The Curbsiders Internal Medicine Podcast

Latest Episodes:

#299 Acute Pain Management for the Hospitalist Oct 11, 2021

Show notes

Confidently manage acute pain in the hospital! In this episode listeners will learn how to develop a multimodal analgesia plan for acute pain in the hospital, as well as how to safely initiate and discharge a patient on opioids. We’re joined by Dr. Melissa Weimer @DrMelissaWeimer (Yale School of Medicine).
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: Carolyn Chan, MD
Script: Carolyn Chan, MD, Avi O’Glasser, MD
Cover Art and Infographic: Edison Jyang
Hosts: Matthew Watto MD, FACP; Carolyn Chan, MD
Reviewer: Emi Okamoto, MD
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Guest: Melissa Weimer DO

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: Green Chef Go to GreenChef.com/curb125 and use code curb125 to get $125 off including free shipping!

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

01:39 Intro, disclaimer, guest bio
03:20 Guest one-liner, Picks of the Week
09:18 Case from Kashlak; Definitions
11:00 Assessing Acute Pain
12:12 Types of Pain
15:08 Initiating Opioids
22:32 Counseling on Opioid Exit Strategy
25:26 Opioid Dependence vs. Opioid Use Disorder
29:50 Post-Op Pain Management
31:00 Other cool stuff
37:00 PCA
41:00 Opioid Taper
46:50 Acute Pain and Opioid Use Disorder
58:00 Methadone Titration
1:04:00 Outro

#298 Urinary Stone Disease Will Rock Your World Oct 04, 2021

Show notes

Producer: Paul Williams MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli
Show Notes by: Shelagh Browne, Kate GrantMBChB MRCGP DipGUMed,
Cover Art and Infographic: Kate Grant MBChB MRCGP DipGUMed
Reviewer: Molly Heublein, MD
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Guest: David Goldfarb MD, FSN, FNKF, FACP

Sponsor: ACP’s National Internal Medicine Day 2021acponline.org/NIMD21

Sponsor: Indeed indeed.com/internalmedicine

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

Guest book recommendation and advice
Common risk factors for urinary stone disease
Differential diagnosis of kidney stones
Symptomatology of kidney stones
Types of stones
Urine pH
Role of physical exam
Role of imaging
STONE score
Labs to order
Management of urinary stone disease
Prevention of urinary stones and approach to lifestyle/diet changes
Outro

#297 CRC Screening, Common Skin Complaints, and Antibiotic Pearls (TFTC #8) Sep 29, 2021

Show notes

We recap the top pearls on CRC Screening, Common Skin Complaints, and Antibiotic Pearls. 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 #283, #284, and #285 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
Infographics by: Beth Garbitelli, and Nora Taranto
Cover Art: Edison Jyang
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

Sponsor: ACP acponline.org/telemedicine201

Sponsor: Ten Thousand tenthousand.cc code = 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
CRC Screening
Antibiotic Pearls
Derm Pearls (Common Skin Complaints)
Outro

#296 Diabetes FAQ with Dr. Jeff Colburn Sep 27, 2021

Show notes

Stumped by diabetes care? Hungry for tips on diagnosis and management? We’ve got you covered with this high-yield Diabetes FAQ covering type 1 and type 2 diabetes. We’re joined by Dr. Jeff Colburn, a board-certified endocrinologist and clinician educator in San Antonio, Texas as we review initial diagnosis, interrogate insulin resistance versus insulin deficiency, delve into down-titrating insulin, discuss ‘tricky diabetes,’ and talk through dietary approaches!
Claim free CME for this episode at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

Credits

Producers and Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Writer: Matthew Watto MD, FACP
Show Notes, Infographic & Cover Art: Beth Garbitelli
Reviewer: Molly Heublein MD
Editor: Molly Heublein MD (written materials); Clair Morgan of nodderly.com
Guest: Jeff Colburn, MD

Sponsor: BetterHelp betterhelp.com/curb

Sponsor: Birch by Helix birchliving.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
Initial Presentation of Diabetes
Type 1 or Type 2
Initial Labs, Managing new diagnosis
Using GLP-1 agonists, SGLT-2 inhibitors
How to down titrate insulin
Diabetes in geriatrics
Diets for diabetes management
Outro

#295 Advance Your Care Planning with Dr. Rebecca Sudore Sep 20, 2021

Show notes

Advance your care planning with tips from our esteemed guest, Dr. Rebecca Sudore, @prepareforcare (UCSF). She helps us up our ACP game by defining advance care planning, and giving clear examples of how it can be incorporated into a busy primary care practice. It’s her life’s mission is to improve advance care planning and medical decision-making for culturally and ethnically diverse older adults. She is the creator of an interactive ACP website called PREPARE For Your Care, (after this episode, we are sure you’ll be sending patients there for advance care planning!)
Free CME for this episode at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

Credits

Written by: Leah Witt, MD
Produced by: Leah Witt, MD & Molly Heublein, MD
Reviewer: Lingsheng Li, MD
Infographic and Cover Art: Leah Witt, MD
Hosts:Matthew Watto MD, FACP; Paul Williams MD, FACP, Leah Witt, MD
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Guest: Rebecca Sudore, MD

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

Sponsor: Green Chef greenchef.com/curb100 Go to GreenChef.com/curb100 and use code curb100 to get $100 off includingfree shipping!”

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, disclaimer, guest bio
Guest one-liner
Picks of the Week
Case from Kashlak Part 1: General ACP
Defining Advance Care Planning
Case from Kashlak Part 1: Dementia & ACP
Surrogate decision-makers
POLST
Outro

#294 Pulmonary Hypertension Update Sep 13, 2021

Show notes

Join us as we take a six-minute walk through the definition, presenting symptoms, and diagnosis of pulmonary hypertension with our esteemed guest Dr. Estefania Oliveros, @EstefaniaOS (Temple University). She helps us get on the right side of hypertension on the right side of the heart!
Free CME for this episode at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

Credits

Writer and producer: Deborah Gorth MD, PhD
Infographic and Cover Art: Edison Jyang
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Leah Witt, MD
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Guest: Estefania Oliveros MD

Sponsor: Indeed indeed.com/internalmedicine Get a $75 sponsored job credit to upgrade your job post at Indeed.com/internalmedicine.

Sponsor: The American College of Physicians Telemedicine 201 ACP invites you to attend its free 4-part webinar series, Telemedicine 201. Episode one, “Video Visits Beyond the Simple Cases,” is on September 28th. Register today at acponline.org/telemedicine201.

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 bio
Guest one-liner
Picks of the Week*
Case from Kashlak
Definitions
Discussion of testing for pulmonary hypertension
CTEPH diagnosis and management
Rundown of therapies for pulmonary hypertension
Outro

#293 The Best of Liver Tests with Dr. Elliot Tapper Sep 06, 2021

Show notes

Take a walk through Liver Land with Dr. Elliot Tapper (@ebtapper on Twitter) as we stroll through the best of liver tests. Once differentiating a hepatocellular versus cholestatic injury picture, Dr. Tapper shares some targeted labs to help with etiology, as well as what to do with those pesky isolated lab abnormalities. On top of that, we review common causes of severe acute liver disease and issues in pregnancy. Join us, and you’ll be writing more accurate notes as Dr. Tapper schools us on what “liver function tests” really mean! Claim CE credit at curbsiders.vcuhealth.org. It's free for all healthcare professionals!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

Credits

Written and Produced by: Elena Gibson MD
Cover Art and Infographic: Kate Grant MD; Elena Gibson MD
Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com
Guest: Elliot Tapper MD

Sponsor: BetterHelp betterhelp.com/curb

Sponsor: Panacea Financial panaceafinancial.com

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
Definitions of liver enzymes, liver function tests
Patterns of acute liver injury
Drug-induced liver injury
Isolated alkaline phosphatase elevation
Isolated total bilirubin elevation
Livery Injury During Pregnancy
Acute liver failure
Outro

#292 Acute Heart Failure, CHF Triple Distilled Sep 01, 2021

Show notes

Enjoy this rapid clinical overview of heart failure based on Episode #230 Kittleson Rules Acute Heart Failure Featuring Dr. Michelle Kittleson @MKittlesonMD (Cedars Sinai)!
This triple distilled episode is not available for CME, but claim CME for #230 Kittleson Rules Acute Heart Failure at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME!

Credits

Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP; Beth Garbitelli
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

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

Show Segments

Intro, disclaimer, guest bio
The History, Failure mnemonic
CHF exam
CHF Labs, Swan (RHC)
Management of ADHF
Outro

REBOOT #230 Kittleson Rules Heart Failure Aug 30, 2021

Show notes

Does the thought of managing acute decompensated heart failure (ADHF) give you paroxysmal nocturnal dyspnea? Recline for a bit while Dr. Michelle Kittleson MD, PhD @MKittlesonMD (Cedars Sinai) takes us through the Zen of jugular venous pressure (JVP) exams, how to approach diuresis, and the fine points of hospital discharge. This knowledge food is easier to swallow than an oral potassium replacement. Enjoy this Curbsiders classic and stay tuned this Wednesday, September 1, 2021 for a brand new CHF Triple Distilled episode.

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

Written and Produced by: Deborah Gorth ScM
Cover Art and Infographic by: Edison Jyang
Hosts: Matthew Watto MD, FACP and Paul Williams MD, FACP
Editor: Cyrus Askin MD (written materials); Clair Morgan of nodderly.com
Guest: Michelle Kittleson MD, PhD

Sponsor: Ten Thousand tenthousand.cc Head to tenthousand.cc and enter our code CURB at checkout to save 15%.

Sponsor: BetterHelp betterhelp.com/curb Special offer for Curbsiders listeners: get 10% off your first month at betterhelp.com/curb

Time Stamps* Time Stamps refer to ad-free version

00:00 Intro, disclaimer, guest bio
02:40 Guest one-liner; Picks of the Week
08:33 Case from Kashlak part 1, Definition of acute decompensated heart failure (ADHF), Factors that lead to ADHF (FAILURE mnemonic)
13:39 Historical clues for ADHF; Is salt restriction needed? Fluid restriction?
20:42 More on History and Physical exam for ADHF; JVP exam in detail; Crackles are worthless?!
28:36 Labs to trend during an ADHF admission
33:15 Recap of history, physical exam, and initial approach; Initiating diuresis; Goal urine output; Diuresis in HFrEF vs HFpEF phenotypes
45:32 Diuretic resistance and when to use a drip, metolazone; Do K and Mg need to be 4 and 2?
49:05 When to hold guideline directed medical therapy (Beta blockers, ARNI, ACEI/ARB)
56:05 Who needs a right heart cath?
59:30 Endpoints for discharge; Switch to PO diuretics; Approach to discharge and transitions of care
64:04 SGLT2i in heart failure 
68:15 Take home points and outro

#291 CBC Abnormalities Triple Distilled Aug 25, 2021

Show notes

Enjoy this rapid clinical overview of CBC abnormalities based on Episode #167 LIVE! Common CBC Abnormalities Featuring Dr. Mary Kwok! Production & graphics by our very own and very talented Dr. Matt Watto!
Unfortunately, this episode is not available for CME : (
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME!

Credits

Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP; Beth Garbitelli
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

Show Segments

Intro, disclaimer, guest bio
Approaching a mildly abnormal CBC, red flags
Build the diff,Fy(a-b-) phenotype
Physical exam and advanced testing
Polycythemia vera
Thrombocytopenia
Outro

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