The Curbsiders Internal Medicine Podcast

Latest Episodes:

#527 Oncology Potpourri for the Hospitalist Jun 01, 2026

Show notes

Malignant Bowel Obstruction, VTE and Goals of Care

Master malignant bowel obstruction, cancer-associated thrombosis, and goals-of-care conversations in hospitalized patients with advanced cancer. Learn practical approaches to symptom management, anticoagulation decisions, and navigating high-stakes discussions around prognosis and hospice care. We’re joined by Dr. Jensa Morris, @JensaMorrisMD (Yale School of Medicine).

Claim free CME for this episode at curbsiders.vcuhealth.org!
Show Segments

Intro
Picks of the Week
Case 1: Malignant small bowel obstruction: definitions, initial management, medications, NG tubes, nutrition, and procedural options
Case 2: Cancer-associated VTE: choice of anticoagulant, treatment duration, unusual thromboses, and anticoagulation with brain metastases
Case 3: Goals of care: prognosis, performance status, palliative care, hospice and end-of-life planningTake Home Points
Outro

Credits

Writer, producer, and show notes: Reaford Blackburn, Jr., MD
Infographic, Cover Art: Caroline Coleman, MD
Hosts: Monee Amin, MD and Meredith Trubitt, MD
Reviewer: Rahul Ganatra, MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Jensa Morris, MD

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#526 DIGEST – game changers in pancreatic cancer, lipid guideline updates, and GLP-1/GIP endoscopy holds May 25, 2026

Show notes

Join us as we review recent articles and news featured in The DIGEST, including updated lipid guidelines, GLP1 agonists holds and procedures, the newest drug in pancreatic cancer, and discontinuing thyroid supplementation. Fill your brain hole with a delicious stack of hotcakes! Featuring Drs. Nora Taranto (@norataranto), Laura Glick (@lauraglick) and Matt Watto (@doctorwatto).

Written and Hosted by: Nora Taranto MD MSCE, Laura Glick MD, Matthew Watto MD, FACP
Cover Art: Nora Taranto MD MSCE
Reviewers: Emi Okamoto MD
Technical Production: Pod Paste
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

Intro and pun
Lipid Management Guidelines Overview
Emerging Treatments in Oncology
Press Release on a new KRAS Inhibitor for Pancreatic Cancer
Perioperative Considerations for GLP-1 Use
Deprescribing Levothyroxine in Older Adults

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#525: Multi-Cancer Early Detection Testing May 18, 2026

Show notes

Cut through the hype of Multi-Cancer Early Detection (MCED) tests and learn how to counsel patients on the real-world utility, false-positive risks, and the "stage shift" debate of these emerging blood assays. We are joined by world-renowned oncologist Dr. Margaret Tempero,UCSF Cancer Early Detection and Interception, to discuss whether these tests are truly ready for clinical prime time.

Show Segments

00:00 Introduction
01:57 Current Cancer Screening Programs
06:05 Emerging Blood-Based Cancer Tests
11:55 Test Characteristics and Limitations
18:05 Practical Considerations for Patients
25:33 Direct-to-Consumer Testing/Whole Body MRIs
36:46 Navigating Positive Test Results
45:10 Anxiety and Patient Education
47:08 Future Directions in Cancer Screening
Outro

Credits

Producer, Writer, Show Notes, Infographic, Cover Art: Molly Heublein MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Sai S Achi MD,MBA,FACP
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Margaret Tempero, MD

Disclosures

Dr. Tempero reports the following financial relationships:
Grail (research support), Global Bio Access Fund (Advisor), Bristol Myers Squibb (Membership on Advisory Committees or Review Panels, Board Membership, etc.), Astra Zeneca (Membership on Advisory Committees or Review Panels, Board Membership, etc), Immunovia (Membership on Advisory Committees or Review Panels, Board Membership, etc.), Merck (advisory committee), Renovo Rx (advisory committee), Urogen (Advisor). Financial relationships have not ended.
The Curbsiders report no relevant financial disclosures.

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REBOOT: #509 Fresh Hypertension Guidelines. West Philadelphia Doc Jordy Cohen Keeps Our Hypertension Management Fresh May 11, 2026

Show notes

We have another classic episode for you. Don’t get caught treating high blood pressure like it is 2024. Dr. Jordy Cohen (@jordybc.bsky.social, University of Pennsylvania) guides us through the new hypertension guidelines.

Intro
Case: Jeremy
Wearable devices inaccuracies
Ideal blood pressure measurement
Diagnosis and workup
Management and fixed-dose combination pills
Case: Jolene and pregnancy
Outro

Credits

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

Disclosures

Financial Relationships disclosed for Dr. Jordana Cohen: Wolters Kluwer (Royalties or Patent Beneficiary) and National Institutes of Health (Grant or research support)

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Sponsor: Continuing Education Company
Visit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts.

#524 SHM Converge 2026–Recap May 04, 2026

Show notes

We go so that you want to go next year!

Stay current with updates in hospital medicine from SHM Converge 2026 in Nashville, TN.

Claim CME for this episode at curbsiders.vcuhealth.org!

Intro
Picks of the Week
Heart Failure Updates
Things We Do For No Reason: Top 10
Pneumonia updates
Pharmacotherapy Updates
Severe Acute Liver Injury
Nephrology Updates
MED-TED Competition Pearls
Fevers in Oncology
Addiction Updates for the Hospitalists
Alternatives to Guardianship
Infectious disease updates
Updates in Transfusion Medicine
Sodium overcorrection/demyelinating syndrome
Total parenteral nutrition (TPN)
Perioperative hip fracture management
EKG Updates
Dermatology Updates
Home Antibiotics
Sepsis Updates
Updates in Hospital Medicine
Diabetes Inpatient Management Updates
Outro

Credits

Producer and Writer: Monee Amin MD, Caroline Coleman MD, Meredith Trubitt MD
Show Notes: Caroline Coleman MD and Meredith Trubitt MD
Cover Art: Caroline Coleman MD
Hosts: Monee Amin, MD, Meredith Trubitt, MD
Reviewer: Emi Okamoto MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Dan Hunt MD, Kierstin Kennedy MD, Noble Maleque MD, Suchita Sata MD, Richard White MD

Disclosures

Drs. Hunt, Kennedy, Maleque, Sata and White report no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

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#523 Hotcakes: Left Atrial Appendage Closure vs AC for Afib, Apixaban vs Rivaroxaban for VTE, Intensive LDL Targeting, GLP1s and Substance Use Disorders, and more Apr 27, 2026

Show notes

Join us as we review recent practice-changing articles on left atrial appendage closure vs AC for AFib, apixaban vs rivaroxaban for VTE, intensive LDL targeting, GLP1s and substance use disorders, and more! Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Shani Herzig (@ShaniHerzig) Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto).

Claim CME for this episode at curbsiders.vcuhealth.org!

Written and Hosted by: Rahul Ganatra MD, MPH; Shani Herzig, MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP
Cover Art: Rahul Ganatra MD, MPH
Reviewer: Emi Okamoto, MD
Technical Production: Pod Paste
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

Intro, disclaimer
Left atrial appendage closure vs anticoagulation in AF
Apixaban vs rivaroxaban for VTE
Intensive LDL targeting in ASCVD
GLP1s and substance use disorders
FDA approves Orforglipron
E-cigarettes and cancer
Early AM blood draws and sleep quality
Outro

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#522: Healthy Aging with Dr. Elizabeth Eckstrom Apr 20, 2026

Show notes

Join us as we explore practical, evidence-based strategies to help patients age with strength and confidence, and navigate the transition into retirement. We’re joined by Dr. Elizabeth Eckstrom (Oregon Health & Science University)!

Claim CME for this episode at curbsiders.vcuhealth.org!

Intro
Case
Navigating Retirement
Staying Physically Active
Benefits of Tai Chi
Nutrition
Mobility limitations/chronic pain
Osteoporosis
Anti-aging/memory supplements
Community Resources
Outro

Credits

Written and Produced by: Ashlee Randolph DO, Rachel Miller MD
Show Notes, infographic, cover art: Ashlee Randolph DO, Rachel Miller MD
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: Elizabeth Eckstrom MD, MPH

Disclosures

Dr. Elizabeth Eckstrom reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

The production of this episode was supported by the Penn Geriatrics AGE-SMART Geriatric Workforce Enhancement Grant. This podcast content is solely the responsibility of the authors and does not necessarily represent the official views of the Health Resources and Services Administration or the U.S. Department of Health and Human Services.

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Sponsor: Continuing Education Company

Visit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts.

Sponsor: Locumstory.com

Locumstory.com is literally just a free, unbiased resource dedicated to educating physicians about locums.

#521 Tales of the Pelvis Apr 13, 2026

Show notes

Gain an insider’s perspective on the techniques of pelvic floor physical therapy. Learn when to refer, what to expect and what can be gained from working with your friendly neighborhood pelvic floor PT specialist. We’re joined by our guests Dr. Nicole Schaffer and Dr. Rachel Rosvold from Uplift Pelvic Floor Physical Therapy in Horsham, PA.

Claim CME for this episode at curbsiders.vcuhealth.org!

Intro, guest bios
Case #1 from Kashlak
Urinary incontinence in post-partum setting
Pelvic floor changes in perimenopause
Case #2 from Kashlak
Erectile dysfunction
PT for chronic prostatitis and erectile dysfunction
Constipation and fecal incontinence
Outro

Credits

Written and Produced by: Alise Burke, MD
Infographic and Cover Art: Zoya Surani
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: Nicole Schaffer PT, DPT, cert MDT and Rachel Rosvold PT, DPT. Follow them on Instagram @upliftpelvicpt

Disclosures

Dr. Nicole Schaffer and Dr. Rachel Rosvold report no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

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#520: Healthspan Medicine, A Practical Approach Apr 06, 2026

Show notes

How do we help patients improve health span without letting wearables, biomarkers, and wellness trends take over the conversation? Learn how to think about CGMs in patients without diabetes, how to interpret early cardiometabolic risk beyond the A1c, how to prescribe exercise in a practical way, and how to counsel patients about sleep, wearables, and even peptides. We’re joined by Dr. Sandeep Palakadedi (Dr. “Deep”), founder and CEO of Velocity Health and author of The Ultimate Asset.

Intro
CGMs, Postprandial Glucose, and Data Neurosis
Beyond Glucose: ApoB, Lp(a), and Early Cardiometabolic Risk
Body Composition, VO2 Max, and Functional Longevity
Sleep, HRV, and Wearables
Prescribing Exercise in Real Life
How to Talk to Patients About Peptides
Take-Home Points

Credits

Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD.

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Sai S Achi MD, MBA, FACP
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Sandeep Palakodeti MD, MPH

Disclosures

Dr. Palakodeti reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Sponsor: MINT MOBILE

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Sponsor: FIGS

We’ve teamed up with FIGS, and now Curbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX.

Sponsor: Continuing Education Company

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#519 Mild Autonomous Cortisol Secretion Mar 30, 2026

Show notes

Become a master of cortisol and learn how to identify and treat a common condition in patients with adrenal tumors! Join us as we learn about mild autonomous cortisol secretion (MACS) with Dr. Irina Bancos (@irinabancos), an internationally renowned adrenal expert!

Intro
Advice for listeners
Adrenal incidentaloma Definition (Case 1)
Hormonal workup for adrenal incidentalomas
Defining mild autonomous cortisol secretion (MACS)
Significance and prevalence of MACS
Diagnostic testing for MACS
Treatment options for MACS (surgery vs. comorbidity management)
Post surgical management of MACS (Case 2)
Diagnostic testing for adrenal insufficiency (AI)
Glucocorticoid withdrawal syndrome management
Deciding when patients are able to come off of steroids after AI
Outcomes after adrenalectomy in MACS
Take home points

Credits

Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD.

Producer, writer, show notes, and CME: Mobeen Ahmad MD
Cover art and infographic: Kate Grant MBChb, MRCGP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Mobeen Ahmad MD
Reviewer: Emi Okamoto MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Irina Bancos MD, MSc

Disclosures

Dr. Bancos has the following disclosures:

Consulting, advisory board or safety monitoring board (all fees to institution): Recordati, Corcept, Esteve, Spruce, Sparrow, Diurnal, Neurocrine, Lufordi, Adaptyx, Crinetics, Xeris, AstraZeneca, NovoNordisc, Camurus.
Research grant for investigator initiated research (to institution): Esteve, Recordati

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