The Curbsiders Internal Medicine Podcast

Latest Episodes:

#199 NephMadness: Hyperkalemia, Diet, Potassium Binders, Exercise Mar 16, 2020

Show notes

NephMadness 2020 is here! Listen as Dr. Ryann Sohaney (@ryannsohaney), Dr. Deborah Clegg and Dr. Joel Topf (@kidney_boy) discuss this year’s first Nephmadness topic, Hyperkalemia in CKD. They will (1) review the use of potassium binders for management of hyperkalemia in CKD (2) identify the potential health benefits of dietary potassium and challenge the use of low-potassium diets in CKD, and (3) describe how exercise influences serum potassium and consider exercise recommendations in CKD.

Check out the regions and fill out your brackets for NephMadness 2020 here! Sign-up as a part of The Curbsiders team!

Credits

Written and Produced by: Elena Gibson MD
Infographic: Caitlyn Vlasschaert MD
Cover Art: Elena Gibson MD
Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto MD, FACP (written materials); Clair Morgan Nodderly.com (audio)
Guest: Ryann Sohaney, MD; Deborah Clegg, PhD; Joel Topf, MD

Time Stamps

00:00

#198 PCOS: Polycystic Ovary Syndrome with Katherine Sherif MD Mar 09, 2020

Show notes

Polycystic ovary syndrome (PCOS) is more common than we think! Listen as our esteemed guest Dr Katherine Sherif (@katherinesherif) reviews common patient complaints that should trigger PCOS in the differential, its pathophysiology, key physical exam findings, an algorithm for lab evaluation for PCOS diagnosis, and common treatments (OCPs, metformin, spironolactone and more!).

Credits

Written and Produced by: Molly Heublein, MD
Cover Art and Infographic: Kate Grant MBChB DipGUMed
Hosts: Matthew Watto MD, FACP; Molly Heublein, MD
Editor: Emi Okamoto MD (written materials); Clair Morgan of Nodderly.com (audio)
Guest: Katherine Sherif, MD

Time Stamps

00:00 Sponsors - AccessMedicine.com (McGraw-Hill)

#197 Pulmonary Nodules and Lung Cancer Screening with Denitza Blagev MD Mar 02, 2020

Show notes

Join us as we demystify the world of pulmonary nodules & lung cancer screening. During this episode, Dr. Denitza Blagev (@mybetterdoctor) makes her triumphant return to The Curbsiders to help us tackle this topic. She is currently the Medical Director for Quality/Specialty-Based Care at Intermountain Healthcare and a Pulmonary & Critical Care physician. We learn to take command of the recommendations for lung cancer screening, disambiguate the terms used by pulmonologists and radiologists, and appreciate some of the nuances of lung cancer screening all with the hope of making YOU a better primary care physician!

Credits

Written and Produced by: Cyrus Askin MD & Leah Witt, MD
Infographic: Leah Witt, MD
Cover Art: Dr. Kate Grant MBChB DipGUMed
CME/MOC: Cyrus Askin, MD
Hosts: Cyrus Askin MD; Leah Witt, Matthew Watto MD, FACP; Paul Williams MD, FACP
Editors: Matthew Watto MD, FACP (written materials); Clair Morgan of Nodderly.com (audio)
Guest: Denitza Blagev, MD

Sponsor

ACP’s Medical Knowledge Self Assessment Program, MKSAP 18. MKSAP provides the latest and most comprehensive educational content needed by internists today. It’s THE internal medicine go-to resource for continuous learning and Board preparation. Visit http://www.acponline.org/mksapcurbsiders to place your order!

Time Stamps

00:00 Sponsor -ACP’s MKSAP 18 http://www.acponline.org/mksapcurbsiders
00:15 Intro, disclaimer, guest bio
02:15 Guest one-liner;

#196 LIVE! Refugee Health with Tanuja Devaraj MD Feb 24, 2020

Show notes

Develop your approach to refugee health in the primary care setting. We discuss important considerations for primary care of the refugee patient with Dr. Tanuja Devaraj (Penn State), an internist with expertise in migration health. We review barriers to primary care, how to take a migration history, and common health concerns that occur in this patient population. We also discuss strategies for screening for trauma and mental health issues, which are common among patients who have gone through migration.

Credits

Producer: Paul Williams MD, FACP
Writer: Tanuja Devaraj MD and Paul Williams MD, FACP
Infographic: Emi Okamoto MD
Cover Art: Paul Williams MD, FACP
Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Clair Morgan of Nodderly.com (audio), Emi Okamoto MD (written)
Guest: Tanuja Devaraj MD

Sponsor

Time Stamps

00:00 Sponsor -ACP’s MKSAP 18 http://www.acponline.org/mksapcurbsiders
00:15 Intro, disclaimer, guest bio
02:08 Guest one-liner, book recommendations, career advice
07:12 Picks of the Week*:

#195 TWDFNR 3: Potassium, Oxygen, and antipsychotics Feb 17, 2020

Show notes

Discover common practices that persist in the hospital wards despite no proven benefit! We review how potassium replacement goals should not drive you bananas, extra oxygen should not give you comfort, and how you should maybe calm down with antipsychotics for delirium. Join returning guests: high-value care specialist Dr. Lenny Feldman (@DocLennyF, Johns Hopkins) and tweetorialist Dr. Tony Breu (@tony_breu, Harvard) as they walk us through round 3 of “Things We Do for No Reason^TM.

SHM members can claim CME-MOC credit at https://www.shmlearningportal.org/curbsiders (CME goes live at 0900 ET on the episode’s release date). Note: The planners and faculty for this activity have no relevant relationships or conflicts to disclose.

Credits

Written and Produced by: Burton H. Shen MD, Justin Berk, MD MPH MBA
Infographic:
Cover Art:
Hosts: Justin Berk MD MPH MBA; Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FaCP
Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of Nodderly.com (audio)
Guest: Lenny Feldman MD, Tony Breu MD

The Society of Hospital Medicine

Hospital Medicine 2020 (HM20) is the Society of Hospital Medicine’s Annual Conference April 15th through the 18th in sunny San Diego. Don’t miss the largest hospital medicine meeting. Register now at https://shmannualconference.org/ and use the code CURBSIDERS to receive a $50 discount.

Primary Care Internal Medicine of Ithaca

#194 Treatment of Alcohol Use Disorder with Dr. Marlene Martin MD Feb 10, 2020

Show notes

Dismantle alcohol use disorder with some evidence based tools for your toolbelt! We cover everything from ways to screen patients for risky drinking, to all the different treatment options with our guest expert Dr. Marlene Martin, @MarleneMartinMD, Director of the Addiction Care Team and Assistant Professor of Clinical Medicine at the UCSF. We learn how to initiate medications such as naltrexone and acamprosate for the treatment of alcohol use disorder, how to define treatment success, if psychosocial interventions such as Alcoholics Anonymous are effective, and what’s the deal with baclofen and gabapentin? After listening to this episode, listeners will feel ready to start prescribing medications such naltrexone to treat alcohol use disorder. Your patients need you!

ACP members can claim CME-MOC credit at https://www.acponline.org/curbsiders (CME goes live at 0900 ET on the episode’s release date).

Credits

Written and Produced by: Carolyn Chan, MD
Cover Art and Infographic: Carolyn Chan, MD
Hosts: Carolyn Chan, MD; Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of Nodderly.com (audio)
Guest: Marlene Martin, MD

Sponsor

Time Stamps

00:00 Sponsor -ACP’s MKSAP 18

#193 LIVE! The Struggling learner with Dr. Melissa McNeil Feb 03, 2020

Show notes

Join us as we discuss how to approach “The Struggling Learner” with Dr. Melissa McNeil (@missydoc0128), Professor Medicine and Associate Chief of General Internal Medicine at the University of Pittsburgh Medical Center (UPMC), recorded LIVE in Pittsburgh, PA! In this episode, we discuss how to approach the struggling learner, highlighting the 5-Step process discussed in a recent article co-written by Dr. McNeil (Merriam 2019). This episode is not intended to give educators a roadmap for how to develop and implement a corrective action plan, but was put together to provide a common toolset on how to approach a struggling learner. As such, the topics discussed can be applied to all kinds of learners that struggle, not just in medicine. However, the techniques discussed involve a common framework routinely taught in medical education (assessment, diagnosis, and referral) and, therefore, is communicated using this shared language.

Credits

Written and Produced by: Stuart Brigham MD
Infographic: Matthew Watto MD, FACP
Cover Art: Stuart Brigham MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Stuart Brigham, MD
Editor: Stuart Brigham MD (written materials); Clair Morgan at Nodderly.com
Guest: Melissa McNeil MD, MACP
Special thanks to Dr. William Kelly, FACP, FCCP

Sponsor

#192 Dialysis for the Internist with Joel Topf MD Jan 27, 2020

Show notes

Kidney Boy Returns! Compare the types of dialysis, learn how nephrologists approach medication management in ESRD, and avoid the most common mistakes non-nephrologists make in patients on dialysis! Kashlak Chief of Nephrology Dr. Joel Topf, @kidney_boy, walks us through what you need to know to take care of a patient on dialysis and gives us an idea of how nephrologists think through mineral bone disease (calcium, phosphorus and vitamin D), anemia, iron repletion, and hypertension. We answer all your questions about co-managing patients on dialysis!

Credits

Producer: Hannah R. Abrams
Written and produced by: Hannah R. Abrams
Cover Art and Infographic by: Hannah R. Abrams
Hosts: Hannah R. Abrams, Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto MD, FACP (written materials), Clair Morgan of Nodderly.com (audio)
Guest: Joel Topf MD

Sponsor

ACP's Internal Medicine Meeting 2020 April 23-25th in Los Angeles, CA at the LA Convention Center. Early bird rates are available through January 31, 2020. Don’t forget to use the code: IMCURB20

Time Stamps

00:00 Sponsor -ACP’s Internal Medicine Meeting 2020
00:15 Intro, disclaimer, guest bio
01:45 Guest one-liner, Picks of the Week*: KidneyCon, CATS (film)
06:00 Sponsor -ACP’s Internal Medicine Meeting 2020
06:50 Case of Anne Yuric; Assessing risk of progression to dialysis; Candidacy for dialysis and renal

#191 Lipids Update with Erin Michos MD Jan 20, 2020

Show notes

Lipids Update! Get up close and personal with ASCVD prevention and lipid management guidelines, including changes in the 2018 update, with our discussion with Dr. Erin Michos @erinmichos, preventive cardiologist and associate professor of medicine at the Johns Hopkins University Hospital! We review the background on the ASCVD risk calculator, basics of primary and secondary prevention, statins benefits and misconceptions, appropriate follow up, cool things to look out for in the future, the deal with medications like aspirin and icosapent ethyl, among many other things! If that wasn’t enough, Dr. Michos also goes over great ways to counsel patients on healthy living and when that darn statin is giving you the “muscle aches”!

ACP members can claim CME-MOC credit at https://www.acponline.org/curbsiders (CME goes live at 0900 ET on the episode’s release date).

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Credits

Producers: Christopher Chiu MD FACP FAAP; Jasneet Devgun DO; Justin Berk MD MPH MBA; Beth Garbitelli
Writers: Jasneet Devgun DO; Justin Berk MD MPH MBA
Infographic: Beth “Garbs” Garbitelli
Cover Art: Kate Grant MBChB DipGUMed
Hosts: Christopher Chiu MD FACP FAAP; Matthew Watto MD FACP; Paul Williams MD FACP
Editors: Emi Okamoto MD (written materials); Clair Morgan of Nodderly.com (audio)
Guest: Erin Michos MD MHS

Sponsor

Time Stamps

00:00:00 Intro
00:01:52 Getting to know Dr. Erin Michos
00:O6:50 Picks of the Week*: Sparking Joy- concept for Marie Kondo (book and

REBOOT #137 Hyperkalemia Master Class with Joel Topf MD Jan 13, 2020

Show notes

A Curbsiders classic with a fresh intro by Hannah Abrams @hannahRabrams (soon to be MD)! Master the management of hyperkalemia with tools, tips and tactics from @kidney_boy, Joel Topf MD, Chief of Nephrology @KashlakHospital. We cover: common causes of hyperkalemia; the U-shaped curve of potassium levels and mortality; albuterol nebs; how to safely use insulin; potassium binding resins and colonic necrosis; Does it make sense to give loop diuretics and fluids?; Should we be using fludrocortisone?; Plus, answers to all your questions about a high potassium diet and oral potassium supplements! Join us for Dr Topf’s masterful insights on hyperkalemia and potassium homeostasis. Get deeper into potassium physiology with a FREE pdf copy of Joel’s book The Fluid Electrolyte and Acid Base Companion here.

Sponsor

Credits

Written, edited and produced by: Matthew Watto MD, FACP
Intro: Hannah R Abrams
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Stuart Brigham MD
Infographic and Cover Art: Matthew Watto MD, FACP
Guest: Joel Topf MD

Time Stamps

00:00 Sponsor -ACP’s IM Meeting 2020 in LA
00:28 Disclaimer, intro and guest bio
03:00 Guest one-liner
Picks of the week* —Peloton indoor bike;

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