The Curbsiders Internal Medicine Podcast

Latest Episodes:

#503: Falls with Dr. Alyson Michener and Suzanne Zukoski, MSPT Nov 03, 2025

Show notes

More than just mechanical!
Keep older adult patients on their feet, literally! Learn to map the Age-Friendly 5Ms Framework onto multifactorial risk factor assessment and management and incorporate other evidence-based fall prevention interventions with the expertise of an interdisciplinary team. We are joined by geriatrician Alyson Michener (@AlysonMichener University of Pennsylvania) and physical therapist Suzanne Zukoski (Good Shepherd Penn Partners).
Claim CME for this episode at curbsiders.vcuhealth.org!
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Show Segments

Intro
Rapid fire questions
Case
Terminology
Applying the Geriatric 5Ms Framework
Physical Therapist Assessment
Targeted Diagnostic Testing
Multifactorial Risk Factor Assessment and Management
Anticoagulation and Falls
Discharge Disposition
Exercise Programs
Home Modifications
Outro

Credits

Producer: Abigail Schmucker, MD; Rachel Miller, MD, MSEd
Writers: Abigail Schmucker, MD; Rachel Miller, MD, MSEd; Alyson Michener, MD; Suzanne Zukoski, MSPT, MSG, GCS
Show Notes: Abigail Schmucker, MD
Infographic and Cover Art: Rachel Miller, MD, MSEd
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Leah Witt, MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Alyson Michener, MD; Suzanne Zukoski, MSPT, MSG, GCS

Disclosures

Alyson Michener and Suzanne Zukoski report no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.
The production of this episode was supported by the Penn Geriatrics AGE-SMART Geriatric Workforce Enhancement Grant. This podcast content is solely the responsibility of the authors and does not necessarily represent the official views of the Health Resources and Services Administration or the U.S. Department of Health and Human Services.
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Sponsor: Freed

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REBOOT: #471 Iron Deficiency Anemia with Dr. Tom DeLoughery Oct 27, 2025

Show notes

Intro
Rapid fire questions/Picks of the Week
Case
History and Physical
Laboratory Findings
Management of Iron Deficiency Anemia
Diet
Oral Supplementation
Unexplained Iron Deficiency
Case 2
IV Iron Supplementation
IV iron reactions
Case 3
Laboratory Follow Up Post Supplementation
When to Refer to a Hematology/Oncology specialist?
Outro

Credits

Producer,Writer, Show Notes, Cover Art, and Infographics: Sai S Achi MD MBA FACP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Leah Witt, MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Dr. Tom DeLoughery MD, MACP, FAWM

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Sponsor: Continuing Education Company

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#502 Inflammatory Bowel Disease with Dr. Aline Charabaty Oct 20, 2025

Show notes

Intro
Case
Initial presentation and evaluation
Imaging and endoscopic findings
Treatment options
Treatment goals
Diet Recommendations
Preventive Health
Vitamin Deficiencies
Flare evaluation
Inpatient care

Credits

Written and Produced by: Elena Gibson MD
Infographic and Cover Art:Elena Gibson MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Emi Okamoto MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Aline Charabaty MD, FACG, AGAF

Disclosures

Dr. Charabaty reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Sponsor: Quince

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Sponsor: Freed

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Sponsor: Permanente Medical Group

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#501 GERD vs NERD: Reflux Updates with Dr. James Callaway Oct 13, 2025

Show notes

Intro
Case
Definitions and symptoms
Reflux mechanisms and triggers
Medications for Acid suppression
Endoscopy and Ambulatory Reflux Monitoring
Stopping the PPI
Additional etiologies of reflux symptoms
Outro

Credits

Written and Produced by: Elena Gibson MD
Infographic and Cover Art:Elena Gibson MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Sai S Achi MD, MBA, FACP
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: James Callaway MD

Disclosures

Dr. Callaway reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.
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Sponsor: Continuing Education Company

Visit CMEmeeting.org/curbsiders and use promo code Curb30 to get 30% off all online courses and webcasts.

500th Ep Bonus AMA: Diabetes Meds, AI in Medicine, Thyroid Antibodies, Sleep Meds, Top 5 Lists, Favorite Failures, and More! Oct 08, 2025

Show notes

In this bonus episode, Matt and Paul answer Patreon listener questions on various topics, including the role of AI in medicine, concerns about antibiotics and their impact on health, insomnia treatments, thyroid health, reflections on career burnout and more. They also share personal anecdotes and insights emphasizing the importance of continuous learning and adaptation in the medical field.
Chapters
00:00 Exploring AI in Medicine
04:50 Cultural Shifts in Music Appreciation
10:16 Navigating Medical Questions and Antibiotics
14:57 Insomnia Medications and Sleep Hygiene
19:58 Thyroid Health and Selenium
24:59 Reflections on Career and Burnout
29:55 Closing Thoughts and Gratitude

#500: COPD Update with Cyrus Askin Oct 06, 2025

Show notes

GOLD Updates, Novel Treatments, and Managing Comorbidities in COPD Care
Level up your COPD care with practical, evidence-based strategies. Learn how to confirm airflow obstruction with spirometry (and use LLN/Z-scores thoughtfully), stage patients with the A/B/E framework, and build treatment around long-acting bronchodilation—adding ICS selectively based on exacerbations and eosinophils. We’ll highlight the nonpharmacologic moves that change outcomes (smoking cessation, vaccination, pulmonary rehab, oxygen when indicated), when to reach for add-ons (azithromycin, roflumilast), how to approach chronic hypercapnia with home NIV, and what’s new (hello, ensifentrine). Pulmonologist and longtime Curbsiders member Dr. Cyrus Askin (@Askins_Razor ) returns to share real-world pearls for diagnosing, treating, and managing comorbidities in COPD.
Claim CME for this episode at curbsiders.vcuhealth.org!
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Show Segments

Intro
Case 1
Diagnostic Workup
Understanding the Ratio, LLN/Z-Scores, and Equity
Symptom abd Risk Staging (A/B/E)
Case 2
Foundational Care
Initial Inhaler Strategy
Progression & Hypercapnia: NIV & Adherence Counseling
Add-On Pharmacologic Options for Frequent Exacerbators
What’s New and Emerging
Comorbidities and When to Refer
Take-Home Points Recap
Plugs, CME, and Credits

Credits

Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD.

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Emi Okamoto MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Cyrus Askin MD

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REBOOT: #460 Heart Failure with Preserved Ejection Fraction Sep 29, 2025

Show notes

We have a classic episode for you. Preserve your sanity while treating heart failure with preserved ejection fraction. Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) illuminates this confounding cardiac condition.
Sponsors
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#499 Inpatient DOAC Dilemmas with Dr. Jori May Sep 22, 2025

Show notes

Sorting out DOAC Drama in the Hospital
Is it treatment failure or not? Join us for a great conversation with Dr. Jori May (University of Alabama-Birmingham) on all the nuances around DOAC treatment failure and treatment indications for the hospitalized patient.
Claim CME for this episode at curbsiders.vcuhealth.org!
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Show Segments

Intro
Rapid fire questions/Picks of the Week
Case 1
Definitions
Missed Doses
Lab Monitoring
Medical Conditions impacting DOACs
Imaging
D-dimer Usefulness
Treatment Switching
Case 2
LV Thrombus
Reversibility
Outro

Credits

Producer, Writer, Show Notes, Hosts: Meredith Trubitt MD, Monee Amin MD
Infographic, Cover Art: Caroline Coleman MD
Reviewer: Rahul Ganatra MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Jori May MD

Sponsor: Continuing Education Company

Curbsiders listeners: use promo codeCurb30 for 30% off all online courses and webcasts.Head to CMEmeeting.org/curbsiders to learn more

Sponsor: FIGS

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Sponsor: Quince

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#498 Opioid Withdrawal with Dr. Ashish Thakrar Sep 15, 2025

Show notes

Grow your management tools for opioid withdrawal in the hospital. Investigate how to decide between methadone and buprenorphine, additional medications to manage symptoms and how and when to use short-acting opioids for management of withdrawal. We’re joined by Ashish Thakrar, MD at the University of Pennsylvania.
Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | CME!

Show Segments

Intro, disclaimer, guest bio
Guest one-liner
Case from Kashlak; Definitions
Symptoms of opioid withdrawal
Medications for the management of opioid withdrawal
Buprenorphine precipitated withdrawal
Starting Buprenorphine: Experiences and Strategies
Titrating Methadone: Dosage and Adjuncts
Adjunctive short-acting opioids
Emerging Trends in Drug Supply: Xylazine and Medetomidine
Outro

Credits

Producer, Show Notes: Zina Huxley-Reicher
Infographics: Zina Huxley-Reicher MD and Zoya Surani
Hosts: Carolyn Chan, MD MHS, Zina Huxley-Reicher MD, Shawn Cohen, MD
Reviewer: Payel Jhoom Roy, MD, MSc
Showrunner: Carolyn Chan, MD, MHS
Technical Production: PodPaste
Guest: Ashish Thakrar, MD MHSP

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Sponsor: Freed

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#497 Methamphetamine Use Disorder: Tailoring and Ramping up Management with Dr. Phillip Coffin Sep 08, 2025

Show notes

In this high-yield episode of Curbsiders Addiction Medicine, we dive deep into a practical and compassionate approach to caring for patients using methamphetamines and/or living with methamphetamine use disorder. We explore the latest pharmacologic options, harm reduction strategies, contingency management, and innovative ideas for monitoring and supporting patients. Whether you’re in primary care or other subspecialty settings, this episode is packed with pearls for every clinician with our amazing guest, Dr. Phillip Coffin, Director of the Center on Substance Use and Health in the SFDPH.
Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | CME!

Credits

Producer/Script Writer/Show Notes: Era Kryzhanovskaya, MD
Infographic and Cover Art: Zoya Surani
Hosts: Carolyn Chan, MD. MHS and Era Kryzhanovskaya, MD
Reviewer: Sarah Leyde MD
Showrunner: Carolyn Chan, MD, MHS
Technical Production: PodPaste
Guest: Dr. Phillip Coffin

Show Segments

Intro, disclaimer, guest bio
Guest one-liner
Case from Kashlak; Definitions
Four-tier approach to taking care of patients with methamphetamine use/use disorder
Medications for treatment
Psychosocial treatment
Harm reduction
New horizons in treatment
Outro

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