Alle afleveringen van The Curbsiders Internal Medicine Podcast – pagina 5 van 10

#389 Recap: SHM 2023 #Converge

10 april 2023 · 1 uur 8 min

Afspelen

We recap the top pearls for the hospitalist from #SHM #Converge2023 covering discussions on syncope, heart failure, COPD, pneumonia, sickle cell pain management, nausea and dyspnea, complex pain management issues, delirium, geriatrics updates, severe infections from injection drug use, electrolyte management, perioperative anemia and anticoagulation, and GI updates. Lees meer

Note: Due to a rapid turnaround there is no CME for this episode, but visit curbsiders.vcuhealth.org to claim credit for past episodes.

Show Segments

Intro

Picks of the Week

Syncope

Heart Failure

Nausea and Dyspnea

COPD and Pneumonia

Sickle Cell Pain Management

Pain Management for the Hospitalist

Delirium

Geriatrics Updates

Electrolyte Management

Perioperative Anticoagulation

Perioperative Anemia

Severe Infections from Injection Drug Use

GI updates

Outro

Credits

Written, Produced and Hosted by: Christina Sensabaugh MD, Meredith Trubitt MD, and Monee Amin MD

Cover Art: Monee Amin MD

Show Notes: Meredith Trubitt MD, Monee Amin MD

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

Technical Production: PodPaste

Sponsor: Grammarly

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Sponsor: Brooklinen

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Sponsor: Locumstory

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Sponsor: Indeed

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Full transcript available HERE

#388 HIV in Primary Care with Dr. Jonathan J. “JJ” Nunez MD

3 april 2023 · 55 min

Afspelen

LIVE! Updates in HIV management at Hershey Lees meer

Highly active, high-yield points on HIV management in Primary Care! We are joined by Infectious Disease specialist Dr. Jonathan J. “JJ” Nunez MD (of Penn State Health - Hershey) to review basics of management, important comorbidities, and new horizons in HIV care.

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

Show Segments

Intro

Establishing HIV Care, Initial History Taking

Privacy and HIV

Physical Exam Tips for HIV

Weight gain, managing cardiometabolic risks

Initial labs, tracking viral load

Undetectable = Untransmissible

Sexual history considerations, PEP, PrEP,

Anal paps, cervical cancer screening

Long-Acting HIV Medications

Take-home points

Outro

Credits

Producer, Writers: Paul Williams MD, FACP, Beth Garbitelli MD

Show Notes, Infographic, Cover Art: Beth Garbitelli 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: J.J. Nunez MD

Sponsor: Green Chef

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Sponsor: Birch Living

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Full transcript available HERE

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

27 maart 2023 · 1 uur 1 min

Afspelen

Drop the pounds and the sugar with new guidelines Lees meer

New rules to manage diabetes means using new tools. Leverage GLP-1 RA and SGLT2-i to drop with pounds and the sugars with the expert insight from our guest, Dr. Marie McDonnell.

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

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

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

Sponsor: Locumstory

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Full transcript available HERE

#386 Primary Aldosteronism, MRAs, and Renovascular Hypertension: NephMadness Pod Crawl 2023

20 maart 2023 · 1 uur 11 min

Afspelen

We demystify primary aldosteronism, MRAs (mineralocorticoid receptor antagonists), non-steroidal MRAs, and how to recognize and treat renovascular hypertension with nephrologist/hypertension expert, Dr. Matt Luther (@DrJMLuther) as part of the NephMadness PodCrawl 2023. Fill out a bracket for NephMadness and check out all eight NephMadness PodCrawl participants at NephMadness.com/podcrawl (list below) and the MRA region write-up by Micah Schub (@AcidBassMD). Lees meer

The Curbsiders gets the skinny on mineralocorticoid receptor antagonists

Core IM will be covering Kidney Transplant in their classic Five Pearl format

The CardioNerds will be covering the effect of Heart Failure Devices on Kidney Health

Freely Filtered will try to understand thrombotic microangiopathy

ISN Global Kidney Care goes deep on IgA nephropathy

The Cribsiders look at transitions, first the Pediatrics to Adult nephrology transition and then from living to death with palliative nephrology

Fellow on Call will be covering Onconephrology

And finally, The Nephron Segment looks at Transgender Health and CKD

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

Show Segments

Intro

Diagnosis and Management of Primary Aldosteronism (PA)

MRAs vs non-steroidal MRAs (mineralocorticoid receptor antagonists)

NephMadness MRA region picks

Renovascular Hypertension

Outro

Credits

Writer and Producer: Matthew Watto MD

Show Notes: Matthew Watto MD

Cover Art & Infographic: Matthew Watto 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: J. Matthew Luther MD

Sponsor: Locumstory

Get a comprehensive view of locums, and decide if it;s right for you, at locumstory.com

Sponsor: indeed

Visit indeed.com/internalmedicine to start hiring now.

Full Transcript available HERE

#385 TIA/Stroke for the Hospitalist featuring Dr. Karima Benameur

13 maart 2023 · 1 uur 6 min

Afspelen

We’ve got the hard-hitting questions and must-know answers on all things TIA and stroke from neurology expert, Dr. Karima Benameur (Emory University). Topics: TIA and stroke supportive management, indicated workup, and anticoagulation and antiplatelet management pearls for the hospitalist. Lees meer

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

Show Segments

Intro, disclaimer, guest bio

Case 1 from Kashlak; Definitions

Initial stroke triage, imaging, and assessing for interventions

Supportive care for stroke

Managing patients already on antiplatelet or anticoagulant therapy

Inpatient stroke workup

Dual antiplatelet therapy

Case 2 from Kashlak; Definitions

TIA workup and management

Transitions of care: “the invisible deficits”

Brain health and nutrition

Guest questions and Picks of the Week*

Outro

Credits

Written, Produced, Infographic and Cover Art, Show Notes: Caroline Coleman MD

Hosts: Monee Amin MD; Meredith Trubitt MD, MPH; Caroline Coleman MD

Reviewer: Molly Heublein MD

Executive Producer: Karly Loy

Showrunner: Matthew Watto MD, FACP

Editor: Pod Paste

Guest: Karima Benameur MD

Sponsor: Indeed

Visit indeed.com/internalmedicine to start hiring now.

Sponsor: Glass Health

You can get one month of Glass Pro free by signing up at glass.health and using the code CURBSIDERS.

Sponsor: Grammarly

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Full transcript available HERE

#384 Updates in Chronic Kidney Disease with Dr. Joel Topf

6 maart 2023 · 1 uur 15 min

Afspelen

Stay up-to-date with advances in chronic kidney disease (CKD)! Join our esteemed Chief of Nephrology at Kashlak Memorial Hospital, Dr. Joel Topf, as he leads us through the latest on SGLT2 inhibitors, finerenone, potassium binders, and treatment of CKD-associated metabolic acidosis. Lees meer

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

Show Segments

Intro, disclaimer, guest bio

Case from Kashlak

SGLT2i: when to initiate

SGLT2i: adverse effects

Finerenone

Potassium binders

Treatment of CKD-associated metabolic acidosis

Outro

Credits

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

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. Joel Topf MD

Sponsor: Better Help
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Sponsor: Birch Living
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Sponsor: PanaceaFinancial

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Full transcript available HERE

#383 Hotcakes: Loop Diuretics for CHF, Time Restricted Eating, Breaks from Sitting, Early FMT for C. diff

27 februari 2023 · 40 min

Afspelen

Join us as we review recent practice-changing articles on loop diuretics for heart failure exacerbation (torsemide vs furosemide), time-restricted eating vs small frequent meals for weight loss, how sedentary breaks from sitting effect blood glucose & blood pressure, early FMT for C. diff, and a brief rant on medications for obesity. Fill your brain hole with a delicious stack of hotcakes! Featuring Nora Taranto (@norataranto, The DIGEST), Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto). Lees meer

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

Show Segments

Intro, disclaimer

Loop diuretics (torsemide vs furosemide) for heart failure exacerbation

Time-restricted eating vs small frequent meals for weight loss

Sedentary breaks for lowering blood glucose and blood pressure

Early fecal microbiota transplant (FMT) for C. diff infection

Outro

Credits

Written and Hosted by: Nora Taranto MD; 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

Full transcript available HERE

#382 Abnormal Uterine Bleeding

20 februari 2023 · 57 min

Afspelen

With Dr Holly Wong Cummings Lees meer

Listen in as we talk through abnormal uterine bleeding (AUB) with our esteemed guest Holly Wong Cummings, MD. We review the PALM-COEIN framework for AUB diagnosis and discuss options for acute and chronic treatment of AUB. We can get bleeding under control! Many of the treatments including progesterone only pills, combined oral contraceptives, and tranexamic acid are medications we in primary care should feel confident prescribing to our patients.

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

Show Segments

Intro, disclaimer, guest bio

Case from Kashlak

Normal Menstrual Cycle

Nomenclature for AUB- PALM COEIN

History and Physical Exam

Laboratory and radiologic evaluation

Structural causes for bleeding/interpreting the ultrasound

Acute treatment of AUB

When to refer to ED

Chronic treatment for AUB

When to refer to gyn

Take home points

Outro

Credits

Producer, Writer, Show Notes: Molly Heublein MD

Infographic: Edison Jyang

Cover Art: Sarah Phoebe Roberts

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

Reviewer: Sai S Achi MD, MBA

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

Technical Production: PodPaste

Guest: Holly Wong Cummings MD

Sponsor: Indeed

Visit Indeed.com/internalmedicine to start hiring now.

Full transcript available HERE

#381 LIVE! Patient Centered Things We Do For No ReasonTM

13 februari 2023 · 36 min

Afspelen

Join Drs. Amin and Trubitt as they go rogue and LIVE! from Southern Hospital Medicine to discuss Things We Do For No ReasonTM in the hospital that impact the patient experience. They cover NPO at midnight, fluid restriction, VTE chemoprophylaxis and routine vital signs via the hospital course of one poor, unfortunate soul. Lees meer

Note No CME for this mini-episode but visit curbsiders.vcuhealth.org

Show Segments

Intro

NPO at midnight

Fluid restriction

VTE chemoprophylaxis

Frequency of vital sign monitoring

Outro

Credits

Written and Produced by: Monee Amin MD and Meredith Trubitt MD

Cover art and presentation graphics: Caroline Coleman, MD

Show Notes: Monee Amin MD and Meredith Trubitt MD

Hosts: Monee Amin, MD and Meredith Trubitt MD

Technical Production: PodPaste

Showrunner: Matthew Watto MD, FACP

Sponsor: Grammarly

Go to grammarly.com/tone to download and learn more about Grammarly Premium’s advanced tone suggestions.

Sponsor: Indeed

Visit indeed.com/internalmedicine to start hiring now.

Sponsor: BetterHelp

Special offer for Curbsiders listeners: get 10% off your first month at betterhelp.com/curb

Full Transcript available HERE

#380 Hemochromatosis with Elliot Tapper

6 februari 2023 · 59 min

Afspelen

Recognize when to consider the diagnosis of hemochromatosis and how to recognize common mimics of an elevated ferritin level. We’re joined by Dr. Elliot Tapper,@ebtapper on twitter (University of Michigan) Lees meer

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

Show Segments

Intro, disclaimer, guest bio

Guest one-liner

Case from Kashlak; Definitions

Initial evaluation of Hemochromatosis

Etiology of elevated ferritin in liver disease

Potential mimics of hemochromatosis

Diagnosis of hemochromatosis

Evaluation of hepatic fibrosis in hemochromatosis

Manifestations & complications of hemochromatosis

Outro

Credits

Producer & Writer:: Elena Gibson MD

Infographic & Cover Art:Edison Jyang

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

Reviewer:

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

Technical Production: PodPaste

Guest: Elliot Tapper

Sponsor: Green Chef

Go to greenchef.com/curb60 and use code curb60 to get 60% off plus free shipping.

Sponsor: Birch Living

Birch is giving 20% off all mattresses and 2 free eco-rest pillows at birchliving.com/curb.

Sponsor: Better Help

Visit betterhelp.com/curb to get 10% off your first month.

Full transcript available HERE

#379 Hearing Loss, Tinnitus, and Meniere's Disease

30 januari 2023 · 1 uur 27 min

Afspelen

With Dr Steven Rauch Lees meer

Demystify hearing loss, identify who will benefit from hearing aids and learn to evaluate hearing complaints in primary care including an overview of tinnitus and how to recognize and treat Meniere’s disease with guest expert, Dr. Steven Rauch (Harvard University).

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

Show Segments

Intro, disclaimer, guest bio

Case from Kashlak;

Definitions, etiology and risk factors for hearing loss

Initial workup for hearing loss

What is an audiogram and what does it show

Hearing loss red flags

How to manage hearing loss

Tinnitus: what can help patients

Diagnose, distinguish and treat Meniere’s disease

Outro

Credits

Script and Show Notes written by, Produced by: Kate Grant MBChB, MRCGP and Andréa Perdigão

Infographic and Cover Art: Kate Grant MBChB, MRCGP

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: Steve Rauch MD

Sponsor: Better Help

Visit betterhelp.com/curb to get 10% off your first month.

Full Transcript HERE

#378 Acute Exacerbations of COPD (AECOPD)

23 januari 2023 · 1 uur 16 min

Afspelen

Pro Tips & Practical Insights from Dr. Jim O’Brien Lees meer

Are acute COPD exacerbations taking the wind out of YOUR sails? Join us as we navigate the stormy waters that can be AECOPD with our guest expert, Dr. Jim O’Brien from National Jewish Health Center.

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

Show Segments

Intro, disclaimer, guest bio

What is a COPD

Case from Kashlak - Natalie Harrison

Knee jerk reaction: Determining level of illness & disposition

Initial work-up considerations

What’s in your differential?

The second-order assessment - shuffling the differential, honing in on the patient

AECOPD: Triggers & Pathophysiology

Treatment Pearls I: Steroids

Treatment Pearls II: Antibiotics

Treatment Pearls III: Bronchodilators

Treatment Pearls IV: Oxygen Therapy

Preparing for discharge

Take home points

Lightning Round! Getting to know Dr. O’Brien & Picks of the Week*

Outro

Credits

Writer & Producer: Cyrus Askin MD

Show Notes, Infographic & Cover Art: Cyrus Askin MD

Hosts: Meredith Trubitt MD, Monee Amin MD & Cyrus Askin MD

Reviewer: Sai Achi, MD MBA

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

Technical Production: PodPaste

Guest: Jim O’Brien MD

Sponsor: Medmastery

Go to www.medmastery.com/curbsiders to claim a 15% discount off an annual Medmastery Pro
Subscription.

Full Transcript available HERE

#377 Adrenal Incidentalomas, Primary Aldosteronism with Dr. William Young

16 januari 2023 · 1 uur 1 min

Afspelen

Conquer your fear of adrenal incidentalomas! We’re joined by Dr. William Young, who teaches us pearls for evaluating imaging characteristics of adrenal incidentalomas, tips for assessing and managing functioning adenomas, approaches to follow-up and surgical considerations, and more. Lees meer

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

Show Segments

Intro, disclaimer, guest bio

Case #1 from Kashlak; Definitions

Discussing adrenal incidentalomas with patients

Imaging characteristics of adrenal incidentalomas

Evaluation of hormonal hypersecretion - overview

Subclinical Cushing’s syndrome

Pheochromocytoma

Surgical considerations based on nodule size and imaging phenotype

Follow-up imaging

Case#2 from Kashlak

Primary hyperaldosteronism - work-up and management

Bilateral adrenal nodules

Guest Picks of the Week

Outro

Credits

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

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

Reviewer: Leah Witt MD

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

Technical Production: PodPaste

Guest: William Young MD

Sponsor: Grammarly

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Sponsor: BetterHelp

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Full Transcript HERE

#376 Hormone Therapy for Primary Prevention of Chronic Conditions in Postmenopausal Persons - a USPSTF update with Dr. Carol Mangione

11 januari 2023 · 27 min

Afspelen

We have better tools for prevention, but let’s talk! Lees meer

Should we be offering hormone therapy for primary prevention in postmenopausal patients? Dr. Carol Mangione (UCLA) talks us through the potential benefits and harms, and explains how this can be a jumping off point for important conversations about preventive care.

Credits

Producers, Hosts: Elena Gibson MD and Paul Williams MD, FACP

Writer, Infographic, and Cover Art: Elena Gibson MD

Show notes: Paul Williams MD, FACP

Reviewer: Molly Heublein MD

Production team: Podpaste

Guest: Carol Mangione MD

Full transcript available HERE

#375 Delirium in the Hospital featuring Dr. Esther Oh

9 januari 2023 · 1 uur 15 min

Afspelen

In this episode you will learn to master delirium in the hospital! We discuss preventing, recognizing, and managing this common and dangerous condition. We are joined by delirium expert and President of the American Delirium Society, Dr. Esther Oh @EstherOh_MDPhD (Johns Hopkins University) Lees meer

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

Show Segments

Intro, disclaimer, guest bio

Guest one-liner, Picks of the Week*

Case 1 from Kashlak: hypoactive delirium

Definition of delirium

Delirium vs. encephalopathy vs. dementia

Delirium assessment tools

Prevention of delirium

Discharging patients with delirium

Case 2 from Kashlak: hyperactive delirium

Antipsychotics

Working up etiologies of delirium

Treatment/management pitfalls

Outro

Credits

Produced, Script, Show Notes: Adam Barelski MD

Infographic & Cover Art: Edison Jyang; Sarah Phoebe Roberts

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

Reviewer: Molly Heublein MD

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

Technical Production: PodPaste

Guest: Esther Oh MD, PhD

Sponsor: Panacea Financial

Visit panaceafinancial.com to open your free account.

Full transcript HERE

#374 ADHD with Dr. Kevin Simon

2 januari 2023 · 1 uur 3 min

Afspelen

Don’t get distracted, pay attention to the details, and manage ADHD in your patients! Lees meer

Dr. Kevin Simon, @DrKMSimon (Boston Children’s Hospital) shows us how to stay focused and diagnose and manage attention deficit hyperactivity disorder (ADHD) in your patients. Learn how to make the right diagnosis, choose an appropriate medication, and modify therapy.

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

Show Segments

Intro, disclaimer, guest bio

Case from Kashlak; Definitions and diagnosis of ADHD

Stimulant medications for ADHD

Non-stimulant medications for ADHD

Mitigating diversion of medications for ADHD

Managing ADHD in patients with substance use disorder

Lightning round and picks of the week

Outro

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

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

Technical Production: PodPaste

Guest: Kevin Simon, MD

Sponsor: Better Help

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Sponsor: Birch Living

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Full Transcript HERE

#373 Recap Extravaganza 2022

26 december 2022 · 1 uur 4 min

Afspelen

Celebrate the holiday season with top pearls on constipation, palpitations, hypertension, meds for obesity, cardiorenal syndrome, hepatitis C, staging the liver, vitamin supplementation and more! Plus, Watto and Paul share their reflections on seven years of podcasting, give their picks of the year, and tease upcoming episodes for 2023! Lees meer

Note No CME for this episode but visit curbsiders.vcuhealth.org to claim credit for shows from 2022!

Show Segments

Intro, disclaimer,

Reflections on 2022

Constipation,

Palpitations,

Hypertension,

Obesity medications,

Cardiorenal syndrome,

Hepatitis C,

Vitamin supplementation

Picks of the Year

Outro

Credits

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

Show Notes: Matthew Watto MD, FACP

Cover Art design: Matthew Watto MD, FACP

Technical Production: Pod Paste

Full transcript HERE

#372 Endocrine Emergencies featuring Dr. Sara Markley Webster

19 december 2022 · 1 uur 21 min

Afspelen

In this episode, we discuss an overview of inpatient management of can’t miss endo emergencies. Our esteemed guest, Dr. Sara Markley Webster (Emory University, @smarkleywebster) walks us through identification, workup and management of adrenal crisis, myxedema coma, and thyroid storm. Lees meer

Free CME for this episode at curbsiders.vcuhealth.org

Show Segments

● Intro, disclaimer, guest bio
● Guest one-liner, Picks of the Week*
● Case 1 from Kashlak
● Adrenal crisis identification, workup and management
● Case 2 from Kashlak
● Myxedema identification, workup and management
● Case 3 from Kashlak
● Thyroid storm identification, workup and management
● Outro

Credits

● Written, Produced, and Hosted by: Monee Amin, MD and Meredith Trubitt, MD
● Show Notes, Infographic and Cover Art: Caroline Coleman, MD
● Reviewer: Emi Okamoto, MD
● Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP
● Technical Production: PodPaste
● Guest: Sara Markley Webster, MD

Sponsor: Locumstory

If you would like to learn more about locums visit locumstory.com

Sponsor: Pattern

Visit patternlife.com/curbsiders to get a free disability insurance quote.

Full Transcript HERE

#371 Prostate Cancer: Screening, Advanced Testing, and Survivorship

12 december 2022 · 1 uur 3 min

Afspelen

Navigating guidelines, parsing through the PSA, Survivorship, & More! Lees meer

Become a pro when addressing prostate cancer! We tackle the nuances surrounding screening for this all-to-common cancer and discuss important considerations in survivorship with our guest Dr. Petar Bajic (Twitter: @PBajicMD, Instagram: @the.sexdoc) of Cleveland Clinic! You’re IN for a good time listening to this episode!

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

Show Segments

● Intro, disclaimer, guest bio
● Guest one-liner
● Case from Kashlak
● Epidemiology of Prostate Cancer
● Screening Basics
● What is the PSA?
● Next Steps After Elevated PSA
● Thresholds and techniques for biopsy
● Free PSA, Other testing modalities, Prostate MRI
● Active Surveillance Nuts and Bolts
● Survivorship
● Take home points, Outro

Credits

● Producer,Writer, Show Notes, Infographic, Cover Art: Beth Garbitelli MD
● Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli MD
● Reviewer: Sai S Achi, MD MBA
● Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP
● Technical Production: PodPaste
● Guest: Dr. Petar Bajic MD

Sponsor: Better Help

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Sponsor: Birch Living

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Sponsor: Hello Fresh

Go to hellofresh.com/curb18 and use code curb18 for 18 free meals plus free shipping.

Sponsor: Pattern Life

Visit patternlife.com/curbsiders to request your free physician disability insurance quote.

Full Transcript HERE

#370 Parkinson’s Disease for Primary Care with Dr. Albert Hung

5 december 2022 · 1 uur 17 min

Afspelen

Master the ins-and-outs of Parkinson’s Disease! We’re joined by Dr. Albert Hung, who teaches us pearls for the initial history and physical exam in a patient with undiagnosed Parkinson’s, a framework for management of early and advanced motor symptoms, tips for treating autonomic symptoms and cognitive / psychiatric features, and more. Lees meer

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

Show Segments

Intro, disclaimer, guest bio

Guest one-liner

Case from Kashlak

Initial history in a patient with undiagnosed Parkinson’s

“Pre-motor” symptoms of Parkinson’s disease

Physical exam in Parkinson’s disease

Drug-induced Parkinsonism

“Red flags” suggesting atypical parkinsonian syndromes

Role of imaging in diagnosis

Typical discussion with patient at initial diagnosis

Initial management of motor symptoms

Management of autonomic symptoms

Management of advanced motor symptoms

Management of cognitive and psychiatric symptoms

Outro

Credits

Producer, Writer, Show Notes, and Infographic: Malini Gandhi

Cover Art: Kate Grant

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

Reviewer: Emi Okamoto MD

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

Technical Production: PodPaste

Guest: Albert Hung MD, PhD

Full transcript HERE

#369 Hand, Foot, Wrist and Ankle Pain, Myositis and Myopathy: A Rapid Review (TFTC)

30 november 2022 · 33 min

Afspelen

Recap and review the top pearls from recent episodes #339 Hand and Wrist Pain, #348 Foot and Ankle Pain, and #351 Myopathy and Myositis with Watto and Paul. It’s Tales from the Curbside! (TFTC), our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning. Lees meer

Note No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for shows #339, #348 and #351!

Show Segments

Intro, disclaimer, guest bio

Hand and Wrist pain: CMC joint arthritis, tenosynovitis, carpal tunnel syndrome, trigger finger

Foot and Ankle pain: Ankle sprains, Achilles tendon injuries, Posterior tibial tendon dysfunction

Myopathy and Myositis pearls

Outro

Credits

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

Show Notes: Matthew Watto MD, FACP

TFTC Cover Art design: Edison Jyang

Technical Production: Pod Paste

Full transcript HERE

#368 Back Pain Update with Dr. Austin Baraki

28 november 2022 · 1 uur 26 min

Afspelen

A Rational Approach: Who to Image, How to Treat, and More! Lees meer

Back pain is one of the most common concerns our patients bring to us in the outpatient setting. It’s a lot more complicated than rest, ice, and NSAIDs! Fortunately, we have pain expert, strength coach, and academic internist Dr. Austin Baraki (Austin Baraki, MD (@AustinBaraki) / Twitter) to help us develop a comprehensive, patient centered approach to help our patients manage their pain and lead healthier lives. Take control of your patients’ back pain!

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

Show Segments

Intro, disclaimer, guest bio

Guest one-liner, Picks of the Week

Case from Kashlak

Introduction to Back Pain

Eliciting the Patient’s Story

Risk Stratification, Intro to Red Flags, and and the STarT Back Tool

The Importance of Language and Patient-Centered Outcomes

A Deeper Dive into Red Flags

Setting Expectations for Care

Therapeutics for Back Pain - Does anything work?

The Exercise Prescription

Credits

Producers: Isabel Valdez, PA-C & Cyrus Askin, MD

Writer, Cover Art and Infographics: Isabel Valdez, PA-C

Show Notes: Cyrus Askin, MD

Hosts: Matthew Watto MD, FACP; Isabel Valdez, PA-C

Reviewer: Molly Heublein, MD

Showrunner: Matthew Watto MD, FACP

Technical Production: PodPaste

Guest: Austin Baraki, MD

Sponsor: Grammarly

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Full transcript HERE

#367 Weekend Warriors, Fluids for Acute Pancreatitis, Colonoscopy Screening & Mortality, and SPRINT trial Revisited (Hotcakes)

21 november 2022 · 47 min

Afspelen

Join us as we review recent practice-changing articles addressing the questions: Do weekend warriors experience a mortality benefit from exercise? Is an aggressive fluid strategy superior to a moderate strategy in acute pancreatitis? Does an invite for colonoscopy decrease colon cancer-related mortality? Did the benefits of intensive blood pressure control continue after the SPRINT trial ended? Fill your plate with a stack of hot tofurkey cakes! Featuring Drs. Era Kryzhanovskaya (@erakryzhmd), Nora Taranto (@norataranto), Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto). Lees meer

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

Show Segments

Intro, disclaimer

Do weekend warriors experience a mortality benefit?

Should you choose aggressive or moderate fluid resuscitation for acute pancreatitis?

Does an invite for screening colonoscopy reduce colon cancer and CRC-related mortality?

Did benefits from the SPRINT trial persist in observational follow up?

Outro

Credits

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

Cover Art: Matthew Watto MD, FACP

Reviewer: Rahul Ganatral MD, MPH

Technical Production: Pod Paste

Sponsor: Better Help

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#366 Opioid Use Disorder and Acute Pain in the Hospitalized Patient

14 november 2022 · 1 uur 3 min

Afspelen

With Carolyn Chan MD and Shawn Cohen MD Lees meer

Conquer acute pain in the hospitalized patient with opioid use disorder! It’s challenging to treat opioid withdrawal and acute pain simultaneously. This episode features clinical pearls on prescribing methadone, buprenorphine, low-dose buprenorphine initiation, and how to incorporate opioids as part of multimodal pain treatment responsibly. We’re joined by The Curbsiders Addiction Medicine Podcast hosts, Drs. Carolyn Chan (@carolynachan) and Shawn Cohen (@shawncohen)!

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

Show Segments

Intro, disclaimer, guest bio

Guest one-liner

Acute pain in the patient on buprenorphine maintenance

Acute pain in the patient on methadone maintenance

Acute pain in the patient with opioid withdrawal

Standard buprenorphine initiation

Methadone initiation

Low dose buprenorphine initiation

Take-home points

Outro

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

Reviewer: Fatima Syed MD

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

Technical Production: PodPaste

Guest: Carolyn Chan MD and Shawn Cohen MD

Sponsor: ExpressVPN

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Sponsor: Southern California Permanente Medical Group

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Full transcript HERE

#365: Perioperative Medicine with Anesthesiologist Dr. Angela Selzer

7 november 2022 · 1 uur 3 min

Afspelen

We’ve Come a Long Way From Ether Lees meer

Learn how an anesthesiologist approaches perioperative medicine from how to choose the right type of anesthesia (general anesthesia vs regional anesthesia vs MAC), to preoperative risk assessment, and how to avoid anesthesia related complications. Our guest, anesthesiologist, Dr. Angela Selzer (Denver, CO) helps us explore high yield pearls regarding the practice of anesthesiology to empower the internal medicine clinician to deliver team-based, perioperative care.

Claim Free CE credit for this episode through VCU Health CE at curbsiders.vcuhealth.org!

Show Segments

Intro, disclaimer, guest bio

Guest one-liner

Introduction to anesthesiology

Introduction to regional anesthesiology

Walk through what an anesthesiologist does in the operating room

Ambulatory surgery center exclusions

Approach to preop assessments

“Will it change management?” applied to anesthesiologists

ASA Classes

Anesthesia complications

Take Home Points; Outro; Bonus clip

Credits

Written and Produced by: Edison Jyang; Avital O’Glasser MD, FACP, SFHM

Cover Art: Sarah Phoebe Roberts, MPH

Infographic: Avital O’Glasser MD, FACP, SFHM; Edison Jyang

Show Notes: Avital O’Glasser MD, FACP, SFHM

Hosts: Matthew Watto MD, FACP; Avital O’Glasser MD, FACP, SFHM

Technical Production: Pod Paste

Reviewer: Sai S Achi, MD MBA

Showrunner: Matthew Watto MD, FACP

Technical Production: PodPaste

Guest: Angela Selzer, MD

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Full transcript HERE

#364 Screening for syphilis: A USPSTF Update with Dr. Katrina Donahue

2 november 2022 · 18 min

Afspelen

We ran the numbers, and it’s still important! Lees meer

Should patients be screened for syphilis? If so, which ones? Dr. Katrina Donahue (USPSTF) talks us through this re-affirmation of the USPSTF syphilis screening guideline, including who might be high risk and how to screen them.

Credits

Producers: Elena Gibson, MD and Paul Williams MD, FACP

Writer: Elena Gibson, MD

Show notes: Paul Williams MD, FACP

Infographic and Cover Art: Elena Gibson, MD

Hosts: Paul Williams MD, FACP and Elena Gibson MD

Production team: Podpaste

Guest: Katrina Donahue MD

Full Transcript HERE

#363 Afib: Rhythm Control, Catheter Ablation, Afib in the hospital, and Left Atrial Appendage Closure

31 oktober 2022 · 53 min

Afspelen

Optimize and update your approach to atrial fibrillation (afib) as we discuss early rhythm control, antiarrhythmic drugs, TTE/cardioversion, afib ablation, new onset afib in the hospitalized patient, and left atrial appendage closure. Plus, we try to answer, Does afib burden matter? Our guest is cardiologist-electrophysiologist, Hugh Calkins MD, @hughcalkinsMD, Professor of Cardiology at Johns Hopkins, @hopkinsheart. Lees meer

Sorry, but we won’t be offering CME for this episode. You can claim CME for past episodes at curbsiders.vcuhealth.org!

Show Segments

Intro, disclaimer, guest bio

Guest one-liner

Case from Kashlak; Definitions

An approach to new-onset afib in the office

Rhythm control

Lifestyle modification is a pillar of afib treatment

Indications for hospitalization in afib

More on rhythm control and when to pursue afib ablation

Rhythm control in heart failure

New onset afib in the hospitalized patient

Does afib burden matter?

Left atrial appendage closure

Watto and Paul recap what we’ve learned

Outro

Credits

Written and Produced by: Matthew Watto MD, FACP

Show Notes: Matthew Watto MD, FACP

Cover art and Infographic by:

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: Hugh Calkins MD

Sponsor: Grammarly

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Full transcript HERE

#362 Migraine Headaches, Acute Hypoxemia: A rapid review (TFTC)

26 oktober 2022 · 40 min

Afspelen

Recap and review the top pearls from recent episodes #341 Migraine Headaches Update and #350 Acute Hypoxemia with Watto and Paul. It’s Tales from the Curbside! (TFTC), our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning. Lees meer

Note No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for shows #341 and #350!

Show Segments

Intro, disclaimer, guest bio

Migraine Headaches Update

An approach to Hypoxemia

Outro

Credits

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

Show Notes: Matthew Watto MD, FACP

TFTC Cover Art design: Edison Jyang

Technical Production: Pod Paste

Full transcript HERE

#361 Advanced Lipidology

24 oktober 2022 · 1 uur 18 min

Afspelen

Lipids Update 2022: Cardiovascular Risk Reduction and New Medications on the Horizon with Erin Michos, MD Lees meer

Show description:
Ready to take the next step in management of your patient with hyperlipidemia? Dr. Erin Michos (@erinmichos) returns to give us a lesson in Advanced Lipidology. She updates us on what new medications we can use for those difficult to treat lipids and what medications are on the horizon.

Unfortunately, this episode will not be available for CME. You can claim free CME for other episodes at curbsiders.vcuhealth.org!

Show Segments

Intro, Getting to know Dr. Erin Michos, Pick of the Week

Patient Case, Digging into ASCVD Risk

Coronary artery calcium scoring - why it’s important

What are “Risk Enhancing Factors”?

Biomarker testing, what is the significance of Lip a and how can we use it to drive management?

Introduction to PCSK9 inhibitors

More than just statins - other LDL-lowering medications

siRNAs, ASOs - Pelacarsen and more

Apollo Trial regarding Pelacarsen

Importance of Family History

What to do if maxed out on a statin or statin intolerance - Ezetimibe, PCSK9 inhibitors, MAB therapies, and more

Bempedoic Acid discussion

Medication side effects

Homozygous FH - approach to treatment, ANGPTL3 inhibitors

Triglycerides discussion, icosapent ethyl, the REDUCE-IT trial

Wrap-up and Take home points, Outtro

Credits

Producer and written by: Christopher Chiu MD, FACP, FAAP

Show Notes: James Antaki MD

Infographic: Edison Jyang

Cover Art: Kate Grant MBChB, DipGUMed

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

Associate Editor: Leah Witt MD

Showrunner: Matthew Watto MD, FACP

Technical Production: PodPaste

Guest: Erin Michos MD, MHS

Sponsor: Birch Living

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Full transcript HERE

#360 Disease-Modifying Nutrition with Dr. Michelle McMacken

17 oktober 2022 · 1 uur 11 min

Afspelen

The treatment your patients need but may not be getting! Lees meer

Take a bite out of our latest episode featuring guest expert Dr. Michelle McMacken (@DrMcMacken) and learn how you can help your patients effectively and sustainably reap the health benefits of improved nutrition. Discover the enormous evidence base for nutritional recommendations, develop scripts to engage patients, and update your CVD, T2DM, and hyperlipidemia treatment plans to meaningfully incorporate nutrition. Get your truffle-hunting outfit on, it’s time to go foraging for some tasty knowledge food!

Show Segments

Intro, disclaimer, guest bio

Guest one-liner, favorite advice

Case from Kashlak; definitions

“Evidence-based nutrition” vs plant-based diet

Unifying the guidelines for patient care

Treating the skeptical patient

Tailoring recommendations to patients’ needs

Treating the motivated patient

Host questions

Outro

Credits

Written and Produced by: Deep Shah MD

Show Notes: Sarah Phoebe Roberts, Deep Shah MD

Infographic and Cover Art: Lyan Chang

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

Reviewers: Emi Okamoto MD

Showrunner: Matthew Watto MD, FACP

Technical Production: PodPaste

Guest: Michelle McMacken MD, FACP, DipABLM

Sponsor: BetterHelp

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Sponsor: Indeed

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Super foods handout

Full transcript HERE

#359 Monkeypox with Dr. Boghuma Titanji

10 oktober 2022 · 1 uur 20 min

Afspelen

Master the latest knowledge on the ongoing monkeypox outbreak with Dr. Boghuma Titanji (@Boghuma)! Learn how to recognize monkeypox in the clinic, how to test for monkeypox, how to approach management (including options for antiviral agents), and more. Lees meer

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

Show Segments

Intro, disclaimer, guest bio

Guest one-liner, Picks of the Week

Case from Kashlak

History of monkeypox - past and current outbreaks

Transmission of monkeypox

Risk factors for monkeypox

Clinical presentation of monkeypox

Testing for monkeypox

Management of monkeypox: supportive care and antivirals

Monkeypox in patients with HIV

Monkeypox in pregnancy

Monkeypox vaccines

Outro

Credits

Producer and Writer: Paul Williams MD, FACP

Show Notes: Malini Gandhi

Infographic: Sarah Phoebe Roberts

Cover Art: Kate Grant MD

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

Reviewer: Emi Okamoto MD

Showrunner: Matthew Watto MD, FACP

Technical Production: PodPaste

Guest: Boghuma Titanji MD

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Sponsor: Medmastery

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Full Transcript HERE

#358 Oncologic Emergencies with Dr. Aditi Singh

3 oktober 2022 · 1 uur 24 min

Afspelen

From Cord Compression to Tumor Lysis Syndrome Lees meer

Do you freak out over oncologic emergencies like cord compression or tumor lysis syndrome? Join Dr. Aditi Singh (University of Pennsylvania, Abramson Cancer Center, @AditiSinghMD) for this comprehensive conversation on six commonly encountered oncologic emergencies we see in the hospital!

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

Show Segments

Intro, disclaimer, guest bio

Guest one-liner, Picks of the Week*

Cord Compression

SVC Syndrome

Malignant Obstruction

Tumor Lysis Syndrome

Blast Crisis

Outro

Credits

Producer, Writer, Hosts: Meredith Trubitt, MD MPH; Monee Amin, MD

Infographic and Cover Art: Caroline Coleman

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

Associate Editor: Leah Witt, MD

Showrunner: Matthew Watto MD, FACP

Technical Production: PodPaste

Guest: Aditi Singh, MD

Sponsor: BetterHelp

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Sponsor: Indeed

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Sponsor: Hello Fresh

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Full Transcript HERE

#357 Hotcakes: Ultra-short Antibiotics for Pneumonia, Acetazolamide for CHF, Psilocybin for AUD, and Asymptomatic Kidney Stone Removal

28 september 2022 · 41 min

Afspelen

Find out if ultra-short course (two days) antibiotics work for pneumonia, if acetazolamide improves diuretic efficiency in acute decompensated heart failure, should we prescribe psilocybin (magic mushrooms) to treat alcohol use disorder, and if removal of asymptomatic kidney stones decreases the incidence of future events! Time to fill your plate with a fresh stack of hotcakes! Drs. Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto) catch up on recent practice-changing articles and guidelines! Lees meer

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

Show Segments

Intro, disclaimer

Ultra-short Antibiotics for Pneumonia,

Acetazolamide for acute heart failure exacerbations,

Psilocybin for AUD,

Asymptomatic Kidney Stone Removal

Outro

Credits

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

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

Cover Art: Matthew Watto MD, FACP

Reviewer: Rahul Ganatral MD, MPH

Technical Production: Pod Paste

Full transcript HERE

#356 Chronic Obstructive Pulmonary Disease (COPD) Update with Dr. Antonio Anzueto

26 september 2022 · 1 uur 19 min

Afspelen

Brush up on your COPD skills and learn some new tips for diagnosis and management of this common respiratory condition from our expert Dr. Antonio Anzueto (University of Texas San Antonio). Lees meer

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

Show Segments

Intro, disclaimer, guest bio

Guest one-liner

Case from Kashlak

Epidemiology

Diagnosis

Workup

Characterization of disease

Treatment

Outro

Credits

Writer and Producer: Cyrus Askin, MD

Show Notes: Deborah Gorth MD, PhD

Infographic: Kate Grant MD

Cover Art: Kate Grant MD

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

Associate Editor: Leah Witt, MD

Showrunner: Matthew Watto MD, FACP

Technical Production: PodPaste

Guest: Antonio Anzueto, MD

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Full Transcript HERE

#355 GI Bleed with Dr. Tanvi Dhere

19 september 2022 · 1 uur 8 min

Afspelen

Upper and Lower GI Bleed Diagnosis and Management Lees meer

Handle the gush of upper and lower GI bleeds with ease thanks to Dr. Tanvi Dhere (@DhereMdEmory)! Learn diagnosis, initial management as well as post-procedure management including when to resume anticoagulation and antithrombotic therapy.

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

Show Segments

Intro, disclaimer, guest bio

Guest one-liner, Picks of the Week*

Case from Kashlak;

Upper GI bleed

Labs, Stool Studies

Initial Management of GI bleed

Endoscopy

Post-procedure management

Lower GI bleed

Colonoscopy

Imaging/Interventional Radiology

Outro

Credits

Producers and Writers: Meredith Trubitt MD, MPH; Monee Amin MD

Show Notes: Monee Amin, MD

Infographics and Cover Art: Caroline Coleman, MD

Hosts: Meredith Trubitt MD, MPH; Monee Amin MD

Reviewer: Emi Okamoto MD

Showrunner: Matthew Watto MD, FACP

Technical Production: PodPaste

Guest: Tanvi Dhere, MD

Sponsor: Birch

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Sponsor: BetterHelp

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Sponsor: Medmastery

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Sponsor: Indeed

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Full Transcript HERE

#354 Curbsiders Women in Medicine: Top 5 Challenges Faced by Women of Color in Academic Medicine

14 september 2022 · 1 uur 12 min

Afspelen

We’re back with another women in medicine episode– this time Shreya and Leah interview their she-ro Dr. Kemi Doll, career coach extraordinaire to women of color in academic medicine. She is breaking down the biggest challenges she’s seen her clients face and how to tackle them! Lees meer

Show Segments

Intro, disclaimer, guest bio

Guest one-liner, Picks of the Week

Dr. Doll’s journey into coaching women of color in academic medicine

Top 5 challenges faced by women of color in academic medicine

Solutions to the challenges

Outro

Credits

Written and Produced by: Leah Witt, MD and Shreya Trivedi, MD

Infographic and Cover Art: Shreya Trivedi, MD

Show Notes: Leah Witt, MD

Hosts: Leah Witt, MD, Shreya Trivedi, MD and Matthew Watto MD, FACP

Associate Editor: Emi Okamoto, MD

Showrunners: Leah Witt, MD and Shreya Trivedi, MD

Technical Production: PodPaste

Guest: Kemi Doll, MD

Full transcript HERE

#353 Colon Polyps

12 september 2022 · 56 min

Afspelen

Polyps, polypectomy & surveillance with Dr. Jennifer Maranki Lees meer

Learn how to recommend a good bowel prep, read colonoscopy reports, and review recommended polyp surveillance with Dr. Jennifer Maranki, @jenmarankimd (Penn State Health)

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

Show Segments

Intro, disclaimer, guest bio

Guest one-liner, Picks of the Week

Case from Kashlak; definitions

Polyp definitions and categories

Bowel prep & colonoscopy quality

Colorectal polyp surveillance

Potential complications

When to consider polyposis syndromes

Outro

Credits

Producer & Writer: Elena Gibson MD

Show Notes: Elena Gibson MD

Infographic & Cover Art: Kate Grant MBChB DipGUMed

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

Reviewer: Emi Okamoto MD

Showrunner: Matthew Watto MD, FACP

Technical Production: PodPaste

Guest: Jennifer Maranki MD

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Full Transcript HERE

REBOOT #49 Vertigo and Dizziness: How to Treat, Who to Send Home, and Who Might Have a Stroke

5 september 2022 · 1 uur 16 min

Afspelen

A simplified approach to dizziness/vertigo with tips from international expert, Dr. David Newman-Toker, Professor of Neurology, Ophthalmology, and Otolaryngology at Johns Hopkins University. We learn how to differentiate stroke from other causes of dizziness/vertigo; how to approach the differential diagnosis in dizziness/vertigo; how to perform the Dix-Hallpike test, Epley maneuver, and HINTS exam; plus, who benefits from medical therapy and vestibular rehab. Original show notes here. Lees meer

Show Segments

Intro, Getting to know our guest

Clinical Case

Why can’t patients describe their dizziness?

Classifying dizziness

The 3 vestibular syndrome buckets defined

Episodic vestibular syndrome differential diagnosis

Acute vestibular syndrome differential diagnosis

Chronic vestibular syndrome differential diagnosis

Challenges of medical history taking

Approach to the acute vestibular syndrome/HINTS

How to evaluate nystagmus

How to perform the head impulse test (aka head thrust)

How to perform “test of skew” (alternate cover testing)

Recap of HINTS exam and discussion of MRI

Signs and symptoms of cerebellar stroke

Use of Dix-Hallpike for episodic vertigo

What happens when you choose the wrong test

Continuous versus triggered dizziness, or vertigo

Meclizine use in BPPV

How to cure horizontal canal BPPV

Treatment for vestibular neuritis

Treatment for Meniere’s disease

Who benefits from vestibular rehab/exercises

Dizziness and giddiness

Take home points

Outro

Credits

Produced and Written by: Cyrus Askin MD

Show Notes: Matthew Watto MD

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

Editor: Matthew Watto MD, FACP

Guest: David Newman-Toker MD, PhD

Sponsor: Better Help

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#352 H. pylori and Obesity Medicine FAQ: A rapid review (TFTC)

31 augustus 2022 · 35 min

Afspelen

Recap and review the top pearls from recent episodes #322 H. Pylori and #324 Obesity Medicine FAQ with Watto and Paul. It’s Tales from the Curbside! (TFTC), our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning. Lees meer

Note No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for shows #322 and #324!

Show Segments

Intro, disclaimer, guest bio

H. pylori

Obesity Medicine FAQ

Outro

Credits

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

Show Notes: Matthew Watto MD, FACP

TFTC Cover Art design: Edison Jyang

Technical Production: Pod Paste

Full transcript HERE

REBOOT #284 An Antibiotics Primer, with @IDdocAdi

28 augustus 2022 · 58 min

Afspelen

On this Curbsiders classic, we discuss antibiotic classes, common uses, the pathophysiology behind antibiotic mechanisms, and much more with infectious disease expert, Dr. Adi Shah MBBS (@IDdocAdi)! This antibiotics primer will break down the (cell) walls of antibiotic knowledge. Stop feeling silly when you deal with penicillins! Original show notes here. Lees meer

Show Segments

Intro, disclaimer, guest bio

Guest one-liner

Picks of the Week*

How to approach antibiotics

Choosing antibiotics / Framework

Dr. Shah’s favorite antibiotics

Pneumonia

Diabetic Foot Infections

Take-home points

Outro

Credits

Produced and Written by: Nora Taranto MD

Infographic, Cover Art, Show Notes: Beth Garbitelli

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

Editor: Matthew Watto (written materials): Clair Morgan of nodderly.com

Reviewer: Victor Kovac MD

Guest: Adi Shah MBBS

Sponsor: Grammarly

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#351 Live! Foot and Ankle Pain with Dr. Joan Ritter

22 augustus 2022 · 1 uur 7 min

Afspelen

The Thrill of Victory and the Agony of the Feet Lees meer

Don’t fear foot pain! Learn how to evaluate the painful foot and ankle, what needs imaging, and who needs rehab. We are joined by Dr. Joan Ritter (Walter Reed National Military Medical Center) for a special live Curbsiders episode!

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

Show Segments

Intro, disclaimer, guest bio

Guest one-liner, Picks of the Week*

Case from Kashlak

Relevant anatomy

Ankle sprains

Achilles tendon rupture and tendonitis

Plantar fasciitis

Posterior tibial tendon dysfunction

Midfoot pain

Morton’s neuroma

Audience questions

Outro

Credits

Writer and Producer: Paul Williams MD, FACP

Show Notes and Infographic: Paul WIlliamsMD, FACP

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

Associate Editor: Leah Witt MD

Showrunner: Matthew Watto MD, FACP

Technical Production: PodPaste

Guest: Joan Ritter MD

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Sponsor: Provider Solutions and Development

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Fully Transcript HERE

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.

#350 Rapid Response Series: Acute Hypoxemia

15 augustus 2022 · 1 uur 14 min

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Diagnosing & Managing Acute Hypoxemia with Nick Mark MD Lees meer

Quick! Your patient is desaturating! Have no fear, for in this installment of our Rapid Response series we have recruited pulmonologist/intensivist extraordinaire, the great Dr. Nick Mark of ICU One Pager, to share with us all the pitfalls and pearls we need to have under our collective belt when it comes to understanding, managing, and considering the etiologies of acute hypoxemia!

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

Show Segments

Intro, disclaimer, guest bio

Guest one-liner, Picks of the Week

Case from Kashlak; Definitions

How does a pulse oximeter work?

Clinical approach to hypoxemia

The SIX causes of hypoxemia

Delivering supplemental oxygen

Credits

Written and Produced by: Cyrus Askin MD & Edison Jyang MS4

Infographic and Cover Art: Edison Jyang MS4

Show Notes: Cyrus Askin, MD

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

Reviewer: Emi Okamoto MD

Showrunner: Matthew Watto MD, FACP

Technical Production: PodPaste

Guest: Nick Mark MD

Sponsor: Indeed

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Sponsor: Betterhelp

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Sponsor: Ten Thousand

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Sponsor: Medmastery

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Full Transcript HERE

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.

#349 Hotcakes: Tirzepatide for weight loss, Personalized Antidepressants, Seasonal Edema, Nirmatrelvir for low-risk COVID-19

8 augustus 2022 · 50 min

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Find out how tirzepatide might revolutionize weight loss, pharmacogenomics might improve antidepressant prescribing, seasonal edema affects Google searches, and whether nirmatrelvir/ritonavir helps standard-risk patients with COVID-19, and patient-centered recommendations for inpatient care from SHM/Choosing Wisely! Time to fill your plate with a fresh stack of hotcakes! Drs. Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), Nora Taranto (@NoraTaranto), and Matt Watto (@doctorwatto) catch us up on recent practice-changing articles and guidelines! Lees meer

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

Show Segments

Intro, disclaimer, Picks of the Week

Case from Kashlak; Definitions

Tirzepatide for weight loss

Pharmacogenomics for personalized antidepressants

Seasonal Edema

Nirmatrelvir/ritonavir for standard-risk COVID-19

Hospital Medicine Choosing Wisely recommendations

Outro

Credits

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

Cover Art: Matthew Watto MD, FACP

Reviewer: Rahul Ganatral MD, MPH

Technical Production: Pod Paste

Sponsor: Medmastery

Visit medmastery.com/curbsiders to claim a discount on any subscription.

Sponsor: Green Chef

Go to GreenChef.com/curb135 and use curb135 to get $135 off across 5 boxes and your first box shipped free.

Sponsor: South California Permanente Medical Group

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Full Transcript HERE

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.

#348 Myositis and Myopathy, LIVE!

1 augustus 2022 · 1 uur 2 min

Afspelen

Learn to recognize myositis and myopathy (aka the idiopathic inflammatory myopathies), perform the appropriate initial testing, whether or not statins and exercise are safe to continue, and how to partner with our subspecialist colleagues to treat these patients in primary care. Recorded LIVE at Johns Hopkins, we’re joined by Dr. Lisa Christopher-Stine, @DrLisaCS of @HopkinsMedicine, a rheumatologist and leading expert on myositis and myopathy! Lees meer

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

Show Segments

Intro, disclaimer, guest bio

Guest one-liner, Picks of the Week*

Case from Kashlak

History and Exam

Workup for suspected myositis

Cancer screening

Safety of statin use and exercise

Our role in primary care

Audience Questions

Outro

Credits

Written and Produced by: Matthew Watto MD, FACP

Show Notes: Matthew Watto MD, FACP

Cover Art and Infographic: Andréa Perdigão

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

Reviewer: Molly Heublein MD

Technical Production: Pod Paste

Guest: Lisa Christopher-Stine MD, MPH

Sponsor: Grammarly

Go to grammarly.com/CURB to sign up for a free account and 20% off when you upgrade to Grammarly Premium.

Sponsor: Betterhelp

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Sponsor: Wildgrain

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Full Transcript HERE

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.

#347 USPSTF Update: Aspirin for Primary Prevention of CVD

27 juli 2022 · 34 min

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USPSTF Update with Dr. John Wong Lees meer

Review the updated 2022 United States Preventive Task Force (USPSTF) guidelines on aspirin use to prevent cardiovascular disease (CVD) with Dr. John Wong.

Credits

Producer & Writer: Elena Gibson MD

Show Notes: Elena Gibson MD

Cover Art & Infographic: Elena Gibson MD

Hosts: Paul Williams MD, FACP; Elena Gibson MD

Showrunner: Matthew Watto MD, FACP

Technical Production: PodPaste

Guest: John Wong, MD

Sponsor: Medmastery

Visit medmastery.com/curbsiders to receive a discount.

Full Transcript HERE

#346 Meningitis

25 juli 2022 · 59 min

Afspelen

There’s nothing that gets a hospitalist more anxious and excited at the same time than a case of suspected meningitis. In this episode, we learn that if the thought crosses our mind, a lumbar puncture is almost certainly indicated. Our guest, Dr. Payal Patel, helps us with the balancing act that is diagnosing and managing meningitis! Lees meer

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

Show Segments

Intro, disclaimer, guest bio

Guest one-liner, Picks of the Week*

Case from Kashlak; history and physical

Initial workup for meningitis

Treatment choices and duration

Transitions of Care

Credits

Written and Produced by: Monee Amin MD, Meredith Trubitt MD, MPH

Infographic and Cover Art: Caroline Coleman, MD

Show Notes: Monee Amin, MD

Hosts: Matthew Watto MD, FACP; Monee amin,, MD

Reviewer: Rahul Ganatra, MD MPH

Executive Producer: Karly Loy

Showrunner: Matthew Watto MD, FACP

Editor: podpaste

Guest: Payal Patel, MD

Sponsor: Indeed

Visit Indeed.com/internalmedicine to start hiring now.

Sponsor: Birch

Birch is giving $200 off ALL mattresses and 2 free eco-rest pillows at birchliving.com/curb.

Sponsor: Green Chef

Go to greenchef.com/curb135 and use code curb135 to get $135 off across five boxes and your first box shipped for free.

Full Transcript HERE

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.

#345 Vitamin and Mineral supplementation: A USPSTF Update with Dr. Michael Barry

20 juli 2022 · 21 min

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Can vitamins prevent CVD and cancer? We kind of don’t have the answer! Lees meer

Is vitamin and mineral supplementation safe? Effective? Listen as our esteemed guest Dr. Michael Barry talks to us about the new United States Preventive Services Task Force recommendation regarding the role of vitamin and mineral supplementation in preventing cardiovascular disease and cancer.

Credits

Producers: Paul Williams MD, FACP and Elena Gibson, MD

Writer: Paul Williams MD, FACP

Show notes: Paul Williams MD, FACP

Infographic and Cover Art: Elena Gibson, MD

Hosts: Paul Williams MD, FACP and Elena Gibson MD

Production team: Podpaste

Guest: Michael Barry MD

Full Transcript HERE

REBOOT #191 Lipids and Cardiovascular Risk Reduction with Erin Michos MD

18 juli 2022 · 1 uur 15 min

Afspelen

Lipids Update! Get up close and personal with ASCVD prevention and lipid management guidelines, including changes in the 2018 update, with our discussion with Dr. Erin Michos @erinmichos, preventive cardiologist and associate professor of medicine at the Johns Hopkins University Hospital! We review the background on the ASCVD risk calculator, basics of primary and secondary prevention, statins benefits and misconceptions, appropriate follow-up, cool things to look out for in the future, the deal with medications like aspirin and icosapent ethyl, among many other things! If that wasn’t enough, Dr. Michos also goes over great ways to counsel patients on healthy living and when that darn statin is giving you the “muscle aches”! Get the original show notes here! Lees meer

Prior lipid episodes:

#37 Lipids, PCSK9, and ezetimibe: Lower is better.

#10 Cholesterol, lipids, statins, fish oil. Become a Master Lipidologist.

Sorry, no CME for this reboot episode, but claim CME for past episodes at curbsiders.vcuhealth.org!

Show Segments

Intro

Getting to know Dr. Erin Michos

Picks of the Week*: Sparking Joy- concept for Marie Kondo (book and show), The Life-Changing Magic of Tidying Up by Marie Kondo; Shadowland, book by Peter Straub; The Crown, Netflix series; Catch and Kill, book by Ronan Farrow; Trick Mirror, essay collection by Jia Tolentino; Make it Stick, book by Brown, Roediger, and McDaniel

Digging into ASCVD Risk Calculator

Who should get 10 year ASCVD Risk assessment and what are the categories?

How Dr. Michos discusses healthy lifestyle and “Primordial Prevention”

What are “Risk Enhancing Factors”?

Who should get biomarker testing vs CAC scoring?

How Dr. Michos discusses statin therapy with her patients

How to address risks of side effects

Primary vs Secondary Prevention

“What should my cholesterol be?”

How often to follow-up labs?

Differences between stai…

#344 Multiple Sclerosis with Dr. Annette Okai

11 juli 2022 · 1 uur 24 min

Afspelen

Recognize multiple sclerosis in the clinic, learn how to diagnose it, and partner with your neurology colleagues to help care for these patients. Dr. Annette Okai expertly walks us through multiple sclerosis (North Texas Institute of Neurology & Headache). Lees meer

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

Show Segments

Intro, disclaimer, guest bio

Guest one-liner

Case from Kashlak

Patient presentation

Physical exam

Labs and imaging

Pathophysiology

Treatment

Recognizing and treating relapses

Outro

Credits

Written and Produced by: Deborah Gorth MD, PhD

Infographic and Cover Art by: Deborah Gorth MD, PhD and Meryl Gorth

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

Reviewer: Emi Okamoto MD

Showrunner: Matthew Watto MD, FACP

Technical Production: PodPaste

Guest: Annette Okai MD

Sponsor: Panacea Financial

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Sponsor: Ten Thousand

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Sponsor: Indeed

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Sponsor: Medmastery

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Full Transcript HERE

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.

Addiction Medicine Series #1 Methadone for OUD w/Dr. Ruth Potee

7 juli 2022 · 52 min

Afspelen

Supercharge your knowledge on using methadone for the treatment of opioid use disorder! We discuss treatment goals, and how to start or continue methadone in the hospital. We’re joined by guest Dr Ruth Potee, addiction medicine physician, full-scope family medicine doc, feminist, and expert composter. She inspires us to be strong advocates for our patients. Lees meer

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

Show Segments

Intro, disclaimer, guest bio 0:46

Guest one-liner 3:23

Case from Kashlak 5:00

Methadone for OUD 5:47

Methadone Dosing 16:35

72 hour Rule 25:35

What is a methadone clinic 31:00

Methadone Checklist 35:44

QTc Prolongation and Methadone 39:15

Confirming Methadone Dose 43:17

Managing Missed Methadone doses: 45:20

Outro 50:40

Credits

Producer, Writer: Kenneth Morford, MD

Show Notes, Infographic, Cover Art: Zina Huxley-Reicher, MD

Hosts: Matthew Watto MD, FACP; Carolyn Chan, MD; Kenneth Morford, MD

Reviewer: Shawn Cohen MD

Showrunner: Carolyn Chan, MD

Technical Production: Castos

Guest: Dr. Ruth Potee

The Curbsiders Addiction Medicine are proud to partner with The American College of Addiction Medicine (ACAAM) to bring you this mini-series. ACAAM is the proud home for academic addiction medicine faculty and trainees and is dedicated to training and supporting the next generation of academic addiction medicine leaders. Visit their website at acaam.org to learn more about their organization.

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.