The Curbsiders Internal Medicine Podcast

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.

In this episode, Dr. Avital O’Glasser, a hospitalist and expert in perioperative medicine at Oregon Health and Science University, shares cutting-edge insights into the latest 2024 ACC/AHA guidelines. She discusses when to hold ACE inhibitors, the complexities of managing obstructive sleep apnea before surgery, and why the traditional 'NPO after midnight' rule is outdated. Listeners will appreciate her take on personalized patient care, balancing cardiac risks, and the importance of effective communication in surgical environments.

In this engaging discussion, Dr. Jordana Cohen, a nephrologist and hypertension specialist from the University of Pennsylvania, shares her insights on managing resistant hypertension. She dives into innovative treatments, including GLP-1 agonists and aldosterone synthase inhibitors, and discusses emerging therapies that show promise. The conversation also highlights the evolution of blood pressure measurement techniques and the significance of personalized treatment plans, offering practical advice and new hope for tackling this widespread condition.

In this engaging discussion, Dr. Noble Maleque, an associate professor at Emory University, dives into the complexities of narrow complex tachyarrhythmias. He emphasizes the importance of timely interventions and effective collaboration with cardiology. Listeners will learn about EKG interpretation, physical maneuvers like the modified Valsalva, and medication strategies involving adenosine and beta blockers. The conversation also touches on personal anecdotes, including Dr. Maleque's fascination with watches, blending medical insights with a touch of personal charm.

Delve into the innovative world of non-invasive prenatal testing and its potential for early cancer detection in pregnant women. Discover the promising effects of Vitamin K2 for alleviating leg cramps and the dangers associated with as-needed antihypertensives in hospitals. Explore the use of GLP-1 agonists for treating alcohol use disorder and the effectiveness of short-course antibiotics for bacteremia. The discussion also highlights advancements in patient-collected HPV testing for cervical cancer screening, bringing attention to the future of accessible health care.