The Curbsiders Internal Medicine Podcast

Master hormonal and nonhormonal therapies for menopausal symptoms including vasomotor symptoms (VMS).  We’re joined by Dr. Monica Christmas, @drmonicaxmas (UChicago Medicine). 

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Show Segments

• Intro
• Nonpharmacologic management of vasomotor symptoms (VMS)
• Non-hormonal therapy for menopause
• Taking a history for menopausal symptoms, VMS
• Hormone therapy (HT) risk assessment, counseling
• Prescribing Hormone therapy
• Troubleshooting hormone therapy
• Premature menopause and primary ovarian insufficiency
• Discontinuation of hormone therapy
• Outro

Credits

• Written and Produced by: Matthew Watto MD, FACP
• Show Notes: Matthew Watto MD, FACP
• Cover Art and Infographic: Matthew Watto MD, FACP
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Molly Heublein MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Monica Christmas MD

Sponsor: Locumstory

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

Full transcript available HERE.

Definitions, 4Ms & Inhaler Pro Tips

Level up COPD management in older adults. Start with learning the latest in COPD diagnosis and classification, then stay for the mind-blowing inhaler misuse & cost discussion. We’re joined by a dynamic (and interprofessional) duo: Dr. Leah Witt (@leahjwitt) and Dr. Amber Lanae Martirosov, PharmD (@AmberMartirosov).

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

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Show Segments

• Intro
• Rapid Fire Questions
• Case Part 1
• COPD Definition
• COPD alphabet soup: ABE
• Case Part 2
• Geriatric 4Ms & COPD
• Inhaler Use & Cost
• Outro

Sponsor: Indeed
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Sponsor: Babbel
Get 55% off at Babbel.com/CURB.

Full transcript available HERE

Join us as we review recent articles and news featured in The DIGEST #43 and #44, including bempedoic acid to lower cardiovascular risk, Alpha-Gal Syndrome, tick bites and meat allergy, orforglipron an oral GLP1 agonist for weight loss, zuranolone for postpartum depression, DOACs for VTE of malignancy, monoclonal antibodies (mAbs) for Dementia, cytisinicline for smoking cessation, and two kiwis a day for constipation. Fill your brain hole with a delicious stack of hotcakes! Featuring Drs. Paul Williams (@PaulNWilliamz), Nora Taranto (@norataranto), 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; Paul Williams, MD, FACP, Matthew Watto MD, FACP
• Cover Art: Matthew Watto MD, FACP
• Reviewers: Nora Taranto MD; Paul Williams, MD, FACP, Matthew Watto MD, FACP
• Technical Production: Pod Paste
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Sponsor: Netsuite

Download NetSuite’s popular KPI Checklist, designed to give you consistently excellent performance for free, at NetSuite.com/CURBSIDERS


Sponsor: Locumstory 

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

Sponsor: Grammarly 

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Sponsor: Pathway

Download the Pathway app today by visiting pathway.md


Show Segments

• Intro, disclaimer
• Bempedoic Acid for CV risk reduction
• DOACs to prevent recurrent VTE of malignancy
• Cytisinicline for smoking cessation
• Alpha-Gal Syndrome, tick bites, and meat allergy
• Zuranolone for postpartum depression
• Orforglipron, an oral GLP1 agonist, for weight management
• mAbs for Alzheimer’s dementia
• Kiwis to prevent constipation
• Outro

We’re taking a short summer break, but we’ll be back in September with brand-new episodes. Can’t wait? Join our Kashlak family at patreon.com/curbsiders for access to twice-monthly bonus episodes… there are already 9 of them available to feed your brain hole! Yummy!

Take a walk through Liver Land with Dr. Elliot Tapper (@ebtapper on Twitter) as we stroll through the best of liver tests. Once differentiating a hepatocellular versus cholestatic injury picture, Dr. Tapper shares some targeted labs to help with etiology, as well as what to do with those pesky isolated lab abnormalities. On top of that, we review common causes of severe acute liver disease and issues in pregnancy. Join us, and you’ll be writing more accurate notes as Dr. Tapper schools us on what “liver function tests” really mean! 


Free CME for this episode at curbsiders.vcuhealth.org

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Credits

• Written and Produced by: Elena Gibson MD 
• Cover Art and Infographic: Kate Grant MD; Elena Gibson MD 
• Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP  
• Editor: Emi Okamoto MD  (written materials); Clair Morgan of nodderly.com
• Guest: Elliot Tapper MD

Sponsor: Panacea 
If you’re ready to join the thousands of doctors who have declared independence from traditional banks, visit panaceafinancial.com today to open your free account.

Sponsor: Birch
Birch is giving 20% off ALL mattresses and 2 free eco-rest pillows at BirchLiving.com/curb when you use code BIRCHPARTNER20!


CME Partner: VCU Health CEThe Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org.

Show Segments

• Intro, disclaimer, guest bio
• Guest one-liner
• Definitions of liver enzymes, liver function tests  
• Patterns of acute liver injury
• Drug-induced liver injury
• Isolated alkaline phosphatase elevation 
• Isolated total bilirubin elevation 
• Livery Injury During Pregnancy 
• Acute liver failure
• Outro

We’re taking a short summer break, but we’ll be back in September with brand-new episodes. Can’t wait? Join our Kashlak family at patreon.com/curbsiders for access to twice-monthly bonus episodes… there are already 9 of them available to feed your brain hole! Yummy!

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


Free CME for this episode at curbsiders.vcuhealth.org

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Credits

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

CME Partner: VCU Health CE


The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit.

Show Segments

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

Sponsor: Green Chef

Go to GreenChef.com/60curb and use code 60curb to get 60% off plus free shipping.

We’re taking a short summer break, but we’ll be back in September with brand-new episodes. Can’t wait? Join our Kashlak family at patreon.com/curbsiders for access to twice-monthly bonus episodes… there are already 9 of them available to feed your brain hole! Yummy!

Obesity treatment has been around since the 1950s but we’ve been underutilizing it for far too long! Not only that, we’ve been thinking about obesity the wrong way for decades. Join us with Dr. Fatima Cody Stanford (@AskDrFatima) of Massachusetts General Hospital as we reframe our approach to this disease and learn tips on prescribing  older,  but still very effective, medications used to treat obesity. 

Free CME for this episode at curbsiders.vcuhealth.org

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Credits

• Producer, Writer, Show Notes, Infographics, Cover Art: Isabel Valdez, PA-C
• Show Notes, Infographics: Maddison McLellan
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Monee Amin, MD
• Executive Producer: Beth Garbitelli
• Showrunner: Matthew Watto MD, FACP
• Editor: Clair Morgan of nodderly.com
• Guest: Fatima Cody Stanford, MD 

Sponsor: Locumstory

Get a comprehensive view of Locumstory at locumstory.com


Sponsor: Babbel
.Get 55% off your Babbel subscription at Babbel.com/curb. Rules and restrictions apply. 


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

Show Segments

• Intro, disclaimer, guest bio
• Guest one-liner by Dr. Fatima Cody Stanford
• Case from Kashlak 
• Guidelines for treatment 
• Getting the history and discussing weight goals
• The Care Team:  Dietician, Behavioral Specialist, Provider
• Medications: Phentermine, Topiramate, Bupropion, Naltrexone
• Obesity treatment in pregnancy
• Referring to bariatric surgery
• Take home points
• Outro

Your swell guide to the swollen leg

We’re taking a short summer break, but we’ll be back in September with brand-new episodes. Can’t wait? Join our Kashlak family at patreon.com/curbsiders for access to twice-monthly bonus episodes… there are already 9 of them available to feed your brain hole! Yummy!

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

Credits

• Written and produced by: Paul Williams, MD, FACP
• Infographic and Cover Art: Matthew Watto, MD, FACP
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Beth Garbitelli
• Reviewer: Emi Okamoto, MD
• Executive Producer: Beth Garbitelli
• Showrunner: Matthew Watto, MD, FACP   
• Editor: Clair Morgan of nodderly.com

Show Segments

• Intro, disclaimer
• Picks of the Week*
• The case of Lynn Fedema
• Pathophysiology of edema
• Differential diagnosis of chronic edema
• Chronic edema work-up
• Management of chronic edema
• Calvin Fedema and acute edema
• Evaluation of acute edema
• Outro

Sponsor: Pathway

Pathway is an innovative tool to improve your clinical decision-making process and enhance patient care. Download the app at pathway.md

We’re taking a short summer break, but we’ll be back in September with brand-new episodes. Can’t wait? Join our Kashlak family at patreon.com/curbsiders for access to twice-monthly bonus episodes… there are already 9 of them available to feed your brain hole! Yummy!

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

Free CME for this episode at curbsiders.vcuhealth.org

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Credits

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

Sponsor: Grammarly

Go to grammarly.com/GO to download and learn more about GrammarlyGO.

Sponsor: Locumstory

Get a comprehensive view of locums and decides if its right for you at locumstory.com

Sponsor: Birch Living 

Birch is giving 20% off ALL mattresses and 2 free eco-rest pillows at Birchliving.com/curb when you use code BIRCHPARTNER20!

CME Partner: VCU Health CE

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

Show Segments

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

Full transcript available HERE

Ready for more knee pain?  You’ve already memorized episode #98, so join us as Ted Parks to returns to teach us even more about common causes of knee pain (anterior knee pain, patellofemoral pain, knee bursitis, pain after knee replacement) and what to do about them!

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

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Credits

• Producer: Paul Williams, MD, FACP
• Writer: Paul Williams, MD, FACP 
• Show Notes: Paul Williams, MD, FACP
• Infographic and Cover Art: Paul Williams, MD, FACP
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Fatima Syed MD, MSc
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Edward (Ted) Parks, MD

Sponsor: Pathway
Download the free Pathway app today by visiting https://www.pathway.md/

Full transcript available HERE

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

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

Show Segments

• Intro
• Barriers to treating medicine in primary care
• Patient counseling and obesity pathophysiology 
• Motivational Interviewing 
• Telemedicine for obesity
• Tools and tips for a weight loss program
• Medications for Obesity
• GLP1 agonist prescribing tips
• Outro

Credits

• Written and Produced by: Matthew Watto MD, FACP
• Show Notes: Matthew Watto MD, FACP
• Cover Art and Infographic: Matthew Watto MD, FACP
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Leah Witt MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• In-studio Technical Production: Chris Chiu MD, FACP, FAAP
• Technical Production: PodPaste
• Guest: Kimberly Anne Gudzune MD, MPH

When there’s blood in the water…

Work-up hematuria with confidence.  Learn what you should be worrying about, what tests are worth considering, and how to figure out if this is a job for a urologist or nephrologist.

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

Credits
Producer and writer: Paul Williams, MD, FACP
Show Notes, 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: Derek Fine, MD

Join us as we review recent practice-changing articles on ketamine vs ECT for refractory depression, nonhormone treatment (fezolinetant) for menopause, metformin for long COVID, new breast cancer screening draft recommendations, and a primer on kratom. 

Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto).

Go to https://thecurbsiders.com for more info
Become a Kashlak Memorial Hospital member and support us by joining our Patreon
Claim free CME for this episode at curbsiders.vcuhealth.org!

Put on your Primary Care Cat-Hat

We are thrilled to be back to kick off season 2! Carolyn Chan, MD (@CarolynAChan) soon to be at the University of Cincinnati, Shawn Cohen MD (@ShawnCohen_MD) at Yale University, Kenneth Morford MD at Yale University, and Natalie Stahl MD (@NanouTheNomad) at Greater Lawrence Family Health Center are back and on this episode, they answer burning questions submitted by listeners. We cover topics such as targeted naltrexone, increasing buprenorphine doses, treating kratom dependence, and so much more! 

Claim free 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 | Swag! | iTunes | CurbsidersAddictionMed@gmail.com | Free CME!

Credits

• Producer, Show Notes:  Kenneth Morford, MD
• Infographic and Cover Art: Carolyn Chan, MD, MHS
• Hosts: Carolyn Chan MD, MHS, Shawn Cohen MD, Kenneth Morford MD, Natalie Stahl MD, MPH
• Reviewer: Payel Jhoom Roy, MD
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste

Dominate naughty CAUTIs. Learn how to define them, which studies to order, and how to treat and prevent these pesky infections. We’re joined by Dr. Laila Woc-Colburn, @DocWoc71 (Emory University).

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

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Credits

• Please consolidate if performing multiple jobs (e.g. Written and Produced by: Cyrus Askin MD; cover art and infographic by Kate Grant)
• Producer and Writer:: Noble Maleque MD
• Show Notes: Caroline Coleman MD & Noble Maleque MD
• Cover Art and Infographic: Caroline Coleoman MD & Sean Evans MD
• Hosts: Monee Amin MD & Meredith Trubitt MD
• Reviewer: Sai S Achi, MD MBA
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Laila Woc-Colburn MD

We are far too classy for a “Rocky Mountain High” joke.

Live from SGIM 2023 in Aurora, Colorado!  We talk to a panel of Addiction Medicine specialists who recap their outstanding talk on all of the exciting developments in treating addiction.  We review major policy changes, trends in drug overdose, outpatient screening for alcohol use, and all of the ways we might be using psychedelics to treat addiction.  We are joined by Stefan Kertesz, MD @StefanKertesz (University of Alabama at Birmingham), Ximena Levander, MD, MCR, FACP @XimenaLevander (OHSU), Kenneth L. Morford MD, FASAM (Yale), and Katherine Mullins, MD, AAHIV @_kmullins_ (NYU Langone).

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

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Credits

• Producer: Carolyn Chan, MD and Paul Williams, MD, FACP
• Writer: Carolyn Chan, MD and Paul Williams, MD, FACP
• Show Notes, Infographic, and Cover Art: Paul Williams, MD, FACP
• Hosts: Carolyn Chan, MD; Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Leah Witt, MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guests: Stefan Kertesz, MD, MSc; Ximena A. Levander, MD, MCR, FACP; Kenneth L. Morford, MD, FASAM; Katherine Mullins, MD, AAHIV

Master the prescription of antiplatelets and anticoagulation for coronary artery disease and afib (atrial fibrillation). We discuss why, when, and how long to prescribe aspirin, clopidogrel, ticagrelor, prasugrel, and/or anticoagulation for primary, secondary, and “primary and a half” prevention including the definition and discussion of mono, dual, and triple therapy for patients with coronary disease who need anticoagulation for atrial fibrillation. We’re joined by preventive cardiologist, Dr. Donald Lloyd-Jones MD, ScM (@dmljmd from NMCardioVasc)! This episode was recorded in person at ACP’s (@ACPIMPhysicians) Internal Medicine Meeting 2023 #im2023 in San Diego.

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

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Show Segments

• Intro
• Getting to know our guest
• Definition mono, dual, triple therapy, DAPT
• Post-PCI for NSTEMI with existing afib
• Stable CAD with new Afib
• CABG with New Afib
• Prior stent with New Afib
• Antiplatelet therapy after Acute Coronary Syndrome
• Primary Prevention
• Primary “and a half” Prevention
• Life’s Essential 8
• Outro

Sponsor: Pattern https://www.patternlife.com/

Sponsor: Panacea Financial https://panaceafinancial.com/

Credits

• Written and Produced by: Matthew Watto MD, FACP
• Show Notes: Matthew Watto MD, FACP
• Cover Art & Infographic: Matthew Watto MD, FACP
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Fatima Syed MD, MSc
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Donal Lloyd-Jones MD, ScM

The ANA, anti-CCP, RF, and beyond!

We all have ‘rheum’ to grow when it comes to making sense of autoantibodies and common markers. We talk through the nuances with rheumatologist Dr. Matthew B. Carroll (biography here!). Our interview covers physical exam tips for inflammatory arthritis, basic interpretation of rheumatologic testing, and what to do with the dreaded ‘vaguely positive’ speckled ANA!

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

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Show Segments

• Intro
• Case 1
• History clues
• Physical exam pearls; what does synovitis look like?
• Interpreting mixed labs
• Rheumatoid Factor tips
• Role for imaging
• Importance of early diagnosis
• New testing modalities
• Case 2
• Oh no– a vaguely positive ANA!
• ANA testing basics
• Outro

Credits

• Showrunners, Hosts, Producers and Writers: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Show Notes, Infographic, Cover Art: Beth Garbitelli MD
• Reviewer: Emi Okamoto MD 
• Technical Production: PodPaste
• Guest: Matthew B. Carroll MD
  
  

Sponsor: Brooklinen
Visit Brooklinen.com today and get $20 off plus free shipping on orders of $100+ with code [CURB]

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

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

Learn to bust through inpatient cirrhosis management! The basics of ascites, HRS, portal vein thrombosis and hepatic encephalopathy management are all here. We’re joined by Dr. Suchita Sata (@suchitasata) (Duke University).

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

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Show Segments

• Intro
• Austin Picks of the week
• Case
• Ascites
• Portal Vein Thrombosis
• AKI/HRS
• SBP
• Diuretic Management
• Albumin
• Case
• HRS treatment
• GIB Management
• Hepatic Encephalopathy Management
• Palliative Care
• Outro

Credits

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

Sponsor: Indeed

Start hiring now with a $75 sponsored job credit to upgrade your job post at Indeed.com/internalmedicine. 

Sponsor: Birch Living 

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

Sponsor: Green Chef 

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

Sponsor: Glass Health 

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


Full Transcript available HERE

Don’t be scared of insulin or hypoglycemia anymore!  Our Kashlak Friend of the Pod Dr. Jeff Colburn gives us all the essentials you’ll need in your fanny pack for navigating the ups and downs of insulin in type 2 diabetes. 

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: Starting insulin
• Types of basal insulin: glargine, detemir, NPH, 70/30 NPH/regular
• Glucose monitoring while on insulin
• Glucose targets  when taking insulin
• Overbasalization 
• Adding additional agents to basal insulin
• Case #2: Deescalating insulin
• Insulin use in the geriatric population
• Hypoglycemia Rule of 15 
• Glucagon how-to 
• Outro

Credits

• Producer, Writer, Show Notes, Infographic and Cover Art: Isabel Valdez, PA-C 
• 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

Sponsor: Pattern 

Request your quotes online at patternlife.com/curbsiders

Sponsor: Birch

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

Full Transcript available HERE

Don’t miss this rapid-fire recap of our top pearls from #SGIM23 in Aurora, Colorado, including obesity medicine, GLP1 agonists, trauma-informed care, an update on hormone therapy for vasomotor symptoms of menopause, treating low sexual desire in women, dementia diagnosis and treatment, chronic pain and buprenorphine, complex persistent opioid dependence, chlorthalidone vs hydrochlorothiazide, the timing of blood pressure medication, how to prescribe CPAP or auto-PAP, and more! Paul and Watto are joined by Drs. Justin Berk (@justinberk), Chris Chiu (@cjchiu), Carolyn Chan (@CarolynAChanMD, Curbsiders Addiction Medicine), and Era Kryzhanovskaya (@EraKryzhMD, Curbsiders TEACH). 

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

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Show Segments

• Intro
• Recap, Top Pearls Part 1
• Recap, Top Pearls Part 2
• Outro

Credits

• Written, Produced, and Hosted by: Justin Berk MD, MBA, MPH; Chris Chiu MD, FACP, FAAP; Carolyn Chan MD; Era Kryzhanovskaya MD; Matthew Watto MD, FACP; Paul Williams MD, FACP 
• Show Notes: Matthew Watto MD, FACP
• Cover Art: Matthew Watto MD, FACP  
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Sponsor:  Pattern

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

There might be a lot to swallow, but you will master an initial approach to dysphagia in this episode. Review the types of dysphagia, common etiologies, initial evaluations and treatment plans. We are joined by Dr. Diana Snyder @DianaSnyderMD (Mayo Clinic)

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Show Segments

• Intro & Picks of the Week
• Case 
• Dysphagia definitions
• Oropharyngeal vs esophageal dysphagia 
• Associated symptoms and alarm signs 
• Outro

Credits

• Producer, Writer & Show Notes: Elena Gibson MD 
• Show Notes: Elena Gibson MD
• Cover Art & Infographic: Kate Grant MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Fatima Syed MD 
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Diana Snyder MD

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Full transcript available HERE

Don’t miss this rapid fire recap of our top pearls from ACP #IM2023 in San Diego including hypertension, hypogonadism, frailty, afib, sleep medicine, in-flight emergencies, nephroprotective meds, order of antibiotics for pneumonia in the hospital, genitourinary syndrome of menopause, pickle juice for leg cramps, bristol stool scale and hepatic encephalopathy, coronary calcium, tirzepatide, cystatin c,  functional dyspepsia, hair and nails, and more! Paul and Watto are joined by Drs. Justin Berk (@justinberk) and Chris Chiu (@cjchiu) of The Cribsiders Podcast.

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

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Show Segments

• Intro
• Recap, Top Pearls Part 1
• Recap, Top Pearls Part 2
• Outro

Credits

• Written, Produced, and Hosted by: Justin Berk MD, MBA, MPH; Chris Chiu MD, FACP, FAAP; Matthew Watto MD, FACP; Paul Williams MD, FACP 
• Show Notes: Matthew Watto MD, FACP
• Cover Art: Matthew Watto MD, FACP  
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste

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Full transcript available HERE

Join us for this Hotcakes style episode as we talk through impactful literature for the hospitalist with Dr. Heather Nye (UCSF) and  Dr. Rahul Ganatra (@rbganatra, Harvard University) who presented the Clinical Updates in Hospital Medicine at SHM #Converge23. 

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Show Segments

• Intro, disclaimer
• Rapid fire questions/Picks of the Week
• EMPULSE
• ADVOR
• STRONG-HF
• CRISTAL
• Perioperative Gabapentin
• Waterfall
• Midline catheters vs PICC lines
• What’s in a Name?
• Outro

Credits

• Producer, Writer, Show Notes: Monee Amin MD; Rahul Ganatra, MD; Meredith Trubitt MD; 
• Cover Art: Monee Amin MD 
• Hosts: Monee Amin MD; Meredith Trubitt MD  
• Reviewer: Fatima Syed MD 
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Dr. Rahul Ganatra and Dr. Heather Nye

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Full transcript available HERE

Dominate opioid and xylazine (aka tranq) withdrawal in the hospital with expert insights from Dr. Joseph D’Orazio (@dorazepam) recorded LIVE! at Pennsylvania Hospital Grand Rounds in Philadephia, PA. Xylazine, an alpha-2 adrenergic agonist,  has emerged as a frequent contaminant in the opioid supply with a distinct withdrawal syndrome. You’ll learn to manage this common withdrawal syndrome while also addressing acute pain complaints and opioid withdrawal.  

Sorry, no CME for this episode, but check out CME for past episodes at curbsiders.vcuhealth.org.

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Show Segments

• Intro
• Xylazine basics
• Management of xylazine withdrawal
• Opioid withdrawal and acute pain
• Outpatient considerations for xylazine
• Audience questions
• Outro

Credits

• Writer and Producer: Matthew Watto MD, FACP
• Infographic and Cover Art: Matthew Watto MD, FACP
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Joseph D’Orazio MD

Full transcript available HERE 

Master the nuances of the hypercoagulable work-up! Our expert discussant, Dr. Jean Connors, leads us through when to send testing for thrombophilia and how to interpret the results.

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Show Segments

• Intro
• Case from Kashlak: DVT after a trip to Singapore
• History-taking in a patient with a venous thromboembolism (VTE)
• Risk factors for VTE
• Who to test for thrombophilia, and how this testing influences management
• Thrombophilia panel: what to order
• When to send thrombophilia testing
• Case from Kashlak: potential obstetric antiphospholipid syndrome
• Antiphospholipid syndrome: diagnosis
• Antiphospholipid syndrome: management
• Outro

Credits

• Producers and Writers: Malini Gandhi and Nora Taranto MD
• Show Notes, Infographics, and Cover Art: Malini Gandhi 
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Leah Witt MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Dr. Jean Connors MD

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Full transcript available HERE

Hypertension FAQ Round #2 Dr. Jordy Cohen Strikes Back

Tackle resistant hypertension. Learn when it is pseudo resistant hypertension, and how to treat this pesky condition when it is true resistant hypertension. Dr. Jordy Cohen (@jordy_bc) leads us through her approach to keeping the BP where it should be (University of Pennsylvania).

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Show Segments

• Intro
• Case
• Hypertension definition
• Mechanisms of hypertension
• Vascular stiffness and aging
• Antihypertensive agents
• Anxiety and hypertension
• Escalating blood pressure management
• Resistant hypertension
• Ruling out pseudo resistant hypertension
• Substance induced pseudo resistant hypertension
• Pick of the Week
• Outro

Credits

• Written and Produced by: Deborah Gorth MD, PhD
• Infographic and Cover Art: Deborah Gorth MD, PhD and Meryl Gorth
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Sai S Achi MD, MBA
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Jordy Cohen MD, MSCE

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Full transcript available HERE

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

Note: Due to a rapid turnaround 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
• Picks of the Week
• Syncope
• Heart Failure
• Nausea and Dyspnea 
• COPD and Pneumonia
• Sickle Cell Pain Management
• Pain Management for the Hospitalist
• Delirium 
• Geriatrics Updates
• Electrolyte Management 
• Perioperative Anticoagulation
• Perioperative Anemia 
• Severe Infections from Injection Drug Use
• GI updates
• Outro

Credits

• Written, Produced and Hosted by: Christina Sensabaugh MD, Meredith Trubitt MD, and Monee Amin MD
• Cover Art: Monee Amin MD 
• Show Notes: Meredith Trubitt MD, Monee Amin MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste

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Sponsor: Locumstory

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Full transcript available HERE

LIVE! Updates in HIV management at Hershey

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

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Show Segments

• Intro
• Establishing HIV Care, Initial History Taking
• Privacy and HIV
• Physical Exam Tips for HIV
• Weight gain, managing cardiometabolic risks
• Initial labs, tracking viral load
• Undetectable = Untransmissible
• Sexual history considerations, PEP, PrEP, 
• Anal paps, cervical cancer screening
• Long-Acting HIV Medications
• Take-home points
• Outro

Credits

• Producer, Writers: Paul Williams MD, FACP, Beth Garbitelli MD
• Show Notes, Infographic, Cover Art: Beth Garbitelli MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest:  J.J. Nunez MD

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Full transcript available HERE

Drop the pounds and the sugar with new guidelines

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

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

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Show Segments

• Puns and Intro.
• Disclaimer and Guest bio
• Case from Kashlak
• Labs to distinguish type 1 from type 2 diabetes
• Selecting initial therapy: Focus on weight loss and glucose control
• HbA1c goals 
• Yeast infections and SGLT2-i
• Using sulfonylureas and extended release metformin
• Pancreatitis and GLP-1 RA
• Cancer and GLP-1 RA
• Semaglutide tips
• Tirzepatide, how it works and benefits
• Take home points
• Outro

Credits

• Producer: Matthew Watto, MD and Isabel Valdez, PA
• Writer: Matthew Watto, MD
• Show Notes, Cover Art and Infographics: Isabel Valdez, PA
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Fatima Syed, MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest:  Marie E. McDonnell, MD
  
  
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Full transcript available HERE 

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

• 
  The Curbsiders gets the skinny on mineralocorticoid receptor antagonists
• Core IM will be covering Kidney Transplant in their classic Five Pearl format
• The CardioNerds will be covering the effect of Heart Failure Devices on Kidney Health
• Freely Filtered will try to understand thrombotic microangiopathy
• ISN Global Kidney Care goes deep on IgA nephropathy
• The Cribsiders look at transitions, first the Pediatrics to Adult nephrology transition and then from living to death with palliative nephrology 
• Fellow on Call will be covering Onconephrology
• And finally, The Nephron Segment looks at Transgender Health and CKD
  
  

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Show Segments

• Intro
• Diagnosis and Management of Primary Aldosteronism (PA)
• MRAs vs non-steroidal MRAs (mineralocorticoid receptor antagonists)
• NephMadness MRA region picks
• Renovascular Hypertension
• Outro

Credits

• Writer and Producer: Matthew Watto MD
• Show Notes: Matthew Watto MD
• Cover Art & Infographic: Matthew Watto MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Leah Witt MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: J. Matthew Luther MD

Sponsor: Locumstory

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Full Transcript available HERE

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

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Show Segments 

• Intro, disclaimer, guest bio
• Case 1 from Kashlak; Definitions
• Initial stroke triage, imaging, and assessing for interventions 
• Supportive care for stroke
• Managing patients already on antiplatelet or anticoagulant therapy
• Inpatient stroke workup
• Dual antiplatelet therapy
• Case 2 from Kashlak; Definitions
• TIA workup and management
• Transitions of care: “the invisible deficits”
• Brain health and nutrition
• Guest questions and Picks of the Week*
• Outro

Credits

• Written, Produced, Infographic and Cover Art, Show Notes: Caroline Coleman MD
• Hosts: Monee Amin MD; Meredith Trubitt MD, MPH; Caroline Coleman MD
• Reviewer: Molly Heublein MD
• Executive Producer: Karly Loy
• Showrunner: Matthew Watto MD, FACP
• Editor: Pod Paste
• Guest: Karima Benameur MD

Sponsor: Indeed 

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Full transcript available HERE

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

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Show Segments

• Intro, disclaimer, guest bio
• Case from Kashlak
• SGLT2i: when to initiate
• SGLT2i: adverse effects
• Finerenone
• Potassium binders
• Treatment of CKD-associated metabolic acidosis 
• Outro

Credits

• Writer, Producer, Show Notes, Infographics, and Cover Art: Malini Gandhi
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Leah Witt MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Dr. Joel Topf MD

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Full transcript available HERE

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

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

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Show Segments

• Intro, disclaimer
• Loop diuretics (torsemide vs furosemide) for heart failure exacerbation
• Time-restricted eating vs small frequent meals for weight loss
• Sedentary breaks for lowering blood glucose and blood pressure
• Early fecal microbiota transplant (FMT) for C. diff infection 
• Outro

Credits

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

Full transcript available HERE

With Dr Holly Wong Cummings

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

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

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Show Segments

• Intro, disclaimer, guest bio
• Case from Kashlak
• Normal Menstrual Cycle
• Nomenclature for AUB- PALM COEIN
• History and Physical Exam
• Laboratory and radiologic evaluation
• Structural causes for bleeding/interpreting the ultrasound
• Acute treatment of AUB
• When to refer to ED
• Chronic treatment for AUB
• When to refer to gyn
• Take home points
• Outro

Credits

• Producer, Writer, Show Notes: Molly Heublein MD
• Infographic: Edison Jyang
• Cover Art: Sarah Phoebe Roberts
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Molly Heublein MD
• Reviewer: Sai S Achi MD, MBA
• Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Holly Wong Cummings MD

Sponsor: Indeed

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Full transcript available HERE

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

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

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Show Segments

• Intro
• NPO at midnight
• Fluid restriction
• VTE chemoprophylaxis
• Frequency of vital sign monitoring
• Outro

Credits

• Written and Produced by: Monee Amin MD and Meredith Trubitt MD
• Cover art and presentation graphics: Caroline Coleman, MD
• Show Notes: Monee Amin MD and Meredith Trubitt MD
• Hosts: Monee Amin, MD and Meredith Trubitt MD
• Technical Production: PodPaste
• Showrunner: Matthew Watto MD, FACP

Sponsor: Grammarly 

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Sponsor: Indeed

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Full Transcript available HERE

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

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

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Show Segments

• Intro, disclaimer, guest bio
• Guest one-liner
• Case from Kashlak; Definitions
• Initial evaluation of Hemochromatosis 
• Etiology of elevated ferritin in liver disease
• Potential mimics of hemochromatosis 
• Diagnosis of hemochromatosis
• Evaluation of hepatic fibrosis in hemochromatosis
• Manifestations & complications of hemochromatosis 
• Outro

Credits

• Producer & Writer:: Elena Gibson MD   
• Infographic & Cover Art:Edison Jyang
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer:
• Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Elliot Tapper

Sponsor: Green Chef

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Sponsor: Birch Living 

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Sponsor: Better Help 

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Full transcript available HERE

With Dr Steven Rauch

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

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

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Show Segments

• Intro, disclaimer, guest bio
• Case from Kashlak; 
• Definitions, etiology and risk factors for hearing loss 
• Initial workup for hearing loss
• What is an audiogram and what does it show 
• Hearing loss red flags 
• How to manage hearing loss
• Tinnitus: what can help patients 
• Diagnose, distinguish and treat Meniere’s disease 
• Outro

Credits

• Script and Show Notes written by,  Produced by: Kate Grant MBChB, MRCGP and Andréa Perdigão
• Infographic and Cover Art: Kate Grant MBChB, MRCGP
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Molly Heublein MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Steve Rauch MD

Sponsor: Better Help

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Full Transcript HERE

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

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

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

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Show Segments

• Intro, disclaimer, guest bio
• What is a COPD 
• Case from Kashlak - Natalie Harrison
• Knee jerk reaction: Determining level of illness & disposition
• Initial work-up considerations
• What’s in your differential?
• The second-order assessment - shuffling the differential, honing in on the patient
• AECOPD: Triggers & Pathophysiology
• Treatment Pearls I: Steroids
• Treatment Pearls II: Antibiotics
• Treatment Pearls III: Bronchodilators
• Treatment Pearls IV: Oxygen Therapy
• Preparing for discharge
• Take home points
• Lightning Round! Getting to know Dr. O’Brien &  Picks of the Week*
• Outro

Credits

• Writer & Producer:  Cyrus Askin MD
• Show Notes, Infographic & Cover Art: Cyrus Askin MD 
• Hosts: Meredith Trubitt MD, Monee Amin MD & Cyrus Askin MD   
• Reviewer:  Sai Achi, MD MBA 
• Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Jim O’Brien MD

Sponsor: Medmastery

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Subscription. 

Full Transcript available HERE

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

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Show Segments

• Intro, disclaimer, guest bio
• Case #1 from Kashlak; Definitions
• Discussing adrenal incidentalomas with patients
• Imaging characteristics of adrenal incidentalomas
• Evaluation of hormonal hypersecretion - overview
• Subclinical Cushing’s syndrome
• Pheochromocytoma
• Surgical considerations based on nodule size and imaging phenotype
• Follow-up imaging
• Case#2 from Kashlak 
• Primary hyperaldosteronism - work-up and management
• Bilateral adrenal nodules
• Guest Picks of the Week
• Outro

Credits

• Producer, Writer, Show Notes, Infographic, and Cover Art: Malini Gandhi 
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Leah Witt MD
• Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: William Young MD

Sponsor: Grammarly

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Full Transcript HERE

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

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

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Credits

• Producers, Hosts: Elena Gibson MD and Paul Williams MD, FACP
• Writer, Infographic, and Cover Art: Elena Gibson MD
• Show notes: Paul Williams MD, FACP
• Reviewer: Molly Heublein MD
• Production team: Podpaste
• Guest: Carol Mangione MD

Full transcript available HERE

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

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Show Segments

• Intro, disclaimer, guest bio
• Guest one-liner, Picks of the Week*
• Case 1 from Kashlak: hypoactive delirium
• Definition of delirium
• Delirium vs. encephalopathy vs. dementia
• Delirium assessment tools
• Prevention of delirium
• Discharging patients with delirium
• Case 2 from Kashlak: hyperactive delirium
• Antipsychotics
• Working up etiologies of delirium
• Treatment/management pitfalls
• Outro

Credits

• Produced, Script, Show Notes: Adam Barelski MD 
• Infographic & Cover Art: Edison Jyang; Sarah Phoebe Roberts
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Adam Barelski MD   
• Reviewer: Molly Heublein MD
• Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Esther Oh MD, PhD

Sponsor: Panacea Financial 

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Full transcript HERE

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


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

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Show Segments

• Intro, disclaimer, guest bio
• Case from Kashlak; Definitions and diagnosis of ADHD
• Stimulant medications for ADHD
• Non-stimulant medications for ADHD
• Mitigating diversion of medications for ADHD
• Managing ADHD in patients with substance use disorder
• Lightning round and picks of the week
• Outro

Credits

• Written and Produced by: Paul Williams, MD, FACP
• Show Notes: Paul Williams, MD, FACP
• Infographic and Cover Art: Paul Williams, MD, FACP
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Fatima Syed, MD
• Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Kevin Simon, MD

Sponsor: Better Help

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Sponsor: Birch Living 

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Full Transcript HERE

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

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

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Show Segments

• Intro, disclaimer,
• Reflections on 2022
• Constipation, 
• Palpitations, 
• Hypertension, 
• Obesity medications, 
• Cardiorenal syndrome, 
• Hepatitis C, 
• Vitamin supplementation
• Picks of the Year
• Outro

Credits

• Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP  
• Show Notes: Matthew Watto MD, FACP
• Cover Art design: Matthew Watto MD, FACP
• Technical Production: Pod Paste

Full transcript HERE

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

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Show Segments

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

Credits

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


Sponsor: Locumstory

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

Sponsor: Pattern

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

Full Transcript HERE

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

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

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

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Show Segments

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


Credits

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


Sponsor: Better Help 

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Sponsor: Birch Living 

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Sponsor: Hello Fresh

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

Sponsor: Pattern Life

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

Full Transcript HERE

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

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

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Show Segments

• Intro, disclaimer, guest bio
• Guest one-liner
• Case from Kashlak
• Initial history in a patient with undiagnosed Parkinson’s
• “Pre-motor” symptoms of Parkinson’s disease
• Physical exam in Parkinson’s disease
• Drug-induced Parkinsonism
• “Red flags” suggesting atypical parkinsonian syndromes
• Role of imaging in diagnosis
• Typical discussion with patient at initial diagnosis
• Initial management of motor symptoms
• Management of autonomic symptoms
• Management of advanced motor symptoms
• Management of cognitive and psychiatric symptoms
• Outro

Credits

• Producer, Writer, Show Notes, and Infographic: Malini Gandhi
• Cover Art: Kate Grant 
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto MD
• Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Albert Hung MD, PhD
  
  Full transcript HERE

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

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

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Show Segments

• Intro, disclaimer, guest bio
• Hand and Wrist pain: CMC joint arthritis, tenosynovitis, carpal tunnel syndrome, trigger finger
• Foot and Ankle pain: Ankle sprains, Achilles tendon injuries, Posterior tibial tendon dysfunction
• Myopathy and Myositis pearls
• Outro

Credits

• Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP  
• Show Notes: Matthew Watto MD, FACP
• TFTC Cover Art design: Edison Jyang
• Technical Production: Pod Paste

Full transcript HERE

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

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

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

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Show Segments

• Intro, disclaimer, guest bio
• Guest one-liner, Picks of the Week
• Case from Kashlak
• Introduction to Back Pain
• Eliciting the Patient’s Story
• Risk Stratification, Intro to Red Flags,  and and the STarT Back Tool 
• The Importance of Language and Patient-Centered Outcomes
• A Deeper Dive into Red Flags
• Setting Expectations for Care
• Therapeutics for Back Pain - Does anything work?
• The Exercise Prescription

Credits

• Producers: Isabel Valdez, PA-C & Cyrus Askin, MD 
• Writer, Cover Art and Infographics:  Isabel Valdez, PA-C
• Show Notes: Cyrus Askin, MD
• Hosts: Matthew Watto MD, FACP;  Isabel Valdez, PA-C
• Reviewer: Molly Heublein, MD
• Showrunner: Matthew Watto MD, FACP
• Technical Production: PodPaste
• Guest: Austin Baraki, MD

Sponsor: Grammarly 

Go to grammarly.com/CURB to sign up for a free account! And when you’re ready to upgrade to Grammarly Premium, get 20% off.

Full transcript HERE

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

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

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Show Segments

• Intro, disclaimer
• Do weekend warriors experience a mortality benefit?
• Should you choose aggressive or moderate fluid resuscitation for acute pancreatitis?
• Does an invite for screening colonoscopy reduce colon cancer and CRC-related mortality?
• Did benefits from the SPRINT trial persist in observational follow up?
• Outro

Credits

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

Sponsor: Better Help

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Sponsor: Birch Living 

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With Carolyn Chan MD and Shawn Cohen MD

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

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

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Show Segments

• Intro, disclaimer, guest bio
• Guest one-liner
• Acute pain in the patient on buprenorphine maintenance
• Acute pain in the patient on methadone maintenance
• Acute pain in the patient with opioid withdrawal
• Standard buprenorphine initiation
• Methadone initiation
• Low dose buprenorphine initiation
• Take-home points
• Outro

Credits

• Writer and Producer: Matthew Watto MD, FACP
• Show Notes: Matthew Watto MD, FACP
• Cover Art and Infographic: Matthew Watto MD, FACP
• Hosts: Matthew Watto MD, FACP  
• Reviewer: Fatima Syed MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Carolyn Chan MD and Shawn Cohen MD

Sponsor: ExpressVPN

Visit expressvpn.com/curb to get and extra three months free. 

Sponsor: Southern California Permanente Medical Group 

Learn more or apply at scpmgphysiciancareers.com or call (866) 449-1684. 

Full transcript HERE