The Curbsiders Internal Medicine Podcast

Take the ache out of those joint aches!

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

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Show Segments

• Intro
• Rapid fire questions/Picks of the Week
• Case 1
• Differential Diagnosis of arthropathy
• Risk factors for Gout
• Diagnostic Evaluation 
• Acute Treatments 
• Long-term Treatments
• Transitions of Care for Crystalline Arthropathy
• Case 2
• History and Physical Exam
• Diagnostic Work up
• Treatment
• Outro

Credits

• Writer, Producer, Show Notes, Hosts: Meredith Trubitt MD, Monee Amin MD  
• Infographic, Cover Art: Caroline Coleman, MD
• Reviewer: Sai Achi MD, MBA, FACP
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Kimberly Trotter, MD 

Disclosures

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

Sponsor: Bombas

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

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


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Credits

• Written and Hosted by: Nora Taranto MD; Alexander Chaitoff MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP, Alex Chaitoff MD MPH 
• Cover Art: Nora Taranto MD
• Reviewer: Leah Witt MD 
• Technical Production: Pod Paste
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

• Intro, disclaimer
• Self-collected HPV tests for cervical cancer screening 
• Semaglutide for MASH/Liver Fibrosis
• Male Partner Treatment for BV 
• Statins plus ezetimibe versus high-dose statins alone for statin-associated muscle symptoms 
• Exercise and Colon Cancer Risk 
• Cytisinicline for Smoking Cessation 
• Outro

Disclosures

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

Sponsor: FIGS

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


Sponsor: Quince

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


Sponsor: Continuing Education Company

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

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

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.

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Credits

• Producer, Show Notes, Infographics: Carolyn Chan MD, MHS
• Hosts: Carolyn Chan, MD, MHS and Shawn Cohen MD
• Reviewer: Payel Jhoom Roy MD, MSc
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Jessica Merlin MD, PhD, MBA

Sponsor: JournalFeed

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

Sponsor: Freed

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

Sponsor: Mint Mobile

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

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


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

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Show Segments

• Intro
• Case from Kashlak
• Definitions of infertility
• Male factor infertility evaluation
  • History
  • Semen analysis
  • lifestyle
• Female factor infertility evaluation
  • Anatomical approach
  • Basic testing
  • More advanced testing
• Unexplained infertility treatment
• Success of infertility treatments
• Financial impact/advocacy
• Oocyte preservation
• Outro

Credits

• Producer, Writer, Show notes, Cover Art, Infographics: Molly Heublein MD
• Hosts: Molly Heublein MD, Era Kryzhanovskaya MD
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Brindha Bavan MD

Disclosures

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


Sponsor: Grammarly

Download Grammarly for free at Grammarly.com/PODCAST.

Sponsor: FIGS


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


Sponsor: Panacea Financial 


Learn more at PanaceaFinancial.com. 

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

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

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Show Segments

• Intro
• Picks of the Week
• Part 1: Things We Do for No Reason™: Using lactate as our resuscitation guide in sepsis
• Part 2: Things We Do for No Reason™: Discontinuing β-blockers in patients who use cocaine
• Part 3: Things We Do for No Reason™: Discontinuing anticoagulation in older patients with atrial fibrillation and a high risk of falls
• Part 4: Things We Do for No Reason™: Discharge before noon
• Outro

Credits

• Producers: Caroline Coleman MD, Monee Amin MD, Meredith Trubitt MD 
• Writers:  Monee Amin MD and Meredith Trubitt MD
• Show Notes, Infographic, Cover Art: Caroline Coleman, MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Lenny Feldman, MD and Tony Breu, MD

Disclosures

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


Sponsor: FIGS

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

Sponsor: Freed

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

Sponsor: Locumstory

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

Sponsor: Continuing Education Company

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

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

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

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Credits

• Written and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP
• Cover Art: Rahul Ganatra MD, FACP
• Reviewer: Sai S Achi, MD,MBA,FACP
• Technical Production: Pod Paste
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

• Intro, disclaimer
• Vitamin D3 vs omega-3 fatty acids and physical performance
• Gabapentin vs duloxetine and risk of falls
• Gepotidacin vs nitrofurantoin for uncomplicated UTI
• Intermittent fasting vs daily calorie restriction for weight loss
• Outro

Sponsor: Bombas

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

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

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

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

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Show Segments

• Intro
• Diabetes in Older Adults (Geriatrics)
  • General Approach
  • Risks of Hypoglycemia
  • 4Ms Framework
  • Insulin Management
  • Oral Medications
• Diabetes in Pregnancy
  • Preconception Counseling
  • Eye Health Monitoring
  • Insulin Therapy During Pregnancy
  • Postpartum Care
• Steroid-Induced Hyperglycemia
  • General Approach
  • Postprandial Insulin Adjustment
  • NPH Insulin Usage
  • Initiating Insulin
  • Role of GLP-1RA and SGLT2-inhibitors
• Take-home Points
• Outro

Credits

• Producer, Writer, and Show Notes: Isabel Valdez, PA-C
• Infographic and Cover Art: Zoya Surani, BA, MS
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Leah Witt, MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Jeff Colburn, MD

Disclosures

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

Sponsor: Continuing Education Company

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

Sponsor: Freed

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

Sponsor: Quince

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

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

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

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

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

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

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

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

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Show Segments

• 00:00 Introduction 
• 03:22 Case Presentation: Newly Diagnosed Heart Failure
• 07:26 Using Physical Exam Findings to Guide Diuresis
• 11:58 The Four Pillars of Guideline-Directed Medical Therapy for Heart Failure
• 15:07 Optimizing Therapy and Follow-Up in Heart Failure Patients
• 22:10 The Benefits of High-Intensity Initiation and Titration of Guideline-Directed Medical Therapy
• 28:02 Consideration of Other Medications
• 40:02 Referral to Advanced Heart Failure Specialist
• 49:11 Optimizing Therapy and Follow-Up
• 55:33 Conclusion and Book Recommendation

Credits

• Writer and Producer: Deborah Gorth MD, PhD
• Infographic and Cover Art: Zoya Surani
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Michelle Kittleson MD, PhD

Sponsor: Mint Mobile 

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

Sponsor: American College of Physicians

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

Sponsor: Panacea Legal

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

Highlights and Pearls from SHM’s Annual Meeting

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

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

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Show Segments

• Intro
• Care of the Patient Experiencing Homelessness
• Updates in GI
• Delirium
• Adaptive Leadership
• Transgender Health
• Capacity Assessment
• Heart Failure
• Care of the Transplanted Kidney
• Precipitated Withdrawal
• IV contrast
• Alcohol Withdrawal
• MRSA Nares Swabs
• Bugs, Bite, and Fever
• Perioperative Medicine 
• Parkinson’s Disease
• Stroke 
• Outro

Credits

• Producer, Writer, Show Notes: Meredith Trubitt MD, Monee Amin MD, Caroline Coleman MD 
• Cover Art: Caroline Coleman, MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Rahul Ganatra, MD MPH
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Michelle Brooks MD, Avital O’Glasser MD, Rahul Ganatra MD MPH

Disclosures

The Curbsiders report no relevant financial disclosures. 

Sponsor: Freed

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

Sponsor: Locumstory

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

Sponsor: Grammarly 

Download Grammarly for free at Grammarly.com/PODCAST.

Sponsor: Continuing Education Company

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

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.

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

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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. 

Sponsor: FIGS

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

Sponsor: Bombas

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

Sponsor: Continuing Education Company

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

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

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

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Show Segments

• Intro and getting to know our guest
• Case from Kashlak
• Hypermobility definitions and background
• Initial screening for hypermobility
• Physical examination 
• Associated conditions and symptoms
• Management principles of joint hypermobility
• Outro

Credits

• Writer and Producer: Paul Williams, MD, FACP
• Show Notes: Paul Williams, MD, FACP
• Infographic and Cover Art: Paul Williams, MD, FACP
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto, MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest:  Linda Bluestein, MD

Disclosures

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

Sponsor: Quince

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

Sponsor: Mint Mobile

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

Sponsor: Continuing Education Company

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

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

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

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Show Segments

• Intro
• Case 1 from Kashlak
• Medical conditions that can mimic depression
• Diagnosis of depression
• How to explain depression to family
• Initial treatment options for depression
• Case 2 from Kashlak
• Suicide risk assessment
• Trialing, augmenting, and tapering of medications
• Pharmacogenetic testing
• Alternate treatment options: TMS, ECT, ketamine, psilocybin, cannabis
• Outro

Credits

• Written and Produced by: Zoya Surani
• Show Notes, Infographic, and Cover Art: Zoya Surani
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Sai Achi MD,MBA,FACP
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Jessi Gold, MD

Disclosures

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


Sponsor: Panacea Financial 

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

Sponsor: FIGS

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

Sponsor: Ezresus

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

Sponsor: Freed

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

Updates in classification, evaluation, and treatment

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

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

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Show Segments

• Intro
• Rapid fire questions
• The Terminology of Neurocognitive Disorders
• Cognitive Domains: A Comprehensive Approach
• Physical Examination Insights
• Medical Workup for Dementia
• Imaging and Biomarkers in Dementia Diagnosis
• Referral Considerations for Dementia Patients
• Understanding Dementia Stages and Prognosis
• Implementing Brain Health Plans
• Medications for Dementia Management
• Controversies in Monoclonal Antibody Therapies
• The Importance of Early Detection and Planning
• Outro
• 
  

Credits

• Producers, Writers and Show Notes: Leah Witt, MD and Margaret Heller, MD
• Infographic and Cover Art: Leah Witt, MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto, MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Anna Chodos, MD

Disclosures

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

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

Sponsor: Locumstory

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

Sponsor: Grammarly 

Download Grammarly for free at Grammarly.com/PODCAST

Sponsor: Continuing Education Company

Special offer for Curbsiders listeners: Save 30% on all online courses and live webcasts with promo code CURB30. Visit www.CMEmeeting.org/curbsiders to explore all offerings and claim your discount. Whether live, online, or on-demand, Continuing Education Company makes earning CME easy and rewarding.

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

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

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Credits

• Written and Hosted by: Rahul Ganatra MD, MPH; Molly Brett MD, and Matthew Watto MD, FACP
• Cover Art: Matthew Watto MD, FACP
• Reviewer: Leah Witt, MD
• Technical Production: Pod Paste
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

• Intro, guest introduction, disclaimer
• Cognitive safety of very low LDL Cholesterol
• Suzetrigine for acute pain
• Risk for amputation associated with SGLT2 inhibitors
• Transfusion strategies in acute MI with anemia revisited
• Outro

Sponsor: Freed

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

Sponsor: Ezeresus

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

Sponsor: Bombas 

Enjoy worldwide shipping to over two hundred countries. Head over to Bombas.com/curb and use code curb for 20% off your first purchase.

Sponsor: Continuing Education Company

Special offer for Curbsiders listeners: Save30% on all online courses and live webcasts with promocode CURB30. Visit www.CMEmeeting.org/curbsiders to explore all offerings and claim your discount. 

Make MAUD your topira-MATE

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

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

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

Credits

• Written, produced, show notes, cover art and infographics by: Shawn Cohen MD 
• Hosts: Carolyn Chan, MD. MHS, Shawn Cohen MD, and Paul Williams MD
• Reviewer: Kento Sonoda MD
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest:  Stephen Holt MD

Sponsor: Pretty Litter

Go to Prettylitter.com/curb to save twenty percent on your first order and get a free cat toy. 

Sponsor: Quince

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

Sponsor: American College of Physicians Inc

Internal Medicine Board Review Courses and offered in the Greater Chicago area May 13-17 and, new for 2025,  Philadelphia, July 14-18. • Enter code COURSECS25 toSave $75 dollars when registering for the Philadelphia course by 6/1.  Registration is open now at acponline.org
Sponsor: Ezresus

Listeners of the Curbsiders get access to a 2-month free trial, letting them use 100% of the features of the app. Go to .ezresus.com/curbsiders and use promo code Curbsiders

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

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

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

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Show Segments

• Intro
• Case
• Preoperative Assessment & Consulting Tips
• Risk Calculators
• Frailty
• Pulmonary Considerations
• Cardiovascular Meds & BP Management
• NPO: Why Are We Still Doing This?
• Biomarkers & Postoperative Risk
• MINS
• Outro

Credits

• Written and produced, show notes, cover art, CME, and infographics: Paul Wurtz MD. 
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Reviewer: Molly Heublein MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Avital O’Glasser MD

Disclosures

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

Sponsor: EZResus 

Listeners of the Cribsiders and Curbsiders podcasts get access to a 2-month free trial,letting them use 100% of the features of the 
For more information, www.ezresus.com/curbsiders and Use promo code Curbsiders

Sponsor: Freed

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Sponsor: Mint Mobile

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Treat Hypertension Like No Doctor Has Ever Treated Hypertension Before

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

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

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Show Segments

• 00:00 Introduction and Current Interests
• 01:55 Understanding Hypertension
• 11:59 Blood Pressure Measurement Techniques
• 19:58 Treatment Goals and Guidelines for Hypertension
• 30:02 Managing Resistant Hypertension and New Treatments
• 36:00 Exploring GLP-1 Agonists and Blood Pressure Benefits
• 39:06 Aldosterone Synthase Inhibitors: A New Hope
• 42:00 Innovative Approaches: Small Interfering RNAs in Hypertension
• 47:06 Renal Denervation: A Controversial Procedure
• 55:01 Understanding Resistant Hypertension and Testing Protocols

Credits

• Writer and Producer: Deborah Gorth MD, PhD
• Show Notes: Ben Furman and Deborah Gorth MD, PhD
• Cover Art and Infographic: Deborah Gorth MD, PhD and Meryl Gorth RD, MPH
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Sai Achi MD, MBA, FACP
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Jordana Cohen MD, MSCE

Disclosures

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


Sponsor: Factor

Eat smart with Factor. Get started at factormeals.com/factorpodcast and use code FACTORPODCAST to get 50% off your first box plus free shipping. 

Sponsor: Continuing Education Company 

This is a special offer for Curbsiders listeners. Visit www.CMEmeeting.org/curbsiders to save 30% on all online courses and live webcasts with promo code CURB30.

Sponsor: Panacea Financial

Explore financial solutions designed to make your life better at panaceafinancial.com. 

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

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Show Segments

• Intro
• Case 1, part 1: Unstable narrow tachyarrhythmias
• Case 1, part 2: Stable, narrow tachyarrhythmias – regular rhythm
• Vagal tone: Valsalva, Modified Valsalva, or Carotid Massage?
• Adenosine
• 2nd line AV nodal blockade: metoprolol, diltiazem
• Case 2: Stable, narrow tachyarrhythmias – irregular rhythm
• AV nodal blockade
• Amiodarone and diltiazem
• Rapid fire questions/Picks of the Week
• Outro

Credits

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

• Producer, writer, Infographic, cover art, and show notes by: Caroline Coleman, MD
• Hosts: Meredith Trubitt, MD and Monee Amin, MD
• Reviewer: Rahul Ganatra, MD MPH
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Noble Maleque, MD

Sponsor: Freed

Start your free trial today, no credit card needed. Usecode: CURB50 to get $50 off your first month when you subscribe at Freed.ai 

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Sponsor: Locumstory

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

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

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Show Segments

• 00:00 Introduction and Overview
• 02:57 The IDENTIFY study: Non-Invasive Prenatal Testing and Cancer Detection with cfDNA
• 05:54 Implications of Non-Reportable Results in Prenatal Testing
• 08:51 Vitamin K2: A New Approach to Managing Nocturnal Leg Cramps
• 12:07 Practicality and Future of Vitamin K2 in Clinical Practice
• 23:21 The Dangers of As-Needed Antihypertensives in the hospital
• 32:21 Exploring GLP-1 Agonists for Alcohol Use Disorder
• 40:24 Shorter Antibiotic Courses in Sepsis
• 46:09 Advancements in Patient-Collected HPV Screening for cervical cancer

Credits

• Written and Produced by: Nora Taranto MD, Laura Glick MD, Matthew Watto MD, FACP; Paul Williams MD, FACP
• Show Notes: Nora Taranto MD
• Cover Art: Matthew Watto MD, FACP
• Hosts: Nora Taranto MD, Laura Glick MD, Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste

Disclosures

The Curbsiders report no relevant financial disclosures. 

Sponsor: Bombas

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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: Mint Mobile

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Management and Ongoing Monitoring of Thyroid Neoplasms

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

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

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Show Segments

• Intro, guest bios
• Case From Kashlak
• Thyroid nodule evaluation and management
• Thyroid cancer diagnosis and treatment
• GLP-1s relationship to thyroid nodules and cancer
• Outro

Credits

• Writer, producer, show notes, infographic, cover art: Alise Burke, MD 
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest:  Kaniksha Desai MD and Ana Chindris MD

Sponsor: Panacea

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Diuresing ‘til the heart's content

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

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

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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: CME Meeting 

Visit www.CMEmeeting.org/curbsiders to explore all offerings and claim your discount. Whether live, online, or on-demand, Continuing Education Company makes earning CME easy and rewarding. Special offer for Curbsiders listeners: Save 30% on all online courses and live webcasts with promocode CURB30

Sponsor: Rocket Money

Cancel your unwanted subscriptions and reach your financial goals faster with Rocket Money. Go to RocketMoney.com/CURB today.

Sponsor: Freed

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

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

X profile (formerly twitter):  @Askins_Razor 

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Show Segments

• Intro
• Case
• Topic
• Rapid fire questions/Picks of the Week
• Outro

Credits

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

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

Sponsor: Babble

Babbel is gifting our listeners 60% off subscriptions at Babbel.com/CURB. 

Sponsor: Bombas

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


Sponsor: Pretty Litter 

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Become a mini geriatrician in our new Geriatrics series!

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

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

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Show Segments

• Intro
• Rapid fire questions
• Case
• Defining Unintentional Weight Loss
• Applying the Geriatric 5Ms Framework
• Diagnostic Work-Up
• Addressing Ageism in Medical Decisions
• Defining Geriatric Syndromes
• Weight Loss Treatments
• Outro

Credits

• Producer: Leah Witt, MD, Rachel Miller, MD, MSEd
• Writers: Abigail Schmucker, MD, Joseph Young, MD, Margaret Heller, MD, Alyson Michener, MD, Leah Witt, MD
• Show Notes, Infographic and Cover Art: Leah Witt, MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Molly Heublein, MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Eva Szymanski, MD

Sponsor: Quince

Upgrade your closet this year without the upgraded price tag. Go to Quince.com/curb for 365-day returns, plus free shipping on your order!

Sponsor: Freed

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

Sponsor: Mint Mobile

Switch to Mint and new customers can get half off an Unlimited plan until February 2. To get your new wireless plan for just $15 a month, and get the plan shipped to your door for FREE, go to MINTMOBILE.com/curb

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: Rocket Money

Cancel your unwanted subscriptions and reach your financial goals faster with Rocket Money. Go to RocketMoney.com/CURB today. 

Sponsor: Rosetta Stone

Visit rosettastone.com/curbsiders for 50% off unlimited access to 25 language courses for the rest of your life. 

Sponsor: Grammarly 

Download Grammarly for FREE at grammarly.com/PODCAST.

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

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

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


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

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

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Show Segments

• Introduction
• Picks of the Year
• Diabetic Foot Infections 
• Sepsis
• Sickle Cell Inpatient Management 
• Psychiatry Primer
• Syncope 
• Acute Coronary Syndrome 
• Reflections from the Year 

Credits

• Written, Produced, and hosted by: Meredith Trubitt  MD; Monee Amin MD
• Script Written: Caroline Coleman, MD, RJ Blackburn, MD
• Cover Art: Caroline Coleman, MD
• Reviewer: Rahul Ganatra MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste

Sponsor: Rosetta Stone

Redeem your 50% off at rosettastone.com/curbsiders

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

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

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Show Segments

• 00:00 Introduction and Year-End Reflections
• 02:59 Picks of the Year
• 05:53 Dental Pain and Oral Care Insights
• 10:25 Cardiac Amyloidosis
• 14:33 Listener mail- diabetes
• 16:33 Neck Pain
• 19:08 Continuous Glucose Monitoring in Diabetes
• 23:57 Hyperparathyroidism
• 30:48  Hepatitis B 
• 34:01 Listener mail- obesity
• 36:14 Travel Medicine: Malaria, Diarrhea, and Vaccination
• 40:38 Endometriosis
• 46:08 Rhinitis and Environmental Allergies
• 49.24  Recurrent UTIs
• 55:08 Reflections on Nine Years of Curbsiders

Credits

• Written, Produced, and hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Cover Art: Matthew Watto MD, FACP
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Molly Heublein MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste

Sponsor: AquaTru

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

Sponsor: Freed

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

Sponsor: Quince

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

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

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

Visit our website for detailed show notes for this episode.

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


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

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

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

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

Visit our website for detailed show notes for this episode.

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

Sponsor: Freed

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

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

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

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

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

Visit our website for detailed show notes for this episode. 

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

Sponsor: Freed

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

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

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

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Credits

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

Show Segments

• Intro, disclaimer
• A new triple pill for hypertension
• How arm position affects blood pressure
• Early TAVR for asymptomatic patients with severe AS
• Liberal versus restrictive transfusion strategy in patients with acute brain injury
• A quick overview of the 2024 ACC/AHA perioperative medicine guidelines
• Outro

Sponsor: Freed

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

Sponsor: AquaTru

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

Sponsor: Uncommon Goods

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

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

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: Freed

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

Sponsor: Pattern

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

Sponsor: Litter Robot

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

A Bell-Ringer of a Presentation

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

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

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Show Segments

• Introduction
• Rapid fire questions and Reflex Hammers
• Case #1: Ms. Melanie
• Framework for Bell's Palsy
• Bell's Palsy vs Stroke: How to Differentiate 
• Approach to History and Physical Exam 
• Case #2: Mr. Lopez
• Red Flags in Facial Palsy (GROWLS FACE)
• Workup: From Imaging to Labs and What Not to Do
• Treatment: The Role of Steroids and Antivirals
• Supportive Care, Complications and Prognosis
• Take-Home Points
• Outro

Credits

• Producer and Writer: Isabel Valdez, PA-C 
• Show Notes: Paul Wurtz MD, Ben Furman MPH MS3, Isabel Valdez, PA-C
• Infographic and Cover Art: Zoya Surani, MS2
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Leah Witt, MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Jordan Amar, MD

Sponsor: Beginly Health

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


Sponsor: Freed

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

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

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Show Segments

• 00:00 Introduction and Advice for Physicians
• 02:24 Case Presentation
• 04:16 Understanding HFpEF
• 08:11 Differential Diagnosis of Dyspnea and Edema
• 11:30 Diagnosing HFPEF: H2F-PEF Score and Testing
• 17:07 Managing Comorbidities in HFpEF
• 20:54 Non-Pharmacological Interventions: Weight Loss and Exercise
• 23:16 Understanding the Challenges of HFpEF
• 25:08 Medications
• 30:13 Promising Results of GLP-1 Receptor Agonists
• 36:38 Managing Salt and Water Intake

Credits

• Writer and Producer: Deborah Gorth MD, PhD
• Infographic and Cover Art: Zoya Surani
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Michelle Kittleson MD, PhD

Sponsor: Freed

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

Sponsor: Bombas

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

Sponsor: Beginly Health

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

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

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

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

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Credits

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

Show Segments

• Introduction + Pun 
• Exploring Finerenone in Heart Failure
• Pneumonia Vaccines: The PCV21 Trial
• Long-Term Oxygen Therapy: The REDOX Trial
• Cardiovascular Risk Calculators: The PREVENT Equation

Sponsor: Freed

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

Sponsor: Quince

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

Sponsor: Beginly Health

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

Kittleson Rules Outpatient Heart Failure Volume 1

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

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

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Show Segments

• 00:00 Introduction 
• 03:22 Case Presentation: Newly Diagnosed Heart Failure
• 07:26 Using Physical Exam Findings to Guide Diuresis
• 11:58 The Four Pillars of Guideline-Directed Medical Therapy for Heart Failure
• 15:07 Optimizing Therapy and Follow-Up in Heart Failure Patients
• 22:10 The Benefits of High-Intensity Initiation and Titration of Guideline-Directed Medical Therapy
• 28:02 Consideration of Other Medications
• 40:02 Referral to Advanced Heart Failure Specialist
• 49:11 Optimizing Therapy and Follow-Up
• 55:33 Conclusion and Book Recommendation

Credits

• Writer and Producer: Deborah Gorth MD, PhD
• Infographic and Cover Art: Zoya Surani
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Michelle Kittleson MD, PhD

Sponsor: Freed

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

Sponsor: Litter Robot

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

Sponsor: Beginly Health

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

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

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

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

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Show Segments

• 00:00 Introduction and Setting the Agenda
• 03:07 Getting to Know the Guest and Rapid Fire Questions
• 05:51 Case from Kashlak: Mateo with Common Cold Symptoms
• 06:12 Defining and Diagnosing the Common Cold
• 09:08 Approach to History and Physical Exam
• 13:23 Viral Respiratory Testing and Its Indications
• 17:36 Symptomatic Treatment Options for the Common Cold
• 24:25 Managing Cough and Nasal Congestion
• 35:03 Home Remedies and natural products
• 42:16 Prescribing Antivirals for Influenza
• 46:33 Antibiotics and Counseling Patients
• 52:07 Contagiousness and Risk to Family Members
• 54:52 Recurring Colds and Risk Factors
• 59:38 Vaccination recommendations
• 01:01:23 Key Takeaways and Conclusion

Credits

• Producer: Leah Witt, MD and Molly Heublein, MD
• Show Notes/CME: Molly Heublein, MD
• Cover Art and Infographic: Leah Witt, MD
• Hosts, writers: Leah Witt and Molly Heublein, MD  
• Reviewer: Fatima Syed, MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Amber Bird, MD

Sponsor: Babbel

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

Sponsor: Freed

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

Sponsor: Panacea Legal

 Let Panacea Legal help you today at Panacea.Legal

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

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

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Show Segments

• Intro
• Getting to know our guest
• Basics of oxygen prescribing and devices
• Caveats for the patient who only has exertional hypoxemia
• How to prepare for travel
• Key points & take aways
• Outro

Credits

• Producer, Writer, Infographic and Cover Art Artist: Leah Witt, MD
• Show Notes: Cyrus Askin, MD
• Reviewer:  Fatima Syed, MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Susan Jacobs, RN, MS

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

Sponsor: Beginly Health

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

Sponsor: Freed AI

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

View full show notes at thecurbsiders.com

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

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

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

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Show Segments

• Case 1 - Hip stress fracture 
• Approach to hip injuries in runners  
• Relative Energy Deficiency in Sports (RED-S)
• Imaging consideration for bone stress injuries
• Surgical and treatment consideration for hip stress fractures
• Osteoporosis evaluation
• Case 2 - Greater trochanteric pain syndrome 
• Hip and trochanter anatomy  
• Treatment and imaging of trochanteric tendinopathies
• Case 3 - Meniscus tear
• Knee evaluation and physical exam  
• Bucket handle tears and surgical considerations
• Special physical exam maneuvers 
• Imaging and further surgical considerations 
• Outro & Take Home Points 

Credits

• Producer and Show Notes: Peter Wikoff MD
• Writer, Infographic and Cover art: Edison Jyang MD 
• Reviewer: Sai S Achi MD MBA FACP
• Hosts and Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Technical Production: PodPaste
• Guest: Dr. Carlin Senter MD

Sponsor: ClinicalKey AI

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

Sponsor: Beginly Health

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

Sponsor: Freed AI

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

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. 

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

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Credits

• Written and Produced by: Fatima Syed, MD, MSc
• Infographic and Cover Art: Zoya Surani, MD 
• Show Notes: Fatima Syed, MD, MSc
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Reviewer: Sai S Achi, MD, MBA, FACP
• Showrunners: Matthew Watto MD, FACP and Paul Williams MD, FACP
• Technical Production: Pod Paste
• Guest: Joel Topf, MD
  
  

Sponsor: Mint Mobile

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

Sponsor: ClinicalKey AI

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

Sponsor: Freed

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

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

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

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Show Segments

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


Credits

• Producer and Show Notes: Peter Wikoff MD
• Writer, Infographic and Cover art: Edison Jyang MD 
• Reviewer: Sai S Achi MD MBA FACP
• Hosts and Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Technical Production: PodPaste
• Guest: Dr. Carlin Senter MD

Sponsor: ClinicalKey AI

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

Sponsor: Freed

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

Sponsor: Babbel

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

Expand your NAFLD/MASLD knowledge!

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

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

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Show Segments

• Intro
• Rapid Fire Segment
• Case 1 Part 1
• NAFLD/MASLD terminology and differential diagnoses
• PEth testing 
• Diagnostic tools for NAFLD/MASLD: Fib4 Score
• Imaging
• When to Refer to a Hepatologist?
• Treatment options
• Lifestyle modifications
•  Role of GLP-1 agonists
• Role of new FDA approved medications
• Outro

Credits

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

Sponsor: Freed

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

Sponsor: The University of Virginia

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

Sponsor: Beginly Health

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

Quit playing games with my heart

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

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

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Show Segments

• Start Part 1
• Intro
• Rapid fire questions/Picks of the Week
• Case 1
• History and Physical
• ECGs 
• Definitions
• Risk Stratification Tools
• Non-invasive Testing Options
• End Part 1
• Start Part 2
• Case 2
• Warranty on Non-invasive Testing
• Invasive Management of non ST elevation ACS 
• Medical Management of non ST elevation ACS 
• Case 3
• Myocardial Injury Definitions
• Diagnostics to Consider for Myocardial Injury
• Transitions of Care
• Outro
• End Part 2

Credits

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

Sponsor: Babbel

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

Sponsor: Freed


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

Sponsor: Panacea Financial 

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

Quit playing games with my heart

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

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

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Show Segments

• Start Part 1
• Intro
• Rapid fire questions/Picks of the Week
• Case 1
• History and Physical
• ECGs 
• Definitions
• Risk Stratification Tools
• Non-invasive Testing Options
• End Part 1
• Start Part 2
• Case 2
• Warranty on Non-invasive Testing
• Invasive Management of non ST elevation ACS 
• Medical Management of non ST elevation ACS 
• Case 3
• Myocardial Injury Definitions
• Diagnostics to Consider for Myocardial Injury
• Transitions of Care
• Outro
• End Part 2

Credits

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

Sponsor: Mint Mobile 

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

Sponsor: Freed

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


Sponsor: American College of Physicians

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

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

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

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

Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

Show Segments

• Intro, disclaimer, guest bios
• Guest one-liners, Introduction to Nephmadness 2022
• Case #1 from Kashlak: acute decompensated heart failure with elevated creatinine
• Definition and pathophysiology of cardiorenal syndrome
• Use of home ACE-is/ARBs and SGLT-2 inhibitors in cardiorenal syndrome
• Case #2 from Kashlak: the creatinine bump with diuresis
• Approach to the creatinine bump with diuresis
• Tips for the volume exam
• Interpreting cardiac biomarkers in patients with chronic kidney disease
• Case #3 from Kashlak: diuretic resistance
• Maximizing loop diuretic efficacy
• Sequential nephron blockade
• Use of hypertonic saline
• Outro

Credits

• Producer, Writer, Show Notes, Infographics: Malini Gandhi
• Cover Art:  Beth Garbitelli
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto MD, FACP
• Executive Producer: Beth Garbitelli
• Showrunner: Matthew Watto MD, FACP
• Editor: Clair Morgan of nodderly.com
• Guest: Dr. Joel Topf MD, Dr. Sadiya Khan MD

Sponsor: Beginly Health

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

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

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

We're taking a short summer break, but we'll be back at the end of August with brand new episodes.
 
AKI Tips and Tricks from Joel Topf MD, Kashlak’s Chief of Nephrology

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

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

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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; Paul Williams MD, FACP   
• Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com
• Guest: Joel Topf, MD

Time Stamps

• 00:00 Sponsors - VCU Health CE and Pediatrics On Call podcast by APP
• 00:30 Intro, disclaimer, guest bio
• 03:00 Guest one-liner, Picks of the Week*: Zoe Keating albums (Cellist); Mrs. America (TV series) on FX; The Last of Us (Videogame);
• 08:45 Sponsor - Pediatrics On Call podcast by APP
• 09:15 Definition of acute kidney injury (AKI) and fundamentals
• 11:00 Cardiorenal syndrome
• 12:24 Schema for AKI
• 17:30 Establish an etiology, determine urine output and address electrolyte abnormalities
• 21:22 AKI in the otherwise-healthy patient;
• 32:20 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
• 68:45 Outro and Sponsor - VCU Health CE

Sponsor: Freed

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


Sponsor: Panacea Financial

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

Sponsor: Locumstory

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