The Curbsiders Internal Medicine Podcast

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#342 Checkpoint Inhibitors: The power, and adverse effects, of immunotherapy (ACP 2022) Jun 27, 2022

Show notes

With great power comes great immunogenicity. Learn about the ins and outs of immunotherapy–its indications, its power, and its adverse effects–in this episode with Dr. Christian Cable, hematologist/oncologist and medical educator extraordinaire. We learn a riveting history of immunotherapy and about how checkpoint inhibitors work, as well as the best practices for identifying downstream effects of checkpoint inhibitors and their immune system activation (it’s all about the -Itis!).
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Show Segments

Intro
What is Immunotherapy?
A History Lesson
Immune Checkpoint Inhibitors (ICIs)
Immune Related Adverse Events (irAEs)
Endocrine complications of checkpoint inhibitors
Rheumatologic complications of checkpoint inhibitors
Considerations before starting checkpoint inhibitors (and what labs to check)
Diagnosing and Managing irAEs
Common post-irAE questions
New Kids on the Block: CAR-T
Take Home Points

Credits

Written and Produced by: Nora Taranto MD
Hosted by: Molly Heublein MD; Nora Taranto MD; Paul Williams MD, FACP
Guests: Christian Cable MD
Show Notes: Nora Taranto MD
Cover Art: Andrea Perdigão
Infographics: Andrea Perdigão
Reviewer: Emi Okamoto MD, FACP
Production team: Pod Paste

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Full transcriptHERE
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

#341: Headache Update: Making Migraines Less Painful with Dr. Kevin Weber Jun 20, 2022

Show notes

Dr. Kevin Weber @KwebMD (Ohio State University Wexner Medical School) takes the pain out of headache management! Have the confidence to prescribe new CGRP-antagonists and ditans for migraine prevention and acute relief. We also dive deep into when to order imaging and alternatives like infusions and devices.
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Show Segments

Intro, disclaimer, guest bio
Guest one-liner, Picks of the Week
Case from Kashlak Definitions
Imaging for headaches
Labs
Headache types
Acute Migraine Treatment
Ditans
Anti-cgrp medications
Prophylactic Migraine Treatment
CGRP antagonists
Devices
Take home points
Outro

Credits

Producer, writer, and show notes: Isabel Valdez PA-C
Infographic: Edison Jyang
Cover Art: Chris Chiu MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Chris Chiu MD
Reviewer: Molly Heublein MD
Showrunner: Matthew Watto MD, FACP
Technical Production: PodPaste
Guest: Dr. Kevin Weber

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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.

#340 Gallbladder Disease Jun 13, 2022

Show notes

Help your patients navigate gallbladder disease, including asymptomatic stones, incidental polyps, and uncomplicated cholecystitis. Dr. Rahul Pannala (@RahulPannala) talks us through how to diagnose biliary colic, what imaging to order, and what to anticipate for potential post-cholecystectomy complications (eg persistent pain or diarrhea). Feel confident in sending the right patients for cholecystectomy!
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Show Segments

Intro, disclaimer, guest bio
Guest one-liner
Case from Kashlak; Definitions
Typical biliary pain
Imaging for cholelithiasis
Treatment for symptomatic gallstones
Post-cholecystectomy diarrhea and pain
Inpatient management of cholecystitis
Advanced imaging- HIDA scans and MRCP
Incidental gallbladder findings
Outro

Credits

Producer, Writer, Show Notes: Molly Heublein, MD
Infographic/Cover Art: Lyan Chang
Hosts: Molly Heublein, MD, Nora Taranto, MD; Paul Williams MD, FACP
Associate Editor: Leah Witt, MD
Showrunner: Matthew Watto MD, FACP
Technical Production: PodPaste
Audio Engineer for this live episode: Chris Chiu, MD
Guest: Rahul Pannala, MD

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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.

#339 Hand and Wrist Pain with Dr. Ted Parks Jun 06, 2022

Show notes

Intro, disclaimer, guest bio
Guest one-liner
Anatomy review: the thumb is the short one
Pathophysiology of De Quervain’s tenosynovitis
Physical examination for thumb pain
Management of DeQuervain’s and CMC arthritis
Pathophysiology of trigger finger
Management of trigger finger
Pathophysiology of carpal tunnel syndrome
Physical examination for carpal tunnel syndrome
Carpal tunnel syndrome management
Outro

Credits

Writer and Producer: Paul Williams, MD
Infographic and Cover Art: Paul Williams, MD
Hosts: Paul Williams MD and Molly Heublein, MD
Editor: Emi Okamoto, MD (written materials)
Guest: Ted Parks, MD

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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.

#338 LIVE! Medical Cannabis: Is it still dope? May 30, 2022

Show notes

It’s high time we revisit the benefits and harms
Master the ins-and-outs of medical cannabis! Dr. Julia Arnsten (@DrArnsten) will lead us through the initial evaluation of a patient interested in medical cannabis, summarize the state of evidence for the benefits and harms, lay out a schema for dosing and formulations, provide pearls on how to counsel patients, and more!
Claim free CME for this episode atcurbsiders.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
Definitions and terminology
A brief history of medical cannabis
Case from Kashlak
History to obtain for a patient interested in medical cannabis
Medical cannabis dosing and formulations
Conditions for which the evidence supports considering medical cannabis
Risks of medical cannabis
Disparities in access to medical cannabis
Does medical cannabis reduce opioid use?
Outro

Credits

Producer and Writer: Matthew Watto MD, FACP
Show Notes, Infographic, and Cover Art: Malini Gandhi
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Associate Editor: Leah Witt MD
Showrunner: Matthew Watto MD, FACP
Production Team: PodPaste
Guest: Julia Arnsten MD, MPH

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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.

#337 Palpitations, Erectile Dysfunction: A rapid review (TFTC) May 25, 2022

Show notes

Recap and review the top pearls from recent episodes #320 Palpitations and #317 Erectile Dysfunction 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.
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

Show Segments

Intro, disclaimer, guest bio
Palpitations: Diagnosis, Cardiac Monitors, Treatment, Patient Counseling
Erectile Dysfunction
Outro

Credits

Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP
Show Notes: Matthew Watto MD, FACP
Cover Art: Edison Jyang
Technical Production: Pod Paste

Sponsor: Pattern

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#336 Updates in Addiction Medicine: Live from SGIM May 23, 2022

Show notes

Learn from an expert panel in addiction medicine about a potpourri of fascinating topics, with updated data to guide clinical decision-making. We picked the brains of physicians Stefan Kertesz, Ximena Levander, Kenny Morford, and Katherine Mullins to learn about the latest updates in opioid tapering (don’t do it if there isn’t a good reason!), how to define recovery in alcohol use disorder, different options to treat methamphetamine use disorder, and Hepatitis C treatment in patients with active IV drug use. And there’s so much more, that we’re following this with a whole series in Addiction Medicine, set to come out in early July 2022!
Visit curbsiders.vcuhealth.org to claim CME credit for this episode.
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

Show Segments

Intro
Tapering long-term opioids
Perioperative buprenorphine management
Defining recovery in alcohol use disorder
The Fourth Wave
Treatment for methamphetamine use disorder
E-cigarettes for smoking cessation
Disparities in substance use disorder prevalence and treatment
Advocacy opportunities
Outro

Credits

Written and Produced by: Nora Taranto MD
Hosted by: Nora Taranto MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Guests: Stefan Kertesz MD MSc; Ximena Levander MD MCR FACP; Kenneth Morford MD FASAM; Katherine Mullins MD
Show Notes, Cover Art, Infographics: Nora Taranto MD
Reviewer: Molly Heublein MD
Production team: Pod Paste

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Sponsor: Blueland

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CME Partner: VCU Health CE
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.

#335 Generalized Anxiety Disorder May 16, 2022

Show notes

Join us as we de-mystify the diagnosis, talk treatment strategies, parse through pharmaceutical options, and figure out follow-up in Generalized Anxiety Disorder with Dr. Dheepa Sekar (@DheepaSekarMD)! Anxiety disorders are one of the most common mental health concerns in our country and this episode will give you the tools to address it in clinic!
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
Differential diagnosis for GAD
Counseling about diagnosis
Initial guidance on first-line management, apps for mindfulness
Prescribing basics, SSRI and SNRI considerations
Bridging with hydroxyzine and buspirone
Monitoring treatment response
Managing side effects
Tapering medication
Alternative agents, atypical antipsychotics, and benzos
Take Home points, Outro

Credits

Producer, Scriptwriter, Show Notes, Infographic/Cover Art: Beth Garbitelli
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli
Reviewer: Emi Okamoto MD
Showrunner: Matthew Watto MD, FACP
Production Team: PodPaste
Guest: Dheepa Sekar MD

Sponsor: Indeed Visit indeed.com/internalmedicine to claim you $75 credit now.
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Sponsor: Panacea Financial Visit panaceafinancial.com today to learn how a bank for doctors, by doctors can help you.
Sponsor: BetterHelp
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CME Partner: VCU Health CE
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.

#334 IBS, Functional Dyspepsia, and Cyclic Vomiting: Disorders of Gut Brain Interaction (DGBI) May 09, 2022

Show notes

Learn diagnostic and therapeutic management strategies for IBS, functional dyspepsia, and cyclic vomiting (aka disorders of gut brain interaction (DGBI))! It's like three episodes in one as we run through how to individualize evaluation and management for patients with functional dyspepsia, IBS, and cyclic vomiting. Topics: scripts for counseling patients, the pathophysiology of DGBI, which diagnostic tests are necessary, pharmacologic and nonpharmacologic options, and even hypnotherapy?! We’re joined again by the great Dr. Xiao Jing (Iris) Wang, (@IrisWangMD, Mayo Clinic)
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 (6:20)
Definition of Disorders of the Gut-Brain Interaction (7:30-11:00)
Functional Dyspepsia: diagnostic criteria, definitions (15:30-24:30), and treatments (24:30-36:00)
Irritable bowel disease: diagnostics (41:00), testing algorithm, and treatments (55:00)
Cyclic Vomiting Syndrome and Cannabis Hyperemesis Syndrome: definitions, diagnosis, and management (1:11)
Take home points
Outro

Credits

Producer: Elena Gibson MD
Writer:Andréa Perdigão, Elena Gibson
Show Notes and Infographics: Andréa Perdigão
Cover Art: Kate Grant
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Associate Editor: Leah Witt
Showrunner: Matthew Watto MD, FACP
Editor: Clair Morgan of nodderly.com
Guest: Dr. Xiao Jing (Iris) Wang MD

Sponsor: Ten Thousand

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Sponsor: Pattern

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CME Partner: VCU Health CE
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.

#333 Prescribing pearls, Periop Medicine, PMR, Gout, OSA, Nocturia, Food as Medicine, a new Obesity paradigm, and rethinking Afib! ACP #IM2022 Highlights May 06, 2022

Show notes

We recap the top pearls from ACP #IM2022 including important drug interactions/intolerance (acetaminophen, tramadol, ticagrelor, nirmatrelvir-ritonavir), perioperative medicine (bridging, DOAC reversal agents, dental procedures, MINS), recognizing PMR, when to initiate urate-lowering therapy in gout, glucocorticoid-induced osteoporosis, food as medicine, dietary potassium, OSA, nocturia, telemedicine and health equity, a new obesity medicine paradigm, advances in HIV/PrEP, and rethinking atrial fibrillation!
Note: Due to a rapid turnaround there is no CME for this episode, but visit curbsiders.vcuhealth.org to claim credit for past episodes.
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Show Segments

Intro
Tapering long-term opioids
Physician Wellbeing
Common drug interactions (acetaminophen, ticagrelor, tramadol, Nirmatrelvir-ritonavir)
Perioperative medicine (bridging, DOAC reversal agents, dental procedures, MINS)
Nocturia and OSA
Food as Medicine
Rheumatology (how to diagnose PMR, when to initiate ULT for gout and steroid-induced osteoporosis)
Avi’s pearls on (diversity, telemedicine, telehealth, burnout)
Obesity medicine (a new paradigm and a new medication)
HIV in primary care (PrEP, long-acting injectable antiviral therapy)
Atrial fibrillation
Outro

Credits

Written, Produced, and Hosted by: Nora Taranto MD; Molly Heublein MD; Chris Chiu MD, FACP, FAAP; Avital O’Glasser MD, FACP; Alan Dow MD, FACP; Matthew Watto MD, FACP; Paul Williams MD, FACP
Show Notes: Matthew Watto MD, FACP
Cover Art: Chris Chiu MD, FACP, FAAP
Production team: Pod Paste

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