Join us for this Hotcakes style episode as we talk through impactful literature for the hospitalist with Dr. Heather Nye (UCSF) and  Dr. Rahul Ganatra (@rbganatra, Harvard University) who presented the Clinical Updates in Hospital Medicine at SHM #Converge23.  Claim free CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro, disclaimer Rapid fire questions/Picks of the Week EMPULSE ADVOR STRONG-HF CRISTAL Perioperative Gabapentin Waterfall Midline catheters vs PICC lines What’s in a Name? Outro Credits Producer, Writer, Show Notes: Monee Amin MD; Rahul Ganatra, MD; Meredith Trubitt MD;  Cover Art: Monee Amin MD  Hosts: Monee Amin MD; Meredith Trubitt MD   Reviewer: Fatima Syed MD  Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Dr. Rahul Ganatra and Dr. Heather Nye Sponsor: Birch Living Birch is giving 20% off all mattresses and 2 free eco-rest pillows at birchliving.com/curb.  Sponsor: Indeed Start hiring now with a $75 sponsored job credit to upgrade your job post at indeed.com/internalmedicine. Full transcript available HERE

Dominate opioid and xylazine (aka tranq) withdrawal in the hospital with expert insights from Dr. Joseph D’Orazio (@dorazepam) recorded LIVE! at Pennsylvania Hospital Grand Rounds in Philadephia, PA. Xylazine, an alpha-2 adrenergic agonist,  has emerged as a frequent contaminant in the opioid supply with a distinct withdrawal syndrome. You’ll learn to manage this common withdrawal syndrome while also addressing acute pain complaints and opioid withdrawal.   Sorry, no CME for this episode, but check out CME for past episodes at curbsiders.vcuhealth.org. Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Xylazine basics Management of xylazine withdrawal Opioid withdrawal and acute pain Outpatient considerations for xylazine Audience questions Outro Credits Writer and Producer: Matthew Watto MD, FACP Infographic and Cover Art: Matthew Watto 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: Joseph D’Orazio MD Full transcript available HERE 

Master the nuances of the hypercoagulable work-up! Our expert discussant, Dr. Jean Connors, leads us through when to send testing for thrombophilia and how to interpret the results. Claim free CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Case from Kashlak: DVT after a trip to Singapore History-taking in a patient with a venous thromboembolism (VTE) Risk factors for VTE Who to test for thrombophilia, and how this testing influences management Thrombophilia panel: what to order When to send thrombophilia testing Case from Kashlak: potential obstetric antiphospholipid syndrome Antiphospholipid syndrome: diagnosis Antiphospholipid syndrome: management Outro Credits Producers and Writers: Malini Gandhi and Nora Taranto MD Show Notes, Infographics, and Cover Art: Malini Gandhi  Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Leah Witt MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Dr. Jean Connors MD Sponsor: Locumstory Go to locumstory.com to get a comprehensive view of locums  and decide if it’s right for you. Sponsor: Panacea Financial Visit panaceafinancial.com today to open your free account. Full transcript available HERE

Hypertension FAQ Round #2 Dr. Jordy Cohen Strikes Back Tackle resistant hypertension. Learn when it is pseudo resistant hypertension, and how to treat this pesky condition when it is true resistant hypertension. Dr. Jordy Cohen (@jordy_bc) leads us through her approach to keeping the BP where it should be (University of Pennsylvania). Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | YouTube | Mailing List | Contact | Swag! | CME Show Segments Intro Case Hypertension definition Mechanisms of hypertension Vascular stiffness and aging Antihypertensive agents Anxiety and hypertension Escalating blood pressure management Resistant hypertension Ruling out pseudo resistant hypertension Substance induced pseudo resistant hypertension Pick of the Week Outro Credits Written and Produced by: Deborah Gorth MD, PhD Infographic and Cover Art: Deborah Gorth MD, PhD and Meryl Gorth Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Sai S Achi MD, MBA Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Jordy Cohen MD, MSCE Sponsor: Indeed Visit Indeed.com/INTERNALMEDICINE to start hiring now Full transcript available HERE

We recap the top pearls for the hospitalist from #SHM #Converge2023 covering discussions on syncope, heart failure, COPD, pneumonia, sickle cell pain management, nausea and dyspnea, complex pain management issues, delirium, geriatrics updates, severe infections from injection drug use, electrolyte management, perioperative anemia and anticoagulation, and GI updates.  Note: Due to a rapid turnaround there is no CME for this episode, but visit curbsiders.vcuhealth.org to claim credit for past episodes. Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Picks of the Week Syncope Heart Failure Nausea and Dyspnea  COPD and Pneumonia Sickle Cell Pain Management Pain Management for the Hospitalist Delirium  Geriatrics Updates Electrolyte Management  Perioperative Anticoagulation Perioperative Anemia  Severe Infections from Injection Drug Use GI updates Outro Credits Written, Produced and Hosted by: Christina Sensabaugh MD, Meredith Trubitt MD, and Monee Amin MD Cover Art: Monee Amin MD  Show Notes: Meredith Trubitt MD, Monee Amin MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Sponsor: Grammarly  Go to grammarly.com/tone to download and learn more about Grammarly Premium’s advanced tone suggestions. Sponsor: Brooklinen For a limited time, visit Brooklinen.com to get $20 off plus free shipping on orders of $100+ with code CURB. Sponsor: Locumstory Get a comprehensive view of locums — and decide if it’s right for you — at locumstory.com. Sponsor: Indeed  Visit Indeed.com/INTERNALMEDICINE to start hiring now. Full transcript available HERE

LIVE! Updates in HIV management at Hershey Highly active, high-yield points on HIV management in Primary Care!  We are joined by Infectious Disease specialist Dr. Jonathan J. “JJ” Nunez MD (of Penn State Health - Hershey) to review basics of management, important comorbidities, and new horizons in HIV care.  Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | YouTube | Mailing List | askcurbsiders@gmail.com | Swag! | Free CME! Show Segments Intro Establishing HIV Care, Initial History Taking Privacy and HIV Physical Exam Tips for HIV Weight gain, managing cardiometabolic risks Initial labs, tracking viral load Undetectable = Untransmissible Sexual history considerations, PEP, PrEP,  Anal paps, cervical cancer screening Long-Acting HIV Medications Take-home points Outro Credits Producer, Writers: Paul Williams MD, FACP, Beth Garbitelli MD Show Notes, Infographic, Cover Art: Beth Garbitelli MD 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:  J.J. Nunez MD Sponsor: Green Chef Go to GreenChef.com/curb60 and use code curb60 to get 60% off plus free shipping. Sponsor: Birch Living   Birch is giving 20% off ALL mattresses and 2 free eco-rest pillows at Birchliving.com/curb Full transcript available HERE

Drop the pounds and the sugar with new guidelines New rules to manage diabetes means using new tools. Leverage GLP-1 RA and SGLT2-i to drop with pounds and the sugars with the expert insight from our guest, Dr. Marie McDonnell. Claim free CME for this episode at curbsiders.vcuhealth.org Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Puns and Intro. Disclaimer and Guest bio Case from Kashlak Labs to distinguish type 1 from type 2 diabetes Selecting initial therapy: Focus on weight loss and glucose control HbA1c goals  Yeast infections and SGLT2-i Using sulfonylureas and extended release metformin Pancreatitis and GLP-1 RA Cancer and GLP-1 RA Semaglutide tips Tirzepatide, how it works and benefits Take home points Outro Credits Producer: Matthew Watto, MD and Isabel Valdez, PA Writer: Matthew Watto, MD Show Notes, Cover Art and Infographics: Isabel Valdez, PA Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Fatima Syed, MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest:  Marie E. McDonnell, MD Sponsor: Locumstory Get a comprehensive view of locums at locumstory.com Full transcript available HERE 

We demystify primary aldosteronism, MRAs (mineralocorticoid receptor antagonists), non-steroidal MRAs, and how to recognize and treat renovascular hypertension with nephrologist/hypertension expert, Dr. Matt Luther (@DrJMLuther) as part of the NephMadness  PodCrawl 2023. Fill out a bracket for NephMadness and check out all eight NephMadness PodCrawl participants at NephMadness.com/podcrawl (list below) and the MRA region write-up by Micah Schub (@AcidBassMD). The Curbsiders gets the skinny on mineralocorticoid receptor antagonists Core IM will be covering Kidney Transplant in their classic Five Pearl format The CardioNerds will be covering the effect of Heart Failure Devices on Kidney Health Freely Filtered will try to understand thrombotic microangiopathy ISN Global Kidney Care goes deep on IgA nephropathy The Cribsiders look at transitions, first the Pediatrics to Adult nephrology transition and then from living to death with palliative nephrology  Fellow on Call will be covering Onconephrology And finally, The Nephron Segment looks at Transgender Health and CKD Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | YouTube | Mailing List | Contact | Swag | CME Show Segments Intro Diagnosis and Management of Primary Aldosteronism (PA) MRAs vs non-steroidal MRAs (mineralocorticoid receptor antagonists) NephMadness MRA region picks Renovascular Hypertension Outro Credits Writer and Producer: Matthew Watto MD Show Notes: Matthew Watto MD Cover Art & Infographic: Matthew Watto MD Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Leah Witt MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: J. Matthew Luther MD Sponsor: Locumstory Get a comprehensive view of locums, and decide if it;s right for you, at locumstory.com Sponsor: indeed Visit indeed.com/internalmedicine to start hiring now. Full Transcript available HERE

We’ve got the hard-hitting questions and must-know answers on all things TIA and stroke from neurology expert, Dr. Karima Benameur (Emory University). Topics: TIA and stroke supportive management, indicated workup, and anticoagulation and antiplatelet management pearls for the hospitalist. Free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Show Segments  Intro, disclaimer, guest bio Case 1 from Kashlak; Definitions Initial stroke triage, imaging, and assessing for interventions  Supportive care for stroke Managing patients already on antiplatelet or anticoagulant therapy Inpatient stroke workup Dual antiplatelet therapy Case 2 from Kashlak; Definitions TIA workup and management Transitions of care: “the invisible deficits” Brain health and nutrition Guest questions and Picks of the Week* Outro Credits Written, Produced, Infographic and Cover Art, Show Notes: Caroline Coleman MD Hosts: Monee Amin MD; Meredith Trubitt MD, MPH; Caroline Coleman MD Reviewer: Molly Heublein MD Executive Producer: Karly Loy Showrunner: Matthew Watto MD, FACP Editor: Pod Paste Guest: Karima Benameur MD Sponsor: Indeed  Visit indeed.com/internalmedicine to start hiring now. Sponsor: Glass Health You can get one month of Glass Pro free by signing up at glass.health and using the code CURBSIDERS. Sponsor: Grammarly  Go to grammarly.com/tone to download and learn more about Grammarly Premium’s advanced tone suggestions. Full transcript available HERE

Stay up-to-date with advances in chronic kidney disease (CKD)! Join our esteemed Chief of Nephrology at Kashlak Memorial Hospital, Dr. Joel Topf, as he leads us through the latest on SGLT2 inhibitors, finerenone, potassium binders, and treatment of CKD-associated metabolic acidosis. Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | YouTube | Mailing List | askcurbsiders@gmail.com | Swag! | Free CME! Show Segments Intro, disclaimer, guest bio Case from Kashlak SGLT2i: when to initiate SGLT2i: adverse effects Finerenone Potassium binders Treatment of CKD-associated metabolic acidosis  Outro Credits Writer, Producer, Show Notes, Infographics, and Cover Art: Malini Gandhi Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Leah Witt MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Dr. Joel Topf MD Sponsor: Better Help Visit betterhelp.com/curb today to get 10% off your first month.  Sponsor: Birch Living Birch is giving 20% off all mattresses and 2 free eco-rest pillows at birchliving.com/curb.  Sponsor: PanaceaFinancial Visit panaceafinancial.com to open a free account.  Full transcript available HERE