The Curbsiders Internal Medicine Podcast

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.

Cyrus Askin, a pulmonologist and medical director of the ICU, shares his insights on asthma management. He discusses the 2024 GINA Strategy and dives into diagnostic tools like spirometry and peak expiratory flow measurements. Askin also emphasizes tailored approaches for managing asthma in pregnant patients, detailing the effective use of medications like Budesonide-formoterol. He intertwines personal stories, including musical inspirations and a relatable look at the challenges of asthma in winter. This engaging conversation blends expert advice with human experiences.

Dr. Eva Szymanski, a geriatrician at Penn Medicine, shares invaluable insights on unintentional weight loss in older adults. She delves into the 5Ms framework, discussing medical, mental, and social factors contributing to weight loss. The conversation highlights the significance of medication review and deprescribing to enhance patient care. Dr. Szymanski also emphasizes the need for comprehensive evaluations to address weight loss and its links to serious health issues. Listeners will appreciate her practical strategies and compassionate approach to geriatric care.

Scott Matherly, an Associate Professor of Hepatology and Gastroenterology at Virginia Commonwealth University, dives into the complexities of cirrhosis management. He emphasizes the importance of thorough evaluations and timely referrals for liver transplants, discussing critical assessments like the MELD 3.0 scoring system. Listeners learn about managing decompensated cirrhosis, complications like ascites, and lifestyle changes to improve liver health. Personal anecdotes add depth, highlighting growth through challenges in both medicine and life.

Dr. Arielle Langer, an assistant professor at Harvard Medical School and director of various specialized programs, dives into antiphospholipid syndrome's clinical features, testing, and management strategies. She breaks down the diagnostic challenges, emphasizing the need for precise differentiation between true cases and false positives. Langer also discusses the complexities of managing this condition, particularly in pregnancy, and highlights the importance of patient education and collaboration with specialists for optimal care.

The hosts take a deep dive into managing diabetic foot infections, discussing essential strategies like debridement and tailored antibiotics. They tackle the urgent management of sepsis, emphasizing prompt fluid resuscitation and the effectiveness of point-of-care ultrasound. Critical patient care strategies are highlighted, particularly in emergency situations, addressing opioid management and syncope. The team also reflects on their experiences over the past year, emphasizing the importance of teamwork and the connections made within the hospital medicine community.

Dive into fascinating insights on dental pain management, including the differences between gingivitis and periodontitis. Discover the complexities of diagnosing cardiac amyloidosis and how continuous glucose monitors enhance diabetes management. Explore the challenges of identifying endometriosis and effective treatments. Unravel the intricacies of neck pain, including potential interventions. Plus, hear engaging discussions on travel medicine, hepatitis B, and the importance of community in navigating healthcare. Tune in for a year-end reflection filled with valuable medical knowledge!

In this engaging discussion, Dr. Jessi Gold, Chief Wellness Officer and psychiatry expert, dives deep into anxiety management strategies. She shares insights on integrating writing with mental health practices, emphasizing its therapeutic benefits. The conversation covers the complexities of diagnosing anxiety disorders, the importance of personalized treatment plans, and self-care strategies for coping with anxiety. Dr. Gold also highlights the challenges within the mental health system and stresses the need for effective, science-backed support.

Dr. Jeff Colburn, an expert in diabetes management and virtual care, shares valuable insights on continuous glucose monitors (CGMs) and insulin management. He discusses how to interpret CGM data, addressing issues such as overnight hypoglycemia and post-prandial highs. The conversation also highlights personalized medication strategies and the integration of GLP-1 agonists and SGLT-2 inhibitors. Colburn emphasizes the importance of patient education and adjusting treatment plans based on individual glucose patterns, making diabetes care more accessible and effective.

Dr. Kevin Johns, a psychiatrist at Ohio State University Wexner Medical Center, shares vital insights into bipolar disorder treatment. He discusses the complexities of diagnosing this condition, emphasizing the variability of symptoms and the need for thorough evaluations. Dr. Johns critiques common screening tools, highlighting CIDI 3.0 as a preferable option. He also examines medication management, particularly the challenges of treating depressive phases, and underscores the importance of long-term observation and lifestyle modifications for effective treatment.