The Curbsiders Internal Medicine Podcast

Recap the top pearls from recent shows on vulvovaginitis, cellulitis and bites, MGUS and the SPEP. Tales from the Curbside (TFTC) is pilot project providing a rapid review of recent Curbsiders episodes. Note: There is no CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for #244, #246 and #247.

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

• Written, Produced and Hosted by: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
• Infographics by: Kate Grant MBChb, MRCGP, Beth Garbitelli and Nora Taranto MD
• Cover Art: Matthew Watto
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

Sponsor: The American College of Physicians

Join us for ACP Internal Medicine Meeting 2021: Virtual Experience for 3 days of interactive, livestreaming education and events April 29 through May 1—plus on-demand post-meeting access to CME credit for up to 3 years.

“Early Bird” members get an additional $80 registration discount on top of their member discount. Visit annualmeeting.acponline.org and use the code IM21CURB.

Register now—Early Bird savings end January 31st!

*Note: Time Stamps refer to ad free versions.

• 00:00 Intro, disclaimer, guest bio
• 02:35 Vulvovaginitis
• 05:35 Cellulitis and Bites
• 09:45 SPEP it Up
• 15:15 Outro

Our team shares the top pearls of 2020 in our annual recap extravaganza featuring guest host, Chris “The Chiu Man” Chiu @cjchiu. Check out the video version at YouTube. Topics: hypothyroidism, women in medicine, hypothermia, diuretics, heart failure, AKI, lipids, post-op fever, refugee health, SGLT2 inhibitors, euglycemic DKA, UTIs, bat bites, rabies, ILD, statins in NAFLD, framework for hair loss, and more! Plus: Our picks of the year and the Curbsiders gift guide! Note: This episode is not available for CME but #208 through #247 are available for CME/MOC at curbsiders.vcuhealth.org for free!

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

• Producer: Chris Chiu MD, FACP, FAAP
• Written by: The Curbsiders Team
• Show Notes: Matthew Watto MD, FACP
• Cover Art: Chris Chiu MD, FACP, FAAP
• Hosts: Chris Chiu MD, FACP, FAAP, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  

Sponsor: Panacea Financial

This episode is supported by Panacea Financial, digital banking built for doctors, by doctors. At Panacea Financial you can have your own free personal banker and a support team that works around the clock- just like you do. Open your free checking account today at panaceafinancial.com

Panacea Financial, a Division of Sonabank, Member FDIC

On this episode, Dr. Jorge Castillo (Harvard, Dana Farber) walks us through some immunology basics, teaches us the limitations of the SPEP, plus some additional tests that complement it (think Immunofixation), shares his clinical gestalt about when to suspect  MGUS, Myeloma, Waldenstrom’s, and Amyloidosis--and finally, how to talk to patients about them. If you, like Stuart, have ever wondered what on earth to do with that pesky free light chain ratio or the SPEP that so often gets inboxed to you without explanation, then fear not, Dr Castillo has your back!

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

• Written and Produced by Nora Taranto MD
• Infographics by Nora Taranto MD
• Cover Art by Kate Grant MBChB, MRCGP
• Hosts: Matthew Watto MD, FACP; Stuart Brigham MD, FACP, Nora Taranto MD
• Editor: Matthew Watto MD, FACP ; Clair Morgan of nodderly.com
• Reviewer: Jooho Chung MD, PhD
• Guest: Jorge Castillo MD

This episode is supported by Panacea Financial, digital banking built for doctors, by doctors. At Panacea Financial you can have your own free personal banker and a support team that works around the clock- just like you do. Open your free checking account today at panaceafinancial.com

Panacea Financial, a Division of Sonabank, Member FDIC

Sponsor: VCU Health CE

We are excited to announce that the Curbsiders are now partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Check out curbsiders.vcuhealth.org and create your account!

Master common skin and soft tissues infections: cellulitis, abscesses, human and animal bites with returning guest, infectious diseases expert, Dr Boghuma Titanji MD, PhD @boghuma (Emory; TED).

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

• Written (including CME) and Produced by: Matthew Watto MD, FACP
• Cover Art and Infographic by: Beth Garbitelli
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Editor: Matthew Watto (written materials); Clair Morgan of nodderly.com
• Guest: Boghuma Titanji MD, M.Sc., DTM&H, PhD
  

Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice: www.psdrecruit.org/curbsiders.

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.

*Note: Time Stamps refer to ad free version.

• 00:00 Intro, disclaimer, guest bio
• 02:00 Picks of the Week
• 06:00 Definitions, Initial Approach to cellulitis
• 10:35 Nonpurulent cellulitis; antibiotic choice
18:10 Fish handler’s disease
• 24:30 Recurrent cellulitis
• 31:30 Purulent cellulitis and MRSA; Antibiotic choice; Step down therapy
• 47:33 Abscesses; Adjuvant antibiotics; Packing Wounds
• 53:30 Decolonization for recurrent MRSA infections
• 56:30 Human Bites (clenched fist injury); Dog bites and Cat bites
• 67:10 Take home points and Outro

Diagnosis, Management, and Social Implications of Attention Deficit Hyperactivity Disorder. 

Ever gotten overwhelmed by all the categories of ADHD, or interpreting the scores on a Vanderbilt form? Join us with Dr. Sarah Vinson, a triple-boarded clinician in adult  psychiatry, child psychiatry, and pediatrics who helps us optimize a diagnosis and management process for ADHD. What other conditions can masquerade as ADHD? Which type of stimulant should you use? Listen to find out more! Show notes at: https://thecurbsiders.com/cribsiders/13 Subscribe at: Apple , Google, Spotify

• Writer, Producer, Infographic: Angela Zhang
• Cover Art: Chris Chiu
• Hosts: Justin Berk, Chris Chiu
• Editor:Justin Berk; Clair Morgan of nodderly.com
• Guest(s): Dr. Sarah Y. Vinson

• 5:30 Diagnosis of ADHD
• 6:53 Considering a differential diagnosis of ADHD
• 8:43 Categories of ADHD
• 15:02 Ancillary Supports
• 18:27 Consequences of Misdiagnosis
• 19:53 Parent Counseling
• 22:08 Behavioral Interventions Treatment
• 25:56 Gender Differences in ADHD
• 28:00 Anaphylaxis Promo
• 28:39 Alternative Treatments
• 30:54 Pharmacotherapy for ADHD
• 37:29 Side Effects of Medical Treatments
• 44:33 Monitoring Progress
• 46:19 Treating concurrent mood disorders
• 49:21 ADHD in Young Adults
• 55:29 ADHD and Race
• 1:08:13 Future of ADHD

Learn about the latest in COVID-19: Do masks prevent infection?, SARS-CoV-2 home testing, vaccine advice, and how to prevent and treat VTE in COVID-19. Join us as our tzar-of-clinical-appraisal Curbsider/internist/epidemiologist Rahul Ganatra MD MPH (@rbganatra) talks us through the controversial DANMASK-19 trial, plus Watto reports back on his conversation with Dr Parth Rali @parthrali (Temple Lung Center) who helped write the CHEST anticoagulation guidelines for COVID-19.

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

• Producer: Deb Gorth ScM
• Show Notes, Cover Art, and CME by: Deb Gorth ScM and Matthew Watto MD
• Written by: Matthew Watto MD, Paul Williams MD, and Rahul Ganatra MD MPH
• Hosts: Rahul Ganatra MD MPH, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  

Join with other clinicians in working to raise influenza and other adult vaccination rates. Visit acponline.org/ai to access free tools and learn new strategies to support your efforts.

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.

• 00:00 Intro, disclaimer, Picks of the week* and Vaccines
• 08:00 DANMASK-19
• 25:00 Anticoagulation in COVID-19
• 35:06 COVID-19 home PCR testing
• Outro
  

Everything you need to know about vulvovaginitis: candidiasis, bacterial vaginosis, and Genitourinary Syndrome of Menopause. Join us on the journey of a lifetime as we learn all about diagnosing, treating and managing vulvovaginal conditions in patients of all ages. Plus, a bit on how to recognize and treat lichen sclerosus. Our brilliant guest for this episode is Dr. Monica Christmas (@drmonicaxmas on Twitter), who is a self-described yoga enthusiast, avid reader, wannabe artist and gynecologist. Dr. Christmas is currently an Assistant Professor at the University of Chicago in the section of Minimally Invasive Gynecologic Surgery where she is the director of the Menopause Program. Monica specializes in gynecologic surgery, abnormal uterine bleeding and menopause management with an interest in sexual dysfunction. Her focus is on helping women live healthy, vibrant, happy lives.

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

• Produced by: Kate Grant MD; Sarah Phoebe Roberts MPH
• Written by: Kate Grant MD
• Show Notes by: Sarah Phoebe Roberts MPH, Kate Grant MD
• Cover Art and Infographic: Kate Grant MD
• Hosts: Kate Grant MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
• Guest: Dr. Monica Christmas, MD

Sponsor: ACP’s I Raise the Rates
Join with other clinicians in working to raise influenza and other adult vaccination rates. Visit acponline.org/ai to access free tools and learn new strategies to support your efforts.

Sponsor: VCU Health CE

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

Listen in as we recap four of our favorite diabetes episodes to bring you the pearls you need to stay up to date on type 2 diabetes management in the clinic.  We cover pitfalls of A1c testing, guidelines for A1C targets, when and how to use the newer medications SGLT-2 inhibitors and GLP-1 agonists.  We wrap up with a discussion of managing DM2 in patients with kidney disease and in which patients to consider de-intensifying treatment.  Feel confident managing diabetes with the latest data in 2020!

Listeners can claim 4 HOURS of Free CE credit for this episode through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date).

Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME!

Credits

• Written and Produced by: Molly Heublein, MD
  
• Infographic and Cover Art: Isabel Valdez, PA
  
• Show Notes: Isabel Valdez, PA; Molly Heublein, MD
  
• Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP, Molly Heublein, MD
  
• Editors: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com

Join with other clinicians in working to raise influenza and other adult vaccination rates. Visit acponline.org/ai to access free tools and learn new strategies to support your efforts.

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

Time Stamps

0:00 Intro,

2:45 Pitfalls of A1c testing,

7:00 Diabetes goals/A1c guidelines; Macrovascular vs Microvascular benefits,

16:20 Choosing between SGLT2 inhibitors vs GLP1 agonists,

19:10 Stuart rants on insulin for symptomatic hyperglycemia,

22:32 Start your patient on an SGLT2i and counsel them about potential adverse events,

30:30 GLP-1 agonists,

36:50 Deintensification; Diabetes Treatment in CKD,

Diabetes, hypoglycemia, SGLT2 inhibitors, GLP-1 agonist, metformin, CKD, primary care, assistant, doctor, education, family, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, physician, resident, student

Explore the essentials of Wilderness Medicine and prepare yourself for austere environments as we discuss Altitude Sickness, Frostbite, Animal Bites, Thermoregulation, Wound Care and the proper way to apply a tourniquet.

Thinking about outdoor escapes and vacations now more than ever? Listen as our esteemed guest Dr. Thomas DeLoughery @Bloodman (Oregon Health & Science University) takes us through the fascinating, and at times chilling, world of Wilderness Medicine. This episode will empower you to explore the great outdoors as safely as possible.  We discuss the breadth of wilderness medicine, multiple unique clinical entities encountered in austere environments, and practical ways to protect yourself and others on your adventures.  This episode is truly wild!

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

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

• Written, Produced, and Infographic by: Avital O’Glasser MD, FACP, FHM
• Show Notes: Deborah Gorth ScM and Avital O’Glasser MD, FACP, FHM
• Cover Art: Kate Grant, MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Avital O’Glasser MD, FACP, FHM
• Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com
• Guest: Thomas DeLoughery MD, MACP, FAWM

Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice: www.psdrecruit.org/curbsiders.

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.

• Sponsor - Provider Solutions and Development https://curbsiders.vcuhealth.org/
• Sponsor - VCU Health CE curbsiders.vcuhealth.org   
• 00:00 Intro, disclaimer, guest bio
• 03:45 Guest one-liner, advice and Picks of the Week*
• 08:10 Sponsor - Provider Solutions and Development https://curbsiders.vcuhealth.org/
• 09:00 Case of mountaineering; What is Wilderness Medicine?

• 12:05 What’s in your first aid kit?

• 21:36 Altitude sickness: acute mountain sickness, high altitude cerebral edema and High altitude pulmonary edema

• 31:25 Hypothermia  
• 39:36 Frostbite 

• 47:25 Hyperthermia: Heat exhaustion and Heat stroke; How much water should you drink?

• 51:55 Bat bites and rabies

• 58:20 Snake bites

• 66:03 Wound care and tourniquets

• 75:40 Take Home Points; Outro; Bonus clip
• Sponsor - VCU Health CE curbsiders.vcuhealth.org   

1. De Gaulle by Julian Jackson 
2. Command and Control by Eric Schlosser
3. Auerbach's Wilderness Medicine, 2-Volume Set 
4. Whatever book Paul said he was reading, sounds nerdy (The First Law Trilogy) 
5. Wilderness Medicine Society
6. Stop The Bleed: Home 
7. Into Thin Air: A Personal Account of the Mt. Everest Disaster by Jon Krakauer
8. National Outdoor Leadership School
9. Advanced Wilderness Life Support 
10. Inside the ER at Mt. Everest 
11. Annapurna by Maurice Herzog 
12. K2, The Savage Mountain: The Classic True Story Of Disaster And Survival On The World's Second-Highest Mountain– by Charles Houston and Robert Bates 

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

Listeners will learn the basics of wilderness medicine and how to approach a few common conditions. 

After listening to this episode listeners will…  

1. Appreciate Wilderness Medicine as a medicine subspeciality and understand why or how someone might pursue this clinical focus area
2. Recognize signs and symptoms of high altitude sickness
3. Develop an approach to treating animal bites and injuries
4. Learn high yield tips for administering first aid in the wilderness including field hemostasis

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

O’Glasser AY, Gorth D, Deloughery T, Williams PN, Watto MF. “#242 Wilderness Medicine: Prfor Disaster”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Original air date November 16, 2020.

Wilderness Medicine, Travel medicine, first aid, first aid kit, altitude sickness, acute mountain sickness, high altitude cerebral edema, high altitude pulmonary edema, acetazolamide, dexamethasone, hypothermia, frostbite, frostnip, heat exposure, heat exhaustion, heat syncope, hyperthermia, hyponatremia, animal bites, bats, rabies, snakes, antivenom, wound care, tourniquet, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student

Rejoice! as our phenomenal guest Dr. Brad Hayward @bradleyjhayward (Weill Cornell Medicine) demystifies chronic cough for the primary care provider. Dr. Hayward, an internist, pulmonologist, intensivist AND palliative care physician sits down with us to discuss common causes for chronic cough, work up pearls and options for treatment. Follow him on Twitter, @BradleyJHayward. Listeners can claim free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date). We hope you enjoy learning from this episode as much as we enjoyed producing it!

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

• Written (including CME questions) and Produced by: Cyrus Askin MD
• Infographic by: Cyrus Askin MD
• Cover Art: Kate Grant MBChb, MRCGP
• Hosts: Matthew Watto MD, FACP; Stuart Brigham MD; Paul Williams MD, FACP   
• Editor: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com
• Guest: Brad Hayward MD

This episode is supported by Panacea Financial, digital banking built for doctors, by doctors. At Panacea Financial you can have your own free personal banker and a support team that works around the clock- just like you do. Open your free checking account today at panaceafinancial.com

Panacea Financial, a Division of Sonabank, Member FDIC

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.

• Sponsor - Panacea Financial panaceafinancial.comSponsor - VCU Health CE curbsiders.vcuhealth.org
• 00:00 Intro, disclaimer, guest bio; Guest one-liner and Pick of the Week*
• 06:23 Sponsor - Panacea Financial panaceafinancial.com
• 07:30 Case of Post Infectious Cough; Basic definitions for cough
• Important aspects of the history
• Empiric therapies for post-viral cough
• 22:50 Case of idiopathic chronic cough; Physical exam
• 29:20 Basic testing and empiric therapy for the common causes of chronic cough
• 41:51 When to refer to pulmonology; Therapy for idiopathic chronic cough; OTC cough meds
• 54:28 Take home message; Outro
• Sponsor - VCU Health CE curbsiders.vcuhealth.org

• 90 Day Fiancé (show)  
• Below Deck Mediterranean (show)
• Mastering Communication with Seriously Ill Patients by  Anthony Back, Robert Arnold & James Tulsky (book) 

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

Listeners will develop a pragmatic approach to evaluating subacute and chronic cough in adult patients.

After listening to this episode listeners will be able to…  

1. ... define sub-acute vs chronic cough
2. ... build a repertoire of history questions geared towards identifying the etiology of cough in a patient
3. ... build a toolbox of diagnostic studies / tests that can be used in the evaluation of cough
4. ... marry history, physical and diagnostic studies into a coherent approach to diagnosing subacute and chronic cough through a tiered/logical approach
5. ... understand empiric therapies for cough that may have an advantageous risk-reward profile, even in the absence of diagnosis 
6. ... educate patients on common causes for subacute cough and chronic cough, as well as how to appropriately set expectations regarding symptoms severity and duration

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

Askin CA, Hayward B, Williams PN, Brigham SK, Okamoto E, Watto MF. “241: Chronic Cough”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Original Air Date: November 9, 2020.

Cough, dyspnea, asthma, COPD, eosinophil, IL-5, allergy, ENT, allergist, pulmonary, pulmonologist, PFT, spirometry,  post-nasal drip, GERD, reflux, eczema, rash, atopy, mucus, bronchiectasis, lung, antihistamine, CT, X-Ray,  smoking, vaping, birds, dust, cockroaches, steroids, ICS, inhaled, gabapentin,  primary care, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student

Returning guest expert Dr Ted Parks helps us get the elbow straight with a simple approach to common causes of elbow pain for primary care.  Listen as he guides Stuart through physical exam techniques (or watch them on YouTube) for epicondylitis and learn what the bursa is there for anyways. Find out what fracture you can treat in your office, why you shouldn’t stab straight into the olecranon bursa and when elbow pain should be referred.  Feel confident when your patient comes in with elbow pain!

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

Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com

• Written and Produced by: Molly Heublein, MD
• Cover Art and Infographic: Edison Jyang
• Hosts: Stuart Brigham MD, Matthew Watto MD, FACP; Molly Heublein, MD
• Editor: Emi Okamoto, MD (written materials); Clair Morgan of Nodderly.com (audio/video)
• Guest: Ted Parks, MD

Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice: www.psdrecruit.org/curbsiders.

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.

• Sponsor - Provider Solutions and Development https://curbsiders.vcuhealth.org/
• Sponsor - VCU Health CE curbsiders.vcuhealth.org   
• 00:00 Intro, disclaimer, guest bio
• 04:00 Picks of the Week*
• Sponsor - Provider Solutions and Development https://curbsiders.vcuhealth.org/
• 09:50 Medial and lateral epicondylitis case, Elbow anatomy
• 13:00 Pathophysiology of epicondylitis, Epicondylitis exam, Epicondylitis treatment
• 34:11 Olecranon bursitis, Bursitis diagnosis and aspiration
• 46:12 Radial head fracture diagnosis, Radial head fracture treatment
• 55:30 Cubital tunnel nerve entrapment
• 57:45 Platelet rich plasma
• 60:39 Take home points, Plug and Outro
• 64:00 Bonus Pick of the Week
• Sponsor - VCU Health CE curbsiders.vcuhealth.org   

Listeners will have a working differential of elbow complaints that commonly present in primary care, and understand how to diagnose these and initiate treatment.

After listening to this episode listeners will...

1. Perform an exam for medial and lateral epicondylitis.
2. Describe treatment options for medial and lateral epicondylitis
3. Identify when further evaluation for clinical olecranon bursitis beyond clinical exam is needed
4. Explain how radial head fractures differ from most other fractures, and why casting or surgery is generally not needed.

1. Molly’s Pick: The Warmth of Other Suns (book) by Isabel Wilkerson 
2. Stuart’s Pick: The Fringe (TV show), JJ Abrams
3. Practical Office Orthopedics (textbook) by Ted Parks, MD

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

1. Johnson GW, Cadwallader K, Scheffel SB, Epperly TD. Treatment of lateral epicondylitis. Am Fam Physician. 2007 Sep 15;76(6):843-8. PMID: 17910298.
2. Simental-Mendía M, et al. Clinical efficacy of platelet-rich plasma in the treatment of lateral epicondylitis: a systematic review and meta-analysis of randomized placebo-controlled clinical trials. Clin Rheumatol. 2020 Aug;39(8):2255-2265. doi: 10.1007/s10067-020-05000-y. Epub 2020 Feb 26. PMID: 32103373.
3. Parks, Ted.  Practical Office Orthopedics.   McGraw-Hill Education / Medical; 1st Edition (December 29, 2017).  
4. Khodaee M. Common Superficial Bursitis. Am Fam Physician. 2017 Feb 15;95(4):224-231. PMID: 28290630.
5. Liow RY, Cregan A, Nanda R, Montgomery RJ. Early mobilisation for minimally displaced radial head fractures is desirable. A prospective randomised study of two protocols. Injury. 2002 Nov;33(9):801-6. doi: 10.1016/s0020-1383(02)00164-x. PMID: 12379391.
6. Boone S, Gelberman RH, Calfee RP. The Management of Cubital Tunnel Syndrome. J Hand Surg Am. 2015 Sep;40(9):1897-904; quiz 1904. doi: 10.1016/j.jhsa.2015.03.011. Epub 2015 Aug 1. PMID: 26243318.

Elbow, orthopedics, olecranon bursitis, bursa, aspiration, septic joint, medial epicondylitis, lateral epicondylitis, radial head fracture, PRP, platelet rich plasma, humerus, olecranon, radius, tendonitis, primary care, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student

Dr Parks reports is the author of Practical Office Orthopedics (McGraw-Hill 2017) . The Curbsiders report no relevant financial disclosures. 

Heublein M, Parks T, Jyang E, Brigham SK, Okamoto E, Watto MF. “#240 Elbow Pain: Straighten it out. A dabble into elbow care  with Dr Ted Parks”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list November 02, 2020.

A runny nose won’t have you running in circles this cold season with our fantastic overview of rhinosinusitis in all its forms! We discuss etiology and presentation of viral versus bacterial rhinosinusitis, practical counseling tips for guiding patients on nasal irrigation, and working up chronic rhinosinusitis! Our guest is the fabulous Dr. Dink Jardine, a general otolaryngologist, Commander in the US Navy, and Director for Professional Education (DPE) and Designated Institutional Official (DIO) at Naval Medical Center Camp Lejeune (NMCCL). 

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

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

• Written and Produced by: Paul Williams MD, FACP, Beth Garbitelli
• Cover Art: Kate Grant MBChb, MRCGP 
• Infographic by:  Beth Garbitelli
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Editor: Molly Heublein MD (written materials); Clair Morgan of nodderly.com (audio)
• Guest: Dink Jardine, MD

Help ACP celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD20 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtags #NationalInternalMedicineDay, #IMProud, and #IMEssential.

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.

• Sponsor – National Internal Medicine Day, The American College of Physicians
• Sponsor - VCU Health Continuing Education
• 00:30 Intro, disclaimer, guest bio
• 03:00 Guest one-liner, Favorite failure, Pick of the Week*:  Still Life by Louise Penny
• Sponsor – National Internal Medicine Day, The American College of Physicians
• 09:30 Case 1 - Acute Viral Rhinosinusitis 
• 10:40 Rhinosinusitis vs. Sinusitis 
• 14:20 Physical exam in rhinosinusitis
• 20:40 Counseling patients about viral vs. bacterial infection
• 22:56  Sinus regimen/nasal irrigation - “Is there a sinus toilet”
• 27:10 Intranasal fluticasone and other intranasal medications 
• 29:40 Rhinitis medicamentosa
• 30:40 Nasal spray positioning
• 33:50 Case 1 - Double Sickening
• 37:40 Worst case scenarios from rhinosinusitis
• 40:40 Antibiotic treatment for bacterial rhinosinusitis
• 43:20 Failed improvement on antibiotics? Second-line options
• 49:30 Case 2 - Chronic rhinosinusitis 
• 52:28 Etiology of chronic rhinosinusitis
• 53:33 Making a diagnosis of chronic rhinosinusitis
• 55:25 Treating chronic rhinosinusitis 
• 58:40 Vasomotor rhinitis 
• 60:40 Sinus irrigation counseling and tips (YouTube)
• 65:30 Case 3 - Allergic Rhinitis 
• 70:13 Oral medications for allergic rhinitis; Chronic allergic/non-allergic rhinitis 
• 73:51 Take-home points

1. Still Life: A Chief Inspector Gamache Novel by Louise Penny,  Chief Inspector Gamache series
2. “Dr. Adappa and Dr. Palmer teach you How to do Nasal Irrigation” https://www.youtube.com/watch?v=Br928VfiC1M

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

Listeners will develop an approach to the diagnosis and management of rhinosinusitis.

After listening to this episode listeners will...

1. Classify rhinosinusitis, including acute, chronic, bacterial, and viral.
2. Discuss the microbiology and pathophysiology underpinning rhinitis and sinusitis.
3. Differentiate the presentation and management of acute bacterial and acute viral rhinosinusitis.
4. Develop an approach to the diagnosis and management of allergic rhinosinusitis.
5. Recognize and manage patients with non-allergic rhinitis.
6. Discuss the role of antibiotic therapy and surgery in the management of rhinosinusitis.

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

Williams PN, Garbitelli B, Jardine D, Heublein M, Watto MF.. “#239 Sinusitis: It’s not that tricky.” The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Final publishing date October 26, 2020.

sinus, sinusitis, rhinitis, acute bacterial, rhinosinusitis, bacterial, viral, virus, nose, chronic sinusitis, ENT, primary care, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student

DVT / PE Triple Distilled! Our favorite VTE pearls summarized in this fast paced recap gleaned from our discussions with Dr Oren Friedman #92 Pulmonary Embolism for the Internist and hematologist, heavy metal enthusiast, Dr Michael Streiff #154 DVT and PE Master Class. Introducing our new Triple Distilled sub-series offering shorter episodes that reinforce and refresh key concepts from past shows along with any pertinent updates. 

Listeners can claim 2 hours of Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date). 

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

• Written and Produced by: Matthew Watto MD, FACP
• Cover Art by: Matthew Watto MD, FACP
• Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

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

• 00:00 Intro, disclaimer
• 01:40 Making the diagnosis of VTE
• 09:07 Triage and risk stratify Pulmonary Embolism
• 14:00 Anticoagulant choice; Duration of therapy after unprovoked DVT / PE
• 21:00 Workup for unprovoked DVT / PE; DOACs in special populations: at extremes of weight,  advanced CKD and in antiphospholipid syndrome
• 28:22 IVC filters 
• 30:20 Outro

Check out the full show notes from previous Curbsiders’ shows covering VTE. 

1. Dr Oren Friedman #92 Pulmonary Embolism for the Internist 
2. Dr Michael Streiff #154 DVT and PE Master Class

Listeners will feel confident in the diagnosis and management of VTE

After listening to this episode listeners will...

• Diagnose (VTE) DVT and PE using imaging, risk scores and clinical gestalt

• Risk stratify patients with pulmonary embolism

• Choose the appropriate initial anticoagulant for VTE

• Decide duration of anticoagulation for VTE

• Recall real risks and questionable benefits of IVC filters in DVT / PE

• Determine need for cancer or thrombophilia workup in unprovoked DVT / PE

The Curbsiders report no relevant financial disclosures. 

Watto MF, Williams PN, Brigham SK, Watto MF. “#238 DVT / PE Triple Distilled”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Final publishing date October 22, 2020.

Pulmonary embolism, vte, dvt, pe, heparin, anticoagulation, right ventricle, RV, left ventricle, LV, circulation, hypotension, shock, IVC filter, TPA, echocardiogram, CT scan, bleed, clot, deep, vein, thrombosis, DOAC, NOAC, anticoagulation, d-dimer, Wells, primary care, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student

Fun, fluorescein, and fundoscopy unite as our esteemed guest, Dr. Nisha Chadha @iEducatorMD (Mount Sinai School of Medicine) brings us ophthalmology for primary care! Dr. Chadha is a medical educator and the content creator of the med-ed simulation website 20/20 Sim. She teaches us the 3-vital signs of ophthalmology, how to recognize common diabetic eye diseases, how to explain diabetic retinopathy to our patients, how to optimize a patient for cataract surgery and so much more. This episode is truly vision-ary!

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

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

• Written, Produced, and Infographic by: Carolyn Chan, MD
• Cover Art: Kate Grant
• Hosts: Matthew Watto MD, FACP; Carolyn Chan, MD
• Editor: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com
• Guest: Dr. Nisha Chadha

Help ACP celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD20 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtags #NationalInternalMedicineDay, #IMProud, and #IMEssential.

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

• Sponsor – National Internal Medicine Day, The American College of Physicians
• Sponsor – VCU Health Continuing Education
• 00:30 Intro, disclaimer, guest bio  
• 03:21 Guest one-liner, Carolyn’s Pick of the Week 
• 09:05  Picks of the Week*
• 10:13 Case from Kashlak, 3 - Vital Signs of Ophthalmology 
• 17:09  Ocular complications of diabetes
• 20:22 Screening for diabetic retinopathy; Reports and Abbreviations
• 26:07 Counseling Patients: The eye is a camera; Clinical symptoms of ocular complications 
• 32:07 Fluorescein Stain; Treatment Options for Diabetic Eye Disease: NPDR, PDR, VH, and RD 
• 41:16 Eye Vitamins for Macular Edema
• 43:35 Cataracts 
• 47:22 Missing Glaucoma Drops 
• 50:50 Periop Optimization for Cataract Surgery, Anticoagulation and Other Medical Management 
• 58:14 Take Home Points, Plug: 20/20 Sim; Outro
• Sponsor – VCU Health Continuing Education

1. Mindset: The New Psychology of Success by Carol S.  Dwek 
2. Crackdown Podcast
3. 20/20 Sim Site

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

After listening to this episode listeners will…  

1. Define and assess the three vital signs of ophthalmology. 
2. List ocular complications of diabetes.
3. Counsel a patient on a new diagnosis of  diabetic retinopathy.
4. Describe treatments for diabetic retinopathy.
5. Define proliferative retinopathy, non-proliferative retinopathy, and macular edema.
6. Compose a perioperative medication management plan for cataract surgery

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

Chan C., Chadha N., Okamoto E., Watto MF. “#237 Ophthalmology for Primary Care”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Original air date October 19, 2020.

Eye, ophthalmology, ophtho, optometry, glaucoma, diabetes, diabetic retinopathy, macular edema, cataracts, cataract surgery, perioperative management, physical exam,  primary care, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student

Learn which exam maneuvers are worthwhile and which ones are worthless in your approach to shortness of breath. In our evidence based series on the physical exam, we discuss the approach to the dyspneic patient with Dr. Brian Garibaldi (Hopkins, SBM), associate professor of pulmonary and critical care medicine at Johns Hopkins, and co-president of the Society of Bedside Medicine. We discuss the physical exam’s effect on our differential diagnosis, maneuvers that are commonly taught, and some simple tests with great data that may go overlooked. Be prepared, this episode may take your breath away!

• Written and Produced by: Justin Berk, MD, MPH, MBA and Sam Masur, MD 
• Infographic: Sam Masur, MD, Beth Garbitelli
• Cover Art: Beth Garbitelli
• Hosts: Stuart Brigham, MD; Matthew Watto, MD, FACP; and Paul Williams, MD, FACP
• Editor:Justin Berk MD; Clair Morgan of nodderly.com
• Guest(s): Brian Garibaldi, MD

Help ACP celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD20 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtags #NationalInternalMedicineDay, #IMProud, and #IMEssential.

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

• Sponsor – National Internal Medicine Day, The American College of Physicians
• Sponsor – VCU Health Continuing Education
• 00:00 Intro, disclaimer, guest bio
• Sponsor – National Internal Medicine Day, The American College of Physicians
• 03:47 Introduction to evidence-based exam, pre-test probability, and likelihood ratios
• 05:29 Case from Kashlak Memorial 
• 06:51 Dr. Garibaldi’s initial maneuvers for the dyspneic patient
• 11:33 Recapping the exam maneuvers
• 14:05 Likelihood ratios for common maneuvers
• 18:25 Over 6/Under 6 maneuvers
• 25:30 Recap of Dr. Garibaldi’s go-to maneuvers
• 28:19 Role of labs and diagnostic imaging
• 31:03 Role of point-of-care ultrasound (POCUS)
• 34:10 Friday at 5pm
• 36:31 Take home points
• 39:25 Outro
• Sponsor – VCU Health Continuing Education

1. Stanford 25: Teaching and promoting bedside exam skills to students, residents and healthcare professionals both in person and online
2. The 5 Minute Moment at the Society of Bedside Medicine
3. The POCUS Atlas: Evidence Based Point of Care Ultrasound

Listeners will feel confident how to optimally use the physical exam to guide clinical decision-making in patients presenting with dyspnea.

After listening to this episode listeners will…  

1. Describe the effectiveness of the exam when it comes to aiding diagnosis in a patient with dyspnea
2. Identify specific exam maneuvers that can aid clinical decision-making 
3. Identify exam maneuvers that may not offer more information compared to imaging such as POCUS

This episode was made with assistance from the Society of Bedside Medicine and funding from the New York Academy Medicine.  Dr Garibaldi reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 

Masur S, Garibaldi BT, Watto M, Williams P, Brigham S, Berk J.  #236 Physical Exam Series: Approach to Shortness of Breath. The Curbsiders Internal Medicine Podcast. https:/www.thecurbsiders.com/episode-list. Original Air Date October 12,  2020.

1. Mochizuki K et al. Importance of respiratory rate for the prediction of clinical deterioration after emergency department discharge: a single-center, case-control study. Acute Med Surg. Nov 2016. doi:10.1002/ams2.252
2. Sarkar M et al. Physical signs in patients with chronic obstructive pulmonary disease. Lung India. 2019. doi:10.4103/lungindia.lungindia_145_18
3. Fagan TJ. Letter: Nomogram for Bayes theorem. N Engl J Med. 1975;293(5):257. doi:10.1056/NEJM197507312930513
4. Simel, David, et al. Rational Clinical Examination, McGraw-Hill Professional Publishing, 2009. ProQuest Ebook Central 
5. McGee, Steven. Evidence-based physical diagnosis [4th edition] Elsevier, 2018. Clinical Key
6. Benbassat, J., Baumal, R. Narrative Review: Should Teaching of the Respiratory Physical Examination Be Restricted Only to Signs with Proven Reliability and Validity?. J GEN INTERN MED 25, 865–872 (2010). https://doi.org/10.1007/s11606-010-1327-8
7. Al Deeb M et al. Point-of-care ultrasonography for the diagnosis of acute cardiogenic pulmonary edema in patients presenting with acute dyspnea: a systematic review and meta-analysis. Acad Emerg Med. 2014;21(8):843-852. doi:10.1111/acem.12435
8. Yousefifard et al. Screening Performance Characteristic of Ultrasonography and Radiography in Detection of Pleural Effusion; a Meta-Analysis. Emerg (Tehran). 2016;4(1):1-10.
9. Martindale et al. Diagnosing Acute Heart Failure in the Emergency Department: A Systematic Review and Meta-analysis. Acad Emerg Med. 2016;23(3):223-242. doi:10.1111/acem.12878
10. Caldentey et al. Prognostic value of the physical examination in patients with heart failure and atrial fibrillation: insights from the AF-CHF trial (atrial fibrillation and chronic heart failure). JACC Heart Fail 2014.. doi:10.1016/j.jchf.2013.10.004

Physical exam, dyspnea, shortness of breath, auscultation, PMI, percussion, heart failure, wheeze, POCUS, COPD, JVD, hepatojugular reflux, observation, asymmetry, Brian Garibaldi, practice, pallor, lung, heart, hands.

Time for spooky cakes with a side of candy corn. We discuss Dapagliflozin (SGLT2i) for CKD, Turmeric for knee pain and Honey for URTI (cough) on this halloween themed hotcakes with Rahul Ganatra MD, MPH @rbganatra

Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (Note: CME for this episode won’t be available until 10/12/20. We apologize for the inconvenience). 

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

• Producer: Sarah Phoebe Roberts
• Written by: Rahul Ganatra MD, MPH, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP, Sarah Phoebe Roberts MPH   
• Cover Art: Matthew Watto MD, FACP
• Hosts: Rahul Ganatra MD, MPH, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP, Sarah Phoebe Roberts MPH   
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

Help ACP celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD20 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtags #NationalInternalMedicineDay, #IMProud, and #IMEssential.

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

• 00:00 Sponsor – National Internal Medicine Day, The American College of Physicians
• 00:25 Sponsor – VCU Health Continuing Education
• 00:40 Intro, disclaimer, Picks of the Week
• 07:38 Sponsor – National Internal Medicine Day, The American College of Physicians
• 08:40 Dapa-CKD
• 20:00 Turmeric for Knee Osteoarthritis
• 32:10 Honey for URTI and Cough
• 46:32 Shout out to @votehealth2020 and PatientVoting.com 
• 48:25 Outro
• Sponsor – VCU Health Continuing Education

1. Candy Corn (autumn mix) and (classic)
2. Paul’s Halloween movie marathon: Cabin in the Woods, The Descent, The Witch, Ghostbusters

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

Listeners will review and perform critical appraisal of recent articles with the potential to change internal medicine practice

After listening to this episode listeners will…  

1. Review the potential benefits of dapagliflozin for prevent of CKD progression and death
2. Evaluate the utility of turmeric for osteoarthritis with inflammatory synovitis
3. Discuss the efficacy of honey for the treatment of acute upper respiratory tract infection and persistent post-infectious cough

The Curbsiders report no relevant financial disclosures. 

Watto M, Ganatra R, Williams PN, Brigham SK, Roberts SP. “235 Spooky Cakes”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Final publishing date October 5, 2020.

Dapagliflozin, slgt2i, sglt2 inhibitors, ckd, turmeric, curcumin, knee osteoarthritis, knee pain, synovitis, honey, urti, respiratory tract infection, cough, primary care, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student

Master your breast cancer screening spiel, cultivate your approach to the breast mass, and empower your patients with empathetic shared decision-making (which we know you’re all already fabulous at)!  On this fantastic episode, we are joined by Dr. Nancy Keating @NancyKeatingMD, policy wonk and primary care doc extraordinaire at Brigham and Women’s Hospital. This episode is rife with drama, as the ACS butts heads with the USPTF and the ACR, and you have to figure out  what’s right for the patient by talking with them--almost as exciting as that moment on Grey’s when Izzie cuts the...anyway, I won’t ruin a key plot point in the most excellent medical show of all time, all in a day’s work, here at The Curbsiders. Enjoy! 

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

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

• Producer and Writer: Nora Taranto MD
• Show Notes: Nora Taranto MD, Isabel Valdez PA 
• Infographic: Nora Taranto MD
• Cover Art: Kate Grant, MD 
• Hosts: Stuart Brigham MD, FACP; Matthew Watto MD, FACP; Paul Williams MD, FACP, Nora Taranto MD   
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
• Reviewer: Arielle Medford MD 
• Guest: Nancy Keating MD, MPH

Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice: www.psdrecruit.org/curbsiders.

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

• Sponsor - Provider Solutions & Development www.psdrecruit.org/curbsiders.
• Sponsor - VCU Health Continuing Education
• 00:30   Intro & Guest Bio
• 03:27   Guest one-liner
• 05:27   Best Advice for Women in Medicine
• 07:34   Picks of the Week
• Sponsor - Provider Solutions & Development www.psdrecruit.org/curbsiders.
• 10:00   Case 1: Brenda Cantwell and Breast Lump DDx
• 13:39   Clinical Breast Exam vs Self Breast Exam
• 17:26   Practical Tips for the Clinical Breast Exam
• 21:50   Imaging to Evaluate the Breast Lump
• 26:36   Demystifying BIRADS
• 28:36   Epidemiology Potpourri
• 33:02   Breast Pain without a Mass
• 34:30   Case 2: Mammie Gram and Breast Screening
• 46:03   Average Risk vs High Risk Screening
• 47:18   Breast Risk Prediction Tools
• 48:51   Breast Density
• 53:16   Imaging Modalities
• 61:28     Shared Decision Making in Screening  
• 68:04    Case 3: Ms Britta Lumpworth and When to Stop Screening Mammograms
• 74:42    Take Home Points and Outro
• Sponsor - VCU Health Continuing Education

1. Evicted: Poverty and Profit in the American City by Matthew Desmond
2. Run The List podcast 
3. ACOG Practice Bulletin 179, 2017
4. Elmore et al, Ten Year Risk of False Positive Screening Mammograms and Clinical Breast Examinations, N Engl J Med, 1998. 
5. Thomas, et al, Randomized trial of breast self-exam in Shanghai: final results. JNCI, 2002.
6. Semagliazov et al, Results of a prospective randomized investigation [Russia] to evaluate the significance of self-examination for the early detection of breast cancer, Vopr Onkol, 2003. 
7. Fuller, M. S., Lee, C. I., & Elmore, J. G. Breast cancer screening: an evidence-based update. The Medical clinics of North America, 2015.
8. Chan et al, False-negative rate of combined mammography and ultrasound for women with palpable breast masses. Breast Cancer Res Treat, 2015. 
9. ACS Recommendations for the Early Detection of Breast Cancer, 2020.
10. USPTF Breast Cancer Screening Recommendations, 2016. 
11. Henderson et al, Breast Examination Techniques, 2020. 
12. Kolb et al. Comparison of the performance of screening mammography, physical exam, and breast ultrasound and evaluation of factors that influence them: an analysis of 27.825 patient evaluations, Radiology, 2002. 
13. Mammogram Interpretation, Chapter 2. Radiology Key.Com. 
14. Flobbe et al, The Additional Diagnostic Value of Ultrasonography in the Diagnosis of Breast Cancer. Arch Intern Med, 2003. 
15. ACS Understanding Mammogram Readings, 2019. 
16. Bittner, Guide to mammography reports: BIRADS terminology, Am Fam Physician, 2010. 
17. Seer cancer statistics review, 1975-2017. 2020. 
18. Anders CK et al, Breast carcinomas arising at a young age: unique biology or a surrogate for aggressive intrinsic subtypes?. Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2011 
19. ACS How Common is Breast Cancer? 
20. SEER Lifetime Risk (%) of Dying from Cancer by Site and Race/Ethnicity: Females, Total US, 2014-2016
21. Garcia et al, Cardiovascular disease in women: clinical perspectives, Circ res, 2017. 
22. Cancer Statistics Center: Breast Statistics. 
23. Independent UK Panel on Breast Cancer Screening, The Benefits and harms of breast cancer screening: an independent review, Lancet, 2012. 
24. CDC Breast Cancer Screening Guidelines 2020 
25. ACS Breast Cancer Screening Guidelines, 2015
26. USPTF Breast Cancer Screening Recommendations, 2016. 
27. ACR Breast Cancer Screening Update, 2018. 
28. Canadian Task Force Breast Cancer Screening Recommendations 
29. UK-NHS Breast Cancer Screening Recommendations 
30. Biller-Andorno et al. Perspective: Abolishing Mammography Screening Programs? A View from the Swiss Medical Board, N Eng J Med, 2014. 
31. Nelson et al, Effectiveness of Breast Cancer Screening: Systematic Review and Meta-analysis to Update the 2009 US PTF Recommendation, Ann Intern Med, 2016. 
32. Miller et al, Twenty five year follow-up for breast cancer incidence and mortality of the Canadian National Breast Screening Study: randomised screening trial, BMJ, 2014. 
33. Breast Cancer Risk Assessment Tool (NCI)  
34. BCSC Breast Cancer Risk Assessment Tool 
35. Health Decision/University of Wisconsin Decision Tool
36. Harding Center for Risk Literacy Fact Box  
37. Keating et al, Breast Cancer Screening in 2018: Time for Shared Decision Making, Jama Insights, 2018. 
38. ePrognosis life expectancy calculator 

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

Listeners will learn how to evaluate a breast lump in the primary care clinic, what the guidelines recommend for asymptomatic breast cancer screening, and how to engage a patient in shared-decision making given the data available on mammograms. 

After listening to this episode listeners will…  

1. Triage and evaluate the Breast Lump 
2. Perform breast cancer risk assessment 
3. Recall the Guideline Recommendations for Breast Cancer Screening and how they vary 
4. Engage patients in conversation about b...

Listen to our medical education heroes, Dr. Abby Spencer, @abbyCCim (Cleveland Clinic), and Dr. Alia Chisty, @aliachisty (Penn State Health), school us on how to give effective and meaningful feedback! Topics include: the ADAPT framework, how to give difficult feedback, keywords and phrases when giving feedback, how to avoid gender and racial bias when giving feedback, giving feedback to your peers and how to solicit effective feedback as a team leader.  

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

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

• Written and Produced by Paul Williams MD, FACP
• Cover Art: Paul Williams, MD, FACP
• Infographic: Edison Jyang
• Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
• Guests: Abby Spencer MD and Alia Chisty MD

Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice: www.psdrecruit.org/curbsiders.

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

• Sponsor - Provider Solutions & Development www.psdrecruit.org/curbsiders.
• Sponsor - VCU Health Continuing Education
• 00:30 Intro, disclaimer, guest bio, pun
• 04:00 Guest one-liners, Picks of the Week* (see links below)
• 10:25 Sponsor - Provider Solutions & Development www.psdrecruit.org/curbsiders.
• 11:00 Case from Kashlak, Feedback definitions
• 15:00 Addressing perceived barriers to feedback
• 31:45 ADAPT model of feedback
• 38:10 Addressing potentially gendered feedback; 
• 42:45 Giving feedback to those who lack insight
• 48:29 Feedback and racial bias
• 52:25 Giving peer feedback
• 58:10 Tips for soliciting feedback as a supervisor
• 69:05 Does giving difficult feedback mean people won’t like you?
• 75:10 Take home points and Outro
• Sponsor - VCU Health Continuing Education

1. Radical Candor (book)
2. Host (film)
3. Percy Jackson & The Olympians: The Lightning Thief movie 
4. Hamilton on Disney Plus
5. Her (film) 

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

Listeners will demonstrate effective techniques to deliver and solicit meaningful feedback.

After listening to this episode listeners will…  

1. Discuss the definitions and terms used to discuss feedback.
2. Deliver effective feedback that is concordant with the learning goals of their trainees.
3. Address potential perceived barriers to feedback.
4. Utilize the ADAPT framework to partner with their learners and develop shared goals.
5. Develop strategies to mitigate against using gender- or racially-biased narrative language.
6. Deliver feedback to learners with limited insight by leveraging the impact of perception on achieving goals.
7. Solicit effective and meaningful feedback despite being in a position of authority

Drs. Spencer and Chisty report no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 

Williams PN, Spencer A, Chisty A, Brigham SK, Jyang E, Watto MF. “#233 Giving effective feedback with Abby Spencer and Alia Chisty”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Final publishing date September 21, 2020.

1. Ende J. Feedback in Clinical Medical Education.  JAMA.  1983. . [https://pubmed.ncbi.nlm.nih.gov/6876333/] 
2. Brown B.  2018.  Dare to Lead.  Random House.
3. Stone D and Heen S.  2014.  Thanks for the Feedback.  Penguin Books.
4. Scott K.  2019.  Radical Candor.  St. Martin’s Press.
5. Fainstad T et al.  Feedback can be less stressful: Medical trainee perceptions of using the Prepare to ADAPT (Ask-Discuss-Ask-Plan Together) framework.  Cureus.  2018. [https://pubmed.ncbi.nlm.nih.gov/30906679/] 
6. Rojek AE et al.  Differences in narrative language in evaluations of medical students by gender and under-represented minority status.  J Gen Int Med.  2019.  [https://pubmed.ncbi.nlm.nih.gov/30993609/] 
7. Mueller AS et al.  Gender differences in attending physicians’ feedback to residents.  JGME.  2017.  [https://pubmed.ncbi.nlm.nih.gov/29075375/] 
8. Ross, DA et al.  Differences in words used to describe racial and gender groups in Medical Student Performance Evaluations.  PLoS ONE.  2017.  [https://pubmed.ncbi.nlm.nih.gov/28792940/] 

Dive deep into common dermatological conditions of the scalp and face including alopecia, seborrheic dermatitis, rosacea, acne, and even the scourge of health professionals, ‘maskne’! We are joined by our Kashlak Chief of Dermatology and resident Skinternist Dr. Helena Pasieka (of @MedStarWHC). After listening to this episode, your dermatology knowledge will be head and shoulders above the rest!

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

Note: The full slide deck with images for this episode is not available at this time. We will post it to this show notes page as soon as we clear the image rights. 

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

• Written and Produced by: Beth Garbitelli, Matthew Watto MD, FACP, 
• Cover Art and Infographic by:  Beth Garbitelli
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli  
• Editor:  Cyrus Askin MD (written materials); Clair Morgan of nodderly.com
• Guest: Helena Pasieka MD, MS

Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice: www.psdrecruit.org/curbsiders.

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

• Sponsor - Provider Solutions & Development www.psdrecruit.org/curbsiders.
• Sponsor - VCU Health Continuing Education
• 00:30 Intro, disclaimer, guest bio
• 04:35 Guest one-liner, Picks of the Week*: Hamilton and Alexander Hamilton by Ron Chernow, Ultra-Gooey Stovetop Mac and Cheese Recipe, The Food Lab: Better Home Cooking Through Science by J. Kenji Lopez-Alt
• Sponsor - Provider Solutions & Development www.psdrecruit.org/curbsiders
• 08:30 Case 1: Alopecia 
• 12:05 Assessing scalp for inflammatory changes and follicular drop-out
• 13:10 Central Centrifugal Cicatricial Alopecia (CCCA)
• 14:00 Alopecia/hair loss non-scarring subtypes
• 25:00 Alopecia Treatments
• 28:55 Case 2:  Psoriasis vs. Seborrheic Dermatitis 
• 31:45 Looking for psoriatic plaques
• 32:11 Seborrheic dermatitis hallmarks 
• 35:19 Treatment for Seborrheic Dermatitis
• 42:10 Case 3: Rosacea vs. Acne 
• 50:40 Differentiating rosacea rash from SLE
• 52:40 Rosacea management & treatment
• 55:00 Identifying rosacea in Black skin
• 56:50 Acne management &  treatment
• 59:10 Retinoid dermatitis
• 1:00:30 Maskne
• 1:02:29 Antibiotics for acne
• 1:03:38 Retinoids and pregnancy
• 1:04:09 Doxycycline for rosacea
• 1:06:15 Take home points
• Sponsor - VCU Health Continuing Education

1. Hamilton and Alexander Hamilton by Ron Chernow, 
2. Serious Eats/The Food Lab's Ultra-Gooey Stovetop Mac and Cheese Recipe (Beth’s Cheese Blend: 8oz American cheese, 8 oz Fontina, 8 oz cheddar- not Seriously Sharp!! Also, you may be able to get away with not using 1.5lb of cheese, mix in and see how it goes, feel free to DM @VermontKitchen on Instagram for cooking guidance) 
3. The Food Lab: Better Home Cooking Through Science by J. Kenji Lopez-Alt 
4. Mineral sunscreens: suggestions include Neutrogena Sensitive Skin Sunscreen or Elta MD UV Physical Broad-Spectrum Tinted Facial Sunscreen (Formulations with Zinc Oxide only tend to be very heavy and will not blend well in all skin tones) 
5. Brown Skin Matters on Twitter and Instagram
6. Skin of Color Society
7. American Academy of Dermatology
8. Society for Dermatology Hospitalists
9. Black Skin Directory Learning Journal
10. Mind the Gap (2020) by Malone Mukwende 
11. Ethnic Dermatology: Principles and Practice (2013)
12. Skin of Color: A Practical Guide to Dermatologic Diagnosis and Treatment (2012)
13. An Atlas of African Dermatology (2001)

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

Listeners will appropriately recognize, diagnose and treat common dermatological complaints of the scalp and face seen in the primary care clinic.

After listening to this episode listeners will...

1. Recognize and treat common skin complaints of the scalp and face in primary care.
2. Become familiar with the basic therapeutic arsenal to treat scalp and face complaints in primary care.
3. Be able to differentiate non-scarring versus scarring hair loss on physical exam.
4. Comprehend nuances in total body presentations of psoriasis as a means to differentiate from seborrheic dermatitis. 
5. Review when referral to dermatology for hair loss or skin changes of the face/scalp  is necessary.
6. Recognize the extreme lack of diversity in dermatology and disparities in outcomes for various diagnoses.

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

Pasieka HB, Williams PN, Watto MF, Garbitelli EC. “#232 Skinternship: Scalp & Face”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Final publishing date September 14, 2020.

Take your salt game to the next-next level. We brushed off this fan favorite episode and rebooted #48 hyponatremia deconstructed with our Chief of Nephrology, Dr. Joel Topf aka @kidney_boy aka The Salt Whisperer for your CME earning pleasure. Learn the correct steps to diagnose and manage this common and dangerous condition. Topics covered include: true versus false hyponatremia, SIADH, tea and toast hyponatremia, beer potomania, safe rates of sodium correction, IV fluid choice, vaptans and more.

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

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

• Original episode written and produced by: Matthew Watto MD, FACP 
• Show Notes and CME questions by: Deb Gorth ScM
• Cover Art and Infographic by: Edison Jyang
• Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Editor: Molly Heublein (written materials); Matthew Watto MD (audio) 
• Guest: Joel Topf MD

A novel, collaborative, POCUS fellowship training is available at the University of Pennsylvania for IM and FM graduates!  In 2016 they leveraged the robust EM ultrasound fellowship training infrastructure with UPenn’s progressive Department of Medicine to create the 1st multi-specialty clinical ultrasound fellowship.  Their graduating fellows have made them proud by accepting leadership positions, and if you want to be on the cutting edge, you should join their team.  

Interview season is in full swing and they’re actively accepting applications.  Please go to pennultrasound.org or contact nathaniel.reisinger@pennmedicine.upenn for information.  You can apply for fellowship using the eusfellowships.com portal.

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

• 00:00 Intro
• 03:30 Guest interview
• 07:15 Pick of the week w/Dr. Topf
• 16:20 Clinical case of hyponatremia
• 17:48 False hyponatremia normal osmolality
• 19:34 False hyponatremia high osmolality
• 20:36 Understanding why osmolality matters
• 23:28 Workup false hyponatremia
• 24:45 Recap of discussion so far
• 25:40 ADH dependent vs independent hyponatremia
• 27:00 Psychogenic polydipsia
• 289:15 Renal failure and hyponatremia
• 30:03 Tea and toast, and Beer Drinker’s potomania
• 35:22 ADH dependent hyponatremia
• 38:15 Volume versus osmolality
• 40:00 Volume status exam
• 45:14 Additional testing with urine lytes and uric acid
• 47:30 Treatment for SIADH 
• 52:42 Discussion of the vaptans
• 58:21 Additional testing in SIADH
• 62:50 When to admit patient for hyponatremia
• 63:59 Clinical case of hyponatremia complications
• 68:56 Fluids and rate of correction
• 73:36 DDAVP clamp
• 76:30 Moderate hyponatremia
• 78:35 Diuretic dosing DOES matter!
• 81:59 Loop diuretics for SIADH
• 84:25 Take home points
• 87:25 Outro

1. Dr. Joel Topf’s Textbook
2. Dr. Joel Topf’s Blog
3. Dungeons and Dragons
4. Tartine (cookbook) by Elizabeth M. Prueitt
5. I Hate You, Don’t Leave Me by Hall Strauss
6. Intentional Parenting by Sissy Goff
7. Mindset by Carol Dweck
8. Nintendo Switch
9. 8.0 Bit Techno- The Curbsiders Theme Song by Stuart Kent Brigham
10. Ure-Na 
11. European Society of Endocrinology Clinical Practice Guidelines. 
12. Don’t miss Dr. Topf on twitter aka @kidney_boy.

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

Listeners will recall the pathophysiology of hyponatremia and develop a systematized approach to identifying the type and cause of hyponatremia, as well as how to safely manage hyponatremia. 

After listening to this episode listeners will…  

1. Differentiate true and false hyponatremia
2. Recall the pathophysiology of true and false hyponatremia 
3. Interpret blood and urine tests to identify the cause of hyponatremia
4. Recall the limitations of the volume status exam
5. List ADH dependent causes of hyponatremia
6. List ADH independent causes of hyponatremia 
7. Explain the pathophysiology of beer drinker’s potomania and “tea and toast” hyponatremia
8. Use uric acid to differentiate SIADH from other causes of hyponatremia
9. Basic therapy for SIADH
10. Recall safe rates of correction for hyponatremia

Dr. Topf has received honoraria from AstraZeneca and Cara Therapeutics. He is joint venture partner in Davita Dialysis centers receiving dividends. The Curbsiders report no relevant financial disclosures. 

Topf J, Gorth DJ, Williams PN, Brigham SK, Heublein M, Jyang E, Watto MF. “REBOOT #48 Hyponatremia Deconstructed”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Original air date: July 17, 2017; Updated September 7, 2020.

Type 1 Diabetes - this episode is definitely a sweet one! Join us for a conversation with our guest Dr. Hussein Abdullatif (UAB), covering the diagnosis, workup, and management of Type 1 Diabetes Mellitus. We discuss the initial lab work-up, approach to treatment, atypical presentation, and how it’s okay to eat donuts around the time of an insulin shot! 

NOTE: The show notes and CME for this episode will not be available until Wednesday September 2, 2020 at https://thecribsiders.com/ and cribsiders.vcuhealth.org respectively.

• Written and Produced by: Shannon Snellgrove
• Infographic: Shannon Snellgrove
• Cover Art: Christopher Chiu MD (Cribsiders); Shannon Snellgrove (Curbsiders)
• Hosts: Justin Berk MD and Christopher Chiu MD
• Editor:Justin Berk MD; Clair Morgan of nodderly.com
• Guest(s): Hussein Abdullatif MD

A novel, collaborative, POCUS fellowship training is available at the University of Pennsylvania for IM and FM graduates!  In 2016 we leveraged the robust EM ultrasound fellowship training infrastructure with UPenn’s progressive Department of Medicine to create the 1st multi-specialty clinical ultrasound fellowship.  Our graduating fellows have made us proud by accepting leadership positions, and if you want to be on the cutting edge, you should join our team.  

Interview season is in full swing and we’re actively accepting applications.  Please go to pennultrasound.org or contact nathaniel.reisinger@pennmedicine.upenn for information.  You can apply for fellowship using the eusfellowships.com portal.

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.

• Diagnosis of T1DM 6:50
• Presentation of T1DM 10:10
• Explaining T1DM to a parent 12:00
• Genetic Predisposition to Diabetes 15:20
• T1DM Antibodies 17:10
• Initial work-up for concomitant autoimmune disease 21:10
• Atypical Presentation of T1DM 22:44
• Treatment of T1DM 29:10
• Dietary Modifications in T1DM 33:10
• Checking blood sugars 39:50
• Honeymoon Period 42:25
• Hypoglycemia 44:00
• Sports, Sickness, Alcohol and Glucose levels 48:25
• Periop glucose management 51:10
• Long-term complications of T1DM 53:50
• Closed Loop System and Future Treatments 56:10

Listeners will feel confident in the presentation, diagnostic workup, and management of Type 1 Diabetes.

After listening to this episode listeners will…  

1. Identify the signs and symptoms of type 1 diabetes 
2. Practice appropriate work-up in the diagnosis of type 1 diabetes
3. Manage type 1 diabetes with evidence-based therapies
4. Identify the appropriate insulin analogues in daily diabetes management using basal/bolus concepts
5. Educate patients and have meaningful discussions about effective self-management of type 1 diabetes (including diet and lifestyle changes)

Dr Abdul-Latif reports no relevant financial disclosures. The Cribsiders report no relevant financial disclosures. 

Are U Talkin’ UTIs Re: Me? Infectious Diseases expert, Dr Boghuma Titanji MD, PhD  @boghuma (Emory; TED) schools us on the diagnosis and management of urinary tract infections: updated definitions of complicated and uncomplicated UTI, pitfalls of the urinalysis, first line antibiotics, duration of therapy and which agents to use for complicated UTI. This episode is liquid gold! 

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

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

• Written and Produced by: Matthew Watto MD, FACP 
• Cover Art and Infographic by: Edison Jyang
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Editor: Molly Heublein MD (written materials); Clair Morgan of nodderly.com
• Guest: Boghuma Kabisen Titanji MD, PhD

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.

• Sponsor - VCU Health Continuing Education
• 00:30 Intro, disclaimer, guest bio
• 02:50 Guest one-liner, Picks of the Week*: Urban gardening, Behave (book) by Robert Sapolsky
• 08:54 Defining UTI; Framework for UTI
• 16:35 Case 1 - Cath Foley; Acute uncomplicated cystitis; Interpreting the Urinalysis
• 28:00 Women with recurrent UTIs
• 38:55 Case 2 - UTI in a man
• 47:15 Treatment of complicated infections; Duration of therapy
• 52:27 Case 3 - Catheter associated UTI; MRSA UTI
• 61:25 Duration of therapy for bacteremia from UTI
• 64:40 Take home points, plugs and outro
• Sponsor - VCU Health Continuing Education

1. Behave (book) by Robert Sapolsky
2. Boghuma’s blog theiddoc.net
3. Boghuma’s TED Talk 
4. Emory’s ID fellowship program

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

Listeners will appropriately recognize, diagnose and treat the various presentations of urinary tract infection.

After listening to this episode listeners will...

1. Define UTI and feel confident making the diagnosis of UTI based on lab tests, history and exam findings
2. Differentiate between complicated and uncomplicated UTI
3. Recognize how UTI may presents differently in differ groups (paraplegic, chronic foley catheter, men and women)
4. Choose the appropriate antibiotic and duration with an eye towards antibiotic stewardship
5. Determine an approach to the patient with recurrent UTIs, including who may benefit from long term antibiotic prophylaxis. 

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

Titanji BK, Williams PN, Watto MF. “#231 U Talkin’ UTIs Re: Me”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Final publishing date August 24, 2020.

Does the thought of managing acute decompensated heart failure (ADHF) give you paroxysmal nocturnal dyspnea?  Recline for a bit while Dr. Michelle Kittleson MD, PhD @MKittlesonMD (Cedars Sinai) takes us through the Zen of jugular venous pressure (JVP) exams, how to approach diuresis, and the fine points of hospital discharge. This knowledge food is easier to swallow than an oral potassium replacement.

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

• Written and Produced by: Deborah Gorth ScM
  
• Cover Art and Infographic by: Edison Jyang
  
• Hosts: Matthew Watto MD, FACP and Paul Williams MD, FACP
  
• Editor: Cyrus Askin MD (written materials); Clair Morgan of nodderly.com
  
• Guest: Michelle Kittleson MD, PhD
  

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.

• 00:00 Intro
  
• 02:40 Guest one-liner; Picks of the Week
  
• 08:33 Case from Kashlak part 1, Definition of acute decompensated heart failure (ADHF), Factors that lead to ADHF (FAILURE mnemonic)
  
• 13:39 Historical clues for ADHF; Is salt restriction needed? Fluid restriction?
  
• 20:42 More on History and Physical exam for ADHF; JVP exam in detail; Crackles are worthless?!
  
• 28:36 Labs to trend during an ADHF admission
  
• 33:15 Recap of history, physical exam, and initial approach; Initiating diuresis; Goal urine output; Diuresis in HFrEF vs HFpEF phenotypes
  
• 45:32 Diuretic resistance and when to use a drip, metolazone; Do K and Mg need to be 4 and 2?
  
• 49:05 When to hold guideline directed medical therapy (Beta blockers, ARNI, ACEI/ARB)
  
• 56:05 Who needs a right heart cath?
  
• 59:30 Endpoints for discharge; Switch to PO diuretics; Approach to discharge and transitions of care
  
• 64:04 SGLT2i in heart failure
• 68:15 Take home points and outro

Join us for an extra-hot summer episode featuring our critical appraisal expert, Rahul Ganatra MD, MPH @rbganatra. Prepare to marvel as he breaks down his recent tweetorial on the RECOVERY trial of dexamethasone for COVID-19; to gasp as Paul Williams updates us on statins and ASCVD prevention and to be enthralled by the dulcet tones of Matt Watto explaining the latest research on DAPT vs. monotherapy with ticagrelor. Bonus: a new hotcakes rating scale has arrived!

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

• Producer: Sarah Phoebe Roberts
  
• Show Notes by: Sarah Phoebe Roberts
  
• Writer: Rahul Ganatra MD, Sarah Phoebe Roberts, Matthew Watto MD, Paul Williams MD
  
• Cover Art: Matthew Watto MD
  
• Hosts: Rahul Ganatra MD, Matthew Watto MD, Paul Williams MD
  
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

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.

• 00:00 Intro
  
• 02:15 Picks of the Week
  
• 06:15 New Hotcakes rating scale
  
• 09:20 RECOVERY trial
  
• 17:30 Rapid home-testing for COVID
  
• 20:15 Statins and ASCVD prevention
  
• 32:30 Ticagrelor monotherapy after ACS
  
• 41:30 Outro
  

1. Paul: U Talkin' Talking Heads 2 My Talking Head podcast
   
2. Sarah: New hotcakes scale!
   
3. Rahul: Chromeo’s new Quarantine Casanova album
4. Watto: 30 Rock season 1, episode 3 “Blind Date”

Blazing hot tips to diagnose and treat hyperthyroidism with Dr Eve Bloomgarden, @evebmd (Northwestern). We cover a ton of ground including how to: interpret thyroid function tests, use your thumbs (or an ultrasound) to examine the thyroid, become an expert on Graves’ orbitopathy, prescribe methimazole and decide who needs surgery or radioactive iodine therapy. Plus, a bit on subclinical hyperthyroidism. This episode is on fire!

Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

• Written and Produced by: Tima Karginov and Matthew Watto MD, FACP
  
• Infographic by: Tima Karginov
  
• Cover Art: Kate Grant MBChb, MRCGP
  
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
  
• Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com
  
• Guest: Eve Bloomgarden MD
  

If you provide medical care to children, Pediatrics On Call — the new podcast from the American Academy of Pediatrics — will help you do it better. Each week, hear the latest news and research on children's health, on topics from obesity and mental health to keeping the kiddos safe when they’re stuck at home. Subscribe from your favorite podcast provider or find the latest episodes here.

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.

• 00:00 Intro
  
• 03:15 Guest one-liner, favorite failure, Picks of the Week*
  
• 08:50 Sponsor
  
• 10:37 Background, Definition of Hyperthyroidism, thyrotoxicosis; Basic labs
  
• 14:20  Case from Kashlak, Symptoms of Hyperthyroidism
  
• 25:00 Grave’s eye disease: exam, therapy and counseling
  
• 32:35 Thyroid exam and ultrasound
  
• 38:55 Thyroid Stimulating Immunoglobulin
  
• 41:00 Biotin
  
• 44:30 Thyroid Scintigraphy
  
• 49:00 Causes of Thyrotoxicosis
  
• 52:00 Treatment & Adherence to antithyroid medication (methimazole)
  
• 56:20 Beta Blockers in thyrotoxicosis
  
• 64:50 Subclinical Hyperthyroidism
• 67:00 Take Home Points, Outro

The American Academy of Pediatrics (AAP) recommends that schools strive to reopen in the Fall, but there is hesitation from families and teachers alike. We speak with Dr. Sharfstein, a public health expert and pediatrician, regarding the importance of reopening schools for children, what criteria need to be met prior to opening, and how to keep children and teachers safe. Tune in to learn transmission amongst children, how other countries have reopened, why to cohort children, and how the primary care pediatrician can assist in the coming school year!

• Producers & Writers: Edward Corty, Nicholas Lee MD
  
• Infographic: Nicholas Lee MD
  
• Cover Art: Chris Chiu MD
  
• Hosts: Justin Berk MD, Chris Chiu MD, Edward Corty
  
• Editor:Justin Berk MD; Chris Chiu MD
  
• Guest(s): Joshua Sharfstein MD
  

Sponsor: VCU Health Continuing Education - to offer FREE continuing education credits for physicians and other healthcare professionals. Check out curbsiders.vcuhealth.org or cribsiders.vcuhealth.org

• Introduction 1:00
  
• How to answer “What do you think about school openings?” 11:30
  
• Risk Assessment of School Re-openings 14:40
  
• Evidence of Transmission among Children 17:10
  
• What Other Countries Have Done 19:40
  
• Community Threshold for Re-Opening and Using Protocols 20:30
  
• The Reasons to Cohort 22:45
  
• How to Address Scenarios 24:20
  
• Health Disparities and Return to School 27:00
  
• Existing Inequities and Children’s Sacrifice of Education 29:00
  
• “Opting Out” of School Return and Feeling Safe 31:30
  
• How Can Governments Help Support the Return 35:50
  
• Guidance to give as PCP 37:50
  
• School Alternatives / Innovations to Going Back 40:10
  
• The Difference Between Equity and Equality 42:50
  
• Testing in Schools 43:45
  
• Resources to Follow For More Information 46:00
  
• Take-Away Points 47:10
  
• Optimism 48:25
  
• Picks of the Week 53:50
  

Swim through the sea of acronyms as Dr Scott Matherly (@liverprof) helps us become a little less baffled by the thought of NAFLD. We discuss the initial diagnosis of fatty liver disease, indications for additional evaluation with imaging and/or biopsy, and potential treatment options. With a quarter of the world affected, it’s crucial to understand the various forms of disease and how to counsel patients about this all-too-common condition!

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

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

Sponsor: Pediatrics On Call

Sponsor:  VCU Health Continuing Education to offer continuing education credits for physicians and other healthcare professionals. Check out curbsiders.vcuhealth.org and create your FREE account!

• 00:00 Intro
  
• 03:15 Guest one-liner; Picks of the Week*
:
  
• 08:15 Sponsor
• 08:50 Case from Kashlak part 1; What is hepatic steatosis?
  
• 11:43 NAFLD acronyms and definitions
  
• 18:20 Alcohol and Fatty Liver
  
• 23:15 Initial Evaluation of NAFLD
  
• 35:12 Dr Matherly’s piel to patients with fatty
  
• 41:11 NASH/Fibrosis Risk Assessment
  
• 48:54 Outcomes in NASH with Fibrosis
  
• 51:20 Statins are safe in liver disease
  
• 56:15 Treatment Options (surgery, Vitamin E, Pioglitazone, SLGT2 inhibitors and GLP1 agonists; Coffee?!)
• 71:42 Take home points and Outro

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. 

Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

• 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

• 00:00 Intro
  
• 03:00 Guest one-liner, Picks of the Week*: Zoe Keating albums (Cellist); Mrs. America (TV series) on FX; The Last of Us (Videogame);
  
• 08:45 Sponsor
  
• 09:15 Definition of acute kidney injury (AKI) and fundamentals
  
• 11:00 Cardiorenal syndrome
  
• 12:24 Schema for AKI
  
• 17:30 Establish an etiology, determine urine output and address electrolyte abnormalities
  
• 21:22 AKI in the otherwise-healthy patient;
  
• 32:20 Rhabdomyolysis
38:21 Vancomycin
  
• 41:43 Acute interstitial nephritis (AIN)
  
• 44:52 Contrast induced nephropathy (CIN)
  
• 50:37 Gadolinium in AKI and/or CKD
  
• 52:53 Timing of dialysis
  
• 56:37 AKI in the out-patient setting and how to handle home meds e.g. TMP-SMX, RAAS inhibitors;
  
• 62:01 Is Ultrasound necessary in AKI
• 64:58 Dr. Topf’s take home points and Plug for Seminars in Nephrology

Listen as our expert guests, Kelly Graham, MD, MPH (@KellyGrahamMD) and Lekshmi Santhosh, MD MAEd (@LekshmiMD), detail the professional and personal challenges faced by women in medicine during the COVID-19 pandemic.

Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

• Produced by: Leah Witt MD & Shreya Trivedi MD 
• Written by: Molly Heublein MD, Isabel Valdez PA-C, Leah Witt MD & Shreya Trivedi MD
• Infographic & Cover Art: Edison Jyang
• Hosts: Leah Witt MD & Shreya Trivedi MD, Justin Berk MD, MPH, MBA
• Editor: Molly Heublein MD and Matthew Watto MD (written materials); Clair Morgan of nodderly.com
• Guests: Kelly Graham, MD, MPH; Lekshmi Santhosh, MD MAEd 

• Intro, disclaimer
  
• Introduction and bio for Kelly Graham, MD, MPH
  
• Introduction and bio for Lekshmi Santhosh, MD MAEd
  
• One-liner for Kelly Graham, MD, MPH
  
• One-liner for Lekshmi Santhosh, MD MAEd
  
• Gender Awakening Moments
  
• Picks of the Week*
  
• Case from Kashlak
  
• Difficulty with lack of childcare while working
  
• Hippocratic Oath paradox
  
• Dr. Santhosh’s 3 Ps
  
• Motherhood penalty-fatherhood bonus
  
• Two Pandemics, One Response
  
• Breadwinner-homemaker bias
  
• Female physician burnout
  
• Minority Tax
  
• Silver Linings
  
• Take home points and Outro

Jump into an episode dedicated to hospital based addiction medicine, as we cover common scenarios hospitalists encounter.  In this episode we talk to addiction medicine expert, Dr. Melissa Weimer @DrMelissaWeimer (Yale) about inpatient management of patients with substance use disorders. Topics include: the management of polysubstance withdrawal,  approaching acute pain management for a person with opioid use disorder, and inpatient harm reduction strategies. After this episode listeners will gain new tools to help them best care for hospitalized patients with substance use disorders.

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• Writers and Producers: Carolyn Chan MD, Deb Gorth, and Nora Taranto MD
  
• Cover Art and Infographics by: Carolyn Chan, MD
  
• Hosts: Stuart Brigham MD; Paul Williams MD, FACP; Carolyn Chan MD
  
• Editor: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com
  
• Guest: Dr. Melissa Weimer
  

• Intro, disclaimer, guest bio : 00:00
  
• Guest one-liner:    03:00
  
• Picks of the Week*:   08:20
  
• Case from Kashlak:  10:30
  
• Urine Toxicology Screens 11:30
  
• Discussing Urine Toxicology Screens with Patients  13:20
  
• Management of Polysubstance Withdrawal 16:16
  
• Tapering Benzodiazepines   19:56
  
• Acute Pain Management and Opioid Use Disorder 30:35
  
• Active Drug Use in the Hospital 38:52
  
• Harm Reduction 40:00
  
• Discharges - Planned 43:43
  
• Perioperative Buprenorphine and Methadone: 46:50
  
• QT Prolongation and Methadone - 52:53
  
• Outro 56:21

Our very first Cribsiders/Curbsiders crossover episode! Learn about cystic fibrosis care across the lifespan. We dive into the diagnosis of CF (don’t lick your patients!), management of pulmonary and extrapulmonary complications, and the future of CF. You’ll also get tips on CF in adolescents and young adults, as well as recognizing undiagnosed CF in older patients. Our guest, Dr. Whittney Warren, is a pulmonary critical care doctor and the medical director of the Adult Cystic Fibrosis clinic in an academic hospital in Texas. Show notes: https:/www.thecribsiders.com/.

• Writer, Producer, Infographic, CME Questions: Clara Mao 
• Cover Art: Christopher Chiu MD
• Hosts: Justin Berk MD, Christopher Chiu MD, and Matthew Watto MD
• Editor: Justin Berk MD; Clair Morgan of nodderly.com
• Guest: Whittney Warren DO 

• Intro / Disclaimer 0:00
• Guest bio 2:25
• Guest one-liner, picks of the week 3:15
• Explaining CF to patients, life expectancy  7:00
• Types of CF mutations and phenotypes 11:50
• Presentation of CF in older patients 15:20
• Screening and diagnosis 16:40
• PFTs and airway clearance 25:20
• Nutrition and the “CF diet” 29:10
• CF exacerbations and antibiotic selection 32:25
• Extrapulmonary manifestations 39:35
• Transition of care for CF adolescents (alcohol, exercise, sex) 43:50
• CFTR modulator therapy 51:35
• Lung transplantation 54:45

Listeners will develop a systematic approach towards long-term management and acute exacerbations of cystic fibrosis.

After listening to this episode listeners will…  

1. Explain the pathophysiology underlying cystic fibrosis.
2. Identify maintenance therapies that optimize pulmonary function and nutritional status in patients with cystic fibrosis.
3. Choose evidence-based practices in the management of cystic fibrosis-associated pulmonary exacerbations.

This episode is Half COVID Cakes, Half Hotcakes, and entirely enlightening.  Our guest Dr. Utibe Essien MD, MPH @UREssien and Curbsider/epidemiologist, Dr. Rahul Ganatra MD, MPH @rbganatra discuss some Hot COVID Cakes including: racial differences in COVID-19 outcomes, why dogs and dexamethasone may hold the key to defeating COVID-19, how hormonal adjunctive therapies might be key for depression, and when to poo-poo probiotics versus when a side of Lactobacillus may be beneficial.

Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME!

• Written and Produced by: Rahul Ganatra MD, MPHl Emi Okamoto MD; Sarah P. Roberts MPH; and Matthew Watto MD
  
• Show Notes and CME questions by: Deborah J. Gorth ScM
  
• Cover Art: Deborah J. Gorth ScM
  
• Hosts: Matthew Watto MD; Rahul Ganatra MD, MPH, Emi Okamoto MD, and Sarah P. Roberts MPH
  
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  
• Guest: Utibe Essien MD, MPH
  

• 00:00 Intro, disclaimer, guest bio
  
• 02:20 Silver Linings / Picks of the Week: Chicken Run (2000) and Chicken Run 2 on Netflix; Philly Inquirer story on COVID sniffing dogs; Buy some peaches! And check out their Wikipedia page!
  
• 07:33 Hospitalizations and Mortality Among Black and White patients with COVID-19
  
• 26:10 Dexamethasone for COVID-19
  
• 28:55 Hormonal therapy for depression
  
• 38:16 Probiotics
• 45:00 Outro

Listen as our esteemed guest Dr. Utibe Essien @UREssien walks us through key terminology and evidence necessary to understand anti-Black racism in medicine. Dr. Essien provides insights into ways that racism impacts our work in the clinical and academic settings and offers approaches for addressing anti-Black racism in these settings.

Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME!

• Producer and Writer: Joniqua Ceasar MD, Hannah Abrams MD
  
• Cover Art: Hannah Abrams MD
  
• Infographic: Beth Garbitelli
  
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Joniqua Ceasar MD
  
• Editor: Paul Williams MD, Chris Chiu MD (written materials); Clair Morgan of nodderly.com
  
• Guest: Utibe Essien MD
  

• 00:00 Intro, disclaimer, guest bio
  
• 02:40 Guest one-liner, Picks of the Week*: Just Mercy
  
• 09:20 Statement from the show; Importance of discussing racism in medicine
  
• 14:11 Definitions
  
• 18:06 Identifying how racism manifests in the clinical setting
  
• 37:46 Ideas for advocacy
• 49:50 Take points and Outro

Throw out your down pillows and join The Curbsiders for this lively discussion on interstitial lung disease. While the hundreds of interstitial lung disease types make this topic a bit overwhelming, breathe easy knowing that pulmonologist, Dr. Erin Narewski @erinnarewski (Temple), can boil things down to an easy to approach framework in less time than it takes to complete a few 6-minute walk tests. In this episode, we walk through the classification, relevant patient history, workup, and management of interstitial lung disease.

Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME!

• Written and Produced by: Paul Williams, MD, FACP; Nicole Kus, David Madnick, and Peter Wikoff
  
• Infographic and Cover Art: Edison Jyang
  
• Show Notes: Deborah Gorth
  
• Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
  
• Editor: Paul Williams MD, FACP (written materials); Clair Morgan of nodderly.com
  
• Guest: Erin Narewski DO, FCCP
  

• 0:00  Intro
  
• 03:14 Guest one-liner, career advice, favorite failure, Picks of the Week*: The Strain, FX Horror TV Show; One Hundred Years of Solitude (book) by Gabriel Garcia Marquez; Hypoallergenic pillows; Peanut butter whiskey
  
• 10:02 Sponsor - Join the ACP community! Be IM Proud Visit acponline.org/member and use the code ACPDISCOUNT
  
• 11:00 Case from Kashlak, Definitions
  
• 16:40 Buckets of ILD
  
• 32:06 Discussion of testing ILD: Labs and Imaging
  
• 44:20 Imaging findings in ILD
  
• 49:44 Basic Management of ILD
• 61:00 Take home points and Outro

We’re going upstream! Dr. Karen DeSalvo (@KBDeSalvo) talks social determinants of health, arming us with a framework to consider this very challenging aspect of patient care. As Society for General Internal Medicine President and Chief Health Officer at Google Health, she shares her clinical and public health experience, including weathering Katrina in New Orleans. While our clinical care largely focuses on the downstream medical consequences, we must recognize the upstream social context to address the barriers to health and wellbeing.

Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME!

• Written and Produced by: Emi Okamoto MD
  
• Cover Art: Kate Grant MBChb, MRCGP
  
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Emi Okamoto MD
  
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  
• Guest: Karen DeSalvo MD, MPH, MSc
  

• Intro, disclaimer, guest bio 0:44
  
• Dr Desalvo’s one-liner 3:34
  
• Picks of the Week*- The Great Influenza book by John M Barry  5:01
  
• Dr Desalvo’s advice and past experience 6:10
  
• Case from Kashlak 10:30
  
• What about the evidence for social determinants? 13:40
  
• What to do about this in the clinic, and is it worth screening? 16:06
  
• Approaching as a team and with the community 19:40
  
• How do we affect the upstream, before the downstream consequences? 22:40
  
• NAM recommendations and framework 26:00
  
• The role of technology 30:00
  
• What are Social Determinants of Health (SDOH), and who they affect 34:00
  
• Start paying attention to SDOH 37:00
• Outro 38:49

Answers to common questions in post-op care with our Kashlak Chief of Perioperative Medicine Dr. Avital O’Glasser. She provides updates in delirium prevention, perioperative medication management, pain control, and even clarifies a lesson from Meredith Grey about causes of post-op fever.

Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME!

• Written: Hannah Abrams MD, Avital O’Glasser MD
  
• Produced by, Infographic and Cover Art by: Hannah Abrams MD
  
• Hosts: Hannah Abrams MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
  
• Editor: Avital O’Glasser MD (written materials); Clair Morgan of nodderly.com
  
• Guest: Avital O’Glasser MD
  

• 00:00 Intro
  
• 02:53 Guest one-liner, Picks of the Week*: 12 Angry Men 1957 Movie; Hedwig and the Angry Inch Cast Recording; PCSSNow Buprenorphine Waiver Training for Medical Students
  
• 09:28 Sponsor
  
• 10:17 Kashlak case; How to collaborate with our surgical colleagues
  
• 13:45 Questions to ask at the time of transfer
  
• 23:00 Routine Post-Op Care: Bowel regimen, pain control, delirium prevention, glucose, antihypertensives, and nausea
  
• 44:25 Co-managing Complications and Fever/Tachycardia; Brief discussion of VTE prophylaxis
• 57:55 Outro

Join us as we delve into the paradigm-shifting ethos of trauma-informed care with renowned expert Dr. Megan Gerber, Associate Professor of Medicine at Boston University School of Medicine, Medical Director of Women’s Health for VA Boston where she directs the Women’s Health Fellowship, editor of “Trauma-informed Health Care Approaches: A Guide for Primary Care.”  We discuss the framework for trauma-informed universal precautions, as well as basics about the prevalence of trauma, strategies for integrating a trauma-sensitive approach into primary care, practical changes for the office environment,  modifications for physical exam methods, and more. We recognize this topic may be triggering. If you are struggling with thoughts of harming yourself, the national suicide prevention lifeline number is 1-800-273-8255.

Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

• Producer/Writer/Graphics: Beth Garbitelli
  
• Co-Producer: Paul Williams MD
  
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli
  
• Editor: Molly Heublein MD (written materials); Clair Morgan of nodderly.com
  
• Guest: Megan Gerber MD, MPH, FACP

• Intro, disclaimer, guest bio (0:00 - 3:15)
  
• Guest one-liner (3:30)
  
• Kashlak Cases (13:45)
  
• Epidemiology of trauma (15:18)
  
• Trauma and #MeToo (18:10)
  
• Defining Trauma-Informed Care (TIC) (19:00)
  
• Integrating TIC into primary care (22:48)
  
• Screening in TIC (25:00)
  
• Containment and retraumatization (29:00)
  
• Inquiring about trauma (30:45)
  
• Recap and Office Visit Mechanics (35:30)
  
• Building the Relationship (38:00)
  
• Common Inquiry Mishaps (38:52)
  
• TIC Physical Exam (40:20)
  
• Resources for Patients (44:30)
  
• Office Environment (48:00)
  
• Provider Burnout (50:00)
  
• TIC in Covid-19 (52:30)
  
• Take-home Points (56:20)

Introducing our friends, The Curious Clinicians:

Why do human bodies work how they do? Why do medications work, or not work? Do you miss digging into the “why” behind what we do every day? Join Hannah Abrams (@hannarabrams), Tony (@tony_breu), and Avi (@AvrahamCooperMD) in the Curious Clinicians podcast as they delve into these questions & more, starting with episode 1: Why does fingernail clubbing happen in so many different diseases? https://curiousclinicians.com/

Check out their website and subscribe on your favorite podcast player.

Stay current with the emerging COVID-19 research including: ACTT-1 (remdesivir), triple therapy with interferon, and conundrums  about SARS-CoV-2 PCR and serologic testing. We’re led by the one and only Curbsider/internist/epidemiologist, Rahul Ganatra MD MPH (@rbganatr). And...just in case you live outside of the habitat for murder hornets and your anxiety about the pandemic had begun to abate, we touch on the CDCs guidance to beware of hungry aggressive rats. Gross!

Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME!

• Written and Produced by: Rahul Ganatra MD, MPH, Deborah J. Gorth ScM, Emi Okamoto MD, Sarah P. Roberts MPH, and Matthew Watto MD
• Cover Art: Deborah J. Gorth ScM
• Hosts: Matthew Watto MD, Rahul Ganatra MD MPH, Emi Okamoto MD, and Sarah P. Roberts MPH
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

• 00:00 Sponsors
  
• 00:30 Intro, disclaimer
  
• 02:40 Fomites, groceries and killer rats
  
• 08:22 Sponsor
  
• 09:22 ACTT-1 trial of remdesivir
  
• 18:22 Triple therapy with lopinavir/ritonavir, ribavarin and interferon
  
• 33:10 Background on PCR testing for SARS-CoV-2; How common are false negative PCR tests?
  
• 44:25 Serologic testing for SARS-CoV-2; Utility of antibody testing; Test characteristics
• 50:30 Outro

Learn the nuances of caring for and building relationships with patients experiencing homelessness from expert internal medicine and addiction physician Stefan Kertesz, return guest from Episode 74 on Opioids and Health Policy (highly recommend a re-listen, y’all!).  Topics: the challenge of creating a welcoming and useful space for individuals experiencing homelessness, how to meet patients where they’re at--both physically and mentally--the challenge of managing diuretics for those without stable access to a bathroom (avoid, if possible), and how absolutely essential the foot exam is.

Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

• Written and Produced by Nora Taranto MD
  
• Infographics by Nora Taranto MD
  
• Cover Art by Kate Grant MBChB, MRCGP
  
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Nora Taranto MD
  
• Editor: Carolyn Chan (written materials); Clair Morgan of nodderly.com
  
• Guest: Stefan Kertesz MD
  

• 00:00 Intro, disclaimer, guest bio
  
• 3:17 Guest one-liner
  
• 8:55 Picks of the Week*: Dr. Kertesz’s Book Recommendation: Saul Weiner’s On Becoming A Healer; Nora’s Pick of the week: BackStory (especially their episode on dynamite!) https://www.backstoryradio.org/
  
• 10:07 Case from Kashlak
  
• 10:56 Language: How to ask where a patient lives?
  
• 13:25 Terminology: Persons Experiencing Homelessness:
  
• 14:35 The stats on prevalence of health and illness in the homeless population, and the importance of both medical and environmental factors
  
• 20:44 How to start the visit, and how to establish trust early on?
  
• 27:40 Why is the mortality rate higher?
  
• 35:15 Special conditions and Medication Considerations: Hypertension, Diuretics, Insulin and Food Insecurity, Substance Use Disorders, Feet, and Hepatitis C
  
• 54:15 COVID and homeless healthcare
  
• 57:00 Care Models
• 62:30 Take Home Points and Outro

Chase that metronidazole with a beer! Pop some 30 year old pills! Retrain your brain as our esteemed guest Dr. Douglas Paauw goes over his popular annual ACP presentation on Medical Myths. Learn about how some common medical myths originate and continue in our practice. We discuss why it’s okay to drink on metronidazole, take expired medications, inject epinephrine into extremities and why recurrent sinusitis may not really exist.

Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME!

• Written and Produced by: Justin Berk, MD MPH MBA
  
• Infographic and Cover Art: Beth Garbitelli
  
• Hosts: Justin Berk, MD, MPH, MBA; Matthew Watto MD, FACP; Paul Williams MD, FACP
  
• Editor: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com
  
• Guest: Douglas Paauw, MD
  

• 00:00 Intro, disclaimer, guest bio
  
• 02:22 Guest one-liner; Career Advice, Picks of the Week*: Being Mortal, book by Atul Gawande; The Band Played On, book by Randy Shilts; Lagunitas Hoppy Refresher: zero alcohol, zero calories!
  
• 06:15 Medical Myth Definitions
  
• 10:20 Dogma: Metronidazole and Alcohol; Healthy RCT Metronidazole and Alcohol
  
• 19:09 Expired Medications; Military Stockpiling Study
  
• 24:22 Aspirin and Nitroglycerin; Unopened eye drops; Epi-Pens; Expired Med Recap
  
• 31:13 Sinus Headaches; Trigeminal Nerve; Pearl: Recurrent headaches; Study showing Effectiveness of treatment (92%)
  
• 41:07 Epinephrine in extremity; RCT of Epi in Extremities
  
• Study showing Experts use it; Podiatry journal
• 48:39 Take home points and Outro

Elevate your critical appraisal skills as we review the first RCT of remdesivir and share the latest and greatest COVID-19 stories including: Llama antibodies, Stroke statistics, Future Waves, Exit Strategies and Awake Proning. We’re joined by everyone’s favorite Curbsider/internist/epidemiologist, Rahul Ganatra MD MPH (@rbganatra). Rahul provides critical appraisal of the newest randomized control trial (RCT) on remdesivir from the Lancet, and gives us a lesson on why statistical power is so important to consider. We also share updates on strokes, awake proning, pandemic predictions, and we reveal another reason to love llamas (besides those luscious lashes). Llama mia, here we go again!

Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME!

• Written and Produced by: Sarah P. Roberts MPH, Rahul Ganatra MD, MPH, Emi Okamoto MD, Paul Williams MD and Matthew Watto MD
  
• Cover Art: Beth Garbitelli
  
• Hosts: Matthew Watto MD, Paul Williams MD, Rahul Ganatra MD MPH, Emi Okamoto MD , Sarah P. Roberts MPH,
  
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  

• 00:00 Intro
  
• 02:10 Fun animal facts: Llama antibodies
  
• 09:10 Remdesivir RCT by Wang et al
  
• 12:40 Power and Sample Size
  
• 16:32 Baseline Characteristics, Results and Author’s conclusions
  
• 19:15 Rahul’s conclusions: How chance and bias affected the results
  
• 24:00 Right censoring; Viral load and timing of antivirals
  
• 30:30 Final thoughts on Remdesivir RCT by Wang et al; Looking ahead to the NIAID (ACTT) trial
  
• 33:53 Are patients really having fewer strokes and heart attacks?
  
• 38:20 Awake proning
  
• 43:30 Paul teaches us not to use the term “happy hypoxemic”
  
• 45:00 CIDRAP viewpoint on future waves and exit strategies
• 50:22 Outro

Listen as our esteemed guest Dr. Nina Mingioni (Jefferson) walks us through her approach to fatigue, from differential diagnosis, to the evidence behind physical exam, laboratory workup, and beyond!

Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

• Writer, Producer, Infographic, and Cover Art: Hannah R. Abrams
  
• Hosts: Hannah R Abrams, Matthew Watto MD, FACP; Paul Williams MD, FACP
  
• Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com
  
• Guest: Nina Mingioni MD, FACP

• 00:00 Intro, disclaimer, guest bio and a bad pun
  
• 03:00 Guest one-liner
  
• 07:10 Case from Kashlak, Defining fatigue; Taking a general history
  
• 11:36 Most common causes of fatigue and how to elicit them from the history
  
• 20:39 Physical exam for fatigue; Medications that cause fatigue;
  
• 25:25 Exam findings and LRs for anemia; Sleep apnea
  
• 30:55 Lab workup for fatigue; Expanded testing: Ferritin, Vitamins, EBV, Rheumatologic diseases, Celiac disease, Lyme
  
• 47:55 Spiel to the patient when no answer is found
  
• 51:14 Other diagnoses to consider: Fibromyalgia, Myalgic Encephalomyelitis
• 55:09 Take home points and Outro

Crush those 11 pm “STAT: Patient agitated” pages with this expert guide to assessing for and treating alcohol withdrawal!  Dr. Joji Suzuki MD, addiction psychiatrist extraordinaire at the Brigham and Women’s Hospital, walks us through how to think about the risk of severe withdrawal, the different ways to manage it, and how to engage with patients as they’re leaving the hospital. In the course of this Car-Talk (well, not exactly the same as the critically acclaimed radio show, but he did record in his car….), Dr. Suzuki demystifies withdrawal and debunks some common myths: that we must manage withdrawal inpatient, that banana bags are the cure to a hangover and alcoholic malnutrition, and that we tend to under-medicate with benzos (actually, it’s the opposite!).

Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME

• Written and Produced by Nora Taranto MD
  
• Infographic and Cover Art by: Nora Taranto MD
  
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
  
• Editor: Cyrus Askin MD, Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  
• Guest: Joji Suzuki MD
  

• 00:00 Intro, disclaimer, guest bio
  
• 02:52 Guest one-liner; Career advice; Picks of the Week*: Why We Do What We Do (book); Fargo (film)
  
• 08:10 A Case from Kashlak and Screening for Alcohol Use and Severe Withdrawal Risk
  
• 17:32 Outpatient Versus Inpatient Treatment
  
• 25:27 Gabapentin for alcohol withdrawal
  
• 27:10 Indicators for ICU level Care
  
• 31:53 Symptom-Driven versus Fixed-Dose Protocols , Benzos vs. Barbs
  
• 36:55 And which benzo?
  
• 39:47 A Natural History of Withdrawal
  
• 44:10 Banana Bags and Thiamine Deficiency
  
• 48:17 The Transition Home: Naltrexone, Bridge Clinics, and Motivational Interviewing
• 56:36 Outro and Bonus clip

In this episode we tackle treatment with remdesivir, management with anticoagulation, and presymptomatic transmission. Welcome back to COVID Cakes, a rundown of recent COVID articles and news stories. What does the latest Gilead medication have to offer? Why should we wear masks? And if you thought 6 feet was THE safe distance…we’ve got some bad news about running. But it’s not all bad! We’re joined by everyone’s favorite Curbsider/Internist/Epidemiologist, Rahul Ganatra MD MPH (@rbganatra), who provides critical appraisal of the newest COVID-19 treatment article. Pull up a chair, bring your own syrup, and join us!

Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME!

• Producer: Sarah P. Roberts MPH, Rahul Ganatra MD MPH, Emi Okamoto MD
  
• Writer: Emi Okamoto MD, Rahul Ganatra MD MPH,
  
• Cover Art: Chris Chiu MD
  
• Hosts: Chris Chiu MD, Rahul Ganatra MD MPH, Emi Okamoto MD
  
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  

• 00:30 Intro, disclaimer
  
• 02:30 Picks of the Week
  
• 6:36 Remdesivir trial rundown
  
• 21:52 Thrombosis in COVID-19
  
• 29:50 Asymptomatic/Presymptomatic transmission
  
• 41:42 Quick takes
• 49:00 Outro

It’s NephMadness! Get inside the black box of transplant medicine as we discuss: Kidney transplant for the internist. Join Dr. Cyrus Askin, @askins_razor, one of our Curbsiders Correspondents, as he teams up with the fine folks from the Freely Filtered Podcast led by Dr. Samira Farouq, @ssfarouk, a Mount Sinai transplant nephrologist. Topics: indications for kidney transplant, immunosuppressive agents, what to watch out for in your post-transplant patients and so much more! Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME

• Written and Produced by: Cyrus Askin MD, Matthew Watto MD and the Freely Filtered Crew
  
• Infographic: Cyrus Askin MD
  
• Cover Art: Kate Grant MBChB DipGUMed
  
• Hosts: Cyrus Askin MD, Joel Topf MD, Samira Farouk MD, Swapnil Hiremath MD, Jennie Lin MD & Matt Sparks MD
  
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  

• 00:00 Announcement, Intro to Freely Filtered and NephMadness
  
• 04:00 Case of advanced CKD; Who/when to refer for transplant
  
• 12:05 Benefits of renal transplant
  
• 16:22 Counseling patients with advanced CKD about transplant and a bit on living donors
  
• 20:40 Medications after transplant; Drug-drug interactions
  
• 25:50 Dr. Sparks’ 30 second exam for the transplant patient; Diarrheal illness
  
• 32:07 Calcineurin inhibitor levels
  
• 36:42 Prophylaxis for long term complications
  
• 40:21 Allograft rejection; BAMF criteria
  
• 50:40 Cardiovascular risk; Statins
  
• 56:11 Malignancy after kidney transplant
  
• 60:00 NephMadness Transplant Region: Biomarkers vs Biopsy
• 72:23 Outro

LIVE! from VCU, we discuss why and how to use Twitter and other Social Media platforms as a clinician educator. Guest Michelle Brooks MD (@michellebrooksMD, VCU) shares her Twitter origin story along with pearls on how to use Twitter for digital scholarship #meded, networking and how to stay out of trouble on social media.  Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

• Written and Produced by: Matthew Watto MD, FACP
  
• Infographic: Michelle Brooks MD
  
• Cover Art: Matthew Watto MD, FACP
  
• Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
  
• Editor: Clair Morgan of nodderly.com
  
• Guest: Michelle Brooks MD
  

• 00:00 Guest one liner, favorite failure, career advice,
  
• 08:08 Picks of the week*: Culture Code (book) by Daniel Coyle; Crucial Conversations (book); Teaching Naked (book); Dark Crystal (Netflix series); The Outsider (HBO series)
  
• 11:23 Case of Sosh Al Media; Landscape of social media; Control your digital footprint; Public vs Private profiles
  
• 23:04 Negative aspects of social media
  
• 26:44 How to utilize Twitter for medical education; Twitter basics; Milton Packer
  
• 37:14 Pros and Cons of #medtwitter
  
• 42:02 Tweetorials
  
• 44:28 Audience questions: Repercussions from posting on social media; Social Media fellowships; Advocacy on social media
• 51:34 Outro

Fall in love with the thyroid all over again, as we deconstruct hypothyroidism with thyroid expert, Susan Mandel MD, MPH (PENN). We review common causes, symptoms, diagnosis and treatment and how these may differ for those who are Pregnant, over age 65, or have existing Heart disease. Plus, Dr Mandel schools us on her approach to treatment with levothyroxine (T4), and even explains when she trials liothyronine (T3) replacement! Warm up those thumbs for the thyroid exam...it’s on!

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

• Written and Produced by: Elena Gibson MD
  
• Cover art and Infographic by: Dr Kate Grant MBChb MRCGP
  
• Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
  
• Editor: Emi Okamoto (written materials); Clair Morgan of nodderly.com
  
• Guest: Susan Mandel MD, MPH
  

• 00:00 Intro, disclaimer, guest bio
  
• 02:43 Guest one-liner; Pick of the week: Waiting for Godot (Play); Favorite Failure; Career Advice
  
• 09:40 Case from Kashlak Part one; Hypothyroidism signs and symptoms
  
• 13:20 When to Test for Hypothyroidism
  
• 17:43 Biotin interaction
  
• 19:49 Which thyroid tests should we order?
  
• 26:15 Subclinical hypothyroidism
  
• 29:00 Etiology/Types of hypothyroidism
  
• 33:30 Case from Kashlak Part two; Initial Medication dosing; Physical Exam
  
• 37:10 Levothyroxine replacement time of administration
  
• 42:10 TSH goal
  
• 46:00 Levothyroxine manufacturers
  
• 48:33 Dosing in older adults
  
• 50:27 T3 treatment
  
• 56:52 Pregnancy
  
• 59:42 Dose adjustments
  
• 61:43 Estrogen and thyroid binding protein
  
• 63:33 Who needs a referral?
• 65:40 Plugs, Outro

Welcome to The Curbsiders tutorial on how to create your own medical podcast. @doctorwatto and @paulnwilliamz walk you through how to conceptualize your podcast, build your team, choose your equipment and the basics of how to setup hardware and software recording. Be sure to browse the accompanying show notes for a true step-by-step guide complete with links to videos, web pages, and blog posts that we found helpful when starting our show. If it’s not in this document, then it can easily be found on YouTube, or via a Google search. Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com

• Written and produced by: Matthew Watto MD
• Cover art and Infographic by Matthew Watto MD
• Hosts: Matthew Watto MD and Paul Williams MD
• Editor: Clair Morgan of Nodderly.com

• 00:00 Announcement, Intro, Disclaimer
• 02:53 Our top podcasting pearls
• 07:01 Find your niche
• 09:46 Logistics
• 13:25 Business, finances and legal matters
• 14:40 Equipment
• 21:48 Recording and editing
• 24:56 Website, web and media hosting
• 28:53 How to setup and record your podcast
• 35:08 Editing software
• 35:58 Search engine optimization
• 37:45 Post-processing
• 39:49 Take home points and outro

Breathe easy with these airway management principles and expert tips for managing the patient with COVID-19 related lung disease (i.e. pneumonia, hypoxemia, ARDS). In the COVID-19 era, non-intensivists are being called upon to care for critically ill patients across the globe. At the Curbsiders, we understand that this can be a stressful proposition! Therefore, we’ve enlisted the help of the renowned medical intensivist & USUHS Chair of Medicine, Dr. Kevin Chung (@chungk1031) to teach us what we need to know about airway management  in these challenging times. Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com

• Written and Produced by: Cyrus Askin MD, Michael Rose MD, Kathleen Hiltz MD
  
• Show Notes: Cyrus Askin MD
  
• Infographic: Elena Gibson, MD
  
• Cover Art: Dr. Kate Grant MBChB DipGUMed
  
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Cyrus Askin, MD
  
• Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com
  
• Guest: COL Kevin Chung, MD, FACP
  

• 00:00 Intro
  
• 03:15 Guest one liner, chicken wings (Miller Lite marinade), career advice
  
• 07:40 Sponsor
• 08:20 Case of hypoxemic respiratory failure; Rapid evaluation, initial labs
  
• 16:03 Initial assessment of a COVID-PUI; HFNC and non-invasive ventilation
  
• 23:40 Proning patients for hypoxemia
  
• 29:15 ARDS basics: diagnostic criteria, Brief Recap
  
• 33:22 Mechanical ventilation: Initial settings, following the blood gas
  
• 40:55 Peak and plateau pressure, Lung compliance and  Troubleshooting a high pressures
  
• 51:30 Ventilator dyssynchrony; Lung compliance and traditional ARDS vs COVID-19 lungs
  
• 62:55 Advanced ARDS - The 5 Ps of therapy and differences with COVID-19
  
• 68:10 Take home points; Plugs; Outro