The Curbsiders Internal Medicine Podcast

In this lively discussion, Dr. Cynthia Sears, a professor at Johns Hopkins, unpacks the complexities of Clostridioides difficile (C. diff) infections and their impact on gut health. She breaks down the difference between C. diff colonization and infection, discusses treatment strategies, and highlights microbiome recovery tactics. The conversation also dives into the challenges of recurrent infections, the role of probiotics, and the potential of new therapies, including monoclonal antibodies and microbiota replacement. A must-listen for anyone interested in gut health!

Dr. Linda Blustein, a physician specializing in hypermobility disorders and Ehlers-Danlos syndrome, dives into listener questions surrounding these complex conditions. She discusses the limitations of the Beighton Score and introduces a new five-point assessment tool. The importance of finding knowledgeable healthcare providers is emphasized, along with the relationship between EDS and conditions like dysautonomia and celiac disease. Additionally, practical strategies for managing related concerns, such as lipedema and medication sensitivities, are explored.

Dr. Elliot Tapper, Chief of Hepatology at the University of Michigan, brings his expertise in liver disease to the table. He discusses the importance of understanding Non-Alcoholic Fatty Liver Disease (NAFLD) and introduces effective treatment strategies that include lifestyle changes and medications. The conversation highlights the significance of clear communication with patients about liver health and the complexities of diagnostic approaches. Dr. Tapper also shares innovative tools like AI medical scribes to enhance patient care.

Dr. Una Makris, a Professor of Medicine at UT Southwestern, discusses effective strategies for managing joint pain in older adults. She emphasizes an age-friendly approach, focusing on diagnosing and treating osteoarthritis and rheumatoid arthritis. The conversation includes insights into non-pharmacological interventions and the importance of lifestyle changes. Dr. Makris highlights the need for comprehensive assessments to combat ageism and improve treatment outcomes, advocating for personalized care and timely referrals for joint replacements.

Dr. Joel Topf, a passionate nephrologist and clinical assistant professor, shares his expertise on managing diabetes and hypertension in chronic kidney disease. He emphasizes the interplay between these conditions and kidney health, providing invaluable insights into blood pressure control and the importance of effective communication in patient care. The discussion also highlights the significance of cystatin C over creatinine as a marker for kidney health and advises on personalized treatment strategies to improve patient outcomes. Prepare to laugh while learning!

Helena Pasieka, a dual board certified internist and dermatologist specializing in complex dermatology, shares valuable insights on hair and nail health. She discusses the psychosocial impact of hair loss, emphasizing compassionate communication and effective coping strategies. The conversation covers assessment methods, treatment options for conditions like alopecia and psoriasis, and highlights the importance of cultural practices in hair care. Helena also sheds light on common myths and the emotional toll of hair loss, promoting individualized patient counseling.

Discover essential tips for safe summer travel as the hosts share humorous anecdotes and discuss common travel health issues. They emphasize infection prevention, especially malaria, while navigating vaccination guidelines and managing diabetes abroad. The conversation touches on the resurgence of wrestling culture alongside music recommendations, including a deep dive into the legacy of Harry Nilsson. Expect lighthearted commentary mixed with valuable medical insights tailored for globetrotters!

Bradley Beeler, an academic hematologist and program director in San Antonio, shares his expertise in benign hematology. He discusses how to decode low neutrophil counts and the nuances of thalassemia without unnecessary testing. The conversation dives into managing bleeding disorders, with practical advice on assessing patient histories and utilizing bleeding assessment tools effectively. Beeler emphasizes the importance of understanding ethnic variations in lab results and offers strategies for navigating the complexities of chronic anemia.

Joining the discussion is Dr. Tara Lech, Director of Anticoagulation Services at Beth Israel Leahy Health, known for her expertise in developing antithrombotic policies. Dr. Lech dives into selecting and dosing direct oral anticoagulants, emphasizing tailored approaches for different patient populations. She also clarifies the complexities of managing venous thromboembolism, treating failures, and practical tips for anticoagulation during travel. The episode highlights the pharmacist's crucial role in patient education and optimal management.

Dr. Kimberly Trotter, an Assistant Professor of Medicine at the University of Chicago and co-director of the Lupus Center, dives into the world of rheumatology, specifically focusing on crystalline arthropathies. She discusses diagnosing gout, including the critical use of uric acid levels and arthrocentesis. Trotter shares insights on effective acute treatments and emphasizes the importance of long-term management and patient education to prevent future flare-ups. Her expertise sheds light on the challenges faced by hospitalists in tackling these conditions.