Join Drs. Amin and Trubitt as they go rogue and LIVE!  from Southern Hospital Medicine to discuss Things We Do For No ReasonTM in the hospital that impact the patient experience. They cover NPO at midnight, fluid restriction, VTE chemoprophylaxis and routine vital signs via the hospital course of one poor, unfortunate soul. Note No CME for this mini-episode but visit curbsiders.vcuhealth.org Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro NPO at midnight Fluid restriction VTE chemoprophylaxis Frequency of vital sign monitoring Outro Credits Written and Produced by: Monee Amin MD and Meredith Trubitt MD Cover art and presentation graphics: Caroline Coleman, MD Show Notes: Monee Amin MD and Meredith Trubitt MD Hosts: Monee Amin, MD and Meredith Trubitt MD Technical Production: PodPaste Showrunner: Matthew Watto MD, FACP Sponsor: Grammarly  Go to grammarly.com/tone to download and learn more about Grammarly Premium’s advanced tone suggestions.  Sponsor: Indeed Visit indeed.com/internalmedicine to start hiring now.  Sponsor: BetterHelp  ​​Special offer for Curbsiders listeners: get 10% off your first month at betterhelp.com/curb  Full Transcript available HERE

Recognize when to consider the diagnosis of hemochromatosis  and how to recognize common mimics of an elevated ferritin level. We’re joined by Dr. Elliot Tapper,@ebtapper on twitter (University of Michigan) Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner Case from Kashlak; Definitions Initial evaluation of Hemochromatosis  Etiology of elevated ferritin in liver disease Potential mimics of hemochromatosis  Diagnosis of hemochromatosis Evaluation of hepatic fibrosis in hemochromatosis Manifestations & complications of hemochromatosis  Outro Credits Producer & Writer:: Elena Gibson MD    Infographic & Cover Art:Edison Jyang Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Elliot Tapper Sponsor: Green Chef Go to greenchef.com/curb60 and use code curb60 to get 60% off plus free shipping.  Sponsor: Birch Living  Birch is giving 20% off all mattresses and 2 free eco-rest pillows at birchliving.com/curb.  Sponsor: Better Help  Visit betterhelp.com/curb to get 10% off your first month.  Full transcript available HERE

With Dr Steven Rauch Demystify hearing loss, identify who will benefit from hearing aids and learn to evaluate hearing complaints in primary care including an overview of tinnitus and how to recognize and treat Meniere’s disease with guest expert, Dr. Steven Rauch (Harvard University). Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Case from Kashlak;  Definitions, etiology and risk factors for hearing loss  Initial workup for hearing loss What is an audiogram and what does it show  Hearing loss red flags  How to manage hearing loss Tinnitus: what can help patients  Diagnose, distinguish and treat Meniere’s disease  Outro Credits Script and Show Notes written by,  Produced by: Kate Grant MBChB, MRCGP and Andréa Perdigão Infographic and Cover Art: Kate Grant MBChB, MRCGP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Molly Heublein MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Steve Rauch MD Sponsor: Better Help Visit betterhelp.com/curb to get 10% off your first month.  Full Transcript HERE

Pro Tips & Practical Insights from Dr. Jim O’Brien Are acute COPD exacerbations taking the wind out of YOUR sails? Join us as we navigate the stormy waters that can be AECOPD with our guest expert,  Dr. Jim O’Brien                                                                          from National Jewish Health Center. Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio What is a COPD  Case from Kashlak - Natalie Harrison Knee jerk reaction: Determining level of illness & disposition Initial work-up considerations What’s in your differential? The second-order assessment - shuffling the differential, honing in on the patient AECOPD: Triggers & Pathophysiology Treatment Pearls I: Steroids Treatment Pearls II: Antibiotics Treatment Pearls III: Bronchodilators Treatment Pearls IV: Oxygen Therapy Preparing for discharge Take home points Lightning Round! Getting to know Dr. O’Brien &  Picks of the Week* Outro Credits Writer & Producer:  Cyrus Askin MD Show Notes, Infographic & Cover Art: Cyrus Askin MD  Hosts: Meredith Trubitt MD, Monee Amin MD & Cyrus Askin MD    Reviewer:  Sai Achi, MD MBA  Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Jim O’Brien MD Sponsor: Medmastery Go to www.medmastery.com/curbsiders to claim a 15% discount off an annual Medmastery Pro Subscription.  Full Transcript available HERE

Conquer your fear of adrenal incidentalomas! We’re joined by Dr. William Young, who teaches us pearls for evaluating imaging characteristics of adrenal incidentalomas, tips for assessing and managing functioning adenomas, approaches to follow-up and surgical considerations, and more. Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Case #1 from Kashlak; Definitions Discussing adrenal incidentalomas with patients Imaging characteristics of adrenal incidentalomas Evaluation of hormonal hypersecretion - overview Subclinical Cushing’s syndrome Pheochromocytoma Surgical considerations based on nodule size and imaging phenotype Follow-up imaging Case#2 from Kashlak  Primary hyperaldosteronism - work-up and management Bilateral adrenal nodules Guest Picks of the Week Outro Credits Producer, Writer, Show Notes, Infographic, and Cover Art: Malini Gandhi  Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Leah Witt MD Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: William Young MD Sponsor: Grammarly Go to grammarly.com/podcast to sign up for an account and download! And when you’re ready to upgrade to Grammarly Premium, get 20% off.  Sponsor: BetterHelp Visit betterhelp.com/curb to get 10% off your first month.  Full Transcript HERE

We have better tools for prevention, but let’s talk! Should we be offering hormone therapy for primary prevention in postmenopausal patients?  Dr. Carol Mangione (UCLA) talks us through the potential benefits and harms, and explains how this can be a jumping off point for important conversations about preventive care. Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Credits Producers, Hosts: Elena Gibson MD and Paul Williams MD, FACP Writer, Infographic, and Cover Art: Elena Gibson MD Show notes: Paul Williams MD, FACP Reviewer: Molly Heublein MD Production team: Podpaste Guest: Carol Mangione MD Full transcript available HERE

In this episode you will learn to master delirium in the hospital!  We discuss preventing, recognizing, and managing this common and dangerous condition.  We are joined by delirium expert and President of the American Delirium Society, Dr. Esther Oh @EstherOh_MDPhD (Johns Hopkins University) Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner, Picks of the Week* Case 1 from Kashlak: hypoactive delirium Definition of delirium Delirium vs. encephalopathy vs. dementia Delirium assessment tools Prevention of delirium Discharging patients with delirium Case 2 from Kashlak: hyperactive delirium Antipsychotics Working up etiologies of delirium Treatment/management pitfalls Outro Credits Produced, Script, Show Notes: Adam Barelski MD  Infographic & Cover Art: Edison Jyang; Sarah Phoebe Roberts Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Adam Barelski MD    Reviewer: Molly Heublein MD Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Esther Oh MD, PhD Sponsor: Panacea Financial  Visit panaceafinancial.com to open your free account. Full transcript HERE

Don’t get distracted, pay attention to the details, and manage ADHD in your patients! Dr. Kevin Simon, @DrKMSimon (Boston Children’s Hospital) shows us how to stay focused and diagnose and manage attention deficit hyperactivity disorder (ADHD)  in your patients.  Learn how to make the right diagnosis, choose an appropriate medication, and modify therapy.  Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Case from Kashlak; Definitions and diagnosis of ADHD Stimulant medications for ADHD Non-stimulant medications for ADHD Mitigating diversion of medications for ADHD Managing ADHD in patients with substance use disorder Lightning round and picks of the week Outro Credits Written and Produced by: Paul Williams, MD, FACP Show Notes: Paul Williams, MD, FACP Infographic and Cover Art: Paul Williams, MD, FACP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Fatima Syed, MD Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Kevin Simon, MD Sponsor: Better Help Save 10% off your first month at betterhelp.com/curb Sponsor: Birch Living  Visit birchliving.com/curb to get $400 off all mattresses and 2 free eco-rest pillows.  Full Transcript HERE

Celebrate the holiday season with top pearls on constipation, palpitations, hypertension, meds for obesity, cardiorenal syndrome, hepatitis C, staging the liver, vitamin supplementation and more! Plus, Watto and Paul share their reflections on seven years of podcasting, give their picks of the year, and tease upcoming episodes for 2023! Note No CME for this episode but visit curbsiders.vcuhealth.org to claim credit for shows from 2022! Episodes | Subscribe | Spotify | Swag! | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, Reflections on 2022 Constipation,  Palpitations,  Hypertension,  Obesity medications,  Cardiorenal syndrome,  Hepatitis C,  Vitamin supplementation Picks of the Year Outro Credits Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP   Show Notes: Matthew Watto MD, FACP Cover Art design: Matthew Watto MD, FACP Technical Production: Pod Paste Full transcript HERE

In this episode, we discuss an overview of inpatient management of can’t miss endo emergencies. Our esteemed guest, Dr. Sara Markley Webster (Emory University, @smarkleywebster) walks us through identification, workup and management of adrenal crisis, myxedema coma, and thyroid storm. Free CME for this episode at curbsiders.vcuhealth.org Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments ●  Intro, disclaimer, guest bio ●  Guest one-liner, Picks of the Week* ●  Case 1 from Kashlak ●  Adrenal crisis identification, workup and management ●  Case 2 from Kashlak ●  Myxedema identification, workup and management ●  Case 3 from Kashlak ●  Thyroid storm identification, workup and management ●  Outro Credits ●  Written, Produced, and Hosted by: Monee Amin, MD and Meredith Trubitt, MD ●  Show Notes, Infographic and Cover Art: Caroline Coleman, MD ●  Reviewer: Emi Okamoto, MD ●  Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP ●  Technical Production: PodPaste ●  Guest: Sara Markley Webster, MD Sponsor: Locumstory If you would like to learn more about locums visit locumstory.com Sponsor: Pattern Visit patternlife.com/curbsiders to get a free disability insurance quote. Full Transcript HERE

Navigating guidelines, parsing through the PSA, Survivorship, & More! Become a pro when addressing prostate cancer! We tackle the nuances surrounding screening for this all-to-common cancer and discuss important considerations in survivorship with our guest Dr. Petar Bajic (Twitter: @PBajicMD, Instagram: @the.sexdoc) of Cleveland Clinic! You’re IN for a good time listening to this episode! Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments ●      Intro, disclaimer, guest bio ●      Guest one-liner ●      Case from Kashlak ●      Epidemiology of Prostate Cancer ●      Screening Basics ●      What is the PSA? ●      Next Steps After Elevated PSA ●      Thresholds and techniques for biopsy ●      Free PSA, Other testing modalities, Prostate MRI ●      Active Surveillance Nuts and Bolts ●      Survivorship ●      Take home points, Outro Credits ●      Producer,Writer, Show Notes,  Infographic, Cover Art: Beth Garbitelli MD ●      Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli MD ●      Reviewer: Sai S Achi, MD MBA ●      Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP ●      Technical Production: PodPaste ●      Guest: Dr. Petar Bajic MD Sponsor: Better Help  Learn more and save 10% off your first month ast betterhelp.com/curb Sponsor: Birch Living  Birch is giving $400 off all mattresses and 2 free eco-rest pillows at birchliving.com/curb Sponsor: Hello Fresh Go to hellofresh.com/curb18 and use code curb18 for 18 free meals plus free shipping.  Sponsor: Pattern Life Visit patternlife.com/curbsiders to request your free physician disability insurance quote. Full Transcript HERE

 Master the ins-and-outs of Parkinson’s Disease! We’re joined by Dr. Albert Hung, who teaches us pearls for the initial history and physical exam in a patient with undiagnosed Parkinson’s, a framework for management of early and advanced motor symptoms, tips for treating autonomic symptoms and cognitive / psychiatric features, and more. Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner Case from Kashlak Initial history in a patient with undiagnosed Parkinson’s “Pre-motor” symptoms of Parkinson’s disease Physical exam in Parkinson’s disease Drug-induced Parkinsonism “Red flags” suggesting atypical parkinsonian syndromes Role of imaging in diagnosis Typical discussion with patient at initial diagnosis Initial management of motor symptoms Management of autonomic symptoms Management of advanced motor symptoms Management of cognitive and psychiatric symptoms Outro Credits Producer, Writer, Show Notes, and Infographic: Malini Gandhi Cover Art: Kate Grant  Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Emi Okamoto MD Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Albert Hung MD, PhD Full transcript HERE

Recap and review the top pearls from recent episodes #339 Hand and Wrist Pain, #348 Foot and Ankle Pain,  and #351 Myopathy and Myositis with Watto and Paul. It’s Tales from the Curbside! (TFTC), our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning. Note No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for shows #339, #348 and #351! Episodes | Subscribe | Spotify | Swag! | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Hand and Wrist pain: CMC joint arthritis, tenosynovitis, carpal tunnel syndrome, trigger finger Foot and Ankle pain: Ankle sprains, Achilles tendon injuries, Posterior tibial tendon dysfunction Myopathy and Myositis pearls Outro Credits Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP   Show Notes: Matthew Watto MD, FACP TFTC Cover Art design: Edison Jyang Technical Production: Pod Paste Full transcript HERE

A Rational Approach: Who to Image, How to Treat, and More! Back pain is one of the most common concerns our patients bring to us in the outpatient setting.  It’s a lot more complicated than rest, ice, and NSAIDs!  Fortunately, we have pain expert, strength coach, and academic internist Dr. Austin Baraki (Austin Baraki, MD (@AustinBaraki) / Twitter) to help us develop a comprehensive, patient centered approach to help our patients manage their pain and lead healthier lives. Take control of your patients’ back pain!  Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner, Picks of the Week Case from Kashlak Introduction to Back Pain Eliciting the Patient’s Story Risk Stratification, Intro to Red Flags,  and and the STarT Back Tool  The Importance of Language and Patient-Centered Outcomes A Deeper Dive into Red Flags Setting Expectations for Care Therapeutics for Back Pain - Does anything work? The Exercise Prescription Credits Producers: Isabel Valdez, PA-C & Cyrus Askin, MD  Writer, Cover Art and Infographics:  Isabel Valdez, PA-C Show Notes: Cyrus Askin, MD Hosts: Matthew Watto MD, FACP;  Isabel Valdez, PA-C Reviewer: Molly Heublein, MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Austin Baraki, MD Sponsor: Grammarly  Go to grammarly.com/CURB to sign up for a free account! And when you’re ready to upgrade to Grammarly Premium, get 20% off. Full transcript HERE

Join us as we review recent practice-changing articles addressing the questions: Do weekend warriors experience a mortality benefit from exercise? Is an aggressive fluid strategy superior to a moderate strategy in acute pancreatitis? Does an invite for colonoscopy decrease colon cancer-related mortality? Did the benefits of intensive blood pressure control continue after the SPRINT trial ended? Fill your plate with a stack of hot tofurkey cakes! Featuring Drs. Era Kryzhanovskaya (@erakryzhmd), Nora Taranto (@norataranto), Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto). Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer Do weekend warriors experience a mortality benefit? Should you choose aggressive or moderate fluid resuscitation for acute pancreatitis? Does an invite for screening colonoscopy reduce colon cancer and CRC-related mortality? Did benefits from the SPRINT trial persist in observational follow up? Outro Credits Written and Hosted by: Era Kryzhanovskaya, MD, Nora Taranto MD; Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP Cover Art: Matthew Watto MD, FACP Reviewer: Rahul Ganatral MD, MPH Technical Production: Pod Paste Sponsor: Better Help Visit betterhelp.com/curb to save 10% off your first month.  Sponsor: Birch Living  Go to birchliving.com/curb to get $400 off and 2 free eco-rest pillows.

With Carolyn Chan MD and Shawn Cohen MD Conquer acute pain in the hospitalized patient with opioid use disorder! It’s challenging to treat opioid withdrawal and acute pain simultaneously. This episode features clinical pearls on prescribing methadone, buprenorphine, low-dose buprenorphine initiation, and how to incorporate opioids as part of multimodal pain treatment responsibly. We’re joined by The Curbsiders Addiction Medicine Podcast hosts, Drs. Carolyn Chan (@carolynachan) and Shawn Cohen (@shawncohen)! Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner Acute pain in the patient on buprenorphine maintenance Acute pain in the patient on methadone maintenance Acute pain in the patient with opioid withdrawal Standard buprenorphine initiation Methadone initiation Low dose buprenorphine initiation Take-home points Outro Credits Writer and Producer: Matthew Watto MD, FACP Show Notes: Matthew Watto MD, FACP Cover Art and Infographic: Matthew Watto MD, FACP Hosts: Matthew Watto MD, FACP   Reviewer: Fatima Syed MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Carolyn Chan MD and Shawn Cohen MD Sponsor: ExpressVPN Visit expressvpn.com/curb to get and extra three months free.  Sponsor: Southern California Permanente Medical Group  Learn more or apply at scpmgphysiciancareers.com or call (866) 449-1684.  Full transcript HERE

We’ve Come a Long Way From Ether Learn how an anesthesiologist approaches perioperative medicine from how to choose the right type of anesthesia (general anesthesia vs regional anesthesia vs MAC), to preoperative risk assessment, and how to avoid anesthesia related complications. Our guest, anesthesiologist, Dr. Angela Selzer (Denver, CO) helps us explore high yield pearls regarding the practice of anesthesiology to empower the internal medicine clinician to deliver team-based, perioperative care. Claim Free CE credit for this episode through VCU Health CE at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner Introduction to anesthesiology  Introduction to regional anesthesiology   Walk through what an anesthesiologist does in the operating room Ambulatory surgery center exclusions  Approach to preop assessments “Will it change management?” applied to anesthesiologists ASA Classes  Anesthesia complications Take Home Points; Outro; Bonus clip Credits Written and Produced by: Edison Jyang; Avital O’Glasser MD, FACP, SFHM Cover Art: Sarah Phoebe Roberts, MPH Infographic:  Avital O’Glasser MD, FACP, SFHM; Edison Jyang Show Notes: Avital O’Glasser MD, FACP, SFHM Hosts: Matthew Watto MD, FACP; Avital O’Glasser MD, FACP, SFHM Technical Production: Pod Paste  Reviewer: Sai S Achi, MD MBA Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Angela Selzer, MD Sponsor: Better Help Save 10% off your first month at BetterHelp.com/curb  Sponsor: Hello Fresh Go to HelloFresh.com/curb65 and use code curb65 for 65% off plus free shipping.  Sponsor: Indeed Visit Indeed.com/internalmedicine to start hiring now. Full transcript HERE

We ran the numbers, and it’s still important! Should patients be screened for syphilis? If so, which ones? Dr. Katrina Donahue (USPSTF) talks us through this re-affirmation of the USPSTF syphilis screening guideline, including who might be high risk and how to screen them. Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Credits Producers: Elena Gibson, MD and Paul Williams MD, FACP Writer: Elena Gibson, MD Show notes: Paul Williams MD, FACP Infographic and Cover Art: Elena Gibson, MD Hosts: Paul Williams MD, FACP and Elena Gibson MD  Production team: Podpaste Guest: Katrina Donahue MD Full Transcript HERE

Optimize and update your approach to atrial fibrillation (afib) as we discuss early rhythm control, antiarrhythmic drugs, TTE/cardioversion, afib ablation, new onset afib in the hospitalized patient, and left atrial appendage closure. Plus, we try to answer, Does afib burden matter? Our guest is cardiologist-electrophysiologist, Hugh Calkins MD, @hughcalkinsMD, Professor of Cardiology at Johns Hopkins, @hopkinsheart.  Sorry, but we won’t be offering CME for this episode. You can claim CME for past episodes at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner Case from Kashlak; Definitions An approach to new-onset afib in the office Rhythm control Lifestyle modification is a pillar of afib treatment Indications for hospitalization in afib More on rhythm control and when to pursue afib ablation Rhythm control in heart failure New onset afib in the hospitalized patient Does afib burden matter? Left atrial appendage closure  Watto and Paul recap what we’ve learned Outro Credits Written and Produced by: Matthew Watto MD, FACP Show Notes: Matthew Watto MD, FACP Cover art and Infographic by: 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: Hugh Calkins MD Sponsor: Grammarly Go to grammarly.com/curb to sign up for a free account. And when you’re ready to upgrade to Grammarly Premium, get 20% off.  Full transcript HERE

Recap and review the top pearls from recent episodes #341 Migraine Headaches Update and #350 Acute Hypoxemia with Watto and Paul. It’s Tales from the Curbside! (TFTC), our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning. Note No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for shows #341 and #350! Show Segments Intro, disclaimer, guest bio Migraine Headaches Update An approach to Hypoxemia Outro Credits Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP   Show Notes: Matthew Watto MD, FACP TFTC Cover Art design: Edison Jyang Technical Production: Pod Paste Full transcript HERE

Lipids Update 2022: Cardiovascular Risk Reduction and New Medications on the Horizon with Erin Michos, MD Show description:  Ready to take the next step in management of your patient with hyperlipidemia? Dr. Erin Michos (@erinmichos) returns to give us a lesson in Advanced Lipidology. She updates us on what new medications we can use for those difficult to treat lipids and what medications are on the horizon. Unfortunately, this episode will not be available for CME. You can claim free CME for other episodes at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, Getting to know Dr. Erin Michos, Pick of the Week Patient Case, Digging into ASCVD Risk  Coronary artery calcium scoring - why it’s important What are “Risk Enhancing Factors”? Biomarker testing, what is the significance of Lip a and how can we use it to drive management? Introduction to PCSK9 inhibitors More than just statins - other LDL-lowering medications siRNAs, ASOs - Pelacarsen and more Apollo Trial regarding Pelacarsen Importance of Family History What to do if maxed out on a statin or statin intolerance - Ezetimibe, PCSK9 inhibitors, MAB therapies, and more Bempedoic Acid discussion Medication side effects Homozygous FH - approach to treatment, ANGPTL3 inhibitors Triglycerides discussion, icosapent ethyl, the REDUCE-IT trial Wrap-up and Take home points, Outtro Credits Producer and written by: Christopher Chiu MD, FACP, FAAP Show Notes: James Antaki MD Infographic: Edison Jyang Cover Art: Kate Grant MBChB, DipGUMed Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Associate Editor: Leah Witt MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Erin Michos MD, MHS Sponsor: Birch Living Birch is giving $400 off all mattresses and 2 free eco-rest pillows at BirchLiving.com/curb.  Full transcript HERE

The treatment your patients need but may not be getting! Take a bite out of our latest episode featuring guest expert Dr. Michelle McMacken (@DrMcMacken) and learn how you can help your patients effectively and sustainably reap the health benefits of improved nutrition. Discover the enormous evidence base for nutritional recommendations, develop scripts to engage patients, and update your CVD, T2DM, and hyperlipidemia treatment plans to meaningfully incorporate nutrition. Get your truffle-hunting outfit on, it’s time to go foraging for some tasty knowledge food!  Show Segments Intro, disclaimer, guest bio Guest one-liner, favorite advice Case from Kashlak; definitions “Evidence-based nutrition” vs plant-based diet Unifying the guidelines for patient care Treating the skeptical patient Tailoring recommendations to patients’ needs  Treating the motivated patient Host questions Outro Credits Written and Produced by: Deep Shah MD Show Notes:  Sarah Phoebe Roberts, Deep Shah MD Infographic and Cover Art: Lyan Chang Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Deep Shah MD Reviewers:  Emi Okamoto MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Michelle McMacken MD, FACP, DipABLM Sponsor: BetterHelp Visit BetterHelp.com/curb today to get 10% off your first month. Sponsor: Indeed Visit Indeed.com/internalmedicine to start hiring now. Super foods handout  Full transcript HERE

Master the latest knowledge on the ongoing monkeypox outbreak with Dr. Boghuma Titanji (@Boghuma)! Learn how to recognize monkeypox in the clinic, how to test for monkeypox, how to approach management (including options for antiviral agents), and more. Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner, Picks of the Week Case from Kashlak History of monkeypox - past and current outbreaks Transmission of monkeypox Risk factors for monkeypox Clinical presentation of monkeypox Testing for monkeypox Management of monkeypox: supportive care and antivirals Monkeypox in patients with HIV Monkeypox in pregnancy Monkeypox vaccines Outro Credits Producer and Writer: Paul Williams MD, FACP Show Notes: Malini Gandhi  Infographic: Sarah Phoebe Roberts Cover Art: Kate Grant MD Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Emi Okamoto MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Boghuma Titanji MD Sponsor: Green Chef Go to GreenChef.com/curb135 and use code curb135 to get $135 off across five boxes and your first box ships free.  Sponsor: Medmastery Go to medmastery.com/curbsiders to claim your discount. Full Transcript HERE

From Cord Compression to Tumor Lysis Syndrome Do you freak out over oncologic emergencies like cord compression or tumor lysis syndrome? Join Dr. Aditi Singh (University of Pennsylvania, Abramson Cancer Center, @AditiSinghMD) for this comprehensive conversation on six commonly encountered oncologic emergencies we see in the hospital! Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner, Picks of the Week* Cord Compression SVC Syndrome Malignant Obstruction Tumor Lysis Syndrome Blast Crisis Outro Credits Producer, Writer, Hosts: Meredith Trubitt, MD MPH; Monee Amin, MD Infographic and Cover Art: Caroline Coleman Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Associate Editor: Leah Witt, MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Aditi Singh, MD Sponsor: BetterHelp Visit BetterHelp.com/curb today to get 10% off your first month.   Sponsor: Indeed  Visit Indeed.com/internalmedicine to start hiring now.   Sponsor: Hello Fresh   Go to HelloFresh.com/curb65 and use code curb65 for 65% off plus free shipping.    Full Transcript HERE

Find out if ultra-short course (two days) antibiotics work for pneumonia, if acetazolamide improves diuretic efficiency in acute decompensated heart failure, should we prescribe psilocybin (magic mushrooms) to treat alcohol use disorder, and if removal of asymptomatic kidney stones decreases the incidence of future events! Time to fill your plate with a fresh stack of hotcakes! Drs. Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto) catch up on recent practice-changing articles and guidelines!  Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer Ultra-short Antibiotics for Pneumonia,  Acetazolamide for acute heart failure exacerbations,  Psilocybin for AUD, Asymptomatic Kidney Stone Removal Outro Credits Written by: Nora Taranto MD; Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP Cover Art: Matthew Watto MD, FACP Reviewer: Rahul Ganatral MD, MPH Technical Production: Pod Paste Full transcript HERE

Brush up on your COPD skills and learn some new tips for diagnosis and management of this common respiratory condition from our expert Dr. Antonio Anzueto (University of Texas San Antonio).  Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner Case from Kashlak Epidemiology Diagnosis Workup Characterization of disease Treatment Outro Credits Writer and Producer: Cyrus Askin, MD Show Notes: Deborah Gorth MD, PhD Infographic: Kate Grant MD Cover Art: Kate Grant MD Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Associate Editor: Leah Witt, MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Antonio Anzueto, MD Sponsor: Wild Grain Start your subscription at Wildgrain.com/curb and get $30 off your first box plus free croissants in every box. Sponsor: Grammarly Go to grammarly.com/curb to sign up for a free account and get 20% off when you upgrade to Grammarly Premium. Full Transcript HERE

Upper and Lower GI Bleed Diagnosis and Management Handle the gush of upper and lower GI bleeds with ease thanks to Dr. Tanvi Dhere (@DhereMdEmory)! Learn diagnosis, initial management as well as post-procedure management including when to resume anticoagulation and antithrombotic therapy. Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner, Picks of the Week* Case from Kashlak; Upper GI bleed Labs, Stool Studies Initial Management of GI bleed Endoscopy Post-procedure management Lower GI bleed Colonoscopy Imaging/Interventional Radiology Outro Credits Producers and Writers: Meredith Trubitt MD, MPH; Monee Amin MD Show Notes:  Monee Amin, MD Infographics and Cover Art: Caroline Coleman, MD Hosts: Meredith Trubitt MD, MPH; Monee Amin MD   Reviewer: Emi Okamoto MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Tanvi Dhere, MD Sponsor: Birch Birch is giving $400 off all mattresses and 2 free eco-resy pillows at BirchLiving.com/curb Sponsor: BetterHelp Visit BetterHelp.com/curb to get 10% off your first month. Sponsor: Medmastery Go to medmastery.com/curbsiders to claim a discount on any of your subscriptions. Sponsor: Indeed Visit Indeed.com/internalmedicine to start hiring now. Full Transcript HERE

We’re back with another women in medicine episode– this time Shreya and Leah interview their she-ro Dr. Kemi Doll, career coach extraordinaire to women of color in academic medicine. She is breaking down the biggest challenges she’s seen her clients face and how to tackle them!  Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner, Picks of the Week Dr. Doll’s journey into coaching women of color in academic medicine Top 5 challenges faced by women of color in academic medicine Solutions to the challenges Outro Credits Written and Produced by: Leah Witt, MD and Shreya Trivedi, MD Infographic and Cover Art: Shreya Trivedi, MD Show Notes: Leah Witt, MD Hosts: Leah Witt, MD, Shreya Trivedi, MD and Matthew Watto MD, FACP Associate Editor: Emi Okamoto, MD Showrunners: Leah Witt, MD and Shreya Trivedi, MD Technical Production: PodPaste Guest: Kemi Doll, MD Full transcript HERE

Polyps, polypectomy & surveillance with Dr. Jennifer Maranki Learn how to recommend a good bowel prep, read colonoscopy reports, and review recommended polyp surveillance with Dr. Jennifer Maranki, @jenmarankimd (Penn State Health) Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner, Picks of the Week Case from Kashlak; definitions Polyp definitions and categories  Bowel prep & colonoscopy quality Colorectal polyp surveillance  Potential complications  When to consider polyposis syndromes  Outro Credits Producer & Writer: Elena Gibson MD Show Notes: Elena Gibson MD Infographic & Cover Art: Kate Grant MBChB DipGUMed  Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Emi Okamoto MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Jennifer Maranki MD Sponsor: ExpressVPN Secure your online Activity and  get three months free by visiting ExpressVPN.com/curb Sponsor: Green Chef Go to GreenChef.com/curb135 and use code Curb135 to get $135 off across five boxes and your first box ships free.  Full Transcript HERE

A simplified approach to dizziness/vertigo with tips from international expert, Dr. David Newman-Toker, Professor of Neurology, Ophthalmology, and Otolaryngology at Johns Hopkins University. We learn how to differentiate stroke from other causes of dizziness/vertigo; how to approach the differential diagnosis in dizziness/vertigo; how to perform the Dix-Hallpike test, Epley maneuver, and HINTS exam; plus, who benefits from medical therapy and vestibular rehab. Original show notes here. Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, Getting to know our guest Clinical Case Why can’t patients describe their dizziness? Classifying dizziness The 3 vestibular syndrome buckets defined Episodic vestibular syndrome differential diagnosis Acute vestibular syndrome differential diagnosis Chronic vestibular syndrome differential diagnosis Challenges of medical history taking Approach to the acute vestibular syndrome/HINTS How to evaluate nystagmus How to perform the head impulse test (aka head thrust) How to perform “test of skew” (alternate cover testing) Recap of HINTS exam and discussion of MRI Signs and symptoms of cerebellar stroke Use of Dix-Hallpike for episodic vertigo What happens when you choose the wrong test Continuous versus triggered dizziness, or vertigo Meclizine use in BPPV How to cure horizontal canal BPPV Treatment for vestibular neuritis Treatment for Meniere’s disease Who benefits from vestibular rehab/exercises Dizziness and giddiness Take home points Outro Credits Produced and Written by: Cyrus Askin MD Show Notes: Matthew Watto MD Hosts: Cyrus Askin MD, Stuart Brigham MD, Matthew Watto MD, FACP; Paul Williams MD, FACP Editor: Matthew Watto MD, FACP Guest: David Newman-Toker MD, PhD Sponsor: Better Help Visit BetterHelp.com/curb today to get 10% off your first month. Sponsor: Panacea Financial  Visit panaceafinancial.com today to learn how a bank for doctors, by doctors, can help you. Sponsor: Indeed  Visit Indeed.com/internalmedicine to start hiring now.

Recap and review the top pearls from recent episodes #322 H. Pylori and #324 Obesity Medicine FAQ with Watto and Paul. It’s Tales from the Curbside! (TFTC), our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning. Note No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for shows #322 and #324! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio H. pylori Obesity Medicine FAQ Outro Credits Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP   Show Notes: Matthew Watto MD, FACP TFTC Cover Art design: Edison Jyang Technical Production: Pod Paste Full transcript HERE

On this Curbsiders classic, we discuss antibiotic classes, common uses, the pathophysiology behind antibiotic mechanisms, and much more with infectious disease expert, Dr. Adi Shah MBBS (@IDdocAdi)! This antibiotics primer will break down the (cell) walls of antibiotic knowledge. Stop feeling silly when you deal with penicillins! Original show notes here. Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner Picks of the Week* How to approach antibiotics Choosing antibiotics / Framework Dr. Shah’s favorite antibiotics Pneumonia Diabetic Foot Infections Take-home points Outro Credits Produced and Written by: Nora Taranto MD Infographic, Cover Art, Show Notes: Beth Garbitelli Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Editor: Matthew Watto (written materials): Clair Morgan of nodderly.com Reviewer: Victor Kovac MD Guest: Adi Shah MBBS Sponsor: Grammarly  Go to grammarly.com/CURB to sign up for a free account! And when you’re ready to upgrade to Grammarly Premium, get 20%.

The Thrill of Victory and the Agony of the Feet Don’t fear foot pain!  Learn how to evaluate the painful foot and ankle, what needs imaging, and who needs rehab.  We are joined by Dr. Joan Ritter (Walter Reed National Military Medical Center) for a special live Curbsiders episode!   Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner, Picks of the Week* Case from Kashlak Relevant anatomy Ankle sprains Achilles tendon rupture and tendonitis Plantar fasciitis Posterior tibial tendon dysfunction Midfoot pain Morton’s neuroma Audience questions Outro Credits Writer and Producer: Paul Williams MD, FACP Show Notes and Infographic: Paul WIlliamsMD, FACP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Associate Editor: Leah Witt MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Joan Ritter MD Sponsor: Birch Living Birch is giving $400 off all mattresses and 2 free eco-rest pillows at birchliving.com/curb Sponsor: Wildgrain For a limited time, you can get $30 off the first box, plus free croissants in every box, when you go to wildgrain.com/curb to start your subscription.  Sponsor: Ochsner Health Visit ochsner.org/primarycareJobs to find out more about opportunities with with Ochsner Health.  Sponsor: Provider Solutions and Development Visit  info.psdconnect.org/curbsiders to see new job opportunities. Fully Transcript HERE 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. 

Diagnosing & Managing Acute Hypoxemia with Nick Mark MD Quick! Your patient is desaturating! Have no fear, for in this installment of our Rapid Response series we have recruited pulmonologist/intensivist extraordinaire, the great Dr. Nick Mark of ICU One Pager, to share with us all the pitfalls and pearls we need to have under our collective belt when it comes to understanding, managing, and considering the etiologies of acute hypoxemia!  Free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner, Picks of the Week Case from Kashlak; Definitions How does a pulse oximeter work? Clinical approach to hypoxemia The SIX causes of hypoxemia Delivering supplemental oxygen  Credits Written and Produced by: Cyrus Askin MD & Edison Jyang MS4 Infographic and Cover Art: Edison Jyang MS4 Show Notes: Cyrus Askin, MD Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Cyrus Askin MD Reviewer: Emi Okamoto MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste  Guest: Nick Mark MD Sponsor: Indeed Start hiring now with a $75 sponsored job credit to upgrade your job post at Indeed.com/internalmedicine. Offer good for a limited time.    Sponsor: Betterhelp Listeners get 10% off their first monmouth at BetterHelp.com/Curb Sponsor: Ten Thousand Go to tenthousand.cc/curb to get 10% off your purchase. Sponsor: Medmastery Listeners can claim a discount at medmastery.com/curbsiders.. Full Transcript HERE 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. 

Find out how tirzepatide might revolutionize weight loss, pharmacogenomics might improve antidepressant prescribing, seasonal edema affects Google searches, and whether nirmatrelvir/ritonavir helps standard-risk patients with COVID-19, and patient-centered recommendations for inpatient care from SHM/Choosing Wisely! Time to fill your plate with a fresh stack of hotcakes! Drs. Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), Nora Taranto (@NoraTaranto), and Matt Watto (@doctorwatto) catch us up on recent practice-changing articles and guidelines! Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, Picks of the Week Case from Kashlak; Definitions Tirzepatide for weight loss Pharmacogenomics for personalized antidepressants Seasonal Edema Nirmatrelvir/ritonavir for standard-risk COVID-19 Hospital Medicine Choosing Wisely recommendations Outro Credits Hosted and Written by: Nora Taranto MD; Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP Cover Art: Matthew Watto MD, FACP Reviewer: Rahul Ganatral MD, MPH Technical Production: Pod Paste Sponsor: Medmastery Visit medmastery.com/curbsiders to claim a discount on any subscription.  Sponsor: Green Chef Go to GreenChef.com/curb135 and use curb135 to get $135 off across 5 boxes and your first box shipped free.  Sponsor: South California Permanente Medical Group Visit scpmgphysiciancareers.com or call (866) 449-1684 to apply to join SCPMG as an Outpatient Internal Medicine Physician. Full Transcript HERE 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. 

Learn to recognize myositis and myopathy (aka the idiopathic inflammatory myopathies), perform the appropriate initial testing, whether or not statins and exercise are safe to continue, and how to partner with our subspecialist colleagues to treat these patients in primary care.  Recorded LIVE at Johns Hopkins, we’re joined by Dr. Lisa Christopher-Stine, @DrLisaCS of @HopkinsMedicine, a rheumatologist and leading expert on myositis and myopathy!  Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner, Picks of the Week* Case from Kashlak History and Exam Workup for suspected myositis Cancer screening Safety of statin use and exercise Our role in primary care Audience Questions Outro Credits Written and Produced by: Matthew Watto MD, FACP Show Notes: Matthew Watto MD, FACP Cover Art and Infographic: Andréa Perdigão Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Molly Heublein MD Technical Production: Pod Paste Guest: Lisa Christopher-Stine MD, MPH Sponsor: Grammarly Go to grammarly.com/CURB to sign up for a free account and 20% off when you upgrade to Grammarly Premium. Sponsor: Betterhelp Visit BetterHelp.com/Curb to get 10% off your first month. Sponsor: Wildgrain Sign up at Wildgrain.com/CURB or use CURB at the checkout to get $30 off your first box plus free croissants in every box. Full Transcript HERE 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. 

USPSTF Update with Dr. John Wong Review the updated 2022 United States Preventive Task Force (USPSTF) guidelines on aspirin use to prevent cardiovascular disease (CVD) with Dr. John Wong. Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Credits Producer & Writer: Elena Gibson MD Show Notes: Elena Gibson MD  Cover Art & Infographic: Elena Gibson MD  Hosts: Paul Williams MD, FACP; Elena Gibson MD   Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: John Wong, MD  Sponsor: Medmastery Visit medmastery.com/curbsiders to receive a discount.  Full Transcript HERE

There’s nothing that gets a hospitalist more anxious and excited at the same time than a case of suspected meningitis. In this episode, we learn that if the thought crosses our mind, a lumbar puncture is almost certainly indicated. Our guest, Dr. Payal Patel, helps us with the balancing act that is diagnosing and managing meningitis! Free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner, Picks of the Week* Case from Kashlak; history and physical Initial workup for meningitis Treatment choices and duration Transitions of Care Credits Written and Produced by: Monee Amin MD, Meredith Trubitt MD, MPH Infographic and Cover Art: Caroline Coleman, MD Show Notes: Monee Amin, MD Hosts: Matthew Watto MD, FACP; Monee amin,, MD Reviewer: Rahul Ganatra, MD MPH Executive Producer: Karly Loy Showrunner: Matthew Watto MD, FACP Editor: podpaste Guest: Payal Patel, MD Sponsor: Indeed  Visit Indeed.com/internalmedicine to start hiring now.  Sponsor: Birch  Birch is giving $200 off ALL mattresses and 2 free eco-rest pillows at birchliving.com/curb.  Sponsor: Green Chef  Go to greenchef.com/curb135 and use code curb135 to get $135 off across five boxes and your first box shipped for free. Full Transcript HERE 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. 

Can vitamins prevent CVD and cancer? We kind of don’t have the answer! Is vitamin and mineral supplementation safe? Effective? Listen as our esteemed guest Dr. Michael Barry talks to us about the new United States Preventive Services Task Force recommendation regarding the role of vitamin and mineral supplementation in preventing cardiovascular disease and cancer. Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Credits Producers: Paul Williams MD, FACP and Elena Gibson, MD Writer: Paul Williams MD, FACP Show notes: Paul Williams MD, FACP Infographic and Cover Art: Elena Gibson, MD Hosts: Paul Williams MD, FACP and Elena Gibson MD  Production team: Podpaste Guest: Michael Barry MD Full Transcript HERE

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”! Get the original show notes here! Prior lipid episodes:  #37 Lipids, PCSK9, and ezetimibe: Lower is better. #10 Cholesterol, lipids, statins, fish oil. Become a Master Lipidologist. Sorry, no CME for this reboot episode, but claim CME for past episodes at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro Getting to know Dr. Erin Michos Picks of the Week*: Sparking Joy- concept for Marie Kondo (book and show), The Life-Changing Magic of Tidying Up by Marie Kondo; Shadowland, book by Peter Straub; The Crown, Netflix series; Catch and Kill, book by Ronan Farrow; Trick Mirror, essay collection by Jia Tolentino; Make it Stick, book by Brown, Roediger, and McDaniel Digging into ASCVD Risk Calculator Who should get 10 year ASCVD Risk assessment and what are the categories? How Dr. Michos discusses healthy lifestyle and “Primordial Prevention” What are “Risk Enhancing Factors”? Who should get biomarker testing vs CAC scoring? How Dr. Michos discusses statin therapy with her patients How to address risks of side effects Primary vs Secondary Prevention “What should my cholesterol be?” How often to follow-up labs? Differences between stain intensity How to manage side effects PCSK9 inhibitor discussion Aspirin, Fibrates and Icosapent Ethyl High Risk vs Stable ASCVD Take home points and the future Outro Credits Producers: Christopher Chiu MD FACP FAAP; Jasneet Devgun DO; Justin Berk MD MPH MBA; Beth Garbitelli MD Writers: Jasneet Devgun DO; Justin Berk MD MPH MBA Infographic: Beth “Garbs” Garbitelli MD 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: Better Help Visit BetterHelp.com/curb to 10% off your first month. Sponsor: Green Chef Go to GreenChef.com/curb135 and use code curb135 to get $135 off across five boxes and your first box ships free. Sponsor: Medmastery Listeners of this show can claim a 15% lifetime discount on any of their subscriptions. Just go to www.medmastery.com/curbsiders claim your discount and use the code curbsiders15.

Recognize multiple sclerosis in the clinic, learn how to diagnose it, and partner with your neurology colleagues to help care for these patients. Dr. Annette Okai expertly walks us through multiple sclerosis (North Texas Institute of Neurology & Headache).  Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner Case from Kashlak Patient presentation Physical exam Labs and imaging Pathophysiology Treatment Recognizing and treating relapses Outro Credits Written and Produced by: Deborah Gorth MD, PhD Infographic and Cover Art by: Deborah Gorth MD, PhD and Meryl Gorth Hosts: Matthew Watto MD, FACP and Paul Williams MD, FACP    Reviewer: Emi Okamoto MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Annette Okai MD Sponsor: Panacea Financial Visit panaceafinancial.com to learn how a bank for doctors, by doctors can help you.  Sponsor: Ten Thousand  Go to tenthousand.cc/curb to get 15% off Sponsor: Indeed Visit Indeed.com/internalmedicine to start hiring now. Business only pay for quality applications matching the sponsored job description.  Sponsor: Medmastery Go to medmastery.com/curbsiders and use curbsiders15 to claim a 15% lifetime discount on any subscription.  Full Transcript HERE 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. 

Supercharge your knowledge on using methadone for the treatment of opioid use disorder! We discuss treatment goals, and how to start or continue methadone in the hospital.  We’re joined by guest Dr Ruth Potee, addiction medicine physician, full-scope family medicine doc, feminist, and expert composter.  She inspires us to be strong advocates for our patients.  Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio 0:46 Guest one-liner 3:23 Case from Kashlak 5:00 Methadone for OUD 5:47 Methadone Dosing 16:35 72 hour Rule 25:35 What is a methadone clinic  31:00 Methadone Checklist 35:44 QTc Prolongation and Methadone 39:15 Confirming Methadone Dose 43:17 Managing Missed Methadone doses: 45:20 Outro 50:40 Credits Producer, Writer: Kenneth Morford, MD Show Notes, Infographic, Cover Art: Zina Huxley-Reicher, MD Hosts: Matthew Watto MD, FACP; Carolyn Chan, MD; Kenneth Morford, MD  Reviewer: Shawn Cohen MD Showrunner: Carolyn Chan, MD Technical Production: Castos Guest: Dr. Ruth Potee The Curbsiders Addiction Medicine are proud to partner with  The American College of Addiction Medicine (ACAAM) to bring you this mini-series.  ACAAM is the proud home for academic addiction medicine faculty and trainees and is dedicated to training and supporting the next generation of academic addiction medicine leaders. Visit their website at acaam.org to learn more about their organization. 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. 

Master the management of hyperglycemia, DKA, and learn to avoid common pitfalls. This episode is packed with clinical pearls from repeat guest, Endocrinologist, Dr. Jeffrey Colburn. Get the original show notes here! Prior diabetes episodes:  #330 & #331 Inpatient Diabetes with Dr. Dave Lieb #309 USPSTF Quick Update: Prediabetes & Type 2 Diabetes Screening #296 Diabetes FAQ with Dr. Jeff Colburn #243 Diabetes Triple Distilled #168 Diabetes Update with Jeff Colburn MD #96: Diabetes: A1C targets & ACP guidelines controversy #51: Diabetes treatment in 2017: New meds, insulin, and cardiac risk reduction Sorry, no CME for this reboot episode, but claim CME for past episodes at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro Rapid fire questions Definitions and classification of diabetes DKA in type 2 diabetes? Pathophysiology of DKA Severe hyperglycemia mislabeled as DKA Which type 2 diabetics get DKA? The cardinal issue is dehydration Starvation ketosis vs DKA vs other How to handle severe hyperglycemia in outpatients Sick day management in type 1 diabetes Initial testing for diagnosis of DKA Subcutaneous or IV insulin for DKA Initial evaluation and management in ER Fluids and electrolyte management SGLT2 inhibitors and euglycemic DKA Credits Writer, Producer: Matthew Watto MD, FACP Show Notes: Matthew Watto MD, FACP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Stuart Brigham MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Jeffrey Colburn MD, FACP, FACE Sponsor: Better Help Visit BetterHelp.com/curb to get 10% off your first month.  Sponsor: Panacea Financial  Visit panaceafinancial.com today to learn how a bank for doctors, by doctors, can help you. 

Recap and review the top pearls from recent episodes #321 Hypertension FAQ and #326 Cardiorenal Syndrome (NephMadness 2022) with Watto and Paul. It’s Tales from the Curbside! (TFTC), our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning. Note No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for shows #321, and #326! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Hypertension FAQ Cardiorenal syndrome Outro Credits Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP   Show Notes: Matthew Watto MD, FACP TFTC Cover Art design: Edison Jyang Technical Production: Pod Paste Sponsor: Grammarly Go to grammarly.com/CURB to sign up for a free account! And when you’re ready to upgrade to Grammarly Premium, get 20% off for being my listener. Sponsor: Pattern Request your disability insurance quotes with Pattern at patternlife.com/curbsiders. Full Transcript HERE 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.

With great power comes great immunogenicity.  Learn about the ins and outs of immunotherapy–its indications, its power, and its adverse effects–in this episode with Dr. Christian Cable, hematologist/oncologist and medical educator extraordinaire.  We learn a riveting history of immunotherapy and about how checkpoint inhibitors work, as well as the best practices for identifying downstream effects of checkpoint inhibitors and their immune system activation (it’s all about the -Itis!). Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro What is Immunotherapy? A History Lesson Immune Checkpoint Inhibitors (ICIs)  Immune Related Adverse Events (irAEs)  Endocrine complications of checkpoint inhibitors Rheumatologic complications of checkpoint inhibitors  Considerations before starting checkpoint inhibitors (and what labs to check)  Diagnosing and Managing irAEs  Common post-irAE questions  New Kids on the Block: CAR-T  Take Home Points  Credits Written and Produced by: Nora Taranto MD Hosted by: Molly Heublein MD; Nora Taranto MD; Paul Williams MD, FACP   Guests: Christian Cable MD  Show Notes: Nora Taranto MD  Cover Art: Andrea Perdigão Infographics: Andrea Perdigão Reviewer: Emi Okamoto MD, FACP  Production team: Pod Paste Sponsor: Southern California Permanente Medical Group Learn more or apply at scpmgphysiciancareers.com Sponsor: Locumstory Visit locumstory.com to learn more about locums. Full transcript HERE 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

Dr. Kevin Weber @KwebMD (Ohio State University Wexner Medical School) takes the pain out of headache management!  Have the confidence to prescribe new CGRP-antagonists and ditans for migraine prevention and acute relief.  We also dive deep into when to order imaging and alternatives like infusions and devices.  Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner, Picks of the Week Case from Kashlak Definitions Imaging for headaches Labs Headache types Acute Migraine Treatment Ditans Anti-cgrp medications Prophylactic Migraine Treatment CGRP antagonists Devices Take home points Outro Credits Producer, writer, and show notes: Isabel Valdez PA-C Infographic: Edison Jyang Cover Art: Chris Chiu MD Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Chris Chiu MD    Reviewer: Molly Heublein MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Dr. Kevin Weber Sponsor: Better Help Go to betterhelp.com/curb to get 10% off your first month.  Sponsor: Birch Living Birch is giving $200 off all mattresses and 2 free eco-rest pillows at birchliving.com/curb Sponsor: Indeed Sign up at indeed.com/internalmedicine now and get $75 credit toward your first sponsored job. Sponsor: Locumstory Visit locumstory.com to learn more about locums.  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. 

Help your patients navigate gallbladder disease, including asymptomatic stones, incidental polyps, and uncomplicated cholecystitis. Dr. Rahul Pannala (@RahulPannala) talks us through how to diagnose biliary colic, what imaging to order, and what to anticipate for potential post-cholecystectomy complications (eg persistent pain or diarrhea). Feel confident in sending the right patients for cholecystectomy!  Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner Case from Kashlak; Definitions Typical biliary pain Imaging for cholelithiasis Treatment for symptomatic gallstones Post-cholecystectomy diarrhea and pain Inpatient management of cholecystitis Advanced imaging- HIDA scans and MRCP Incidental gallbladder findings Outro Credits Producer, Writer, Show Notes: Molly Heublein, MD Infographic/Cover Art: Lyan Chang Hosts: Molly Heublein, MD, Nora Taranto, MD; Paul Williams MD, FACP    Associate Editor: Leah Witt, MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Audio Engineer for this live episode: Chris Chiu, MD Guest: Rahul Pannala, MD Sponsor: Ten Thousand Go to tenthousand.cc/CURB to get 15% off. Sponsor: Blueland You can get 20% off your first order when you go to Blueland.com/CURB Sponsor: Locumstory Visit Locumstory.com to find out more about locum tenens. 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. 

Join us as Curbsiders favorite Dr. Ted Parks gives us a hand with the diagnosis and management of common causes of hand and wrist pain. Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments  Intro, disclaimer, guest bio Guest one-liner Anatomy review: the thumb is the short one Pathophysiology of De Quervain’s tenosynovitis Physical examination for thumb pain Management of DeQuervain’s and CMC arthritis Pathophysiology of trigger finger Management of trigger finger Pathophysiology of carpal tunnel syndrome Physical examination for carpal tunnel syndrome Carpal tunnel syndrome management Outro Credits Writer and Producer: Paul Williams, MD Infographic and Cover Art: Paul Williams, MD Hosts: Paul Williams MD and Molly Heublein, MD Editor: Emi Okamoto, MD (written materials) Guest: Ted Parks, MD Sponsor: Panacea Financial  Visit panaceafinancial.com today to learn how a bank for doctors, by doctors, can help you. Sponsor: Better Help Visit betterhelp.com/curb to get 10% off your first month. Sponsor:  Provider Solutions & Development  Visit info.psdconnect.org/curbsiders to start a conversation with and with an expert recruitment advisor. Sponsor: Indeed Sign up at indeed.com/internalmedicine now and get a $75 credit toward your first sponsored job.  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.