The Curbsiders Internal Medicine Podcast

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#309 Prediabetes & Type 2 Diabetes Screening: A USPSTF Quick Update Dec 06, 2021

Show notes

Sweeten your day with a review of the updated 2021 USPSTF Prediabetes and Type 2 Diabetes screening guidelines with expert guest Dr. Chien-Wen Tseng! We review the new screening recommendations, assess different testing modalities, talk through screening intervals, and emphasize other risk factors that impact screening!
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Credits

Written and Produced by: Paul Williams MD & Elena Gibson MD
Cover Art: Beth Garbitelli
Hosts: Paul Williams MD, FACP; Elena Gibson MD
Reviewer: USPSTF Team
Executive Producer: Beth Garbitelli
Showrunner: Matthew Watto MD, FACP
Editor: Clair Morgan of nodderly.com
Guest: Chien-Wen Tseng MD

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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. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit.
Time Stamps*

*Note: Time Stamps refer to ad free version.

Intro, disclaimer, guest bio: 0:33
Guest one-liner: 3:30
Picks of the Week: Sneaky pick at 3:00! Guest pick: 4:45
Case from Kashlak of Mr. Sugar: 5:30
Screening recommendations: 6:00
Testing modalities: 10:00
Possible harms of screening: 15:50
Screening intervals: 18:00
Prediabetes screening: 20:45
Other risk factors that impact screening: 26:30
Recap: 34:15
Outro: 36:25

#308 Metabolic Alkalosis and Hypokalemia: Kidney Boy Returns! Nov 29, 2021

Show notes

@Kidney_Boy returns to school us on metabolic alkalosis and hypokalemia! What do diuretics, hyperaldosteronism, black licorice, and milk-alkali have in common? Our Chief of Nephrology, Dr. Joel Topf, talks through the pathophysiology of metabolic alkalosis, the utility of urine chloride and pH measurements, why normal saline is sometimes better than balanced solutions, when to reach for acetazolamide, and more! Urine for a good time ; )
Claim free CME for this episode at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits

Written and Produced by: Matthew Watto MD, FACP
Show Notes, CME, Infographic and Cover Art by: Matthew Watto MD, FACP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli
Reviewer: Emi Okamoto MD
Executive Producer: Beth Garbitelli
Showrunner: Matthew Watto MD, FACP
Editor: Clair Morgan of nodderly.com
Guest: Joel Topf MD

Sponsor: ACP
Join the American College of Physicians today! U.S. based post-training physicians can take advantage of a limited-time 20% membership discount. Visit acponline.org/ACPdiscount and use the code ACP20. Membership discount is available only through December 31, 2021.
Sponsor: GrammarlyTake the stress out of getting the words right with Grammarly.Our listeners get 20% off Grammarly Premium at grammarly.com/CURB
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.
Show Segments

Intro, disclaimer, guest bio
Guest one-liner, Picks of the Week*
Case from Kashlak; Definitions
Case of Al Kaline - metabolic alkalosis from vomiting
Pathophysiology of metabolic alkalosis
Case of Mike Arbonate - hypokalemic, metabolic alkalosis from aggressive IV diuresis and therapies to mitigate
Case of Fracture Franny - milk-alkali syndrome
Case of Hyper Al - metabolic alkalosis from excess mineralocorticoid receptor activation
Outro

#307 Spooky Tofurkey Cakes: SGLT2 for HFpEF, Diverticulitis, VTE update, Rotator Cuff Disease Nov 24, 2021

Show notes

Fill up your plate with some spooky tofurkey cakes! Drs. Rahul Ganatra (@rbganatra) and Nora Taranto (@norataranto) help catch us up recent practice-changing articles and guidelines including EMPEROR-Reduced (SGLT2 inhibitors for HFpEF), the 2021 CHEST VTE guidelines update, whether or not antibiotics are needed for diverticulitis, and what treatments are most effective for rotator cuff disease!
Claim free CME for this episode at curbsiders.vcuhealth.org!

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Credits

Written by: Nora Taranto MD; Rahul Ganatra MD, MPH; Matthew Watto MD, FACP
Show Notes: Matthew Watto MD, FACP
Cover Art: Beth Garbitelli
Hosts: Nora Taranto MD; Rahul Ganatra MD, MPH; Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Rahul Ganatra MD, MPH
Executive Producer: Beth Garbitelli
Showrunner: Matthew Watto MD, FACP
Editor: Clair Morgan of nodderly.com

Sponsor: Birch by Helix

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Sponsor: BetterHelp

Get 10% off your first month at betterhelp.com/curb
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.
Show Segments

Intro, disclaimer,
Picks of the Week
EMPEROR-Reduced (SGLT2 inhibitors for HFpEF)
GRASP trial for rotator cuff disease (physiotherapy and steroid injections)
DINAMO trial (no antibiotics for outpatients with uncomplicated diverticulitis)
2021 CHEST VTE Guidelines Update
Outro

#306 Bronchiectasis and NTM: You can’t get enough sputum! Nov 22, 2021

Show notes

Take a deep breath and inhale high-yield knowledge molecules about the perplexing conditions known as bronchiectasis and NTM (nontuberculous mycobacteria)! Learn the pitfalls and pearls of diagnosis and management from one of the world’s experts, the great Dr. PJ McShane from UT Health - East Texas!
Claim free CME for this episode at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

Credits

Writers/Producers: Cyrus Askin MD; Leah Witt MD
Infographic & Cover Art: Kate Grant MBChb, MRCGP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Cyrus Askin MD
Reviewer: PJ McShane MD
Editor: Leah Witt MD (written materials); Clair Morgan of nodderly.com
Guest: PJ McShane MD

Sponsor: Ten Thousand.
Ten Thousand is offering our listeners 15% off your next purchase! Go to https://www.tenthousand.cc and enter code: CURB to receive 15% off your purchase at checkout!
Sponsor: The American College of Physicians Join the American College of Physicians today! U.S. based post-training physicians can take advantage of a limited-time 20% membership discount. Visit acponline.org/ACPdiscount and use the code ACP20. Membership discount is available only through December 31, 2021.
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.

Show Segments

Intro, disclaimer, guest bio
Guest introduction and recommendations
Case from Kashlak - Part I: The Basics
- What is bronchiectasis, how do we define it?
- Symptoms and history
- Why does it matter?
- What should you ask, how do you work this up?
- A brief discussion on antibiotics
Case from Kashlak - Part II: Getting into the Management
- Airway Clearance
Case from Kashlak - Part III: The Sputum (Plot) Thickens
- What is a bronchiectasis exacerbation?
- Pitfall and pearls regarding exacerbation management
Case from Kashlak - Part IV: The Sputum (Plot) Thickens Even Further!
- Non-tuberculous Mycobacterial Infections - the basics
- Triple Drug Therapy for MAC
- The new kid on the block: Liposomal Inhaled Amikacin for refractory MAC
Summary and take home points from Dr. McShane
Outro

#305 OB for the Internist: What to Expect Nov 15, 2021

Show notes

What to expect when you’re taking care of a patient who’s expecting! This fantastic episode will help you work through preconception counseling with ease, assess and treat non-obstetrical acute concerns in pregnant patients, and help you conceptualize best practices for postpartum care. We are joined by expert guest Dr. Xiaolei Chen.
Claim free CME for this episode at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits

Producer: Beth Garbitelli
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Beth Garbitelli
Show Notes by: Shelagh Browne
Cover Art and Infographic: Edison Jyang
Reviewer: Molly Heublein MD
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Guest: Xiaolei Chen MD

Sponsor: GreenChef Go to GreenChef.com/curb125 and use code curb125 to get $125 off including free shipping!GreenChef.com/curb125
Sponsor: Need to hire? You need Indeed. Get started RIGHT NOW with a $75SPONSORED JOB CREDIT to upgrade your job post at Indeed.com/INTERNALMEDICINE. Offer valid through December 31st. Terms and conditions apply.
Sponsor: Provider Solutions & Development

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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 .
Show Segments

Intro
Picks of the week
Preconception counseling
Lifestyle: caffeine, alcohol, exercise
Preconception medications
Management of acute complaints during pregnancy
Go-to medications for acute complaints during pregnancy
Chronic diseases during pregnancy
Postpartum management
Breastfeeding recommendations
Take-home points
Outro

#304 COVID Updates: The Outpatient Edition Nov 08, 2021

Show notes

Who gets a COVID booster? Can we mix and match COVID vaccines? What are monoclonal antibodies and when should we use them? What is molnupiravir and does it work? Shots for kids? Ready yourself to answer these questions and more with our guest, Dr. Monica Gandhi @MonicaGandhi9.
Claim free CME for this episode at curbsiders.vcuhealth.org!

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

Producer and Writer: Isabel Valdez PA, Molly Heublein MD
Infographic: Edison Jyang
Cover Art: Edison Jyang, Isabel Valdez, PA
Hosts: Molly Heublein MD, Chris Chui MD, Isabel Valdez PA
Reviewer: Emi Okamoto MD
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Guest: Monica Gandhi MD

Sponsor: The American College of Physicians

Join the American College of Physicians today! U.S. based post-training physicians can take advantage of a limited-time 20% membership discount. Visit acponline.org/ACPdiscount and use the code ACP20. Membership discount is available only through December 31, 2021.
Sponsor: Provider Solutions & Development

Start the conversation or reach out to one of their career navigators today at info.PSDConnect.org/curbsiders
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.
Show Segments

Intro, disclaimer, guest bio
Guest one-liner, Picks of the Week*
Case from Kashlak
Covid Boosters
Pfizer data
Moderna Data
DNA vaccines
Pediatric Vaccines
Monoclonal Antibodies
Molnupiravir
Dr Gandhi’s crystal ball
Outro

#303 Women in Medicine: Wellness & Workarounds Nov 01, 2021

Show notes

Explore burnout and gender-based differences in well-being with our esteemed guests Drs. Clif Knight, Tammy Lin, and Kim Templeton. We discuss workarounds for leading our way to wellness.
Dr. Clif Knight is a family physician and Senior Vice President for Education at the American Academy of Family Physicians (AAFP) with extensive leadership and expertise in well-being.
Dr. Tammy Lin is an internal medicine specialist and a Voluntary Assistant Clinical Professor at the University of California, San Diego Health Sciences. We originally met her as a member of the Wellness through Equity and Leadership (WEL) Program and she started a podcast called "The DEI Shift" (pronounced The "Day" Shift), which focuses on diversity, equity, and inclusion within the medical field. Dr. Knight and Dr. Lin participated in the 2019-2020 WEL program-- six different specialty organizations came together to think about the core tenets of equity, well-being and leadership and how you really can’t have one without the other.

Dr. Kim Templeton is Professor of Orthopaedic Surgery at the University of Kansas Medical Center in Kansas City. Her research focuses on women physicians and the inclusion of sex and gender medicine in medical education.
No CME for this episode, but claim CME for past episodes at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits

Written and Produced by: Leah Witt, MD and Shreya Trivedi, MD
Infographic: Leah Witt, MD
Cover Art: Kate Grant MBChB MRCGP DipGUMed
Hosts: Matthew Watto MD, FACP; Leah Witt, MD, Shreya Trivedi, MD
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Guest: Clif Knight, MD, Tammy Lin, MD, Kim Templeton, MD

Sponsor: Grammarly

Get 20% off Grammarly Premium by signing up at Grammarly.com/CURB
Sponsor: The American College of Physicians Join the American College of Physicians today! U.S. based post-training physicians can take advantage of a limited-time 20% membership discount. Visit acponline.org/ACPdiscount and use the code ACP20. Membership discount is available only through December 31, 2021.
Sponsor: Panacea Financial

Learn about their $1,000 giveaway at panaceafinancial.com/curb. Panacea Financial is a division of Primis member FDIC.
Sponsor: Provider Solutions & Development

Start the conversation or reach out to one of their career navigators today at info.PSDConnect.org/curbsiders
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. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit.

Show Segments

Intro, disclaimer, guest bios
Burnout & Wellness
The Case: Dr. Elizabeth Blackwell & her friend in primary care
The Part-Time Discussion
Outro

#302 LFTs Triple Distilled Oct 27, 2021

Show notes

Fine-tune your approach to liver tests! It’s LFTs Triple Distilled! Paul and Matt channel the wisdom of hepatologist, Dr. Elliot Tapper (@ebtapper) to cover hepatocellular vs cholestatic vs mixed patterns, which tests to order, which ones to skip, how to handle isolated alkaline phosphatase elevation, mild, chronic ALT elevation, and even how to interpret liver test abnormalities in pregnancy.
Note: No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for shows #293 at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

Credits

Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP
Infographic by: Elena Gibson
Cover Art: Matthew Watto MD, FACP
Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com

Sponsor: Birch by HelixBirch is giving $200 off ALL mattresses and 2 free eco-rest pillows at BirchLiving.com/curb

Sponsor: Locumstory Visit Locumstory.com to see if a locum tenens assignment is right for you.

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.

Show Segments

Intro, disclaimer, guest bio
Hepatocellular pattern
Cholestatic pattern
Chronic ALT elevation
Isolated Alkaline phosphatase elevation
Liver test abnormalities in pregnancy
Outro

#301 LIVE! Top Pearls 2021: A Rapid Fire Review of Systems Oct 25, 2021

Show notes

Join us for this rapid fire review of systems featuring our top pearls and articles LIVE! from the TriService ACP conference. Matt and Paul serve up their favorite practice changing knowledge food on antibiotics, MRSA, hair loss, dementia, seizures, diabetes, medications for hypertension, foods for constipation, diverticulitis, colon cancer screening, colon polyps, chronic sinusitis, chronic cough, treatment of uterine bleeding, and more!
No CME for this episode, but check out curbsiders.vcuhealth.org for past CME offerings!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

Credits

Matthew Watto MD, FACP; Paul Williams MD, FACP
Cover Art: Sawyer Watto
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

Sponsor: BetterHelpGet 10% off your first month at betterhelp.com/curb.

Sponsor: ACP’s National Internal Medicine Day Help the American College of Physicians celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD2021 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtag #NationalInternalMedicineDay.

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.

Show Segments

Intro, disclaimer
ID: Shorter is better; MRSA swabs; Antibiotics for diverticulitis
Endo: Prediabetes in older adults,
MSK: Knee OA, orthopedic surgery
Derm: Alopecia
Neuro: Seizures, dementia quick typing
Cardio: Coffee and arrhythmias; Hypertension management, ACEi vs ARBs
Respiratory: Chronic cough and sinusitis
GI: CRC screening, foods for constipation
GU: treatment of uterine bleeding
Addiction Medicine: smoking cessation, buprenorphine
Outro

#300 Celiac Disease with Dr. Amy Oxentenko Oct 18, 2021

Show notes

Take control of celiac disease (CD) with gastroenterologist, Dr. Amy Oxentenko (Chair of Medicine at Mayo Clinic AZ, @AmyOxentenkoMD). Learn how to recognize both classic and non-classical features of CD and understand diagnostic testing, management and proper follow-up for patients.
Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits

Production and Script: Matthew Watto MD, FACP
Production, Show Notes and Infographics: Edison Jyang
Cover Art: Kate Grant MBChB, MRCGP, DipGUMed
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Beth Garbitelli
Reviewer: Emi Okamoto MD
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Guest: Amy Oxentenko MD, FACG

Sponsor: ACP’s National Internal Medicine DayHelp the American College of Physicians celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD2021 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtag #NationalInternalMedicineDay.

Sponsor: Grammarly Get 20% off Grammarly Premium by signing up at Grammarly.com/CURB

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.

Show Segments

Intro, disclaimer, guest bio
Guest one-liner, Picks of the Week
Case from Kashlak; Definitions
Workup for a typical celiac patient
Nonclassical features of CD
When to do a small bowel biopsy
Management of CD
Considerations for atypical celiac patient and differentials
Non-celiac gluten sensitivity
Outro

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