The Curbsiders Internal Medicine Podcast

Latest Episodes:

#122 Headaches Advanced Class Oct 29, 2018

Show notes

We delve into advanced management of headaches, including novel therapies, migraines with aura, migraines in complicated patients, and headaches of short duration with Dr. Rebecca Burch, a headache medicine specialist at the John R. Graham Headache Center at Brigham and Women’s Hospital.

Full show notes available at http://thecurbsiders.com/podcast. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

Credits

Written and produced by: Paul Williams MD

Edited by: Matthew Watto MD

Hosts: Paul Williams MD, Stuart Brigham MD, Matthew Watto MD

Guest: Rebecca Burch MD

Time Stamps

00:00 Disclaimer, intro and guest bio
03:28 Guest one-liner, movie and podcast recommendations, favorite failure and picks of the week from The Curbsiders
10:38 Clinical case of migraines; diagnosis and classification
14:12 Does medication overuse headache exist?
16:16 Chronic daily headache; Conversion from episodic to chronic and vice versa
21:43 Approaches to medication overuse headache
25:54 Case 2: migraine with aura and other types of migraine (retinal, hemiplegic, etc.)
32:09 Pathophysiology of migraine; how triptans work; How should aura effect management?
38:44 Migraine cocktails
41:15 Comorbid mood disorders; Use of psych meds and triptans
45:08 Migraines and oral contraceptives
48:42 Botulinum toxin and new CGRP therapies
53:36 What does success look like in migraine therapy?
55:32 Nonpharmacologic management
60:45 Case 3: headaches of short duration
66:36 Headache red flags; Imaging for headaches; pathophysiology of high and low pressure headaches
72:00 Idiopathic intracranial hypertension
75:25 Take home points
77:00 Outro

#121 HIV Care for the Internist Oct 22, 2018

Show notes

HIV care for the internist with author and HIV expert, Michael Saag MD, Professor of Infectious Diseases at University of Alabama and founder of the 1917 Clinic. We discuss the specifics of screening & diagnostic testing in HIV, monitoring CD4 counts and viral loads, first line antiretroviral therapy, harm reduction, and how to provide excellent HIV care in your primary care clinic.

Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

Credits

Written & Produced by: Elena Gibson MS4, Justin Berk MD MBA MPH

Artwork by: Elena Gibson MS4

Hosts: Matthew Watto MD, Paul Williams MD, Justin Berk MD MBA MPH

Editor: Matthew Watto MD

Guest: Michael Saag MD

Time Stamps

00:00 Disclaimer, intro, and guest bio
04:35 Getting to know our guest, a movie recommendation, and words of wisdom
08:48 Clinical case, HIV screening, in-depth discussion of HIV testing & diagnosis
15:56 New diagnosis of HIV, counseling after diagnosis, confirmation, follow-up testing, the second visit
24:20 Treatment - what to start and when; some basic comments on therapy
30:05 Primary care after diagnosis, vaccines, cancer screening, cardiovascular disease prevention
34:35 Monitoring CD4 counts and viral load; interpreting CD4 count; time course of response for CD4 and viral load
42:02 Harm reduction counseling; addressing medication non-adherence
47:40 PCP prophylaxis
49:43 The 1917 Clinic, Ryan White Clinics, and linking patients to care
53:10 Take home points
55:40 Plugs
57:45 Will a cure or vaccine for HIV emerge?
59:16 Outro

#120 Policy, Patients, Payments, Paperwork Oct 19, 2018

Show notes

Join us in this roundtable discussion of patients before paperwork, administrative burden, the new CMS payment model proposal, and a bit on health insurance with cohost, Fatima Syed MD MSc and guest, Deep Shah MD MSc. Doctors Syed and Shah are both early career physicians with masters degrees in comparative social policy from Oxford University and are active members of the American College of Physicians. ACP members can visit https://acponline.org/curbsiders to claim free CME-MOC credit for this episode.

Full show notes available at http://thecurbsiders.com/podcast. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

Credits

Written and produced by: Fatima Syed MD MSc and Matthew Watto MD

CME questions by: Matthew Watto MD

Hosts: Fatima Syed MD MSc, Matthew Watto MD

Guest: Deep Shah MD MSc

Time Stamps

00:00 Disclaimer, intro, and guest bios
02:18 Guest one liners, book recommendations, picks of the week
11:00 Administrative burden
16:00 Will the documentation problem get better? Suggestions for improvement
25:11 Why do CMS rules spread to the private insurance sector?
29:30 What innovations might reduce administrative burden?
32:40 The Affordable Care Act, health insurance, price transparency
40:20 Take home points
43:20 Outro

#119 Nutrition Pearls, Heart Health and Bacon Oct 15, 2018

Show notes

Nutrition pearls from integrative cardiologist, Steven Devries MD, Associate Professor of Medicine, Northwestern Feinberg School of Medicine, Executive Director of The Gaples Institute. Clinicians receive little formal nutritional training in medical school and residency. It’s time to fill that gap! We discuss the strength of the literature supporting dietary interventions for cardiovascular health and review practical tips to help patients achieve healthy eating patterns. Patients need to hear from us that nutrition matters!
Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.
Credits

Written & Produced by: Molly Heublein MD

Hosts: Matthew Watto MD, Paul Williams MD, Molly Heublein MD

Guest: Stephen Devries MD

Editor: Matthew Watto MD

Special thanks to Elena Gibson MS4 for writing our show notes