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

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

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Show Segments

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

Credits

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

Sponsor: Mint Mobile 

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

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


Sponsor: American College of Physicians

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

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

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

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

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Show Segments

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

Credits

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

Sponsor: Beginly Health

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

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Elevate your rhinitis management!

Learn from expert allergist Dr. Olajumoke Fadugba about rhinitis and environmental allergies. You’ll review how to distinguish between allergic and non-allergic rhinitis, and how to decode the drugstore allergy aisle for your patients!

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

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Show Segments

• Intro
• Rapid Fire Questions
• Case Part 1
• Allergic vs Non-Allergic Rhinitis
• The Rhinitis History and Physical
• Allergy skin testing
• The Pathophysiology of Allergies
• Oral, intranasal and ocular treatments
• Case Part 2
• Allergy immunotherapy
• Chronic sinusitis
• Sinus rinses
• Climate Change and Allergies
• Outro

Credits

• Producer: Leah Witt, MD & Matthew Watto MD
• Writer, Show Notes, Infographic, and Cover Art:  Leah Witt, MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Sai S Achi, MD MBA
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest:  Olajumoke Fadugba MD

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

Sponsor: Litter Robot 

Whisker is currently offering $50 off Litter-Robot bundles. As a special offer to listeners of the show, go tostopscooping.com/CURB and use promo code CURB to save an additional $50 on any Litter-Robot bundle.

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

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

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Show Segments

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

Credits

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

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

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

Episodes | Subscribe | Spotify | Swag! | Mailing List | askcurbsiders@gmail.com | Free CME!

Show Segments

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

Credits

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

Full transcript HERE

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

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

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

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Show Segments

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

Credits

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

Sponsor: Grammarly 

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Full transcript HERE

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

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

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Show Segments

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

Credits

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

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With Carolyn Chan MD and Shawn Cohen MD

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

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

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Show Segments

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

Credits

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

Sponsor: ExpressVPN

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

Sponsor: Southern California Permanente Medical Group 

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

Full transcript HERE

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

Sponsor: Better Help

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Full transcript HERE

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

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

Sponsor: Grammarly

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Full transcript HERE

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

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

Sponsor: Birch Living

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

Full transcript HERE

Anxious about psychiatry on the wards? Don’t be! Join us with guest Dr. Aaron Gluth (Emory University) as we learn about the role the hospitalist plays in managing co-morbid psychiatry conditions on the wards. 

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

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Show Segments

• Intro
• Rapid fire questions/picks of the week
• Case
• Pertinent history
• Physical Exam including Mental Status Exam
• Role of the multidisciplinary team
• Work-up for reversible causes
• Agitation management
• Framework for capacity and challenging ethical scenarios
• Mortality gap
• Transitions of Care
• Outro

Credits

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

Sponsor: Dementia Care Aware 

For Dementia care training and more visit dementiacareaware.org

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CURB50 for $50 off their first month.

Sponsor: Panacea Financial

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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
  
  

Sponsor: BetterHelp

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Sponsor: Indeed

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Super foods handout 

Full transcript HERE

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

Sponsor: Green Chef

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Sponsor: Medmastery

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Full Transcript HERE

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

Sponsor: BetterHelp

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Sponsor: Indeed 

Visit Indeed.com/internalmedicine to start hiring now.  

Sponsor: Hello Fresh  

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Full Transcript HERE

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

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

Sponsor: Wild Grain

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Full Transcript HERE

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
  
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Full Transcript HERE

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

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!

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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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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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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!

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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

Join us as we review recent practice-changing articles on preventive PCI, andexanet alfa for ICH, aspirin for fatty liver, naltrexone in cirrhosis, pivmecillinam for UTI, cefepime vs pip-tazo, MDRO decolonization, microplastics and MACE, and more! Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), Nora Taranto (@norataranto) and Matt Watto (@doctorwatto).

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

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Credits

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

Show Segments

• Intro, disclaimer
• Preventive PCI
• Andexanet alfa for ICH
• Aspirin for MASLD
• Naltrexone for AUD in cirrhosis
• Pivmecillinam for UTI
• MDRO decolonization
• Cefepime vs pip/tazo
• Microplastics
• Pax-NO-vid
• Outro

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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.

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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

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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!

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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

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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. 

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!

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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


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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. 

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!

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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

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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. 

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!

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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
  
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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. 
  
  

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.

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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 

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Full Transcript HERE

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!
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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 

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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. 

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.
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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

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:  #37 Lipids, PCSK9, and ezetimibe: Lower is better. #10 Cholesterol, lipids, statins, fish oil. Become a Master Lipidologist.
Sorry, no CME for this reboot episode, but claim CME for past episodes at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

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
  
  

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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!
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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

Sponsor: Panacea Financial

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Sponsor: Ten Thousand 

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Sponsor: Indeed

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Sponsor: Medmastery

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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. 

Recorded LIVE! At Johns Hopkins Internal Medicine Grand Rounds

Step up your anemia game as we explore the causes and diagnostic approach for macrocytic anemia, what to do with a reticulocyte count, the differential diagnosis for hemolytic anemia, the significance of the direct antiglobulin test, and diagnosis and management pearls for autoimmune hemolytic anemia (AIHA) and myelodysplastic syndrome (MDS). Plus, common questions and concerns regarding folate supplementation and the use of bone marrow biopsies. We’re joined by hematologist and pun enthusiast Dr. Rakhi Naik MD, MHS, @redcell_doc @hopkinsheme. 

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

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

Show Segments

• 00:00 Intro and Guest intro
• 05:53 Case 1: Elise - Macrocytic Anemia
• 14:59 Case 2: Jane - Hemolytic Anemia
• 23:24 Testing for Underlying Causes of Autoimmune Hemolytic Anemia
• 24:40 Association of Autoimmune Hemolytic Anemia with Lymphomas
• 25:10 Autoimmune Hemolytic Anemia: Diagnosis and Treatment
• 26:06 Management Approach for Autoimmune Hemolytic Anemia
• 27:30 Considerations for Outpatient Treatment of Autoimmune Hemolytic Anemia
• 28:18 Clotting Risk in Autoimmune Hemolytic Anemia
• 29:20 Treatment Options for Autoimmune Hemolytic Anemia
• 30:42 Long-Term Prognosis and Recurrence of Autoimmune Hemolytic Anemia
• 33:32 Diagnostic Challenges in Myelodysplastic Syndrome
• 35:00 Considerations for Folate Supplementation
• 36:24 Factors to Consider in the Management of Myelodysplastic Syndrome
• 39:30 When to Perform a Bone Marrow Biopsy in Myelodysplastic Syndrome
• 41:25 Shared Decision-Making in the Treatment of Myelodysplastic Syndrome

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; Paul Williams MD, FACP   
• Reviewer: Fatima Syed MD, MSc
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Rakhi P. Naik MD, MHS

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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!
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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. 

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:  #330 & #331 Inpatient Diabetes with Dr. Dave Lieb #309 USPSTF Quick Update: Prediabetes & Type 2 Diabetes Screening #296 Diabetes FAQ with Dr. Jeff Colburn #243 Diabetes Triple Distilled #168 Diabetes Update with Jeff Colburn MD #96: Diabetes: A1C targets & ACP guidelines controversy #51: Diabetes treatment in 2017: New meds, insulin, and cardiac risk reduction
Sorry, no CME for this reboot episode, but claim CME for past episodes at curbsiders.vcuhealth.org!
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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

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

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

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Sponsor: Pattern

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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.

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!
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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

Sponsor: Southern California Permanente Medical Group 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

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!
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
• 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. 

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

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. 

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

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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  Visit panaceafinancial.com today to learn how a bank for doctors, by doctors, can help you.
Sponsor: Better Help Visit betterhelp.com/curb to get 10% off your first month.
Sponsor:  Provider Solutions & Development  Visit info.psdconnect.org/curbsiders to start a conversation with and with an expert recruitment advisor.
Sponsor: Indeed Sign up at indeed.com/internalmedicine now and get a $75 credit toward your first sponsored job. 
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. 

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: Grammarly Visit grammarly.com/CURB and get 20% off when you upgrade to Grammarly Premium. 
Sponsor: Medmastery Visit medmastery.com/curbsiders to claim a 15% lifetime discount on and of their subscriptions.
Sponsor: Locumstory Visit Locumstory.com to learn more about locums
Sponsor: Green Chef Go to GreenChef.com/curb130 and use code curb130 to get $130 off, plus free shipping
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. 

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

Get disability insurance quotes with Pattern at patternlife.com/curbsiders 

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

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: Birch by Helix

Visit birchliving.com/curb to get $200 off ALL mattresses and 2 free eco-rest pillows. 

Sponsor: Blueland

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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. 

Don’t just sit on that borderline calcium!  Learn how to approach hypercalcemia and work up primary hyperparathyroidism.  In this episode, we learn who goes to surgery, how to work them up, and some variants of typical primary hyperparathyroidism. We’re joined by Dr. Lindsay Kuo @lindsaykuo (Temple University Hospital)

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

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Show Segments

• 00:00 Intro
• 03:31 Understanding Primary Hyperparathyroidism
• 09:03 Handling Mistakes and Complications in Surgery
• 11:44 Case Discussion: Hypercalcemia and Elevated PTH Levels
• 22:41 Symptoms of Primary Hyperparathyroidism
• 25:06 The Role of Vitamin D in Primary Hyperparathyroidism
• 28:07 Testing Considerations for Parathyroid Hormone (PTH) Levels
• 46:02 Considerations for Parathyroid Carcinoma
• 49:19 Parathyroid Imaging in Primary Hyperparathyroidism
• 52:23 The Surgical Procedure for Primary Hyperparathyroidism
• 57:45 Intraoperative Parathyroid Hormone Monitoring
• 01:00:15 Post-Operative Monitoring for Hypocalcemia
• 01:04:38 Normocalcemic Primary Hypoparathyroidism and Normohormonal Primary Hyperparathyroidism

Credits

• Written and produced by: Paul Williams, MD, FACP
• Show Notes: Paul Williams, MD, FACP
• Infographic and Cover Art: Paul Williams, MD, FACP
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Fatima Syed, MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Lindsay Kuo, MD

Sponsor: Freed

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Sponsor: Panacea Financial

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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!
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
• 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: Indeed Visit indeed.com/internalmedicine to claim you $75 credit now.
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Sponsor: Panacea Financial  Visit panaceafinancial.com today to learn how a bank for doctors, by doctors can help you.  
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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. 

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!
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 (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: Ten Thousand

Go to tenthousand.cc/curb to receive 10% off.
Sponsor: Pattern

Visit patternlife.com/curbsiders to request a disability insurance quote.

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. 

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

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