The Curbsiders Internal Medicine Podcast

Join Dr. Jeff Colburn, an esteemed academic endocrinologist and adjunct associate professor, as he tackles the intricate world of diabetes management. Delve into the unique challenges facing older adults, including medication de-escalation and personalized treatment strategies. Discover the crucial considerations for pregnant women with diabetes, from safe insulin use to postpartum care. Unpack the complexities of steroid-induced hyperglycemia and learn effective insulin management techniques. This conversation is packed with insights to navigate diabetic dilemmas!

Discover the intricacies of managing heart failure with reduced ejection fraction! The hosts highlight the necessity of tailored medication strategies and the crucial role of angiotensin receptor-neprilysin inhibitors. They dive into the importance of dietary counseling, focusing on sodium moderation, and the benefits of patient follow-ups. Learn about SGLT2 inhibitors, their side effects, and effective patient education methods. Plus, humorous anecdotes and quirky insights into shoe design for better foot health add a delightful touch.

Dr. Michelle Kittleson, a renowned heart failure expert from Cedars-Sinai, dives into the complexities of heart failure with reduced ejection fraction (HFrEF). She shares vital insights on identifying underlying causes and optimizing medication regimens. The discussion covers guideline-directed medical therapies like ARNI and SGLT2 inhibitors, emphasizing the importance of personalized treatment plans and ongoing patient education. Kittleson also highlights when to refer patients to advanced heart failure specialists, ensuring comprehensive care strategies for optimal outcomes.

This episode features Michelle Brooks, a doctor from Cashlack Southwest-ish, Avital O’Glasser, Chief of periop medicine at Cashlack Memorial, and Rahul Ganatra, known from the Hot Cake series. They dive into critical updates from SHM Converge, including insights on managing hospitalized homeless patients and addressing delirium's impact on recovery. The conversation also covers advancements in heart failure treatments, technological trends in medicine, and the importance of compassionate communication in healthcare. Tune in for some vital clinical pearls!

Join Dr. Scott Isaacs, an endocrinologist and obesity medicine specialist at Emory, as he sheds light on prediabetes and diabetes prevention. He discusses the importance of screening and personalized management, including lifestyle changes and medications. Discover how to navigate patient conversations about prediabetes, the significance of recognizing atypical cases, and explore diagnostic challenges. With insights on insulin resistance and the role of glucose testing, Dr. Isaacs provides essential strategies to combat diabetes risks!

Don’t bend the knee to hypermobility!  Learn how to evaluate patients for possible joint hypermobility, what associated conditions to be mindful of, and where to start with management.  We’re joined by Dr. Linda Bluestein, @BluesteinLinda (https://www.hypermobilitymd.com), who shares her years of experience in treating patients with hypermobility! Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro and getting to know our guest Case from Kashlak Hypermobility definitions and background Initial screening for hypermobility Physical examination  Associated conditions and symptoms Management principles of joint hypermobility Outro Credits Writer and Producer: 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: Emi Okamoto, MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest:  Linda Bluestein, MD Disclosures Dr. Bluestein  reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.  Sponsor: Quince Go to Quince.com/curb for free shipping on your order and 365 returns.  Sponsor: Mint Mobile Shop data plans at MINTMOBILE.com/CURB to get 3 months of premium wireless service from Mint Mobile for $15 a month Sponsor: Continuing Education Company Special offer for Curbsiders listeners: Save 30% on all online courses and live webcasts with promo code CURB30. Visit www.CMEmeeting.org/curbsiders to explore all offerings and claim your discount. 

Dr. Jessi Gold, a psychiatrist and mental health advocate, dives into managing treatment-resistant depression with expert insights. She explains the complexities of depression, including conditions that mimic it and the importance of patient context. The discussion covers innovative treatment options like transcranial magnetic stimulation and ketamine, alongside vital strategies for patient-provider communication. Dr. Gold emphasizes tailored approaches, family involvement, and the significance of patient autonomy in mental health care.

In this lively discussion, Dr. Anna Chodos, a geriatrics expert from UCSF, dives into the complexities of dementia care. She highlights the latest diagnostic criteria and treatment options, including new antibody therapies. Dr. Chodos stresses the importance of early detection and comprehensive evaluations, explaining how to differentiate cognitive disorders. She also shares practical resources for both patients and caregivers, emphasizing a holistic approach to brain health and cognitive decline management. This insightful talk is a must-listen for anyone interested in geriatric medicine!

Molly Brett, a primary care physician and associate editor for NEJM Journal Watch, joins the hosts to discuss groundbreaking findings in medical practice. They dive into the cognitive safety of very low LDL levels, raising intriguing questions. The podcast also explores suzetrogine as a promising non-opioid option for acute pain. Additionally, they evaluate the safety of SGLT2 inhibitors, linking them to peripheral artery disease. Finally, a debate unfolds over restrictive versus liberal transfusion strategies in acute myocardial infarction, shedding light on their long-term implications.

Dr. Stephen Holt, an Associate Professor at Yale, shares his expertise in addiction medicine. He delves into innovative treatments for alcohol use disorder, discussing lesser-known medications like disulfiram and topiramate. The importance of personalized care shines through, advocating for individual treatment goals that may include moderation. He explores the effectiveness of targeted naltrexone and emphasizes the role of compassionate relationships in recovery. Listeners gain insights into medication adherence and the significance of clear communication between doctors and patients.