The Curbsiders Internal Medicine Podcast

By The Curbsiders Internal Medicine Podcast

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Rate for this podcast

Subscribers: 1619
Reviews: 3

TG
 Jan 9, 2019
excellent podcast for internists. highly recommend


 Oct 21, 2018

Rachel Shemtov
 Oct 7, 2018

Description

Supercharge your learning and enhance your practice with this Internal Medicine Podcast featuring board certified Internists as they interview the experts to bring you clinical pearls, practice-changing knowledge, and bad puns. Doctors Matthew Watto, Paul Williams, and friends (a national network of students, residents, and clinician-educators) deliver a little knowledge food for your brain hole. Yummy! No boring lectures here, just high-value content and a healthy dose of humor. Fantastic for Internal Medicine, Family Medicine, Primary Care, and Hospital Medicine.

Episode Date
#367 Weekend Warriors, Fluids for Acute Pancreatitis, Colonoscopy Screening & Mortality, and SPRINT trial Revisited (Hotcakes)
2800
Join us as we review recent practice-changing articles addressing the questions: Do weekend warriors experience a mortality benefit from exercise? Is an aggressive fluid strategy superior to a moderate strategy in acute pancreatitis? Does an invite for colonoscopy decrease colon cancer-related mortality? Did the benefits of intensive blood pressure control continue after the SPRINT trial ended? Fill your plate with a stack of hot tofurkey cakes! Featuring Drs. Era Kryzhanovskaya (@erakryzhmd), Nora Taranto (@norataranto), Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto).

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

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Show Segments

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

Credits

  • Written and Hosted by: Era Kryzhanovskaya, MD, Nora Taranto MD; Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP
  • Cover Art: Matthew Watto MD, FACP
  • Reviewer: Rahul Ganatral MD, MPH
  • Technical Production: Pod Paste
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Nov 21, 2022
#366 Opioid Use Disorder and Acute Pain in the Hospitalized Patient
3758
With Carolyn Chan MD and Shawn Cohen MD

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

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Show Segments

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

Credits

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

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Full transcript HERE
Nov 14, 2022
#365: Perioperative Medicine with Anesthesiologist Dr. Angela Selzer
3765
We’ve Come a Long Way From Ether

Learn how an anesthesiologist approaches perioperative medicine from how to choose the right type of anesthesia (general anesthesia vs regional anesthesia vs MAC), to preoperative risk assessment, and how to avoid anesthesia related complications. Our guest, anesthesiologist, Dr. Angela Selzer (Denver, CO) helps us explore high yield pearls regarding the practice of anesthesiology to empower the internal medicine clinician to deliver team-based, perioperative care.

Claim Free CE credit for this episode through VCU Health CE at curbsiders.vcuhealth.org!

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Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner
  • Introduction to anesthesiology 
  • Introduction to regional anesthesiology  
  • Walk through what an anesthesiologist does in the operating room
  • Ambulatory surgery center exclusions 
  • Approach to preop assessments
  • “Will it change management?” applied to anesthesiologists
  • ASA Classes 
  • Anesthesia complications
  • Take Home Points; Outro; Bonus clip

Credits

  • Written and Produced by: Edison Jyang; Avital O’Glasser MD, FACP, SFHM
  • Cover Art: Sarah Phoebe Roberts, MPH
  • Infographic:  Avital O’Glasser MD, FACP, SFHM; Edison Jyang
  • Show Notes: Avital O’Glasser MD, FACP, SFHM
  • Hosts: Matthew Watto MD, FACP; Avital O’Glasser MD, FACP, SFHM
  • Technical Production: Pod Paste 
  • Reviewer: Sai S Achi, MD MBA
  • Showrunner: Matthew Watto MD, FACP
  • Technical Production: PodPaste
  • Guest: Angela Selzer, MD

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Full transcript HERE


Nov 07, 2022
#364 Screening for syphilis: A USPSTF Update with Dr. Katrina Donahue
1075
We ran the numbers, and it’s still important!

Should patients be screened for syphilis? If so, which ones? Dr. Katrina Donahue (USPSTF) talks us through this re-affirmation of the USPSTF syphilis screening guideline, including who might be high risk and how to screen them.

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Credits

  • Producers: Elena Gibson, MD and Paul Williams MD, FACP
  • Writer: Elena Gibson, MD
  • Show notes: Paul Williams MD, FACP
  • Infographic and Cover Art: Elena Gibson, MD
  • Hosts: Paul Williams MD, FACP and Elena Gibson MD 
  • Production team: Podpaste
  • Guest: Katrina Donahue MD
Full Transcript HERE
Nov 02, 2022
#363 Afib: Rhythm Control, Catheter Ablation, Afib in the hospital, and Left Atrial Appendage Closure
3203
Optimize and update your approach to atrial fibrillation (afib) as we discuss early rhythm control, antiarrhythmic drugs, TTE/cardioversion, afib ablation, new onset afib in the hospitalized patient, and left atrial appendage closure. Plus, we try to answer, Does afib burden matter? Our guest is cardiologist-electrophysiologist, Hugh Calkins MD, @hughcalkinsMD, Professor of Cardiology at Johns Hopkins, @hopkinsheart

Sorry, but we won’t be offering CME for this episode. You can claim CME for past episodes at curbsiders.vcuhealth.org!

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Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner
  • Case from Kashlak; Definitions
  • An approach to new-onset afib in the office
  • Rhythm control
  • Lifestyle modification is a pillar of afib treatment
  • Indications for hospitalization in afib
  • More on rhythm control and when to pursue afib ablation
  • Rhythm control in heart failure
  • New onset afib in the hospitalized patient
  • Does afib burden matter?
  • Left atrial appendage closure 
  • Watto and Paul recap what we’ve learned
  • Outro
Credits

  • Written and Produced by: Matthew Watto MD, FACP
  • Show Notes: Matthew Watto MD, FACP
  • Cover art and Infographic by:
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Reviewer: Emi Okamoto MD
  • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Technical Production: PodPaste
  • Guest: Hugh Calkins MD

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Full transcript HERE
Oct 31, 2022
#362 Migraine Headaches, Acute Hypoxemia: A rapid review (TFTC)
2394
Recap and review the top pearls from recent episodes #341 Migraine Headaches Update and #350 Acute Hypoxemia with Watto and Paul. It’s Tales from the Curbside! (TFTC), our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning.

Note No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for shows #341 and #350!

Show Segments

  • Intro, disclaimer, guest bio
  • Migraine Headaches Update
  • An approach to Hypoxemia
  • Outro
Credits

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

Full transcript HERE


Oct 26, 2022
#361 Advanced Lipidology
4708
Lipids Update 2022: Cardiovascular Risk Reduction and New Medications on the Horizon with Erin Michos, MD

Show description: 
Ready to take the next step in management of your patient with hyperlipidemia? Dr. Erin Michos (@erinmichos) returns to give us a lesson in Advanced Lipidology. She updates us on what new medications we can use for those difficult to treat lipids and what medications are on the horizon.

Unfortunately, this episode will not be available for CME. You can claim free CME for other episodes at curbsiders.vcuhealth.org!

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Show Segments

  • Intro, Getting to know Dr. Erin Michos, Pick of the Week
  • Patient Case, Digging into ASCVD Risk 
  • Coronary artery calcium scoring - why it’s important
  • What are “Risk Enhancing Factors”?
  • Biomarker testing, what is the significance of Lip a and how can we use it to drive management?
  • Introduction to PCSK9 inhibitors
  • More than just statins - other LDL-lowering medications
  • siRNAs, ASOs - Pelacarsen and more
  • Apollo Trial regarding Pelacarsen
  • Importance of Family History
  • What to do if maxed out on a statin or statin intolerance - Ezetimibe, PCSK9 inhibitors, MAB therapies, and more
  • Bempedoic Acid discussion
  • Medication side effects
  • Homozygous FH - approach to treatment, ANGPTL3 inhibitors
  • Triglycerides discussion, icosapent ethyl, the REDUCE-IT trial
  • Wrap-up and Take home points, Outtro
Credits

  • Producer and written by: Christopher Chiu MD, FACP, FAAP
  • Show Notes: James Antaki MD
  • Infographic: Edison Jyang
  • Cover Art: Kate Grant MBChB, DipGUMed
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Associate Editor: Leah Witt MD
  • Showrunner: Matthew Watto MD, FACP
  • Technical Production: PodPaste
  • Guest: Erin Michos MD, MHS

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Full transcript HERE
Oct 24, 2022
#360 Disease-Modifying Nutrition with Dr. Michelle McMacken
4261
The treatment your patients need but may not be getting!

Take a bite out of our latest episode featuring guest expert Dr. Michelle McMacken (@DrMcMacken) and learn how you can help your patients effectively and sustainably reap the health benefits of improved nutrition. Discover the enormous evidence base for nutritional recommendations, develop scripts to engage patients, and update your CVD, T2DM, and hyperlipidemia treatment plans to meaningfully incorporate nutrition. Get your truffle-hunting outfit on, it’s time to go foraging for some tasty knowledge food! 

Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner, favorite advice
  • Case from Kashlak; definitions
  • “Evidence-based nutrition” vs plant-based diet
  • Unifying the guidelines for patient care
  • Treating the skeptical patient
  • Tailoring recommendations to patients’ needs 
  • Treating the motivated patient
  • Host questions
  • Outro
Credits

  • Written and Produced by: Deep Shah MD
  • Show Notes:  Sarah Phoebe Roberts, Deep Shah MD
  • Infographic and Cover Art: Lyan Chang
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Deep Shah MD
  • Reviewers:  Emi Okamoto MD
  • Showrunner: Matthew Watto MD, FACP
  • Technical Production: PodPaste
  • Guest: Michelle McMacken MD, FACP, DipABLM

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Super foods handout 

Full transcript HERE
Oct 17, 2022
#359 Monkeypox with Dr. Boghuma Titanji
4801
Master the latest knowledge on the ongoing monkeypox outbreak with Dr. Boghuma Titanji (@Boghuma)! Learn how to recognize monkeypox in the clinic, how to test for monkeypox, how to approach management (including options for antiviral agents), and more.

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

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Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week
  • Case from Kashlak
  • History of monkeypox - past and current outbreaks
  • Transmission of monkeypox
  • Risk factors for monkeypox
  • Clinical presentation of monkeypox
  • Testing for monkeypox
  • Management of monkeypox: supportive care and antivirals
  • Monkeypox in patients with HIV
  • Monkeypox in pregnancy
  • Monkeypox vaccines
  • Outro
Credits

  • Producer and Writer: Paul Williams MD, FACP
  • Show Notes: Malini Gandhi 
  • Infographic: Sarah Phoebe Roberts
  • Cover Art: Kate Grant MD
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Reviewer: Emi Okamoto MD
  • Showrunner: Matthew Watto MD, FACP
  • Technical Production: PodPaste
  • Guest: Boghuma Titanji MD

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Full Transcript HERE
Oct 10, 2022
#358 Oncologic Emergencies with Dr. Aditi Singh
5062
From Cord Compression to Tumor Lysis Syndrome

Do you freak out over oncologic emergencies like cord compression or tumor lysis syndrome? Join Dr. Aditi Singh (University of Pennsylvania, Abramson Cancer Center, @AditiSinghMD) for this comprehensive conversation on six commonly encountered oncologic emergencies we see in the hospital!

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

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Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week*
  • Cord Compression
  • SVC Syndrome
  • Malignant Obstruction
  • Tumor Lysis Syndrome
  • Blast Crisis
  • Outro
Credits

  • Producer, Writer, Hosts: Meredith Trubitt, MD MPH; Monee Amin, MD
  • Infographic and Cover Art: Caroline Coleman
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Associate Editor: Leah Witt, MD
  • Showrunner: Matthew Watto MD, FACP
  • Technical Production: PodPaste
  • Guest: Aditi Singh, MD
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Full Transcript HERE

Oct 03, 2022
#357 Hotcakes: Ultra-short Antibiotics for Pneumonia, Acetazolamide for CHF, Psilocybin for AUD, and Asymptomatic Kidney Stone Removal
2434
Find out if ultra-short course (two days) antibiotics work for pneumonia, if acetazolamide improves diuretic efficiency in acute decompensated heart failure, should we prescribe psilocybin (magic mushrooms) to treat alcohol use disorder, and if removal of asymptomatic kidney stones decreases the incidence of future events! Time to fill your plate with a fresh stack of hotcakes! Drs. Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto) catch up on recent practice-changing articles and guidelines! 

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

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Show Segments

  • Intro, disclaimer
  • Ultra-short Antibiotics for Pneumonia, 
  • Acetazolamide for acute heart failure exacerbations, 
  • Psilocybin for AUD,
  • Asymptomatic Kidney Stone Removal
  • Outro

Credits

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

    Full transcript HERE
Sep 28, 2022
#356 Chronic Obstructive Pulmonary Disease (COPD) Update with Dr. Antonio Anzueto
4735
Brush up on your COPD skills and learn some new tips for diagnosis and management of this common respiratory condition from our expert Dr. Antonio Anzueto (University of Texas San Antonio). 

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

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Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner
  • Case from Kashlak
  • Epidemiology
  • Diagnosis
  • Workup
  • Characterization of disease
  • Treatment
  • Outro

Credits

  • Writer and Producer: Cyrus Askin, MD
  • Show Notes: Deborah Gorth MD, PhD
  • Infographic: Kate Grant MD
  • Cover Art: Kate Grant MD
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Associate Editor: Leah Witt, MD
  • Showrunner: Matthew Watto MD, FACP
  • Technical Production: PodPaste
  • Guest: Antonio Anzueto, MD

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Full Transcript HERE

Sep 26, 2022
#355 GI Bleed with Dr. Tanvi Dhere
4105
Upper and Lower GI Bleed Diagnosis and Management

Handle the gush of upper and lower GI bleeds with ease thanks to Dr. Tanvi Dhere (@DhereMdEmory)! Learn diagnosis, initial management as well as post-procedure management including when to resume anticoagulation and antithrombotic therapy.

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

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Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week*
  • Case from Kashlak;
  • Upper GI bleed
  • Labs, Stool Studies
  • Initial Management of GI bleed
  • Endoscopy
  • Post-procedure management
  • Lower GI bleed
  • Colonoscopy
  • Imaging/Interventional Radiology
  • Outro

Credits

  • Producers and Writers: Meredith Trubitt MD, MPH; Monee Amin MD
  • Show Notes:  Monee Amin, MD
  • Infographics and Cover Art: Caroline Coleman, MD
  • Hosts: Meredith Trubitt MD, MPH; Monee Amin MD  
  • Reviewer: Emi Okamoto MD
  • Showrunner: Matthew Watto MD, FACP
  • Technical Production: PodPaste
  • Guest: Tanvi Dhere, MD

    Sponsor: Birch

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    Sponsor:
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    Sponsor:
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Full Transcript HERE

Sep 19, 2022
#354 Curbsiders Women in Medicine: Top 5 Challenges Faced by Women of Color in Academic Medicine
4341
We’re back with another women in medicine episode– this time Shreya and Leah interview their she-ro Dr. Kemi Doll, career coach extraordinaire to women of color in academic medicine. She is breaking down the biggest challenges she’s seen her clients face and how to tackle them! 

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Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week
  • Dr. Doll’s journey into coaching women of color in academic medicine
  • Top 5 challenges faced by women of color in academic medicine
  • Solutions to the challenges
  • Outro
Credits

  • Written and Produced by: Leah Witt, MD and Shreya Trivedi, MD
  • Infographic and Cover Art: Shreya Trivedi, MD
  • Show Notes: Leah Witt, MD
  • Hosts: Leah Witt, MD, Shreya Trivedi, MD and Matthew Watto MD, FACP
  • Associate Editor: Emi Okamoto, MD
  • Showrunners: Leah Witt, MD and Shreya Trivedi, MD
  • Technical Production: PodPaste
  • Guest: Kemi Doll, MD
Full transcript HERE

Sep 14, 2022
#353 Colon Polyps
3357
Polyps, polypectomy & surveillance with Dr. Jennifer Maranki

Learn how to recommend a good bowel prep, read colonoscopy reports, and review recommended polyp surveillance with Dr. Jennifer Maranki, @jenmarankimd (Penn State Health)

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

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

Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week
  • Case from Kashlak; definitions
  • Polyp definitions and categories 
  • Bowel prep & colonoscopy quality
  • Colorectal polyp surveillance 
  • Potential complications 
  • When to consider polyposis syndromes 
  • Outro

Credits

  • Producer & Writer: Elena Gibson MD
  • Show Notes: Elena Gibson MD
  • Infographic & Cover Art: Kate Grant MBChB DipGUMed 
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Reviewer: Emi Okamoto MD
  • Showrunner: Matthew Watto MD, FACP
  • Technical Production: PodPaste
  • Guest: Jennifer Maranki MD
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Full Transcript HERE


Sep 12, 2022
REBOOT #49 Vertigo and Dizziness: How to Treat, Who to Send Home, and Who Might Have a Stroke
4561
A simplified approach to dizziness/vertigo with tips from international expert, Dr. David Newman-Toker, Professor of Neurology, Ophthalmology, and Otolaryngology at Johns Hopkins University. We learn how to differentiate stroke from other causes of dizziness/vertigo; how to approach the differential diagnosis in dizziness/vertigo; how to perform the Dix-Hallpike test, Epley maneuver, and HINTS exam; plus, who benefits from medical therapy and vestibular rehab. Original show notes here.

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Show Segments

  • Intro, Getting to know our guest
  • Clinical Case
  • Why can’t patients describe their dizziness?
  • Classifying dizziness
  • The 3 vestibular syndrome buckets defined
  • Episodic vestibular syndrome differential diagnosis
  • Acute vestibular syndrome differential diagnosis
  • Chronic vestibular syndrome differential diagnosis
  • Challenges of medical history taking
  • Approach to the acute vestibular syndrome/HINTS
  • How to evaluate nystagmus
  • How to perform the head impulse test (aka head thrust)
  • How to perform “test of skew” (alternate cover testing)
  • Recap of HINTS exam and discussion of MRI
  • Signs and symptoms of cerebellar stroke
  • Use of Dix-Hallpike for episodic vertigo
  • What happens when you choose the wrong test
  • Continuous versus triggered dizziness, or vertigo
  • Meclizine use in BPPV
  • How to cure horizontal canal BPPV
  • Treatment for vestibular neuritis
  • Treatment for Meniere’s disease
  • Who benefits from vestibular rehab/exercises
  • Dizziness and giddiness
  • Take home points
  • Outro

Credits

  • Produced and Written by: Cyrus Askin MD
  • Show Notes: Matthew Watto MD
  • Hosts: Cyrus Askin MD, Stuart Brigham MD, Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Editor: Matthew Watto MD, FACP
  • Guest: David Newman-Toker MD, PhD

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Sep 05, 2022
#352 H. pylori and Obesity Medicine FAQ: A rapid review (TFTC)
2125
Recap and review the top pearls from recent episodes #322 H. Pylori and #324 Obesity Medicine FAQ with Watto and Paul. It’s Tales from the Curbside! (TFTC), our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning.

Note No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for shows #322 and #324!

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


Show Segments

  • Intro, disclaimer, guest bio
  • H. pylori
  • Obesity Medicine FAQ
  • Outro

Credits

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

Full transcript HERE
Aug 31, 2022
REBOOT #284 An Antibiotics Primer, with @IDdocAdi
3452
On this Curbsiders classic, we discuss antibiotic classes, common uses, the pathophysiology behind antibiotic mechanisms, and much more with infectious disease expert, Dr. Adi Shah MBBS (@IDdocAdi)! This antibiotics primer will break down the (cell) walls of antibiotic knowledge. Stop feeling silly when you deal with penicillins! Original show notes here.

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


Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner
  • Picks of the Week*
  • How to approach antibiotics
  • Choosing antibiotics / Framework
  • Dr. Shah’s favorite antibiotics
  • Pneumonia
  • Diabetic Foot Infections
  • Take-home points
  • Outro

Credits

  • Produced and Written by: Nora Taranto MD
  • Infographic, Cover Art, Show Notes: Beth Garbitelli
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Editor: Matthew Watto (written materials): Clair Morgan of nodderly.com
  • Reviewer: Victor Kovac MD
  • Guest: Adi Shah MBBS

Sponsor: Grammarly 

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Aug 28, 2022
#351 Live! Foot and Ankle Pain with Dr. Joan Ritter
4006
The Thrill of Victory and the Agony of the Feet

Don’t fear foot pain!  Learn how to evaluate the painful foot and ankle, what needs imaging, and who needs rehab.  We are joined by Dr. Joan Ritter (Walter Reed National Military Medical Center) for a special live Curbsiders episode!  

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

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


Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week*
  • Case from Kashlak
  • Relevant anatomy
  • Ankle sprains
  • Achilles tendon rupture and tendonitis
  • Plantar fasciitis
  • Posterior tibial tendon dysfunction
  • Midfoot pain
  • Morton’s neuroma
  • Audience questions
  • Outro

Credits


  • Writer and Producer: Paul Williams MD, FACP
  • Show Notes and Infographic: Paul WIlliamsMD, FACP
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Associate Editor: Leah Witt MD
  • Showrunner: Matthew Watto MD, FACP
  • Technical Production: PodPaste
  • Guest: Joan Ritter MD

Sponsor:
Birch Living

Birch is giving $400 off all mattresses and 2 free eco-rest pillows at birchliving.com/curb

Sponsor:
Wildgrain

For a limited time, you can get $30 off the first box, plus free croissants in every box, when you go to wildgrain.com/curb to start your subscription. 

Sponsor:
Ochsner Health

Visit ochsner.org/primarycareJobs to find out more about opportunities with with Ochsner Health. 

Sponsor: Provider Solutions and Development

Visit  info.psdconnect.org/curbsiders to see new job opportunities.

Fully Transcript 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. 


Aug 22, 2022
#350 Rapid Response Series: Acute Hypoxemia
4450
Diagnosing & Managing Acute Hypoxemia with Nick Mark MD

Quick! Your patient is desaturating! Have no fear, for in this installment of our Rapid Response series we have recruited pulmonologist/intensivist extraordinaire, the great Dr. Nick Mark of ICU One Pager, to share with us all the pitfalls and pearls we need to have under our collective belt when it comes to understanding, managing, and considering the etiologies of acute hypoxemia! 

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

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

Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week
  • Case from Kashlak; Definitions
  • How does a pulse oximeter work?
  • Clinical approach to hypoxemia
  • The SIX causes of hypoxemia
  • Delivering supplemental oxygen 

Credits

  • Written and Produced by: Cyrus Askin MD & Edison Jyang MS4
  • Infographic and Cover Art: Edison Jyang MS4
  • Show Notes: Cyrus Askin, MD
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Cyrus Askin MD
  • Reviewer: Emi Okamoto MD
  • Showrunner: Matthew Watto MD, FACP
  • Technical Production: PodPaste 
Guest: Nick Mark MD


Sponsor:
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Sponsor:
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Sponsor:
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Sponsor:
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Full Transcript 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. 

Aug 15, 2022
#349 Hotcakes: Tirzepatide for weight loss, Personalized Antidepressants, Seasonal Edema, Nirmatrelvir for low-risk COVID-19
2982
Find out how tirzepatide might revolutionize weight loss, pharmacogenomics might improve antidepressant prescribing, seasonal edema affects Google searches, and whether nirmatrelvir/ritonavir helps standard-risk patients with COVID-19, and patient-centered recommendations for inpatient care from SHM/Choosing Wisely! Time to fill your plate with a fresh stack of hotcakes! Drs. Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), Nora Taranto (@NoraTaranto), and Matt Watto (@doctorwatto) catch us up on recent practice-changing articles and guidelines!

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

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


Show Segments

  • Intro, disclaimer, Picks of the Week
  • Case from Kashlak; Definitions
  • Tirzepatide for weight loss
  • Pharmacogenomics for personalized antidepressants
  • Seasonal Edema
  • Nirmatrelvir/ritonavir for standard-risk COVID-19
  • Hospital Medicine Choosing Wisely recommendations
  • Outro

Credits

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

Sponsor:
Medmastery

Visit medmastery.com/curbsiders to claim a discount on any subscription. 

Sponsor:
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Sponsor:
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Full Transcript 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. 


Aug 08, 2022
#348 Myositis and Myopathy, LIVE!
3714
Learn to recognize myositis and myopathy (aka the idiopathic inflammatory myopathies), perform the appropriate initial testing, whether or not statins and exercise are safe to continue, and how to partner with our subspecialist colleagues to treat these patients in primary care.  Recorded LIVE at Johns Hopkins, we’re joined by Dr. Lisa Christopher-Stine, @DrLisaCS of @HopkinsMedicine, a rheumatologist and leading expert on myositis and myopathy! 

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

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


Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week*
  • Case from Kashlak
  • History and Exam
  • Workup for suspected myositis
  • Cancer screening
  • Safety of statin use and exercise
  • Our role in primary care
  • Audience Questions
  • Outro


Credits

  • Written and Produced by: Matthew Watto MD, FACP
  • Show Notes: Matthew Watto MD, FACP
  • Cover Art and Infographic: Andréa Perdigão
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Reviewer: Molly Heublein MD
  • Technical Production: Pod Paste
  • Guest: Lisa Christopher-Stine MD, MPH

    Sponsor: Grammarly

    Go to grammarly.com/CURB to sign up for a free account and 20% off when you upgrade to Grammarly Premium.

    Sponsor:
    Betterhelp

    Visit BetterHelp.com/Curb to get 10% off your first month.

    Sponsor:
    Wildgrain

    Sign up at Wildgrain.com/CURB or use CURB at the checkout to get $30 off your first box plus free croissants in every box.

    Full Transcript 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. 

Aug 01, 2022
#347 USPSTF Update: Aspirin for Primary Prevention of CVD
2018
USPSTF Update with Dr. John Wong

Review the updated 2022 United States Preventive Task Force (USPSTF) guidelines on aspirin use to prevent cardiovascular disease (CVD) with Dr. John Wong.

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


Credits

  • Producer & Writer: Elena Gibson MD
  • Show Notes: Elena Gibson MD 
  • Cover Art & Infographic: Elena Gibson MD 
  • Hosts: Paul Williams MD, FACP; Elena Gibson MD  
  • Showrunner: Matthew Watto MD, FACP
  • Technical Production: PodPaste
  • Guest: John Wong, MD 

Sponsor:
Medmastery

Visit medmastery.com/curbsiders to receive a discount. 

Full Transcript HERE


Jul 27, 2022
#346 Meningitis
3557
There’s nothing that gets a hospitalist more anxious and excited at the same time than a case of suspected meningitis. In this episode, we learn that if the thought crosses our mind, a lumbar puncture is almost certainly indicated. Our guest, Dr. Payal Patel, helps us with the balancing act that is diagnosing and managing meningitis!

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


Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week*
  • Case from Kashlak; history and physical
  • Initial workup for meningitis
  • Treatment choices and duration
  • Transitions of Care

Credits

  • Written and Produced by: Monee Amin MD, Meredith Trubitt MD, MPH
  • Infographic and Cover Art: Caroline Coleman, MD
  • Show Notes: Monee Amin, MD
  • Hosts: Matthew Watto MD, FACP; Monee amin,, MD
  • Reviewer: Rahul Ganatra, MD MPH
  • Executive Producer: Karly Loy
  • Showrunner: Matthew Watto MD, FACP
  • Editor: podpaste
  • Guest: Payal Patel, MD


Sponsor:
Indeed 

Visit Indeed.com/internalmedicine to start hiring now. 

Sponsor:
Birch 

Birch is giving $200 off ALL mattresses and 2 free eco-rest pillows at birchliving.com/curb

Sponsor:
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Go to greenchef.com/curb135 and use code curb135 to get $135 off across five boxes and your first box shipped for free.

Full Transcript 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. 
Jul 25, 2022
#345 Vitamin and Mineral supplementation: A USPSTF Update with Dr. Michael Barry
1276
Can vitamins prevent CVD and cancer? We kind of don’t have the answer!

Is vitamin and mineral supplementation safe? Effective? Listen as our esteemed guest Dr. Michael Barry talks to us about the new United States Preventive Services Task Force recommendation regarding the role of vitamin and mineral supplementation in preventing cardiovascular disease and cancer.


Credits


  • Producers: Paul Williams MD, FACP and Elena Gibson, MD
  • Writer: Paul Williams MD, FACP
  • Show notes: Paul Williams MD, FACP
  • Infographic and Cover Art: Elena Gibson, MD
  • Hosts: Paul Williams MD, FACP and Elena Gibson MD 
  • Production team: Podpaste
  • Guest: Michael Barry MD

    Full Transcript HERE
Jul 20, 2022
REBOOT #191 Lipids and Cardiovascular Risk Reduction with Erin Michos MD
4504
Lipids Update! Get up close and personal with ASCVD prevention and lipid management guidelines, including changes in the 2018 update, with our discussion with Dr. Erin Michos @erinmichos, preventive cardiologist and associate professor of medicine at the Johns Hopkins University Hospital! We review the background on the ASCVD risk calculator, basics of primary and secondary prevention, statins benefits and misconceptions, appropriate follow-up, cool things to look out for in the future, the deal with medications like aspirin and icosapent ethyl, among many other things! If that wasn’t enough, Dr. Michos also goes over great ways to counsel patients on healthy living and when that darn statin is giving you the “muscle aches”! Get the original show notes here!

Prior lipid episodes: 

Sorry, no CME for this reboot episode, but claim CME for past episodes at curbsiders.vcuhealth.org!



Show Segments

  • Intro
  • Getting to know Dr. Erin Michos
  • Picks of the Week*: Sparking Joy- concept for Marie Kondo (book and show), The Life-Changing Magic of Tidying Up by Marie Kondo; Shadowland, book by Peter Straub; The Crown, Netflix series; Catch and Kill, book by Ronan Farrow; Trick Mirror, essay collection by Jia Tolentino; Make it Stick, book by Brown, Roediger, and McDaniel
  • Digging into ASCVD Risk Calculator
  • Who should get 10 year ASCVD Risk assessment and what are the categories?
  • How Dr. Michos discusses healthy lifestyle and “Primordial Prevention”
  • What are “Risk Enhancing Factors”?
  • Who should get biomarker testing vs CAC scoring?
  • How Dr. Michos discusses statin therapy with her patients
  • How to address risks of side effects
  • Primary vs Secondary Prevention
  • “What should my cholesterol be?”
  • How often to follow-up labs?
  • Differences between stain intensity
  • How to manage side effects
  • PCSK9 inhibitor discussion
  • Aspirin, Fibrates and Icosapent Ethyl
  • High Risk vs Stable ASCVD
  • Take home points and the future
  • Outro


Credits

  • Producers: Christopher Chiu MD FACP FAAP; Jasneet Devgun DO; Justin Berk MD MPH MBA; Beth Garbitelli MD
  • Writers: Jasneet Devgun DO; Justin Berk MD MPH MBA
  • Infographic: Beth “Garbs” Garbitelli MD
  • Cover Art: Kate Grant MBChB DipGUMed
  • Hosts: Christopher Chiu MD FACP FAAP; Matthew Watto MD FACP; Paul Williams MD FACP   
  • Editors: Emi Okamoto MD (written materials); Clair Morgan of Nodderly.com (audio)
  • Guest: Erin Michos MD MHS

Sponsor: Better Help

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Sponsor:
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Sponsor:
Medmastery

Listeners of this show can claim a 15% lifetime discount on any of their subscriptions. Just go to www.medmastery.com/curbsiders claim your discount and use the code curbsiders15.


Jul 18, 2022
#344 Multiple Sclerosis with Dr. Annette Okai
5020
Recognize multiple sclerosis in the clinic, learn how to diagnose it, and partner with your neurology colleagues to help care for these patients. Dr. Annette Okai expertly walks us through multiple sclerosis (North Texas Institute of Neurology & Headache). 

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


Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner
  • Case from Kashlak
  • Patient presentation
  • Physical exam
  • Labs and imaging
  • Pathophysiology
  • Treatment
  • Recognizing and treating relapses
  • Outro

Credits

  • Written and Produced by: Deborah Gorth MD, PhD
  • Infographic and Cover Art by: Deborah Gorth MD, PhD and Meryl Gorth
  • Hosts: Matthew Watto MD, FACP and Paul Williams MD, FACP   
  • Reviewer: Emi Okamoto MD
  • Showrunner: Matthew Watto MD, FACP
  • Technical Production: PodPaste
  • Guest: Annette Okai MD
Visit panaceafinancial.com to learn how a bank for doctors, by doctors can help you. 

Sponsor:
Ten Thousand 

Go to tenthousand.cc/curb to get 15% off

Sponsor:
Indeed

Visit Indeed.com/internalmedicine to start hiring now. Business only pay for quality applications matching the sponsored job description. 

Sponsor:
Medmastery

Go to medmastery.com/curbsiders and use curbsiders15 to claim a 15% lifetime discount on any subscription. 

Full Transcript 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. 


Jul 11, 2022
Addiction Medicine Series #1 Methadone for OUD w/Dr. Ruth Potee
3142
Supercharge your knowledge on using methadone for the treatment of opioid use disorder! We discuss treatment goals, and how to start or continue methadone in the hospital.  We’re joined by guest Dr Ruth Potee, addiction medicine physician, full-scope family medicine doc, feminist, and expert composter.  She inspires us to be strong advocates for our patients. 

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

Show Segments

  • Intro, disclaimer, guest bio 0:46
  • Guest one-liner 3:23
  • Case from Kashlak 5:00
  • Methadone for OUD 5:47
  • Methadone Dosing 16:35
  • 72 hour Rule 25:35
  • What is a methadone clinic  31:00
  • Methadone Checklist 35:44
  • QTc Prolongation and Methadone 39:15
  • Confirming Methadone Dose 43:17
  • Managing Missed Methadone doses: 45:20
  • Outro 50:40

Credits

  • Producer, Writer: Kenneth Morford, MD
  • Show Notes, Infographic, Cover Art: Zina Huxley-Reicher, MD
  • Hosts: Matthew Watto MD, FACP; Carolyn Chan, MD; Kenneth Morford, MD 
  • Reviewer: Shawn Cohen MD
  • Showrunner: Carolyn Chan, MD
  • Technical Production: Castos
  • Guest: Dr. Ruth Potee
The Curbsiders Addiction Medicine are proud to partner with  The American College of Addiction Medicine (ACAAM) to bring you this mini-series.  ACAAM is the proud home for academic addiction medicine faculty and trainees and is dedicated to training and supporting the next generation of academic addiction medicine leaders. Visit their website at acaam.org to learn more about their organization.

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. 


Jul 07, 2022
REBOOT #25 Master Hyperglycemia and DKA
3019
Master the management of hyperglycemia, DKA, and learn to avoid common pitfalls. This episode is packed with clinical pearls from repeat guest, Endocrinologist, Dr. Jeffrey Colburn. Get the original show notes here!

Prior diabetes episodes: 

Sorry, no CME for this reboot episode, but claim CME for past episodes at curbsiders.vcuhealth.org!



Show Segments

  • Intro
  • Rapid fire questions
  • Definitions and classification of diabetes
  • DKA in type 2 diabetes?
  • Pathophysiology of DKA
  • Severe hyperglycemia mislabeled as DKA
  • Which type 2 diabetics get DKA?
  • The cardinal issue is dehydration
  • Starvation ketosis vs DKA vs other
  • How to handle severe hyperglycemia in outpatients
  • Sick day management in type 1 diabetes
  • Initial testing for diagnosis of DKA
  • Subcutaneous or IV insulin for DKA
  • Initial evaluation and management in ER
  • Fluids and electrolyte management
  • SGLT2 inhibitors and euglycemic DKA

Credits

  • Writer, Producer: Matthew Watto MD, FACP
  • Show Notes: Matthew Watto MD, FACP
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Stuart Brigham MD
  • Showrunner: Matthew Watto MD, FACP
  • Technical Production: PodPaste
  • Guest: Jeffrey Colburn MD, FACP, FACE

Sponsor:
Better Help

Visit BetterHelp.com/curb to get 10% off your first month. 

Sponsor:
Panacea Financial 

Visit panaceafinancial.com today to learn how a bank for doctors, by doctors, can help you. 
Jul 04, 2022
#343 Hypertension FAQ and Cardiorenal: A rapid review (TFTC)
2582
Recap and review the top pearls from recent episodes #321 Hypertension FAQ and #326 Cardiorenal Syndrome (NephMadness 2022) with Watto and Paul. It’s Tales from the Curbside! (TFTC), our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning.

Note No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for shows #321, and #326!


Show Segments

  • Intro, disclaimer, guest bio
  • Hypertension FAQ
  • Cardiorenal syndrome
  • Outro

Credits

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

Sponsor:
Grammarly

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


Sponsor:
Pattern

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

Full Transcript 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.
Jun 29, 2022
#342 Checkpoint Inhibitors: The power, and adverse effects, of immunotherapy (ACP 2022)
3276
With great power comes great immunogenicity.  Learn about the ins and outs of immunotherapy–its indications, its power, and its adverse effects–in this episode with Dr. Christian Cable, hematologist/oncologist and medical educator extraordinaire.  We learn a riveting history of immunotherapy and about how checkpoint inhibitors work, as well as the best practices for identifying downstream effects of checkpoint inhibitors and their immune system activation (it’s all about the -Itis!).

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


Show Segments

  • Intro
  • What is Immunotherapy?
  • A History Lesson
  • Immune Checkpoint Inhibitors (ICIs) 
  • Immune Related Adverse Events (irAEs) 
  • Endocrine complications of checkpoint inhibitors
  • Rheumatologic complications of checkpoint inhibitors 
  • Considerations before starting checkpoint inhibitors (and what labs to check) 
  • Diagnosing and Managing irAEs 
  • Common post-irAE questions 
  • New Kids on the Block: CAR-T 
  • Take Home Points 

Credits

  • Written and Produced by: Nora Taranto MD
  • Hosted by: Molly Heublein MD; Nora Taranto MD; Paul Williams MD, FACP  
  • Guests: Christian Cable MD 
  • Show Notes: Nora Taranto MD 
  • Cover Art: Andrea Perdigão
  • Infographics: Andrea Perdigão
  • Reviewer: Emi Okamoto MD, FACP 
  • Production team: Pod Paste
Learn more or apply at scpmgphysiciancareers.com

Sponsor: Locumstory
Visit locumstory.com to learn more about locums.

Full transcript 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
Jun 27, 2022
#341: Headache Update: Making Migraines Less Painful with Dr. Kevin Weber
4491
Dr. Kevin Weber @KwebMD (Ohio State University Wexner Medical School) takes the pain out of headache management!  Have the confidence to prescribe new CGRP-antagonists and ditans for migraine prevention and acute relief.  We also dive deep into when to order imaging and alternatives like infusions and devices. 

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


Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week
  • Case from Kashlak Definitions
  • Imaging for headaches
  • Labs
  • Headache types
  • Acute Migraine Treatment
  • Ditans
  • Anti-cgrp medications
  • Prophylactic Migraine Treatment
  • CGRP antagonists
  • Devices
  • Take home points
  • Outro

Credits

  • Producer, writer, and show notes: Isabel Valdez PA-C
  • Infographic: Edison Jyang
  • Cover Art: Chris Chiu MD
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Chris Chiu MD   
  • Reviewer: Molly Heublein MD
  • Showrunner: Matthew Watto MD, FACP
  • Technical Production: PodPaste
  • Guest: Dr. Kevin Weber

Sponsor:
Better Help
Go to betterhelp.com/curb to get 10% off your first month. 

Sponsor:
Birch Living
Birch is giving $200 off all mattresses and 2 free eco-rest pillows at birchliving.com/curb

Sponsor:
Indeed
Sign up at indeed.com/internalmedicine now and get $75 credit toward your first sponsored job.

Sponsor:
Locumstory
Visit locumstory.com to learn more about locums. 

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. 
Jun 20, 2022
#340 Gallbladder Disease
2652
Help your patients navigate gallbladder disease, including asymptomatic stones, incidental polyps, and uncomplicated cholecystitis. Dr. Rahul Pannala (@RahulPannala) talks us through how to diagnose biliary colic, what imaging to order, and what to anticipate for potential post-cholecystectomy complications (eg persistent pain or diarrhea). Feel confident in sending the right patients for cholecystectomy! 

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


Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner
  • Case from Kashlak; Definitions
  • Typical biliary pain
  • Imaging for cholelithiasis
  • Treatment for symptomatic gallstones
  • Post-cholecystectomy diarrhea and pain
  • Inpatient management of cholecystitis
  • Advanced imaging- HIDA scans and MRCP
  • Incidental gallbladder findings
  • Outro


Credits

  • Producer, Writer, Show Notes: Molly Heublein, MD
  • Infographic/Cover Art: Lyan Chang
  • Hosts: Molly Heublein, MD, Nora Taranto, MD; Paul Williams MD, FACP   
  • Associate Editor: Leah Witt, MD
  • Showrunner: Matthew Watto MD, FACP
  • Technical Production: PodPaste
  • Audio Engineer for this live episode: Chris Chiu, MD
  • Guest: Rahul Pannala, MD

Sponsor: Ten Thousand
Go to tenthousand.cc/CURB to get 15% off.

Sponsor:
Blueland
You can get 20% off your first order when you go to Blueland.com/CURB

Sponsor:
Locumstory
Visit Locumstory.com to find out more about locum tenens.

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. 

Jun 13, 2022
#339 Hand and Wrist Pain with Dr. Ted Parks
2862
Join us as Curbsiders favorite Dr. Ted Parks gives us a hand with the diagnosis and management of common causes of hand and wrist pain.

Show Segments 

  • Intro, disclaimer, guest bio
  • Guest one-liner
  • Anatomy review: the thumb is the short one
  • Pathophysiology of De Quervain’s tenosynovitis
  • Physical examination for thumb pain
  • Management of DeQuervain’s and CMC arthritis
  • Pathophysiology of trigger finger
  • Management of trigger finger
  • Pathophysiology of carpal tunnel syndrome
  • Physical examination for carpal tunnel syndrome
  • Carpal tunnel syndrome management
  • Outro

Credits

  • Writer and Producer: Paul Williams, MD
  • Infographic and Cover Art: Paul Williams, MD
  • Hosts: Paul Williams MD and Molly Heublein, MD
  • Editor: Emi Okamoto, MD (written materials)
  • Guest: Ted Parks, MD

Sponsor:
Panacea Financial 
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Sponsor: Better Help
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Visit info.psdconnect.org/curbsiders to start a conversation with and with an expert recruitment advisor.

Sponsor:
Indeed
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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. 


Jun 06, 2022
#338 LIVE! Medical Cannabis: Is it still dope?
3192
It’s high time we revisit the benefits and harms

Master the ins-and-outs of medical cannabis! Dr. Julia Arnsten (@DrArnsten) will lead us through the initial evaluation of a patient interested in medical cannabis, summarize the state of evidence for the benefits and harms, lay out a schema for dosing and formulations, provide pearls on how to counsel patients, and more!

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

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


Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week
  • Definitions and terminology
  • A brief history of medical cannabis
  • Case from Kashlak
  • History to obtain for a patient interested in medical cannabis
  • Medical cannabis dosing and formulations
  • Conditions for which the evidence supports considering medical cannabis
  • Risks of medical cannabis
  • Disparities in access to medical cannabis
  • Does medical cannabis reduce opioid use?
  • Outro

Credits

  • Producer and Writer: Matthew Watto MD, FACP
  • Show Notes, Infographic, and Cover Art: Malini Gandhi
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Associate Editor: Leah Witt MD
  • Showrunner: Matthew Watto MD, FACP
  • Production Team: PodPaste
  • Guest: Julia Arnsten MD, MPH

Sponsor:
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Sponsor
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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. 





May 30, 2022
#337 Palpitations, Erectile Dysfunction: A rapid review (TFTC)
1755
Recap and review the top pearls from recent episodes #320 Palpitations and #317 Erectile Dysfunction with Watto and Paul. It’s Tales from the Curbside! (TFTC), our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning.

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


Show Segments

  • Intro, disclaimer, guest bio
  • Palpitations: Diagnosis, Cardiac Monitors, Treatment, Patient Counseling
  • Erectile Dysfunction
  • Outro

Credits

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

Sponsor: Pattern

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May 25, 2022
#336 Updates in Addiction Medicine: Live from SGIM
2882
Learn from an expert panel in addiction medicine about a potpourri of fascinating topics, with updated data to guide clinical decision-making.  We picked the brains of physicians Stefan Kertesz, Ximena Levander, Kenny Morford, and Katherine Mullins to learn about the latest updates in opioid tapering (don’t do it if there isn’t a good reason!), how to define recovery in alcohol use disorder,  different options to treat methamphetamine use disorder, and Hepatitis C treatment in patients with active IV drug use.  And there’s so much more, that we’re following this with a whole series in Addiction Medicine, set to come out in early July 2022!

Visit curbsiders.vcuhealth.org to claim CME credit for this episode. 


Show Segments

  • Intro
  • Tapering long-term opioids
  • Perioperative buprenorphine management
  • Defining recovery in alcohol use disorder
  • The Fourth Wave
  • Treatment for methamphetamine use disorder
  • E-cigarettes for smoking cessation
  • Disparities in substance use disorder prevalence and treatment 
  • Advocacy opportunities
  • Outro

Credits

  • Written and Produced by: Nora Taranto MD
  • Hosted by: Nora Taranto MD; Matthew Watto MD, FACP; Paul Williams MD, FACP  
  • Guests: Stefan Kertesz MD MSc; Ximena Levander MD MCR FACP; Kenneth Morford MD FASAM; Katherine Mullins MD 
  • Show Notes, Cover Art, Infographics: Nora Taranto MD 
  • Reviewer: Molly Heublein MD 
  • Production team: Pod Paste

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

May 23, 2022
#335 Generalized Anxiety Disorder
3275
Join us as we de-mystify the diagnosis, talk treatment strategies, parse through pharmaceutical options, and figure out follow-up in Generalized Anxiety Disorder with Dr. Dheepa Sekar (@DheepaSekarMD)! Anxiety disorders are one of the most common mental health concerns in our country and this episode will give you the tools to address it in clinic! 

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


Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week*
  • Case from Kashlak; Definitions
  • Differential diagnosis for GAD
  • Counseling about diagnosis
  • Initial guidance on first-line management, apps for mindfulness
  • Prescribing basics, SSRI and SNRI considerations
  • Bridging with hydroxyzine and buspirone
  • Monitoring treatment response
  • Managing side effects
  • Tapering medication
  • Alternative agents, atypical antipsychotics, and benzos
  • Take Home points, Outro

Credits

  • Producer, Scriptwriter, Show Notes, Infographic/Cover Art: Beth Garbitelli
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli   
  • Reviewer: Emi Okamoto MD
  • Showrunner: Matthew Watto MD, FACP
  • Production Team: PodPaste
  • Guest: Dheepa Sekar MD

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

May 16, 2022
#334 IBS, Functional Dyspepsia, and Cyclic Vomiting: Disorders of Gut Brain Interaction (DGBI)
5946
Learn diagnostic and therapeutic management strategies for IBS, functional dyspepsia, and cyclic vomiting (aka disorders of gut brain interaction (DGBI))! It's like three episodes in one as we run through how to individualize evaluation and management for patients with functional dyspepsia, IBS, and cyclic vomiting. Topics: scripts for counseling patients, the pathophysiology of DGBI, which diagnostic tests are necessary, pharmacologic and nonpharmacologic options, and even hypnotherapy?! We’re joined again by the great Dr. Xiao Jing (Iris) Wang, (@IrisWangMD, Mayo Clinic)

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


Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week*
  • Case from Kashlak; Definitions (6:20) 
  • Definition of Disorders of the Gut-Brain Interaction (7:30-11:00)
  • Functional Dyspepsia: diagnostic criteria, definitions (15:30-24:30), and treatments  (24:30-36:00)
  • Irritable bowel disease: diagnostics (41:00), testing algorithm, and treatments (55:00)
  • Cyclic Vomiting Syndrome and Cannabis Hyperemesis Syndrome: definitions, diagnosis, and management (1:11)
  • Take home points
  • Outro
Credits
  • Producer: Elena Gibson MD
  • Writer:Andréa Perdigão, Elena Gibson
  • Show Notes and Infographics: Andréa Perdigão
  • Cover Art: Kate Grant
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Associate Editor: Leah Witt
  • Showrunner: Matthew Watto MD, FACP
  • Editor: Clair Morgan of nodderly.com
  • Guest: Dr. Xiao Jing (Iris) Wang MD

Sponsor:
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Sponsor:
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CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. 
May 09, 2022
#333 Prescribing pearls, Periop Medicine, PMR, Gout, OSA, Nocturia, Food as Medicine, a new Obesity paradigm, and rethinking Afib! ACP #IM2022 Highlights
3709
We recap the top pearls from ACP #IM2022 including important drug interactions/intolerance (acetaminophen, tramadol, ticagrelor, nirmatrelvir-ritonavir), perioperative medicine (bridging, DOAC reversal agents, dental procedures, MINS), recognizing PMR, when to initiate urate-lowering therapy in gout, glucocorticoid-induced osteoporosis, food as medicine, dietary potassium, OSA, nocturia, telemedicine and health equity, a new obesity medicine paradigm, advances in HIV/PrEP, and rethinking atrial fibrillation! 

Note: Due to a rapid turnaround there is no CME for this episode, but visit curbsiders.vcuhealth.org to claim credit for past episodes.

Show Segments
  • Intro
  • Tapering long-term opioids
  • Physician Wellbeing
  • Common drug interactions (acetaminophen, ticagrelor, tramadol, Nirmatrelvir-ritonavir)
  • Perioperative medicine (bridging, DOAC reversal agents, dental procedures, MINS)
  • Nocturia and OSA
  • Food as Medicine
  • Rheumatology (how to diagnose PMR, when to initiate ULT for gout and steroid-induced osteoporosis)
  • Avi’s pearls on (diversity, telemedicine, telehealth, burnout)
  • Obesity medicine (a new paradigm and a new medication)
  • HIV in primary care (PrEP, long-acting injectable antiviral therapy)
  • Atrial fibrillation
  • Outro

Credits
  • Written, Produced, and Hosted by: Nora Taranto MD; Molly Heublein MD; Chris Chiu MD, FACP, FAAP; Avital O’Glasser MD, FACP; Alan Dow MD, FACP; Matthew Watto MD, FACP; Paul Williams MD, FACP  
  • Show Notes: Matthew Watto MD, FACP
  • Cover Art: Chris Chiu MD, FACP, FAAP
  • Production team: Pod Paste

Sponsor: Indeed

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Sponsor:
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May 06, 2022
#332 Inpatient Covid Management with Dr. Nathan Erdmann
3729
Join Dr. Nathan Erdmann (@NerdmannID, University of Alabama Birmingham) as he walks us through inpatient covid management from antivirals, immune modulators and anticoagulation. 

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


Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week*
  • Case from Kashlak; Definitions
  • Outpatient vs ER therapeutic options
  • Considerations for labs to risk stratify 
  • Antivirals
  • Immunomodulators
  • Anticoagulation
  • Empiric Antibiotics
  • Transitions of Care
  • Take Home Points
  • Outro

Credits

  • Producer: Monee Amin, MD
  • Writers: Monee Amin, MD and Meredith Trubitt, MD
  • Show Notes: Meredith Trubitt, MD
  • Infographic and Cover Art: Monee Amin, MD
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Reviewer: Rahul Ganatra, MD
  • Showrunner: Matthew Watto MD, FACP
  • Production Team: PodPaste
  • Guest: Nathan Erdmann, MD

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




May 02, 2022
#331 Inpatient Diabetes Part 2: DKA, insulin drips, insulin pumps, and CGMs
3661
More inpatient diabetes! In this part 2 of 2, we cover diabetic ketoacidosis (DKA), euglycemic DKA, how to handle insulin pumps in the hospital, continuous glucose monitors, and how to transition patients off an insulin drip! Our guest is Dr. Dave Lieb (@dclieb), an internist, endocrinologist and the endocrinology program director from Eastern Virginia Medical School. 

Claim free CME for this episode at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

Show Segments

  • Intro 
  • DKA and HHS - introduction and therapy overview
  • Insulin drips, closing the gap and transitioning to a subcutaneous regimen
  • Euglycemic DKA
  • Pumps and glucose monitors
  • Final take home points
  • Outro


Credits

  • Producer: Adam Barelski MD, Cyrus Askin MD
  • Writer: Adam Barelski MD
  • Show Notes:  Cyrus Askin MD
  • Infographic: Edison Jyang
  • Cover Art: Kate Grant MBChb, MRCGP
  • Hosts: Matthew Watto MD, FACP; Adam Barelski MD
  • Technical Production: Pod Paste
  • Showrunner: Matthew Watto MD, FACP
  • Content Editor: Emi Okamoto MD 
  • Guest & Content Reviewer: David Lieb MD, FACE, FACP

CME Partner: VCU Health CE

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


Sponsor:
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Sponsor:
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Apr 27, 2022
#330 Inpatient Diabetes Part 1: Insulin regimens, oral hypoglycemics, corrections scales and more!
4803
Dominate inpatient diabetes! In this part 1 of 2, we discuss how to handle oral hypoglycemics, how to choose an initial insulin regimen, the use of correction scale insulin monotherapy, how to titrate insulin, how to use NPH for steroid-induced hyperglycemia (check out this Twitter thread on safe dosing), and how to reconcile diabetes meds at discharge!

Stay tuned for part 2 (drops Wed April 27th) covering diabetic ketoacidosis (DKA), euglycemic DKA, how to handle insulin pumps in the hospital, continuous glucose monitors, and how to transition patients off an insulin drip!

Our guest is Dr. Dave Lieb (@dclieb), an internist, endocrinologist and the endocrinology program director from Eastern Virginia Medical School. 

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

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

Show Segments

  • Intro #1, disclaimer, guest bio
  • Guest one-liner, Picks of the Week*
  • Inpatient diabetes - a bird’s eye view and the goal(s) of therapy
  • Management of outpatient diabetes medications
  • Inpatient insulin - options and dosing
  • Correctional insulin (“sliding scale”)
  • A word on the “Diabetic Diet”
  • Steroids and hyperglycemia
  • Discharge pearls for the patient with diabetes
  • Outro #1

Credits

  • Producer: Adam Barelski MD, Cyrus Askin MD
  • Writer: Adam Barelski MD
  • Show Notes:  Cyrus Askin MD
  • Infographic: Edison Jyang
  • Cover Art: Kate Grant MBChb, MRCGP
  • Hosts: Matthew Watto MD, FACP; Adam Barelski MD
  • Technical Production: Pod Paste
  • Showrunner: Matthew Watto MD, FACP
  • Content Editor: Emi Okamoto MD 
  • Guest & Content Reviewer: David Lieb MD, FACE, FACP
Sponsor: Bambee
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Sponsor: Grammarly
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CME Partner: VCU Health CE
The Curbsiders partner 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. 

Apr 25, 2022
#329 Curing Hepatitis C: A Primary Care Primer
4640
DeLiver on the promise of elimination with Dr. Christian Ramers

Let’s deLiver on the promise of hepatitis C elimination! Dr. Christian Ramers @cramersmd brings hepatitis C diagnosis, care, and cure into the primary care clinic with a simplified algorithm for workup and treatment.

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

  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week*
  • Case from Kashlak; Definitions
  • Who should we screen?
  • Patient Workup 
  • Preparing for treatment
  • Treating hepatitis C
  • Opportunities for integration of care
  • Outro
Credits

  • Producer, writer, co-host: Emi Okamoto MD, FACP
  • Show Notes, infographic, cover art: Lyan Chang
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Reviewer: Leah Witt, MD
  • Executive Producer: Beth Garbitelli
  • Showrunner: Matthew Watto MD, FACP
  • Editor: Clair Morgan of nodderly.com
  • Guest: Christian Ramers MD, MPH, FIDSA
Sponsor: BetterHelp
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Sponsor:
MedMastery
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Sponsor: Birch Matresses
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Sponsor: Indeed
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CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. 

Apr 18, 2022
#328 Updates in Hospital Medicine, Primary Care, Breast Health, Sexual Health, Addiction Medicine, Meded and more! Highlights from #SGIM22
4822
Fill up with delicious practice-changing knowledge food from #SGIM22 as The Curbsiders team discusses breast cancer survivorship, sexual dysfunction, How climate change will affect health, Are PT consults necessary in the hospital?, Do we need antibiotics for aspiration events?, bias in note writing, Are plant-based meats a healthy?, complications after breast implantation, how to get breast reduction approved, doxycycline for chlamydia, the metronidazole and alcohol myth, pearls for clinician-educators, telehealth, TEACHIM.org, CGMs help lower a1c, PT for rotator cuff disease, Is it safe to taper antidepressants? and how to treat methamphetamine use disorder! 

Note: There is no CME for this episode, but claim CME for prior episodes at curbsiders.vcuhealth.org!


Credits

  • Written and Hosted by: Nora Taranto MD, Beth Garbitelli (about to be an MD!), Era Kryzhanovskaya MD, Justin Berk MD, MPH, MBA, Shreya Trivedi MD, Chris Chiu MD, Paul Williams MD, Matthew Watto MD
  • Show Notes and Cover Art: Matthew Watto MD, FACP
  • Showrunner: Matthew Watto MD, FACP
  • Technical Production: Pod Paste
Show Segments
  • Intro
  • A few ambulatory teaching models include the One Minute Preceptor, SNAPS (summarize, narrow, analyze, probe, plan, and select), PIPP (precepting in the presence of the patient) [see Community Preceptor Toolbox]
  • Ikigai is a Japanese term indicating a motivational force or reason for living. It is associated with decreased mortality [Tanno, 2009]. Explore your ikigai here (PositivePsychology.com).
  • Listening to podcasts while driving does not affect knowledge retention (Gottleib et al. 2021)
  • Treatment of Hot flashes: Avoid paroxetine, fluoxetine, and sertraline in breast cancers survivors taking tamoxifen. Instead use venlafaxine (or another SNRI), citalopram, or escitalopram. Gabapentin given at bedtime is also an option.  (Clinical Update 2019: Tamoxifen and Antidepressants)
  • Distress in patients with cancer can be measured using the NCCN screening tool [NCCN Distress Thermometer]
  • Don’t forget to ask for a Cancer Survivorship Plan from oncology [CDC Cancer Survivorship Care Plans]
  • Ask about sexual dysfunction in cancer survivors.
  • How will climate change impact our patient’s health? NIH framework; CH2OPD2 environmental screening tool [CH2OPD2 ]; and the 15 steps of climate communication.
  • Use the AM-PAC score cutoff of >18 to avoid a PT consult in hospitalized patients (Martinez 2021). 
  • Early antibiotics after an aspiration event do not improve outcomes (Aga 2021). 
  • Biased language is more common in notes about Black patients (Beach 2021). Be thoughtful about what you write and role model good behavior.
  • While plant-based meats are more eco-friendly than animal-sourced meats, they are heavily processed foods (van Vliet 2021) and may have high sodium.
  • Silicone breast implant rupture can be insidious. Guidelines recommend screening with MRI after 6 years, then every 2-3 years (FDA 2020, More FDA info) (Note: FDA’s most recent guidance also recommends ultrasound as an alternative screening method, so always check with the patient's insurance about which modality will be covered)
  • Document a trial of NSAIDs, physical therapy, attempted weight loss, and supportive bra usage before breast reduction surgery for macromastia. 
  • Doxycycline is now first line for chlamydia rather than azithromycin [STI Treatment Guidelines Update], BUT the most effective treatment is the one your patient will take!
  • Metronidazole does not cause a disulfiram-like reaction and is no longer recommended by the guidelines [STI Treatment Guidelines Update]
  • More clinician-educator pearls from Era: Don’t be afraid to brand yourself! Network with like-minded individuals (e.g. interest groups). 
  • BST mode: bite-sized teaching pearls can help reduce extrinsic load and improve retention [Manning, 2021]
  • A guided discussion based on Scrubs episodes can improve resident wellness [Holtzclaw 2021]
  • Chris recaps some posters (click links to see them on Twitter!): Telehealth disparities and tech equity (poster 1, poster 2); TeachIM.org (poster)
  • Continuous glucose monitors can help lower a1c in patients on basal insulin [Martens 2021]
  • A single session of PT improved shoulder pain. The benefits of steroid injections were limited to 8 weeks in the GRASP trial [Hopewell 2021]
  • There is a high risk of recurrence after tapering antidepressants [Lewis 2021]
  • Methamphetamine use disorder can be treated with IM naltrexone every 3 weeks, plus oral bupropion 450 mg daily [Trivedi 2021]. Limitations include cost and co-use of opioids. 
  • Outro

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Apr 15, 2022
#SGIM22 Recap is on it's way! - Teaser Trailer
63
We need a few days to process the highlights from #SGIM22 in Orlando, FL. We'll be dropping a DELUXE recap and highlights episode this Friday April 15, 2022 covering Updates in Hospital Medicine, Primary Care, Breast Health, Sexual Health, Addiction Medicine, Meded and more!
Apr 11, 2022
#327 Acute Pancreatitis
3538
Learn what you really need to diagnose pancreatitis, when to use imaging sources and what is most important in management! Rapidly treating Acute Pancreatitis might change its course! We’re joined by Dr. Kaveh Sharzehi @sharzehi of Oregon Health & Science University (@OHSUNews).

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

Show Segments
  • Intro, disclaimer, guest bio
  • Guest one-liner
  • Case from Kashlak
  • Risk factors for severe course
  • Use of Scoring Systems 
  • Requirements to make the diagnosis 
  • Rational use of imaging 
  • Initial management: fluids, analgesia, and nutrition
  • When to use antibiotics 
  • When to perform cholecystectomy 
  • Most common complications and interventions 
  • How to follow up in the outpatient setting 
Credits
  • Producer & Scriptwriters: Monee Amin MD and Meredith Trubitt MD
  • Show Notes & Infographics: Andréa Perdigão 
  • Cover Art: Monee Amin MD
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Reviewer: Molly Heublein MD
  • Executive Producer: Beth Garbitelli
  • Showrunner: Matthew Watto MD, FACP
  • Editor: Clair Morgan of nodderly.com
  • Guest: Kaveh Sharzehi MD, MS
Sponsor: BetterHelp
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Sponsor: MedMastery
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CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. 
Apr 04, 2022
REBOOT #151 Anaphylaxis
2449
Recognize common presentations of anaphylaxis and stop under-treating this deadly allergic reaction with tips from Dr. Olajumoke Fadugba, Assistant Professor of Medicine, University of Pennsylvania! We review the basic pathophysiology and the standard criteria for diagnosing anaphylaxis, treatment basics, the primary importance of epinephrine, and the utility of adjunctive therapies. Also included are great tips on counseling patients about auto-injectable epinephrine, and a reminder not to panic…even when you inject your own thumb?! Original show notes here.


Credits
  • Producer, infographic, and cover art: Emi Okamoto MD
  • Hosts: Matthew Watto MD, FACP; Stuart Brigham MD, Emi Okamoto MD
  • Editor: Matthew Watto MD, FACP
  • Guest: Olajumoke Fadugba MD
  • Special thanks to Sarah Phoebe Roberts MPH for booking!

Show Segments
  • Intro and disclaimer
  • Guest one-liner, book recommendation, advice to fellows and trainees
  • Case of anaphylaxis with mucocutaneous and GI symptoms
  • Anaphylaxis (IgE mediated mast cell action) vs anaphylactoid (non-IgE mediated mast cell activation; e.g. contrast allergy, vancomycin)
  • Vancomycin and non-IgE mediated reactions
  • Common presentations of anaphylaxis and the three diagnostic criteria
  • Biphasic reactions and predicting severity
  • Counseling patients on the use of epinephrine
  • Stuart’s thumb question
  • Adjuvant medications: antihistamines and corticosteroids
  • Are there any contraindications to epinephrine use?
  • Use of tryptase levels when the diagnosis of anaphylaxis is uncertain
  • Outro
Sponsor
Mar 30, 2022
REBOOT #145 Hepatorenal Syndrome
4128
Tackle the complex pathophysiology, diagnosis, and management of hepatorenal syndrome in this Curbsiders classic from #NephMadness 2019 featuring @kidney_boy Joel Topf, HRS expert Juan Carlos Velez (@veleznephhepato), and self-proclaimed most-handsome-nephrologist Bill Whittier (@TWhittier_RUSH) episode! Topics: hepatorenal physiology, renal ultrasound, urine electrolytes, terlipressin, norepinephrine, midodrine and octreotide, albumin challenge, crystalloids vs colloids, and more! Original show notes here.



Credits
  • Written and produced by: Justin Berk MD, Nora Taranto MD
  • Infographic by: Alex M @nephroguy
  • Host: Matthew Watto MD
  • Edited by: Matthew Watto MD (audio), Emi Okamoto MD (written materials)
  • Guests: Joel Topf MD, Juan Carlos Velez MD, Bill Whittier MD

Show Segments
  • NephMadness Kidney Pun Contest
  • Disclaimer
  • Intro, guest one-liners
  • Case of acute kidney injury in a patient with cirrhosis
  • Initial differential diagnosis and approach to newly elevated creatinine in cirrhosis (urinalysis, FeNa, urine sodium)
  • History and physical in cirrhosis and AKI
  • Fluid choice
  • Diuretic therapy in cirrhosis and volume overload
  • Is a Renal Ultrasound useful in AKI?
  • Recap: the initial approach to AKI in cirrhosis
  • Therapeutic trials when volume status is uncertain
  • Hepatorenal physiology revisited
  • Vasoconstrictor therapy with octreotide, terlipressin, or norepinephrine
  • Type 1 versus type 2 hepatorenal syndrome
  • Large-volume paracentesis (LVP) in cirrhosis with AKI; how much fluid to remove; use of diuretics or LVP in patients on norepinephrine?!
  • Diagnostic criteria or HRS
  • NephMadness matchups including bile cast nephropathy
  • Outro

Sponsors 
Mar 28, 2022
REBOOT #146 Pain Meds in CKD
4000
We tackle the complexities of pain management in patients with chronic kidney disease in this reboot from @NephMadness 2019 that, on a scale of 1-10, will leave you feeling very relieved in addressing pain. Topics: Opioids, gabapentinoids, NSAIDS, pain ladders, why tramadol is tramadont, and more!


Credits
  • Written and produced by: Justin Berk MD
  • NephMadness Pain Region: Samantha Gelfand MD
  • NephMadness Pun Contest produced by: Hannah R Abrams
  • Cover art by: Kate Grant MBChB, Dip GUMed
  • Hosts: Matthew Watto MD, Paul Williams MD, Stuart Brigham MD
  • Edited by: Matthew Watto MD (audio), Emi Okamoto MD (show notes)
  • Guests:  Samantha Gelfand MD, Matthew Sparks MD, David Juurlink MD

Show Segments
  • Kidney Pun
  • Disclaimer, intro and guest bios
  • Guest one-liners
  • Clinical Case and Pain Management Disclaimer
  • Modalities for pain meds in ckd
  • Opioids for pain and their metabolites
  • Dave Juurlink reframes the question, “what is our real goal with pain management?”
  • Matt Sparks reiterates the dangers of morphine and codeine in patients with advanced CKD
  • Communicating meds that are contraindicated or relatively contraindicated in CKD
  • Buprenorphine
  • What about the WHO Pain Ladder for CKD?
  • Should we use more cannabinoids? Ketamine?
  • Dave Juurlink rants on Tramadol
  • NSAIDS and CKD
  • Gabapentinoids (gabapentin and pregabalin) for neuropathic pain and driving?!
  • Estimating eGFR in CKD and AKI. Which equation is best?
  • How would each of our experts treat this patient with CKD and knee pain
  • Outro


Sponsors: 


Mar 21, 2022
#326 Cardiorenal Syndrome, Biomarkers, Diuretic Resistance (NephMadness 2022)
3395
Lose your heart to NephMadness 2022! Dr. Joel Topf (@kidney_boy) and Dr. Sadiya Khan (@HeartDocSadiya) tackle the NephMadness 2022 Cardiorenal Syndrome region, leading us through the pathophysiology of cardiorenal syndrome, how to approach the creatinine “bump” with diuresis, managing patients with diuretic resistance, and more. This episode is part of our first ever NephMadness Pod Crawl, so check out the other podcasts, and fill out your NephMadness 2022 brackets!

Credits
  • Producer, Writer, Show Notes, Infographics: Malini Gandhi
  • Cover Art:  Beth Garbitelli
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Reviewer: Emi Okamoto MD, FACP
  • Executive Producer: Beth Garbitelli
  • Showrunner: Matthew Watto MD, FACP
  • Editor: Clair Morgan of nodderly.com
  • Guest: Dr. Joel Topf MD, Dr. Sadiya Khan MD
*Claim free CME for this episode at curbsiders.vcuhealth.org! *Available within 24 hours of release.

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

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

NephMadness 2022 Pod Crawl

  • The Greater Chicago course, beginning on May 23rd  through May 27th     or
  • Washington, D.C., on July 11th through July 15th
New registrants will receive 6 months of access to the course recordings. Visit acponline.org/imbr2022 to register or learn more.

Sponsor: SquareSpace
Go to Squarespace.com for a free trial, and when you’re ready to launch, go to squarespace.com/Curb to save 10% off your first purchase of a website or domain.

Sponsor: Green Chef
Go to GreenChef.com/curb130 and use code curb130 to get $130 off, plus free shipping!

Sponsor: Masterworks
Masterworks is giving listeners priority access to their newest offerings. Just head to masterworks.art/curbsiders 

CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. 
Mar 14, 2022
#325 Hotcakes: Fluid Wars revisited, Sleep & Weight Loss, Vitamin D, Pneumonia and HBV Vaccine Updates
2734
Find out whether balanced solutions beat saline in the ICU (fluid wars revisited), how sleep affects weight loss and calorie intake, whether or not Vitamin D can prevent autoimmune disease, new guidelines for pneumonia and hepatitis B (HBV) vaccination, and the utility of ultrasound to measure JVP! Time to fill your plate with a fresh stack of hotcakes! Drs. Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), Nora Taranto (@NoraTaranto), and Matt Watto (@doctorwatto) catch us up on recent practice-changing articles and guidelines! 

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

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

Credits
  • Hosted and Written by: Nora Taranto MD; Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP
  • Reviewer: Matthew Watto, MD, FACP
  • Executive Producer: Beth Garbitelli
  • Showrunner: Matthew Watto MD, FACP
  • Editor: Clair Morgan of nodderly.com
Sponsor: Green Chef
Go to GreenChef.com/curb130 and use code curb130 to get $130 off, plus free shipping!

Sponsor: BetterHelp
Special offer for The Curbsiders listeners: get 10% off your first month at betterhelp.com/Curb

Visit panaceafinancial.com today for information on their student loan refinance loans and to learn about their “refer a friend” program.

Sponsor: Indeed
Go to Indeed.com/INTERNALMEDICINE to claim your $75 CREDIT before March 31st.

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

Show Segments

  • Intro, picks of the week
  • Fluid wars: balance solution vs saline
  • Sleep and energy intake, weight loss
  • Vitamin D to prevent autoimmune disease
  • New ACIP guidelines for Pneumonia and Hepatitis B (HBV) vaccines
  • Ultrasound for JVP
  • Outro
Mar 07, 2022
NephMadness 2022 Pod Crawl is coming!
119
Resuscitate your inner nephrology nerd with a bolus of kidney themed podcast episodes in the first annual NephMadness Pod Crawl featuring topics like cardiorenal syndrome, hemodialysis, chronic kidney disease (CKD), neonatal AKI, and inequalities in nephrology! The pod crawl starts Monday March 14, 2022 with The Curbsiders Cardiorenal episode and continues all week! See the schedule below, check out the other podcasts in the pod crawl, and fill out your brackets for NephMadness 2022 #nephmadness #NephPodCrawl

Pod Crawl Release schedule:
Mon 3/14: The Curbsiders - Cardiorenal Syndrome. Listen on Apple or Spotify. Website: https://thecurbsiders.com

Tues 3/15: The Drs. Washington - Inequities in Nephrology. Listen on Apple or Spotify. Website: https://www.drlatonyawashington.com/drswashingtonpodcast 

Wed 3/16: The Cribsiders - Neonatal AKI. Listen on Apple or Spotify. Website: http://thecurbsiders.com/thecribsiders

Thurs 3/17: Up My Nursing Game - Hemodialysis. Listen on Apple or Spotify. Website: www.upmynursinggame.com

Fri 3/18: BS Medicine - #505: Albuminuria, basketball and the Great White North. Listen on Apple or Spotify. Website: https://therapeuticseducation.org/

Sat 3/19: Freely Filtered - Animal House Region. Listen on Apple or Spotify. Website: http://www.nephjc.com/freelyfiltered 

Mar 05, 2022
#324 Obesity Medicine FAQ
3273
Learn how to prescribe affordable, effective medications for obesity medicine! We discuss metformin, naltrexone, bupropion, phentermine, topiramate, GLP1 agonists, and how to counsel patients about the available weight loss modalities. Dr. Fatima Cody Stanford (@AskDrFatima) of Massachusetts General Hospital helps reframe our approach as she walks through these Obesity Medicine FAQs. Obesity treatment has been around since the 1950s but we’ve been underutilizing it for far too long!

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

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

Credits

  • Producer, Writer, Show Notes, Infographics, Cover Art: Isabel Valdez, PA-C
  • Show Notes, Infographics: Maddison McLellan
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Reviewer: Monee Amin, MD
  • Executive Producer: Beth Garbitelli
  • Showrunner: Matthew Watto MD, FACP
  • Editor: Clair Morgan of nodderly.com
  • Guest: Fatima Cody Stanford, MD 
Sponsor: ACP
Join us in Chicago for internal medicine’s premier educational meeting April 28-30, 2022! We’ll be there in person. For the Early Bird discount: use code IM22CURB. Visit annualmeeting.acponline.org to learn more. 

Sponsor: Grammarly
Our listeners can get 20% off Grammarly Premium at grammarly.com/CURB

Sponsor: MedMastery
Listers are eligible for a lifetime 15% off discount on subscription if you go to https://www.medmastery.com/curbsiders!

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

Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner by Dr. Fatima Cody Stanford
  • Case from Kashlak 
  • Guidelines for treatment 
  • Getting the history and discussing weight goals
  • The Care Team:  Dietician, Behavioral Specialist, Provider
  • Medications: Phentermine, Topiramate, Bupropion, Naltrexone
  • Obesity treatment in pregnancy
  • Referring to bariatric surgery
  • Take home points
  • Outro
Feb 28, 2022
#323 Pelvic Pain, Constipation, Long COVID (TFTC)
2344
We recap the top pearls on pelvic pain, constipation, and Long COVID. It’s Tales from the Curbside! (TFTC), our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning.

Note: There is no CME for this mini-episode, but visit curbsiders.vcuhealth.org to claim credit for shows #311, #314, and #315 at curbsiders.vcuhealth.org!

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

Credits

  • Written, Produced, and Hosted by: Beth Garbitelli, Matthew Watto MD, FACP; Paul Williams MD, FACP  
  • Cover Art: Edison Jyang
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Sponsor: Birch
Birch is giving 200 dollars off ALL mattresses and 2 free eco-rest pillows at BirchLiving.com/curb  

Sponsor: Blueland
Right now, you can get 20% off your first order when you go to Blueland.com/CURB

CME Partner: VCU Health CE

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

Show Segments

  • Intro, disclaimer, guest bio
  • Pelvic Pain
  • Constipation
  • Long COVID
  • Outro
Feb 23, 2022
#322 H. Pylori Infection
3504
Say hi and bye to H. pylori infections! We review the basics of H. pylori screening, refresh your memory on testing basics, discuss treatment strategies, and talk through eradication testing with gastroenterologist Dr. George Saffouri (@gbsaff). 

A special thanks to our listener Ana Maria Keilhauer Varona (@KeilhauerMa) of @UFMedu who pitched this episode. Her hard work formed the basis for our script! 

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

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

Credits

  • Pitch Writer and Initial Script: Ana Maria Keilhauer Varona 
  • Producer, Writer, Show Notes, Infographic, Cover Art: Beth Garbitelli
  • Script Co-Writer: Elena Gibson, MD
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli
  • Reviewer: Emi Okamoto, MD
  • Executive Producer: Beth Garbitelli
  • Showrunner: Matthew Watto MD, FACP
  • Editor: Clair Morgan of nodderly.com
  • Guest: George Saffouri, MD
Visit panaceafinancial.com today for information on their student loan refinance loans and to learn about their “refer a friend” program.

Sponsor: BetterHelp
Special offer for The Curbsiders listeners: get 10% off your first month at betterhelp.com/Curb

Sponsor: SquareSpace
Go to Squarespace.com for a free trial, and when you’re ready to launch, go to squarespace.com/Curb to save 10% off your first purchase of a website or domain.

Sponsor: Indeed
Go to Indeed.com/INTERNALMEDICINE to claim your $75 CREDIT before March 31st.

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

Show Segments

  • Intro, disclaimer, pitch contest winner, guest bio
  • Guest one-liner, Picks of the Week 
  • Case from Kashlak; Conceptualizing gastritis vs. dyspepsia
  • When to screen for h.pylori
  • Gastric cancer and h.pylori infection
  • Cultural competency in screening
  • Other indications for h.pylori testing, ITP and h.pylori
  • How to test
  • Treatment modalities
  • Eradication testing, persistent infection



Feb 21, 2022
#321 Hypertension FAQ: Common Outpatient Cases with Dr. Jordy Cohen
4983
Master common hypertension scenarios in the clinic! Our guest Dr. Jordy Cohen (@jordy_bc) will lead us through the FAQs of outpatient hypertension management, including making a diagnosis of hypertension, managing blood pressure in patients with chronic kidney disease, working up refractory hypertension, and more.

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

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

Credits

  • Writer: Matthew Watto, MD, FACP
  • Producers: Matthew Watto, MD, FACP and Malini Gandhi
  • Show Notes, Infographic, and Cover Art: Malini Gandhi
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Reviewer: Emi Okamoto MD
  • Executive Producer: Beth Garbitelli
  • Showrunner: Matthew Watto MD, FACP
  • Editor: Clair Morgan of nodderly.com
  • Guest: Jordy Cohen MD
Start the conversation or reach out to one of their career navigators today at info.PSDConnect.org /curbsiders

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

Sponsor: Stamps.com
Sign up with promo code CURB for a special offer that includes a 4-week trial, free postage, and a digital scale. No long-term commitments or contracts. Just go to Stamps.com, click the microphone at the top of the page, and enter code CURB. 

Sponsor: SquareSpace
Go to Squarespace.com for a free trial, and when you’re ready to launch, go to squarespace.com/Curb to save 10% off your first purchase of a website or domain.

Sponsor: Green Chef
Go to GreenChef.com/curb130 and use code curb130 to get $130 off, plus free shipping!

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

Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week*
  • Case from Kashlak: New diagnosis of hypertension
  • How to make a diagnosis of hypertension
  • When to start anti-hypertensive medication
  • Initial blood pressure regimen
  • Case from Kashlak: White coat hypertension
  • Case from Kashlak: Hypertension in chronic kidney disease
  • ACEis and ARBs in chronic kidney disease
  • Diuretics in chronic kidney disease
  • Case from Kashlak: Refractory hypertension
  • History and initial workup for refractory hypertension
  • Treatment of primary hyperaldosteronism
  • Outro
Feb 14, 2022
#320 Palpitations with Dr. Joshua Cooper
5755
When should you fold or Holt onto your cards for palpitations?  Learn about properly characterizing a patient’s palpitations, red flag symptoms, when to grab an echocardiogram and/or heart monitoring, and when certain “benign” ECG findings can be concerning.  We’re joined by the director of cardiac electrophysiology at Temple University Hospital, Dr. Joshua Cooper (@narrowQRS) for this episode chock full of cardiac pearls to make your heart skip a beat. 

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

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

Credits

  • Producer, Show Notes, Infographic, and Cover Art: Edison Jyang
  • Producer: Paul Williams MD, FACP
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Reviewer: Molly Heublein MD
  • Executive Producer: Beth Garbitelli
  • Showrunner: Matthew Watto MD, FACP
  • Editor: Clair Morgan of nodderly.com
  • Guest: Joshua Cooper MD
Sponsor: BetterHelp
Special offer for The Curbsiders listeners: get 10% off your first month at betterhelp.com/Curb

Visit panaceafinancial.com today for information on their student loan refinance loans and to learn about their “refer a friend” program.

Right now, Imperfect Foods is offering our listeners 20% off your first 4 orders when you go to https://www.imperfectfoods.com and use promo code CURB.

Sponsor: Indeed
Go to Indeed.com/INTERNALMEDICINE to claim your $75 CREDIT before March 31st.

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

Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week*
  • Case from Kashlak
  • Defining what the patient means by palpitations
  • Common causes and misdiagnoses
  • Red flag symptoms
  • Exposures and medications to consider
  • Sinus tachycardia
  • Workup for palpitations
  • Monitors
  • Script for a negative workup
  • Premature ventricular contractions
  • Outro
Feb 07, 2022
#319 Hotcakes: Afib, Chlorthalidone in CKD, Outpatient COVID Treatment Update
2692
Fill up your plate with a fresh stack of 2022 hotcakes! Drs. Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), Nora Taranto (@NoraTaranto), and Matt Watto help catch us up recent practice-changing articles and guidelines including patient-directed interventions in atrial fibrillation, the utilization of chlorthalidone in advanced CKD, and updates on outpatient COVID treatment. 

Claim free CME for this episode at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

Credits

  • Hosted and Written by: Nora Taranto MD; Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP
  • Reviewer: Rahul Ganatra MD, MPH, Matthew Watto, MD, FACP
  • Executive Producer: Beth Garbitelli
  • Showrunner: Matthew Watto MD, FACP
  • Editor: Clair Morgan of nodderly.com
Sponsor: Grammarly
Our listeners can get 20% off Grammarly Premium at grammarly.com/CURB

Sponsor: Green Chef
Go to GreenChef.com/curb130 and use code curb130 to get $130 off, plus free shipping!

Sponsor: Blueland
Right now, you can get 20% off your first order when you go to Blueland.com/CURB

Start the conversation or reach out to one of their career navigators today at info.PSDConnect.org /curbsiders

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

Show Segments

  • Intro, disclaimer
  • Picks of the week, Listener Email
  • I-STOP Afib
  • Chlorthalidone in CKD
  • Outpatient COVID Treatment Update
  • Outro
Jan 31, 2022
#318 LUTS, BPH, and Urinary Incontinence Triple Distilled
2776
Master urinary tract symptoms! Paul and Matt recap, review, and update past episodes on BPH and urinary incontinence so you’ll be able to confidently manage lower urinary tract symptoms (LUTS) in primary care. Topics: categorizing urinary incontinence, lifestyle modifications for LUTS, nonpharmacologic & pharmacologic therapies for urinary incontinence and BPH, plus when to refer to surgery. 

Note: There is no CME for this mini-episode, but visit curbsiders.vcuhealth.org to claim credit for most Curbsiders shows!

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

Credits

  • Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP  
  • Infographic by: Matthew Watto MD, FACP
  • Cover Art: Matthew Watto MD, FACP
  • Executive Producer: Beth Garbitelli
  • Showrunner: Matthew Watto MD, FACP
  • Editor: Clair Morgan of nodderly.com
To join M3 Global Research’s panel, go to M3research.info/curbsiders! Complete registration before Feb 28, 2022 for a $10 welcome bonus!

Sponsor: Indeed
Go to Indeed.com/INTERNALMEDICINE to claim your $75 CREDIT before March 31st.

CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. There is no CME for this mini-episode, but visit curbsiders.vcuhealth.org to claim credit for most Curbsiders shows!

Show Segments
  • Intro, disclaimer, guest bio
  • Urinary incontinence diagnosis, management
  • BPH diagnosis, management
  • Outro
Jan 26, 2022
#317 Erectile Dysfunction for Primary Care
4437
Listen as our expert guest Dr. Ashley Winter @AshleyGWinter (Northwest Kaiser Permanente, Portland, OR) helps us explore the spectrum of erectile dysfunction management for the internist and primary care clinician.  This episode will empower you to provide evidence based, patient-centered care to erectile dysfunction while maintaining an astute and holistic diagnostic approach.  We also explore treatment and patient counseling techniques. 

Claim Free CE credit for this episode through VCU Health CE at http://curbsiders.vcuhealth.org/

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

Credits

  • Written and Produced by: Hannah R. Abrams, MD
  • Infographic and Cover Art: Kate Grant, MBChB MRCGP DipGUMed
  • Show Notes: Hannah R. Abrams, MD; Avital O’Glasser MD, FACP, SFHM
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Hannah R. Abrams, MD
  • Reviewer: Molly Heublein, MD
  • Executive Producer: Beth Garbitelli
  • Showrunner: Matthew Watto MD, FACP
  • Editor: Clair Morgan of nodderly.com
  • Guest: Ashley Winter, MD
Sponsor: Masterworks
Masterworks is giving listeners priority access to their newest offerings. Just head to masterworks.art/curbsiders 

Sponsor: ACP
For the Early Bird discount, register before January 31. Use code IM22CURB. Visit annualmeeting.acponline.org to learn more. Register today to get the best pricing and bonus content.

Sponsor: 
SquareSpace
Go to squarespace.com/curb to save 10% off your first purchase of
a website or domain!

Sponsor:
BetterHelp
Special offer for The Curbsiders listeners: get 10% off your first month at betterhelp.com/Curb

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

Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner
  • Defining ED
  • Additional history, exam, and labs
  • How to talk about ED
  • Addressing ED for transgender and nonbinary patients
  • Treatment of ED
  • Advanced therapies and referral
  • Take Home Points; Outro; Bonus clip
Jan 24, 2022
#316 Lower Extremity Edema with The Curbsiders
4003
We have seen our esteemed guests, and they are us!  Paul Williams (@PaulNWilliamz) leads the discussion with Matt Watto (@DoctorWatto) and Beth “Garbs” Garbitelli (@bethgarbitelli) on the evaluation and management of common causes of edema.

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

Credits
  • Written and produced by: Paul Williams, MD, FACP
  • Infographic and Cover Art: Matthew Watto, MD, FACP
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Beth Garbitelli
  • Reviewer: Emi Okamoto, MD
  • Executive Producer: Beth Garbitelli
  • Showrunner: Matthew Watto, MD, FACP   
  • Editor: Clair Morgan of nodderly.com
Sponsor: Stamps.com
Sign up with promo code CURB for a special offer that includes a 4-week trial, free postage, and a digital scale. No long-term commitments or contracts.

Sponsor:
BetterHelp
Special offer for The Curbsiders listeners: get 10% off your first month at betterhelp.com/Curb

Sponsor:
Imperfect Foods
Right now, Imperfect Foods is offering our listeners 20% off your first 4 orders when you go to https://www.imperfectfoods.com and use promo code CURB.

Sponsor:
ACP
Join us in Chicago for internal medicine’s premier educational meeting April 28-30, 2022! We’ll be there in person. For the Early Bird discount, register before January 31.  Use code IM22CURB. Visit annualmeeting.acponline.org to learn more. 

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

Show Segments

  • Intro, disclaimer
  • Picks of the Week*
  • The case of Lynn Fedema
  • Pathophysiology of edema
  • Differential diagnosis of chronic edema
  • Chronic edema work-up
  • Management of chronic edema
  • Calvin Fedema and acute edema
  • Evaluation of acute edema
  • Outro
Jan 17, 2022
#315 Long COVID
4524
Explore the actively evolving clinical landscape of Long COVID as we discuss epidemiology, pathogenesis, manifestations, and patient-centered management options including the role of a dedicated Long COVID clinic. 

Listen as our expert guest Dr. Monica Verduzco-Gutierrez @MVGutierrezMD (Long School of Medicine at UT Health, San Antonio) helps us navigate this rapidly emerging syndrome. This episode will empower you to provide evidence based, patient-centered care for this challenging facet of the ongoing COVID-19 pandemic. We explore the manifestations including fatigue, dyspnea, psychiatric symptoms, and other neurologic effects.  We also examine the emergence of dedicated Long COVID clinics and the imperative of interdisciplinary care.

Update: The original version of this episode contained a brief, but incorrect characterization of  mast cell disorders that was subsequently removed after feedback from our allergy/immunology colleagues. We apologize for this inconvenience and thank our colleagues for their peer review.

Claim Free CE credit for this episode through VCU Health CE at http://curbsiders.vcuhealth.org/

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

Credits

  • Written and Produced by: Avital O’Glasser MD, FACP, SFHM
  • Infographic: Edison Jyang
  • Cover Art: Kate Grant, MBChB MRCGP DipGUMed
  • Show Notes: Avital O’Glasser MD, FACP, SFHM
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Avital O’Glasser MD, FACP, SFHM
  • Reviewer: Hannah Abrams, MD
  • Executive Producer: Beth Garbitelli
  • Showrunner: Matthew Watto MD, FACP
  • Editor: Clair Morgan of nodderly.com
  • Guest: Monica Verduzco-Gutierrez, MD

Sponsor: Blueland
Right now, you can get 20% off your first order when you go to Blueland.com/CURB

Sponsor: ACP
Join us in Chicago for internal medicine’s premier educational meeting April 28-30, 2022! We’ll be there in person. For the Early Bird discount, register before January 31.  Use code IM22CURB. Visit annualmeeting.acponline.org to learn more. 

Sponsor: Panacea Financial
Visit panaceafinancial.com today for information on their student loan refinance loans and to learn about their “refer a friend” program.

Sponsor: Indeed
Go to Indeed.com/INTERNALMEDICINE to claim your $75 CREDIT before March 31st.

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

Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner
  • Case 1 from Kashlak
  • Definition of Long COVID or post-COVID symptoms
  • Pathogenesis of Long COVID
  • Illness script for mast cell activation
  • Epidemiology and risk factors for Long COVID
  • Interdisciplinary care for Long COVID
  • Illness script for POTS-like phenotype in Long COVID
  • Illness script for chronic fatigue syndrome/myalgic encephalomyelitis in Long COVID
  • Management of fatigue and post-exertional malaise (PEM)
  • Case 2 from Kashlak
  • Neuropsychiatric manifestations of Long COVID
  • Anosmia and smell training
  • Role of the patient voice and community in Long COVID
  • Disability assessments and management
  • Take Home Points; Outro; Bonus clip
Jan 10, 2022
#314 Constipation: When the Flow Won’t Go with Dr. Iris Wang
4215
Move smoothly through constipation evaluation and management. Learn how to evaluate for the various etiologies of constipation including pelvic floor dysfunction, IBS-C and more with our esteemed guest Dr. Xiao Jing (Iris) Wang @IrisWangMD!

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

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

Credits

  • Producer, Show Notes, Infographic & Cover Art: Elena Gibson MD
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Reviewer: Emi Okamoto MD 
  • Executive Producer: Beth Garbitelli
  • Showrunner: Matthew Watto MD, FACP
  • Editor: Clair Morgan of nodderly.com
  • Guest: Xiao Jing (Iris) Wang MD
Sponsor: ACP
For the Early Bird discount, register before January 31. Use code IM22CURB. Visit annualmeeting.acponline.org to learn more. Register today to get the best pricing and bonus content.

Sponsor: SquareSpace

Sponsor: Masterworks
Masterworks is giving listeners priority access to their newest offerings. Just head to masterworks.art/curbsiders 

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

Show Segments (Note: timestamps are without ads)
  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week* (6:00)
  • Case from Kashlak; Definitions (11:00) 
  • Physiology of a bowel movement (10:00) 
  • Definitions (16:00)
  • Bowel Habit Review of Systems (17:00) 
  • Rectal Exam (33:00)
  • Initial Constipation Evaluation 
  • Common categories of constipation (43:40)
  • Additional evaluation of Constipation (52:00)
  • Treatment options (1:10:00)
  • Outro
Jan 03, 2022
#313 Recap Extravaganza 2021
3453
We recap the top pearls from 2021, including celiac disease, kidney stones, SGLT2 inhibitors for weight loss & HFpEF, smoking cessation, buprenorphine for acute pain, metabolic alkalosis, nephrotic syndrome, bronchiectasis, obesity hypoventilation syndrome, acute diarrhea, osteoporosis, and diabetes. Plus, Paul and Watto express their gratitude to The Curbsiders family and look forward to 2022. Finally, it’s our annual recap extravaganza 2021 with guest host Chris “the Chiu Man” Chiu (@cjchiu), providing a rapid review of previous Curbsiders episodes for your spaced learning.

Special thanks to the whole Curbsiders team and our listeners for an incredible six years of podcasting!

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

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

Credits

  • Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP; Christopher Chiu MD, FACP FAAP
  • Cover Art: Beth Garbitelli
  • Executive Producer: Beth Garbitelli
  • Showrunner: Matthew Watto MD, FACP
  • Editor: Clair Morgan of nodderly.com


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

Show Segments

  • Intro
  • Garbs’ picks: Pelvic pain, smoking cessation
  • Addiction medicine pearls: Nicotine use disorder; Acute pain in OUD
  • Nephrology: Kidney stones, nephrotic syndrome, metabolic alkalosis
  • Cardiology: Peripheral arterial disease (PAD), SGLT2 inhibitors for HFpEF
  • Pulmonology: Bronchiectasis, OHS
  • Gastroenterology: Celiac disease, Liver test abnormalities
  • Bariatric Medicine: Semaglutide for weight loss; bariatric surgery
  • Endocrinology: Osteoporosis; Diabetes FAQ
  • Outro
Dec 30, 2021
#312 Infective Endocarditis
4912
Master endocarditis! Don’t feel thwarted by a positive set of blood cultures. We’re joined by Dr. David Serota (@serotavirus) for a comprehensive discussion of the pathophysiology of infective endocarditis, frameworks for work-up and diagnosis, the TTE vs. TEE debate, indications for valve surgery, antibiotic tips,  harm reduction strategies, and more! 

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

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

Credits
  • Writer and Producer: Adam Barelski MD
  • Show Notes: Beth Garbitelli; Adam Barelski MD
  • Infographic: Adam Barelski MD
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Adam Barelski MD
  • Reviewer: Meredith Trubitt, MD
  • Executive Producer, Cover Art: Beth Garbitelli
  • Showrunner: Matthew Watto MD, FACP
  • Editor: Clair Morgan of nodderly.com
  • Guest: David Serota MD 
Sponsor: Imperfect Foods
Right now, Imperfect Foods is offering our listeners 20% off your first 4 orders when you go to https://www.imperfectfoods.com and use promo code CURB.

Sponsor: Southern California Permanente Medical Group
Want to make a difference in a community that appreciates your passion and expertise? Then join SCPMG as an Outpatient Internal Medicine Physician. Learn more or apply at scpmgphysiciancareers.com or call (866) 449-1684.

Sponsor: P3
P3 is a revenue cycle management provider that takes over your workload for claim submissions, and denial management. P3 is offering a 10% discount on all invoices for a limited time period. Visit www.p3care.com/curb and avail your offer today!

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

Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week*
  • Case from Kashlak; Definitions
  • What to do with positive blood cultures
  • Initial workup for endocarditis 
  • How to diagnose endocarditis
  • When to get a TTE and a TEE
  • Indications for valve surgery
  • Antibiotic tips
  • Oral vs IV antibiotics
  • Treatment considerations for patients who inject drugs
  • Take-home points
  • Outro
Dec 27, 2021
#311 Chronic Pelvic Pain
3915
Pelvic pain is not just a gyn issue!  As a PCP,  you can feel confident doing an initial workup and starting treatment for pelvic pain.  Dr. Lamvu shares a great framework to narrow down your diagnosis and provides amazing resources for those who work in an under-resourced center.   We’ll walk you through what to focus on in the history, a trauma-informed physical exam, and the first-line treatments.  Feel confident with your ability to help your chronic pelvic pain patients.

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

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

Credits

  • Writers/Producer: Molly Heublein, MD
  • Infographic: Edison Jyang
  • Cover Art: Kate Grant, MBChB MRCGP DipGUMed
  • Hosts: Beth Garbitelli, Molly Heublein, MD
  • Reviewer: Emi Okamoto, MD
  • Executive Producer: Beth Garbitelli
  • Showrunner: Matthew Watto MD, FACP
  • Editor: Clair Morgan of nodderly.com
  • Guest: Georgine Lamvu, MD MPH
Sponsor: BetterHelp
Join the over 2,000,000 people who have taken charge of their mental health with the help of an experienced professional. Special offer for The Curbsiders listeners: get 10% off your first month at betterhelp.com/Curb

Sponsor: Locumstory
Locum tenens may sound like a funky Latin word, but you’d be surprised what it can mean for your career in medicine.  Locumstory is your source for all things locum tenens! Check out their website,  locumstory.com,  for resources, FAQs, and more!

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

Show Segments

  • Intro, disclaimer, guest bio
  • Guest introduction and recommendations
  • Picks of the Week
  • Case from Kashlak
  • Persistent Pelvic Pain Definitions
  • Differential diagnosis/organ system approach
  • History
  • Physical Exam
  • Trauma informed Care
  • First line Treatments
  • Resources for patient education and to build speciality team
  • Summary and take home points 
  • Outro
Dec 20, 2021
Optimize your Feedback Conversations (TEACH ep. 1)
5150
Listen in as expert Dr Calvin Chou (UCSF)  leads us through concrete tips to optimize your feedback dialogue with learners.  We cover the importance of creating a relationship built on mutual goals of getting to our personal best, helping learners form SMART goals, the ARTful approach to a feedback conversation, ways to minimize bias, and you even get to hear Era role play!

This brand new weekly Curbsiders' mini-series, TEACH, is available on its own feed (Apple, Spotify) with new episodes every Tuesday.

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

Credits
  • Infographic: Andrew Delaat 
  • Hosts, producers, writers:  Era Kryzhanovskaya, MD; Molly Heublein, MD
  • Audio Editor: Clair Morgan of nodderly.com
  • Guest: Calvin Chou, MD

Sponsor: Masterworks
Masterworks uses data and technology to determine investment-grade works of art. Then they securitize them and allow anyone to invest in artwork at an affordable entry point.  While making great art is difficult, investing in it is easier than ever. Go to masterworks.art/curbsiders to get started.


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


Show Segments:  
  • Intro, disclaimer, guest bio 
  • Guest one-liner 
  • Picks of the Week 
  • Case from Kashlak 
  • Definition of Feedback 
  • Creating a relationship to give feedback
  • Helping learners set goals
  • ARTful approach
  • Giving feedback on hearsay
  • Reducing bias
  • Accepting feedback up the hierarchy
  • Outro


Dec 16, 2021
#310 No Tension About Inpatient Hypertension
3726
Don’t sweat inpatient hypertension any longer. Who needs guidelines when Dr. Noble Maleque (@nobility75, Emory University, Division of Hospital Medicine) explains the spectrum of hypertensive disorders in the inpatient setting, and an approach for thinking about treatment.

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


Credits

  • Production, Script, Infographic, and Cover Art: Monee Amin, MD, Meredith Trubitt, MD MPH 
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Monee Amin, MD, Meredith Trubitt, MD MPH 
  • Reviewer: Adam Barelski MD
  • Executive Producer: Beth Garbitelli
  • Showrunner: Matthew Watto MD, FACP
  • Editor: Clair Morgan of nodderly.com
  • Guest: Noble Maleque MD

Sponsor: Panacea Financial

Join the growing number of doctors nationwide that expect more from their bank and
have switched to Panacea Financial. Visit panaceafinancial.com today for information on
their student loan refinance loans and to learn about their “refer a friend” program.
Panacea Financial is a division of Primis, Member FDIC

Sponsor: Ten Thousand

Ten Thousand is offering our listeners 15% off your purchase! Go to tenthousand.cc and enter code CURB  to receive 15% off your purchase!.


Sponsor: Locumstory

Locum tenens may sound like a funky Latin word, but you’d be surprised what it can mean for your career in medicine.  Locumstory is your source for all things locum tenens! Check out their website,  locumstory.com,  for resources, FAQs, and more!


CME Partner: VCU Health CE

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

Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week*
  • Definitions
  • Case from Kashlak
  • Elevated blood pressure / hypertensive urgency
  • Contributing factors to elevated blood pressure in the hospital
  • Hypertensive urgency—to treat or not to treat
  • Transitions of care and case against intensification of treatment
  • Case from Kashlak
  • Hypertensive emergency diagnosis and treatment
  • Secondary Hypertension
  • Outro
Dec 13, 2021
Curbsiders TEACH is Coming Soon!
165
Curbsiders Teach is THE internal medicine podcast for all things medical education. We use expert interviews to inspire the next generation of medical educators by providing listeners with teaching pearls, practice-changing knowledge, and a learning objective-based dosing of Edutainment (medical education, made entertaining).

This weekly mini-series will air every Tuesday starting December 14th, 2021 on our website or wherever you get your podcasts!

Subscribe on Apple Podcasts
Subscribe on Spotify

We are so excited to bring you this new series in the Curbsiders Family focusing on medical education.  Molly Heublein, MD and Era Kryzhanovskaya, MD are your new hosts for the Curbsiders Teach- they are Clinician Educators with a passion for teaching.  

Whether you precept students, teach small groups, are involved in curricular design, or give CME lectures, we think you’ll find valuable skills.  We have the pleasure of interviewing a variety of amazing experts in topics ranging from bedside teaching, feedback conversations, learner mental health, and time-based competencies in medical education.   We can’t wait to share their expertise with you!
 
Subscribe on Apple Podcasts
Subscribe on Spotify
Send questions or suggestions to thecurbsidersteach@gmail.com    
Dec 07, 2021
#309 Prediabetes & Type 2 Diabetes Screening: A USPSTF Quick Update
2529
Sweeten your day with  a review of the updated 2021 USPSTF Prediabetes and Type 2 Diabetes screening guidelines with expert guest Dr. Chien-Wen Tseng! We review the new screening recommendations, assess different testing modalities, talk through screening intervals, and emphasize other risk factors that impact screening! 

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

Credits

  • Written and Produced by: Paul Williams MD & Elena Gibson MD
  • Cover Art: Beth Garbitelli
  • Hosts: Paul Williams MD, FACP; Elena Gibson MD    
  • Reviewer: USPSTF Team
  • Executive Producer: Beth Garbitelli
  • Showrunner: Matthew Watto MD, FACP
  • Editor: Clair Morgan of nodderly.com
  • Guest: Chien-Wen Tseng MD

Sponsor: BetterHelp
Join the over 2,000,000 people who have taken charge of their mental health with the help of an experienced professional. Special offer for The Curbsiders listeners: get 10% off your first month at betterhelp.com/Curb


Sponsor: GreenChef
The #1 Meal Kit for Eating Well! Go to GreenChef.com/curb10 and use the code curb10 to get 10 Free Meals including free shipping!

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

Time Stamps*

*Note: Time Stamps refer to ad free version. 
  • Intro, disclaimer, guest bio: 0:33
  • Guest one-liner: 3:30
  • Picks of the Week: Sneaky pick at 3:00! Guest pick: 4:45
  • Case from Kashlak of Mr. Sugar: 5:30 
  • Screening recommendations: 6:00
  • Testing modalities: 10:00 
  • Possible harms of screening: 15:50
  • Screening intervals: 18:00
  • Prediabetes screening: 20:45
  • Other risk factors that impact screening: 26:30
  • Recap: 34:15
  • Outro: 36:25
Dec 06, 2021
#308 Metabolic Alkalosis and Hypokalemia: Kidney Boy Returns!
4149
@Kidney_Boy returns to school us on metabolic alkalosis and hypokalemia! What do diuretics, hyperaldosteronism, black licorice, and milk-alkali have in common? Our Chief of Nephrology, Dr. Joel Topf, talks through the pathophysiology of metabolic alkalosis, the utility of urine chloride and pH measurements, why normal saline is sometimes better than balanced solutions, when to reach for acetazolamide, and more! Urine for a good time ; )

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

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

Credits

  • Written and Produced by: Matthew Watto MD, FACP
  • Show Notes, CME, Infographic and Cover Art by: Matthew Watto MD, FACP
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli  
  • Reviewer: Emi Okamoto MD
  • Executive Producer: Beth Garbitelli
  • Showrunner: Matthew Watto MD, FACP
  • Editor: Clair Morgan of nodderly.com
  • Guest: Joel Topf MD
Sponsor: ACP
Join the American College of Physicians today! U.S. based post-training physicians can take advantage of a limited-time 20% membership discount. Visit acponline.org/ACPdiscount and use the code ACP20. Membership discount is available only through December 31, 2021.  

Sponsor: Grammarly
Take the stress out of getting the words right with Grammarly.
Our listeners get 20% off Grammarly Premium at grammarly.com/CURB

CME Partner: VCU Health CE

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

Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week*
  • Case from Kashlak; Definitions
  • Case of Al Kaline - metabolic alkalosis from vomiting
  • Pathophysiology of metabolic alkalosis
  • Case of Mike Arbonate - hypokalemic, metabolic alkalosis from aggressive IV diuresis and therapies to mitigate
  • Case of Fracture Franny - milk-alkali syndrome
  • Case of Hyper Al - metabolic alkalosis from excess mineralocorticoid receptor activation
  • Outro


Nov 29, 2021
#307 Spooky Tofurkey Cakes: SGLT2 for HFpEF, Diverticulitis, VTE update, Rotator Cuff Disease
3099
Fill up your plate with some spooky tofurkey cakes! Drs. Rahul Ganatra (@rbganatra) and Nora Taranto (@norataranto) help catch us up recent practice-changing articles and guidelines including EMPEROR-Reduced (SGLT2 inhibitors for HFpEF), the 2021 CHEST VTE guidelines update, whether or not antibiotics are needed for diverticulitis, and what treatments are most effective for rotator cuff disease!

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

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

Credits

  • Written by: Nora Taranto MD; Rahul Ganatra MD, MPH; Matthew Watto MD, FACP
  • Show Notes: Matthew Watto MD, FACP
  • Cover Art: Beth Garbitelli
  • Hosts: Nora Taranto MD; Rahul Ganatra MD, MPH; Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Reviewer: Rahul Ganatra MD, MPH
  • Executive Producer: Beth Garbitelli
  • Showrunner: Matthew Watto MD, FACP
  • Editor: Clair Morgan of nodderly.com
Sponsor: Birch by Helix

Birch is giving $200 off ALL mattresses and two free eco-rest pillows at BirchLiving.com/curb  

Sponsor: BetterHelp

Get 10% off your first month at betterhelp.com/curb

CME Partner: VCU Health CE

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

Show Segments

  • Intro, disclaimer, 
  • Picks of the Week
  • EMPEROR-Reduced (SGLT2 inhibitors for HFpEF)
  • GRASP trial for rotator cuff disease (physiotherapy and steroid injections)
  • DINAMO trial (no antibiotics for outpatients with uncomplicated diverticulitis)
  • 2021 CHEST VTE Guidelines Update
  • Outro
Nov 24, 2021
#306 Bronchiectasis and NTM: You can’t get enough sputum!
4741
Take a deep breath and inhale high-yield knowledge molecules about the perplexing conditions known as bronchiectasis and NTM (nontuberculous mycobacteria)! Learn the pitfalls and pearls of diagnosis and management from one of the world’s experts, the great Dr. PJ McShane from UT Health - East Texas!

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

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


Credits
  • Writers/Producers: Cyrus Askin MD; Leah Witt MD
  • Infographic & Cover Art: Kate Grant MBChb, MRCGP
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Cyrus Askin MD   
  • Reviewer: PJ McShane MD
  • Editor: Leah Witt MD (written materials); Clair Morgan of nodderly.com
  • Guest: PJ McShane MD 

Sponsor: Ten Thousand. 
Ten Thousand is offering our listeners 15% off your next purchase! Go to https://www.tenthousand.cc  and enter code: CURB to receive 15% off your purchase at checkout!

Sponsor: The American College of Physicians 
Join the American College of Physicians today! U.S. based post-training physicians can take advantage of a limited-time 20% membership discount. Visit acponline.org/ACPdiscount and use the code ACP20. Membership discount is available only through December 31, 2021.  


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


Show Segments
  • Intro, disclaimer, guest bio
  • Guest introduction and recommendations
  • Case from Kashlak - Part I: The Basics
    • What is bronchiectasis, how do we define it?
    • Symptoms and history
    • Why does it matter?
    • What should you ask, how do you work this up?
    • A brief discussion on antibiotics
  • Case from Kashlak - Part II: Getting into the Management
    • Airway Clearance
  • Case from Kashlak - Part III: The Sputum (Plot) Thickens
    • What is a bronchiectasis exacerbation?
    • Pitfall and pearls regarding exacerbation management
  • Case from Kashlak - Part IV: The Sputum (Plot) Thickens Even Further!
    • Non-tuberculous Mycobacterial Infections - the basics
    • Triple Drug Therapy for MAC
    • The new kid on the block: Liposomal Inhaled Amikacin for refractory MAC
  • Summary and take home points from Dr. McShane
  • Outro
Nov 22, 2021
#305 OB for the Internist: What to Expect
3693
What to expect when you’re taking care of a patient who’s expecting! This fantastic episode will help you work through preconception counseling with ease, assess and treat non-obstetrical acute concerns in pregnant patients, and help you conceptualize best practices for postpartum care. We are joined by expert guest Dr. Xiaolei Chen. 

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

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

Credits

  • Producer: Beth Garbitelli
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Beth Garbitelli 
  • Show Notes by: Shelagh Browne
  • Cover Art and Infographic: Edison Jyang 
  • Reviewer:   Molly Heublein MD
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  • Guest:  Xiaolei Chen MD
Sponsor: GreenChef Go to GreenChef.com/curb125 and use code curb125 to get $125 off including free shipping! GreenChef.com/curb125
Sponsor: Need to hire? You need Indeed. Get started RIGHT NOW with a $75SPONSORED JOB CREDIT to upgrade your job post at Indeed.com/INTERNALMEDICINE. Offer valid through December 31st. Terms and conditions apply. 

Sponsor: Provider Solutions & Development

Start the conversation or reach out to one of their career navigators today at info.PSDConnect.org/curbsiders 


CME Partner: VCU Health CE

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

Show Segments

  • Intro
  • Picks of the week 
  • Preconception counseling
  • Lifestyle: caffeine, alcohol, exercise 
  • Preconception medications 
  • Management of acute complaints during pregnancy 
  • Go-to medications for acute complaints during pregnancy
  • Chronic diseases during pregnancy
  • Postpartum management
  • Breastfeeding recommendations
  • Take-home points
  • Outro 
Nov 15, 2021
#304 COVID Updates: The Outpatient Edition
2968
Who gets a COVID booster? Can we mix and match COVID vaccines?  What are monoclonal antibodies and when should we use them? What is molnupiravir and does it work? Shots for kids? Ready yourself to answer these questions and more with our guest, Dr. Monica Gandhi @MonicaGandhi9

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

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

Credits

  • Producer and Writer: Isabel Valdez PA, Molly Heublein MD
  • Infographic: Edison Jyang
  • Cover Art:  Edison Jyang,  Isabel Valdez, PA
  • Hosts: Molly Heublein MD, Chris Chui MD, Isabel Valdez PA
  • Reviewer: Emi Okamoto MD
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  • Guest: Monica Gandhi MD
Sponsor: The American College of Physicians

Join the American College of Physicians today! U.S. based post-training physicians can take advantage of a limited-time 20% membership discount. Visit acponline.org/ACPdiscount and use the code ACP20. Membership discount is available only through December 31, 2021. 

Sponsor: Provider Solutions & Development

Start the conversation or reach out to one of their career navigators today at info.PSDConnect.org/curbsiders 

CME Partner: VCU Health CE

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

Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week*
  • Case from Kashlak
  • Covid Boosters
  • Pfizer data
  • Moderna Data
  • DNA vaccines
  • Pediatric Vaccines
  • Monoclonal Antibodies
  • Molnupiravir
  • Dr Gandhi’s crystal ball
  • Outro
Nov 08, 2021
#303 Women in Medicine: Wellness & Workarounds
3029
Explore burnout and gender-based differences in well-being with our esteemed guests Drs. Clif Knight, Tammy Lin, and Kim Templeton. We discuss workarounds for leading our way to wellness. 

Dr. Clif Knight is a family physician and Senior Vice President for Education at the American Academy of Family Physicians (AAFP) with extensive leadership and expertise in well-being. 

Dr. Tammy Lin
is an internal medicine specialist and a Voluntary Assistant Clinical Professor at the University of California, San Diego Health Sciences. We originally met her as a member of the Wellness through Equity and Leadership (WEL) Program and she started a podcast called "The DEI Shift" (pronounced The "Day" Shift), which focuses on diversity, equity, and inclusion within the medical field. Dr. Knight and Dr. Lin participated in the 2019-2020 WEL program-- six different specialty organizations came together to think about the core tenets of equity, well-being and leadership and how you really can’t have one without the other. 


Dr. Kim Templeton
is Professor of Orthopaedic Surgery at the University of Kansas Medical Center in Kansas City.  Her research focuses on women physicians and the inclusion of sex and gender medicine in medical education.

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

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

Credits

  • Written and Produced by: Leah Witt, MD and Shreya Trivedi, MD
  • Infographic: Leah Witt, MD
  • Cover Art: Kate Grant MBChB MRCGP DipGUMed
  • Hosts: Matthew Watto MD, FACP; Leah Witt, MD, Shreya Trivedi, MD
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  • Guest: Clif Knight, MD, Tammy Lin, MD, Kim Templeton, MD

Sponsor: Grammarly

Get 20% off Grammarly Premium by signing up at Grammarly.com/CURB

Sponsor: The American College of Physicians
Join the American College of Physicians today! U.S. based post-training physicians can take advantage of a limited-time 20% membership discount. Visit acponline.org/ACPdiscount and use the code ACP20. Membership discount is available only through December 31, 2021. 

Sponsor: Panacea Financial

Learn about their $1,000 giveaway at panaceafinancial.com/curb. Panacea Financial is a division of Primis member FDIC.

Sponsor: Provider Solutions & Development

Start the conversation or reach out to one of their career navigators today at info.PSDConnect.org/curbsiders 

CME Partner: VCU Health CE

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


Show Segments

  • Intro, disclaimer, guest bios
  • Burnout & Wellness
  • The Case: Dr. Elizabeth Blackwell & her friend in primary care
  • The Part-Time Discussion
  • Outro
Nov 01, 2021
#302 LFTs Triple Distilled
2174
Fine-tune your approach to liver tests!  It’s LFTs Triple Distilled! Paul and Matt channel the wisdom of hepatologist, Dr. Elliot Tapper (@ebtapper) to cover hepatocellular vs cholestatic vs mixed patterns, which tests to order, which ones to skip, how to handle isolated alkaline phosphatase elevation, mild, chronic ALT elevation, and even how to interpret liver test abnormalities in pregnancy. 

Note: No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for shows #293 at curbsiders.vcuhealth.org!



Credits
  • Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP  
  • Infographic by: Elena Gibson
  • Cover Art: Matthew Watto MD, FACP
  • Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com

Sponsor: Birch by Helix
Birch is giving $200 off ALL mattresses and 2 free eco-rest pillows at BirchLiving.com/curb 


Sponsor: Locumstory
Visit Locumstory.com to see if a locum tenens assignment is right for you.


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


Show Segments
  • Intro, disclaimer, guest bio
  • Hepatocellular pattern
  • Cholestatic pattern
  • Chronic ALT elevation
  • Isolated Alkaline phosphatase elevation
  • Liver test abnormalities in pregnancy
  • Outro
Oct 27, 2021
#301 LIVE! Top Pearls 2021: A Rapid Fire Review of Systems
4510
Join us for this rapid fire review of systems featuring our top pearls and articles LIVE! from the TriService ACP conference. Matt and Paul serve up their favorite practice changing knowledge food on antibiotics, MRSA, hair loss, dementia, seizures, diabetes, medications for hypertension, foods for constipation, diverticulitis, colon cancer screening, colon polyps, chronic sinusitis, chronic cough, treatment of uterine bleeding, and more! 

No CME for this episode, but check out curbsiders.vcuhealth.org for past CME offerings!



Credits
  • Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Cover Art: Sawyer Watto
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

Sponsor: BetterHelp
Get 10% off your first month at betterhelp.com/curb.        


Sponsor: ACP’s National Internal Medicine Day
Help the American College of Physicians celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD2021 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtag #NationalInternalMedicineDay.


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


Show Segments
  • Intro, disclaimer
  • ID: Shorter is better; MRSA swabs; Antibiotics for diverticulitis
  • Endo: Prediabetes in older adults, 
  • MSK: Knee OA, orthopedic surgery
  • Derm: Alopecia
  • Neuro: Seizures, dementia quick typing
  • Cardio: Coffee and arrhythmias; Hypertension management, ACEi vs ARBs
  • Respiratory: Chronic cough and sinusitis
  • GI: CRC screening, foods for constipation
  • GU: treatment of uterine bleeding
  • Addiction Medicine: smoking cessation, buprenorphine
  • Outro
Oct 25, 2021
#300 Celiac Disease with Dr. Amy Oxentenko
4330
Take control of celiac disease (CD) with gastroenterologist, Dr. Amy Oxentenko (Chair of Medicine at Mayo Clinic AZ, @AmyOxentenkoMD). Learn how to recognize both classic and non-classical features of CD and  understand diagnostic testing, management and proper follow-up for patients.

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


Credits
  • Production and Script: Matthew Watto MD, FACP
  • Production, Show Notes and Infographics: Edison Jyang
  • Cover Art: Kate Grant MBChB, MRCGP, DipGUMed
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Beth Garbitelli   
  • Reviewer: Emi Okamoto MD
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  • Guest: Amy Oxentenko MD, FACG

Sponsor: ACP’s National Internal Medicine Day
Help the American College of Physicians celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD2021 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtag #NationalInternalMedicineDay.


Sponsor: Grammarly
Get 20% off Grammarly Premium by signing up at Grammarly.com/CURB 


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


Show Segments
  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week
  • Case from Kashlak; Definitions
  • Workup for a typical celiac patient
  • Nonclassical features of CD
  • When to do a small bowel biopsy
  • Management of CD
  • Considerations for atypical celiac patient and differentials
  • Non-celiac gluten sensitivity
  • Outro

Links
  1. Crucial Conversations (book)
  2. Gluten-free flour (flour)
  3. Pie crust recipe (recipe)
  4. What Remains of Edith Finch (game)
  5. Doughboys (podcast)
Oct 18, 2021
#299 Acute Pain Management for the Hospitalist
4092
Confidently manage acute pain in the hospital! In this episode listeners will learn  how to develop a multimodal analgesia plan for acute pain in the hospital, as well as how to safely initiate and discharge a patient on opioids. We’re joined by Dr. Melissa Weimer @DrMelissaWeimer  (Yale School of Medicine).

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



Credits
  • Producer and Writer: Carolyn Chan, MD
  • Script: Carolyn Chan, MD, Avi O’Glasser, MD
  • Cover Art and Infographic: Edison Jyang
  • Hosts: Matthew Watto MD, FACP; Carolyn Chan, MD
  • Reviewer: Emi Okamoto, MD
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  • Guest: Melissa Weimer DO


Sponsor: ACP’s National Internal Medicine Day
Help the American College of Physicians celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD2021 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtag #NationalInternalMedicineDay.


Sponsor: Green Chef
Go to GreenChef.com/curb125 and use code curb125 to get $125 off including free shipping!


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


Show Segments
  • 01:39 Intro, disclaimer, guest bio
  • 03:20 Guest one-liner, Picks of the Week
  • 09:18 Case from Kashlak; Definitions
  • 11:00 Assessing Acute Pain
  • 12:12 Types of Pain
  • 15:08 Initiating Opioids
  • 22:32 Counseling on Opioid Exit Strategy
  • 25:26  Opioid Dependence vs. Opioid Use Disorder
  • 29:50 Post-Op Pain Management
  • 31:00 Other cool stuff
  • 37:00 PCA
  • 41:00 Opioid Taper
  • 46:50 Acute Pain and Opioid Use Disorder
  • 58:00 Methadone Titration
  • 1:04:00 Outro
Oct 11, 2021
#298 Urinary Stone Disease Will Rock Your World
4061
Do kidney stones have you saying “this too shall pass?” Our guest Dr. David S. Goldfarb, MD, FASN, FNKF, FACP can help! In this episode he takes us through risk factors as well as treatment and prevention for urinary stone disease. 


Credits
  • Producer: Paul Williams MD
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli 
  • Show Notes by: Shelagh Browne, Kate GrantMBChB MRCGP DipGUMed, 
  • Cover Art and Infographic: Kate Grant MBChB MRCGP DipGUMed 
  • Reviewer: Molly Heublein, MD
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  • Guest: David Goldfarb MD, FSN, FNKF, FACP 

Sponsor: ACP’s National Internal Medicine Day 2021


Sponsor: Indeed
indeed.com/internalmedicine


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


Show Segments
  • Guest book recommendation and advice  
  • Common risk factors for urinary stone disease
  • Differential diagnosis of kidney stones
  • Symptomatology of kidney stones
  • Types of stones 
  • Urine pH
  • Role of physical exam
  • Role of imaging 
  • STONE score
  • Labs to order 
  • Management of urinary stone disease
  • Prevention of urinary stones and approach to lifestyle/diet changes 
  • Outro 
Oct 04, 2021
#297 CRC Screening, Common Skin Complaints, and Antibiotic Pearls (TFTC #8)
2280
We recap the top pearls on CRC Screening, Common Skin Complaints, and Antibiotic Pearls. It’s Tales from the Curbside! (TFTC), our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning.

Note: No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for shows #283, #284, and #285 at curbsiders.vcuhealth.org!



Credits
  • Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP  
  • Infographics by: Beth Garbitelli, and Nora Taranto
  • Cover Art: Edison Jyang
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

Sponsor: Ten Thousand
tenthousand.cc code = CURB


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


Show Segments
  • Intro, disclaimer, guest bio
  • CRC Screening
  • Antibiotic Pearls
  • Derm Pearls (Common Skin Complaints)
  • Outro
Sep 29, 2021
#296 Diabetes FAQ with Dr. Jeff Colburn
3950
Stumped by diabetes care? Hungry for tips on diagnosis and management? We’ve got you covered with this high-yield Diabetes FAQ covering type 1 and type 2 diabetes. We’re joined by Dr. Jeff Colburn, a board-certified endocrinologist and clinician educator in San Antonio, Texas as we review initial diagnosis, interrogate insulin resistance versus insulin deficiency,  delve into down-titrating insulin, discuss ‘tricky diabetes,’ and talk through dietary approaches! 

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



Credits
  • Producers and Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Writer: Matthew Watto MD, FACP 
  • Show Notes, Infographic & Cover Art: Beth Garbitelli
  • Reviewer: Molly Heublein MD
  • Editor: Molly Heublein MD (written materials); Clair Morgan of nodderly.com
  • Guest: Jeff Colburn, MD

Sponsor: BetterHelp
betterhelp.com/curb


Sponsor: Birch by Helix
birchliving.com/curb


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


Show Segments
  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week*
  • Case from Kashlak
  • Initial Presentation of Diabetes
  • Type 1 or Type 2
  • Initial Labs, Managing new diagnosis
  • Using GLP-1 agonists, SGLT-2 inhibitors
  • How to down titrate insulin 
  • Diabetes in geriatrics
  • Diets for diabetes management
  • Outro
Sep 27, 2021
#295 Advance Your Care Planning with Dr. Rebecca Sudore
3640
Advance your care planning with tips from our esteemed guest, Dr. Rebecca Sudore, @prepareforcare (UCSF). She helps us up our ACP game by defining advance care planning, and giving clear examples of how it can be incorporated into a busy primary care practice. It’s her life’s mission is to improve advance care planning and medical decision-making for culturally and ethnically diverse older adults. She is the creator of an interactive ACP website called PREPARE For Your Care, (after this episode, we are sure you’ll be sending patients there for advance care planning!)

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



Credits
  • Written by: Leah Witt, MD
  • Produced by: Leah Witt, MD & Molly Heublein, MD
  • Reviewer: Lingsheng Li, MD
  • Infographic and Cover Art: Leah Witt, MD
  • Hosts:Matthew Watto MD, FACP; Paul Williams MD, FACP, Leah Witt, MD   
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  • Guest: Rebecca Sudore, MD

Sponsor: Grammarly
grammarly.com/curb
Get 20% off Grammarly Premium by signing up at grammarly.com/curb


Sponsor: Green Chef
greenchef.com/curb100
Go to GreenChef.com/curb100 and use code curb100 to get $100 off including
free shipping!”


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


Show Segments
  • Intro, disclaimer, guest bio
  • Guest one-liner
  • Picks of the Week
  • Case from Kashlak Part 1: General ACP
  • Defining Advance Care Planning
  • Case from Kashlak Part 1: Dementia & ACP
  • Surrogate decision-makers
  • POLST
  • Outro
Sep 20, 2021
#294 Pulmonary Hypertension Update
3547
Join us as we take a six-minute walk through the definition, presenting symptoms, and diagnosis of pulmonary hypertension with our esteemed guest Dr. Estefania Oliveros, @EstefaniaOS (Temple University). She helps us get on the right side of hypertension on the right side of the heart!

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



Credits
  • Writer and producer: Deborah Gorth MD, PhD
  • Infographic and Cover Art: Edison Jyang
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Reviewer: Leah Witt, MD
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  • Guest: Estefania Oliveros MD 


Sponsor: Indeed
indeed.com/internalmedicine
Get a $75 sponsored job credit to upgrade your job post at Indeed.com/internalmedicine.


Sponsor: The American College of Physicians T
elemedicine 201
ACP invites you to attend its free 4-part webinar series, Telemedicine 201. Episode one, “Video Visits Beyond the Simple Cases,” is on September 28th. Register today at acponline.org/telemedicine201.


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


Show Segments
  • Intro, disclaimer, guest bio
  • Guest one-liner
  • Picks of the Week*
  • Case from Kashlak
  • Definitions
  • Discussion of testing for pulmonary hypertension
  • CTEPH diagnosis and management
  • Rundown of therapies for pulmonary hypertension
  • Outro
Sep 13, 2021
#293 The Best of Liver Tests with Dr. Elliot Tapper
3929
Take a walk through Liver Land with Dr. Elliot Tapper (@ebtapper on Twitter) as we stroll through the best of liver tests. Once differentiating a hepatocellular versus cholestatic injury picture, Dr. Tapper shares some targeted labs to help with etiology, as well as what to do with those pesky isolated lab abnormalities. On top of that, we review common causes of severe acute liver disease and issues in pregnancy. Join us, and you’ll be writing more accurate notes as Dr. Tapper schools us on what “liver function tests” really mean!
     
Claim CE credit at curbsiders.vcuhealth.org. It's free for all healthcare professionals!



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


Sponsor: BetterHelp
betterhelp.com/curb


Sponsor: Panacea Financial
panaceafinancial.com


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


Show Segments
  • Intro, disclaimer, guest bio
  • Guest one-liner
  • Definitions of liver enzymes, liver function tests  
  • Patterns of acute liver injury
  • Drug-induced liver injury    
  • Isolated alkaline phosphatase elevation 
  • Isolated total bilirubin elevation 
  • Livery Injury During Pregnancy 
  • Acute liver failure
  • Outro
Sep 06, 2021
#292 Acute Heart Failure, CHF Triple Distilled
1879
Enjoy this rapid clinical overview of heart failure based on Episode #230 Kittleson Rules Acute Heart Failure Featuring Dr. Michelle Kittleson @MKittlesonMD (Cedars Sinai)

This triple distilled episode is not available for CME, but claim CME for #230 Kittleson Rules Acute Heart Failure at curbsiders.vcuhealth.org!



Credits
  • Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP; Beth Garbitelli
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com


Sponsor: Locumstory
locumstory.com
Visit Locumstory.com to see if a locum tenens assignment is right for you.


Show Segments
  • Intro, disclaimer, guest bio
  • The History, Failure mnemonic
  • CHF exam
  • CHF Labs, Swan (RHC)
  • Management of ADHF
  • Outro
Sep 01, 2021
REBOOT #230 Kittleson Rules Heart Failure
4519
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. Enjoy this Curbsiders classic and stay tuned this Wednesday, September 1, 2021 for a brand new CHF Triple Distilled episode.

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


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

Sponsor: Ten Thousand
tenthousand.cc
Head to tenthousand.cc and enter our code CURB at checkout to save 15%. 


Sponsor: BetterHelp
betterhelp.com/curb
​​Special offer for Curbsiders listeners: get 10% off your first month at betterhelp.com/curb    


Time Stamps*
Time Stamps refer to ad-free version
  • 00:00 Intro, disclaimer, guest bio
  • 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

Aug 30, 2021
#291 CBC Abnormalities Triple Distilled
1800
Enjoy this rapid clinical overview of CBC abnormalities based on Episode #167 LIVE! Common CBC Abnormalities Featuring Dr. Mary Kwok! Production & graphics by our very own and very talented Dr. Matt Watto!

Unfortunately, this episode is not available for CME : (



Credits
  • Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP; Beth Garbitelli
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

Show Segments
  • Intro, disclaimer, guest bio
  • Approaching a mildly abnormal CBC, red flags
  • Build the diff, Fy(a-b-) phenotype
  • Physical exam and advanced testing
  • Polycythemia vera
  • Thrombocytopenia
  • Outro
Aug 25, 2021
Reboot #167 LIVE! CBC Abnormalities
3153
Enjoy this Curbsiders classic and stay tuned this Wednesday, August 25, 2021 for a brand new CBC Abnormalities Triple Distilled episode.

Take a deep dive into common CBC abnormalities. We recorded LIVE at joint grand rounds between Walter Reed NMMC and Uniformed Services University with hematologist, Dr. Mary Kwok MD. Topics include: which parts of the complete blood count (CBC) are most important, interpreting the differential, when to order flow cytometry, who needs a hematology consult and simplified approaches to patients with leukocytosis, leukopenia, erythrocytosis and thrombocytopenia.

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


Credits
  • Written, Produced and Edited by: Matthew Watto MD, FACP
  • Cover Art and Infographic by: Matthew Watto MD, FACP
  • Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Guest: Mary Kwok MD


Sponsor: American College of Physicians
acponline.org/100curb
ACP CME 100 virtual video package includes 75 hours of practice-changing updates by expert faculty from Internal Medicine Meeting 2021 acponline.org/100CURB.
Plus enjoy an exclusive: 25 bonus CME sessions and access until June 1, 2024!


Sponsor: Birch by Helix birchliving.com/curb
Birch is giving $200 dollars off ALL mattresses and 2 free eco-rest pillows at birchliving.com/curb  


Time Stamps*
Time Stamps refer to ad-free version
  • 00:00 Intro; Paul shame’s the audience; Guest bio
  • 03:17 Guest one-liner, book recommendation* –Emperor of All Maladies (book) by Siddhartha Mukherjee, When Breath Becomes Air (book) by Paul Kalanithi; Career advice -set goals for whatever you’re learning.
  • 08:43 Picks of the week: John Wick 3 (film); The Movies That Made Me (podcast) by Joe Dante; The Tim Ferriss Podcast with Julie Rice of Soul Cycle; Infinity Chamber (film) by Travis Milloy
  • 11:50 A case of asymptomatic leukocytosis; Red flags; Repeat the CBC until it’s normal
  • 17:30 The peripheral smear; Leukemoid reaction
  • 20:00 The physical exam; When to send flow cytometry?
  • 22:18 A case of lymphopenia; benign ethnic neutropenia; What to look for in the history
  • 27:10 A case of erythrocytosis; Checking EPO levels; JAK2 mutation; Differential Diagnosis; Therapeutic Phlebotomy; Physical findings of Polycythemia Vera
  • 36:53 A case of thrombocytopenia; Lab workup; Differential diagnosis; Pathophysiology; Culprit meds
  • 45:35 Advice for internists
  • 46:36 Take Home Points
  • 47:46 Dr. Kwok’s disclaimer
  • 48:10 Outro and post credit scene
Aug 23, 2021
#290 Stroke and TIA Triple Distilled
1427
Enjoy this rapid clinical overview of afib (atrial fibrillation) based on Curbsiders episode #164 with Neurologist Dr. Chris Favilla! 

This mini episode is not available for CME, but episode #164 on Stroke and TIA is available for CME credit through the ACP!



Credits
  • Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP; Beth Garbitelli
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

Sponsor: Ten Thousand
tenthousand.cc
Head to tenthousand.cc and enter our code CURB at checkout to save 15%. 


Show Segments
  • Intro, disclaimer, guest bio
  • Afib prevention
  • Workup for afib
  • Treatment of afib
  • Updates on ablation, Left atrial appendage occlusion
  • Outro
Aug 18, 2021
Reboot #164 Stroke and TIA Deconstructed
4654
Enjoy this Curbsiders classic and stay tuned this Wednesday, August 18, 2021 for a brand new Stroke and TIA Triple Distilled episode.

Update your management of stroke and TIA in primary care. Stroke neurologist, Chris Favilla MD (University of Pennsylvania), walks us through the plumbing of the brain, so we can identify ischemic risks in stroke and TIA patients to prevent recurrences.  Learn factors that make a TIA high risk, which imaging studies to order, new research around aspirin dosing, dual antiplatelets, DOACs, cardiac monitoring and more! 


ACP members can claim CME-MOC credit at https://www.acponline.org/curbsiders 


Credits
  • Producers: Molly Heublein MD; Matthew Watto MD, FACP
  • Writer (including CME questions): Molly Heublein MD
  • Cover Art: Bryan Brown MD
  • Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Editor: Emi Okamoto, MD; Matthew Watto MD, FACP
  • Guest: Chris Favilla, MD

Sponsor: Indeed
indeed.com/internalmedicine
Get a $75 sponsored job credit to upgrade your job post at Indeed.com/internalmedicine.


Sponsor: Qalo qalo.com/curb
Head to qalo.com/curb to get 20% off your purchase today.


Time Stamps*
Time Stamps refer to ad-free version
  • 00:00 Intro, disclaimer, guest bio, and a bad pun
  • 04:20 Chris’ one-liner, advice as a teacher, book recommendation -The Goldfinch, 
  • 07:40 Molly’s pick of the week -Extreme Measures (book) by Jessica Zitter
  • 08:40 A case of TIA; definition of TIA
  • 12:14 Stroke territories
  • 14:24 New definition of TIA
  • 16:00 Differentiation from complex migraine
  • 19:17 Risk stratifying TIA and ABCD2 score
  • 22:00 A bit on tPA
  • 24:01 Workup for TIA; workup for amaurosis fugax
  • 25:36 CNS imaging studies after stroke or TIA; Choice of imaging study
  • 33:15 HINTS exam for posterior circulation stroke
  • 34:48 Is an echo necessary? Bubble study for PFO?
  • 38:32 Duration of afib monitoring
  • 40:24 Echo reports: what to look for in patient with stroke or TIA; “soft markers”
  • 41:55 Blood testing after Stroke and TIA (lipid panel, HbA1C; +/- RPR, coags, CBC)
  • 43:50 Folic acid; Sparkle trial: high dose atorvastatin versus placebo for secondary prevention
  • 47:00 Incidental finding: multiple patchy infiltrates in a patient without stroke or TIA; Is it significant?
  • 48:50 Aspirin therapy after TIA; Dosage adjustment based on weight?
  • 51:10 A case of stroke; TOAST trial and classification of acute stroke; ESUS; aortic arch atheromas
  • 55:58 Large artery strokes (hypoperfusion, acute thrombosis, artery to artery embolization)
  • 57:15 Antiplatelets after stroke and TIA; DAPT and duration of therapy
  • 62:57 Antidiabetic drugs and stroke
  • 63:40 Lightning round: CHA2DS2VASc score and women; how much afib is significant?; 66:32 Are all DOACs created equal?; 68:20 Regaining function after a stroke; 69:47 Silent infarcts on imaging
  • 71:54 Resources for stroke: Decision making in neurology textbook
  • 73:28 Outro
Aug 16, 2021
#289 Afib Triple Distilled
1606
Enjoy this rapid clinical overview of afib (atrial fibrillation) based on Curbsiders episode #159 with Cardiologist Dr. James Furgerson; Plus, updates on ablation and left atrial appendage occlusion! 

This episode is not available for CME, but episode #159 on Atrial Fibrillation is available for CME credit through the ACP!



Credits
  • Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP; Beth Garbitelli
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

Sponsor: FIGS
wearfigs.com
Head to wearfigs.com and enter our code CURB at checkout to save 15%. 


ASN Loan Mitigation Pilot Program:
asn-online.org/lmpp
The American Society of Nephrology’s Loan Mitigation Pilot Program (LMPP) aims to decrease the loan burden of those entering the field of nephrology, while also increasing interest in the specialty. Year 1 of the program will center on individuals historically underrepresented in medicine. Visit ASN-online.org/lmpp or email grants@asn-online.org 


Show Segments
  • Intro, disclaimer, guest bio
  • Afib prevention
  • Workup for afib
  • Treatment of afib
  • Updates on ablation, Left atrial appendage occlusion
  • Outro
Aug 11, 2021
Reboot #159 Atrial Fibrillation
4998
Enjoy this Curbsiders classic and stay tuned this Wednesday, August 11, 2021 for a brand new Afib Triple Distilled version.

Take control of atrial fibrillation with expert insights and pearls from cardiologist, Dr. James Furgerson, in this jam-packed episode! You’ll learn why atrial fibrillation is such a big deal, how to diagnose it, how to treat it and when to call in for reinforcements. Dr. James Furgerson, MD  is a cardiologist from San Antonio, Texas with over 20 years in academics. Buckle up – This episode is going to send your heart racing! You might even skip a beat! 

Credits
  • Writer and Producer: Cyrus Askin MD
  • Infographic: Cyrus Askin MD
  • Cover Art: Cyrus Askin MD
  • Hosts: Matthew Watto MD, Paul Williams MD, Cyrus Askin MD
  • Editors: Matthew Watto MD
  • Guest: James Furgerson MD


Sponsor: American College of Physicians acponline.org/100curb
ACP CME 100 virtual video package includes 100 hours of practice-changing updates by expert faculty from Internal Medicine Meeting 2021 acponline.org/100CURB. Plus enjoy an exclusive: 25 bonus CME sessions and access until June 1, 2024!


Sponsor: Panacea Financial
panaceafinancial.com
Visit panaceafinancial.com today to open your account and join a bank built with you in mind. 


Time Stamps*
*Note:
Time stamps refer to ad-free version 
  • 00:00 Intro, disclaimer and guest bio
  • 03:45 Guest one liner, a bit on physician well-being and some other randomness
  • 08:15 A case of palpitations; risk factors for atrial fibrillation
  • 12:17 Subclinical atrial fibrillation, overdiagnosis of atrial fibrillation; How much afib burden matters? 
  • 15:08 Case summary and next steps in initial work up
  • 18:48 Counseling patient about atrial fibrillation and its consequences
  • 21:40 Ischemic heart disease and atrial fibrillation
  • 24:17 Recap of diagnosis, initial work up and risk stratification in atrial fibrillation
  • 25:25 Rate versus rhythm control; AFFIRM trial
  • 30:50 Strict versus lenient rate control;  RACE trial
  • 33:30 Deciding on rate versus rhythm control; Downside of antiarrhythmic therapies; When to switch from rate to rhythm control strategy
  • 36:52 Ablation for atrial fibrillation; CASTLE-AF, CABANA trials
  • 40:40 When to refer to cardiology and electrophysiology
  • 42:42 Choice of agent for anticoagulation and latest guidelines for atrial fibrillation; New definition for valvular atrial fibrillation
  • 45:22 DOACs in CKD and some other nuances in choice of agent
  • 52:27 Bleeding and anticoagulation
  • 58:38 Cardioversion for atrial fibrillation (initial versus delayed)
  • 63:32 Anticoagulation before and after cardioversion
  • 67:48 Lifestyles measures for atrial fibrillation
  • 70:45 Atrial fibrillation during critical illness, after CABG and in hyperthyroidism
  • 74:12 Aspirin monotherapy is not appropriate for atrial fibrillation
  • 76:42 Take home points
  • 78:50 Outro
Aug 09, 2021
#288 LIVE! Neutropenic Fever featuring Dr. Susan Seo
3813
We’ve got a neutropenic fever and the only cure is...more cowbell? LIVE! It’s neutropenic fever (aka febrile neutropenia) deconstructed with infectious diseases expert, Dr. Susan Seo (Memorial Sloan Kettering Cancer Center). Topics: identifying low vs high risk patients, initial labs & imaging, empiric antibiotic therapy, when to add antifungals, de-escalation, and the G-CSF controversy. 

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


Credits

  • Writer and Producer: Matthew Watto MD, FACP
  • Infographic: Edison Jyang
  • Cover Art: Kate Grant MBChb, MRCGP
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Reviewer: Matthew Watto MD, FACP
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  • Guest: Susan Seo MD

Sponsor: American College of Physicians
acponline.org/100curb
ACP CME 100 virtual video package includes 75 hours of practice-changing updates by expert faculty from Internal Medicine Meeting 2021 acponline.org/100CURB. Plus enjoy an exclusive: 25 bonus CME sessions and access until June 1, 2024!


Sponsor: BetterHelp
betterhelp.com/curb
​​Special offer for Curbsiders listeners: get 10% off your first month at betterhelp.com/curb


Sponsor: Provider Solutions & Development
info.PSDConnect.org/curbsiders
Start the conversation or reach out to one of their career navigators today at info.PSDConnect.org/curbsiders  


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


Show Segments
  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week*
  • Case from Kashlak; Definitions
  • Initial workup for neutropenic fever 
  • Low risk neutropenic fever
  • High risk neutropenic fever
  • When to add antifungal coverage, G-CSF
  • Audience questions
  • Outro
Aug 02, 2021
#287 Angina, Stable CAD, HMB, Hypercalcemia (TFTC #7)
1962
We recap the top pearls on angina, Stable CAD, Heavy Menstrual Bleeding, and Hypercalcemia. It’s Tales from the Curbside! (TFTC), our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning.

Note: No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for shows #279, #280, and #281. 



Credits
  • Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP  
  • Infographics by: Beth Garbitelli, Avital O’Glasser, and Nora Taranto
  • Cover Art: Edison Jyang
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

Sponsor: Amercian College of Physicians acponline.org/100curb
ACP’s all-new CME 100 video package is now available at acponline.org/100CURB Use code 100CURB.


Sponsor: The Jordan Harbinger Show
jordanharbinger.com/subscribe


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


Show Segments
  • Intro, disclaimer
  • Angina and Stable CAD
  • Heavy Menstrual Bleeding and Anticoagulation in Menstruating patients
  • Hypercalcemia and primary hyperparathyroidism
  • Outro
Jul 28, 2021
#286 Mingle with Shingles featuring Dr. Boghuma Titanji
4206
Shaken by a shortage of shingles savvy? Vexed by varicella-zoster imposters? Perplexed by post-herpetic neuralgia? Get ready to sharpen your expertise in varicella vaccines, learn how to tell a zoster from a zebra, and administer infection interventions with an eye towards prevention. We are joined today by special guest and returning Curbsiders expert, Dr. Boghuma Kabisen Titanji MD, M.Sc., DTM&H, PhD. (@Boghuma on Twitter!).

Unfortunately, CE credit is NOT YET available for this episode : (



Credits
  • Written and Produced by: Sarah Phoebe Roberts, MPH
  • Show Notes by: Sarah Phoebe Roberts MPH, Kate GrantMBChB MRCGP DipGUMed
  • Cover Art: Kate Grant MBChB MRCGP DipGUMed 
  • Infographic: Sarah Phoebe Roberts 
  • Hosts: Matthew Watto MD, FACP; Sarah Phoebe Roberts MPH  
  • Reviewer: Paul Williams MD, FACP  
  • Editor: Kate Grant MD, Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  • Guest: Dr. Boghuma Titanji, MD, M.Sc., DTM&H, PhD

Sponsor: BetterHelp
betterhelp.com/curb
Special offer for listeners: get 10% off your first month at betterhelp.com/curb


Sponsor: Grammarly
grammarly.com/curb
Get 20% off Grammarly Premium by signing up at Grammarly.com/curb


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


Show Segments
  • Intro, disclaimer
  • Guest bio and one-liner
  • First Kashlak case: Diagnosis of varicella-zoster virus (VZV, aka shingles) 
  • Mimics and atypical presentations
  • Treatment for uncomplicated shingles cases 
  • Second Kashlak case: Post-herpetic neuralgia (PHN)
  • PHN treatment options 
  • Management of complicated shingles cases 
  • VZV prophylaxis and infection control
  • Third Kashlak case: Immunization guidelines for older adults
  • VZV vaccine efficacy, live attenuated vs. recombinant vaccine
  • Varicella (chickenpox) vaccine guidelines
  • Final pearls and Outro 
Jul 26, 2021
#285 Common Skin Complaints in Primary Care (Dermsiders)
4543
Walk with us through common skin complaints in primary care, focusing on the trunk and extremities. Our favorite skinternist, Dr. Helena Pasieka (Chief of Dermatology at Kashlak) schools us on tinea versicolor, the fluff test, treatment of skin tags, how to work up and manage generalized pruritus, venous insufficiency, and how to get ready for sandal season in the face of onychomycosis. #dermismedicine!

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



Credits
  • Producers: Maddie “Mad Dog” Morgan, Edison Jyang 
  • Infographic and Cover Art: Edison Jyang 
  • Writer: Beth Garbs Garbitelli 
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP 
  • Reviewer: Emi Okamoto MD, FACP 
  • Editor: Emi Okamoto MD, FACP (written materials); Clair Morgan of nodderly.com
  • Guest: Dr. Helena Pasieka 

Sponsor: Qalo
qalo.com/curb
Listeners get 20% off at qalo.com/curb (Promo code: CURB20)


Sponsor: Green Chef
GreenChef.com/curb100
Go to GreenChef.com/curb100 and use code curb100 to get $100 off including free shipping! 


Sponsor: Provider Solutions & Development
info.PSDConnect.org/curbsiders 
Start the conversation or reach out to one of their career navigators today at info.PSDConnect.org/curbsiders  


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


Show Segments
  • Intro, disclaimer, guest bio
  • Guest one-liner
  • Picks of the Week*
  • Tinea (pityriasis) versicolor and the fluff test, bumps, and lesions 
  • Generalized Pruritus: clinical features, work-up and supportive care  
  • Lower Extremity Venous Insufficiency and Lipodermatosclerosis
  • Onychomycosis
  • Take-Home Points 
  • Outro
Jul 19, 2021
#284 An Antibiotics Primer with @IDdocAdi
3558
This antibiotics primer will break down the (cell) walls of antibiotic knowledge. Stop feeling silly when you deal with penicillins! We discuss antibiotic classes, common uses, the pathophysiology behind antibiotic mechanisms, and so much more with infectious disease expert, Dr. Adi Shah MBBS (@IDdocAdi)! 



Credits
  • Producer, Script and Show Notes: Nora Taranto MD
  • Infographic, Cover Art, Show Notes: Beth Garbitelli
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Editor: Matthew Watto (written materials): Clair Morgan of nodderly.com
  • Reviewer: Victor Kovac MD
  • Guest: Adi Shah MBBS


Sponsor: Panacea Financial
panaceafinancial.com
Panacea Financial is a division of Primis, member FDIC


Sponsor: Provider Solutions and Development info.PSDConnect.org/curbsiders


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


Show Segments
  • Intro, disclaimer, guest bio
  • Guest one-liner
  • Picks of the Week*
  • How to approach antibiotics
  • Choosing antibiotics / Framework
  • Dr. Shah’s favorite antibiotics
  • Pneumonia
  • Diabetic Foot Infections
  • Take-home points
  • Outro
Jul 12, 2021
#283 CRC Screening: USPSTF Update with Dr. Michael Barry
2676
Review the 2021 USPSTF Guidelines on Colorectal Cancer (CRC) screening with our guest, Dr. Michael Barry (vice-chair of the U.S. Preventive Services Task Force). Topics include a breakdown of testing modalities (stool tests versus direct visualization), screening ages, what to do for patients older than 75, and more!  
     
Claim CE credit at curbsiders.vcuhealth.org. It's free for all healthcare professionals!



Credits
  • Written and Produced by: Elena Gibson MD 
  • Cover Art and Infographic: Elena Gibson MD
  • Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP 
  • Reviewer: Matthew Watto MD 
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  • Guest: Michael Barry MD 

Sponsor: Indeed
indeed.com/internalmedicine


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


Show Segments
  • Intro, disclaimer, guest bio
  • Guest one-liner
  • Benefits of CRC screening
  • How to choose a testing modality
  • Testing in adults over 75 years old
  • Health disparities in CRC screening
  • Outro
Jul 05, 2021
#282 Bariatric Surgery, Osteoporosis, 2021 Conference Highlights! (TFTC #6)
2829
We recap the top pearls from our SGIM & ACP 2021 highlight shows (including gabapentin for pain, LGBTQ  and Women’s health pearls, CCBs and edema, MRSA swabs, IPMNs, DILI, and more!) plus recent interviews on bariatric surgery and osteoporosis. It’s Tales from the Curbside! (TFTC #6), our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning.

Note: No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for #275 Bariatric Surgery and #277 Bone Up on Osteoporosis. 



Credits
  • Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP  
  • Infographics by: Sarah Roberts, Edison Jyang, and Isabel Valdez
  • Cover Art: Edison Jyang
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

Sponsor: Qalo
qalo.com/curb
Head to qalo.com/curb to get 20% off.


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


Show Segments
  • Intro, disclaimer
  • LGBTQ health, Gabapentin, Care of the Muslim Patient, MRSA swabs
  • IPMNs, DILI, CCB and Prescribing Cascades
  • Bariatric Surgery 
  • Osteoporosis
  • Outro
Jun 30, 2021
#281 Hypercalcemia: Calci-fun! with Dr. Carl Pallais
5203
Absorb all (but not too much) of the Calcium for your brain hole as Dr. Carl Pallais (Brigham and Women’s Hospital) walks us through his approach to Hypercalcemia. We learn about how tightly our body regulates calcium, and what to do when that regulation goes awry.  Not to mention that, at the end of the day, PTH is the name to remember (and phosphorus, if you need a quick stand-in while that PTH is pending).

Claim CE credit at curbsiders.vcuhealth.org. It's free for all healthcare professionals!



Credits
  • Producer, Writer, Infographic, Cover Art: Nora Taranto MD 
  • Hosts: Matthew Watto MD, FACP; Nora Taranto MD  
  • Reviewer: Yan Emily Yuan MD, MSc
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  • Guest:  Carl Pallais MD, MPH 

Sponsor: Grammarly
Grammarly.com/CURB


Sponsor: Native NativeDeo.com/curb


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


Show Segments
  • Intro, disclaimer, guest bio
  • Dr. Pallais One-Liner
  • Case from Kashlak
  • Definitions: What’s a Normal Calcium Level, and how to adjust for Albumin
  • Causes of hypercalcemia
  • How Lithium works! 
  • Testing for Hypercalcemia: Get that PTH, and that phos 
  • Symptoms of Hypercalcemia, and Questions on History 
  • Indications for Surgery for Parathyroidectomy 
  • Management of Hypercalcemia and Hypercalcemic Emergency 
  • Outro
Jun 28, 2021
#280 Heavy Menstrual Bleeding, Anticoagulation & Coagulopathy in Menstruating Patients
3703
Explore the intersection of hematology and women’s health as we discuss heavy menstrual bleeding (HMB), gynecologic risks of therapeutic anticoagulation, and prescribing contraception in the setting of venous thromboembolic disease. 

Wondering how to expand your women’s health knowledge as an internist? Listen as our insightful guest Dr. Bethany Samuelson Bannow @bsamuelson_md (Oregon Health & Science University) helps us navigate the intersections between non-malignant hematology and menstrual health. This episode will empower you to tackle the stigma and overcome knowledge gaps with regard to abnormal menstrual bleeding, as well as learn treatment, and management pearls.  We also explore the intersection between therapeutic anticoagulation, heavy menstrual bleeding, and thromboembolic disease of different contraceptive options.  Finally, we face the themes of overcoming sexism, and even misogyny, in women’s health head-on throughout this episode. After all, half the population has a uterus.

Claim Free CE credit for this episode through VCU Health CE at http://curbsiders.vcuhealth.org/



Credits
  • Written and Produced by: Avital O’Glasser MD, FACP, FHM
  • Infographic: Avital O’Glasser MD, FACP, FHM
  • Cover Art : Kate Grant MBChB MRCGP DipGUMed
  • Show Notes: Kate Grant MBChB MRCGP DipGUMed, Maddie Morgan, and Avital O’Glasser MD, FACP, FHM
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Avital O’Glasser MD, FACP, FHM
  • Reviewer: Carolyn Chan, MD
  • Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com
  • Guest: Bethany Samuelson Bannow, MD

Sponsor: Birch by Helix
birchliving.com/curb

Sponsor: Green Chef
GreenChef.com/curb100

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


Show Segments
  • Intro, disclaimer, guest bio
  • Guest one-liner
  • Case 1 from Kashlak
  • Definitions related to menstrual health
  • Quantifying/defining heavy menstrual bleeding
  • Overcoming stigma of asking about menstrual history/health
  • Clinical evaluation/management of the patient with heavy menstrual bleeding
  • Case 2 from Kashlak
  • Risk of heavy menstrual bleeding (HMB) in the setting of therapeutic anticoagulation
  • Hormonal and nonhormonal therapy options for HMB while anticoagulated
  • Contraception options for someone who develops VTE
  • Case 3 from Kashlak
  • Counseling about VTE risk of different contraception options
  • Take Home Points; Outro; Bonus clip
Jun 21, 2021
#279 Dominate Stable Angina with the CardioNerds
4971
Learn how to dominate stable angina. Coronary artery disease with stable angina is a different beast than acute coronary syndrome.  We deconstruct it’s pathophysiology, diagnosis, and management with Drs. Dan Ambinder and Rick Ferraro. Topics: When to order coronary CT vs Stress testing; An approach to non-obstructive coronary disease; What treatments are life prolonging; Medical therapy vs Stenting; An approach to antianginal therapy; and how to partner with each patient. Listen as we dive deep into the recent literature and recommendations to dominate stable angina.



Credits
  • Producer: Molly Heublein, MD
  • Writer: Molly Heublein, MD, Michael Sternberg MD
  • Show Notes: Molly Heublein, MD, Beth Garbitelli
  • Infographic, Cover Art: Beth Garbitelli
  • Hosts: Molly Heublein, MD; Paul Williams MD, FACP   
  • Editor: (written materials); Cyrus Askin MD, Clair Morgan of nodderly.com
  • Guest: Daniel Ambinder, MD; Rick Ferraro, MD

Sponsor: Panacea Financial
panaceafinancial.com
Panacea Financial a nationwide digital bank built for doctors by doctors. Panacea offers loans just for physicians and medical students with low rates, free checking with no ATM fees nationwide, and 24/7 live customer service. Visit panaceafinancial.com.

Panacea Financial is a division of Primis, member FDIC


Sponsor: Provider Solutions and Development
info.PSDConnect.org/curbsiders
Start the conversation or reach out to one of their career navigators today at info.PSDConnect.org/curbsiders.


Sponsor: Audible
Audible.com/curb
New members can always try Audible Plus free for 30 days. Visit Audible.com/curb or text curb to 500-500.


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


Show Segments
  • Intro, disclaimer, guest bio
  • Guest one-liner
  • Picks of the Week*
  • Case from Kashlak
  • Definitions of stable angina, unstable angina
  • INOCA
  • Assessing risk
  • Treatment - life prolonging vs symptom relief
  • Diagnosis- stress testing vs anatomical studies
  • Angioplasty/stenting- ISCHEMIA trial
  • Take home points
  • Outro
Jun 14, 2021
#278 Neuro Mystery Case with The CPSolvers
2979
Delve into the neuro Ddx with expert diagnosticians the @CPSolvers, Drs. Reza Manesh (@DrRxEdu) and Rabih Geha (@rabihmgeha). Play along as they solve a neurology mystery case, and give us a tour of the neuraxis

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




Credits
  • Producer: Matthew Watto MD, FACP
  • Writer (case): Daniel Minter MD (@dminter89)
  • Show Notes: Matthew Watto, MD, FACP
  • Cover Art: Sawyer Watto
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  • Guests: Reza Manesh MD and Rabih Geha MD


Sponsor: Panacea Financial
panaceafinancial.com


Sponsor: Provider Solutions and Development
info.PSDConnect.org/curbsiders


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


Show Segments
  • Intro, disclaimer, guest bio
  • Weakness and Falls
  • Localization on the neuraxis
  • NM junction
  • Lung Mass
  • Cognitive Autopsy
  • Outro
Jun 07, 2021
#277 Bone Up on Osteoporosis in Primary Care with Dr. Carolyn Crandall
3714
Bone up on osteoporosis in primary care! Don’t let osteoporosis sneak up on your patients with a vertebral fracture or a hip fracture! Make no bones about your osteoporosis knowledge, from knowing when to screen your patients to selecting a treatment that matches your patient’s lifestyle. Join us as we discuss these topics and more with osteoporosis expert and internal medicine physician, Dr. Carolyn Crandall (UCLA).

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




Credits
  • Producer: Isabel Valdez, PA-C
  • Show Notes: Isabel Valdez, PA-C
  • Infographic: Isabel Valdez, PA-C
  • Cover Art: Kate Grant MD
  • Hosts: Isabel Valdez, PA-C; Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Editor: Emi Okamoto MD FACP and Leah Witt, MD  (written materials); Clair Morgan of nodderly.com
  • Guest: Carolyn Crandall MD


Sponsor: Indeed
indeed.com/internalmedicine
Get started RIGHT NOW with a FREE $75 SPONSORED JOB CREDIT to upgrade your job post at indeed.com/internalmedicine. Offer valid through JUNE 30TH. Terms and conditions apply.



Sponsor: Native
NativeDeo.com/curb
Stay fresh, stay clean with Native by going to NativeDeo.com/curb, or use promo code curb at checkout, and get 20% off your first order!



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



Show Segments
  • Intro, disclaimer, guest bio
  • Guest one-liner
  • Picks of the Week
  • First Case from Kashlak
  • Definitions of Osteoporosis and Low Bone Density (formerly Osteopenia)
  • Patient Counseling on Treatment Side Effects
  • Frequency of Testing
  • Dental Clearance 
  • CKD and Osteoporosis Treatment 
  • Prevention
  • Vitamin D and Calcium
  • Take-home Points and Outro
May 31, 2021
#276 Chronic Diarrhea, Dementia, OHS, MSK Pearls (TFTC #5)
2713
Recap the top pearls from recent shows on Chronic Diarrhea, Dementia, OHS, and MSK (Shoulder, Hip, and Knee).. It’s Tales from the Curbside! (TFTC), our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning.

Note: No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for #267 Chronic Diarrhea, #268 Dementia, and #269 OHS, and  #274 MSK Triple Distilled.




Credits
  • Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP  
  • Infographics by: Elena Gibson, Emi Okamoto, Cyrus Askin, and Matt Watto
  • Cover Art: Edison Jyang
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com


Sponsor: Grammarly
Grammarly.com/CURB
Get 20% off Grammarly Premium by signing up at Grammarly.com/CURB



Sponsor: Audible
Audible.com/curb
New members can always try Audible Plus free for thirty days. Visit Audible.com/curb or text curb to 500-500.



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



Show Segments
  • Intro, disclaimer
  • Chronic Diarrhea, 
  • Dementia, 
  • OHS,
  • MSK: Shoulder, Hip, Knee
  • Outro
May 26, 2021
#275 Bariatric Surgery for the Internist with Dr. Vivian Sanchez
4425
What if we told you there was a powerful tool that could help promote significant weight loss, correct uncontrolled diabetes, improve quality of life, and even improve patient mortality?  What if we told you it was offered less than 1% of the time to patients who qualify for it?  Listen as our esteemed guest Dr. Vivan Sanchez (Boston University) talks us through the patient selection, preoperative workup, and postoperative considerations for bariatric surgery, and how it might benefit your patients.



Credits
  • Written and Produced by: Paul Williams MD, FACP
  • Infographic: Edison Jyang
  • Cover Art: Edison Jyang
  • Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP 
  • Editor: Molly Heublein, MD; Clair Morgan of nodderly.com
  • Guest: Vivian Sanchez, MD


Sponsor: GeriPal
GeriPal.org
Subscribe on Apple Podcasts, Spotify, or wherever you consume podcasts. 



Sponsor: Green Chef
GreenChef.com/90curb
Go to GreenChef.com/90curb and use code 90curb to get $90 off including free shipping!



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



Show Segments
  • Intro, disclaimer, guest bio
  • Guest one-liner
  • Picks of the Week
  • Case from Kashlak
  • Criteria for bariatric surgery
  • Benefits of bariatric surgery
  • Presurgical workup
  • Postoperative management
  • Complications
  • Outro
May 24, 2021
#274 MSK Triple Distilled: Shoulder, Elbow, Hip, Knee
3469
Dominate MSK complaints in primary care! A packed recap from our past musculoskeletal episodes, triple distilled to what you need to know.  Learn some buckets to consider when addressing knee pain, just how simple hip complaints are, when to urgently refer shoulder problems, and easy exam maneuvers to differentiate elbow pain.  Use our simple framework to help with the top diagnoses walking into your primary care clinic. 




Credits
  • Written and Produced by: Molly Heublein, MD
  • Show Notes by: Molly Heublein, MD
  • Cover Art and Infographics: Matthew Watto
  • Hosts: Stuart Brigham MD; Molly Heublein, MD Matthew Watto MD, FACP; Paul Williams MD, FACP  
  • Editor: Emi Okamoto MD, FACP; Clair Morgan of nodderly.com (audio)


Sponsor: GeriPal
GeriPal.org
Subscribe on Apple Podcasts, Spotify, or wherever you consume podcasts. 



Sponsor: Birch by Helix
birchliving.com/curb
Birch is giving $200 dollars off ALL mattresses and 2 free eco-rest pillows at birchliving.com/curb  



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



Show Segments
  • Intro, disclaimer
  • Case from Kashlak- general orthopedic complaints
  • Yellow flags
  • Case from Kashlak Knee
  • 4 buckets of knee pain
  • Ligamentous injury
  • Meniscus
  • Patellofemoral
  • Knee exam
  • Knee Imaging
  • Osteoarthritis treatment
  • Case from Kashlak: hip
  • Three steps to hip diagnosis
  • Case from Kashlak: Shoulder
  • Case from kashlak: elbow
  • Take-home points
May 17, 2021
#273 ACP 2021: The Highlight Reel Part 2
3958
Binge on some delicious knowledge food fresh from ACP’s Internal Medicine Meeting 2021 #IM2021 with pearls on: primary care management of anxiety and depression, insomnia, medical marijuana, venous thromboembolism, COVID-19 and coagulopathy, syncope, diverticulitis, aspirin, and delirium!

Note: This episode will not be available for CME/MOC credit due to the rapid turnaround time.



Credits
  • Written, Produced, and Hosted by: Paul Williams MD, FACP; Chris Chiu MD FACP; Sarah Roberts MPH, Beth “Garbs” Garbitelli
  • Show Notes by: Beth Garbitelli
  • Cover Art: Beth Garbitelli
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

Sponsor: Panacea Financial
panaceafinancial.com
Panacea Financial offers loans just for physicians and medical students with low rates, free checking with no ATM fees nationwide, and 24/7 live customer service. Visit panaceafinancial.com today to open your account and join a bank built with you in mind.

Panacea Financial is a division of Primis, member FDIC


Sponsor: GeriPal
GeriPal.org
Subscribe on Apple Podcasts, Spotify, or wherever you consume podcasts. 


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


Show Segments
Top Pearls on:
  • Primary care management of anxiety and depression
  • Insomnia
  • Medical Marijuana
  • Venous Thromboembolism
  • COVID-19 and Coagulopathy
  • Syncope
  • Diverticulitis
  • Aspirin
  • Delirium
May 10, 2021
#272 ACP 2021: The Highlight Reel Part 1
3721
Binge on some delicious knowledge food fresh from ACP’s Internal Medicine Meeting 2021 #IM2021 with pearls on: Heart Failure, Hypertension, IV vs PO antibiotics, Hepatology, Kiwifruit for constipation, Perioperative Sleep Apnea, Thyroid, Bariatric Surgery, Neurology, Super Gonorrhea, and more!

Note: This episode will not be available for CME/MOC credit due to the rapid turnaround time.



Credits
  • Written, Produced, and Hosted by: Deborah Gorth; Paul Williams MD, FACP; Matthew Watto MD FACP; Avital O’Glasser MD, FACP; Molly Heublein MD
  • Show Notes by: Matthew Watto MD
  • Cover Art: Beth Garbitelli
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com


Sponsor: Panacea Financial
panaceafinancial.com


Sponsor: GeriPal
GeriPal.org
Subscribe on Apple Podcasts, Spotify, or wherever you consume podcasts. 


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


Show Segments
  • Heart Failure
  • Oral vs IV antibiotics for osteomyelitis, bacteremia, and endocarditis
  • Inpatient Blood Pressure Management
  • Perioperative sleep apnea
  • Thyroid pearls (pregnancy and weekly dosing)
  • Bariatric Surgery pearls
  • GI disorders (Cdiff, constipation, diverticulitis)
  • Super Gonorrhea; Sunscreen!
  • Outro
May 03, 2021
#271 PAD, Abdominal Pain, Iron Deficiency in CKD, and Acute Diarrhea (TFTC #4)
2038
Recap our top pearls from recent shows on peripheral arterial disease (PAD), Abdominal Pain, Iron Deficiency in CKD, and Acute Diarrhea. It’s Tales from the Curbside (TFTC)!, our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning.

Note: No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for #260 PAD, #263 Iron CKD, and #266 Acute Diarrhea. CME is not available for #261-262 Abdominal Pain




Credits
  • Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP  
  • Infographics by: Beth Garbitelli and Edison Jyang
  • Cover Art: Edison Jyang
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com


Sponsor: BetterHelp
betterhelp.com/Curb
This podcast is sponsored by BetterHelp and Curbsiders’ listeners get 10% off their first month at betterhelp.com/Curb.  



Sponsor: Indeed
Indeed.com/INTERNALMEDICINE
Get a $75 credit at Indeed.com/INTERNALMEDICINE. Offer valid through JUNE 30TH. Terms and conditions apply.



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



Show Segments
  • Intro, disclaimer
  • Peripheral Arterial Disease (Dx and Management)
  • Abdominal Pain and the Abdominal Exam
  • Iron deficiency and Anemia in CKD
  • Acute Diarrhea
  • Outro
Apr 28, 2021
#270 SGIM 2021: The Highlight Reel
4483
It’s SGIM 2021, #SGIM21! LGBTQ health, updates in primary care for patients of all ages, caring for the Muslim patient, periop pearls, MRSA in your nose, and more!
It’s the most wonderful time of the year for internists: SGIM and ACP, all in one month!  We’re here to help you make the most out of these action-packed virtual events, starting with our SGIM 2021 conference highlights. We hope you enjoy this grab-bag of clinical pearls, from LGBTQ healthcare to periop medicine to primary care, reproductive health, and beyond. Stay tuned for our upcoming ACP IMM2021 recaps for even more knowledge food!




Credits
  • Written, Produced, and Hosted by: Sarah Phoebe Roberts MPH; Becca Raymond-Kolker, Paul Williams MD, FACP; Chris Chiu MD, FACP, FAAP; Matthew Watto MD FACP 
  • Show Notes by: Sarah Phoebe Roberts MPH
  • Cover Art and Infographic: Sarah Phoebe Roberts MPH
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com


Sponsor: The American College of Physicians
Join the American College of Physicians today! Post-training physicians can take advantage of a special limited-time $100 dues discount. Visit acponline.org/acp100 and use the code CURBSIDERS. Membership discount is available only until May 31, 2021. 


Sponsor: HRSA National Health Service Corps
NHSC.HRSA.gov
Applications will be accepted through May 6. Visit NHSC.HRSA.gov to learn about eligibility and the application process.



Sponsor: Audible
Audible.com/curb
New members can always try Audible Plus free for thirty days. Visit Audible.com/curb or text curb to 500-500.



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



Show Segments
Top Pearls on:
  • LGBTQ health
  • Gynecological health 
  • Reproductive medicine 
  • Primary Care 
  • Hospital Medicine 
  • Perioperative Medicine 
  • Caring for the Muslim patient 
  • Young adult medicine pearls (including COVID19; and Down Syndrome)
  • Reflections on SGIM 2021 and Outro
Apr 26, 2021
#269 Obesity Hypoventilation Syndrome (OHS) and the Didgeridoo with Dr Aneesa Das
4024
Does obesity hypoventilation syndrome (OHS) give you respiratory distress? Are you baffled by bilevel? The wait is over! Learn all the ins and outs about OHS from Dr. Aneesa Das, @AneesaDas,  a sleep specialist and pulmonologist at The Ohio State University! You’ll learn tips and tricks regarding the diagnosis and management of OHS, the important role PCPs can play, and why on earth we’re discussing the didgeridoo!

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



Credits
  • Written and Produced by: Cyrus Askin, MD
  • Infographic: Cyrus Askin, MD
  • Cover Art: Kate Grant MBChb, MRCGP
  • Hosts: Cyrus Askin, MD; Matthew Watto MD, FACP; Paul Williams MD, FACP; Stuart Brigham MD
  • Reviewer: Leah Witt, MD
  • Editor: Matthew Watto, MD (written materials); Clair Morgan of nodderly.com
  • Guest: Aneesa Das, MD


Sponsor: The American College of Physicians
Join the American College of Physicians today! Post-training physicians can take advantage of a special limited-time $100 dues discount. Visit acponline.org/acp100 and use the code CURBSIDERS. Membership discount is available only until May 31, 2021. 


Sponsor: Birch by Helix
birchliving.com/curb
Birch is giving $200 dollars off ALL mattresses and 2 free eco-rest pillows at birchliving.com/curb  


Sponsor: HRSA National Health Service Corps
NHSC.HRSA.gov
Applications will be accepted through May 6. Visit NHSC.HRSA.gov to learn about eligibility and the application process.


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


Show Segments
  • Intro, disclaimer, guest bio
  • Guest one-liner
  • Picks of the Week
  • Case from Kashlak
  • Basic risk factors for OHS and red flags
  • That pathophysiologic trifecta
  • Physical Exam & History - OHS
  • Surveys and specific testing
  • Labs and other tests (PFTs, Echo, and more)
  • OSA, OHS, and Central Sleep Apnea
  • Treating OSA: CPAP vs Bilevel
  • The importance of weight loss
  • Keys for inpatient management
  • Perioperative considerations
  • Take-home points
  • Outro
Apr 19, 2021
#268 Dementia Made Simple with Dr. Josh Uy
3696
Dust off your dementia playbook and re-evaluate your approach as Dr. Josh Uy walks us through this common (yet perplexing) condition. Dr. Uy (@joshuy) is the geriatric fellowship director at University of Pennsylvania in addition to a nursing home director and shares his skills in simplifying dementia screening, management, and treatment. Set your chairs up for the “triad visit” and prepare to ‘stew in the milieu’ of dementia!


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


Credits
  • Producer, cover art, infographic: Emi Okamoto MD, FACP
  • Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP 
  • Editor: Leah Witt MD (written materials); Clair Morgan of nodderly.com
  • Guest: Josh Uy MD




Sponsor: The American College of Physicians
Join the American College of Physicians today! Post-training physicians can take advantage of a special limited-time $100 dues discount. Visit acponline.org/acp100 and use the code CURBSIDERS. Membership discount is available only until May 31, 2021. 



Sponsor: Green Chef
GreenChef.com/90curb
Go to GreenChef.com/90curb and use code 90curb to get $90 off including free shipping!



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



Show Segments
  • Intro, disclaimer, guest bio
  • Guest one-liner and picks of the Week*
  • Case from Kashlak
  • Definitions of dementia and cognitive impairment
  • Subtyping dementia
  • Cases to refer and basic laboratory testing
  • Potential imaging
  • Management of dementia
  • Take-home points, Outro
Apr 12, 2021
#267 Diarrhea Disemboweled Part 2: Chronic Diarrhea with Dr. Iris Wang
3425
Flow with us through Diarrhea Disemboweled Part 2 as Dr. Xiao Jing (Iris) Wang @IrisWangMD  walks us through the differential diagnosis and initial evaluation of chronic diarrhea.




Credits
  • Producer: Elena Gibson MD
  • Writer: Elena Gibson MD, Beth Garbitelli
  • Cover Art: Kate Grant, MD 
  • Hosts: Elena Gibson MD, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP  
  • Editor: Matthew Watto MD (written); Clair Morgan of nodderly.com (audio)
  • Guest: Xiao Jing (Iris) Wang MD


Sponsor: Express VPN
ExpressVPN.com/curb
Protect your online activity TODAY with the VPN rated #1 by CNET and Wired. Visit our exclusive link ExpressVPN.com/curb and you can get an extra 3 months FREE on a one-year package!



CME Partner: VCU Health CE
The Curbsiders partner 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. 



Show Segments
  • Intro, disclaimer, guest bio 
  • Case from Kashlak 
  • Osmotic diarrhea & stool osmotic gap
  • Causes of osmotic Diarrhea
  • Algorithm for evaluating diarrhea workup
  • Testing workup for chronic diarrhea
  • Endoscopic evaluation indications
  • Disorders of the Gut-Brain Axis
Apr 07, 2021
#266 Diarrhea Disemboweled Part 1: Acute Diarrhea with Dr. Iris Wang
3274
Flow with us through Diarrhea Disemboweled Part 1 as Dr. Xiao Jing (Iris) Wang @IrisWangMD  walks us through the evaluation and management of acute diarrhea. 

NOTE: CME will not Go LIVE until Wed 4/7/21 for both #266 and #267. Then, claim 2 hours credit in one shot!




Credits
  • Producer: Elena Gibson MD
  • Writer: Elena Gibson MD, Beth Garbitelli
  • Cover Art: Kate Grant, MD 
  • Hosts: Elena Gibson MD, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP  
  • Editor: Matt Watto MD (written); Clair Morgan of nodderly.com (audio)
  • Guest: Xiao Jing (Iris) Wang MD



Sponsor: The American College of Physicians 
Join the American College of Physicians today! Post-training physicians can take advantage of a special limited-time $100 dues discount. Visit acponline.org/acp100 and use the code CURBSIDERS. Membership discount is available only until May 31, 2021. 



Sponsor: BetterHelp
betterhelp.com/Curb
This podcast is sponsored by BetterHelp and Curbsiders’ listeners get 10% off their first month at betterhelp.com/Curb.  



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



Show Segments
  • Intro, disclaimer, guest bio 
  • Picks of the Week 
  • Case from Kashlak 
  • Definitions
  • Small bowel vs. Large bowel pathology
  • Red flags
  • Microbiologic evaluation of acute diarrhea
  • Non-Culture based testing panels
  • Supportive Management
  • Post infectious diarrhea
  • Oral Rehydration Solution 
  • Take-Home points and Outro
Apr 05, 2021
#265 Hypertension Update, Sarcoidosis, Seizures (TFTC #3)
1632
Recap our top pearls from recent shows on hypertension, sarcoidosis, and seizure. It’s Tales from the Curbside (TFTC)!, our monthly series providing a rapid review of recent Curbsiders episodes.

Note: No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for #254, #256, and #257. 




Credits
  • Written, Produced and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP  
  • Infographics by: Beth Garbitelli and Edison Jyang
  • Cover Art: Edison Jyang
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com


Show Segments
  • Intro, disclaimer
  • Hypertension pearls
  • Sarcoidosis pearls
  • Seizures pearls
  • Outro
Mar 31, 2021
#264 Hotcakes: Semaglutide for Weight Loss, Abx for Diverticulitis, Periop COVID19
2665
Fresh hotcakes! Practice-changing articles that you need to know: semaglutide for weight loss; metronidazole plus a fluoroquinolone versus amoxicillin/clavulanic acid for uncomplicated diverticulitis; and the perioperative risks of COVID19. We’re joined by Dr. Adnan Khan (Chief resident, VCU Internal Medicine Residency) and our fearless leader of critical appraisal, internist/epidemiologist, Rahul Ganatra MD, MPH, @rbganatra (VA Boston). 




Credits
  • Written, Produced and hosted by: Rahul Ganatra MD, MPH; Adnan Khan MD; Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Cover Art: Matthew Watto MD, FACP
  • Editor: Rahul Ganatra MD (written materials); Clair Morgan of nodderly.com


Sponsor: Panacea Financial
panaceafinancial.com
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: ACP’s MKSAP 19
MKSAP® is the most trusted resource for lifelong learning and Board prep for internal medicine physicians and residents. Learn more at acponline.org/mksap19 and use promo code CURB2021 at check out.



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



Show Segments
  • Intro, disclaimer
  • Pick of the week: Dark (Netflix TV series)
  • Preventive Medicine Updates
  • Semaglutide for weight loss
  • Amox-clav vs FQ-metronidazole for Diverticulitis
  • Perioperative COVID19 infection and timing of surgery
  • Rahul’s take-home points
  • Outro
Mar 29, 2021
#263 Iron Deficiency and Anemia of CKD (NephMadness 2021)
4231
Dominant iron deficiency and anemia of CKD! We discuss how to interpret iron studies, when and how to start treatment with PO vs. IV iron, and ESAs vs. the new HIF-PHIs! Iron deficiency in chronic kidney disease is common but frequently overlooked in primary care.  This episode features Kashlak Memorial’s own Chief of Nephrology, Dr. Joel Topf (@kidney_boy), joined by NephMadness experts, Dr. Matthew Spark (@Nephro_Sparks), and Dr. Pascale Khairallah (@Khairallah_P)!  Our guests lay out an easy-to-follow framework for primary care and give us some inside information to #Nephmadness! Read the Anemia Region scouting report.



Credits
  • Writer, Producer:  Stuart Brigham, MD
  • Cover Art:  Kate Grant MBChB, MRCGP
  • Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP 
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  • Guest: Joel Topf MD, Matt Sparks MD, Pascale Khairallah MD

Sponsor: Grammarly
Grammarly.com/CURB
Get 20% off Grammarly Premium by signing up at Grammarly.com/CURB


Sponsor: Green Chef
GreenChef.com/90curb
Go to GreenChef.com/90curb and use code 90curb to get $90 off including free shipping!


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


Segments
  • Intro, disclaimer, guest bio
  • Case from Kashlak
  • Approaching CKD in Primary Care
  • Iron and anemia labs in CKD
  • Ferritin Goals in CKD
  • Oral Replacement of Iron in CKD
  • IV Replacement of Iron in CKD
  • Discussing treatment option for Anemia of CKD
  • Basic information on HIF Stabilizers/ PHIs in CKD
  • Take-home points and Outro
Mar 22, 2021
#262 Subacute and Chronic Abdominal Pain: Physical Exam Series
2266
In this part 2 of 2, learn how the abdominal exam affects our imaging choices, when to call a surgeon, and which classical maneuvers may not be so helpful. You may find it gut-wrenching! In this evidence-based physical exam series, we discuss how to approach abdominal pain with Dr. Andrew Olson (Minnesota), the leader of the DX: Diagnostic Excellence Project. Stay tuned for part 2 with Dr. Olson on subacute and chronic abdominal pain later this week!

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



Credits
Producer: Justin Berk MD MPH MBA and Sam Masur MD
Writer: Sam Masur MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
Editor: Justin Berk MD MPH MBA (written materials); Clair Morgan of nodderly.com
Guest: Andrew Olson MD



Sponsor: Birch by Helix
birchliving.com/curb
Birch is giving $200 dollars off ALL mattresses and 2 free eco-rest pillows at birchliving.com/curb  



CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org.
Mar 17, 2021
#261 Acute Abdominal Pain: Physical Exam Series
2690
In this part 1 of 2, learn how the abdominal exam affects our imaging choices, when to call a surgeon, and which classical maneuvers may not be so helpful. You may find it gut-wrenching! In this evidence-based physical exam series, we discuss how to approach abdominal pain with Dr. Andrew Olson (Minnesota), the leader of DX: the Diagnostic Excellence Project. Stay tuned for part 2 with Dr. Olson on subacute and chronic abdominal pain later this week!

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


Credits
Producer: Justin Berk MD MPH MBA and Sam Masur MD
Writer: Sam Masur MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
Editor: Justin Berk MD MPH MBA (written materials); Clair Morgan of nodderly.com
Guest: Andrew Olson MD


Sponsor: Panacea Financial
panaceafinancial.com
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: BetterHelp
betterhelp.com/Curb 
This podcast is sponsored by BetterHelp and Curbsiders listeners get 10% off their first month at betterhelp.com/Curb



CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org.
Mar 15, 2021
#260 Peripheral Artery Disease with Dr. Vlad Lakhter
4318
A painless walk through the diagnosis and management of peripheral artery disease (PAD). PAD is one of those diagnoses that you know about, but maybe don’t feel comfortable diagnosing and managing.  Listen as our esteemed guest Dr. Vladimir Lakhter @VladLakhter (Temple Health) talks us through its diagnosis and management.  Dr. Lakhter gives us a straightforward framework for categorizing and triaging peripheral artery disease and talks us through the important components of medical management and who benefits from revascularization.




Credits
  • Written and produced by: Jake Kieserman and Paul Williams MD, FACP
  • Infographic: Edison Jyang
  • Cover Art: Kate Grant MBChB DipGUMed
  • Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Editor: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com
  • Guest: Vladimir Lakhter, DO




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


Time Stamps*
*Note: Time Stamps refer to ad-free version. 
  • Intro, disclaimer, guest bio- 00:33
  • Guest one-liner- 3:25
  • Dr. Lakhter book recommendations- 5:36
  • Case from Kashlak- 8:35
  • Definition and background for PAD- 10:25
  • Classification schema for PAD- 12:45
  • The physical examination- 21:05
  • ABIs and PVR in the diagnosis of PAD- 33:50
  • Exercise program for PAD-  46:08
  • Medication therapy-  52:05
  • Revascularization- 62:50
  • Outro- 68:45
Mar 08, 2021
#259 Addiction Medicine Triple Distilled
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Let's recap our favorite addiction medicine pearls!  We cover the treatment of alcohol use disorder, opioid use disorder and discuss strategies surrounding the management of long-term opioid therapy.  Please share your favorite addiction medicine pearls with us that we may have forgotten in the comments or by tagging us on Twitter @thecurbsiders. 



Credits
  • Producers: Carolyn Chan MD; Nora Taranto MD
  • Infographics: Hannah R Abrams; Justin Berk MD, MPH, MBA; Carolyn Chan MD; Nora Taranto MD
  • Writer and Cover Art: Carolyn Chan, MD
  • Hosts: Carolyn Chan MD; Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Editor: Justin Berk 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 is also excited to announce their “Match Day Giveaway.” $500 will be awarded to five medical students entering the match in 2021. Entry is free, and students can enter the giveaway on their website until March 31, 2021. Winners will be selected randomly on April 1st,
 2021. No purchase necessary for entry. Go to panaceafinancial.com/matchday today to learn more.

Panacea Financial, a Division of Sonabank, Member FDIC


Partner: The Cribsiders Pediatric Medicine Podcast
A Pediatric Podcast here to feed pediatric knowledge food to your adult-sized brain hole & provide weight-based dosings of fun. New episodes drop every other Wednesday! https://thecribsiders.com/ 


CME Partner: VCU Health CE
The Curbsiders partner with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org to claim credit.



Time Stamps
  • Intro, disclaimer 00:00
  • Alcohol Use disorder (inpatient and outpatient management) 03:50 
  • Sponsor -Panacea Finanicial 24:00
  • Partner -The Cribsiders Pediatric Medicine Podcast
  • Chronic Pain and  Opioid Therapy (prescribing buprenorphine; microdosing) 25:30
  • Benzo Tapers 46:11
  • Outro
Mar 01, 2021
#258 Nephrotic Syndrome, Smoking Cessation, Prev Med Update (TFTC #2)
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Recap our top pearls from recent shows on nephrotic syndrome vs nephritic syndrome, smoking cessation and updates in preventive medicine. Tales from the Curbside (TFTC) is a monthly series 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 #250, #251 and #252. 



Credits
  • Written, Produced and Hosted by: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP  
  • Infographics by: Elena Gibson MD, Beth Garbitelli and Carolyn Chan MD
  • Cover Art: Matthew Watto MD
  • 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

Sponsor: Grammary grammarly.com/curb
Feb 24, 2021
#257 Carpe Diem: Seizure Basics for Primary Care
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Seize control of your differential for epilepsy! This week, we review the basics of seizure work-up and management with our esteemed guest  Dr. Sara Dawit @DrSaraDawit a board-certified neurologist who is an Assistant Professor of Neurology and Neurophysiology Fellow at  The Mayo Clinic, Scottsdale Campus. Dr. Dawit takes us through rapid response to witnessed seizure, how to approach first-time seizures and adult-onset seizure disorders, gives us some facts about non-epileptic seizure disorders, and describes how to approach medication management in epilepsy! 



Credits
  • Producer: Paul Williams MD, Beth Garbitelli         
  • Writer and Infographics: Beth Garbitelli
  • Cover Art: Kate Grant  MBChB DipGUMed 
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Editor: Cyrus Askin MD (written materials); Clair Morgan of nodderly.com
  • Guest: Sara Dawit MD


Sponsor: ACP’s MKSAP
MKSAP® is the most trusted resource for lifelong learning and Board prep for internal medicine physicians and residents. Learn more at acponline.org/mksap19 and use promo code CURB2021 at checkout.


Sponsor: Green Chef GreenChef.com/90curb


Sponsor: Indeed Indeed.com/INTERNALMEDICINE


CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org .
Feb 22, 2021
#256 Sarcoidosis
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This grand overview of granulomas will leave you comfortable tackling an often breathtaking disease, sarcoidosis. Listen as our esteemed guests Dr. Mary Beth Scholand (University of Utah) and Dr. Jonathan Boltax (University of Utah) rheum-inate on sarcoidosis. We discuss the pathophysiology, diagnosis, and treatment of this disease, role of the primary care clinician and why sarcoidosis in the chart reminds Paul of Shakespeare. 



Credits
  • Producer: Cyrus Askin MD and Deborah Gorth
  • Writer: Deborah Gorth
  • Infographic and Cover art: Edison Jyang
  • Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Editor: Cyrus Askin MD (written materials); Clair Morgan of nodderly.com
  • Guest: Drs. Mary Beth Scholand & Jonathan Boltax


Sponsor: ACP’s MKSAP
MKSAP® is the most trusted resource for lifelong learning and Board prep for internal medicine physicians and residents. Learn more at acponline.org/mksap19 and use promo code CURB2021 at checkout.


Sponsor: birch by Helix
Visit birchliving.com/curb


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


Time Stamps
  • 00:00 Intro, disclaimer, guest bio, Awful(ly good?) Pun
  • 03:42 Guest one-liners
  • 06:28 Sponsor - ACP’s MKSAP19
  • 07:40 Case from Kashlak
  • 08:40 Explaining sarcoidosis
  • 12:19 Possible drivers of sarcoidosis
  • 13:30 Taking a sarcoidosis history
  • 17:26 Suggestions for catching sarcoidosis
  • 21:44 Sponsor - birchliving.com/curb
  • 23:52 Sarcoidosis physical exam, Diagnosis
  • 33:00 Lofgren’s and Heerfordt’s syndromes; Imaging for sarcoidosis
  • 40:44 Initiating therapy for sarcoidosis; Prognosis; the Treatment team
  • 51:23 Primary care considerations for sarcoidosis 
  • 54:55 Diagnosing and treating a sarcoidosis exacerbation
  • 61:20 Take home points and outro
Feb 15, 2021
#255 Hotcakes: Colchicine for CAD, and Gout flares, PT versus Steroids for Knee OA
2853
Fresh hotcakes! Practice changing articles that you need to know: low dose colchicine for stable CAD; colchicine vs naproxen for acute gout flares; and physical therapy vs glucocorticoid injection for chronic Knee osteoarthritis. We’re joined by Michael Sternberg (Chief resident, VCU Internal Medicine Residency) and our fearless leader of critical appraisal, internist/epidemiologist, Rahul Ganatra MD, MPH, @rbganatra (VA Boston). 



Credits

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


Sponsor: ACP’s MKSAP18
MKSAP® is the most trusted resource for lifelong learning and Board prep for internal medicine physicians and residents. Learn more at www.acponline.org/curb2021.


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


Time Stamps
  • Intro, disclaimer
  • 01:45 Fun animal fact; Picks of the Week*
  • 06:33 PT vs steroid injection for chronic knee OA
  • 21:00 Colchicine for stable CAD
  • 33:00 Low dose colchicine vs naproxen for acute gout flares
Feb 08, 2021
#254 Hypertension Update with Dr. Wanpen Vongpatanasin
3399
Listen as our esteemed guest Dr. Wanpen Vongpatanasin, @DrWanpen (UT Southwestern) discusses the nitty-gritty of blood pressure monitoring and hypertension treatment.  We review the thresholds for HTN diagnosis and how to accurately measure blood pressure levels at home and in the office.  Dr Vongpatanasin shares the latest guideline recommendations for first line pharmaceutical therapies as well as her pearls about how to treat special populations.
  • Produced by: Deborah Gorth and Isabel Valdez, PA
  • Written by: Deborah Gorth 
  • Infographic and Cover Art: Edison Jyang
  • Hosts: Stuart Brigham, MD; Matthew Watto, MD, FACP; Paul Williams, MD, FACP   
  • Editor: Molly Heublein, MD (written materials); Clair Morgan of nodderly.com
  • Guest: Wanpen Vongpatanasin, MD


Sponsor: ACP’s MKSAP18
MKSAP® is the most trusted resource for lifelong learning and Board prep for internal medicine physicians and residents. Learn more at www.acponline.org/curb2021.


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


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


Time Stamps
00:00 Sponsors, Intro, disclaimer, guest bio
03:20 Guest one-liner
05:50 Sponsor - ACP’s MKSAP 18
07:05 Case from Kashlak; Defining hypertension and treatment thresholds
10:43 Measuring blood pressure (at home, in the office, validatebp.org)
16:46 Wrist BP cuff
19:50 Home monitoring and ambulatory BP monitoring; What time to take BP medication
32:10 Approach to treatment; Combo pills; How to titrate meds
42:20 Treating resistant hypertension; hyperaldosteronism; Isolated systolic hypertension
52:04 Take home points and Outro
Feb 01, 2021
#253 COVID-19 Vaccines with Dr Monica Gandhi
3902
Answer all your burning questions (and your patients’ burning questions) about the different COVID-19 vaccines currently authorized in the US. Infectious diseases / HIV expert, Dr Monica Gandhi @MonicaGandhi9 (UCSF) joins us to cover: the Pfizer-BioNTech and Moderna novel mRNA vaccine mechanisms, trial data, and practicalities of who should receive them.  We discuss data around the Oxford-AstraZeneca adenovirus vaccine, which is authorized in the UK and India, and may be available in the US later this year.  Feel confident recommending COVID-19 vaccines to your patients!



Credits

  • Written and Produced by: Molly Heublein, MD
  • Cover Art: Chris Chiu, MD, FACP, FAAP
  • Infographic: Tima Karginov
  • Hosts: Chris Chiu, MD, FACP, FAAP; Molly Heublein, MD; Paul Williams, MD, FACP
  • Editor: Emi Okamoto MD (written materials); Clair Morgan of Nodderly.com (audio)
  • Guest: Monica Gandhi, MD, MPH



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

Panacea Financial, a Division of Sonabank, Member FDIC



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



Time Stamps

  • Intro, disclaimer, guest bio - 00:00
  •  Guest one-liner, book recommendation - 3:40
  • Authorized vaccines in the US - 8:30
  • AstraZeneca vaccine mechanism- 9:26
  • mRNA vaccine mechanism - 10:30
  • Vaccine distribution issues (cold chain) - 16:05
  • mRNA safety - 18:24
  • mRNA vaccine efficacy/data from phase 3 trials - 19:40
  • How did we get this so quickly - 23:40
  • Vaccine impact on asymptomatic infection - 26:18
  • AstraZeneca trials - 28:20
  • Pregnancy - 35:10
  • Anaphylaxis - 37:10
  • Prior COVID-19 infection - 39:07
  • Side effects - 42:05
  • Pediatric patients - 45:12
  • Phases of role outs in the US -46:50
  • Herd immunity - 48:16
  • Thoughts of how to make this happen - 52:45
  • Preexisting conditions - 53:40
  • How long will immunity last - 57:15
  • Mutant strains - 58:25
  • Future of mRNA vaccines - 1:00:30
  • Take home points and Outro - 1:02:12
Jan 27, 2021
#252 Smoking Cessation Unfiltered
3991
Get all the details on varenicline, nicotine replacement therapy, and integrating psychosocial interventions into a comprehensive smoking cessation treatment plan! Smoking cigarettes is the leading cause of preventable death worldwide. Listen as our esteemed guest Dr. Steve Baldassarri (Yale) provides us expert pearls to help our patients quit smoking. 




Credits

  • Written and produced by: Carolyn Chan, MD
  • Infographic: Edison Jyang
  • Cover Art: Kate Grant
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Editor: Cyrus Askin, MD (written materials); Clair Morgan of nodderly.com
  • Guest: Steve Baldassarri MD MHS



Sponsor: The American College of Physicians
Join us for ACP Internal Medicine Meeting 2021: Virtual Experience for 3 days of interactive, livestreaming education and events April 29 through May 1—plus on-demand post-meeting access to CME credit for up to 3 years.
 
“Early Bird” members get an additional $80 registration discount on top of their member discount. Visit annualmeeting.acponline.org. (Prices shown online at registration pages reflect Discounted Rates.)
 
Register now—Early Bird savings end January 31st!



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

Time Stamps*

*Note: Time Stamps refer to ad free version. 
  • 03:02 Intro, disclaimer, guest bio
  • 04:35 Guest one-liner 
  • 09:50 Tobacco Use Disorder - Chronic Disease
  • 11:08 Case from Kashlak
  • 11:56 Obtaining a history
  • 13:39 Motivations for Smoking Cessation
  • 15:29 Factors associated with challenges in smoking cessation:
  • 21:40 Gradual Tapers vs Cold Turkey
  • 25:18 Nicotine Replacement 32:40
  • 28:57 Pharmacotherapy - “Controller” Medications
  • 31:05 Pharmacotherapy - Short Acting Medications
  • 33:20 Dosing Medications
  • 38:35 Varenicline
  • 39:00 Nicotine gum dosing 
  • 44:40 Duration of therapy
  • 48:08 Bupropion 
  • 49:05 Behavioral Interventions
  • 55:24 Vaping and electronic cigarettes 
  • 57:03 Vaping for smoking cessation
  • 01:02:35 EVALI
  • 01:05:49 Outro
Jan 25, 2021
#251 What the USPSTF? Preventive Medicine Updates with Dr. Amber-Nicole Bird
3890

What the USPSTF?! It’s time for some preventive medicine updates on: screening for unhealthy drug use, cervical cancer, hepatitis C and draft recs for colorectal cancer; plus how to interpret USPSTF screening recs. Dr. Amber-Nicole Bird @ABirdMD (Penn Medicine) refreshes our love for preventive medicine, with updates on the newest recommendations. She reviews how to appropriately interpret and adopt guidelines for our patients, being cognizant of the source. We shine light on the mechanism of USPSTF, including how their guidelines differ from others, so we can understand the value and context when utilizing the guidance in the clinic.

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


Credits

  • Produced and Written by: David Madick MD; Peter Wikoff MD; Paul Williams MD, FACP
  • Infographic: Beth Garbitelli
  • Cover Art: Chris Chiu MD
  • Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Editor: Emi Okamoto, MD (Show notes); Clair Morgan of nodderly.com
  • Guest: Amber-Nicole Bird, MD

Sponsor: The American College of Physicians

Join us for ACP Internal Medicine Meeting 2021: Virtual Experience for 3 days of interactive, livestreaming education and events April 29 through May 1—plus on-demand post-meeting access to CME credit for up to 3 years. “Early Bird” members get an additional $80 registration discount on top of their member discount. Visit annualmeeting.acponline.org and use the code IM21CURB. Register now—Early Bird savings end January 31st!


Sponsor: VCU Health CE

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

Jan 18, 2021
#250 Nephrotic Syndrome vs. Glomerulonephritis with Kidney Boy, Dr. Joel Topf
4577

Kashlak’s esteemed Chief of Nephrology, Dr Joel Topf @kidney_boy walks us through the evaluation and differentiation of nephrotic syndrome and glomerulonephritis. Embrace the kidney again as we sort the different diagnostics, managements, and prognosis for these two pathologies.

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


Credits

  • Producer, writer, infographic, cover art: Elena Gibson MD
  • Hosts: Elena Gibson MD, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Editor: Emi Okamoto MD (written); Clair Morgan of nodderly.com (audio)
  • Guest: Joel Topf MD


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

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

Register now—Early Bird savings end January 31st!


Sponsor: VCU Health CE

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

Jan 11, 2021
#249 Cellulitis, Bites, Vulvovaginitis, MGUS, SPEP (TFTC #1)
1104

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!


Credits

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



Sponsor: The American College of Physicians

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

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

Register now—Early Bird savings end January 31st!



Time Stamps*

*Note: Time Stamps refer to ad free versions.

  • 00:00 Intro, disclaimer, guest bio
  • 02:35 Vulvovaginitis
  • 05:35 Cellulitis and Bites
  • 09:45 SPEP it Up
  • 15:15 Outro
Jan 04, 2021
#248 Top Pearls of 2020: Curbsiders' Recap Extravaganza
3846

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!


Credits

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


Sponsor: Panacea Financial

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

Panacea Financial, a Division of Sonabank, Member FDIC

Dec 28, 2020
#247 SPEP It Up: MGUS, Myeloma, and Immunology, Oh My!
3901

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!



Credits

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



Sponsor: Panacea Financial

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

Panacea Financial, a Division of Sonabank, Member FDIC



Sponsor: VCU Health CE

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

Dec 21, 2020
#246 Take a Bite out of Cellulitis with Dr Boghuma Titanji
4302

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!


Credits

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


Sponsor: Provider Solutions and Development

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


Sponsor: VCU Health CE

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


Time Stamps*

*Note: Time Stamps refer to ad free version.

  • 00:00 Intro, disclaimer, guest bio
  • 02:00 Picks of the Week
  • 06:00 Definitions, Initial Approach to cellulitis
  • 10:35 Nonpurulent cellulitis; antibiotic choice
18:10 Fish handler’s disease
  • 24:30 Recurrent cellulitis
  • 31:30 Purulent cellulitis and MRSA; Antibiotic choice; Step down therapy
  • 47:33 Abscesses; Adjuvant antibiotics; Packing Wounds
  • 53:30 Decolonization for recurrent MRSA infections
  • 56:30 Human Bites (clenched fist injury); Dog bites and Cat bites
  • 67:10 Take home points and Outro
Dec 14, 2020
ADHD: All that Fidgets is Not... (Cribsiders #13)
2806

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


Credits

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



Time Stamps

  • 5:30 Diagnosis of ADHD
  • 6:53 Considering a differential diagnosis of ADHD
  • 8:43 Categories of ADHD
  • 15:02 Ancillary Supports
  • 18:27 Consequences of Misdiagnosis
  • 19:53 Parent Counseling
  • 22:08 Behavioral Interventions Treatment
  • 25:56 Gender Differences in ADHD
  • 28:00 Anaphylaxis Promo
  • 28:39 Alternative Treatments
  • 30:54 Pharmacotherapy for ADHD
  • 37:29 Side Effects of Medical Treatments
  • 44:33 Monitoring Progress
  • 46:19 Treating concurrent mood disorders
  • 49:21 ADHD in Young Adults
  • 55:29 ADHD and Race
  • 1:08:13 Future of ADHD
Dec 09, 2020
#245 COVID Cakes: Masks, Home Testing, Anticoagulation, Vaccines
2564

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!


Credits

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

Sponsor: ACP’s I Raise the Rates

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


Sponsor: VCU Health CE

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


Time Stamps

  • 00:00 Intro, disclaimer, Picks of the week* and Vaccines
  • 08:00 DANMASK-19
  • 25:00 Anticoagulation in COVID-19
  • 35:06 COVID-19 home PCR testing
  • Outro
Dec 07, 2020
#244 Vulvovaginitis for All Ages with Dr. Monica Christmas
3422

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!


Credits

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


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


Sponsor: VCU Health CE

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

Nov 30, 2020
#243 Diabetes Triple Distilled
2801

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


Sponsors:

ACP’s I Raise the Rates

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


VCU Health CE

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


Time Stamps

0:00 Intro,

2:45 Pitfalls of A1c testing,

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

16:20 Choosing between SGLT2 inhibitors vs GLP1 agonists,

19:10 Stuart rants on insulin for symptomatic hyperglycemia,

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

30:30 GLP-1 agonists,

36:50 Deintensification; Diabetes Treatment in CKD,


Tags

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

Nov 23, 2020
#242 Wilderness Medicine: Prepare for Disaster
4774

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!

 

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

 

Sponsors:

 

Provider Solutions and Development

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

 

VCU Health CE

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

 

Time Stamps
  • Sponsor - Provider Solutions and Development https://curbsiders.vcuhealth.org/
  • Sponsor - VCU Health CE curbsiders.vcuhealth.org   
  • 00:00 Intro, disclaimer, guest bio
  • 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   

 

Links*
  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.

 

Goal

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

 

Learning objectives

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

 

Disclosures

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

 

Citation

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.

 

Tags

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

Nov 16, 2020
#241 Chronic Cough
3461

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!

 

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

 

Sponsors:

Panacea Financial 

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

Panacea Financial, a Division of Sonabank, Member FDIC

 

 

VCU Health CE

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

  Time Stamps

 

  • Sponsor - Panacea Financial panaceafinancial.comSponsor - VCU Health CE curbsiders.vcuhealth.org
  • 00:00 Intro, disclaimer, guest bio; Guest one-liner and Pick of the Week*
  • 06:23 Sponsor - Panacea Financial 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

 

Links*
  • 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.

 

Goal

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

 

Learning objectives

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

 

Disclosures

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

 

Citation

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.

 

Tags

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

Nov 09, 2020
#240 Elbow Pain: Straighten it out
3941

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

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

 

 

Sponsors

 

Provider Solutions and Development

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

 

 

VCU Health CE

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

 

Time Stamps
  • Sponsor - Provider Solutions and Development https://curbsiders.vcuhealth.org/
  • Sponsor - VCU Health CE curbsiders.vcuhealth.org   
  • 00:00 Intro, disclaimer, guest bio
  • 04:00 Picks of the Week*
  • Sponsor - 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   

 

Goals

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

 

Learning objectives

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.

 

Links*
  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.

 

References
  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.

 

Tags

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

 

Disclosures

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

 

Citation

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.

Nov 02, 2020
#239 Sinusitis: It’s Not That Tricky
4498

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!

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

 

Sponsors:   National Internal Medicine Day

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

 

 

VCU Health CE

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

 

Time Stamps
  • Sponsor – National Internal Medicine Day, The American College of Physicians
  • Sponsor - VCU Health Continuing Education
  • 00:30 Intro, disclaimer, guest bio
  • 03:00 Guest one-liner, Favorite 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

 

Links*
  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.

 

Goals

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

 

Learning objectives

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.

 

Disclosures

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

 

Citation

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.

 

Tags

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

Oct 23, 2020
#238 DVT / PE Triple Distilled
1825

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!

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

 

Sponsor:  VCU Health CE

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

 

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

 

Links

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

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

 

Goals

Listeners will feel confident in the diagnosis and management of VTE

 

Learning objectives

After listening to this episode listeners will...

 

  • 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

 

 

Disclosures

The Curbsiders report no relevant financial disclosures. 

 

Citation

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.

 

Tags

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

Oct 22, 2020
#237 Ophthalmology for Primary Care
3716

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!

 

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

 

Sponsors:

 

National Internal Medicine Day

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

VCU Health CE

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

 

Time Stamps
  • Sponsor – National Internal Medicine Day, The American College of Physicians
  • Sponsor – VCU Health Continuing Education
  • 00:30 Intro, disclaimer, guest bio  
  • 03:21 Guest one-liner, Carolyn’s Pick of the Week 
  • 09:05  Picks of the Week*
  • 10:13 Case from Kashlak, 3 - Vital Signs of Ophthalmology 
  • 17:09  Ocular complications of 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

 

 

Links*
  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.

 

Goal Listeners will discuss screening, counseling, and management of common ocular diseases seen within primary care. 

 

Learning objectives

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

 

Disclosures

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

 

Citation

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.

 

Tags

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

 

Oct 19, 2020
#236 Approach to Shortness of Breath: Physical Exam Series
2488

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!

 

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

 

Sponsors:

 

National Internal Medicine Day

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

 

VCU Health CE

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

 

Time Stamps
  • Sponsor – National Internal Medicine Day, The American College of Physicians
  • Sponsor – VCU Health Continuing Education
  • 00:00 Intro, disclaimer, guest bio
  • Sponsor – National Internal Medicine Day, The American College of Physicians
  • 03:47 Introduction to evidence-based exam, pre-test probability, and likelihood ratios
  • 05:29 Case from Kashlak Memorial 
  • 06:51 Dr. Garibaldi’s initial maneuvers for the dyspneic 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

 

Links*
  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

 

Goal

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

 

Learning objectives

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

 

Disclosures

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. 

 

Citation

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.

 

References
  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

 

Tags

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.

Oct 12, 2020
#235 Spooky Cakes: Dapa-CKD, Turmeric for Knee Pain, Honey for URTI
3028

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!

 

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

 

Sponsors   National Internal Medicine Day

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

  VCU Health CE

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

 

Time Stamps

 

Links*
  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.

 

Goal

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

 

Learning objectives

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

 

Disclosures

The Curbsiders report no relevant financial disclosures. 

 

Citation

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.

 

Tags

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

Oct 05, 2020
#234 The Breast Lump, and Breast Cancer Screening with Nancy Keating MD, MPH
4648

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!

 

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

 

Sponsors   Provider Solutions & Development

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

 

 

VCU Health CE

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

 

  Time Stamps
  • Sponsor - Provider Solutions & Development www.psdrecruit.org/curbsiders.
  • Sponsor - VCU Health Continuing Education
  • 00:30   Intro & 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

 

 

Links*
  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.

 

Goal

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. 

 

Learning objectives

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...
Sep 28, 2020
#233 Giving Effective Feedback with Drs. Abby Spencer and Alia Chisty
4785

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!

 

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

 

Sponsors

 

Provider Solutions & Development

 

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

VCU Health CE

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

 

Time Stamps
  • Sponsor - Provider Solutions & Development www.psdrecruit.org/curbsiders.
  • Sponsor - VCU Health Continuing Education
  • 00:30 Intro, disclaimer, guest bio, pun
  • 04:00 Guest one-liners, Picks of the Week* (see links below)
  • 10:25 Sponsor - 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

 

Links*
  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.

 

Goal

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

 

Learning objectives

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

 

Disclosures

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

 

Citation

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.

 

References 
  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/
Sep 21, 2020
#232 Skinternship: Scalp & Face with Helena Pasieka MD
4395

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!

 

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

 

Sponsors

 

Provider Solutions & Development

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

 

VCU Health CE

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

 

Time Stamps

 

Links*
  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.

 

Goals

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

 

Learning objectives

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.

 

Disclosures

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

  Citation

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.

Sep 14, 2020
REBOOT #48 Hyponatremia Deconstructed
5325

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!

 

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

Sponsors

 

POCUS Fellowship at University of Pennsylvania

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

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

 

VCU Health CE

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

 

Time Stamps
  • 00:00 Intro
  • 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

Links*
  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.

 

 

Goal

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. 

 

Learning objectives

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

 

Disclosures

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. 

 

Citation

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.

Sep 07, 2020
Become #1 in T1DM (Cribsiders #6)
3722

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.

 

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

 

*Sponsors*

 

POCUS Fellowship at University of Pennsylvania

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

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

    VCU Health CE

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

  Time Stamps
  • Diagnosis of T1DM 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

 

Goal

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

 

Learning objectives

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)

 

Disclosures

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

 

Citation Abdullatif H, Snellgrove S, Chiu C, Berk J. “Type 1 Diabetes”. The Cribsiders Pediatrics Podcast. https:/www.thecribsiders.com/ September 2, 2020 (link goes live on 9/2/2020)
Aug 31, 2020
#231 U Talkin’ UTIs Re: Me?
4101

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!

 

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

Sponsor - VCU Health CE

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

 

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

 

Links*
  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.

 

Goals

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

 

Learning objectives

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. 

 

Disclosures

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

 

Citation

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.

Aug 24, 2020
#230 Kittleson Rules Acute Heart Failure
4316

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!


Credits

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


Sponsor - VCU Health CE

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


Time Stamps

  • 00:00 Intro
  • 02:40 Guest one-liner; Picks of the Week
  • 08:33 Case from Kashlak part 1, Definition of acute decompensated heart failure (ADHF), Factors that lead to ADHF (FAILURE mnemonic)
  • 13:39 Historical clues for ADHF; Is salt restriction needed? Fluid restriction?
  • 20:42 More on History and Physical exam for ADHF; JVP exam in detail; Crackles are worthless?!
  • 28:36 Labs to trend during an ADHF admission
  • 33:15 Recap of history, physical exam, and initial approach; Initiating diuresis; Goal urine output; Diuresis in HFrEF vs HFpEF phenotypes
  • 45:32 Diuretic resistance and when to use a drip, metolazone; Do K and Mg need to be 4 and 2?
  • 49:05 When to hold guideline directed medical therapy (Beta blockers, ARNI, ACEI/ARB)
  • 56:05 Who needs a right heart cath?
  • 59:30 Endpoints for discharge; Switch to PO diuretics; Approach to discharge and transitions of care
  • 64:04 SGLT2i in heart failure
  • 68:15 Take home points and outro
Aug 17, 2020
#229 Hotcakes: COVID on steroids, statins over 75, short duration DAPT
2608

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!


Credits

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


Sponsor: VCU Health CE

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


Time Stamps

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

Picks of the week

  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
Aug 10, 2020
#228 Thyroid on Fire! Hyperthyroidism with Dr. Eve Bloomgarden
4266

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!


Credits

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


Sponsors: Pediatrics On Call podcast by the American Academy of Pediatrics

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

VCU Health CE

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


Time Stamps

  • 00:00 Intro
  • 03:15 Guest one-liner, favorite failure, Picks of the Week*
  • 08:50 Sponsor
  • 10:37 Background, Definition of Hyperthyroidism, thyrotoxicosis; Basic labs
  • 14:20  Case from Kashlak, Symptoms of Hyperthyroidism
  • 25:00 Grave’s eye disease: exam, therapy and counseling
  • 32:35 Thyroid exam and ultrasound
  • 38:55 Thyroid Stimulating Immunoglobulin
  • 41:00 Biotin
  • 44:30 Thyroid Scintigraphy
  • 49:00 Causes of Thyrotoxicosis
  • 52:00 Treatment & Adherence to antithyroid medication (methimazole)
  • 56:20 Beta Blockers in thyrotoxicosis
  • 64:50 Subclinical Hyperthyroidism
  • 67:00 Take Home Points, Outro
Aug 03, 2020
Back to School Special - COVID Edition (Cribsiders #3)
3538

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!


Credits

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


Sponsors: Pediatrics On Call


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


Time Stamps

  • Introduction 1:00
  • How to answer “What do you think about school openings?” 11:30
  • Risk Assessment of School Re-openings 14:40
  • Evidence of Transmission among Children 17:10
  • What Other Countries Have Done 19:40
  • Community Threshold for Re-Opening and Using Protocols 20:30
  • The Reasons to Cohort 22:45
  • How to Address Scenarios 24:20
  • Health Disparities and Return to School 27:00
  • Existing Inequities and Children’s Sacrifice of Education 29:00
  • “Opting Out” of School Return and Feeling Safe 31:30
  • How Can Governments Help Support the Return 35:50
  • Guidance to give as PCP 37:50
  • School Alternatives / Innovations to Going Back 40:10
  • The Difference Between Equity and Equality 42:50
  • Testing in Schools 43:45
  • Resources to Follow For More Information 46:00
  • Take-Away Points 47:10
  • Optimism 48:25
  • Picks of the Week 53:50
Jul 29, 2020
#227 Baffled by NAFLD?
4521

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!


Credits

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

Sponsor: Pediatrics On Call


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


Time Stamps

  • 00:00 Intro
  • 03:15 Guest one-liner; Picks of the Week*
:
  • 08:15 Sponsor
  • 08:50 Case from Kashlak part 1; What is hepatic steatosis?
  • 11:43 NAFLD acronyms and definitions
  • 18:20 Alcohol and Fatty Liver
  • 23:15 Initial Evaluation of NAFLD
  • 35:12 Dr Matherly’s piel to patients with fatty
  • 41:11 NASH/Fibrosis Risk Assessment
  • 48:54 Outcomes in NASH with Fibrosis
  • 51:20 Statins are safe in liver disease
  • 56:15 Treatment Options (surgery, Vitamin E, Pioglitazone, SLGT2 inhibitors and GLP1 agonists; Coffee?!)
  • 71:42 Take home points and Outro
Jul 27, 2020
#226 Kidney Boy on Acute Kidney Injury: Myths & Musings - Tips and Tricks from Joel Topf MD
4162

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!


Credits

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


Sponsor: Pediatrics On Call 


Sponsor: VCU Health CE - Check out curbsiders.vcuhealth.org and create your FREE account!


Time Stamps

  • 00:00 Intro
  • 03:00 Guest one-liner, Picks of the Week*: Zoe Keating albums (Cellist); Mrs. America (TV series) on FX; The Last of Us (Videogame);
  • 08:45 Sponsor
  • 09:15 Definition of acute kidney injury (AKI) and fundamentals
  • 11:00 Cardiorenal syndrome
  • 12:24 Schema for AKI
  • 17:30 Establish an etiology, determine urine output and address electrolyte abnormalities
  • 21:22 AKI in the otherwise-healthy patient;
  • 32:20 Rhabdomyolysis
38:21 Vancomycin
  • 41:43 Acute interstitial nephritis (AIN)
  • 44:52 Contrast induced nephropathy (CIN)
  • 50:37 Gadolinium in AKI and/or CKD
  • 52:53 Timing of dialysis
  • 56:37 AKI in the out-patient setting and how to handle home meds e.g. TMP-SMX, RAAS inhibitors;
  • 62:01 Is Ultrasound necessary in AKI
  • 64:58 Dr. Topf’s take home points and Plug for Seminars in Nephrology
Jul 20, 2020
#225 Women in Medicine: COVID Edition
4442

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!

 

Credits

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

 

Sponsor: VCU Health CE - Check out curbsiders.vcuhealth.org and create your FREE account!

 

Episode Breakdown

  • Intro, disclaimer
  • Introduction and bio for Kelly Graham, MD, MPH
  • Introduction and bio for Lekshmi Santhosh, MD MAEd
  • One-liner for Kelly Graham, MD, MPH
  • One-liner for Lekshmi Santhosh, MD MAEd
  • Gender Awakening Moments
  • Picks of the Week*
  • Case from Kashlak
  • Difficulty with lack of childcare while working
  • Hippocratic Oath paradox
  • Dr. Santhosh’s 3 Ps
  • Motherhood penalty-fatherhood bonus
  • Two Pandemics, One Response
  • Breadwinner-homemaker bias
  • Female physician burnout
  • Minority Tax
  • Silver Linings
  • Take home points and Outro
Jul 16, 2020
#224 Hospital Addiction Medicine with Dr Melissa Weimer
3577

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.

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

Credits

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

Sponsor: VCU Health CE - Check out curbsiders.vcuhealth.org and create your FREE account!

Time Stamps

  • Intro, disclaimer, guest bio : 00:00
  • Guest one-liner:    03:00
  • Picks of the Week*:   08:20
  • Case from Kashlak:  10:30
  • Urine Toxicology Screens 11:30
  • Discussing Urine Toxicology Screens with Patients  13:20
  • Management of Polysubstance Withdrawal 16:16
  • Tapering Benzodiazepines   19:56
  • Acute Pain Management and Opioid Use Disorder 30:35
  • Active Drug Use in the Hospital 38:52
  • Harm Reduction 40:00
  • Discharges - Planned 43:43
  • Perioperative Buprenorphine and Methadone: 46:50
  • QT Prolongation and Methadone - 52:53
  • Outro 56:21
Jul 13, 2020
Cystic Fibrosis Licked (Cribsiders #1) with Dr. Whittney Warren
3620

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/.

 

Credits

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

 

Time Stamps

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

 

Goal

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

 

Learning objectives

After listening to this episode listeners will…  

  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.
Jul 06, 2020
#223 Hot COVID Cakes: COVID19 Disparities, Steroids, Hormones for Depression, Probiotics
2828

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!


Credits

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


Sponsor: VCU Health CE - Check out curbsiders.vcuhealth.org and create your FREE account!


Time Stamps

  • 00:00 Intro, disclaimer, guest bio
  • 02:20 Silver Linings / Picks of the Week: Chicken Run (2000) and Chicken Run 2 on Netflix; Philly Inquirer story on COVID sniffing dogs; Buy some peaches! And check out their Wikipedia page!
  • 07:33 Hospitalizations and Mortality Among Black and White patients with COVID-19
  • 26:10 Dexamethasone for COVID-19
  • 28:55 Hormonal therapy for depression
  • 38:16 Probiotics
  • 45:00 Outro
Jul 02, 2020
#222 Addressing Anti-Black Racism in Medicine Utibe Essien MD, MPH
3226

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!


Credits

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


Sponsor: VCU Health CE - Check out curbsiders.vcuhealth.org and create your FREE account!


Time Stamps

  • 00:00 Intro, disclaimer, guest bio
  • 02:40 Guest one-liner, Picks of the Week*: Just Mercy
  • 09:20 Statement from the show; Importance of discussing racism in medicine
  • 14:11 Definitions
  • 18:06 Identifying how racism manifests in the clinical setting
  • 37:46 Ideas for advocacy
  • 49:50 Take points and Outro
Jun 25, 2020
#221 Interstitial Lung Disease with Erin Narewski DO - Breathtaking knowledge and other words of inspiration
3862

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!


Credits

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

Sponsor: ACP membership acponline.org/member


Sponsor: VCU Health CE - Check out curbsiders.vcuhealth.org and create your FREE account!


Time Stamps

Jun 22, 2020
#220 Social Determinants of Health with Karen DeSalvo MD
2396

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!


Credits

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


Sponsor: VCU Health CE - Check out curbsiders.vcuhealth.org for and create your FREE account!


Time Stamps

  • Intro, disclaimer, guest bio 0:44
  • Dr Desalvo’s one-liner 3:34
  • Picks of the Week*- The Great Influenza book by John M Barry  5:01
  • Dr Desalvo’s advice and past experience 6:10
  • Case from Kashlak 10:30
  • What about the evidence for social determinants? 13:40
  • What to do about this in the clinic, and is it worth screening? 16:06
  • Approaching as a team and with the community 19:40
  • How do we affect the upstream, before the downstream consequences? 22:40
  • NAM recommendations and framework 26:00
  • The role of technology 30:00
  • What are Social Determinants of Health (SDOH), and who they affect 34:00
  • Start paying attention to SDOH 37:00
  • Outro 38:49
Jun 18, 2020
#219 Post-Op Fever and Complications with Avital O’Glasser MD
3483

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!


Credits

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

Sponsor: ACP - acponline.org/member


Sponsor: VCU Health CE -Check out curbsiders.vcuhealth.org and create your FREE account!


Time Stamps

  • 00:00 Intro
  • 02:53 Guest one-liner, Picks of the Week*: 12 Angry Men 1957 Movie; Hedwig and the Angry Inch Cast Recording; PCSSNow Buprenorphine Waiver Training for Medical Students
  • 09:28 Sponsor
  • 10:17 Kashlak case; How to collaborate with our surgical colleagues
  • 13:45 Questions to ask at the time of transfer
  • 23:00 Routine Post-Op Care: Bowel regimen, pain control, delirium prevention, glucose, antihypertensives, and nausea
  • 44:25 Co-managing Complications and Fever/Tachycardia; Brief discussion of VTE prophylaxis
  • 57:55 Outro
Jun 15, 2020
#218 Trauma-Informed Care with Megan Gerber MD
4035

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!


Credits

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


Sponsor: ACP - Visit acponline.org/member


Sponsor: VCU Health CE - Check out curbsiders.vcuhealth.org and create your FREE account!


Time Stamps

  • Intro, disclaimer, guest bio (0:00 - 3:15)
  • Guest one-liner (3:30)
  • Kashlak Cases (13:45)
  • Epidemiology of trauma (15:18)
  • Trauma and #MeToo (18:10)
  • Defining Trauma-Informed Care (TIC) (19:00)
  • Integrating TIC into primary care (22:48)
  • Screening in TIC (25:00)
  • Containment and retraumatization (29:00)
  • Inquiring about trauma (30:45)
  • Recap and Office Visit Mechanics (35:30)
  • Building the Relationship (38:00)
  • Common Inquiry Mishaps (38:52)
  • TIC Physical Exam (40:20)
  • Resources for Patients (44:30)
  • Office Environment (48:00)
  • Provider Burnout (50:00)
  • TIC in Covid-19 (52:30)
  • Take-home Points (56:20)
Jun 08, 2020
Curious Clinicians Episode 1 - Clubbing
1309

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.

Jun 03, 2020
#217 COVID Cakes the Fourth: ACTT-1, Triple Therapy, PCR, Serology
3098

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!

 

 

Credits

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

 

Sponsors: ACP and VCU Health CE

 

Time Stamps

  • 00:00 Sponsors
  • 00:30 Intro, disclaimer
  • 02:40 Fomites, groceries and killer rats
  • 08:22 Sponsor
  • 09:22 ACTT-1 trial of remdesivir
  • 18:22 Triple therapy with lopinavir/ritonavir, ribavarin and interferon
  • 33:10 Background on PCR testing for SARS-CoV-2; How common are false negative PCR tests?
  • 44:25 Serologic testing for SARS-CoV-2; Utility of antibody testing; Test characteristics
  • 50:30 Outro
Jun 01, 2020
#216 Homeless Healthcare with Stefan Kertesz MD
3978

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!


Credits

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


Sponsor: VCU Health CE


Time Stamps

  • 00:00 Intro, disclaimer, guest bio
  • 3:17 Guest one-liner
  • 8:55 Picks of the Week*: Dr. Kertesz’s Book Recommendation: Saul Weiner’s On Becoming A Healer; Nora’s Pick of the week: BackStory (especially their episode on dynamite!) https://www.backstoryradio.org/
  • 10:07 Case from Kashlak
  • 10:56 Language: How to ask where a patient lives?
  • 13:25 Terminology: Persons Experiencing Homelessness:
  • 14:35 The stats on prevalence of health and illness in the homeless population, and the importance of both medical and environmental factors
  • 20:44 How to start the visit, and how to establish trust early on?
  • 27:40 Why is the mortality rate higher?
  • 35:15 Special conditions and Medication Considerations: Hypertension, Diuretics, Insulin and Food Insecurity, Substance Use Disorders, Feet, and Hepatitis C
  • 54:15 COVID and homeless healthcare
  • 57:00 Care Models
  • 62:30 Take Home Points and Outro
May 28, 2020
#215 Medical Myths: Challenge Dogma with Dr. Douglas Paauw
3035

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!


Credits

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


Sponsor: VCU Health CE



Time Stamps

  • 00:00 Intro, disclaimer, guest bio
  • 02:22 Guest one-liner; Career Advice, Picks of the Week*: Being Mortal, book by Atul Gawande; The Band Played On, book by Randy Shilts; Lagunitas Hoppy Refresher: zero alcohol, zero calories!
  • 06:15 Medical Myth Definitions
  • 10:20 Dogma: Metronidazole and Alcohol; Healthy RCT Metronidazole and Alcohol
  • 19:09 Expired Medications; Military Stockpiling Study
  • 24:22 Aspirin and Nitroglycerin; Unopened eye drops; Epi-Pens; Expired Med Recap
  • 31:13 Sinus Headaches; Trigeminal Nerve; Pearl: Recurrent headaches; Study showing Effectiveness of treatment (92%)
  • 41:07 Epinephrine in extremity; RCT of Epi in Extremities
  • Study showing Experts use it; Podiatry journal
  • 48:39 Take home points and Outro
May 25, 2020
#214 COVID Cakes 3: Llamas, Remdesivir, Strokes, Predicting the Future, and More!
3113

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!


Credits

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


Sponsor: VCU Health CE



Time Stamps

  • 00:00 Intro
  • 02:10 Fun animal facts: Llama antibodies
  • 09:10 Remdesivir RCT by Wang et al
  • 12:40 Power and Sample Size
  • 16:32 Baseline Characteristics, Results and Author’s conclusions
  • 19:15 Rahul’s conclusions: How chance and bias affected the results
  • 24:00 Right censoring; Viral load and timing of antivirals
  • 30:30 Final thoughts on Remdesivir RCT by Wang et al; Looking ahead to the NIAID (ACTT) trial
  • 33:53 Are patients really having fewer strokes and heart attacks?
  • 38:20 Awake proning
  • 43:30 Paul teaches us not to use the term “happy hypoxemic”
  • 45:00 CIDRAP viewpoint on future waves and exit strategies
  • 50:22 Outro
May 18, 2020
#213 Fatigue for Primary Care with Nina Mingioni MD - A Common Sense Framework
3486

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!


Credits

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


Sponsor: VCU Health CE


Time Stamps

  • 00:00 Intro, disclaimer, guest bio and a bad pun
  • 03:00 Guest one-liner
  • 07:10 Case from Kashlak, Defining fatigue; Taking a general history
  • 11:36 Most common causes of fatigue and how to elicit them from the history
  • 20:39 Physical exam for fatigue; Medications that cause fatigue;
  • 25:25 Exam findings and LRs for anemia; Sleep apnea
  • 30:55 Lab workup for fatigue; Expanded testing: Ferritin, Vitamins, EBV, Rheumatologic diseases, Celiac disease, Lyme
  • 47:55 Spiel to the patient when no answer is found
  • 51:14 Other diagnoses to consider: Fibromyalgia, Myalgic Encephalomyelitis
  • 55:09 Take home points and Outro
May 11, 2020
#212 Inpatient Alcohol Withdrawal: Sober Talk with Joji Suzuki, MD
3495

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


Credits

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


Sponsor: VCU Health CE



Time Stamps

  • 00:00 Intro, disclaimer, guest bio
  • 02:52 Guest one-liner; Career advice; Picks of the Week*: Why We Do What We Do (book); Fargo (film)
  • 08:10 A Case from Kashlak and Screening for Alcohol Use and Severe Withdrawal Risk
  • 17:32 Outpatient Versus Inpatient Treatment
  • 25:27 Gabapentin for alcohol withdrawal
  • 27:10 Indicators for ICU level Care
  • 31:53 Symptom-Driven versus Fixed-Dose Protocols , Benzos vs. Barbs
  • 36:55 And which benzo?
  • 39:47 A Natural History of Withdrawal
  • 44:10 Banana Bags and Thiamine Deficiency
  • 48:17 The Transition Home: Naltrexone, Bridge Clinics, and Motivational Interviewing
  • 56:36 Outro and Bonus clip
May 07, 2020
#211 COVID Cakes: Remdesivir, Anticoagulation, and Transmission
2988

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!


Credits

  • 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


Sponsors: Apollohct.com and VCU Health CE



Time Stamps

  • 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
May 01, 2020