The Curbsiders Internal Medicine Podcast

Latest Episodes:

#209 LIVE! Twitter, Social Media and Digital Scholarship Apr 23, 2020

Show notes

LIVE! from VCU, we discuss why and how to use Twitter and other Social Media platforms as a clinician educator. Guest Michelle Brooks MD (@michellebrooksMD, VCU) shares her Twitter origin story along with pearls on how to use Twitter for digital scholarship #meded, networking and how to stay out of trouble on social media. Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

Credits

Written and Produced by: Matthew Watto MD, FACP
Infographic: Michelle Brooks MD
Cover Art: Matthew Watto MD, FACP
Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Clair Morgan of nodderly.com
Guest: Michelle Brooks MD

Sponsor: VCU Health CE

Time Stamps

00:00 Guest one liner, favorite failure, career advice,
08:08 Picks of the week*: Culture Code (book) by Daniel Coyle; Crucial Conversations (book); Teaching Naked (book); Dark Crystal (Netflix series); The Outsider (HBO series)
11:23 Case of Sosh Al Media; Landscape of social media; Control your digital footprint; Public vs Private profiles
23:04 Negative aspects of social media
26:44 How to utilize Twitter for medical education; Twitter basics; Milton Packer
37:14 Pros and Cons of #medtwitter
42:02 Tweetorials
44:28 Audience questions: Repercussions from posting on social media; Social Media fellowships; Advocacy on social media
51:34 Outro

#208 Hypothyroidism Master Class with Susan Mandel MD - How to dominate the diagnosis and management Apr 20, 2020

Show notes

Fall in love with the thyroid all over again, as we deconstruct hypothyroidism with thyroid expert, Susan Mandel MD, MPH (PENN). We review common causes, symptoms, diagnosis and treatment and how these may differ for those who are Pregnant, over age 65, or have existing Heart disease. Plus, Dr Mandel schools us on her approach to treatment with levothyroxine (T4), and even explains when she trials liothyronine (T3) replacement! Warm up those thumbs for the thyroid exam...it’s on!

Credits

Written and Produced by: Elena Gibson MD
Cover art and Infographic by: Dr Kate Grant MBChb MRCGP
Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Emi Okamoto (written materials); Clair Morgan of nodderly.com
Guest: Susan Mandel MD, MPH

Sponsor: VCU Health CE

Time Stamps

00:00 Intro, disclaimer, guest bio
02:43 Guest one-liner; Pick of the week: Waiting for Godot (Play); Favorite Failure; Career Advice
09:40 Case from Kashlak Part one; Hypothyroidism signs and symptoms
13:20 When to Test for Hypothyroidism
17:43 Biotin interaction
19:49 Which thyroid tests should we order?
26:15 Subclinical hypothyroidism
29:00 Etiology/Types of hypothyroidism
33:30 Case from Kashlak Part two; Initial Medication dosing; Physical Exam
37:10 Levothyroxine replacement time of administration
42:10 TSH goal
46:00 Levothyroxine manufacturers
48:33 Dosing in older adults
50:27 T3 treatment
56:52 Pregnancy
59:42 Dose adjustments
61:43 Estrogen and thyroid binding protein
63:33 Who needs a referral?
65:40 Plugs, Outro

#207 How to create a medical podcast: Tales from The Curbside Apr 16, 2020

Show notes

Welcome to The Curbsiders tutorial on how to create your own medical podcast. @doctorwatto and @paulnwilliamz walk you through how to conceptualize your podcast, build your team, choose your equipment and the basics of how to setup hardware and software recording. Be sure to browse the accompanying show notes for a true step-by-step guide complete with links to videos, web pages, and blog posts that we found helpful when starting our show. If it’s not in this document, then it can easily be found on YouTube, or via a Google search. Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com

Credits

Written and produced by: Matthew Watto MD
Cover art and Infographic by Matthew Watto MD
Hosts: Matthew Watto MD and Paul Williams MD
Editor: Clair Morgan of Nodderly.com

Time Stamps

00:00 Announcement, Intro, Disclaimer
02:53 Our top podcasting pearls
07:01 Find your niche
09:46 Logistics
13:25 Business, finances and legal matters
14:40 Equipment
21:48 Recording and editing
24:56 Website, web and media hosting
28:53 How to setup and record your podcast
35:08 Editing software
35:58 Search engine optimization
37:45 Post-processing
39:49 Take home points and outro

#206 Airway Management for the Non-Intensivist Apr 13, 2020

Show notes

Breathe easy with these airway management principles and expert tips for managing the patient with COVID-19 related lung disease (i.e. pneumonia, hypoxemia, ARDS). In the COVID-19 era, non-intensivists are being called upon to care for critically ill patients across the globe. At the Curbsiders, we understand that this can be a stressful proposition! Therefore, we’ve enlisted the help of the renowned medical intensivist & USUHS Chair of Medicine, Dr. Kevin Chung (@chungk1031) to teach us what we need to know about airway management in these challenging times. Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com

Credits

Written and Produced by: Cyrus Askin MD, Michael Rose MD, Kathleen Hiltz MD
Show Notes: Cyrus Askin MD
Infographic: Elena Gibson, MD
Cover Art: Dr. Kate Grant MBChB DipGUMed
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Cyrus Askin, MD
Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com
Guest: COL Kevin Chung, MD, FACP

Sponsors: McGraw Hill

Time Stamps

00:00 Intro
03:15 Guest one liner, chicken wings (Miller Lite marinade), career advice
07:40 Sponsor
08:20 Case of hypoxemic respiratory failure; Rapid evaluation, initial labs
16:03 Initial assessment of a COVID-PUI; HFNC and non-invasive ventilation
23:40 Proning patients for hypoxemia
29:15 ARDS basics: diagnostic criteria, Brief Recap
33:22 Mechanical ventilation: Initial settings, following the blood gas
40:55 Peak and plateau pressure, Lung compliance and Troubleshooting a high pressures
51:30 Ventilator dyssynchrony; Lung compliance and traditional ARDS vs COVID-19 lungs
62:55 Advanced ARDS - The 5 Ps of therapy and differences with COVID-19
68:10 Take home points; Plugs; Outro

#205 COVID Cakes and Hot Takes with Rahul Ganatra MD Apr 10, 2020

Show notes

Rundown of recent COVID articles and news stories including: Hydroxychloroquine and azithromycin, serologic testing, use of convalescent plasma, economic inequality / health disparities... and COVID in cats?! We’re joined by Curbsider/Internist/Epidemiologist, Rahul Ganatra MD, @rbganatra (VA Boston). Plus, @Paulnwilliamz and @cjchiu give us some telehealth along with the usual antics. Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com

Credits

Written, Produced, Hosted by: Rahul Ganatra MD, Chris Chiu MD, FACP, FAAP; Matthew Watto MD, FACP; Paul Williams MD, FACP
Cover Art and Show Notes by: Matthew Watto MD, FACP
Editor: Matthew Watto MD
Guest: Rahul Ganatra MD

Time Stamps

00:00 Intro, COVID-19 and cats by Shi J Science Apr 2020; Picks of the week
07:08 Telehealth (Greenhalgh BMJ 2020), Breathlessness (Roth score calculator), ACP COVID-19 resource site
11:50 Telehealth best practices
16:42 Convalescent plasma and Serology
21:45 Chris discusses the decontamination of N95 masks using CCDS (CCDS, Battele news Report)
23:45 Inequality during the pandemic VOX and NYTimes articles on inequality
25:30 Critical appraisal for HCQ + azithromycin article from France (Gautret et al IJAA 2020) and Rahul’s tweetorial
49:18 Pre-print data; Rahul discusses a newer HCQ randomized clinical trial article (Chen medRxiv 2020)

#204 NephMadness 2020: SGLT2 Inhibitors Apr 06, 2020

Show notes

Get under the hood of SGLT2 inhibitors! Listen as our guests Dr. Harish Seethapathy, Dr. Matt Sparks, and Dr. Joel Topf give us a tour through the NephMadness 2020 SGLT2i region! How do these promising drugs work, and what evidence is there for using them in non-diabetic kidney disease or kidney transplant patients. Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com

Credits

Written and Produced by: Hannah R. Abrams
Cover Art and Infographic by: Hannah R. Abrams
Hosts: Hannah R Abrams, Matthew Watto MD, FACP
Editor: Clair Morgan of Nodderly.com (audio), Emi Okamoto MD (written)
Guests: Harish Seethapathy MD; Matthew Sparks MD; Joel Topf MD

Sponsor: McGraw Hill

Time Stamps

00:00 Sponsor
00:26 Intro, disclaimer, guest bio
02:57 Guest one-liner and Picks of the Week*: Michael Pollan audiobook on Coffee and Caffeine Addiction
03:52 SGLT2i definition, background, and why we now consider CV endpoints in diabetes
11:16 Sponsor
12:00 Tubuloglomerular feedback; Balloon analogy
17:40 Other mechanisms for SGLT2i
23:05 Back to the case; Risks from SGLT2i; Counseling and Monitoring
34:18 SGLT2i for non-diabetic kidney disease; Possible mechanisms: Joel’s caution against early adoption
41:42 SGLT2 inhibitors in kidney transplant
45:20 Take home points and picks for the SGLT2 inhibitor region
49:50 Outro

#203 How to Create an Online Curriculum for Medical Education Apr 02, 2020

Show notes

Create your own online curriculum for #meded with this Step-by-Step guide for medical educators by Drs. Kat Zechar MD, @inked_caduceus and Amreet Sidhu MD, @Brosencephalon. They teach us how to identify learner’s needs and develop an online curriculum complete with self assessment tools, remote lectures, audio & video content and interactive cases. We discuss specific software tools and the basic hardware that you’ll need to get your online meded curriculum up and running.

Credits

Written and Produced by: Paul Williams MD, FACP
Cover art and Show notes by: Matthew Watto MD, FACP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Guest: Kat Zechar MD and Amreet Sidhu MD

Time Stamps

00:00 Announcement: We’re looking for pre-med and medical Student members. Send applications to thecurbsiders@gmail.com by deadline April 10, 2020.
01:22 Intro, disclaimer and guest bios
03:38 Guest one-liners, Picks of the week
09:30 Why you might need an online meded curriculum
16:33 Overview of Amreet and Kat’s online curriculum
21:15 Website, domain name, media hosting, software (Vimeo, Zoom meeting software) and WordPress plugins; Zoom can record audio, video or screen recording (i.e. for a speaker going through slides) and equipment
36:35 How to generate self-assessment tools: ABIM blueprint, quiz questions and interactive cases (from twinery.org)
46:35 Time commitment
50:55 Take home points and Outro

#202 LIVE! Lymphadenopathy: Taking Your Lumps - with Carrie Thompson MD Mar 30, 2020

Show notes

LIVE! from Mayo Clinic, a practical approach to lymphadenopathy with Carrie Thompson MD @cathompsonmd (Hematology Oncology, Mayo Clinic). Dr. Thompson provides her simplified approach to the history, differential diagnosis, high yield lab testing, imaging, how to counsel patients with adenopathy and tips on when, where and how to biopsy!

The Curbsiders are insanely grateful to the Mayo Clinic Internal Medicine Residency Chief Residents @mayomn_imres (@JasonEckmannMD @SamiRyanMD @BHuffmanMD @CourtHarrisMD) and their amazing program director @AmyOxentenkoMD for an amazing trip to Rochester!

Credits

Written and Produced by: Carrie Thompson MD and Matthew Watto MD, FACP
Infographic: Matthew Watto MD, FACP
Cover Art: Kate Grant MBChB DipGUMed
Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Guest: Carrie Thompson MD

Time Stamps

00:00 Announcement: We’re looking for Medical Student members. Send applications to thecurbsiders@gmail.com by April 10, 2020.
01:20 Intro, guest bio, one-liner, career advice; Pick of the week*: In Shock by Rana Awdish
07: 00 Lymphatic system
09:19 Differential diagnosis for lymphadenopathy
11:38 Taking a history (ALL AGES mnemonic), Red Flags
19:15 Physical exam for lymphadenopathy
22:30 Which labs to order; Flow cytometry
26:05 Imaging
28:30 Counseling patients with LAD
31:10 Biopsy: How to choose type and location
37:35 Take Home Points
39:00 Audience Questions
42:25 Outro

#201 COVID Narratives: Stories from Physicians at the Front Lines Mar 26, 2020

Show notes

Listen as the pioneers of the COVID pandemic share their experiences taking care of some of the first COVID patients in the US. Our guests have a broad range of expertise and experiences. This episode features hospitalist Dr. Francisco Alvarez (University of California at San Francisco, @fnalvarez), Infectious Disease fellow Dr. Karolina Maciag (University of Washington, @KMaciag), Critical Care and Pulmonology Fellow Dr. David Furfaro (Columbia University, @david_furfaro

Credits

Written and Produced: Justin Berk MD MPH MBA
Cover Art: Kate Grant MBChB DipGUMed
Hosts: Justin Berk MD MPH MBA; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Guest: Dr. Francisco Alvarez, Dr. Karolina Maciag, Dr. Dave Furfaro, Dr. Nick Mark

Sponsors: Cayuga

Time Stamps

00:00 Intro
04:28 Francisco: Process leading up to first case
07:42 Karolina: The perspective of the consultant- calm in the storm
11:40 (Karolina) Seattle Flu Study as early warning
16:00 Dave: ICU patients
20:30 Nick: making decisions with a moving target
25:05 Sponsor
25:53 Francisco: data available on Twitter
28:00 Francisco: the role of generalist during the COVID pandemic
31:15 Karolina: on vulnerable populations during pandemic
38:26 Dave/Nick: how generalists should be preparing themselves
45:16 Avoiding aerosolized procedures / nebulizers
47:46 What was the big surprises
54:20 How do you address the anxiety
60:12 Plugs
64:20 Outro

#200 COVID-19 with Paul Sax MD - Transmission, quarantine, PPE, diagnosis and management Mar 22, 2020

Show notes

Practical tips and discussion of what we do and don’t know about COVID-19 transmission, testing, NSAIDs, ACE inhibitors, quarantine, treatment, personal protective equipment (PPE) and more with Paul Sax MD, @paulsaxMD (Brigham and Women’s Hospital/Harvard Medical School). This episode is sure to go viral!Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com

Credits

Written and Produced by: Sarah Phoebe Roberts MPH; Chris Chiu MD; Beth Garbitelli; Hannah Abrams; Rahul Ganatra MD, MPH; Matthew Watto MD, FACP
Cover Art and Infographic by: Beth Garbitelli
Hosts: Rahul Ganatra MD, MPH; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Guest: Paul Sax MD

Sponsor: Cayuga

Time Stamps

00:00 Intro
04:12 SARS-CoV-2/COVID-19 vs. SARS, MERS, and influenza
07:00 Rahul highlights areas of caution interpreting COVID cases studies
12:35 Sponsor
13:20 Case of cold symptoms; Wearing masks in public; Advice on self quarantine with mild symptoms
18:05 Patient with mild symptoms and COVID exposure; Duration of quarantine and PCR positivity
21:15 Who merits testing for COVID-19
23:19 Case of confirmed COVID with mild symptoms; Instructions to patient and family about quarantine
25:50 COVID-19 testing characteristics (sensitivity, false negatives); Does co-infection occur?; Advice on when to send patient to a hospital
30:10 ACEIs, ARBs, NSAIDS; Is reinfection possible?
32:20 Pharmacotherapy: Hydroxychloroquine, Remdesivir, Tocilizumab; Definition of the “high risk” patient; COVID-19 vaccine
36:50 Case of healthcare worker (HCW) with COVID exposure; How long can COVID live on surfaces?
40:20 Do exposed HCWs without symptoms require quarantine?
41:30 Personal Protective equipment (PPE)
45:00 COVID-19 in pregnancy
47:30 COVID-19 and vulnerable patient populations (patients who are immigrants, homeless, incarcerated, etc.)
50:45 Where should you get your COVID-19 information?
52:30 Closing remarks and outro

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Sponsor: VCU Health CE

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