Heart Failure

Pneumonia Vaccines: The PCV21 Trial

Long-Term Oxygen Therapy: The REDOX Trial

Cardiovascular Risk Calculators: The PREVENT Equation

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: Quince

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

Sponsor: Beginly Health

Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started

#458 HFrEF: Heart Failure with Reduced Ejection Fraction

21 oktober 2024 · 1 uur

Afspelen

Kittleson Rules Outpatient Heart Failure Volume 1 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: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: Litter Robot

Right now, Whisker is offering $75 off Litter-Robot bundles. AND, as a special offer to listeners, you can get an additional $50 off when you go to stopscooping.com/CURB.

Sponsor: Beginly Health

Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started

#457 Cold and Flu Season: Upper Respiratory Infections aka URIs

14 oktober 2024 · 1 uur 2 min

Afspelen

Treating colds, flu, and more with Dr Amber Bird! Lees meer

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.

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

Show Segments

00:00 Introduction and Setting the Agenda

03:07 Getting to Know the Guest and Rapid Fire Questions

05:51 Case from Kashlak: Mateo with Common Cold Symptoms

06:12 Defining and Diagnosing the Common Cold

09:08 Approach to History and Physical Exam

13:23 Viral Respiratory Testing and Its Indications

17:36 Symptomatic Treatment Options for the Common Cold

24:25 Managing Cough and Nasal Congestion

35:03 Home Remedies and natural products

42:16 Prescribing Antivirals for Influenza

46:33 Antibiotics and Counseling Patients

52:07 Contagiousness and Risk to Family Members

54:52 Recurring Colds and Risk Factors

59:38 Vaccination recommendations

01:01:23 Key Takeaways and Conclusion

Credits

Producer: Leah Witt, MD and Molly Heublein, MD

Show Notes/CME: Molly Heublein, MD

Cover Art and Infographic: Leah Witt, MD

Hosts, writers: Leah Witt and Molly Heublein, MD

Reviewer: Fatima Syed, MD

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

Technical Production: PodPaste

Guest: Amber Bird, MD

Sponsor: Babbel

Get up to 60% off at Babbel.com/CURB.

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code
CURB50 for $50 off their first month.

Sponsor: Panacea Legal

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#456 Outpatient Oxygen Therapy

7 oktober 2024 · 1 uur 9 min

Afspelen

Supplemental oxygen is ubiquitous and yet there is a tremendous amount of uncertainty related to prescription and management in the outpatient setting. Have no fear, we’ve got your back! On this episode of The Curbsiders we host special guest Susan Jacobs, RN, MS who is a bonafide, world-class expert in outpatient oxygen therapy. How to prescribe? What’s out there? What do you do when your patient travels? She joins us to tackle these questions and so much more so make sure to tune in and snag some knowledge food for that old brain hole! Lees meer

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

Show Segments

Intro

Getting to know our guest

Basics of oxygen prescribing and devices

Caveats for the patient who only has exertional hypoxemia

How to prepare for travel

Key points & take aways

Outro

Credits

Producer, Writer, Infographic and Cover Art Artist: Leah Witt, MD

Show Notes: Cyrus Askin, MD

Reviewer: Fatima Syed, MD

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

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

Technical Production: PodPaste

Guest: Susan Jacobs, RN, MS

Sponsor: UVA Health
To learn more about UVA Health, visit https://uvahealth.com/

Sponsor: Beginly Health

Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started.

Sponsor: Freed AI

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

View full show notes at thecurbsiders.com

#455 Sports Injuries Part 2: Hip and Knee

30 september 2024 · 51 min

Afspelen

De-stress your approach to stress fractures (and trochanteric pain syndromes and meniscus tears)! Lees meer

Follow along as the great Dr. Senter guides us through the diagnosis, workup, and treatment of an all-star lineup of sport injuries. Part 2 covers stress fractures, relative energy deficiency in sports, trochanteric pain, meniscus tears, and the ongoing quest to diagnose Paul’s mysterious hip injury.

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

Show Segments

Case 1 - Hip stress fracture

Approach to hip injuries in runners

Relative Energy Deficiency in Sports (RED-S)

Imaging consideration for bone stress injuries

Surgical and treatment consideration for hip stress fractures

Osteoporosis evaluation

Case 2 - Greater trochanteric pain syndrome

Hip and trochanter anatomy

Treatment and imaging of trochanteric tendinopathies

Case 3 - Meniscus tear

Knee evaluation and physical exam

Bucket handle tears and surgical considerations

Special physical exam maneuvers

Imaging and further surgical considerations

Outro & Take Home Points

Credits

Producer and Show Notes: Peter Wikoff MD

Writer, Infographic and Cover art: Edison Jyang MD

Reviewer: Sai S Achi MD MBA FACP

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

Technical Production: PodPaste

Guest: Dr. Carlin Senter MD

Sponsor: ClinicalKey AI

To learn more about ClinicalKey AI, visit Elsevier.health/AI

Sponsor: Beginly Health

Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started.

Sponsor: Freed AI

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

#454 Kidney Boy on Managing Diabetes and Hypertension in CKD

23 september 2024 · 1 uur 1 min

Afspelen

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. Lees meer

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

Credits

Written and Produced by: Fatima Syed, MD, MSc

Infographic and Cover Art: Zoya Surani, MD

Show Notes: Fatima Syed, MD, MSc

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

Reviewer: Sai S Achi, MD, MBA, FACP

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

Technical Production: Pod Paste

Guest: Joel Topf, MD

Sponsor: Mint Mobile

To get this new customer offer and your new 3-month premium wireless plan for just 15 bucks a month, go to mintmobile.com/CURB.

Sponsor: ClinicalKey AI

ClinicalKey AI is an award-winning solution that combines trusted, evidence-based clinical content with conversational search powered by generative AI. To unlock the power of AI in clinical decision-making with ClinicalKey AI, visit Elsevier.health/AI”

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

#453 Sports Injuries Part 1: Concussion and Hip Pain

16 september 2024 · 54 min

Afspelen

Follow along as the great Dr. Senter guides us through the diagnosis, workup, and treatment of an all-star lineup of sport injuries. Part 1 covers concussions, femoroacetabular impingement (FAI), and the ongoing quest to diagnose Paul’s mysterious hip injury. Lees meer

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

Show Segments

00:00 Introduction
08:43 Case 1 - Concussion
9:39 Approach and Workup of Concussions
18:08 Treatment of Concussions (Return to Activity)
24:10 Consideration of Head Imaging
33:20 Case 2 - Hip Pain (FAI)
34:15 Hip Anatomy and Differential Diagnosis
38:41 Hip Physical Exam
45:41 Hip Imaging
47:28 Treatment of FAI
Outro & Take Home Points

Credits

Producer and Show Notes: Peter Wikoff MD

Writer, Infographic and Cover art: Edison Jyang MD

Reviewer: Sai S Achi MD MBA FACP

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

Technical Production: PodPaste

Guest: Dr. Carlin Senter MD

Sponsor: ClinicalKey AI

ClinicalKey AI is an award-winning solution that combines trusted, evidence-based clinical content with conversational search powered by generative AI. To unlock the power of AI in clinical decision-making with ClinicalKey AI, visit Elsevier.health/AI

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: Babbel

Get up to 60% off your Babbel subscription - but only for our listeners at Babbel.com/CURB.

#452 MASLD aka NAFLD aka Fatty Liver aka Hepatic Steatosis with Dr. Elliot Tapper

9 september 2024 · 1 uur 10 min

Afspelen

Expand your NAFLD/MASLD knowledge! Lees meer

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

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

Show Segments

Intro

Rapid Fire Segment

Case 1 Part 1

NAFLD/MASLD terminology and differential diagnoses

PEth testing

Diagnostic tools for NAFLD/MASLD: Fib4 Score

Imaging

When to Refer to a Hepatologist?

Treatment options

Lifestyle modifications

Role of GLP-1 agonists

Role of new FDA approved medications

Outro

Credits

Producer: Sai S Achi, MD, MBA, FACP; Matthew Watto MD, FACP

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. Elliot Tapper MD

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: The University of Virginia

Visit uvahealth.com website to explore this exceptional opportunity and submit your application today.

Sponsor: Beginly Health

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#451 Acute Coronary Syndrome with Dr. Sanjeev Francis - Part 2

2 september 2024 · 59 min

Afspelen

Quit playing games with my heart Lees meer

Yet another beat no to skip here with part 2 of our conversation with cardiologist Dr. Sanjeev Francis (@, Maine Medical Center)for acute coronary syndrome. Learn about the warranty on stress tests, initial management of ACS and how to deal with those pesky elevated troponins from patients with sepsis.

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

Show Segments

Start Part 1

Intro

Rapid fire questions/Picks of the Week

Case 1

History and Physical

ECGs

Definitions

Risk Stratification Tools

Non-invasive Testing Options

End Part 1

Start Part 2

Case 2

Warranty on Non-invasive Testing

Invasive Management of non ST elevation ACS

Medical Management of non ST elevation ACS

Case 3

Myocardial Injury Definitions

Diagnostics to Consider for Myocardial Injury

Transitions of Care

Outro

End Part 2

Credits

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

Infographic, Cover Art: Caroline Coleman, MD

Reviewer: Rahul Ganatra, MD, MPH

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

Technical Production: PodPaste

Guest: Sanjeev Francis, MD

Sponsor: Babbel

Get up to 60% off your Babbel subscription - but only for our listeners at Babbel.com/CURB.

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: Panacea Financial

If you’re ready to join the thousands of doctors who have declared independence from traditional banks, visit panaceafinancial.com today.

#450 Acute Coronary Syndrome with Dr. Sanjeev Francis - Part 1

26 augustus 2024 · 58 min

Afspelen

Quit playing games with my heart Lees meer

Don’t skip a beat and join us in part 1 of our conversation with cardiologist Dr. Sanjeev Francis (@, Maine Medical Center)for acute coronary syndrome. First up, the basics on physical exam, how to interpret high-sensitivity troponin and how to think through the spectrum of acute coronary syndrome.

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

Show Segments

Start Part 1

Intro

Rapid fire questions/Picks of the Week

Case 1

History and Physical

ECGs

Definitions

Risk Stratification Tools

Non-invasive Testing Options

End Part 1

Start Part 2

Case 2

Warranty on Non-invasive Testing

Invasive Management of non ST elevation ACS

Medical Management of non ST elevation ACS

Case 3

Myocardial Injury Definitions

Diagnostics to Consider for Myocardial Injury

Transitions of Care

Outro

End Part 2

Credits

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

Infographic, Cover Art: Caroline Coleman, MD

Reviewer: Rahul Ganatra, MD, MPH

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

Technical Production: PodPaste

Guest: Sanjeev Francis, MD

Sponsor: Mint Mobile

To get your new 3-month premium wireless plan for just 15 bucks a month, go to mintmobile.com/CURB.

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off your first month.

Sponsor: American College of Physicians

Preorder ACP MKSAP to receive discounted pricing plus free MKSAP 19 premium content you can use now at acponline.org/acpmksap

REBOOT #326 NephMadness 2022: Cardiorenal Syndrome

19 augustus 2024 · 52 min

Afspelen

We're taking a short summer break, but we'll be back at the end of August with brand new episodes. Lees meer

Lose your heart to NephMadness 2022! Dr. Joel Topf (@kidney_boy) and Dr. Sadiya Khan (@HeartDocSadiya) tackle the NephMadness 2022 Cardiorenal Syndrome region, leading us through the pathophysiology of cardiorenal syndrome, how to approach the creatinine “bump” with diuresis, managing patients with diuretic resistance, and more.

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

Show Segments

Intro, disclaimer, guest bios

Guest one-liners, Introduction to Nephmadness 2022

Case #1 from Kashlak: acute decompensated heart failure with elevated creatinine

Definition and pathophysiology of cardiorenal syndrome

Use of home ACE-is/ARBs and SGLT-2 inhibitors in cardiorenal syndrome

Case #2 from Kashlak: the creatinine bump with diuresis

Approach to the creatinine bump with diuresis

Tips for the volume exam

Interpreting cardiac biomarkers in patients with chronic kidney disease

Case #3 from Kashlak: diuretic resistance

Maximizing loop diuretic efficacy

Sequential nephron blockade

Use of hypertonic saline

Outro

Credits

Producer, Writer, Show Notes, Infographics: Malini Gandhi

Cover Art: Beth Garbitelli

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

Reviewer: Emi Okamoto MD, FACP

Executive Producer: Beth Garbitelli

Showrunner: Matthew Watto MD, FACP

Editor: Clair Morgan of nodderly.com

Guest: Dr. Joel Topf MD, Dr. Sadiya Khan MD

Sponsor: Beginly Health

Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started.

Sponsor: Locumstory
Tune in to The Locumstory Podcast on Spotify, Apple, or Google podcasts.

Sponsor: Freed
You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

REBOOT #226 Kidney Boy on Acute Kidney Injury: Myths & Musings

12 augustus 2024 · 1 uur 10 min

Afspelen

We're taking a short summer break, but we'll be back at the end of August with brand new episodes. Lees meer

AKI Tips and Tricks from Joel Topf MD, Kashlak’s Chief of Nephrology

Get a grip on acute kidney injury (AKI) with Dr. Joel Topf (AKA @kidney_boy), Kashlak’s Chief of Nephrology! We’ve put together an AKI highlight reel - focusing on practical tips and tricks to help you identify, diagnose and manage AKI, plus how to recognize AIN and random myths and musings on vancomycin, NSAIDS, contrast nephropathy, and the risk of NSF from gadolinium.

Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date).

Credits

Written (including CME questions) and Produced by: Cyrus Askin, MD

Infographic by: Cyrus Askin, MD

Cover Art: Kate Grant MBChb, MRCGP

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

Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com

Guest: Joel Topf, MD

Time Stamps

00:00 Sponsors - VCU Health CE and Pediatrics On Call podcast by APP

00:30 Intro, disclaimer, guest bio

03:00 Guest one-liner, Picks of the Week*: Zoe Keating albums (Cellist); Mrs. America (TV series) on FX; The Last of Us (Videogame);

08:45 Sponsor - Pediatrics On Call podcast by APP

09:15 Definition of acute kidney injury (AKI) and fundamentals

11:00 Cardiorenal syndrome

12:24 Schema for AKI

17:30 Establish an etiology, determine urine output and address electrolyte abnormalities

21:22 AKI in the otherwise-healthy patient;

32:20 Rhabdom…

REBOOT #316 Lower Extremity Edema with The Curbsiders

5 augustus 2024 · 1 uur 1 min

Afspelen

We're taking a short summer break, but we'll be back at the end of August with brand new episodes. Lees meer

Your swell guide to the swollen leg

We're taking a short summer break, but we'll be back at the end of August with brand new episodes.

We have seen our esteemed guests, and they are us! Paul Williams (@PaulNWilliamz) leads the discussion with Matt Watto (@DoctorWatto) and Beth “Garbs” Garbitelli (@bethgarbitelli) on the evaluation and management of common causes of edema.

Show Segments

Intro, disclaimer

Picks of the Week*

The case of Lynn Fedema

Pathophysiology of edema

Differential diagnosis of chronic edema

Chronic edema work-up

Management of chronic edema

Calvin Fedema and acute edema

Evaluation of acute edema

Outro

Credits

Written and produced by: Paul Williams, MD, FACP

Infographic and Cover Art: Matthew Watto, MD, FACP

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

Reviewer: Emi Okamoto, MD

Executive Producer: Beth Garbitelli

Showrunner: Matthew Watto, MD, FACP

Editor: Clair Morgan of nodderly.com

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: Rocket Money

Cancel your unwanted subscriptions by going to RocketMoney.com/CURB.

Sponsor: Grammarly

Get AI writing support that works where you work. Sign up and download for FREE at grammarly.com/PODCAST

REBOOT #387: Diabetes Updates with Dr. Marie McDonnell: New Tools for the New Rules

29 juli 2024 · 1 uur

Afspelen

We're taking a short summer break, but we'll be back at the end of August with brand new episodes. Lees meer

Drop the pounds and the sugar with new guidelines

Credits

Producer: Matthew Watto, MD and Isabel Valdez, PA

Writer: Matthew Watto, MD

Show Notes, Cover Art and Infographics: Isabel Valdez, PA

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

Reviewer: Fatima Syed, MD

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

Technical Production: PodPaste

Guest: Marie E. McDonnell, MD

Show Segments

Puns and Intro.

Disclaimer and Guest bio

Case from Kashlak

Labs to distinguish type 1 from type 2 diabetes

Selecting initial therapy: Focus on weight loss and glucose control

HbA1c goals

Yeast infections and SGLT2-i

Using sulfonylureas and extended release metformin

Pancreatitis and GLP-1 RA

Cancer and GLP-1 RA

Semaglutide tips

Tirzepatide, how it works and benefits

Take home points

Outro

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code
CURB50 for $50 off their first month.

Sponsor: ACP MKSAP

Learn more about ACP MKSAP at acponline.org/acpmksap

Sponsor: Pathway

Download the Pathway app by visiting pathway.md

Unlocked: Patreon #23 DGBI - IBS and Functional Dyspepsia

24 juli 2024 · 33 min

Afspelen

This is an unlocked episode from our Curbsiders Patreon. You can sign up at Patreon.com/curbsiders.

REBOOT #321 Hypertension FAQ: Common Outpatient Cases with Dr. Jordy Cohen

22 juli 2024 · 1 uur 18 min

Afspelen

We're taking a short summer break, but we'll be back at the end of August with brand new episodes. Lees meer

Master common hypertension scenarios in the clinic! Our guest Dr. Jordy Cohen (@jordy_bc) will lead us through the FAQs of outpatient hypertension management, including making a diagnosis of hypertension, managing blood pressure in patients with chronic kidney disease, working up refractory hypertension, and more.

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

Credits
● Writer: Matthew Watto, MD, FACP
● Producers: Matthew Watto, MD, FACP and Malini Gandhi
● Show Notes, Infographic, and Cover Art: Malini Gandhi
● Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
● Reviewer: Emi Okamoto MD
● Executive Producer: Beth Garbitelli
● Showrunner: Matthew Watto MD, FACP
● Editor: Clair Morgan of nodderly.com
● Guest: Jordy Cohen MD

Show Segments
● Intro, disclaimer, guest bio
● Guest one-liner, Picks of the Week*
● Case from Kashlak: New diagnosis of hypertension
● How to make a diagnosis of hypertension
● When to start anti-hypertensive medication
● Initial blood pressure regimen
● Case from Kashlak: White coat hypertension
● Case from Kashlak: Hypertension in chronic kidney disease
● ACEis and ARBs in chronic kidney disease
● Diuretics in chronic kidney disease
● Case from Kashlak: Refractory hypertension
● History and initial workup for refractory hypertension
● Treatment of primary hyperaldosteronism
● Outro

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: Pathway

Download the Pathway app by visiting pathway.md

Sponsor: Mint Mobile
Go to mintmobile.com/CURB to get a 3-month premium wireless plan for just $15 a month.

Addiction Medicine - #25 Methadone in the Clinic with Dr Ruth Potee and Dr David Frank

18 juli 2024 · 1 uur 6 min

Afspelen

OTP yea you know me Lees meer

Make methadone a part of your practice. Learn how the methadone system in the US works and how you can play an active role in improving care for people with opioid use disorder treated with methadone. We’re joined by Dr. Ruth Potee @DrRuthPotee (website) and Dr. David Frank @highway_dave

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

5:00 Guest one-liner

10:25 Case from Kashlak; Definitions

11:19 Methadone pharmacology and evidence

17:08 What an OTP feels like

20:25 OTP intake

24:45 Talking through methadone with a patient

28:15 Personal impact of methadone

30:20 Requirements at an OTP

33:43 What your patient needs to access an OTP

37:25 The line

39:06 Dosing/Take homes

44:48 Loss of take homes

48:39 How to interact with an OTP as a PCP

52:50 Methadone at STRs

57:03 How to clinicians use their voice to improve things

1:00:45 Take home points

1:03:00 Plugs

1:04:24 Outro

Credits

Producer, Writer, Show Notes, Infographic, Cover Art: Shawn Cohen MD

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

Reviewer: Payel Jhoom Roy MD, MSc

Showrunner: Carolyn Chan, MD, MHS

Technical Production: PodPaste

Guest: Ruth Potee MD, David Frank PhD

#449 Travel Medicine, Malaria, Traveler’s Diarrhea, Yellow Fever, and more! with Dr. Boghuma Titanji

15 juli 2024 · 1 uur 38 min

Afspelen

Get your patients ready to globetrot with our fantastic review of Travel Medicine with the esteemed Dr. Boghuma Titanji (@Boghuma)! We cover malaria, anti-malarial chemoprophylaxis, basics of treatment and management of traveler’s diarrhea, yellow fever, and vaccination guidance! Lees meer

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

Show Segments

Intro

Case 1 - Defining travel medicine

How to approach a travel clinic visit

Malaria basics, transmission and burden

Chemoprophylaxis for malaria

Basic guidance for mosquito avoidance and travel

Harm reduction, pregnancy and STI prevention, PrEP and doxyPEP

Case 2 - Traveler’s diarrhea

Food safety

When to treat traveler’s diarrhea

Case 3 - Yellow fever vaccine

General vaccination guidance

Take home points

Outro

Credits

Producer, Writer, Show Notes & Graphics: Beth Garbitelli MD

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

Reviewer:Emi Okamoto MD

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

Technical Production: PodPaste

Guest: Dr. Boghuma Titanji MD, MSc., DTM&H, PhD

Sponsor: Babbel

Get up to 60% off your Babbel subscription at Babbel.com/CURB. For a limited time only.

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: Rocket Money

Cancel your unwanted subscriptions by going to RocketMoney.com/CURB.

#448 USPSTF Breast Cancer Screening - Updated recommendations and the reasoning behind them

10 juli 2024 · 31 min

Afspelen

In this episode of The Curbsiders Podcast, the team delves into the recently updated breast cancer screening recommendations from the U.S. Preventive Services Task Force (USPSTF) with Dr. Wanda Nicholson (@wnicholsonobgyn), an expert in preventive medicine, diversity, equity and inclusion, and women's health and the Chair of the Task Force. Join us as we review the newest screening mammography recommendations, evidence for earlier screening for all women, the challenge of dense breast findings, and more. Importantly, we discuss disparities in breast cancer outcomes and the need to better understand and address them. Lees meer

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

Show Segments

Intro and Guest Background

Case

Updated Breast Cancer Screening Recommendations

Rationale for screening age

Considerations for findings of dense breasts

Balancing benefits and harms

Racial disparities

Research Gaps

Outro

Credits

Producer, writer, show notes, infographic, and cover art: Fatima Syed MD

Hosts: Paul Williams MD, FACP and Fatima Syed MD

Reviewer: Emi Okamoto MD

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

Technical Production: PodPaste

Guest: Wanda Nicholson MD, MBA, MPH

#447 Rhinitis and Environmental Allergies with Dr. Olajumoke Fadugba

8 juli 2024 · 1 uur 4 min

Afspelen

Elevate your rhinitis management! Lees meer

Learn from expert allergist Dr. Olajumoke Fadugba about rhinitis and environmental allergies. You’ll review how to distinguish between allergic and non-allergic rhinitis, and how to decode the drugstore allergy aisle for your patients!

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

Show Segments

Intro

Rapid Fire Questions

Case Part 1

Allergic vs Non-Allergic Rhinitis

The Rhinitis History and Physical

Allergy skin testing

The Pathophysiology of Allergies

Oral, intranasal and ocular treatments

Case Part 2

Allergy immunotherapy

Chronic sinusitis

Sinus rinses

Climate Change and Allergies

Outro

Credits

Producer: Leah Witt, MD & Matthew Watto MD

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

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

Reviewer: Sai S Achi, MD MBA

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

Technical Production: PodPaste

Guest: Olajumoke Fadugba MD

Sponsor: Sponsor: Freed
You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: Litter Robot

Whisker is currently offering $50 off Litter-Robot bundles. As a special offer to listeners of the show, go tostopscooping.com/CURB and use promo code CURB to save an additional $50 on any Litter-Robot bundle.

Sponsor: Grammarly

Get AI writing support that works where you work. Sign up and download for FREE at grammarly.com/PODCAST

#446 Psychiatry Primer for the Hospitalist

1 juli 2024 · 1 uur 1 min

Afspelen

Anxious about psychiatry on the wards? Don’t be! Join us with guest Dr. Aaron Gluth (Emory University) as we learn about the role the hospitalist plays in managing co-morbid psychiatry conditions on the wards. Lees meer

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

Show Segments

Intro

Rapid fire questions/picks of the week

Case

Pertinent history

Physical Exam including Mental Status Exam

Role of the multidisciplinary team

Work-up for reversible causes

Agitation management

Framework for capacity and challenging ethical scenarios

Mortality gap

Transitions of Care

Outro

Credits

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

Infographic and Cover Art: Caroline Coleman, MD

Reviewer: Rahul Ganatra, MD MPH

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

Technical Production: PodPaste

Guest: Aaron Gluth

Sponsor: Dementia Care Aware

For Dementia care training and more visit dementiacareaware.org

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code
CURB50 for $50 off their first month.

Sponsor: Panacea Financial

If you’re ready to join the thousands of doctors who have declared independence from traditional banks, visit panaceafinancial.com today.

#445 DIGEST-Hotcakes: Preventive PCI, Andexanet Alfa for ICH, Aspirin for Fatty Liver, Naltrexone in Cirrhosis, Pivmecillinam for UTI, Cefepime vs Pip-Tazo, MDRO Decolonization, Microplastics and MACE, Pax-NO-vid

24 juni 2024 · 1 uur 6 min

Afspelen

Join us as we review recent practice-changing articles on preventive PCI, andexanet alfa for ICH, aspirin for fatty liver, naltrexone in cirrhosis, pivmecillinam for UTI, cefepime vs pip-tazo, MDRO decolonization, microplastics and MACE, and more! 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: Matthew Watto MD, FACP

Reviewer: Rahul Ganatra MD, MPH; Emi Okamoto MD

Technical Production: Pod Paste

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

Show Segments

Intro, disclaimer

Preventive PCI

Andexanet alfa for ICH

Aspirin for MASLD

Naltrexone for AUD in cirrhosis

Pivmecillinam for UTI

MDRO decolonization

Cefepime vs pip/tazo

Microplastics

Pax-NO-vid

Outro

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code
CURB50 for $50 off their first month.

Sponsor: ACP MKSAP

Learn more about ACP MKSAP at acponline.org/acpmksap

Sponsor: Litter Robot

Whisker is currently offering $50 off Litter-Robot bundles. As a special offer to listeners of the show, go tostopscooping.com/CURB and use promo code CURB to save an additional $50 on any Litter-Robot bundle.

#444 Macrocytosis, Hemolytic Anemia, Myelodysplastic Syndrome

17 juni 2024 · 51 min

Afspelen

Recorded LIVE! At Johns Hopkins Internal Medicine Grand Rounds Lees meer

Step up your anemia game as we explore the causes and diagnostic approach for macrocytic anemia, what to do with a reticulocyte count, the differential diagnosis for hemolytic anemia, the significance of the direct antiglobulin test, and diagnosis and management pearls for autoimmune hemolytic anemia (AIHA) and myelodysplastic syndrome (MDS). Plus, common questions and concerns regarding folate supplementation and the use of bone marrow biopsies. We’re joined by hematologist and pun enthusiast Dr. Rakhi Naik MD, MHS, @redcell_doc @hopkinsheme.

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

Show Segments

00:00 Intro and Guest intro

05:53 Case 1: Elise - Macrocytic Anemia

14:59 Case 2: Jane - Hemolytic Anemia

23:24 Testing for Underlying Causes of Autoimmune Hemolytic Anemia

24:40 Association of Autoimmune Hemolytic Anemia with Lymphomas

25:10 Autoimmune Hemolytic Anemia: Diagnosis and Treatment

26:06 Management Approach for Autoimmune Hemolytic Anemia

27:30 Considerations for Outpatient Treatment of Autoimmune Hemolytic Anemia

28:18 Clotting Risk in Autoimmune Hemolytic Anemia

29:20 Treatment Options for Autoimmune Hemolytic Anemia

30:42 Long-Term Prognosis and Recurrence of Autoimmune Hemolytic Anemia

33:32 Diagnostic Challenges in Myelodysplastic Syndrome

35:00 Considerations for Folate Supplementation

36:24 Factors to Consider in the Management of Myelodysplastic Syndrome

39:30 When to Perform a Bone Marrow Biopsy in Myelodysplastic Syndrome

41:25 Shared Decision-Making in the Treatment of Myelodysplastic Syndrome

Credits

Writer and Producer: Matthew Watto MD, FACP

Show Notes: Matthew Watto MD, FACP

Cover Art and Infographic: Matthew Watto MD, FACP

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

Reviewer: Fatima Syed MD, MSc

Showrunners: Matthew Watto MD, FACP; Paul William…

#443 Primary Hyperparathyroidism: Stones, bones, and almost certainly some groans

10 juni 2024 · 1 uur 10 min

Afspelen

Don’t just sit on that borderline calcium! Learn how to approach hypercalcemia and work up primary hyperparathyroidism. In this episode, we learn who goes to surgery, how to work them up, and some variants of typical primary hyperparathyroidism. We’re joined by Dr. Lindsay Kuo @lindsaykuo (Temple University Hospital) Lees meer

Claim CME for this episode at curbsiders.vcu health.org!

Show Segments

00:00 Intro

03:31 Understanding Primary Hyperparathyroidism

09:03 Handling Mistakes and Complications in Surgery

11:44 Case Discussion: Hypercalcemia and Elevated PTH Levels

22:41 Symptoms of Primary Hyperparathyroidism

25:06 The Role of Vitamin D in Primary Hyperparathyroidism

28:07 Testing Considerations for Parathyroid Hormone (PTH) Levels

46:02 Considerations for Parathyroid Carcinoma

49:19 Parathyroid Imaging in Primary Hyperparathyroidism

52:23 The Surgical Procedure for Primary Hyperparathyroidism

57:45 Intraoperative Parathyroid Hormone Monitoring

01:00:15 Post-Operative Monitoring for Hypocalcemia

01:04:38 Normocalcemic Primary Hypoparathyroidism and Normohormonal Primary Hyperparathyroidism

Credits

Written and produced by: 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: Fatima Syed, MD

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

Technical Production: PodPaste

Guest: Lindsay Kuo, MD

Sponsor: Freed

You can try Freed for free by going to freed.ai. Use code CURB50 for $50 off your first month.

Sponsor: Panacea Financial

Visit panaceafinancial.com to learn more about a nationwide digital bank built for doctors, by doctors.

Sponsor: Grammarly

Get AI writing support that works where you work. Sign up and download for FREE at grammarly.com/PODCAST

#442 Syncope: Live from SHM #Converge24 with Dr. Dan Dressler

3 juni 2024 · 1 uur 9 min

Afspelen

Don’t pass up on passing out! Lees meer

Stand up to syncope as Dr. Dan Dressler (Emory University) guides us to confidently manage cases! We review a framework for understanding different types of syncope, and strategies for determining which low-risk patients can be safely discharged, and appropriate next steps to work up those high-risk and in-between cases.

Claim CME for this episode at curbsiders.vcu health.org!

Show Segments

Intro

Picks of the Week

Case 1: Tamara

What is syncope?

Categorizing Syncope

Initial workup

Risk scores

Pulmonary embolism

Case 2: Travis

Cardiac evaluation

Take-home points

Outro

Credits

Producer, Script and Show Notes: Emi Okamoto MD

Infographic and Cover Art: Caroline Coleman MD

Hosts: Monee Amin MD and Meredith Trubitt MD

Reviewer: Rahul Ganatra MD, MPH

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

Technical Production: PodPaste

Guest: Daniel D. Dressler, MD, MSc, MHM, FACP

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: Pattern

Request your disability insurance quotes with Pattern at patternlife.com/curbsiders.

Sponsor: Pathway

Download the Pathway app by visiting pathway.md

#441 More Clinical Pearls (New antibiotics, syphilis, heart disease, cirrhosis, lots more!) from ACP #IM2024

27 mei 2024 · 1 uur 3 min

Afspelen

More clinical pearls from ACP #IM2024, including emerging infectious diseases in the US (malaria, dengue, super gonorrhea, and a resurgence of syphilis), new C. diff treatments, coagulopathy and cirrhosis, fatty liver disease, HFpEF, peripheral arterial disease, Lp(a) and ApoB, CAR T-cells for autoimmune disease, SGLT2i for gout, and hematology updates. Paul and Watto are joined by Drs. Nora Taranto, Beth Garbitelli, and of course Chris “The Chiu Man” Chiu. Lees meer

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

Show Segments

00:00 Tropical Diseases: Resurgence of Malaria and Dengue Fever

03:44 Infectious Diseases: Syphilis Rates and New Treatments for C. diff

08:28 Coagulopathy and Cirrhosis: Managing Hemostasis and Portal Vein Thrombosis

11:34 Fatty Liver Disease: Risk Stratification and Treatment

14:59 Cardiology Updates: Cardiovascular Kidney Metabolic Syndrome

31:03 New Medications for Hypertension

32:54 Renal Denervation and Hypertension

33:51 Lp(a) Drugs and Their Potential

36:01 Peripheral Arterial Disease and Claudication

38:10 SGLT2 Inhibitors and Gout

41:50 APO-B and LDL Cholesterol

42:45 Secondary Hypogonadism and Head and Neck Radiation

45:30 VEXAS: A Genetic Autoimmune Condition

49:08 Obesity-Induced Leukocytosis

52:49 CAR T-Cell Therapy in Rheumatologic Diseases

Credits

Producers/Writers/Show Notes: Matthew Watto MD, FACP; Paul Williams MD, FACP, Nora Taranto MD, Chris Chiu MD, Beth Garbitelli MD

CME, Cover Art: Beth Garbitelli MD

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

Reviewer: Nora Taranto MD

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

Technical Production: PodPaste

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Sponsor: Freed

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#440 Hepatitis B with Dr. Arthur Kim

20 mei 2024 · 1 uur 13 min

Afspelen

Become a pro in Hepatitis B! Dr. Arthur Kim teaches us how to approach Hepatitis B screening and vaccination in primary care, provides pearls on counseling patients with chronic Hepatitis B infection, and summarizes considerations for Hepatitis B antiviral treatment and monitoring. Lees meer

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

Show Segments

Intro

Case from Kashlak

Hepatitis B screening - who should be screened?

Hepatitis B screening - interpreting test results

Hepatitis B vaccination

Stages of Chronic HBV infection

Counseling patients with chronic HBV about preventing transmission and protecting liver health

Treatment of chronic HBV infection

Screening for hepatocellular carcinoma

Outro

Credits

Producer, Writer, Show Notes, Infographics, and Cover Art: Malini Gandhi

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

Reviewer: Fatima Syed MD

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

Technical Production: PodPaste

Guest: Arthur Kim MD

Sponsor: Babbel

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Sponsor: Freed

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Sponsor: Pattern

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#439 Shoulder Pain: Impingement, Bursitis, Tendonitis, Cuff Tears, and Arthritis with Dr. Ted Parks

13 mei 2024 · 1 uur 4 min

Afspelen

Repair and replace your old approach to shoulder pain! We cover shoulder anatomy, explain the continuum of impingement syndrome (from bursitis to tendonitis to rotator cuff tears to cuff tear arthropathy), how to take a good shoulder history, perform a high-yield physical exam, when to refer, and when to get an MRI. Plus, how to differentiate glenohumeral joint arthritis from frozen shoulder, and how to diagnose AC joint pathology. We’re joined by everyone’s favorite orthopedic surgeon, inventor, and renaissance man, Dr. Ted Parks. Lees meer

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

Show Segments

00:00 Intro

05:38 Shoulder Anatomy

14:47 Continuum of Impingement Syndrome

33:41 When to order an MRI

36:28 Glenohumeral joint arthritis vs frozen shoulder

51:50 AC joint arthritis

62:25 Outro

Credits

Written and Produced by: Matthew Watto MD, FACP

Show Notes: Matthew Watto MD, FACP

Cover Art and Infographic: Beth Garbitelli MD

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: Ted Parks MD

Sponsor: Freed

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Sponsor: Pattern

Request your disability insurance quote online at patternlife.com/curbsiders.

Sponsor: Panacea Financial

Visit panaceafinancial.com to learn more about a nationwide digital bank built for doctors, by doctors.

#438 Recap from SHM #Converge24

6 mei 2024 · 1 uur 17 min

Afspelen

We went to it so you don’t have to Lees meer

We recap the top pearls for the hospitalist from #SHM #Converge24 covering discussions on heart failure, gastrointestinal bleeds, sepsis, updates in critical care, updates in hospital medicine, oncologic emergencies, pneumonia, COPD, transitions of care, vulnerable populations, AI, and more!

Show Segments

Intro

Picks of the Week

Heart Failure

Patients with Disabilities

POCUS on Inpatient Service

GI Updates

High Value Delivery of Medical Education

Molecular Testing for Infectious Diseases

Interhospital Transfers

Artificial intelligence in Inpatient Care

Care of the Incarcerated Patient

Periop Updates

Oncologic Emergencies--Neutropenic Fever

Oral vs IV Antibiotics

Updates in Hospital Medicine

Updates in Critical Care & Guidelines in Hospital Medicine

Post Acute Care

Things We Do For No Reason ™

Iron Deficiency Anemia

Updates in Community Acquired Pneumonia

Updates in Palliative Care

Outro

Credits

Written, produced and show notes by: Monee Amin MD, Caroline Coleman MD, Meredith Trubitt MD

Cover Art: Caroline Coleman MD

Hosts: Monee Amin MD, Meredith Trubitt MD

Reviewer: Rahul Ganatra, MD, MPH

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

Technical Production: PodPaste

Guests: Harika Gorti MD, Sneha Neurgaonkar MD

Sponsor: Freed

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Sponsor: Pattern

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#437 Clinical Pearls ACP #IM2024

29 april 2024 · 54 min

Afspelen

We cover angina, COPD-asthma overlap, home oxygen, colon cancer screening, cancer survivorship, tobacco cessation, e-cigarettes, step counts for health, new drugs, the RSV vaccine, addiction medicine, interstitial lung disease, APOL1-mediated kidney disease, testosterone therapy, antimicrobial resistance, office-based allergy testing and more! The Curbsiders review highlights, clinical pearls, and practice-changing updates from the American College of Physician Internal Medicine Meeting #IM2024! Lees meer

No CME for this episode due to rapid turnaround, but claim CME for most episodes at curbsiders.vcuhealth.org!

Show Segments

Intro

ACP Pearls

Outro

Credits

Producers: Matthew Watto MD, FACP; Paul Williams MD, FACP, Molly Heublein MD, Nora Taranto MD, Chris Chiu MD, Rahul Ganatra MD MPH, Beth Garbitelli MD

Show Notes: Matthew Watto MD, FACP; Paul Williams MD, FACP, Molly Heublein MD, Nora Taranto MD, Chris Chiu MD, Rahul Ganatra MD MPH, Beth Garbitelli MD

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

Reviewer:Matthew Watto MD FACP

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

Technical Production: PodPaste

Sponsor: Beginly Health

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Sponsor: Freed

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#436 Endometriosis for the Internist with Dr. Cope & Dr. Green

22 april 2024 · 1 uur 20 min

Afspelen

Energize your education on endometriosis! Learn common clinical presentations, optimal diagnostic imaging tests, and how to counsel patient on treatment options. We are joined by Dr. Adela Cope (Mayo Clinic) and Dr. Isabel Green @isabelgreenMD (Mayo Clinic). Lees meer

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

Show Segments

00:00 Intro

03:00 Guest Introduction

06:45 Topic

07:30 Endo Definition & Symptoms

14:40 Endo phenotypes

21:30 Differential Diagnoses to Consider

25:47 Making a Diagnosis

31:00 Imaging to consider

37:40 Endo Hormonal Treatment Optiosn

48:30 Monitoring Treatment

52:20 When to Refer

57:30 Surgical Treatment

1:09:20 Pain Management

1:13:30 Take Homes

1:19:00 Outro

Credits

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

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

Reviewer: Sai S Achi, MD, MBA

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

Technical Production: PodPaste

Guest: Dr. Adela Cope and Dr. Isabel Green

Sponsor: Freed

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Sponsor: Locumstory

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Sponsor: Babbel

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#435 Neck Pain with Dr. Anthony Mikula

15 april 2024 · 1 uur 11 min

Afspelen

A real pain in the neck (Get it?! We have fun.) Lees meer

Protect your neck! Learn how to evaluate a patient with neck pain, and differentiate between mechanical neck pain, radiculopathy, and myelopathy. You’ll learn who should be reassured, who should see a surgeon, and what nonoperative options are available. We’re joined by Dr. Anthony Mikula @anthony_mikula from Mayo Clinic.

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

Show Segments

00:00 Introduction

06:14 Anatomy and Pain Generators

09:58 Approach to Neck Pain

22:57 Differentiating Radiculopathy from Non-Specific Neck Pain

24:05 Management of Mechanical Neck Pain

27:36 Indications for Imaging

29:21 Terminology and Explanation of Spondylosis, Spondylolisthesis, and Spondylolysis

30:48 Diffuse Idiopathic Skeletal Hyperostosis (DISH)

32:23 Imaging Terminology and Plain Films

36:19 Pathophysiology of Cervical Radiculopathy

38:34 Physical Examination for Cervical Radiculopathy

44:54 Diagnostic Work-up for Radiculopathy

51:53 Interventions for Cervical Radiculopathy

53:53 Considerations for Surgery

57:49 Recognizing Cervical Myelopathy

01:00:17 Natural History of Myelopathy

01:02:25 Referral and Treatment for Myelopathy

01:09:28 Summary and Takeaways

Credits

Written and Produced by: 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: Leah Witt, MD

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

Technical Production: PodPaste

Guest: Anthony Mikula, MD

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: Grammarly

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#434: Ur-INe for Recurrent UTI?! with Dr. Kellen Choi, DO AKA The Bladder Teacher

8 april 2024 · 1 uur

Afspelen

It’s NOT Always a UTI! Lees meer

Sounds like another UTI but it could be more than that! Time to explore the entire pelvic floor and see what more you can treat. School’s in session with the Bladder Teacher, Kellen Choi, DO from the University of Louisville @KellenChoi

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

Show Segments

Intro

Rapid fire questions/Picks of the Week

Case #1 and Definitions

Bowel habits

Water intake

Case #2

Vaginal Estrogen

Non-antibiotic prophylaxis

Antibiotic in prophylaxis

Pelvic Floor Physical Therapy

Take-home points

Outro

Credits

Producer, Writer & Show Notes: Isabel Valdez, PA

Infographic & Covert Art: Edison Jyang

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

Reviewer: Fatima Syed, MD

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

Technical Production: PodPaste

Guest: Kellen Choi DO, FAOCS

Sponsor: Freed

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Sponsor: Locumstory

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#433 CGMs, Insulin, and How to Adjust Diabetes Meds to Glucose Patterns

1 april 2024 · 1 uur 11 min

Afspelen

Step up your diabetes game! Learn the ins and outs of continuous glucose monitors (CGM) including key features, what and how to order, interpreting CGM data (time in range, time above range, etc.), and how to make adjustments to a patient’s insulin regimen, aka “insulin pattern matching”. We discuss common scenarios including overnight hypoglycemia, exercise-induced hypoglycemia, post-prandial hyperglycemia, what to do when the patient runs high all the time, and how to incorporate GLP1 agonists and SGLT2 inhibitors into a patient's regimen. Returning guest and Paul’s favorite frenemy, Dr. Jeff Colburn (VCU Health) returns! Lees meer

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

Show Segments

00:00 Introduction and Diabetes Puns

01:00 Introduction of Guest and Topic

09:12 Qualifications and Eligibility for CGMs

11:32 Types of CGMs and Sensor Placement

24:47 Interpreting CGM Data and Alarms

34:30 Troubleshooting Patterns and Adjustments

35:23 Understanding Hypoglycemia and Counter Regulatory Hormone Responses

36:15 The Rule of 15 and Addressing Hypoglycemia

37:10 Reducing Basal Insulin to Address Nocturnal Hypoglycemia

38:29 Addressing Postprandial Highs with GLP-1, SGLT-2 Inhibitors, or Prandial Insulin

39:51 Managing Exercise-Induced Hypoglycemia

41:43 Preventing Exercise-Induced Hypoglycemia with Snacks

43:42 Managing Nocturnal Hypoglycemia with Sulfonylureas

45:31 Addressing Postprandial Hyperglycemia with GLP-1, SGLT-2 Inhibitors, or Prandial Insulin

46:54 Adjusting Basal Insulin to Address Morning Hyperglycemia

51:18 Troubleshooting High Blood Sugars with Basal Insulin and Mealtime Insulin

56:49 Managing High Blood Sugars with Basal Insulin and Mealtime Insulin

57:44 Addressing Adherence and Medication Barriers

59:39 Using Continuous Glucose Monitors (CGMs) for Diabetes Management

01:02:30 Using Sulfonylureas and Basal Insulin Combination as a Stopgap…

#432 Hotcakes: E-cigarettes for smoking cessation, Gabapentin and COPD exacerbations, Lidocaine for neck pain, C diff risk by antibiotic type, and “dosing by clicks” for GLP1’s

25 maart 2024 · 54 min

Afspelen

Join us as we review recent practice-changing articles on E-cigarettes for smoking cessation, Gabapentin and COPD exacerbations, lidocaine patches for mechanical neck pain, Cdiff risk by antibiotic type, and “dosing by clicks” for GLP1 agonists. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), 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: Matthew Watto MD, FACP

Reviewer: Rahul Ganatra MD, MPH

Technical Production: Pod Paste

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

Show Segments

Introduction and disclaimer

E-cigarettes for smoking cessation

Gabapentinoids and COPD exacerbations

Topical lidocaine for neck pain

Association between specific antibiotics and C. diff infection

Shortage of GLP-1 agonists and “dosing by clicks”

Sponsor: Locumstory

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Sponsor: Freed

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#431 Myocarditis and Pericarditis

18 maart 2024 · 50 min

Afspelen

Show description:
Join us as we review the diagnosis and treatment of pericarditis, myocarditis, peri-myocarditis, myo-pericarditis…and everything in between! We are joined by our esteemed guest, Dr. Vivek Kulkarni (@VivekKulkarniMD), a clinical cardiologist and assistant program director for the Cardiovascular Disease Fellowship at Cooper University Health Care, who helps us get to the heart of the matter! Lees meer

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

Show Segments

Intro, disclaimer

A case of pericarditis

Diagnosing pericarditis

The difference between pericarditis, myocarditis, myopericarditis, and perimyocarditis

Etiologies of pericarditis and initial testing recommendations

Treatment of acute uncomplicated pericarditis

Using colchicine to prevent recurrent pericarditis

Patient counseling after diagnosing pericarditis

A case of myocarditis

Interpreting elevated troponin levels

Distinguishing between myocardial infarction and myocardial injury

Diagnostic testing for suspected myocarditis

When to pursue cardiac MRI and endomyocardial biopsy

The spectrum of myocarditis presentations

Fulminant myocarditis

Common etiologies of myocarditis

Immune checkpoint inhibitor myocarditis

Myocarditis from mRNA vaccines and from SARS-CoV-2 infection

Management of patients with myocarditis

Activity restrictions for patients with myocarditis

Outro

Credits

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

Guest: Vivek Kulkarni, MD, FACC

Producer, Script, and Show Notes: Adam Barelski, MD

Infographics and Cover Art: Edison Jyang

Reviewer: Leah Witt, MD

Technical Production: Pod Paste

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

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: Panacea Financial

Download the full 2024 Resid…

Unlocked Weight Management, Low Carb, Listener Q&A, Picks of the Weeks (Patreon #19)

13 maart 2024 · 37 min

Afspelen

This episode has been Unlocked from patreon.com/curbsiders! Lees meer

Hone your obesity medicine skills in primary care! We discuss overcoming barriers, patient counseling, obesity pathophysiology, motivational interviewing, tools and tips from a weight loss program, and how to discuss medications for weight loss including phentermine/topiramate, bupropion/naltrexone, orlistat, oral superabsorbent hydrogel, and GLP1 agonists. We’re joined by obesity medicine expert, Dr. Kimberly Anne Gudzune of @HopkinsMedicine, recorded @SocietyGIM#SGIM23 in Denver, Colorado This audio episode is only available on Patreon!

Below are links to the original interview & show notes.
#405 Obesity Medicine, GLP1 agonists, Weight Loss Management Tools and Tips

Picks of the week:

Paul recommends: Blue Eye Samurai (Netflix)

Matt recommends: Live, Die, Repeat aka Edge of Tomorrow (film)

Show Segments
00:00 Introduction and Happy New Year
02:22 Overview of Obesity Medicine
04:13 Challenges in Weight Maintenance
06:07 Prevention of Obesity
08:04 Barriers to Obesity Care
09:29 Setting Realistic Weight Loss Goals
10:24 Counseling Patients on Weight Loss
11:45 Measuring Waist Circumference
12:44 Telemedicine and Tracking Apps
13:41 Psychological Considerations in Obesity Medicine
15:05 Low-Carb Diets
21:04 Managing Side Effects of GLP-1 Agonists
23:54 New Medication for Obesity
24:52 Prolia and Forteo for Osteoporosis
26:18 Statins and Lab Testing
29:30 Annual Labs and Urine Testing
32:37 Picks of the Week
35:02 Outro

Join our Patreon today and save 16% on an annual membership at patreon.com/curbsiders. Kashlak Admitting Privileges comes with ad-free episodes, access to the Kashlak Vault, which contains PDF files and graphics from over 400 Curbsiders shows, access to our private Discord group, plus twice monthly bonus episodes like this one!

#430 CKD, Metabolic Acidosis, Baking Soda vs Fruits and Veggies. It’s NephMadness 2024!

11 maart 2024 · 50 min

Afspelen

Is bicarbonate supplementation for metabolic acidosis in chronic kidney disease (CKD) a thing we do for no reason? We cover the pathophysiology and long-term consequences of metabolic acidosis, the history of bicarbonate use, alternative options for bicarbonate repletion including baking soda, lemon juice, fruits and veggies, whether the renal diet works, counseling patients with CKD, and common mistakes and pitfalls in managing metabolic acidosis in CKD. Our guest is Dr. Timothy Yau (@Maximal_Change, @WUNephrology, @AJKDOnline). It’s NephMadness 2024! Fill out your bracket today and check out the other podcasts participating in the NephMadness pod crawl! Lees meer

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

Show Segments

Time stamps refer to the ad-free version

00:00 Introduction and Guest Bio

07:46 Case Presentation

08:42 Initial Approach to CKD Management

09:10 Metabolic Acidosis in CKD

13:30 Consequences of Metabolic Acidosis

22:28 Administration of Bicarbonate

23:54 Alternative Options for Bicarbonate Repletion

24:47 Citrate and Bicarbonate

26:02 Sodium Bicarbonate for CKD

30:19 Dietary Modifications

33:35 Renal Diet

38:20 Counseling CKD Patients

41:39 Veverimer and Other Treatments

44:36 Mistakes and Pitfalls

46:55 Conclusion

Credits

Writer and Producer: Matthew Watto MD, FACP

Show Notes: Matthew Watto MD, FACP

Cover Art and Infographic: Matthew Watto 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: Timothy Yau MD

Sponsor: Rocket Money

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Sponsor: Freed

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#429 Anxiety 2.0: with Dr. Jessi Gold

4 maart 2024 · 1 uur 29 min

Afspelen

Elevate your primary care management of anxiety. Become confident in counseling patients about a new anxiety diagnosis, 2nd and 3rd line medications, augmentation for anxiety treatment, and options for non-pharmacological anxiety treatment. We are joined by psychiatrist and mental health expert Dr. Jessi Gold, @drjessigold (University of Tennessee System; drjessigold.com). Lees meer

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

Show Segments

Intro

Case from Kashlak

Diagnosing anxiety

Explaining anxiety to patients

Non-pharmacological management of anxiety

Pharmacological management of anxiety

2nd and 3rd line treatments

Cannabis and anxiety

Outro

Credits

Writer, Producer, Show Notes, Infographic, Cover Art: Edison Jyang

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

Reviewer: Sai Achi MD, MBA

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

Technical Production: PodPaste

Guest: Jessi Gold MD

Sponsor: Locumstory

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Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: Allbirds

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#428 DIGEST: DVT prophylaxis in patients with cancer, anticoagulation in subclinical AFib, steroids in COPD exacerbations, breast cancer genetic testing guidelines, and at-home STI testing

26 februari 2024 · 53 min

Afspelen

Join us as we review recent articles and news featured in The DIGEST #48, #49, and #50 including thromboprophylaxis for patients receiving chemotherapy, eosinophil count to guide steroids in COPD exacerbations, anticoagulation in subclinical atrial fibrillation, the new genetic testing recommendations for patients with breast cancer, and at-home STI testing–not to mention trial names galore. Fill your brain hole with a fully digestible meal! Featuring Paul Williams (@PaulNWilliamz), Nora Taranto (@norataranto) and Matt Watto (@doctorwatto). Lees meer

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

Credits

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

Cover Art: Nora Taranto MD

Reviewer: Emi Okamoto MD

Technical Production: Pod Paste

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

Show Segments

00:00 Introduction + Pun

06:06 Target TP Trial: Thromboprophylaxis in Cancer Patients

13:07 Steroids for COPD Exacerbations

25:25 Anticoagulation in Subclinical Atrial Fibrillation

34:01 Genetic Testing in Breast Cancer

43:38 Home STI Testing

Transcript Disclaimer
We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content.

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