The Curbsiders Internal Medicine Podcast

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complexities of managing obstructive sleep apnea before surgery, and why the traditional 'NPO after midnight' rule is outdated.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.

Dr. Tom DeLoughery, a hematologist from Oregon Health & Science University, shares his expertise on iron deficiency anemia, blending medical insights with personal anecdotes. He discusses the intricacies of diagnosing and managing anemia, including the role of ferritin levels and the importance of individualized treatment plans. The conversation also highlights common misconceptions about iron intake, dietary advice, and the use of intravenous therapies. With humor and valuable lessons, he addresses the complexities faced by patients and physicians alike.

Join Dr. Kaniksha Desai, a board-certified endocrinologist from Stanford, and Dr. Ana Chindris from the Mayo Clinic, as they unravel the complexities of thyroid nodules and cancer management. They discuss risk stratification techniques, the role of GLP-1 agonists, and the importance of personalized care in follow-up protocols. From exploring the Bethesda system for nodule categorization to addressing compressive symptoms, this engaging conversation provides valuable insights for primary care professionals while revealing their personal passions outside medicine.

Dr. Gurusher Panjrath, a leading cardiologist and director at George Washington University's Heart Failure Program, discusses advanced inpatient heart failure management. He shares insights on effective diuretic therapy and innovative strategies for integrating outpatient care. The conversation highlights essential diagnostics like POCUS and echocardiography, as well as the nuances of managing volume overload. Dr. Panjrath emphasizes the importance of patient education and communication to ensure successful transitions of care, ultimately aiming for improved patient outcomes.