The Curbsiders Internal Medicine Podcast

Cut through the hype of Multi-Cancer Early Detection (MCED) tests and learn how to counsel patients on the real-world utility, false-positive risks, and the "stage shift" debate of these emerging blood assays. We are joined by world-renowned oncologist Dr. Margaret Tempero,UCSF Cancer Early Detection and Interception, to discuss whether these tests are truly ready for clinical prime time.

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Show Segments

• 00:00 Introduction 
• 01:57 Current Cancer Screening Programs 
• 06:05 Emerging Blood-Based Cancer Tests 
• 11:55 Test Characteristics and Limitations 
• 18:05 Practical Considerations for Patients 
• 25:33 Direct-to-Consumer Testing/Whole Body MRIs
• 36:46 Navigating Positive Test Results 
• 45:10 Anxiety and Patient Education 
• 47:08 Future Directions in Cancer Screening 
• Outro

Credits

• Producer, Writer, Show Notes, Infographic, Cover Art: Molly Heublein MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Sai S Achi MD,MBA,FACP
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Margaret Tempero, MD

Disclosures

Dr. Tempero reports the following financial relationships:
Grail (research support), Global Bio Access Fund (Advisor), Bristol Myers Squibb (Membership on Advisory Committees or Review Panels, Board Membership, etc.), Astra Zeneca (Membership on Advisory Committees or Review Panels, Board Membership, etc), Immunovia (Membership on Advisory Committees or Review Panels, Board Membership, etc.), Merck (advisory committee), Renovo Rx (advisory committee), Urogen (Advisor). Financial relationships have not ended.
The Curbsiders report no relevant financial disclosures. 

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We have another classic episode for you. Don’t get caught treating high blood pressure like it is 2024. Dr. Jordy Cohen (@jordybc.bsky.social, University of Pennsylvania) guides us through the new hypertension guidelines.

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Show Segments

• Intro
• Case: Jeremy
• Wearable devices inaccuracies
• Ideal blood pressure measurement
• Diagnosis and workup
• Management and fixed-dose combination pills
• Case: Jolene and pregnancy
• Outro

Credits

• Written and Produced by: Deborah Gorth MD, PhD
• Infographic and Cover Art by: Deborah Gorth MD, PhD and Meryl Gorth RD, MPH
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Jordana Cohen MD, MSCE

Disclosures

Financial Relationships disclosed for Dr. Jordana Cohen: Wolters Kluwer (Royalties or Patent Beneficiary) and National Institutes of Health (Grant or research support)

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We go so that you want to go next year!

Stay current with updates in hospital medicine from SHM Converge 2026 in Nashville, TN. 

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Show Segments

• Intro
• Picks of the Week
• Heart Failure Updates
• Things We Do For No Reason: Top 10
• Pneumonia updates
• Pharmacotherapy Updates
• Severe Acute Liver Injury
• Nephrology Updates
• MED-TED Competition Pearls
• Fevers in Oncology
• Addiction Updates for the Hospitalists
• Alternatives to Guardianship
• Infectious disease updates
• Updates in Transfusion Medicine
• Sodium overcorrection/demyelinating syndrome
• Total parenteral nutrition (TPN)
• Perioperative hip fracture management
• EKG Updates
• Dermatology Updates
• Home Antibiotics
• Sepsis Updates
• Updates in Hospital Medicine
• Diabetes Inpatient Management Updates
• Outro

Credits

• Producer and Writer: Monee Amin MD, Caroline Coleman MD, Meredith Trubitt MD
• Show Notes: Caroline Coleman MD and Meredith Trubitt MD
• Cover Art: Caroline Coleman MD
• Hosts: Monee Amin, MD, Meredith Trubitt, MD
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Dan Hunt MD, Kierstin Kennedy MD, Noble Maleque MD, Suchita Sata MD, Richard White MD

Disclosures

Drs. Hunt, Kennedy, Maleque, Sata and White report no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 

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Join us as we review recent practice-changing articles on left atrial appendage closure vs AC for AFib, apixaban vs rivaroxaban for VTE, intensive LDL targeting, GLP1s and substance use disorders, and more! Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Shani Herzig (@ShaniHerzig) Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto).

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Credits

• Written and Hosted by: Rahul Ganatra MD, MPH; Shani Herzig, MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP
• Cover Art: Rahul Ganatra MD, MPH
• Reviewer: Emi Okamoto, MD
• Technical Production: Pod Paste
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

• Intro, disclaimer
• Left atrial appendage closure vs anticoagulation in AF
• Apixaban vs rivaroxaban for VTE
• Intensive LDL targeting in ASCVD
• GLP1s and substance use disorders
• FDA approves Orforglipron
• E-cigarettes and cancer
• Early AM blood draws and sleep quality
• Outro

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Join us as we explore practical, evidence-based strategies to help patients age with strength and confidence, and navigate the transition into retirement. We’re joined by Dr. Elizabeth Eckstrom (Oregon Health & Science University)!

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Show Segments

• Intro
• Case
• Navigating Retirement
• Staying Physically Active
• Benefits of Tai Chi
• Nutrition
• Mobility limitations/chronic pain
• Osteoporosis
• Anti-aging/memory supplements 
• Community Resources 
• Outro

Credits

• Written and Produced by: Ashlee Randolph DO, Rachel Miller MD
• Show Notes, infographic, cover art: Ashlee Randolph DO, Rachel Miller MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Leah Witt, MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Elizabeth Eckstrom MD, MPH

Disclosures

Dr. Elizabeth Eckstrom reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 

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

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Gain an insider’s perspective on the techniques of pelvic floor physical therapy. Learn when to refer, what to expect and what can be gained from working with your friendly neighborhood pelvic floor PT specialist. We’re joined by our guests Dr. Nicole Schaffer and Dr. Rachel Rosvold from Uplift Pelvic Floor Physical Therapy in Horsham, PA.

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Show Segments

• Intro, guest bios
• Case #1 from Kashlak
• Urinary incontinence in post-partum setting
• Pelvic floor changes in perimenopause
• Case #2 from Kashlak
• Erectile dysfunction
• PT for chronic prostatitis and erectile dysfunction 
• Constipation and fecal incontinence  
• Outro

Credits

• Written and Produced by: Alise Burke, MD  
• Infographic and Cover Art: Zoya Surani
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Nicole Schaffer PT, DPT, cert MDT and Rachel Rosvold PT, DPT. Follow them on Instagram @upliftpelvicpt

Disclosures 

Dr. Nicole Schaffer and Dr. Rachel Rosvold report no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 

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How do we help patients improve health span without letting wearables, biomarkers, and wellness trends take over the conversation? Learn how to think about CGMs in patients without diabetes, how to interpret early cardiometabolic risk beyond the A1c, how to prescribe exercise in a practical way, and how to counsel patients about sleep, wearables, and even peptides. We’re joined by Dr. Sandeep Palakadedi (Dr. “Deep”), founder and CEO of Velocity Health and author of The Ultimate Asset.

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Show Segments

• Intro
• CGMs, Postprandial Glucose, and Data Neurosis
• Beyond Glucose: ApoB, Lp(a), and Early Cardiometabolic Risk
• Body Composition, VO2 Max, and Functional Longevity
• Sleep, HRV, and Wearables
• Prescribing Exercise in Real Life
• How to Talk to Patients About Peptides

• Take-Home Points

Credits

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

• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Sai S Achi MD, MBA, FACP
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Sandeep Palakodeti MD, MPH

Disclosures

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

Sponsor: MINT MOBILE

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Sponsor: FIGS

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

Sponsor: Continuing Education Company

For Curbsiders listeners, there’s a special offer: use promo code Curb30 for 30% off all online courses and webcasts. Visit CMEmeeting.org/curbsiders to learn more.  

Become a master of cortisol and learn how to identify and treat a common condition in patients with adrenal tumors! Join us as we learn about mild autonomous cortisol secretion (MACS) with Dr. Irina Bancos (@irinabancos), an internationally renowned adrenal expert!

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

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Show Segments

• Intro
• Advice for listeners
• Adrenal incidentaloma Definition (Case 1)
• Hormonal workup for adrenal incidentalomas
• Defining mild autonomous cortisol secretion (MACS)
• Significance and prevalence of MACS
• Diagnostic testing for MACS
• Treatment options for MACS (surgery vs. comorbidity management)
• Post surgical management of MACS (Case 2)
• Diagnostic testing for adrenal insufficiency (AI)
• Glucocorticoid withdrawal syndrome management
• Deciding when patients are able to come off of steroids after AI
• Outcomes after adrenalectomy in MACS
• Take home points

Credits

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

• Producer, writer, show notes, and CME: Mobeen Ahmad MD
• Cover art and infographic: Kate Grant MBChb, MRCGP
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Mobeen Ahmad MD
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Irina Bancos MD, MSc

Disclosures

Dr. Bancos has the following disclosures:

• Consulting, advisory board or safety monitoring board (all fees to institution): Recordati, Corcept, Esteve, Spruce, Sparrow, Diurnal, Neurocrine, Lufordi, Adaptyx, Crinetics, Xeris, AstraZeneca, NovoNordisc, Camurus.
• Research grant for investigator initiated research (to institution): Esteve, Recordati

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Metabolic Health, Advanced Lipidology, and Preventing ASCVD

Level up your primary prevention game. Learn when ApoB, Lp(a), and CAC actually change management, how to spot cardiometabolic risk before diabetes declares itself, and how to make smarter lipid decisions beyond the standard panel. We’re joined by Dr. Greg Katz, cardiologist and prevention expert at NYU Langone Health.

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Show Segments

• Intro
• Primary Prevention & Metabolic Syndrome (Case 1)
• Beyond the Standard Lipid Panel
• When to Order ApoB
• How Lp(a) Changes Management (Case 2)
• Using CAC/CCTA in the Gray Zone
• Recognizing Early Cardiometabolic Risk
• CGMs, Wearables, and Signal vs Noise (Case 3)
• How to Talk to Patients About Risk
• Take-Home Points

Credits

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

• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Sai S Achi MD, MBA, FACP
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Greg Katz MD

Disclosures

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

Sponsor: DeleteMe

Get 20% off your DeleteMe plan when you go to joindeleteme.com/CURB and use promo
code CURB at checkout.

Sponsor: Panacea Legal 

Visit Panacea.Legal  and use code CURB20 for 20% off contract review services.

Sponsor: FIGS

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

Sponsor: Continuing Education Company

For Curbsiders listeners, there’s a special offer: use promo code Curb30 for 30% off all online courses and webcasts. Visit CMEmeeting.org/curbsiders to learn more.  

Join us as we review and appraise recent practice-changing articles. In this episode, we cover the latest in GLP-1s and GIP agonists for CVD, Type 2 Diabetes, and Obesity, valacyclovir to treat Alzheimer’s, weight regain patterns after medication-induced weight loss, and a deep dive into the data behind deprescribing – and behavioral science to increase deprescribing behavior.  Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Alex Chaitoff (@alexchaitoff), Nora Taranto (@norataranto), & Matt Watto (@doctorwatto).

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Credits

• Written and Hosted by: Nora Taranto MD, MSCE; Alexander Chaitoff MD, MPH; Paul Williams, MD, FACP,, & Matthew Watto MD, FACP
• Cover Art: Nora Taranto MD, MSCE
• Reviewer: Sai S Achi MD, MBA, FACP
• Technical Production: Pod Paste
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

• Intro, disclaimer
• GLP-1 + GIPs vs GLP-1s for patients with T2DM and Obesity – SURPASS-CVOT 
• Weight Regain after Weight loss 
• VALAD – Valacyclovir in patients with early Alzheimer’s 
• Nudges to increase Deprescribing 
• Outro

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

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Show Segments

• Intro
• Case from Kashlak
• Why screen for prediabetes and diabetes?
• Who to screen for prediabetes and diabetes
• How to screen for prediabetes and diabetes
• Role of the physical exam
• Explaining a diagnosis of prediabetes to patients
• Atypical types of prediabetes
• Management of prediabetes: lifestyle changes
• Management of prediabetes: medications
• Outro

Credits

• Producer, Writer, and Show Notes: Malini Gandhi MD
• Infographic and Cover Art: Zoya Surani
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Sai Achi MD,MBA,FACP
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Scott Isaacs MD

Disclosures

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

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Sponsor: MedStudy Qbank
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CURB15 for 15% off

Sponsor: University of Pennsylvania Graduate School of Education
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Stop getting TICK’ed off by Lyme

Master Lyme disease — from recognizing erythema migrans and avoiding unnecessary testing to managing disseminated Lyme and post-exposure prophylaxis. Learn practical, evidence-based strategies you can use in the clinic. We’re joined by Dr. Sophie Woolston MD, infectious diseases expert and clinician-educator. (MaineHealth)

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Show Segments

• Intro
• Case 1
• Lyme Basics
• Stages of Lyme
• Lyme Testing and Interpretation
• Coinfection
• Lyme Treatment
• Tick Prevention and Removal
• Post-Treatment Lyme Disease Syndrome
• Outro

Credits

• Written and Produced by: Beth Gasperlin MD
• Show Notes, Infographics, and Cover Art by: Zoya Surani
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Gasperlin MD  
• Reviewer: Leah Witt MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Sophie Woolston MD

Disclosures

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

Sponsor: Continuing Education Company

For Curbsiders listeners, there’s a special offer: use promo code Curb30 for 30% off all online courses and webcasts.  Visit CMEmeeting.org/curbsiders to learn more.  

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Helping you diagnose a common cause of hypertension!

Hypertension is a growing disease globally, affecting millions of individuals and increasing the risk of heart disease and stroke. Along with the expert help of Dr. Vaidya (Brigham and Women’s Hospital), we help reimagine the approach of clinicians in terms of hypertension and help them navigate common diagnostic dilemmas! @AnandVaidya17 (Bluesky) @AnandVaidya17 (X)

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Show Segments

• Introduction and Personal Interests
• Advice and Wisdom in Medicine 
• Case 1
• Defining Primary Aldosteronism
• Screening for Primary Aldosteronism
• How common is Primary Aldosteronism
• Challenges in Diagnosis and Testing
• Medication Management and Testing Protocols
• Managing indeterminate cases
• Aldosterone Suppression Testing and its role
• Discussing treatment options with patients
• Case 2
• Considering genetic causes of Primary Aldosteronism
• The need for AVS for lateralization
• Upcoming imaging modalities for Primary Aldosteronism
• Case 3
• Medical Management of Primary Aldosteronism
• Future Directions in Treatment

Credits

• Producer, Writer, Show Notes:Mobeen Ahmad MBBS 
• Infographic:Kate Grant MBChB MRCGP
• Cover Art:Kate Grant MBChB MRCGP
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest:  Anand Vaidya MD, MMSc

Disclosures

Dr. Vaidya has disclosed the following: 

Financial Relationships: Astra Zeneca-Consulting Fee and Corcept-Consulting Fee, relationships have not ended. 

The Curbsiders report no relevant financial disclosures.

Sponsor: The Sanford Guide

Curbsiders listeners can get 20% off the already very moderately priced yearly subscriptions directly at sanfordguide.com. Go to sanfordguide.com and use the code, CURB at checkout.

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MedStudy Qbank - Study less. Remember more. Pass confidently. Medstudy.com/Curbsiders CURB15 for 15% off

Sponsor: Panacea Legal 

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Sponsor: DeleteMe

Get 20% off your DeleteMe plan when you go to joindeleteme.com/CURB and use promo code CURB at checkout.

Join us as we review and appraise recent practice-changing articles on oral semaglutide for obesity, fish oil in ESRD, IV iron during infection, the new US Dietary Guidelines, & anticoagulation after ablation in AFib. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), Josh Gilman, & Matt Watto (@doctorwatto).

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Credits

• Written and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Joshua Gilman, MD, & Matthew Watto MD, FACP
• Cover Art: Rahul Ganatra, MD MPH
• Reviewer: Emi Okamoto, MD
• Technical Production: Pod Paste
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

• Intro, disclaimer
• Oral Semaglutide for obesity
• Fish Oil for CV risk reduction in hemodialysis patients
• IV Iron for iron deficiency anemia during infection
• New USA Dietary Guidelines
• Anticoagulation after catheter ablation for AF
• Outro

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

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Show Segments

• Intro
• Rapid Fire Questions/Picks of the Week
• Case Aliquot 1
• Defining Heart Failure
• POCUS in Heart Failure
• Timing/Indications for Echocardiography
• Initiating Diuretic Therapy
• Adjusting Diuretic Therapy/Drip vs Bolus
• Adjunct Diuretic Therapy
• Afterload Reduction
• Monitoring Diuretic Response
• Inpatient Sodium and Fluid Restriction
• Case Aliquot 2
• Classifying Heart Failure
• Pharmacotherapy for HFrEF
• Pharmacotherapy for HFpEF
• Ischemic Evaluation
• Interval Summary/Highlights
• Case Aliquot 3
• Considerations for Initial Care of Cardiogenic Shock
• Choosing Inotrope/Vasopressor
• Right Heart Catheterization
• Case Aliquot 4
• Discharge Medications for Heart Failure
• Titration of Goal Directed Medical Therapy
• Post Discharge Follow Up
• Washout Period for ACEi/ARB
• Cost/Barriers of ARNI
• Patient Education
• Take Home Points
• Outro

Credits

• Writer, Producer, and Show Notes by: Reaford Blackburn, Jr., MD
• Infographic & Cover Art: Caroline Coleman MD
• Hosts: Monee Amin, MD and Meredith Trubitt, MD   
• Reviewer: Rahul Ganatra MD
• Technical Production: PodPaste
• Guest: Gurusher Panjrath, MD

Sponsor: MDProgress

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Sponsor: Quince

Go to Quince.com/curb for free shipping on your order and 365-day returns. Now available in Canada, too.

Sponsor: Sanford Guide 

Curbsiders listeners can get 20% off the already very moderately priced yearly subscriptions directly at sanfordguide.com.

Sponsor: Babbel  

Here's a special, (limited time) deal for our listeners. Right now get up to 55% off your Babbel subscription – at Babbel.com/CURB.

Dr. Fleseriu schools us on managing the unexpected

Become a master of pituitary incidentalomas. Learn about the hormonal workup and management of pituitary microadenomas, macroadenomas and empty sella syndrome and when surgery may be needed. We’re joined by Dr. Maria Fleseriu, @MariaFleseriu (Oregon Health and Science University)

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

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Show Segments

• Intro
• Rapid fire questions/Picks of the Week
• Case 1
• Defining Pituitary Incidentalomas
• What is the difference between micro adenoma, macroadenoma and functional vs non-functional adenomas
• Hormonal workup of microadenoma (assessing for hypopituitarism and hormonal excess)
• Decided when to reimage patients and long term follow up of microadenomas
• Case 2
• Hormonal workup for pituitary macroadenoma
• Deciding when surgery should be considered
• Discussing the role of visual field testing
• Case 3
• Defining empty sella syndrome
• Discussing hormonal assessment of empty sella syndrome
• Treatment options for hyperprolactinemia caused by empty sella syndrome
• Outro

Credits

• Producer, writer, show notes, and CME: Mobeen Ahmad MD
• Infographic and cover art: Kate Grant MBChb, MRCGP
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Dr. Maria Fleseriu

Disclosures

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

Sponsor: Continuing Education Company

Curbsiders listeners, there’s a special offer: use promo code Curb30 for 30% off all online courses and webcasts. Visit CMEmeeting.org/curbsiders to learn more.

Sponsor: Mint Mobile

New customers can make the switch today and for a limited time, get unlimited premium wireless for just $15 per month. Switch now at mintmobile.com/CURB

Sponsor: Locumstory

Locumstory.com is literally just a free, unbiased resource dedicated to educating physicians about locums.

Sponsor: FIGS

Check out the limited-edition Team USA collection, and get 15 percent off your first order at Wearfigs.com with code FIGSRX. 

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

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

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Show Segments

• Intro
• Case 1
• History and Physical 
• Laboratory Testing 
• Effect of Lifestyle on Testosterone
• Case 2
• Prostate and Cardiovascular risk
• Treatment Options and Considerations
• Secondary Causes of Hypogonadism
• Case 3
• Testicular Size and Klinefelter Syndrome
• hCG and Clomiphene
• Monitoring and Follow-Up
• Take-Home Points
• Outro

Credits

• Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD. 
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Sai S Achi MD, MBA, FACP
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Bradley D. Anawalt MD

Sponsor: Gusto

Try Gusto today at gusto.com/CURB, and get three months free when you run your first payroll.

Sponsor: Locumstory

Locumstory.com is literally just a free, unbiased resource dedicated to educating physicians about locums. 

Sponsor: MedStudy

MedStudy Qbank+ Study less. Remember more. Pass confidently. Medstudy.com/Curbsiders CURB15 for 15% off

Sponsor: The Sanford Guide

Curbsiders listeners can get 20% off the already very moderately priced yearly subscriptions directly at sanfordguide.com. Go to sanfordguide.com and use the code, CURB at checkout.

What Dreams May Come

Breeze through your next visit for insomnia. Learn how to comfortably approach insomnia and optimize sleep. We touch on specifics such as cognitive behavioral therapy for insomnia or the effects of various sleep-related drugs/supplements, and how to taper down from them. We are joined by Ashley E. Mason, PhD (UCSF).

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

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Show Segments

• Intro
• Case
• Understanding patient’s goals
• Cognitive behavioral therapy for insomnia
• Stimulus control
• Sleep Hygiene
• Time-in-bed restriction
• Impact of different medications/substances on sleep
• Tapering off medications
• Outro

Credits

• Producer and Writer: Matthew Watto MD, FACP
• Producer, Show Notes, Infographic, and Cover art: Edison Jyang, MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Sai S Achi, MD, MBA, FACP
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Ashley E. Mason, PhD

Disclosures

Dr. Mason has disclosed the following:
Financial Relationships: Evolve Global, consulting fee and stock options; Oura Health, consulting fee.

The Curbsiders report no relevant financial disclosures. 

Sponsor: FIGS

Take 15% off your first order at Wearfigs.com with the code FIGSRX.

Sponsor: Continuing Education Company

Visit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts. 

Sponsor: Mint Mobile
Shop Mint Unlimited Plans at mintmobile.com/CURB. 

Blood-based Biomarkers, Anti-Amyloid Therapies and Beyond

From blood-based biomarkers to anti-amyloid treatments, join us as we explore the latest in Alzheimer’s disease diagnosis and treatment with Dr. Halima Amjad. This episode will equip you to guide your patients about the latest Alzheimer’s diagnostics as well as eligibility, risks and monitoring for anti-amyloid therapies.

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

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Show Segments

• Intro
• Case
• Cognitive and functional history reminders
• Diagnosing Alzheimer’s Disease
• Blood-based biomarkers
• Anti-amyloid therapy indications, eligibility and contraindications
• Patient counseling and treatment decisions
• ARIA
• Key takeaways
• Outro

Credits

• Written and Produced by: Natalie Barrett DO, Rachel K Miller MD
• Show notes, cover art and infographic: Natalie Barrett DO, Rachel K Miller MD, Leah Witt MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Sai S Achi MD, MBA,FACP
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Halima Amjad, MD

Disclosures

Dr. Amjad reports financial relationships with Centene (Advisor) and Craniometrix (Advisor). Relationships have not ended. The Curbsiders report no relevant financial disclosures. 

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

Sponsor: Babbel 

Right now get up to 55% off your Babbel subscription at Babbel.com/CURB.

Sponsor: Quince

Go to Quince.com/curb for free shipping on your order and 365-day returns. Now available in Canada, too.

Sponsor: Sanford Guide

Search for Sanford Guide in the app stores. And, Curbsiders listeners can get 20% off the already very moderately priced yearly subscriptions directly at sanfordguide.com. Go to sanfordguide.com and use the code, CURB at checkout.

Diverticulitis Simplified: Imaging, Antibiotics, Diet, and When to Call Surgery

Master diverticulitis! Learn how to distinguish uncomplicated from complicated disease, when to reach for antibiotics, and which patients need surgical consultation. We’re joined by Dr. Bob Hollis (University of Alabama at Birmingham) and Dr. Andrew Webster (Emory University).

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

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Show Segments

• Intro
• Rapid Fire Questions
• Picks of the Week
• Case 1
• Defining and Classifying Diverticulosis vs Diverticulitis
• History and Physical Exam
• Labs and Imaging
• Disposition: Admit or Discharge?
• Antibiotics: Who Needs them and How to Choose
• Duration of Antibiotic Therapy
• Diagnostic Pitfalls and Redflags
• Nutrition in the Hospitalized Patient with Diverticulitis
• Case 2
• Surgery and IR Consultation
• Antibiotics in Diverticular Abscess
• Repeat Imaging in Undrainable Abscess
• Elective Surgery in Diverticulitis
• Case 3
• Diverticulitis with Perforation
• Counseling Patients Undergoing Surgery
• Ostomy Reversal Timing

Credits

• Writer, Producer, and Show Notes: Reaford Blackburn, Jr., MD
• Infographic and Cover Art: Caroline Coleman, MD
• Hosts: Monee Amin, MD and Meredith Trubitt, MD 
• Reviewer: Rahul Ganatra
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guests: Bob Hollis, MD and Andrew Webster, MD

Sponsor: FIGS

Take 15% off your first order at Wearfigs.com with the code FIGSRX.

Sponsor: Continuing Education Company

Visit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts.  

Sponsor: Gusto
Try Gusto today at gusto.com/cribsiders, and get three months free when you run your first payroll. 

Matt and Paul recap top pearls from a recent episode on Anticoagulation for Venous Thromboembolism with Dr. Tara Lech, PharmD. They also answer listener questions and share their picks of the week. 

Picks of the week:
Paul Recommends: Death Stranding 2: On the Beach (videogame)
Matt Recommends: CJ Box novels about Joe Picket

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Show Segments

• Intro
• Case: Jeremy
• Wearable devices inaccuracies
• Ideal blood pressure measurement
• Diagnosis and workup
• Management and fixed-dose combination pills
• Case: Jolene and pregnancy
• Outro

Credits

• Written and Produced by: Deborah Gorth MD, PhD
• Infographic and Cover Art by: Deborah Gorth MD, PhD and Meryl Gorth RD, MPH
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Jordana Cohen MD, MSCE

Disclosures

Financial Relationships disclosed for Dr. Jordana Cohen: Wolters Kluwer (Royalties or Patent Beneficiary) and National Institutes of Health (Grant or research support)

Sponsor: FIGS

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

Sponsor: MasterClass

MasterClass always has great offers during the holidays, sometimes up to as much as 50% off. Head over to masterclass.com/CURB for the current offer.

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

Master cardiovascular disease prevention! Learn how to apply the new PREVENT risk calculator, use the CPR framework for risk reclassification, and interpret ApoB and Lp(a) in modern lipid management. We’re joined by Dr. Laurence Sperling to break down what’s new in ASCVD risk assessment and prevention.

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

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Show Segments

• Intro
• Case 1 from Kashlak 
• Risk assessment framework
• ApoB and Non-HDL cholesterol
• Lipoprotein(a) and its importance
• The PREVENT risk score and its implications
• Statins and other lipid lowering therapies
• The role of diet and lifestyle in lipid management
• Case 2 from Kashlak
• Familial Hypercholesterolemia diagnosis and management
• Key takeaways
• Outro

Credits

• Producer, Writer, Shownotes, Infographic, and Cover art: Ben Furman, MPH 
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Leah Witt, MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Laurence Sperling, MD 

Disclosures

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


Sponsor: Bucksbaum-Siegler Institute

If you want to learn more about what the Bucksbaum-Siegler Institute is doing and to nominate someone for the Clinical Excellence Award—you can check them out today. Visit bucksbauminstitute.uchicago.edu.

Sponsor: Grammarly 

Sign up for FREE and experience how Grammarly can elevate your professional writing from start to finish. Visit Grammarly.com/podcast. 

Sponsor: Continuing Education Company

Use promo code Curb30 to get 30% off all online courses and webcast. Visit CMEmeeting.org/curbsiders to learn more.

Sponsor: Freed

Use code: CURB50 to get $50 off your first month when you subscribe!

Transform your approach to menopause care with the latest evidence and expert insights you can use tomorrow. Learn how to move beyond outdated WHI-era fears and confidently prescribe individualized, effective hormonal therapies. We’re joined by urologist and sexual medicine specialist Dr Rachel Rubin (@DrRachelRubin), who brings clarity, practicality, and a fresh perspective to this rapidly evolving field.

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

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Show Segments

• Intro
• Case
• Shifting care for menopause
• WHI/black box warning labels
• What makes you nervous?
• Local vaginal treatments
• Progesterone therapy
• Estrogen therapy
• Testosterone therapy
• Perimenopause
• Outro

Credits

• Producer, Writer, Show Notes, Infographic, Cover Art: Molly Heublein MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Molly Heublein MD
• Reviewer: Leah Witt MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Rachel Rubin MD

Disclosures

Dr. Rachel Rubin reports financial support from Sprout Pharmaceuticals . The Curbsiders report no relevant financial disclosures. 

Sponsor: Aura Frames 

For a limited time, save on the perfect gift by visiting AuraFrames.com to get $35 off Aura’s best-selling Carver Mat frames by using promo code CURB at checkout. 

Sponsor: Bucksbaum-Siegler Institute

If you want to learn more about what the Bucksbaum-Siegler Institute is doing and to nominate someone for the Clinical Excellence Award visit bucksbauminstitute.uchicago.edu.

Sponsor: Mint Mobile  

Shop Mint Unlimited Plans at MINTMOBILE.com/CURB. 

Sponsor: Panacea Financial

Visit bit.ly/PFCURB to connect with a physician-focused banker and get your finances  moving in the right direction

Join us as we review recent articles and news featured in The DIGEST #70, including PSA screening, acetaminophen and autism, COVID19 vaccines and cancer, and aspirin and anticoagulation in coronary artery disease. Fill your brain hole with a delicious stack of hotcakes! Featuring Drs. Paul Williams (@PaulNWilliamz), Nora Taranto (@norataranto), Rahul Ganatra (@rbganatra), Laura Glick (@lauraglick) and Matt Watto (@doctorwatto).

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

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Credits

• Written and Hosted by: Nora Taranto MD; Rahul Ganatra MD MPH, Laura Glick MD, Paul Williams, MD, FACP, Adam Cifu MD, Matthew Watto MD, FACP
• Cover Art: Rahul Ganatra, MD MPH
• Reviewers: Rahul Ganatra MD MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP; Sai S Achi MD, MBA, FACP
• Technical Production: Pod Paste
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

• Intro, disclaimer
• Prostate Cancer Screening
• Acetaminophen and Autism
• COVID19 vaccines and cancer risk
• Aspirin and anticoagulation in coronary artery disease
• Outro

Sponsor: Aura Frames

For a limited time, save on the perfect gift by visiting AuraFrames.com to get $35 off Aura’s best-selling Carver Mat frames by using promo code CURB at checkout.

Sponsor: DoxGPT by Doximity

Visit doxgpt.com  and see how it can simplify your clinical workflow, from patient care to paperwork. 

Sponsor: Continuing Education Company

Use promo code Curb30 to get 30% off all online courses and webcasts—just for Curbsiders
Listeners. Visit CMEmeeting.org/curbsiders to learn more.

Sponsor: Freed

Use code: CURB50 to get $50 off your first month when you subscribe!

We have a classic episode for you. Update your approach to cirrhosis evaluation and management with Dr. Scott Matherly Associate Professor of Hepatology and Gastroenterology at Virginia Commonwealth University 

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

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Show Segments

• Intro, disclaimer, guest bio
• Case from Kashlak; Definitions
• Cirrhosis Diagnosis and Initial Evaluation 
• Cirrhosis Physical Examination 
• Decompensated Cirrhosis Management 
• Ascites and TIPS
• MELD and transplant consideration
• Outro

Credits

• Written and Produced by: Elena Gibson MD
• Infographic and Cover Art: Edison Jyang MD
• Hosts: Paul Williams MD, FACP; Elena Gibson MD    
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Scott Matherly MD 

Sponsor: Aura
For a limited time, visit AuraFrames.com and get $45 off Aura’s best-selling Carver Mat frames - named #1 by Wirecutter -  by using promo code  CURB at checkout. 

Sponsor: DoxGPT
Check out DoxGPT by Doximity and see how it can simplify your
clinical workflow, from patient care to paperwork. Visit doxgpt.com

Sponsor: Master Class
Head over to MASTERCLASS.com/CURB for the current offer.

Sponsor: Continuing Education Company  
Visit CMEmeeting.org/curbsiders to learn more and use promo code Curb30

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

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

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Show Segments

• Intro
• Case 1
• Defining dizziness and vertigo
• Timing and triggers
• Episodic dizziness/vertigo
• Dix-hallpike and Epley maneuver
• Case 2
• Acute vestibular syndrome and the HINTS+ exam
• Case 3
• Chronic dizziness
• Persistent postural-perceptual dizziness
• Takeaways and outro

Credits

• Writer, Producer, Shows Notes, Infographic/Cover Art: Edison Jyang, MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Reviewer: Sai S Achi MD, MBA, FACP
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: David Hale, MD

Disclosures

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


Sponsor: DoxGPT by Doximity

Visit doxgpt.com or use the link in the show notes to start using it today.

Sponsor: Freed

Usecode: CURB50 to get $50 off your first month when you subscribe

Sponsor: Quince

Go to Quince.com/curb for free shipping on your order and 365-day returns. Now available in Canada, too

Sponsor: Mint Mobile

Get premium wireless for $15/mo. Shop Mint Unlimited Plans at MINTMOBILE.com/CURB.

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

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

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

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Show Segments

• Introduction
• Defining Eating Disorders 
• Screening & Permission to Discuss 
• Clinical Approach & History Gathering 
• Treatment Framework 
• GLP-1 Contraindications
• Dr. Bridge’s Take-Home Points 

Credits

• Producer, writer, show notes, cover art and infographics: Isabel Valdez, PA-C
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Molly Heublein MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Laura Bridge MD, FACP

Disclosures

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


Sponsor: Locumstory

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


Sponsor: Panacea Legal 

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


Sponsor: Hydrow 

Head over to Hydrow.com and use code CURB to save up to $600 off on Hydrow rower during this holiday season. 


Sponsor: Grammarly 

Visit Grammarly.com/podcast and Sign up for FREE

More than just mechanical!

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

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

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Show Segments

• Intro
• Rapid fire questions
• Case
• Terminology
• Applying the Geriatric 5Ms Framework
• Physical Therapist Assessment
• Targeted Diagnostic Testing
• Multifactorial Risk Factor Assessment and Management
• Anticoagulation and Falls
• Discharge Disposition
• Exercise Programs
• Home Modifications
• Outro

Credits

• Producer: Abigail Schmucker, MD; Rachel Miller, MD, MSEd
• Writers: Abigail Schmucker, MD; Rachel Miller, MD, MSEd; Alyson Michener, MD; Suzanne Zukoski, MSPT, MSG, GCS
• Show Notes: Abigail Schmucker, MD
• Infographic and Cover Art: Rachel Miller, MD, MSEd
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Leah Witt, MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Alyson Michener, MD; Suzanne Zukoski, MSPT, MSG, GCS

Disclosures

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

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

Sponsor: Continuing Education Company 

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

Sponsor: Doximity

Visit doxgpt.com to start using it today. 

Sponsor: Freed

Use code: CURB50 to get $50 off your first month when you subscribe!

Sponsor: FIGS

FIGS is offering 15% off your first purchase at Wearfigs.com with the code FIGSRX. 

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

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

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Show Segments

• Intro
• Rapid fire questions/Picks of the Week
• Case
• History and Physical
• Laboratory Findings
• Management of Iron Deficiency Anemia
• Diet
• Oral Supplementation
• Unexplained Iron Deficiency
• Case 2
• IV Iron Supplementation
• IV iron reactions
• Case 3
• Laboratory Follow Up Post Supplementation
• When to Refer to a Hematology/Oncology specialist?
• Outro

Credits

• Producer,Writer, Show Notes, Cover Art, and Infographics: Sai S Achi  MD MBA FACP 
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Leah Witt, MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Dr. Tom DeLoughery MD, MACP, FAWM

Sponsor: FIGS

Just go to WearFIGS.com and use code FIGSRX for 15% off 

Sponsor: Uncommon Goods 

To get 15% off your next gift, go to UNCOMMONGOODS.com/curb

Sponsor: Continuing Education Company

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

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

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

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Show Segments

• Intro
• Case
• Initial presentation and evaluation 
• Imaging and endoscopic findings 
• Treatment options 
• Treatment goals
• Diet Recommendations
• Preventive Health
• Vitamin Deficiencies 
• Flare evaluation
• Inpatient care 

Credits

• Written and Produced by: Elena Gibson MD 
• Infographic and Cover Art:Elena Gibson MD 
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Aline Charabaty MD, FACG, AGAF

Disclosures

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

Sponsor: Quince 

Go to Quince.com/curb for free shipping on your order and 365-day returns. Now available in Canada, too.

Sponsor: Freed

Use code: CURB50 to get $50 off your first month when you subscribe!

Sponsor: Permanente Medical Group

Discover more at northerncalifornia.permanente.org

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

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

Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME

Show Segments

• Intro
• Case
• Definitions and symptoms
• Reflux mechanisms and triggers
• Medications for Acid suppression 
• Endoscopy and Ambulatory Reflux Monitoring 
• Stopping the PPI 
• Additional etiologies of reflux symptoms 
• Outro

Credits

• Written and Produced by: Elena Gibson MD 
• Infographic and Cover Art:Elena Gibson MD 
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Sai S Achi MD, MBA, FACP
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: James Callaway MD 

Disclosures

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

Sponsor: Panacea Financial 

Schedule a free consultation today and make sure your career stays more treat than trick. Get started at Panacea.Legal

Sponsor: Mint Mobile

Ready to say yes to saying no? Make the switch at MINTMOBILE.com/CURB

Sponsor:  Continuing Education Company

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

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

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

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

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

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

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Show Segments

• Intro
• Case 1
• Diagnostic Workup
• Understanding the Ratio, LLN/Z-Scores, and Equity
• Symptom abd Risk Staging (A/B/E)
• Case 2
• Foundational Care 
• Initial Inhaler Strategy 
• Progression & Hypercapnia: NIV & Adherence Counseling
• Add-On Pharmacologic Options for Frequent Exacerbators
• What’s New and Emerging
• Comorbidities and When to Refer 
• Take-Home Points Recap
• Plugs, CME, and Credits
  
  

Credits

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

• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Cyrus Askin MD

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

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

Sponsors

Sponsor: FIGS
Curbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX.


Sponsor: Permanente Medical Group
Discover more at northerncalifornia.permanente.org.


Sponsor: UNCOMMON GOODS
To get 15% off your next gift, go to UNCOMMONGOODS.com/curb.

Sorting out DOAC Drama in the Hospital

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

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

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Show Segments

• Intro
• Rapid fire questions/Picks of the Week
• Case 1 
• Definitions
• Missed Doses
• Lab Monitoring 
• Medical Conditions impacting DOACs
• Imaging
• D-dimer Usefulness 
• Treatment Switching
• Case 2 
• LV Thrombus
• Reversibility 
• Outro

Credits

• Producer, Writer, Show Notes, Hosts: Meredith Trubitt MD, Monee Amin MD 
• Infographic, Cover Art: Caroline Coleman MD
• Reviewer: Rahul Ganatra MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Jori May MD

Sponsor: Continuing Education Company

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

Sponsor: FIGS

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

Sponsor: Quince

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

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

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

Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | CME!


Show Segments

• Intro, disclaimer, guest bio
• Guest one-liner
• Case from Kashlak; Definitions
• Symptoms of opioid withdrawal
• Medications for the management of opioid withdrawal
• Buprenorphine precipitated withdrawal
• Starting Buprenorphine: Experiences and Strategies 
• Titrating Methadone: Dosage and Adjuncts
• Adjunctive short-acting opioids
• Emerging Trends in Drug Supply: Xylazine and Medetomidine
• Outro 

Credits

• Producer, Show Notes: Zina Huxley-Reicher
• Infographics: Zina Huxley-Reicher MD and Zoya Surani
• Hosts: Carolyn Chan, MD MHS, Zina Huxley-Reicher MD, Shawn Cohen, MD
• Reviewer: Payel Jhoom Roy, MD, MSc
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Ashish Thakrar, MD MHSP

Sponsor: Mint Mobile 

Shop plans at MINTMOBILE.com/CURB

Sponsor: Freed

Use code: CURB50 to get $50 off your first month when you subscribe!

Sponsor: FIGS 

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

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

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

Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | CME!

Credits

• Producer/Script Writer/Show Notes: Era Kryzhanovskaya, MD
• Infographic and Cover Art: Zoya Surani
• Hosts: Carolyn Chan, MD. MHS and Era Kryzhanovskaya, MD
• Reviewer: Sarah Leyde MD
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Dr. Phillip Coffin

Show Segments

• Intro, disclaimer, guest bio
• Guest one-liner
• Case from Kashlak; Definitions
• Four-tier approach to taking care of patients with methamphetamine use/use disorder
• Medications for treatment
• Psychosocial treatment
• Harm reduction
• New horizons in treatment 
• Outro

Sponsor: Locumstory

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Sponsor: Panacea

Visit panaceafinancial.com and Panacea’s Resource Library for free student loan articles, guides, and webinars built to help you make informed decisions.

Sponsor: Grammarly 

Download Grammarly for free at Grammarly.com/PODCAST

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

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

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

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

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

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

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Credits

• Written and Hosted by: Rahul Ganatra MD, MPH; Nora Taranto MD, Paul Williams, MD, FACP, Matthew Watto MD, FACP
• Cover Art: Rahul Ganatra MD, MPH
• Reviewer: Emi Okamoto, MD
• Technical Production: Pod Paste
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

• Intro, disclaimer
• CBD-induced liver injury
• IV Iron in HFrEF
• Bedtime administration of BP medications
• Carpal tunnel syndrome and RA
• FDA approves Finerenone for HFpEF
• Outro

Sponsor: Permanente

Want to join thousands of physicians who've made TPMG their career destination? Discover more at northerncalifornia.permanente.org

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

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

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

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Show Segments

• Introduction and icebreaker,  Fish Club?!  00:00
• Case 1 from Kashlak 07:27
• Diagnostic framework for dimorphic fungi 11:58
• Imaging presentations for fungal pneumonia, diagnostic schemas 18:23
• Testing options 27:48
• Treatment options 35:44
• Dimorphic Fungi Mnemonics 45:50
• Retail testing for mold 48:47
• Case 2 from Kashlak 56: 42
• Takeaways and Conclusions 1:05:19

Credits

• Producer, Writer, Show Notes:  Beth “Garbs” Gasperlin MD
• Infographic and Cover Art: Zoya Surani
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP,  Beth Gasperlin MD  
• Reviewer: Leah Witt Gaspard MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Andrej Spec MD

Disclosures

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

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


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


Sponsor: Freed
Use code: CURB50 to get $50 off your first month when you subscribe!

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

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

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Show Segments

• 00:00 Intro
• 03:00 Guest bio and hobby
• 04:25 Case of Charles Fleur Fontaine
• 06:00 Risk factors and epidemiology
• 08:00 Antibiotic hierarchy of risk
• 10:00 Diagnosis, testing strategies
• 14:00 Defining severity
• 17:30 Treatment options
• 20:00 Microbiome recovery strategies
• 24:00 Probiotics and postbiotics
• 27:00 Infection control counseling
• 30:00 C. diff and colon cancer
• 32:00 Recurrent C. diff strategies
• 35:00 Why some FMT and bezlotoxumab were discontinued
• 38:00 Microbiota replacement therapies
• 43:00 Prophylaxis strategies
• 45:00 Future therapies and ongoing research
• 47:00 Audience Q&A
• 52:00 Outro

Credits

• Written and Produced by: Matthew Watto, MD, FACP 
• Cover Art and Infographic by:
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Sai S Achi MD,MBA,FACP
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Cynthia Sears MD

Disclosures

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

Sponsor: Mint Mobile 

This year, skip breaking a sweat AND breaking the bank. Get this new customer offer and your 3-month Unlimited wireless plan for just 15 bucks a month at mintmobile.com/CURB 

Sponsor: Panacea Financial

Let Panacea Financial take the financial stress off your plate,so you can get back to doing what matters most. Visit panaceafinancial.com 

Sponsor: FIGS

Get15% off your first order at wearfigs.com with the code FIGSRX

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

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

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

Grammarly
Download Grammarly for free at Grammarly.com/PODCAST

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

An age-friendly approach to arthralgias.

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

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

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Show Segments

• Intro
• Case 1 from Kashlak
• General approach to joint pain in older adults
• Diagnosing osteoarthritis
• Management of osteoarthritis in older adults
  • Non-pharmacological interventions
  • Pharmacological interventions: topicals, orals, injectables
  • When to refer for joint replacement
• Case 2 from Kashlak
• Diagnosis of Late onset rheumatoid arthritis (LORA)
  • Differential Diagnosis and Distinguishing features
  • Lab work/Imaging
  • When to refer to rheumatology
• Approach to managing LORA
  • The 5Ms framework
  • Initial treatment with glucocorticoids
  • Ageism as a driver of undertreatment in older adults
  • Treating to target
• Key takeaways 
• Outro 

Credits

• Producers, Writers and Show Notes: Joseph (Lee) Young, MD, Leah Witt, MD, Rachel Miller, MD
• Cover Art and Infographic: Leah Witt, MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto, MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Dr. Una Makris

Disclosures

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


Sponsor: Heart of Care

If you care about patient safety, team performance, and building a culture of readiness, subscribe to In the Heart of Care. Available now, wherever you get your podcasts.

Sponsor: FIGS

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

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

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

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

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

Heart of Care
If you care about patient safety, team performance, and building a culture of readiness, subscribe to In the Heart of Care. Available now, wherever you get your podcasts.

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

Combing through common dermatologic complaints in Primary Care

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

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

Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME

Show Segments

• Intro
• Examination of hair and nails, ethnic hair types and cultural hair styles and practices.
• Lab tests- clinically useful tests, and those to avoid
• Telogen Effluvium
• Scaly itchy scalp, seborrheic dermatosis, psoriasis
• Androgenic alopecia and age-related hair loss
• Topical and oral treatments
• Examining the nails, conditions related to nail polishes and prosthetics
• Patchy hair loss, alopecia areata, Discoid Lupus Erythematosis
• Dr Pasieka’s take home points
• Outro

Credits

• Written & Produced by: Kate Grant MBChB, MRCGP
• Show Notes, Infographic & Cover Art : Kate Grant MBChB, MRCGP 
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Leah Witt MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Helena Pasieka MD MS

Disclosures

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

The Curbsiders report no relevant financial disclosures. 

Sponsor: Continuing Education Company 

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

Sponsor: FIGS

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

Sponsor Freed

Use code: CURB50 to get $50 off your first month when you subscribe!