The Curbsiders Internal Medicine Podcast

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#419 Rapid Response Series: Sepsis with Dr. Mohleen Kang A shock to the system Dec 04, 2023

Show notes

A shock to the system
Join us for an infectious conversation about sepsis as we learn about the recognition and initial management of sepsis on the wards. We are joined by Dr. Mohleen Kang (@KangMohleen, Emory University).
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Show Segments

Intro
Rapid fire questions/Picks of the Week
Case
Managing rapid response logistics
Sepsis Scoring Systems
Diagnostic Work-up for Sepsis
Access
Antibiotic Management
Fluids
Pressors
Supportive Measures for Sepsis
Outro

Credits

Producers, Writers, and Hosts: Meredith Trubitt, MD and Monee Amin, MD
Show Notes: Meredith Trubitt, MD
Infographic and Cover Art: Sean Evans or Caroline Coleman
Reviewer: Leah Witt, MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Mohleen Kang, MD, MSc

Transcript Disclaimer
We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content.

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#418 DIGEST (Tofurkey Edition): Semaglutide for HFpEF, TCAs for IBS, Aspirin vs Clopidogrel after PCI, Pitavastatin for HIV, Starchy Vegetables & Weight Gain, Heavy Metals in Cannabis Nov 27, 2023

Show notes

Join us as we review recent articles and news featured in The DIGEST #45 and #46, including semaglutide in HFpEF and obesity (STEP HFpEF), TCAs for irritable bowel syndrome (ATLANTIS), clopidogrel versus aspirin as long-term secondary prevention after PCI (HOST-EXAM), statins in HIV (REPRIEVE), weight changes and diet, and heavy metal exposure in cannabis users. Fill your brain hole with a delicious stack of hotcakes! Featuring Drs. Paul Williams (@PaulNWilliamz), Nora Taranto (@norataranto), and Matt Watto (@doctorwatto).
Claim free CME for this episode at curbsiders.vcuhealth.org!
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Credits

Written and Hosted by: Nora Taranto MD; Paul Williams, MD, FACP, Matthew Watto MD, FACP
Cover Art: Matthew Watto MD, FACP
Reviewers: Nora Taranto MD; Paul Williams, MD, FACP; Matthew Watto MD, FACP; Sai Achi, MD MBA
Technical Production: Pod Paste
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

Intro, disclaimer
STEP HFpEF: semaglutide for HFpEF in obesity
TCAs for IBS
HOST-EXAM and post-PCI clopidogrel versus aspirin after DAPT
REPRIEVE and pitavastatin in HIV
Starchy vegetables and weight changes
Cannabis and heavy metal content
Outro

Transcript Disclaimer
We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content.

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#417 USPSTF Update: PrEP for HIV Prevention with Dr. John Wong MD Nov 22, 2023

Show notes

Intro
What is PrEP?
USPSTF PrEP for HIV Prophylaxis recommendations
Defining Increased Risk for HIV
Counseling pearls
Types of PrEP, considerations about choice of PrEP
Talking about Safer Sex practices, HIV and STI screening on PrEP
Recap; outro

Credits

Producer, Writer, Show Notes, Infographic/Cover Art: Beth Garbitelli MD
Hosts: Paul Williams MD, FACP, Beth Garbitelli MD
Reviewer:Leah Witt MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: John Wong MD

#416: Antifungals, Candida, Mucorales, Aspergillus, Pneumocystis: The Fungus Among Us with Dr. Ilan Schwartz MD Nov 20, 2023

Show notes

“I collect spores, molds and fungus” - Dr. Egon Spengler
Dr. Ilan Schwartz MD PhD (@GermHunterMD) teaches us that we should always at least consider fungi in the differential diagnosis of unexplained sepsis, especially in patients with impaired immune systems or complex medical or surgical histories, and walks us through an approach to antifungals. Be sure to check out the Mycoses Study Group Education & Research Consortium (@MSG_ERC), an organization of clinicians who are dedicated to advancing diagnostics and treatment of fungal disease (where Dr. Schwartz serves on the board of directors!) Claim CME for this episode at curbsiders.vcuhealth.org!
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Show Segments

Intro
Rapid fire questions, get to know our guest
Intentionally vague case; When should we be worried about fungal infection?
Overnight emergencies: Candidiasis and mucormycosis
Starting empiric anti-fungals
Testing basics: direct versus indirect
Fungemia, fungal endocarditis
Resistant candida; candida auris
Pneumocystis jiroveci pneumonia
Outro

Credits

Producer, Writer, Show Notes, Infographic/Cover Art: Beth Garbitelli MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli MD
Reviewer: Emi Okamoto MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Ilan Schwartz MD, PhD

Transcript Disclaimer
We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content.

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#415 Bipolar Disorder With Dr. Kevin Johns Nov 13, 2023

Show notes

Intro
Case
Screening for mania
History for diagnosing bipolar disorder
Definition
Mimickers
Treatment
Outro

Credits

Written and Produced by: Deborah Gorth MD, PhD
Infographic and Cover Art: Deborah Gorth MD, PhD and Meryl Gorth MPH, RD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Deborah Gorth MD, PhD
Reviewer: Molly Heublein MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Kevin Johns MD

Transcript Disclaimer
We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content.

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REBOOT #300 Celiac Disease with Dr. Amy Oxentenko Nov 06, 2023

Show notes

We’re taking a short break, but we’ll be back next week with a brand-new episode. Can’t wait? Join our Kashlak family at patreon.com/curbsiders for access to twice-monthly bonus episodes… there are already 15 of them available to feed your brain hole! Yummy!
Tighten up your glute-n facts!
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!
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
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

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

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#414 Spooky Cakes: VKA vs DOACs in Frail Adults, RSV Vaccine, Cuff Size Matters, Bloating & Belching, AKI & Pip-Tazo Oct 30, 2023

Show notes

Join us as we review recent practice-changing articles on VKAs vs DOACs in frail adults with atrial fibrillation, RSV vaccine for adults over 60, how much does blood pressure cuff size matter, cotton fever in people who inject drugs, new bloating and belching guidelines, and does pip-tazo cause more AKI than cefepime. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), 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; Paul Williams, MD, FACP, Matthew Watto MD, FACP
Cover Art: Matthew Watto MD, FACP
Reviewer: Sai Achi, MD
Technical Production: Pod Paste
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

Intro, disclaimer
VKAs vs DOACs in frail adults with atrial fibrillation,
RSV vaccine for adults over 60,
how much does blood pressure cuff size matter?
cotton fever in people who inject drugs,
new bloating and belching guidelines,
does pip-tazo cause more AKI than cefepime?
Outro

Transcript Disclaimer
We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content.

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#413: Common Ear Complaints, Ear Exam 101, Cerumen Remedies, and more! Get an EARful with Dr. Angela Peng! Oct 23, 2023

Show notes

Intro with great pun!
Rapid fire questions/Picks of the Week
Case #1: Inner ear complaint
Ear Exam 101
Eustachian Tube Dysfunction
Cholesteatoma
Case #2: Outer ear complaint
Malignant otitis externa
Open tympanic membrane treatments
Cerumen impaction
Itchy Ears
Outro

Credits

Producer, Writer, Show Notes, Cover Art and Infographics: Isabel Valdez, PA-C
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Leah Witt, MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Angela Peng, MD

#24 Treating OUD in the Fentanyl Era: ASAM Treatment Week with Dr. Melissa Weimer Oct 17, 2023

Show notes

Keep saving lives by prescribing methadone and buprenorphine. Learn how initiations of each have changed in the era of high-potency synthetic opioids (HPSOs) like fentanyl and how to continue to provide person-centered care to people with opioid use disorder. We’re joined by Dr Melissa Weimer, @DrMelissaWeimer (Yale University). This episode is in honor of National Addiction Treatment Week (treataddictionsavelives.org).
Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
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Credits

Producers: Shawn Cohen MD, Kenneth Morford MD
Writer: Carolyn Chan MD MHS
Show Notes: Shawn Cohen MD
Infographic and Cover Art: Kenneth Morford MD
Hosts: Carolyn Chan MD. MHS Shawn Cohen MD, Natalie Stahl MD, Kenneth Morford MD
Reviewer: Kento Sonoda MD
Showrunner: Carolyn Chan, MD, MHS
Technical Production: PodPaste
Guest: Melissa Weimer DO MCR

Show Segments

Intro, disclaimer, guest bio 00:00
Guest one-liner 05:02
National Addiction Treatment Week 06:00
Case from Kashlak; Definitions 08:30
Starting methadone 11:01
Common methadone pitfalls 15:00
Buprenorphine precipitated opioid withdrawal 23:50
High-dose buprenorphine 32:20
Treating buprenorphine precipitated withdrawal 36:50
Low-dose buprenorphine 41:50
Maintenance dose of buprenorphine 48:15
ER buprenorphine 49:00
Take home points 53:31

#412 Low Carb, Keto, Fasting: Lifestyle Interventions for Weight Management Oct 16, 2023

Show notes

Semaglutide can’t fix everything…
Recommend lifestyle interventions for weight management with Dr. Will Yancy, Director of the Duke Lifestyle and Weight Management Center and Interim Chief of Division of General Internal Medicine at Duke (@DrWillYancy). Learn about the ketogenic diet, lower carbohydrate diets, and exercise, and their impacts on your patients.
Claim free CME for this episode at curbsiders.vcuhealth.org!
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Credits

Producer and writer: Fatima Syed, MD, MSc, FACP
Show Notes, Infographic, and Cover Art: Fatima Syed, MD, MSc, FACP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Emi Okamoto, MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Will Yancy, MD

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