The Curbsiders Internal Medicine Podcast

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#464 Recap Extravaganza: Dental Pain, Cardiac Amyloidosis, Diabetes & CGMs, Hyperparathyroidism, Neck Pain, Endometriosis, Rhinitis, and more! Dec 23, 2024

Show notes

Join us as Paul and Watto reflect on the past year, discussing some favorite insights gained covering a range of topics, including dental pain management, cardiac amyloidosis, the impact of continuous glucose monitoring on diabetes care, the complexities of diagnosing primary hyperparathyroidism, hepatitis B screening and vaccination, GLP-1 agonists, travel medicine, endometriosis, rhinitis, and recurrent UTIs. Plus, we feature listener voicemails sharing their favorite episodes and why they love the Curbsiders!
No CME for this episode, but claim CME for past shows at curbsiders.vcuhealth.org!
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Show Segments

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

Credits

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

Sponsor: AquaTru

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Sponsor: Freed

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REBOOT #429 Anxiety 2.0: with Dr. Jessi Gold Dec 16, 2024

Show notes

We're taking a short winter break, but we’ll be back with new shows in time for Christmas and New Years! Can’t wait for more new episodes? Sign up for our Patreon with 15% off an annual membership at patreon.com/curbsiders (https://www.patreon.com/c/curbsiders) and get instant access to 40 plus bonus episodes!
Elevate your primary care management of anxiety. Become confident in counseling patients about a new anxiety diagnosis, 2nd and 3rd line medications, augmentation for anxiety treatment, and options for non-pharmacological anxiety treatment. We are joined by psychiatrist and mental health expert Dr. Jessi Gold, @drjessigold (University of Tennessee System; drjessigold.com). Check out her book, How Do You Feel?
Visit our website for detailed show notes for this episode.
Claim CME for this episode at curbsiders.vcuhealth.org!

Sponsor: Freed

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

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

Sponsor: Pattern
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REBOOT #433 CGMs, Insulin, and How to Adjust Diabetes Meds to Glucose Patterns Dec 09, 2024

Show notes

We're taking a short winter break, but we’ll be back with new shows in time for Christmas and New Years! Can’t wait for more new episodes? Sign up for our Patreon with 15% off an annual membership at patreon.com/curbsiders (https://www.patreon.com/c/curbsiders) and get instant access to 40 plus bonus episodes!
Step up your diabetes game! Learn the ins and outs of continuous glucose monitors (CGM) including key features, what and how to order, interpreting CGM data (time in range, time above range, etc.), and how to make adjustments to a patient’s insulin regimen, aka “insulin pattern matching”. We discuss common scenarios including overnight hypoglycemia, exercise-induced hypoglycemia, post-prandial hyperglycemia, what to do when the patient runs high all the time, and how to incorporate GLP1 agonists and SGLT2 inhibitors into a patient's regimen. Returning guest and Paul’s favorite frenemy, Dr. Jeff Colburn (VCU Health) returns!
Visit our website for detailed show notes for this episode.
Claim free CME for this episode at curbsiders.vcuhealth.org!
Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.
Sponsor: OpenEvidence
If you haven't tried it out yet check it out, it will save you time and help you make better decisions go to openevidence.com/curbsiders
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Physicians deserve to be informed of the risks and benefits of their employment contract. Let Panacea Legal help you today at Panacea.Legal

REBOOT #415 Bipolar Disorder With Dr. Kevin Johns Dec 02, 2024

Show notes

#463 Tofurkey-cakes: A Hypertension Triple Pill, Arm Position & BP, early TAVR, Liberal vs Restrictive Transfusions, New Periop Guidelines Nov 25, 2024

Show notes

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

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

Show Segments

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

Sponsor: Freed

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

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

Sponsor: Uncommon Goods

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#462 Male Hypogonadism Pearls with Dr. Bradley Anawalt: Insights on Testosterone Deficiency Nov 18, 2024

Show notes

Risks/benefits in older males, when to test, fertility considerations, and more.
Master male hypogonadism diagnosis and management. Discover when and how to test, how to tackle confounding conditions, and why lifestyle changes may be more effective than testosterone therapy in certain patients. We are joined by Dr. Brad Anawalt, an expert in endocrine care, to guide us through the essentials.
Claim CME for this episode at curbsiders.vcuhealth.org!
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Show Segments

Intro
Case 1
History and Physical
Laboratory Testing
Effect of Lifestyle on Testosterone
Case 2
Prostate and Cardiovascular risk
Treatment Options and Considerations
Secondary Causes of Hypogonadism
Case 3
Testicular Size and Klinefelter Syndrome
hCG and Clomiphene
Monitoring and Follow-Up
Take-Home Points
Outro

Credits

Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD.
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Sai S Achi MD, MBA, FACP
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Bradley D. Anawalt MD

Sponsor: Freed

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

Sponsor: Pattern

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

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

#461: Facial Nerve Follies: Understanding Bell's Palsy Nov 11, 2024

Show notes

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

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

Credits

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

Sponsor: Beginly Health

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Sponsor: OpenEvidence

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

Sponsor: 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.

#460 HFpEF: Heart Failure with Preserved Ejection Fraction Nov 04, 2024

Show notes

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

Credits

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

Sponsor: Freed

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

Sponsor: Bombas

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#459 DIGEST: Finerenone for Heart Failure, PCV21 and the latest Pneumonia Vaccine Recs, 24-hour vs 15-hour Oxygen Therapy, and PREVENT vs PCE for Cardiovascular Risk Estimation Oct 28, 2024

Show notes

Join us as we review recent articles and news featured in The DIGEST issues #56 and #57, including finerenone for heart failure, the skinny on pneumonia vaccines and the latest, PCV21, long-term oxygen therapy (the REDOX trial), and the PREVENT vs PCE cardiovascular risk equations. Fill your brain hole with a fully digestible meal! Featuring Alex Chaitoff (@alexchaitoff), Rahul Ganatra (@rbganatra), Nora Taranto (@norataranto), and Matt Watto (@doctorwatto).
Note: **Update on Pneumonia Vaccine from ACIP: After we recorded and just before we published this episode, the CDC updated its vaccine guidance to include pneumonia vaccination for all adults aged 50 years and older to receive either PCV20, PCV21, or the combination of PCV15 followed by PPSV23 one year later (CDC site accessed 24 Oct 2024).**
Claim CME for this episode at curbsiders.vcu health.org!
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Credits

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

Show Segments

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

Sponsor: Freed

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

Sponsor: Quince

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

Sponsor: Beginly Health

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#458 HFrEF: Heart Failure with Reduced Ejection Fraction Oct 21, 2024

Show notes

Kittleson Rules Outpatient Heart Failure Volume 1
Provide superb outpatient care for your patients with HFrEF. Identify underlying causes of heart failure and titrate medications with ease. Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) breaks down the nuances of treating this common cardiac condition.
Claim CME for this episode at curbsiders.vcuhealth.org!
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Show Segments

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

Credits

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

Sponsor: Freed

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

Sponsor: Litter Robot

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

Sponsor: Beginly Health

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

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