The Curbsiders Internal Medicine Podcast

Latest Episodes:

#349 Hotcakes: Tirzepatide for weight loss, Personalized Antidepressants, Seasonal Edema, Nirmatrelvir for low-risk COVID-19 Aug 08, 2022

Show notes

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

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

Sponsor: Medmastery

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Sponsor: Green Chef

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Sponsor: South California Permanente Medical Group

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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.

#348 Myositis and Myopathy, LIVE! Aug 01, 2022

Show notes

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!
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
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
Sponsor: Grammarly

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Sponsor: Betterhelp

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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.

#347 USPSTF Update: Aspirin for Primary Prevention of CVD Jul 27, 2022

Show notes

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

Sponsor: Medmastery

Visit medmastery.com/curbsiders to receive a discount.
Full Transcript HERE

#346 Meningitis Jul 25, 2022

Show notes

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!
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; 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

Visit Indeed.com/internalmedicine to start hiring now.
Sponsor: Birch

Birch is giving $200 off ALL mattresses and 2 free eco-rest pillows at birchliving.com/curb.
Sponsor: Green Chef

Go to greenchef.com/curb135 and use code curb135 to get $135 off across five boxes and your first box shipped for free.
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.

#345 Vitamin and Mineral supplementation: A USPSTF Update with Dr. Michael Barry Jul 20, 2022

Show notes

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

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

REBOOT #191 Lipids and Cardiovascular Risk Reduction with Erin Michos MD Jul 18, 2022

Show notes

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

Sponsor: Better Help

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Sponsor: Green Chef

Go to GreenChef.com/curb135 and use code curb135 to get $135 off across five boxes and your first box ships free.

Sponsor: Medmastery

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#344 Multiple Sclerosis with Dr. Annette Okai Jul 11, 2022

Show notes

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!
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
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.

Addiction Medicine Series #1 Methadone for OUD w/Dr. Ruth Potee Jul 07, 2022

Show notes

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

REBOOT #25 Master Hyperglycemia and DKA Jul 04, 2022

Show notes

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

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

Sponsor: Better Help

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Sponsor: Panacea Financial

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#343 Hypertension FAQ and Cardiorenal: A rapid review (TFTC) Jun 29, 2022

Show notes

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.

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