The Curbsiders Internal Medicine Podcast

Learn about adjusting diabetes meds to glucose patterns with CGMs, insulin adjustments, hypoglycemia scenarios, post-prandial hyperglycemia, incorporating GLP1 agonists and SGLT2 inhibitors, troubleshoot patterns, managing exercise-induced hypoglycemia, and nocturnal hypoglycemia with sulfonylureas.

Dive into hot topics like E-cigarettes for smoking cessation, Gabapentin for COPD, Lidocaine for neck pain, C diff risk by antibiotic type, and dosing GLP1 agonists. Informative and entertaining medical discussions with a sprinkle of humor!

Exploring pericarditis and myocarditis, they discuss diagnostic criteria and challenges, including EKG changes. They cover management strategies, NSAIDs, steroids, and risk factors. They touch on vaccines, infections, and post-surgical complications as causes.

Learn about obesity medicine skills, patient counseling, weight loss tools, and medications like GLP1 agonists. Discover tips for overcoming barriers and setting realistic goals for weight loss. Hear about low-carb diets and managing side effects of medications. Also, explore recommendations for movies and animated series at the end of the episode.

Exploring the management of metabolic acidosis in CKD, discussing bicarbonate supplementation, alternative options like baking soda and fruits/veggies, dietary modifications, counseling CKD patients, common mistakes, and pitfalls. Dr. Timothy Yau shares insights, focusing on optimizing care and the use of sodium bicarbonate. NephMadness 2024 adds to the excitement with a pod crawl event for internists and intensivists.

Explore managing anxiety with Dr. Jessi Gold, from non-pharmacological to 2nd and 3rd line medications. Learn about cannabis use, diagnosing anxiety in primary care, and medication considerations. Discover self-care strategies, medication challenges, and innovative mental health solutions.

Topics include DVT prophylaxis in cancer patients, anticoagulation in subclinical atrial fibrillation, steroids in COPD exacerbations, genetic testing guidelines for breast cancer, and at-home STI testing. Dive into medical updates and trial discussions with a touch of humor.

Exploring the clinical clues of amyloidosis with Dr. Michelle Kittleson, including diagnostic challenges and treatment options. Delving into the intricacies of cardiac amyloidosis, diagnostic clues, and advancements in therapy. Discussing the challenges of diagnosing and managing medical conditions, emphasizing the importance of clinical suspicion and individualized therapies.

Join us as Sandhya Pruthi, MD talks us through basics of breast cancer, specifically how to share a new diagnosis with a patient, the spectrum of disease from favorable to more aggressive, and the basics of what to expect with initial treatment. Feel more confident sharing a new diagnosis of breast cancer and supporting your patients through this journey. Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Introduction 02:18 Getting to Know Dr Sandhya Pruthi 09:49 Picks of the Week 12:35 Case 1: Diagnosis and Treatment of ductal carcinoma in situ (DCIS) 21:24 Risk Stratification and Active Surveillance for DCIS 23:43 Genetic Testing Recommendations 28:08 Case 2: Evaluation and Diagnosis of a Breast Lump 39:14 Invasive Ductal Carcinoma 47:49 Initial Management of invasive ductal carcinoma (IDC) 48:19 Preoperative Discussion and MRI 49:19 Lumpectomy and Sentinel Lymph Node Biopsy 50:16 Radiation and Hormonal Adjuvant Therapy 51:46 Considerations for Chemotherapy 55:51 Signs of Late Recurrence or Metastasis 58:20 Screening Guidelines and Age 01:02:25 Importance of Breast Self-Awareness Credits Written and produced, Show Notes:  Molly Heublein MD Infographic and Cover Art: Edison Jyang Hosts: Molly Heublein MD, Era Kryzhanovskaya MD  Reviewer: Leah Witt, MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Sandhya Pruthi MD Transcript Disclaimer We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content. Sponsor: Freed You can try Freed for free right now by going to freed.ai Listeners of Curbsiders can use code CURB50 for $50 off their first month.  Sponsor: Babbel Get 50% off at Babbel.com/CURB Sponsor: NetSuite Get your own KPI Checklist at NetSuite.com/CURBSIDERS

Get rid of those clots around anticoagulation and antiplatelet management Join us for a review of the perioperative risk assessment of bleeding and clotting and how to manage each patient’s own antithrombotics. We are joined by Dr. Poorvi Hardman from Ohio State University.  Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Rapid Fire Questions/Picks of the Week Case 1 Risk stratification of thromboembolism and bleeding Review of types of surgeries and risk associated with surgical intervention Utilizing scoring systems to aid decision making Bridging Considerations for VKAs, DOACs  Pitfalls to bridging Case 2 Aspirin Management P2Y12 Management Consultants Outro Credits Written, produced and show notes by: Jaimie Patel MD Infographic and Cover Art by: Caroline Coleman 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: Poorvi Hardman MD Transcript Disclaimer We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content. Sponsor: Freed You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month. Sponsor: Allbirds Get your shoes at Allbirds.com and use code CURB and score a free pair of socks with purchase today. Sponsor: Pathway Improve your clinical decision-making process and enhance patient care. Download the Pathway app today by visiting pathway.md