The Curbsiders Internal Medicine Podcast

Latest Episodes:

#397: Insulin, Type 2 Diabetes, Fanny Packs, and Hypoglycemia with Dr. Jeff Colburn May 29, 2023

Show notes

Don’t be scared of insulin or hypoglycemia anymore! Our Kashlak Friend of the Pod Dr. Jeff Colburn gives us all the essentials you’ll need in your fanny pack for navigating the ups and downs of insulin in type 2 diabetes.
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Show Segments

Intro
Rapid fire questions/Picks of the Week
Case #1: Starting insulin
Types of basal insulin: glargine, detemir, NPH, 70/30 NPH/regular
Glucose monitoring while on insulin
Glucose targets when taking insulin
Overbasalization
Adding additional agents to basal insulin
Case #2: Deescalating insulin
Insulin use in the geriatric population
Hypoglycemia Rule of 15
Glucagon how-to
Outro

Credits

Producer, Writer, Show Notes, Infographic and Cover Art: 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: Jeff Colburn, MD

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Full Transcript available HERE

#396 Recap, Top Pearls from #SGIM23 May 22, 2023

Show notes

Don’t miss this rapid-fire recap of our top pearls from #SGIM23 in Aurora, Colorado, including obesity medicine, GLP1 agonists, trauma-informed care, an update on hormone therapy for vasomotor symptoms of menopause, treating low sexual desire in women, dementia diagnosis and treatment, chronic pain and buprenorphine, complex persistent opioid dependence, chlorthalidone vs hydrochlorothiazide, the timing of blood pressure medication, how to prescribe CPAP or auto-PAP, and more! Paul and Watto are joined by Drs. Justin Berk (@justinberk), Chris Chiu (@cjchiu), Carolyn Chan (@CarolynAChanMD, Curbsiders Addiction Medicine), and Era Kryzhanovskaya (@EraKryzhMD, Curbsiders TEACH).
No CME for this episode due to rapid turnaround, but claim CME for most episodes at curbsiders.vcuhealth.org!
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Show Segments

Intro
Recap, Top Pearls Part 1
Recap, Top Pearls Part 2
Outro

Credits

Written, Produced, and Hosted by: Justin Berk MD, MBA, MPH; Chris Chiu MD, FACP, FAAP; Carolyn Chan MD; Era Kryzhanovskaya MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Show Notes: Matthew Watto MD, FACP
Cover Art: Matthew Watto MD, FACP
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Sponsor: Pattern

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#395 Dysphagia with Dr. Diana Snyder May 15, 2023

Show notes

There might be a lot to swallow, but you will master an initial approach to dysphagia in this episode. Review the types of dysphagia, common etiologies, initial evaluations and treatment plans. We are joined by Dr. Diana Snyder @DianaSnyderMD (Mayo Clinic)
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Show Segments

Intro & Picks of the Week
Case
Dysphagia definitions
Oropharyngeal vs esophageal dysphagia
Associated symptoms and alarm signs
Outro

Credits

Producer, Writer & Show Notes: Elena Gibson MD
Show Notes: Elena Gibson MD
Cover Art & Infographic: Kate Grant MD
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: Diana Snyder MD

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Full transcript available HERE

#394 Recap, Top Pearls from ACP #IM2023 May 08, 2023

Show notes

Don’t miss this rapid fire recap of our top pearls from ACP #IM2023 in San Diego including hypertension, hypogonadism, frailty, afib, sleep medicine, in-flight emergencies, nephroprotective meds, order of antibiotics for pneumonia in the hospital, genitourinary syndrome of menopause, pickle juice for leg cramps, bristol stool scale and hepatic encephalopathy, coronary calcium, tirzepatide, cystatin c, functional dyspepsia, hair and nails, and more! Paul and Watto are joined by Drs. Justin Berk (@justinberk) and Chris Chiu (@cjchiu) of The Cribsiders Podcast.
No CME for this episode due to rapid turnaround, but claim CME for most episodes at curbsiders.vcuhealth.org!
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Show Segments

Intro
Recap, Top Pearls Part 1
Recap, Top Pearls Part 2
Outro

Credits

Written, Produced, and Hosted by: Justin Berk MD, MBA, MPH; Chris Chiu MD, FACP, FAAP; Matthew Watto MD, FACP; Paul Williams MD, FACP
Show Notes: Matthew Watto MD, FACP
Cover Art: Matthew Watto MD, FACP
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste

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Full transcript available HERE

#393 Live from SHM: Clinical Updates in Hospital Medicine May 01, 2023

Show notes

Join us for this Hotcakes style episode as we talk through impactful literature for the hospitalist with Dr. Heather Nye (UCSF) and Dr. Rahul Ganatra (@rbganatra, Harvard University) who presented the Clinical Updates in Hospital Medicine at SHM #Converge23.
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Show Segments

Intro, disclaimer
Rapid fire questions/Picks of the Week
EMPULSE
ADVOR
STRONG-HF
CRISTAL
Perioperative Gabapentin
Waterfall
Midline catheters vs PICC lines
What’s in a Name?
Outro

Credits

Producer, Writer, Show Notes: Monee Amin MD; Rahul Ganatra, MD; Meredith Trubitt MD;
Cover Art: Monee Amin MD
Hosts: Monee Amin MD; Meredith Trubitt MD
Reviewer: Fatima Syed MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Dr. Rahul Ganatra and Dr. Heather Nye

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Full transcript available HERE

#392 Live! Opioid and Xylazine Withdrawal in the Hospital Apr 26, 2023

Show notes

Dominate opioid and xylazine (aka tranq) withdrawal in the hospital with expert insights from Dr. Joseph D’Orazio (@dorazepam) recorded LIVE! at Pennsylvania Hospital Grand Rounds in Philadephia, PA. Xylazine, an alpha-2 adrenergic agonist, has emerged as a frequent contaminant in the opioid supply with a distinct withdrawal syndrome. You’ll learn to manage this common withdrawal syndrome while also addressing acute pain complaints and opioid withdrawal.
Sorry, no CME for this episode, but check out CME for past episodes at curbsiders.vcuhealth.org.
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Show Segments

Intro
Xylazine basics
Management of xylazine withdrawal
Opioid withdrawal and acute pain
Outpatient considerations for xylazine
Audience questions
Outro

Credits

Writer and Producer: Matthew Watto MD, FACP
Infographic and Cover Art: Matthew Watto MD, 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: Joseph D’Orazio MD

Full transcript available HERE

#391 Hypercoagulable Work-Up with Dr. Jean Connors Apr 24, 2023

Show notes

Intro
Case from Kashlak: DVT after a trip to Singapore
History-taking in a patient with a venous thromboembolism (VTE)
Risk factors for VTE
Who to test for thrombophilia, and how this testing influences management
Thrombophilia panel: what to order
When to send thrombophilia testing
Case from Kashlak: potential obstetric antiphospholipid syndrome
Antiphospholipid syndrome: diagnosis
Antiphospholipid syndrome: management
Outro

Credits

Producers and Writers: Malini Gandhi and Nora Taranto MD
Show Notes, Infographics, and Cover Art: Malini Gandhi
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: Dr. Jean Connors MD

Sponsor: Locumstory
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Sponsor: Panacea Financial
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Full transcript available HERE

#390 Resistant Hypertension Apr 17, 2023

Show notes

Hypertension FAQ Round #2 Dr. Jordy Cohen Strikes Back
Tackle resistant hypertension. Learn when it is pseudo resistant hypertension, and how to treat this pesky condition when it is true resistant hypertension. Dr. Jordy Cohen (@jordy_bc) leads us through her approach to keeping the BP where it should be (University of Pennsylvania).
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Show Segments

Intro
Case
Hypertension definition
Mechanisms of hypertension
Vascular stiffness and aging
Antihypertensive agents
Anxiety and hypertension
Escalating blood pressure management
Resistant hypertension
Ruling out pseudo resistant hypertension
Substance induced pseudo resistant hypertension
Pick of the Week
Outro

Credits

Written and Produced by: Deborah Gorth MD, PhD
Infographic and Cover Art: Deborah Gorth MD, PhD and Meryl Gorth
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: Jordy Cohen MD, MSCE

Sponsor: Indeed

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Full transcript available HERE

#389 Recap: SHM 2023 #Converge Apr 10, 2023

Show notes

We recap the top pearls for the hospitalist from #SHM #Converge2023 covering discussions on syncope, heart failure, COPD, pneumonia, sickle cell pain management, nausea and dyspnea, complex pain management issues, delirium, geriatrics updates, severe infections from injection drug use, electrolyte management, perioperative anemia and anticoagulation, and GI updates.
Note: Due to a rapid turnaround there is no CME for this episode, but visit curbsiders.vcuhealth.org to claim credit for past episodes.
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Show Segments

Intro
Picks of the Week
Syncope
Heart Failure
Nausea and Dyspnea
COPD and Pneumonia
Sickle Cell Pain Management
Pain Management for the Hospitalist
Delirium
Geriatrics Updates
Electrolyte Management
Perioperative Anticoagulation
Perioperative Anemia
Severe Infections from Injection Drug Use
GI updates
Outro

Credits

Written, Produced and Hosted by: Christina Sensabaugh MD, Meredith Trubitt MD, and Monee Amin MD
Cover Art: Monee Amin MD
Show Notes: Meredith Trubitt MD, Monee Amin MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste

Sponsor: Grammarly

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Sponsor: Brooklinen

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Sponsor: Locumstory

Get a comprehensive view of locums — and decide if it’s right for you — at locumstory.com.

Sponsor: Indeed

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Full transcript available HERE

#388 HIV in Primary Care with Dr. Jonathan J. “JJ” Nunez MD Apr 03, 2023

Show notes

LIVE! Updates in HIV management at Hershey
Highly active, high-yield points on HIV management in Primary Care! We are joined by Infectious Disease specialist Dr. Jonathan J. “JJ” Nunez MD (of Penn State Health - Hershey) to review basics of management, important comorbidities, and new horizons in HIV care.
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Show Segments

Intro
Establishing HIV Care, Initial History Taking
Privacy and HIV
Physical Exam Tips for HIV
Weight gain, managing cardiometabolic risks
Initial labs, tracking viral load
Undetectable = Untransmissible
Sexual history considerations, PEP, PrEP,
Anal paps, cervical cancer screening
Long-Acting HIV Medications
Take-home points
Outro

Credits

Producer, Writers: Paul Williams MD, FACP, Beth Garbitelli MD
Show Notes, Infographic, Cover Art: Beth Garbitelli MD
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: J.J. Nunez MD

Sponsor: Green Chef

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Full transcript available HERE

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