The Curbsiders Internal Medicine Podcast
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#255 Hotcakes: Colchicine for CAD, and Gout flares, PT versus Steroids for Knee OA
8 februari 2021 · 48 min
Fresh hotcakes! Practice changing articles that you need to know: low dose colchicine for stable CAD; colchicine vs naproxen for acute gout flares; and physical therapy vs glucocorticoid injection for chronic Knee osteoarthritis. We’re joined by Michael Sternberg (Chief resident, VCU Internal Medicine Residency) and our fearless leader of critical appraisal, internist/epidemiologist, Rahul Ganatra MD, MPH, @rbganatra (VA Boston). Lees meer
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Written and Produced by: Matthew Watto MD, FACP
Cover Art: Matthew Watto MD, FACP
Hosts: Rahul Ganatra MD, MPH; Michael Sternberg MD; Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Sponsor: ACP’s MKSAP18
MKSAP® is the most trusted resource for lifelong learning and Board prep for internal medicine physicians and residents. Learn more at www.acponline.org/curb2021.CME Partner: VCU Health CE
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 .Time Stamps
Intro, disclaimer
01:45 Fun animal fact; Picks of the Week*
06:33 PT vs steroid injection for chronic knee OA
21:00 Colchicine for stable CAD
33:00 Low dose colchicine vs naproxen for acute gout flares
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#254 Hypertension Update with Dr. Wanpen Vongpatanasin
1 februari 2021 · 57 min
Listen as our esteemed guest Dr. Wanpen Vongpatanasin, @DrWanpen (UT Southwestern) discusses the nitty-gritty of blood pressure monitoring and hypertension treatment. We review the thresholds for HTN diagnosis and how to accurately measure blood pressure levels at home and in the office. Dr Vongpatanasin shares the latest guideline recommendations for first line pharmaceutical therapies as well as her pearls about how to treat special populations. Lees meer
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Produced by: Deborah Gorth and Isabel Valdez, PA
Written by: Deborah Gorth
Infographic and Cover Art: Edison Jyang
Hosts: Stuart Brigham, MD; Matthew Watto, MD, FACP; Paul Williams, MD, FACP
Editor: Molly Heublein, MD (written materials); Clair Morgan of nodderly.com
Guest: Wanpen Vongpatanasin, MD
Sponsor: ACP’s MKSAP18
MKSAP® is the most trusted resource for lifelong learning and Board prep for internal medicine physicians and residents. Learn more at www.acponline.org/curb2021.Sponsor: Provider Solutions and Development
Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice: www.psdrecruit.org/curbsiders.CME Partner: VCU Health CE
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.Time Stamps
00:00 Sponsors, Intro, disclaimer, guest bio
03:20 Guest one-liner
05:50 Sponsor - ACP’s MKSAP 18
07:05 Case from Kashlak; Defining hypertension and treatment thresholds
10:43 Measuring blood pressure (at home, in the office, validatebp.org)
16:46 Wrist BP cuff
19:50 Home monitoring and ambulatory BP monitorin…
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#253 COVID-19 Vaccines with Dr Monica Gandhi
27 januari 2021 · 1 uur 5 min
Answer all your burning questions (and your patients’ burning questions) about the different COVID-19 vaccines currently authorized in the US. Infectious diseases / HIV expert, Dr Monica Gandhi @MonicaGandhi9 (UCSF) joins us to cover: the Pfizer-BioNTech and Moderna novel mRNA vaccine mechanisms, trial data, and practicalities of who should receive them. We discuss data around the Oxford-AstraZeneca adenovirus vaccine, which is authorized in the UK and India, and may be available in the US later this year. Feel confident recommending COVID-19 vaccines to your patients! Lees meer
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Written and Produced by: Molly Heublein, MD
Cover Art: Chris Chiu, MD, FACP, FAAP
Infographic: Tima Karginov
Hosts: Chris Chiu, MD, FACP, FAAP; Molly Heublein, MD; Paul Williams, MD, FACP
Editor: Emi Okamoto MD (written materials); Clair Morgan of Nodderly.com (audio)
Guest: Monica Gandhi, MD, MPH
Sponsor: Panacea Financial
This episode is supported by Panacea Financial, digital banking built for doctors, by doctors. At Panacea Financial you can have your own free personal banker and a support team that works around the clock- just like you do. Open your free checking account today at panaceafinancial.comPanacea Financial, a Division of Sonabank, Member FDIC
Sponsor: VCU Health CE
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.Time Stamps
Intro, disclaimer, guest bio - 00:00
Guest one-liner, book recommendation - 3:40
Authorized vaccines in the US - 8:30
AstraZeneca vaccine mechanism- 9:26
mRNA vaccine mechanism - 10:30
Vaccine distribution issues (cold chain) - 16:05
mRNA safety - 18:24
mRNA vaccine efficacy/data from phase 3 trials - 19:40
How did we get this so quickly - 23:40
Vaccine impact on asymptomatic infection - 26…
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#252 Smoking Cessation Unfiltered
25 januari 2021 · 1 uur 7 min
Get all the details on varenicline, nicotine replacement therapy, and integrating psychosocial interventions into a comprehensive smoking cessation treatment plan! Smoking cigarettes is the leading cause of preventable death worldwide. Listen as our esteemed guest Dr. Steve Baldassarri (Yale) provides us expert pearls to help our patients quit smoking. Lees meer
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Written and produced by: Carolyn Chan, MD
Infographic: Edison Jyang
Cover Art: Kate Grant
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Cyrus Askin, MD (written materials); Clair Morgan of nodderly.com
Guest: Steve Baldassarri MD MHS
Sponsor: The American College of Physicians
Join us for ACP Internal Medicine Meeting 2021: Virtual Experience for 3 days of interactive, livestreaming education and events April 29 through May 1—plus on-demand post-meeting access to CME credit for up to 3 years.“Early Bird” members get an additional $80 registration discount on top of their member discount. Visit annualmeeting.acponline.org. (Prices shown online at registration pages reflect Discounted Rates.)
Register now—Early Bird savings end January 31st!
Sponsor: VCU Health CE
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.Time Stamps*
*Note: Time Stamps refer to ad free version.
03:02 Intro, disclaimer, guest bio
04:35 Guest one-liner
09:50 Tobacco Use Disorder - Chronic Disease
11:08 Case from Kashlak
11:56 Obtaining a history
13:39 Motivations for Smoking Cessation
15:29 Factors associated with challenges in smoking cessation:
21:40 Gradual Tapers vs Cold Turkey
25:18 Nicotine Replacement 32:40
28:57 Pharmacotherapy - “Controller” Medications
31:05 Pharmacotherapy - Short Acting Medications
33:20 Dosing Medications
38:35 Varenicline…
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#251 What the USPSTF? Preventive Medicine Updates with Dr. Amber-Nicole Bird
18 januari 2021 · 1 uur 5 min
What the USPSTF?! It’s time for some preventive medicine updates on: screening for unhealthy drug use, cervical cancer, hepatitis C and draft recs for colorectal cancer; plus how to interpret USPSTF screening recs. Dr. Amber-Nicole Bird @ABirdMD (Penn Medicine) refreshes our love for preventive medicine, with updates on the newest recommendations. She reviews how to appropriately interpret and adopt guidelines for our patients, being cognizant of the source. We shine light on the mechanism of USPSTF, including how their guidelines differ from others, so we can understand the value and context when utilizing the guidance in the clinic. Lees meer
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Produced and Written by: David Madick MD; Peter Wikoff MD; Paul Williams MD, FACP
Infographic: Beth Garbitelli
Cover Art: Chris Chiu MD
Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Emi Okamoto, MD (Show notes); Clair Morgan of nodderly.com
Guest: Amber-Nicole Bird, MD
Sponsor: The American College of Physicians
Join us for ACP Internal Medicine Meeting 2021: Virtual Experience for 3 days of interactive, livestreaming education and events April 29 through May 1—plus on-demand post-meeting access to CME credit for up to 3 years. “Early Bird” members get an additional $80 registration discount on top of their member discount. Visit annualmeeting.acponline.org and use the code IM21CURB. Register now—Early Bird savings end January 31st!
Sponsor: VCU Health CE
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.
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#250 Nephrotic Syndrome vs. Glomerulonephritis with Kidney Boy, Dr. Joel Topf
11 januari 2021 · 1 uur 16 min
Kashlak’s esteemed Chief of Nephrology, Dr Joel Topf @kidney_boy walks us through the evaluation and differentiation of nephrotic syndrome and glomerulonephritis. Embrace the kidney again as we sort the different diagnostics, managements, and prognosis for these two pathologies. Lees meer
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Producer, writer, infographic, cover art: Elena Gibson MD
Hosts: Elena Gibson MD, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Emi Okamoto MD (written); Clair Morgan of nodderly.com (audio)
Guest: Joel Topf MD
Time Stamps*
*Note: Time Stamps refer to ad free versionIntro, disclaimer, guest bio – 00:00
Picks of the Week – 3:10
Case from Kashlak – 6:30
Nephrotic syndrome definition- 12:30
Proteinuria evaluation – 15:04
Additional lab testing – 27:08; 40:09
Types of Nephrotic syndrome – 30:15
Mechanism of nephrotic syndrome edema – 33:08
Management of nephrotic syndrome – 44:07
Second Kashlak Case- Glomerulonephritis – 55:05
Treatment of glomerulonephritis – 65:05
Outro and post-credits scene – 73:20Sponsor: The American College of Physicians
Join us for ACP Internal Medicine Meeting 2021: Virtual Experience for 3 days of interactive, livestreaming education and events April 29 through May 1—plus on-demand post-meeting access to CME credit for up to 3 years.“Early Bird” members get an additional $80 registration discount on top of their member discount. Visit annualmeeting.acponline.org and use the code IM21CURB.
Register now—Early Bird savings end January 31st!
Sponsor: VCU Health CE
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.
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#249 Cellulitis, Bites, Vulvovaginitis, MGUS, SPEP (TFTC #1)
4 januari 2021 · 18 min
Recap the top pearls from recent shows on vulvovaginitis, cellulitis and bites, MGUS and the SPEP. Tales from the Curbside (TFTC) is pilot project providing a rapid review of recent Curbsiders episodes. Note: There is no CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for #244, #246 and #247. Lees meer
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Written, Produced and Hosted by: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Infographics by: Kate Grant MBChb, MRCGP, Beth Garbitelli and Nora Taranto MD
Cover Art: Matthew Watto
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Sponsor: The American College of Physicians
Join us for ACP Internal Medicine Meeting 2021: Virtual Experience for 3 days of interactive, livestreaming education and events April 29 through May 1—plus on-demand post-meeting access to CME credit for up to 3 years.
“Early Bird” members get an additional $80 registration discount on top of their member discount. Visit annualmeeting.acponline.org and use the code IM21CURB.
Register now—Early Bird savings end January 31st!
Time Stamps*
*Note: Time Stamps refer to ad free versions.
00:00 Intro, disclaimer, guest bio
02:35 Vulvovaginitis
05:35 Cellulitis and Bites
09:45 SPEP it Up
15:15 Outro
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#248 Top Pearls of 2020: Curbsiders' Recap Extravaganza
28 december 2020 · 1 uur 4 min
Our team shares the top pearls of 2020 in our annual recap extravaganza featuring guest host, Chris “The Chiu Man” Chiu @cjchiu. Check out the video version at YouTube. Topics: hypothyroidism, women in medicine, hypothermia, diuretics, heart failure, AKI, lipids, post-op fever, refugee health, SGLT2 inhibitors, euglycemic DKA, UTIs, bat bites, rabies, ILD, statins in NAFLD, framework for hair loss, and more! Plus: Our picks of the year and the Curbsiders gift guide! Note: This episode is not available for CME but #208 through #247 are available for CME/MOC at curbsiders.vcuhealth.org for free! Lees meer
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Producer: Chris Chiu MD, FACP, FAAP
Written by: The Curbsiders Team
Show Notes: Matthew Watto MD, FACP
Cover Art: Chris Chiu MD, FACP, FAAP
Hosts: Chris Chiu MD, FACP, FAAP, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Sponsor: Panacea Financial
This episode is supported by Panacea Financial, digital banking built for doctors, by doctors. At Panacea Financial you can have your own free personal banker and a support team that works around the clock- just like you do. Open your free checking account today at panaceafinancial.com
Panacea Financial, a Division of Sonabank, Member FDIC
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#247 SPEP It Up: MGUS, Myeloma, and Immunology, Oh My!
21 december 2020 · 1 uur 5 min
On this episode, Dr. Jorge Castillo (Harvard, Dana Farber) walks us through some immunology basics, teaches us the limitations of the SPEP, plus some additional tests that complement it (think Immunofixation), shares his clinical gestalt about when to suspect MGUS, Myeloma, Waldenstrom’s, and Amyloidosis--and finally, how to talk to patients about them. If you, like Stuart, have ever wondered what on earth to do with that pesky free light chain ratio or the SPEP that so often gets inboxed to you without explanation, then fear not, Dr Castillo has your back! Lees meer
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Written and Produced by Nora Taranto MD
Infographics by Nora Taranto MD
Cover Art by Kate Grant MBChB, MRCGP
Hosts: Matthew Watto MD, FACP; Stuart Brigham MD, FACP, Nora Taranto MD
Editor: Matthew Watto MD, FACP ; Clair Morgan of nodderly.com
Reviewer: Jooho Chung MD, PhD
Guest: Jorge Castillo MD
Sponsor: Panacea Financial
This episode is supported by Panacea Financial, digital banking built for doctors, by doctors. At Panacea Financial you can have your own free personal banker and a support team that works around the clock- just like you do. Open your free checking account today at panaceafinancial.com
Panacea Financial, a Division of Sonabank, Member FDIC
Sponsor: VCU Health CE
We are excited to announce that the Curbsiders are now partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Check out curbsiders.vcuhealth.org and create your account!
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#246 Take a Bite out of Cellulitis with Dr Boghuma Titanji
14 december 2020 · 1 uur 12 min
Master common skin and soft tissues infections: cellulitis, abscesses, human and animal bites with returning guest, infectious diseases expert, Dr Boghuma Titanji MD, PhD @boghuma (Emory; TED). Lees meer
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Written (including CME) and Produced by: Matthew Watto MD, FACP
Cover Art and Infographic by: Beth Garbitelli
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto (written materials); Clair Morgan of nodderly.com
Guest: Boghuma Titanji MD, M.Sc., DTM&H, PhD
Sponsor: Provider Solutions and Development
Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice: www.psdrecruit.org/curbsiders.
Sponsor: VCU Health CE
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.
Time Stamps*
*Note: Time Stamps refer to ad free version.
00:00 Intro, disclaimer, guest bio
02:00 Picks of the Week
06:00 Definitions, Initial Approach to cellulitis
10:35 Nonpurulent cellulitis; antibiotic choice 18:10 Fish handler’s disease
24:30 Recurrent cellulitis
31:30 Purulent cellulitis and MRSA; Antibiotic choice; Step down therapy
47:33 Abscesses; Adjuvant antibiotics; Packing Wounds
53:30 Decolonization for recurrent MRSA infections
56:30 Human Bites (clenched fist injury); Dog bites and Cat bites
67:10 Take home points and Outro
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ADHD: All that Fidgets is Not... (Cribsiders #13)
9 december 2020 · 47 min
Diagnosis, Management, and Social Implications of Attention Deficit Hyperactivity Disorder. Lees meer
Ever gotten overwhelmed by all the categories of ADHD, or interpreting the scores on a Vanderbilt form? Join us with Dr. Sarah Vinson, a triple-boarded clinician in adult psychiatry, child psychiatry, and pediatrics who helps us optimize a diagnosis and management process for ADHD. What other conditions can masquerade as ADHD? Which type of stimulant should you use? Listen to find out more! Show notes at: https://thecurbsiders.com/cribsiders/13 Subscribe at: Apple , Google, Spotify
Credits
Writer, Producer, Infographic: Angela Zhang
Cover Art: Chris Chiu
Hosts: Justin Berk, Chris Chiu
Editor:Justin Berk; Clair Morgan of nodderly.com
Guest(s): Dr. Sarah Y. Vinson
Time Stamps
5:30 Diagnosis of ADHD
6:53 Considering a differential diagnosis of ADHD
8:43 Categories of ADHD
15:02 Ancillary Supports
18:27 Consequences of Misdiagnosis
19:53 Parent Counseling
22:08 Behavioral Interventions Treatment
25:56 Gender Differences in ADHD
28:00 Anaphylaxis Promo
28:39 Alternative Treatments
30:54 Pharmacotherapy for ADHD
37:29 Side Effects of Medical Treatments
44:33 Monitoring Progress
46:19 Treating concurrent mood disorders
49:21 ADHD in Young Adults
55:29 ADHD and Race
1:08:13 Future of ADHD
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#245 COVID Cakes: Masks, Home Testing, Anticoagulation, Vaccines
7 december 2020 · 43 min
Learn about the latest in COVID-19: Do masks prevent infection?, SARS-CoV-2 home testing, vaccine advice, and how to prevent and treat VTE in COVID-19. Join us as our tzar-of-clinical-appraisal Curbsider/internist/epidemiologist Rahul Ganatra MD MPH (@rbganatra) talks us through the controversial DANMASK-19 trial, plus Watto reports back on his conversation with Dr Parth Rali @parthrali (Temple Lung Center) who helped write the CHEST anticoagulation guidelines for COVID-19. Lees meer
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Producer: Deb Gorth ScM
Show Notes, Cover Art, and CME by: Deb Gorth ScM and Matthew Watto MD
Written by: Matthew Watto MD, Paul Williams MD, and Rahul Ganatra MD MPH
Hosts: Rahul Ganatra MD MPH, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Sponsor: ACP’s I Raise the Rates
Join with other clinicians in working to raise influenza and other adult vaccination rates. Visit acponline.org/ai to access free tools and learn new strategies to support your efforts.
Sponsor: VCU Health CE
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.
Time Stamps
00:00 Intro, disclaimer, Picks of the week* and Vaccines
08:00 DANMASK-19
25:00 Anticoagulation in COVID-19
35:06 COVID-19 home PCR testing
Outro
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#244 Vulvovaginitis for All Ages with Dr. Monica Christmas
30 november 2020 · 57 min
Everything you need to know about vulvovaginitis: candidiasis, bacterial vaginosis, and Genitourinary Syndrome of Menopause. Join us on the journey of a lifetime as we learn all about diagnosing, treating and managing vulvovaginal conditions in patients of all ages. Plus, a bit on how to recognize and treat lichen sclerosus. Our brilliant guest for this episode is Dr. Monica Christmas (@drmonicaxmas on Twitter), who is a self-described yoga enthusiast, avid reader, wannabe artist and gynecologist. Dr. Christmas is currently an Assistant Professor at the University of Chicago in the section of Minimally Invasive Gynecologic Surgery where she is the director of the Menopause Program. Monica specializes in gynecologic surgery, abnormal uterine bleeding and menopause management with an interest in sexual dysfunction. Her focus is on helping women live healthy, vibrant, happy lives. Lees meer
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Produced by: Kate Grant MD; Sarah Phoebe Roberts MPH
Written by: Kate Grant MD
Show Notes by: Sarah Phoebe Roberts MPH, Kate Grant MD
Cover Art and Infographic: Kate Grant MD
Hosts: Kate Grant MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Guest: Dr. Monica Christmas, MD
Sponsor: ACP’s I Raise the Rates
Join with other clinicians in working to raise influenza and other adult vaccination rates. Visit acponline.org/ai to access free tools and learn new strategies to support your efforts.Sponsor: VCU Health CE
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.
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#243 Diabetes Triple Distilled
23 november 2020 · 47 min
Listen in as we recap four of our favorite diabetes episodes to bring you the pearls you need to stay up to date on type 2 diabetes management in the clinic. We cover pitfalls of A1c testing, guidelines for A1C targets, when and how to use the newer medications SGLT-2 inhibitors and GLP-1 agonists. We wrap up with a discussion of managing DM2 in patients with kidney disease and in which patients to consider de-intensifying treatment. Feel confident managing diabetes with the latest data in 2020! Lees meer
Listeners can claim 4 HOURS of Free CE credit for this episode through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date).
Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME!
Credits
Written and Produced by: Molly Heublein, MD
Infographic and Cover Art: Isabel Valdez, PA
Show Notes: Isabel Valdez, PA; Molly Heublein, MD
Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP, Molly Heublein, MD
Editors: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com
Sponsors:
ACP’s I Raise the Rates
Join with other clinicians in working to raise influenza and other adult vaccination rates. Visit acponline.org/ai to access free tools and learn new strategies to support your efforts.
VCU Health CE
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. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit.
Time Stamps
0:00 Intro,
2:45 Pitfalls of A1c testing,
7:00 Diabetes goals/A1c guidelines; Macrovascular vs Microvascular benefits,
16:20 Choosing between SGLT2 inhibitors vs GLP1 agonists,
19:10 Stuart rants on insulin for symptomatic hyperglycemia,
22:32 Start your patient on an SGLT2i and counsel them about …
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#242 Wilderness Medicine: Prepare for Disaster
16 november 2020 · 1 uur 20 min
Explore the essentials of Wilderness Medicine and prepare yourself for austere environments as we discuss Altitude Sickness, Frostbite, Animal Bites, Thermoregulation, Wound Care and the proper way to apply a tourniquet. Lees meer
Thinking about outdoor escapes and vacations now more than ever? Listen as our esteemed guest Dr. Thomas DeLoughery @Bloodman (Oregon Health & Science University) takes us through the fascinating, and at times chilling, world of Wilderness Medicine. This episode will empower you to explore the great outdoors as safely as possible. We discuss the breadth of wilderness medicine, multiple unique clinical entities encountered in austere environments, and practical ways to protect yourself and others on your adventures. This episode is truly wild!
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).
Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Written, Produced, and Infographic by: Avital O’Glasser MD, FACP, FHM
Show Notes: Deborah Gorth ScM and Avital O’Glasser MD, FACP, FHM
Cover Art: Kate Grant, MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Avital O’Glasser MD, FACP, FHM
Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com
Guest: Thomas DeLoughery MD, MACP, FAWM
Sponsors:
Provider Solutions and Development
Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice: www.psdrecruit.org/curbsiders.
VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuh…
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#241 Chronic Cough
9 november 2020 · 58 min
Rejoice! as our phenomenal guest Dr. Brad Hayward @bradleyjhayward (Weill Cornell Medicine) demystifies chronic cough for the primary care provider. Dr. Hayward, an internist, pulmonologist, intensivist AND palliative care physician sits down with us to discuss common causes for chronic cough, work up pearls and options for treatment. Follow him on Twitter, @BradleyJHayward. 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). We hope you enjoy learning from this episode as much as we enjoyed producing it! Lees meer
Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
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; Stuart Brigham MD; Paul Williams MD, FACP
Editor: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com
Guest: Brad Hayward MD
Sponsors:
Panacea Financial
This episode is supported by Panacea Financial, digital banking built for doctors, by doctors. At Panacea Financial you can have your own free personal banker and a support team that works around the clock- just like you do. Open your free checking account today at panaceafinancial.com
Panacea Financial, a Division of Sonabank, Member FDIC
VCU Health CE
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. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit.
Time Stamps
Sponsor - Panacea Financial panaceafinancial.comSponsor - VCU Health CE curbsiders.vcuhealth.org
00:00 Intro, disclaimer, guest bio; Guest one-liner and Pick of the Week*
06:23 Sponsor - Panacea Financial pana…
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#240 Elbow Pain: Straighten it out
2 november 2020 · 1 uur 6 min
Returning guest expert Dr Ted Parks helps us get the elbow straight with a simple approach to common causes of elbow pain for primary care. Listen as he guides Stuart through physical exam techniques (or watch them on YouTube) for epicondylitis and learn what the bursa is there for anyways. Find out what fracture you can treat in your office, why you shouldn’t stab straight into the olecranon bursa and when elbow pain should be referred. Feel confident when your patient comes in with elbow pain! Lees meer
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).
Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com
Credits
Written and Produced by: Molly Heublein, MD
Cover Art and Infographic: Edison Jyang
Hosts: Stuart Brigham MD, Matthew Watto MD, FACP; Molly Heublein, MD
Editor: Emi Okamoto, MD (written materials); Clair Morgan of Nodderly.com (audio/video)
Guest: Ted Parks, MD
Sponsors
Provider Solutions and Development
Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice: www.psdrecruit.org/curbsiders.
VCU Health CE
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. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit.
Time Stamps
Sponsor - Provider Solutions and Development https://curbsiders.vcuhealth.org/
Sponsor - VCU Health CE curbsiders.vcuhealth.org
00:00 Intro, disclaimer, guest bio
04:00 Picks of the Week*
Sponsor - Pr…
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#239 Sinusitis: It’s Not That Tricky
23 oktober 2020 · 1 uur 15 min
A runny nose won’t have you running in circles this cold season with our fantastic overview of rhinosinusitis in all its forms! We discuss etiology and presentation of viral versus bacterial rhinosinusitis, practical counseling tips for guiding patients on nasal irrigation, and working up chronic rhinosinusitis! Our guest is the fabulous Dr. Dink Jardine, a general otolaryngologist, Commander in the US Navy, and Director for Professional Education (DPE) and Designated Institutional Official (DIO) at Naval Medical Center Camp Lejeune (NMCCL). Lees meer
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).
Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Written and Produced by: Paul Williams MD, FACP, Beth Garbitelli
Cover Art: Kate Grant MBChb, MRCGP
Infographic by: Beth Garbitelli
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Molly Heublein MD (written materials); Clair Morgan of nodderly.com (audio)
Guest: Dink Jardine, MD
Sponsors: National Internal Medicine Day
Help ACP celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD20 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtags #NationalInternalMedicineDay, #IMProud, and #IMEssential.
VCU Health CE
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. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit.
Time Stamps
Sponsor – National Internal Medicine Day, The American College of Physicians
Sponsor - VCU Health Continuing Education
00:30 Intro, disclaimer, guest bio
03:00 Guest one-liner, Favorite…
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#238 DVT / PE Triple Distilled
22 oktober 2020 · 30 min
DVT / PE Triple Distilled! Our favorite VTE pearls summarized in this fast paced recap gleaned from our discussions with Dr Oren Friedman #92 Pulmonary Embolism for the Internist and hematologist, heavy metal enthusiast, Dr Michael Streiff #154 DVT and PE Master Class. Introducing our new Triple Distilled sub-series offering shorter episodes that reinforce and refresh key concepts from past shows along with any pertinent updates. Lees meer
Listeners can claim 2 hours of Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date).
Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Written and Produced by: Matthew Watto MD, FACP
Cover Art by: Matthew Watto MD, FACP
Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Sponsor: VCU Health CE
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. Note: A free VCU Health CloudCME account is required in order to seek credit.
Time Stamps
00:00 Intro, disclaimer
01:40 Making the diagnosis of VTE
09:07 Triage and risk stratify Pulmonary Embolism
14:00 Anticoagulant choice; Duration of therapy after unprovoked DVT / PE
21:00 Workup for unprovoked DVT / PE; DOACs in special populations: at extremes of weight, advanced CKD and in antiphospholipid syndrome
28:22 IVC filters
30:20 Outro
Links
Check out the full show notes from previous Curbsiders’ shows covering VTE.
Dr Oren Friedman #92 Pulmonary Embolism for the Internist
Dr Michael Streiff #154 DVT and PE Master Class
Goals
Listeners will feel confident in the diagnosis and management of VTE
Learning objectives
After listening to this episode listeners will...
D…
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#237 Ophthalmology for Primary Care
19 oktober 2020 · 1 uur 2 min
Fun, fluorescein, and fundoscopy unite as our esteemed guest, Dr. Nisha Chadha @iEducatorMD (Mount Sinai School of Medicine) brings us ophthalmology for primary care! Dr. Chadha is a medical educator and the content creator of the med-ed simulation website 20/20 Sim. She teaches us the 3-vital signs of ophthalmology, how to recognize common diabetic eye diseases, how to explain diabetic retinopathy to our patients, how to optimize a patient for cataract surgery and so much more. This episode is truly vision-ary! Lees meer
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).
Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Written, Produced, and Infographic by: Carolyn Chan, MD
Cover Art: Kate Grant
Hosts: Matthew Watto MD, FACP; Carolyn Chan, MD
Editor: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com
Guest: Dr. Nisha Chadha
Sponsors:
National Internal Medicine Day
Help ACP celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD20 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtags #NationalInternalMedicineDay, #IMProud, and #IMEssential.
VCU Health CE
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. Note: A free VCU Health CloudCME account is required in order to seek credit.
Time Stamps
Sponsor – National Internal Medicine Day, The American College of Physicians
Sponsor – VCU Health Continuing Education
00:30 Intro, disclaimer, guest bio
03:21 Guest one-liner, Carolyn’s Pick of the Week
09:05 Picks of the Week*
10:13 Case from Kashlak, 3 - Vital Signs of Ophthalmology
17:09 Ocular complications of diabe…
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#236 Approach to Shortness of Breath: Physical Exam Series
12 oktober 2020 · 41 min
Learn which exam maneuvers are worthwhile and which ones are worthless in your approach to shortness of breath. In our evidence based series on the physical exam, we discuss the approach to the dyspneic patient with Dr. Brian Garibaldi (Hopkins, SBM), associate professor of pulmonary and critical care medicine at Johns Hopkins, and co-president of the Society of Bedside Medicine. We discuss the physical exam’s effect on our differential diagnosis, maneuvers that are commonly taught, and some simple tests with great data that may go overlooked. Be prepared, this episode may take your breath away! Lees meer
Credits
Written and Produced by: Justin Berk, MD, MPH, MBA and Sam Masur, MD
Infographic: Sam Masur, MD, Beth Garbitelli
Cover Art: Beth Garbitelli
Hosts: Stuart Brigham, MD; Matthew Watto, MD, FACP; and Paul Williams, MD, FACP
Editor:Justin Berk MD; Clair Morgan of nodderly.com
Guest(s): Brian Garibaldi, MD
Sponsors:
National Internal Medicine Day
Help ACP celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD20 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtags #NationalInternalMedicineDay, #IMProud, and #IMEssential.
VCU Health CE
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. Note: A free VCU Health CloudCME account is required in order to seek credit.
Time Stamps
Sponsor – National Internal Medicine Day, The American College of Physicians
Sponsor – VCU Health Continuing Education
00:00 Intro, disclaimer, guest bio
Sponsor – National Internal Medicine Day, The American College of Physicians
03:47 Introduction to evidence-based exam, pre-test probability, and likelihood ratios
05:29 Case from Kashlak Memorial
06:51 Dr. Garibaldi’s initial maneuvers for the dyspneic patie…
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#235 Spooky Cakes: Dapa-CKD, Turmeric for Knee Pain, Honey for URTI
5 oktober 2020 · 50 min
Time for spooky cakes with a side of candy corn. We discuss Dapagliflozin (SGLT2i) for CKD, Turmeric for knee pain and Honey for URTI (cough) on this halloween themed hotcakes with Rahul Ganatra MD, MPH @rbganatra Lees meer
Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (Note: CME for this episode won’t be available until 10/12/20. We apologize for the inconvenience).
Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Producer: Sarah Phoebe Roberts
Written by: Rahul Ganatra MD, MPH, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP, Sarah Phoebe Roberts MPH
Cover Art: Matthew Watto MD, FACP
Hosts: Rahul Ganatra MD, MPH, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP, Sarah Phoebe Roberts MPH
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Sponsors National Internal Medicine Day
Help ACP celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD20 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtags #NationalInternalMedicineDay, #IMProud, and #IMEssential.
VCU Health CE
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. Note: A free VCU Health CloudCME account is required in order to seek credit.
Time Stamps
00:00 Sponsor – National Internal Medicine Day, The American College of Physicians
00:25 Sponsor – VCU Health Continuing Education
00:40 Intro, disclaimer, Picks of the Week
07:38 Sponsor – National Internal Medicine Day, The American College of Physicians
08:40 Dapa-CKD
20:00 Turmeric for Knee Osteoarthritis
32:10 Honey for URTI and Cough
46:32 Shout out to @votehealth2020 and PatientVoting.com
48:25 Outro
Sponso…
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#234 The Breast Lump, and Breast Cancer Screening with Nancy Keating MD, MPH
28 september 2020 · 1 uur 17 min
Master your breast cancer screening spiel, cultivate your approach to the breast mass, and empower your patients with empathetic shared decision-making (which we know you’re all already fabulous at)! On this fantastic episode, we are joined by Dr. Nancy Keating @NancyKeatingMD, policy wonk and primary care doc extraordinaire at Brigham and Women’s Hospital. This episode is rife with drama, as the ACS butts heads with the USPTF and the ACR, and you have to figure out what’s right for the patient by talking with them--almost as exciting as that moment on Grey’s when Izzie cuts the...anyway, I won’t ruin a key plot point in the most excellent medical show of all time, all in a day’s work, here at The Curbsiders. Enjoy! Lees meer
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).
Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Producer and Writer: Nora Taranto MD
Show Notes: Nora Taranto MD, Isabel Valdez PA
Infographic: Nora Taranto MD
Cover Art: Kate Grant, MD
Hosts: Stuart Brigham MD, FACP; Matthew Watto MD, FACP; Paul Williams MD, FACP, Nora Taranto MD
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Reviewer: Arielle Medford MD
Guest: Nancy Keating MD, MPH
Sponsors Provider Solutions & Development
Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice: www.psdrecruit.org/curbsiders.
VCU Health CE
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 c…
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#233 Giving Effective Feedback with Drs. Abby Spencer and Alia Chisty
21 september 2020 · 1 uur 20 min
Listen to our medical education heroes, Dr. Abby Spencer, @abbyCCim (Cleveland Clinic), and Dr. Alia Chisty, @aliachisty (Penn State Health), school us on how to give effective and meaningful feedback! Topics include: the ADAPT framework, how to give difficult feedback, keywords and phrases when giving feedback, how to avoid gender and racial bias when giving feedback, giving feedback to your peers and how to solicit effective feedback as a team leader. Lees meer
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).
Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Written and Produced by Paul Williams MD, FACP
Cover Art: Paul Williams, MD, FACP
Infographic: Edison Jyang
Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Guests: Abby Spencer MD and Alia Chisty MD
Sponsors
Provider Solutions & Development
Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice: www.psdrecruit.org/curbsiders.
VCU Health CE
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. Note: A free VCU Health CloudCME account is required in order to seek credit.
Time Stamps
Sponsor - Provider Solutions & Development www.psdrecruit.org/curbsiders.
Sponsor - VCU Health Continuing Education
00:30 Intro, disclaimer, guest bio, pun
04:00 Guest one-liners, Picks of the Week* (see links below)
10:25 Sponsor - P…
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#232 Skinternship: Scalp & Face with Helena Pasieka MD
14 september 2020 · 1 uur 13 min
Dive deep into common dermatological conditions of the scalp and face including alopecia, seborrheic dermatitis, rosacea, acne, and even the scourge of health professionals, ‘maskne’! We are joined by our Kashlak Chief of Dermatology and resident Skinternist Dr. Helena Pasieka (of @MedStarWHC). After listening to this episode, your dermatology knowledge will be head and shoulders above the rest! Lees meer
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).
Note: The full slide deck with images for this episode is not available at this time. We will post it to this show notes page as soon as we clear the image rights.
Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Written and Produced by: Beth Garbitelli, Matthew Watto MD, FACP,
Cover Art and Infographic by: Beth Garbitelli
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli
Editor: Cyrus Askin MD (written materials); Clair Morgan of nodderly.com
Guest: Helena Pasieka MD, MS
Sponsors
Provider Solutions & Development
Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice: www.psdrecruit.org/curbsiders.
VCU Health CE
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. Note: A free VCU Health CloudCME account is required in order to seek credit.
Time Stamps
Sponsor - Provider Solutions & Development www.psdrecruit.org/curbsiders.
Sponsor - VCU Health Continuing Education
00:30 Intro, disclaimer, gues…
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REBOOT #48 Hyponatremia Deconstructed
7 september 2020 · 1 uur 29 min
Take your salt game to the next-next level. We brushed off this fan favorite episode and rebooted #48 hyponatremia deconstructed with our Chief of Nephrology, Dr. Joel Topf aka @kidney_boy aka The Salt Whisperer for your CME earning pleasure. Learn the correct steps to diagnose and manage this common and dangerous condition. Topics covered include: true versus false hyponatremia, SIADH, tea and toast hyponatremia, beer potomania, safe rates of sodium correction, IV fluid choice, vaptans and more. Lees meer
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).
Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Original episode written and produced by: Matthew Watto MD, FACP
Show Notes and CME questions by: Deb Gorth ScM
Cover Art and Infographic by: Edison Jyang
Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Molly Heublein (written materials); Matthew Watto MD (audio)
Guest: Joel Topf MD
Sponsors
POCUS Fellowship at University of Pennsylvania
A novel, collaborative, POCUS fellowship training is available at the University of Pennsylvania for IM and FM graduates! In 2016 they leveraged the robust EM ultrasound fellowship training infrastructure with UPenn’s progressive Department of Medicine to create the 1st multi-specialty clinical ultrasound fellowship. Their graduating fellows have made them proud by accepting leadership positions, and if you want to be on the cutting edge, you should join their team.
Interview season is in full swing and they’re actively accepting applications. Please go to pennultrasound.org or contact nathaniel.reisinger@pennmedicine.upenn for information. You can apply for fellowship using the eusfellowships.com portal.
VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for phys…
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Become #1 in T1DM (Cribsiders #6)
31 augustus 2020 · 1 uur 2 min
Type 1 Diabetes - this episode is definitely a sweet one! Join us for a conversation with our guest Dr. Hussein Abdullatif (UAB), covering the diagnosis, workup, and management of Type 1 Diabetes Mellitus. We discuss the initial lab work-up, approach to treatment, atypical presentation, and how it’s okay to eat donuts around the time of an insulin shot! Lees meer
NOTE: The show notes and CME for this episode will not be available until Wednesday September 2, 2020 at https://thecribsiders.com/ and cribsiders.vcuhealth.org respectively.
Credits
Written and Produced by: Shannon Snellgrove
Infographic: Shannon Snellgrove
Cover Art: Christopher Chiu MD (Cribsiders); Shannon Snellgrove (Curbsiders)
Hosts: Justin Berk MD and Christopher Chiu MD
Editor:Justin Berk MD; Clair Morgan of nodderly.com
Guest(s): Hussein Abdullatif MD
*Sponsors*
POCUS Fellowship at University of Pennsylvania
A novel, collaborative, POCUS fellowship training is available at the University of Pennsylvania for IM and FM graduates! In 2016 we leveraged the robust EM ultrasound fellowship training infrastructure with UPenn’s progressive Department of Medicine to create the 1st multi-specialty clinical ultrasound fellowship. Our graduating fellows have made us proud by accepting leadership positions, and if you want to be on the cutting edge, you should join our team.
Interview season is in full swing and we’re actively accepting applications. Please go to pennultrasound.org or contact nathaniel.reisinger@pennmedicine.upenn for information. You can apply for fellowship using the eusfellowships.com portal.
VCU Health CE
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. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit.
Time Stamps
Diagnosis of T1DM …
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#231 U Talkin’ UTIs Re: Me?
24 augustus 2020 · 1 uur 8 min
Are U Talkin’ UTIs Re: Me? Infectious Diseases expert, Dr Boghuma Titanji MD, PhD @boghuma (Emory; TED) schools us on the diagnosis and management of urinary tract infections: updated definitions of complicated and uncomplicated UTI, pitfalls of the urinalysis, first line antibiotics, duration of therapy and which agents to use for complicated UTI. This episode is liquid gold! Lees meer
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).
Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Written and Produced by: Matthew Watto MD, FACP
Cover Art and Infographic by: Edison Jyang
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Molly Heublein MD (written materials); Clair Morgan of nodderly.com
Guest: Boghuma Kabisen Titanji MD, PhD
Sponsor - VCU Health CE
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. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit.
Time Stamps
Sponsor - VCU Health Continuing Education
00:30 Intro, disclaimer, guest bio
02:50 Guest one-liner, Picks of the Week*: Urban gardening, Behave (book) by Robert Sapolsky
08:54 Defining UTI; Framework for UTI
16:35 Case 1 - Cath Foley; Acute uncomplicated cystitis; Interpreting the Urinalysis
28:00 Women with recurrent UTIs
38:55 Case 2 - UTI in a man
47:15 Treatment of complicated infections; Duration of therapy
52:27 Case 3 - Catheter associated UTI; MRSA UTI
61:25 Duration of therapy for bacteremia from UTI
64:40 Take home points, plugs and outro
Sponsor - VCU Health Continuing Education
Links*
Behave (book) by Robert Sapolsky
Boghuma’s blog theiddoc.net
Boghuma’s TED T…
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#230 Kittleson Rules Acute Heart Failure
17 augustus 2020 · 1 uur 12 min
Does the thought of managing acute decompensated heart failure (ADHF) give you paroxysmal nocturnal dyspnea? Recline for a bit while Dr. Michelle Kittleson MD, PhD @MKittlesonMD (Cedars Sinai) takes us through the Zen of jugular venous pressure (JVP) exams, how to approach diuresis, and the fine points of hospital discharge. This knowledge food is easier to swallow than an oral potassium replacement. Lees meer
Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Written and Produced by: Deborah Gorth ScM
Cover Art and Infographic by: Edison Jyang
Hosts: Matthew Watto MD, FACP and Paul Williams MD, FACP
Editor: Cyrus Askin MD (written materials); Clair Morgan of nodderly.com
Guest: Michelle Kittleson MD, PhD
Sponsor - VCU Health CE
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.
Time Stamps
00:00 Intro
02:40 Guest one-liner; Picks of the Week
08:33 Case from Kashlak part 1, Definition of acute decompensated heart failure (ADHF), Factors that lead to ADHF (FAILURE mnemonic)
13:39 Historical clues for ADHF; Is salt restriction needed? Fluid restriction?
20:42 More on History and Physical exam for ADHF; JVP exam in detail; Crackles are worthless?!
28:36 Labs to trend during an ADHF admission
33:15 Recap of history, physical exam, and initial approach; Initiating diuresis; Goal urine output; Diuresis in HFrEF vs HFpEF phenotypes
45:32 Diuretic resistance and when to use a drip, metolazone; Do K and Mg need to be 4 and 2?
49:05 When to hold guideline directed medical therapy (Beta blockers, ARNI, ACEI/ARB)
56:05 Who needs a right heart cath?
59:30 Endpoints for discharge; Switch to PO diuretics; Approach to discharge and transitions of care
64:04 SGLT2i in heart failure
68:15 Take home points and outro
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#229 Hotcakes: COVID on steroids, statins over 75, short duration DAPT
10 augustus 2020 · 43 min
Join us for an extra-hot summer episode featuring our critical appraisal expert, Rahul Ganatra MD, MPH @rbganatra. Prepare to marvel as he breaks down his recent tweetorial on the RECOVERY trial of dexamethasone for COVID-19; to gasp as Paul Williams updates us on statins and ASCVD prevention and to be enthralled by the dulcet tones of Matt Watto explaining the latest research on DAPT vs. monotherapy with ticagrelor. Bonus: a new hotcakes rating scale has arrived! Lees meer
Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Producer: Sarah Phoebe Roberts
Show Notes by: Sarah Phoebe Roberts
Writer: Rahul Ganatra MD, Sarah Phoebe Roberts, Matthew Watto MD, Paul Williams MD
Cover Art: Matthew Watto MD
Hosts: Rahul Ganatra MD, Matthew Watto MD, Paul Williams MD
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Sponsor: VCU Health CE
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.
Time Stamps
00:00 Intro
02:15 Picks of the Week
06:15 New Hotcakes rating scale
09:20 RECOVERY trial
17:30 Rapid home-testing for COVID
20:15 Statins and ASCVD prevention
32:30 Ticagrelor monotherapy after ACS
41:30 Outro
Picks of the week
Paul: U Talkin' Talking Heads 2 My Talking Head podcast
Sarah: New hotcakes scale!
Rahul: Chromeo’s new Quarantine Casanova album
Watto: 30 Rock season 1, episode 3 “Blind Date”
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#228 Thyroid on Fire! Hyperthyroidism with Dr. Eve Bloomgarden
3 augustus 2020 · 1 uur 11 min
Blazing hot tips to diagnose and treat hyperthyroidism with Dr Eve Bloomgarden, @evebmd (Northwestern). We cover a ton of ground including how to: interpret thyroid function tests, use your thumbs (or an ultrasound) to examine the thyroid, become an expert on Graves’ orbitopathy, prescribe methimazole and decide who needs surgery or radioactive iodine therapy. Plus, a bit on subclinical hyperthyroidism. This episode is on fire! Lees meer
Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Written and Produced by: Tima Karginov and Matthew Watto MD, FACP
Infographic by: Tima Karginov
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: Eve Bloomgarden MD
Sponsors: Pediatrics On Call podcast by the American Academy of Pediatrics
If you provide medical care to children, Pediatrics On Call — the new podcast from the American Academy of Pediatrics — will help you do it better. Each week, hear the latest news and research on children's health, on topics from obesity and mental health to keeping the kiddos safe when they’re stuck at home. Subscribe from your favorite podcast provider or find the latest episodes here.
VCU Health CE
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.
Time Stamps
00:00 Intro
03:15 Guest one-liner, favorite failure, Picks of the Week*
08:50 Sponsor
10:37 Background, Definition of Hyperthyroidism, thyrotoxicosis; Basic labs
14:20 Case from Kashlak, Symptoms of Hyperthyroidism
25:00 Grave’s eye disease: exam, therapy and counseling
32:35 Thyroid exam and ultrasound
38:55 Thyroid Stimulating Immunoglobulin
41:00 Biotin
44:30 Thyroid Scintigraphy
49:00 Causes of Thyrotoxicosis
52…
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Back to School Special - COVID Edition (Cribsiders #3)
29 juli 2020 · 59 min
The American Academy of Pediatrics (AAP) recommends that schools strive to reopen in the Fall, but there is hesitation from families and teachers alike. We speak with Dr. Sharfstein, a public health expert and pediatrician, regarding the importance of reopening schools for children, what criteria need to be met prior to opening, and how to keep children and teachers safe. Tune in to learn transmission amongst children, how other countries have reopened, why to cohort children, and how the primary care pediatrician can assist in the coming school year! Lees meer
Credits
Producers & Writers: Edward Corty, Nicholas Lee MD
Infographic: Nicholas Lee MD
Cover Art: Chris Chiu MD
Hosts: Justin Berk MD, Chris Chiu MD, Edward Corty
Editor:Justin Berk MD; Chris Chiu MD
Guest(s): Joshua Sharfstein MD
Sponsors: Pediatrics On Call
Sponsor: VCU Health Continuing Education - to offer FREE continuing education credits for physicians and other healthcare professionals. Check out curbsiders.vcuhealth.org or cribsiders.vcuhealth.org
Time Stamps
Introduction 1:00
How to answer “What do you think about school openings?” 11:30
Risk Assessment of School Re-openings 14:40
Evidence of Transmission among Children 17:10
What Other Countries Have Done 19:40
Community Threshold for Re-Opening and Using Protocols 20:30
The Reasons to Cohort 22:45
How to Address Scenarios 24:20
Health Disparities and Return to School 27:00
Existing Inequities and Children’s Sacrifice of Education 29:00
“Opting Out” of School Return and Feeling Safe 31:30
How Can Governments Help Support the Return 35:50
Guidance to give as PCP 37:50
School Alternatives / Innovations to Going Back 40:10
The Difference Between Equity and Equality 42:50
Testing in Schools 43:45
Resources to Follow For More Information 46:00
Take-Away Points 47:10
Optimism 48:25
Picks of the Week 53:50
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#227 Baffled by NAFLD?
27 juli 2020 · 1 uur 15 min
Swim through the sea of acronyms as Dr Scott Matherly (@liverprof) helps us become a little less baffled by the thought of NAFLD. We discuss the initial diagnosis of fatty liver disease, indications for additional evaluation with imaging and/or biopsy, and potential treatment options. With a quarter of the world affected, it’s crucial to understand the various forms of disease and how to counsel patients about this all-too-common condition! Lees meer
Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Written and Produced by: Elena Gibson MD
Infographic and Cover Art: Elena Gibson MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com
Guest: Scott Matherly MD
Sponsor: Pediatrics On Call
Sponsor: VCU Health Continuing Education to offer continuing education credits for physicians and other healthcare professionals. Check out curbsiders.vcuhealth.org and create your FREE account!
Time Stamps
00:00 Intro
03:15 Guest one-liner; Picks of the Week* :
08:15 Sponsor
08:50 Case from Kashlak part 1; What is hepatic steatosis?
11:43 NAFLD acronyms and definitions
18:20 Alcohol and Fatty Liver
23:15 Initial Evaluation of NAFLD
35:12 Dr Matherly’s piel to patients with fatty
41:11 NASH/Fibrosis Risk Assessment
48:54 Outcomes in NASH with Fibrosis
51:20 Statins are safe in liver disease
56:15 Treatment Options (surgery, Vitamin E, Pioglitazone, SLGT2 inhibitors and GLP1 agonists; Coffee?!)
71:42 Take home points and Outro
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#226 Kidney Boy on Acute Kidney Injury: Myths & Musings - Tips and Tricks from Joel Topf MD
20 juli 2020 · 1 uur 9 min
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. Lees meer
Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
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
Sponsor: Pediatrics On Call
Sponsor: VCU Health CE - Check out curbsiders.vcuhealth.org and create your FREE account!
Time Stamps
00:00 Intro
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
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 Rhabdomyolysis 38:21 Vancomycin
41:43 Acute interstitial nephritis (AIN)
44:52 Contrast induced nephropathy (CIN)
50:37 Gadolinium in AKI and/or CKD
52:53 Timing of dialysis
56:37 AKI in the out-patient setting and how to handle home meds e.g. TMP-SMX, RAAS inhibitors;
62:01 Is Ultrasound necessary in AKI
64:58 Dr. Topf’s take home points and Plug for Seminars in Nephrology
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#225 Women in Medicine: COVID Edition
16 juli 2020 · 1 uur 14 min
Listen as our expert guests, Kelly Graham, MD, MPH (@KellyGrahamMD) and Lekshmi Santhosh, MD MAEd (@LekshmiMD), detail the professional and personal challenges faced by women in medicine during the COVID-19 pandemic. Lees meer
Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Produced by: Leah Witt MD & Shreya Trivedi MD
Written by: Molly Heublein MD, Isabel Valdez PA-C, Leah Witt MD & Shreya Trivedi MD
Infographic & Cover Art: Edison Jyang
Hosts: Leah Witt MD & Shreya Trivedi MD, Justin Berk MD, MPH, MBA
Editor: Molly Heublein MD and Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Guests: Kelly Graham, MD, MPH; Lekshmi Santhosh, MD MAEd
Sponsor: VCU Health CE - Check out curbsiders.vcuhealth.org and create your FREE account!
Episode Breakdown
Intro, disclaimer
Introduction and bio for Kelly Graham, MD, MPH
Introduction and bio for Lekshmi Santhosh, MD MAEd
One-liner for Kelly Graham, MD, MPH
One-liner for Lekshmi Santhosh, MD MAEd
Gender Awakening Moments
Picks of the Week*
Case from Kashlak
Difficulty with lack of childcare while working
Hippocratic Oath paradox
Dr. Santhosh’s 3 Ps
Motherhood penalty-fatherhood bonus
Two Pandemics, One Response
Breadwinner-homemaker bias
Female physician burnout
Minority Tax
Silver Linings
Take home points and Outro
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#224 Hospital Addiction Medicine with Dr Melissa Weimer
13 juli 2020 · 1 uur
Jump into an episode dedicated to hospital based addiction medicine, as we cover common scenarios hospitalists encounter. In this episode we talk to addiction medicine expert, Dr. Melissa Weimer @DrMelissaWeimer (Yale) about inpatient management of patients with substance use disorders. Topics include: the management of polysubstance withdrawal, approaching acute pain management for a person with opioid use disorder, and inpatient harm reduction strategies. After this episode listeners will gain new tools to help them best care for hospitalized patients with substance use disorders. Lees meer
Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME!
Credits
Writers and Producers: Carolyn Chan MD, Deb Gorth, and Nora Taranto MD
Cover Art and Infographics by: Carolyn Chan, MD
Hosts: Stuart Brigham MD; Paul Williams MD, FACP; Carolyn Chan MD
Editor: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com
Guest: Dr. Melissa Weimer
Sponsor: VCU Health CE - Check out curbsiders.vcuhealth.org and create your FREE account!
Time Stamps
Intro, disclaimer, guest bio : 00:00
Guest one-liner: 03:00
Picks of the Week*: 08:20
Case from Kashlak: 10:30
Urine Toxicology Screens 11:30
Discussing Urine Toxicology Screens with Patients 13:20
Management of Polysubstance Withdrawal 16:16
Tapering Benzodiazepines 19:56
Acute Pain Management and Opioid Use Disorder 30:35
Active Drug Use in the Hospital 38:52
Harm Reduction 40:00
Discharges - Planned 43:43
Perioperative Buprenorphine and Methadone: 46:50
QT Prolongation and Methadone - 52:53
Outro 56:21
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Cystic Fibrosis Licked (Cribsiders #1) with Dr. Whittney Warren
6 juli 2020 · 1 uur
Our very first Cribsiders/Curbsiders crossover episode! Learn about cystic fibrosis care across the lifespan. We dive into the diagnosis of CF (don’t lick your patients!), management of pulmonary and extrapulmonary complications, and the future of CF. You’ll also get tips on CF in adolescents and young adults, as well as recognizing undiagnosed CF in older patients. Our guest, Dr. Whittney Warren, is a pulmonary critical care doctor and the medical director of the Adult Cystic Fibrosis clinic in an academic hospital in Texas. Show notes: https:/www.thecribsiders.com/. Lees meer
Credits
Writer, Producer, Infographic, CME Questions: Clara Mao
Cover Art: Christopher Chiu MD
Hosts: Justin Berk MD, Christopher Chiu MD, and Matthew Watto MD
Editor: Justin Berk MD; Clair Morgan of nodderly.com
Guest: Whittney Warren DO
Time Stamps
Intro / Disclaimer 0:00
Guest bio 2:25
Guest one-liner, picks of the week 3:15
Explaining CF to patients, life expectancy 7:00
Types of CF mutations and phenotypes 11:50
Presentation of CF in older patients 15:20
Screening and diagnosis 16:40
PFTs and airway clearance 25:20
Nutrition and the “CF diet” 29:10
CF exacerbations and antibiotic selection 32:25
Extrapulmonary manifestations 39:35
Transition of care for CF adolescents (alcohol, exercise, sex) 43:50
CFTR modulator therapy 51:35
Lung transplantation 54:45
Goal
Listeners will develop a systematic approach towards long-term management and acute exacerbations of cystic fibrosis.
Learning objectives
After listening to this episode listeners will…
Explain the pathophysiology underlying cystic fibrosis.
Identify maintenance therapies that optimize pulmonary function and nutritional status in patients with cystic fibrosis.
Choose evidence-based practices in the management of cystic fibrosis-associated pulmonary exacerbations.
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#223 Hot COVID Cakes: COVID19 Disparities, Steroids, Hormones for Depression, Probiotics
2 juli 2020 · 47 min
This episode is Half COVID Cakes, Half Hotcakes, and entirely enlightening. Our guest Dr. Utibe Essien MD, MPH @UREssien and Curbsider/epidemiologist, Dr. Rahul Ganatra MD, MPH @rbganatra discuss some Hot COVID Cakes including: racial differences in COVID-19 outcomes, why dogs and dexamethasone may hold the key to defeating COVID-19, how hormonal adjunctive therapies might be key for depression, and when to poo-poo probiotics versus when a side of Lactobacillus may be beneficial. Lees meer
Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME!
Credits
Written and Produced by: Rahul Ganatra MD, MPHl Emi Okamoto MD; Sarah P. Roberts MPH; and Matthew Watto MD
Show Notes and CME questions by: Deborah J. Gorth ScM
Cover Art: Deborah J. Gorth ScM
Hosts: Matthew Watto MD; Rahul Ganatra MD, MPH, Emi Okamoto MD, and Sarah P. Roberts MPH
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Guest: Utibe Essien MD, MPH
Sponsor: VCU Health CE - Check out curbsiders.vcuhealth.org and create your FREE account!
Time Stamps
00:00 Intro, disclaimer, guest bio
02:20 Silver Linings / Picks of the Week: Chicken Run (2000) and Chicken Run 2 on Netflix; Philly Inquirer story on COVID sniffing dogs; Buy some peaches! And check out their Wikipedia page!
07:33 Hospitalizations and Mortality Among Black and White patients with COVID-19
26:10 Dexamethasone for COVID-19
28:55 Hormonal therapy for depression
38:16 Probiotics
45:00 Outro
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#222 Addressing Anti-Black Racism in Medicine Utibe Essien MD, MPH
25 juni 2020 · 54 min
Listen as our esteemed guest Dr. Utibe Essien @UREssien walks us through key terminology and evidence necessary to understand anti-Black racism in medicine. Dr. Essien provides insights into ways that racism impacts our work in the clinical and academic settings and offers approaches for addressing anti-Black racism in these settings. Lees meer
Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME!
Credits
Producer and Writer: Joniqua Ceasar MD, Hannah Abrams MD
Cover Art: Hannah Abrams MD
Infographic: Beth Garbitelli
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Joniqua Ceasar MD
Editor: Paul Williams MD, Chris Chiu MD (written materials); Clair Morgan of nodderly.com
Guest: Utibe Essien MD
Sponsor: VCU Health CE - Check out curbsiders.vcuhealth.org and create your FREE account!
Time Stamps
00:00 Intro, disclaimer, guest bio
02:40 Guest one-liner, Picks of the Week*: Just Mercy
09:20 Statement from the show; Importance of discussing racism in medicine
14:11 Definitions
18:06 Identifying how racism manifests in the clinical setting
37:46 Ideas for advocacy
49:50 Take points and Outro
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#221 Interstitial Lung Disease with Erin Narewski DO - Breathtaking knowledge and other words of inspiration
22 juni 2020 · 1 uur 4 min
Throw out your down pillows and join The Curbsiders for this lively discussion on interstitial lung disease. While the hundreds of interstitial lung disease types make this topic a bit overwhelming, breathe easy knowing that pulmonologist, Dr. Erin Narewski @erinnarewski (Temple), can boil things down to an easy to approach framework in less time than it takes to complete a few 6-minute walk tests. In this episode, we walk through the classification, relevant patient history, workup, and management of interstitial lung disease. Lees meer
Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME!
Credits
Written and Produced by: Paul Williams, MD, FACP; Nicole Kus, David Madnick, and Peter Wikoff
Infographic and Cover Art: Edison Jyang
Show Notes: Deborah Gorth
Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Paul Williams MD, FACP (written materials); Clair Morgan of nodderly.com
Guest: Erin Narewski DO, FCCP
Sponsor: ACP membership acponline.org/member
Sponsor: VCU Health CE - Check out curbsiders.vcuhealth.org and create your FREE account!
Time Stamps
0:00 Intro
03:14 Guest one-liner, career advice, favorite failure, Picks of the Week*: The Strain, FX Horror TV Show; One Hundred Years of Solitude (book) by Gabriel Garcia Marquez; Hypoallergenic pillows; Peanut butter whiskey
10:02 Sponsor - Join the ACP community! Be IM Proud Visit acponline.org/member and use the code ACPDISCOUNT
11:00 Case from Kashlak, Definitions
16:40 Buckets of ILD
32:06 Discussion of testing ILD: Labs and Imaging
44:20 Imaging findings in ILD
49:44 Basic Management of ILD
61:00 Take home points and Outro
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#220 Social Determinants of Health with Karen DeSalvo MD
18 juni 2020 · 40 min
We’re going upstream! Dr. Karen DeSalvo (@KBDeSalvo) talks social determinants of health, arming us with a framework to consider this very challenging aspect of patient care. As Society for General Internal Medicine President and Chief Health Officer at Google Health, she shares her clinical and public health experience, including weathering Katrina in New Orleans. While our clinical care largely focuses on the downstream medical consequences, we must recognize the upstream social context to address the barriers to health and wellbeing. Lees meer
Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME!
Credits
Written and Produced by: Emi Okamoto MD
Cover Art: Kate Grant MBChb, MRCGP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Emi Okamoto MD
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Guest: Karen DeSalvo MD, MPH, MSc
Sponsor: VCU Health CE - Check out curbsiders.vcuhealth.org for and create your FREE account!
Time Stamps
Intro, disclaimer, guest bio 0:44
Dr Desalvo’s one-liner 3:34
Picks of the Week*- The Great Influenza book by John M Barry 5:01
Dr Desalvo’s advice and past experience 6:10
Case from Kashlak 10:30
What about the evidence for social determinants? 13:40
What to do about this in the clinic, and is it worth screening? 16:06
Approaching as a team and with the community 19:40
How do we affect the upstream, before the downstream consequences? 22:40
NAM recommendations and framework 26:00
The role of technology 30:00
What are Social Determinants of Health (SDOH), and who they affect 34:00
Start paying attention to SDOH 37:00
Outro 38:49
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#219 Post-Op Fever and Complications with Avital O’Glasser MD
15 juni 2020 · 58 min
Answers to common questions in post-op care with our Kashlak Chief of Perioperative Medicine Dr. Avital O’Glasser. She provides updates in delirium prevention, perioperative medication management, pain control, and even clarifies a lesson from Meredith Grey about causes of post-op fever. Lees meer
Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME!
Credits
Written: Hannah Abrams MD, Avital O’Glasser MD
Produced by, Infographic and Cover Art by: Hannah Abrams MD
Hosts: Hannah Abrams MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Avital O’Glasser MD (written materials); Clair Morgan of nodderly.com
Guest: Avital O’Glasser MD
Sponsor: ACP - acponline.org/member
Sponsor: VCU Health CE -Check out curbsiders.vcuhealth.org and create your FREE account!
Time Stamps
00:00 Intro
02:53 Guest one-liner, Picks of the Week*: 12 Angry Men 1957 Movie; Hedwig and the Angry Inch Cast Recording; PCSSNow Buprenorphine Waiver Training for Medical Students
09:28 Sponsor
10:17 Kashlak case; How to collaborate with our surgical colleagues
13:45 Questions to ask at the time of transfer
23:00 Routine Post-Op Care: Bowel regimen, pain control, delirium prevention, glucose, antihypertensives, and nausea
44:25 Co-managing Complications and Fever/Tachycardia; Brief discussion of VTE prophylaxis
57:55 Outro
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#218 Trauma-Informed Care with Megan Gerber MD
8 juni 2020 · 1 uur 6 min
Join us as we delve into the paradigm-shifting ethos of trauma-informed care with renowned expert Dr. Megan Gerber, Associate Professor of Medicine at Boston University School of Medicine, Medical Director of Women’s Health for VA Boston where she directs the Women’s Health Fellowship, editor of “Trauma-informed Health Care Approaches: A Guide for Primary Care.” We discuss the framework for trauma-informed universal precautions, as well as basics about the prevalence of trauma, strategies for integrating a trauma-sensitive approach into primary care, practical changes for the office environment, modifications for physical exam methods, and more. We recognize this topic may be triggering. If you are struggling with thoughts of harming yourself, the national suicide prevention lifeline number is 1-800-273-8255. Lees meer
Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Producer/Writer/Graphics: Beth Garbitelli
Co-Producer: Paul Williams MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli
Editor: Molly Heublein MD (written materials); Clair Morgan of nodderly.com
Guest: Megan Gerber MD, MPH, FACP
Sponsor: ACP - Visit acponline.org/member
Sponsor: VCU Health CE - Check out curbsiders.vcuhealth.org and create your FREE account!
Time Stamps
Intro, disclaimer, guest bio (0:00 - 3:15)
Guest one-liner (3:30)
Kashlak Cases (13:45)
Epidemiology of trauma (15:18)
Trauma and #MeToo (18:10)
Defining Trauma-Informed Care (TIC) (19:00)
Integrating TIC into primary care (22:48)
Screening in TIC (25:00)
Containment and retraumatization (29:00)
Inquiring about trauma (30:45)
Recap and Office Visit Mechanics (35:30)
Building the Relationship (38:00)
Common Inquiry Mishaps (38:52)
TIC Physical Exam (40:20)
Resources for Patients (44:30)
Office Environment (48:00)
Provider Burnout (50:00)
TIC in Covid-19 (52:30)
Take-home Points (56:20)
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Curious Clinicians Episode 1 - Clubbing
3 juni 2020 · 22 min
Introducing our friends, The Curious Clinicians: Lees meer
Why do human bodies work how they do? Why do medications work, or not work? Do you miss digging into the “why” behind what we do every day? Join Hannah Abrams (@hannarabrams), Tony (@tony_breu), and Avi (@AvrahamCooperMD) in the Curious Clinicians podcast as they delve into these questions & more, starting with episode 1: Why does fingernail clubbing happen in so many different diseases? https://curiousclinicians.com/
Check out their website and subscribe on your favorite podcast player.
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#217 COVID Cakes the Fourth: ACTT-1, Triple Therapy, PCR, Serology
1 juni 2020 · 52 min
Stay current with the emerging COVID-19 research including: ACTT-1 (remdesivir), triple therapy with interferon, and conundrums about SARS-CoV-2 PCR and serologic testing. We’re led by the one and only Curbsider/internist/epidemiologist, Rahul Ganatra MD MPH (@rbganatr). And...just in case you live outside of the habitat for murder hornets and your anxiety about the pandemic had begun to abate, we touch on the CDCs guidance to beware of hungry aggressive rats. Gross! Lees meer
Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME!
Credits
Written and Produced by: Rahul Ganatra MD, MPH, Deborah J. Gorth ScM, Emi Okamoto MD, Sarah P. Roberts MPH, and Matthew Watto MD
Cover Art: Deborah J. Gorth ScM
Hosts: Matthew Watto MD, Rahul Ganatra MD MPH, Emi Okamoto MD, and Sarah P. Roberts MPH
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Sponsors: ACP and VCU Health CE
Time Stamps
00:00 Sponsors
00:30 Intro, disclaimer
02:40 Fomites, groceries and killer rats
08:22 Sponsor
09:22 ACTT-1 trial of remdesivir
18:22 Triple therapy with lopinavir/ritonavir, ribavarin and interferon
33:10 Background on PCR testing for SARS-CoV-2; How common are false negative PCR tests?
44:25 Serologic testing for SARS-CoV-2; Utility of antibody testing; Test characteristics
50:30 Outro
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#216 Homeless Healthcare with Stefan Kertesz MD
28 mei 2020 · 1 uur 6 min
Learn the nuances of caring for and building relationships with patients experiencing homelessness from expert internal medicine and addiction physician Stefan Kertesz, return guest from Episode 74 on Opioids and Health Policy (highly recommend a re-listen, y’all!). Topics: the challenge of creating a welcoming and useful space for individuals experiencing homelessness, how to meet patients where they’re at--both physically and mentally--the challenge of managing diuretics for those without stable access to a bathroom (avoid, if possible), and how absolutely essential the foot exam is. Lees meer
Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Written and Produced by Nora Taranto MD
Infographics by Nora Taranto MD
Cover Art by Kate Grant MBChB, MRCGP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Nora Taranto MD
Editor: Carolyn Chan (written materials); Clair Morgan of nodderly.com
Guest: Stefan Kertesz MD
Sponsor: VCU Health CE
Time Stamps
00:00 Intro, disclaimer, guest bio
3:17 Guest one-liner
8:55 Picks of the Week*: Dr. Kertesz’s Book Recommendation: Saul Weiner’s On Becoming A Healer; Nora’s Pick of the week: BackStory (especially their episode on dynamite!) https://www.backstoryradio.org/
10:07 Case from Kashlak
10:56 Language: How to ask where a patient lives?
13:25 Terminology: Persons Experiencing Homelessness:
14:35 The stats on prevalence of health and illness in the homeless population, and the importance of both medical and environmental factors
20:44 How to start the visit, and how to establish trust early on?
27:40 Why is the mortality rate higher?
35:15 Special conditions and Medication Considerations: Hypertension, Diuretics, Insulin and Food Insecurity, Substance Use Disorders, Feet, and Hepatitis C
54:15 COVID and homeless healthcare
57:00 Care Models
62:30 Take Home Points and Outro
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#215 Medical Myths: Challenge Dogma with Dr. Douglas Paauw
25 mei 2020 · 51 min
Chase that metronidazole with a beer! Pop some 30 year old pills! Retrain your brain as our esteemed guest Dr. Douglas Paauw goes over his popular annual ACP presentation on Medical Myths. Learn about how some common medical myths originate and continue in our practice. We discuss why it’s okay to drink on metronidazole, take expired medications, inject epinephrine into extremities and why recurrent sinusitis may not really exist. Lees meer
Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME!
Credits
Written and Produced by: Justin Berk, MD MPH MBA
Infographic and Cover Art: Beth Garbitelli
Hosts: Justin Berk, MD, MPH, MBA; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com
Guest: Douglas Paauw, MD
Sponsor: VCU Health CE
Time Stamps
00:00 Intro, disclaimer, guest bio
02:22 Guest one-liner; Career Advice, Picks of the Week*: Being Mortal, book by Atul Gawande; The Band Played On, book by Randy Shilts; Lagunitas Hoppy Refresher: zero alcohol, zero calories!
06:15 Medical Myth Definitions
10:20 Dogma: Metronidazole and Alcohol; Healthy RCT Metronidazole and Alcohol
19:09 Expired Medications; Military Stockpiling Study
24:22 Aspirin and Nitroglycerin; Unopened eye drops; Epi-Pens; Expired Med Recap
31:13 Sinus Headaches; Trigeminal Nerve; Pearl: Recurrent headaches; Study showing Effectiveness of treatment (92%)
41:07 Epinephrine in extremity; RCT of Epi in Extremities
Study showing Experts use it; Podiatry journal
48:39 Take home points and Outro
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#214 COVID Cakes 3: Llamas, Remdesivir, Strokes, Predicting the Future, and More!
18 mei 2020 · 52 min
Elevate your critical appraisal skills as we review the first RCT of remdesivir and share the latest and greatest COVID-19 stories including: Llama antibodies, Stroke statistics, Future Waves, Exit Strategies and Awake Proning. We’re joined by everyone’s favorite Curbsider/internist/epidemiologist, Rahul Ganatra MD MPH (@rbganatra). Rahul provides critical appraisal of the newest randomized control trial (RCT) on remdesivir from the Lancet, and gives us a lesson on why statistical power is so important to consider. We also share updates on strokes, awake proning, pandemic predictions, and we reveal another reason to love llamas (besides those luscious lashes). Llama mia, here we go again! Lees meer
Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME!
Credits
Written and Produced by: Sarah P. Roberts MPH, Rahul Ganatra MD, MPH, Emi Okamoto MD, Paul Williams MD and Matthew Watto MD
Cover Art: Beth Garbitelli
Hosts: Matthew Watto MD, Paul Williams MD, Rahul Ganatra MD MPH, Emi Okamoto MD , Sarah P. Roberts MPH,
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Sponsor: VCU Health CE
Time Stamps
00:00 Intro
02:10 Fun animal facts: Llama antibodies
09:10 Remdesivir RCT by Wang et al
12:40 Power and Sample Size
16:32 Baseline Characteristics, Results and Author’s conclusions
19:15 Rahul’s conclusions: How chance and bias affected the results
24:00 Right censoring; Viral load and timing of antivirals
30:30 Final thoughts on Remdesivir RCT by Wang et al; Looking ahead to the NIAID (ACTT) trial
33:53 Are patients really having fewer strokes and heart attacks?
38:20 Awake proning
43:30 Paul teaches us not to use the term “happy hypoxemic”
45:00 CIDRAP viewpoint on future waves and exit strategies
50:22 Outro
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#213 Fatigue for Primary Care with Nina Mingioni MD - A Common Sense Framework
11 mei 2020 · 58 min
Listen as our esteemed guest Dr. Nina Mingioni (Jefferson) walks us through her approach to fatigue, from differential diagnosis, to the evidence behind physical exam, laboratory workup, and beyond! Lees meer
Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Writer, Producer, Infographic, and Cover Art: Hannah R. Abrams
Hosts: Hannah R Abrams, Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com
Guest: Nina Mingioni MD, FACP
Sponsor: VCU Health CE
Time Stamps
00:00 Intro, disclaimer, guest bio and a bad pun
03:00 Guest one-liner
07:10 Case from Kashlak, Defining fatigue; Taking a general history
11:36 Most common causes of fatigue and how to elicit them from the history
20:39 Physical exam for fatigue; Medications that cause fatigue;
25:25 Exam findings and LRs for anemia; Sleep apnea
30:55 Lab workup for fatigue; Expanded testing: Ferritin, Vitamins, EBV, Rheumatologic diseases, Celiac disease, Lyme
47:55 Spiel to the patient when no answer is found
51:14 Other diagnoses to consider: Fibromyalgia, Myalgic Encephalomyelitis
55:09 Take home points and Outro
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#212 Inpatient Alcohol Withdrawal: Sober Talk with Joji Suzuki, MD
7 mei 2020 · 58 min
Crush those 11 pm “STAT: Patient agitated” pages with this expert guide to assessing for and treating alcohol withdrawal! Dr. Joji Suzuki MD, addiction psychiatrist extraordinaire at the Brigham and Women’s Hospital, walks us through how to think about the risk of severe withdrawal, the different ways to manage it, and how to engage with patients as they’re leaving the hospital. In the course of this Car-Talk (well, not exactly the same as the critically acclaimed radio show, but he did record in his car….), Dr. Suzuki demystifies withdrawal and debunks some common myths: that we must manage withdrawal inpatient, that banana bags are the cure to a hangover and alcoholic malnutrition, and that we tend to under-medicate with benzos (actually, it’s the opposite!). Lees meer
Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME
Credits
Written and Produced by Nora Taranto MD
Infographic and Cover Art by: Nora Taranto MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Cyrus Askin MD, Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Guest: Joji Suzuki MD
Sponsor: VCU Health CE
Time Stamps
00:00 Intro, disclaimer, guest bio
02:52 Guest one-liner; Career advice; Picks of the Week*: Why We Do What We Do (book); Fargo (film)
08:10 A Case from Kashlak and Screening for Alcohol Use and Severe Withdrawal Risk
17:32 Outpatient Versus Inpatient Treatment
25:27 Gabapentin for alcohol withdrawal
27:10 Indicators for ICU level Care
31:53 Symptom-Driven versus Fixed-Dose Protocols , Benzos vs. Barbs
36:55 And which benzo?
39:47 A Natural History of Withdrawal
44:10 Banana Bags and Thiamine Deficiency
48:17 The Transition Home: Naltrexone, Bridge Clinics, and Motivational Interviewing
56:36 Outro and Bonus clip