The Curbsiders Internal Medicine Podcast

Latest Episodes:

#253 COVID-19 Vaccines with Dr Monica Gandhi Jan 27, 2021

Show notes

Answer all your burning questions (and your patients’ burning questions) about the different COVID-19 vaccines currently authorized in the US. Infectious diseases / HIV expert, Dr Monica Gandhi @MonicaGandhi9 (UCSF) joins us to cover: the Pfizer-BioNTech and Moderna novel mRNA vaccine mechanisms, trial data, and practicalities of who should receive them. We discuss data around the Oxford-AstraZeneca adenovirus vaccine, which is authorized in the UK and India, and may be available in the US later this year. Feel confident recommending COVID-19 vaccines to your patients!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits

Written and Produced by: Molly Heublein, MD
Cover Art: Chris Chiu, MD, FACP, FAAP
Infographic: Tima Karginov
Hosts: Chris Chiu, MD, FACP, FAAP; Molly Heublein, MD; Paul Williams, MD, FACP
Editor: Emi Okamoto MD (written materials); Clair Morgan of Nodderly.com (audio)
Guest: Monica Gandhi, MD, MPH

Sponsor: Panacea Financial
This episode is supported by Panacea Financial, digital banking built for doctors, by doctors. At Panacea Financial you can have your own free personal banker and a support team that works around the clock- just like you do. Open your free checking account today at panaceafinancial.com
Panacea Financial, a Division of Sonabank, Member FDIC

Sponsor: 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.
Time Stamps

Intro, disclaimer, guest bio - 00:00
Guest one-liner, book recommendation - 3:40
Authorized vaccines in the US - 8:30
AstraZeneca vaccine mechanism- 9:26
mRNA vaccine mechanism - 10:30
Vaccine distribution issues (cold chain) - 16:05
mRNA safety - 18:24
mRNA vaccine efficacy/data from phase 3 trials - 19:40
How did we get this so quickly - 23:40
Vaccine impact on asymptomatic infection - 26:18
AstraZeneca trials - 28:20
Pregnancy - 35:10
Anaphylaxis - 37:10
Prior COVID-19 infection - 39:07
Side effects - 42:05
Pediatric patients - 45:12
Phases of role outs in the US -46:50
Herd immunity - 48:16
Thoughts of how to make this happen - 52:45
Preexisting conditions - 53:40
How long will immunity last - 57:15
Mutant strains - 58:25
Future of mRNA vaccines - 1:00:30
Take home points and Outro - 1:02:12

#252 Smoking Cessation Unfiltered Jan 25, 2021

Show notes

Get all the details on varenicline, nicotine replacement therapy, and integrating psychosocial interventions into a comprehensive smoking cessation treatment plan! Smoking cigarettes is the leading cause of preventable death worldwide. Listen as our esteemed guest Dr. Steve Baldassarri (Yale) provides us expert pearls to help our patients quit smoking.
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits

Written and produced by: Carolyn Chan, MD
Infographic: Edison Jyang
Cover Art: Kate Grant
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Cyrus Askin, MD (written materials); Clair Morgan of nodderly.com
Guest: Steve Baldassarri MD MHS

Sponsor: The American College of Physicians
Join us for ACP Internal Medicine Meeting 2021: Virtual Experience for 3 days of interactive, livestreaming education and events April 29 through May 1—plus on-demand post-meeting access to CME credit for up to 3 years. “Early Bird” members get an additional $80 registration discount on top of their member discount. Visit annualmeeting.acponline.org. (Prices shown online at registration pages reflect Discounted Rates.) Register now—Early Bird savings end January 31st!
Sponsor: 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.
Time Stamps*

*Note: Time Stamps refer to ad free version.

03:02 Intro, disclaimer, guest bio
04:35 Guest one-liner
09:50 Tobacco Use Disorder - Chronic Disease
11:08 Case from Kashlak
11:56 Obtaining a history
13:39 Motivations for Smoking Cessation
15:29 Factors associated with challenges in smoking cessation:
21:40 Gradual Tapers vs Cold Turkey
25:18 Nicotine Replacement 32:40
28:57 Pharmacotherapy - “Controller” Medications
31:05 Pharmacotherapy - Short Acting Medications
33:20 Dosing Medications
38:35 Varenicline
39:00 Nicotine gum dosing
44:40 Duration of therapy
48:08 Bupropion
49:05 Behavioral Interventions
55:24 Vaping and electronic cigarettes
57:03 Vaping for smoking cessation
01:02:35 EVALI
01:05:49 Outro

#251 What the USPSTF? Preventive Medicine Updates with Dr. Amber-Nicole Bird Jan 18, 2021

Show notes

What the USPSTF?! It’s time for some preventive medicine updates on: screening for unhealthy drug use, cervical cancer, hepatitis C and draft recs for colorectal cancer; plus how to interpret USPSTF screening recs. Dr. Amber-Nicole Bird @ABirdMD (Penn Medicine) refreshes our love for preventive medicine, with updates on the newest recommendations. She reviews how to appropriately interpret and adopt guidelines for our patients, being cognizant of the source. We shine light on the mechanism of USPSTF, including how their guidelines differ from others, so we can understand the value and context when utilizing the guidance in the clinic.

Credits

Produced and Written by: David Madick MD; Peter Wikoff MD; Paul Williams MD, FACP
Infographic: Beth Garbitelli
Cover Art: Chris Chiu MD
Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Emi Okamoto, MD (Show notes); Clair Morgan of nodderly.com
Guest: Amber-Nicole Bird, MD

Sponsor: The American College of Physicians

Join us for ACP Internal Medicine Meeting 2021: Virtual Experience for 3 days of interactive, livestreaming education and events April 29 through May 1—plus on-demand post-meeting access to CME credit for up to 3 years. “Early Bird” members get an additional $80 registration discount on top of their member discount. Visit annualmeeting.acponline.org and use the code IM21CURB. Register now—Early Bird savings end January 31st!

Sponsor: 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.

#250 Nephrotic Syndrome vs. Glomerulonephritis with Kidney Boy, Dr. Joel Topf Jan 11, 2021

Show notes

Kashlak’s esteemed Chief of Nephrology, Dr Joel Topf @kidney_boy walks us through the evaluation and differentiation of nephrotic syndrome and glomerulonephritis. Embrace the kidney again as we sort the different diagnostics, managements, and prognosis for these two pathologies.
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

Credits

Producer, writer, infographic, cover art: Elena Gibson MD
Hosts: Elena Gibson MD, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Emi Okamoto MD (written); Clair Morgan of nodderly.com (audio)
Guest: Joel Topf MD

Time Stamps*
*Note: Time Stamps refer to ad free version
Intro, disclaimer, guest bio – 00:00
Picks of the Week – 3:10
Case from Kashlak – 6:30
Nephrotic syndrome definition- 12:30
Proteinuria evaluation – 15:04
Additional lab testing – 27:08; 40:09
Types of Nephrotic syndrome – 30:15
Mechanism of nephrotic syndrome edema – 33:08
Management of nephrotic syndrome – 44:07
Second Kashlak Case- Glomerulonephritis – 55:05
Treatment of glomerulonephritis – 65:05
Outro and post-credits scene – 73:20
Sponsor: The American College of Physicians
Join us for ACP Internal Medicine Meeting 2021: Virtual Experience for 3 days of interactive, livestreaming education and events April 29 through May 1—plus on-demand post-meeting access to CME credit for up to 3 years.
“Early Bird” members get an additional $80 registration discount on top of their member discount. Visit annualmeeting.acponline.org and use the code IM21CURB.
Register now—Early Bird savings end January 31st!
Sponsor: 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.

#249 Cellulitis, Bites, Vulvovaginitis, MGUS, SPEP (TFTC #1) Jan 04, 2021

Show notes

Recap the top pearls from recent shows on vulvovaginitis, cellulitis and bites, MGUS and the SPEP. Tales from the Curbside (TFTC) is pilot project providing a rapid review of recent Curbsiders episodes. Note: There is no CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for #244, #246 and #247.

Credits

Written, Produced and Hosted by: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Infographics by: Kate Grant MBChb, MRCGP, Beth Garbitelli and Nora Taranto MD
Cover Art: Matthew Watto
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

Sponsor: The American College of Physicians

“Early Bird” members get an additional $80 registration discount on top of their member discount. Visit annualmeeting.acponline.org and use the code IM21CURB.

Time Stamps*

*Note: Time Stamps refer to ad free versions.

00:00 Intro, disclaimer, guest bio
02:35 Vulvovaginitis
05:35 Cellulitis and Bites
09:45 SPEP it Up
15:15 Outro

#248 Top Pearls of 2020: Curbsiders' Recap Extravaganza Dec 28, 2020

Show notes

Our team shares the top pearls of 2020 in our annual recap extravaganza featuring guest host, Chris “The Chiu Man” Chiu @cjchiu. Check out the video version at YouTube. Topics: hypothyroidism, women in medicine, hypothermia, diuretics, heart failure, AKI, lipids, post-op fever, refugee health, SGLT2 inhibitors, euglycemic DKA, UTIs, bat bites, rabies, ILD, statins in NAFLD, framework for hair loss, and more! Plus: Our picks of the year and the Curbsiders gift guide! Note: This episode is not available for CME but #208 through #247 are available for CME/MOC at curbsiders.vcuhealth.org for free!

Credits

Producer: Chris Chiu MD, FACP, FAAP
Written by: The Curbsiders Team
Show Notes: Matthew Watto MD, FACP
Cover Art: Chris Chiu MD, FACP, FAAP
Hosts: Chris Chiu MD, FACP, FAAP, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

Sponsor: Panacea Financial

This episode is supported by Panacea Financial, digital banking built for doctors, by doctors. At Panacea Financial you can have your own free personal banker and a support team that works around the clock- just like you do. Open your free checking account today at panaceafinancial.com

Panacea Financial, a Division of Sonabank, Member FDIC

#247 SPEP It Up: MGUS, Myeloma, and Immunology, Oh My! Dec 21, 2020

Show notes

On this episode, Dr. Jorge Castillo (Harvard, Dana Farber) walks us through some immunology basics, teaches us the limitations of the SPEP, plus some additional tests that complement it (think Immunofixation), shares his clinical gestalt about when to suspect MGUS, Myeloma, Waldenstrom’s, and Amyloidosis--and finally, how to talk to patients about them. If you, like Stuart, have ever wondered what on earth to do with that pesky free light chain ratio or the SPEP that so often gets inboxed to you without explanation, then fear not, Dr Castillo has your back!

Credits

Written and Produced by Nora Taranto MD
Infographics by Nora Taranto MD
Cover Art by Kate Grant MBChB, MRCGP
Hosts: Matthew Watto MD, FACP; Stuart Brigham MD, FACP, Nora Taranto MD
Editor: Matthew Watto MD, FACP ; Clair Morgan of nodderly.com
Reviewer: Jooho Chung MD, PhD
Guest: Jorge Castillo MD

Sponsor: Panacea Financial

Panacea Financial, a Division of Sonabank, Member FDIC

Sponsor: VCU Health CE

We are excited to announce that the Curbsiders are now partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Check out curbsiders.vcuhealth.org and create your account!

#246 Take a Bite out of Cellulitis with Dr Boghuma Titanji Dec 14, 2020

Show notes

Master common skin and soft tissues infections: cellulitis, abscesses, human and animal bites with returning guest, infectious diseases expert, Dr Boghuma Titanji MD, PhD @boghuma (Emory; TED).

Credits

Written (including CME) and Produced by: Matthew Watto MD, FACP
Cover Art and Infographic by: Beth Garbitelli
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto (written materials); Clair Morgan of nodderly.com
Guest: Boghuma Titanji MD, M.Sc., DTM&H, PhD

Sponsor: Provider Solutions and Development

Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice: www.psdrecruit.org/curbsiders.

Sponsor: 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.

Time Stamps*

*Note: Time Stamps refer to ad free version.

00:00 Intro, disclaimer, guest bio
02:00 Picks of the Week
06:00 Definitions, Initial Approach to cellulitis
10:35 Nonpurulent cellulitis; antibiotic choice 18:10 Fish handler’s disease
24:30 Recurrent cellulitis
31:30 Purulent cellulitis and MRSA; Antibiotic choice; Step down therapy
47:33 Abscesses; Adjuvant antibiotics; Packing Wounds
53:30 Decolonization for recurrent MRSA infections
56:30 Human Bites (clenched fist injury); Dog bites and Cat bites
67:10 Take home points and Outro

ADHD: All that Fidgets is Not... (Cribsiders #13) Dec 09, 2020

Show notes

Diagnosis, Management, and Social Implications of Attention Deficit Hyperactivity Disorder.

Ever gotten overwhelmed by all the categories of ADHD, or interpreting the scores on a Vanderbilt form? Join us with Dr. Sarah Vinson, a triple-boarded clinician in adult psychiatry, child psychiatry, and pediatrics who helps us optimize a diagnosis and management process for ADHD. What other conditions can masquerade as ADHD? Which type of stimulant should you use? Listen to find out more! Show notes at: https://thecurbsiders.com/cribsiders/13 Subscribe at: Apple , Google, Spotify

Credits

Writer, Producer, Infographic: Angela Zhang
Cover Art: Chris Chiu
Hosts: Justin Berk, Chris Chiu
Editor:Justin Berk; Clair Morgan of nodderly.com
Guest(s): Dr. Sarah Y. Vinson

Time Stamps

5:30 Diagnosis of ADHD
6:53 Considering a differential diagnosis of ADHD
8:43 Categories of ADHD
15:02 Ancillary Supports
18:27 Consequences of Misdiagnosis
19:53 Parent Counseling
22:08 Behavioral Interventions Treatment
25:56 Gender Differences in ADHD
28:00 Anaphylaxis Promo
28:39 Alternative Treatments
30:54 Pharmacotherapy for ADHD
37:29 Side Effects of Medical Treatments
44:33 Monitoring Progress
46:19 Treating concurrent mood disorders
49:21 ADHD in Young Adults
55:29 ADHD and Race
1:08:13 Future of ADHD

#245 COVID Cakes: Masks, Home Testing, Anticoagulation, Vaccines Dec 07, 2020

Show notes

Learn about the latest in COVID-19: Do masks prevent infection?, SARS-CoV-2 home testing, vaccine advice, and how to prevent and treat VTE in COVID-19. Join us as our tzar-of-clinical-appraisal Curbsider/internist/epidemiologist Rahul Ganatra MD MPH (@rbganatra) talks us through the controversial DANMASK-19 trial, plus Watto reports back on his conversation with Dr Parth Rali @parthrali (Temple Lung Center) who helped write the CHEST anticoagulation guidelines for COVID-19.

Credits

Producer: Deb Gorth ScM
Show Notes, Cover Art, and CME by: Deb Gorth ScM and Matthew Watto MD
Written by: Matthew Watto MD, Paul Williams MD, and Rahul Ganatra MD MPH
Hosts: Rahul Ganatra MD MPH, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

Sponsor: ACP’s I Raise the Rates

Join with other clinicians in working to raise influenza and other adult vaccination rates. Visit acponline.org/ai to access free tools and learn new strategies to support your efforts.

Sponsor: 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.