The Curbsiders Internal Medicine Podcast

Latest Episodes:

#367 Weekend Warriors, Fluids for Acute Pancreatitis, Colonoscopy Screening & Mortality, and SPRINT trial Revisited (Hotcakes) Nov 21, 2022

Show notes

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).
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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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#366 Opioid Use Disorder and Acute Pain in the Hospitalized Patient Nov 14, 2022

Show notes

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

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

Credits

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

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Full transcript HERE

#365: Perioperative Medicine with Anesthesiologist Dr. Angela Selzer Nov 07, 2022

Show notes

We’ve Come a Long Way From Ether
Learn how an anesthesiologist approaches perioperative medicine from how to choose the right type of anesthesia (general anesthesia vs regional anesthesia vs MAC), to preoperative risk assessment, and how to avoid anesthesia related complications. Our guest, anesthesiologist, Dr. Angela Selzer (Denver, CO) helps us explore high yield pearls regarding the practice of anesthesiology to empower the internal medicine clinician to deliver team-based, perioperative care.
Claim Free CE credit for this episode through VCU Health CE at curbsiders.vcuhealth.org!
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Show Segments

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

Credits

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

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Full transcript HERE

#364 Screening for syphilis: A USPSTF Update with Dr. Katrina Donahue Nov 02, 2022

Show notes

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

#363 Afib: Rhythm Control, Catheter Ablation, Afib in the hospital, and Left Atrial Appendage Closure Oct 31, 2022

Show notes

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

Show Segments

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

Credits

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

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Full transcript HERE

#362 Migraine Headaches, Acute Hypoxemia: A rapid review (TFTC) Oct 26, 2022

Show notes

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

#361 Advanced Lipidology Oct 24, 2022

Show notes

Lipids Update 2022: Cardiovascular Risk Reduction and New Medications on the Horizon with Erin Michos, MD
Show description:
Ready to take the next step in management of your patient with hyperlipidemia? Dr. Erin Michos (@erinmichos) returns to give us a lesson in Advanced Lipidology. She updates us on what new medications we can use for those difficult to treat lipids and what medications are on the horizon.
Unfortunately, this episode will not be available for CME. You can claim free CME for other episodes at curbsiders.vcuhealth.org!
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Show Segments

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

Credits

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

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Full transcript HERE

#360 Disease-Modifying Nutrition with Dr. Michelle McMacken Oct 17, 2022

Show notes

The treatment your patients need but may not be getting!
Take a bite out of our latest episode featuring guest expert Dr. Michelle McMacken (@DrMcMacken) and learn how you can help your patients effectively and sustainably reap the health benefits of improved nutrition. Discover the enormous evidence base for nutritional recommendations, develop scripts to engage patients, and update your CVD, T2DM, and hyperlipidemia treatment plans to meaningfully incorporate nutrition. Get your truffle-hunting outfit on, it’s time to go foraging for some tasty knowledge food!

Show Segments

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

Credits

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

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Super foods handout
Full transcript HERE

#359 Monkeypox with Dr. Boghuma Titanji Oct 10, 2022

Show notes

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.
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Show Segments

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

Credits

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

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Full Transcript HERE

#358 Oncologic Emergencies with Dr. Aditi Singh Oct 03, 2022

Show notes

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!
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Show Segments