The Curbsiders Internal Medicine Podcast

Dr. Brindha Bavan, a reproductive endocrinologist and clinical assistant professor at Stanford, dives into the complexities of infertility in this enlightening discussion. She emphasizes the importance of comprehensive evaluations for both partners and when to refer patients. Key topics include the emotional support needed for couples facing infertility, the role of primary care in initial assessments, and innovative treatment options like IUI and IVF. Dr. Bavan also sheds light on the financial implications of fertility care and the necessity for clear communication in navigating these sensitive issues.

Join Dr. Lenny Feldman, a trailblazer in urban health from Johns Hopkins, and Dr. Tony Breu, Harvard's resident education director, as they dissect high-value care decisions. They challenge the effectiveness of lactate-guided resuscitation in sepsis, question the routine discontinuation of beta-blockers in cocaine users, and debate the risks of anticoagulation in fall-prone patients. Plus, discover the implications of pushing for hospital discharges before noon. It's a mix of insightful medical discourse and engaging anecdotes!

Join resident epidemiologist Rahul Ganatra and associate writer Laura Glick as they dive into some hot topics in health! They discuss the surprising impacts of vitamin D3 and omega-3 fatty acids on physical performance, sparking debate on their actual benefits. The conversation shifts to gabapentin and its risks of falls among older adults, as well as gepotidacin, a promising new antibiotic for UTIs. Finally, they explore intermittent fasting's intriguing potential for weight loss, all sprinkled with humor and expert insights!

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.