The Curbsiders Internal Medicine Podcast

Guest Dr. Mohleen Kang from Emory University joins the hosts to discuss sepsis recognition, initial management, sepsis scoring systems, diagnostic work-up, antibiotic management, fluids, pressors, and supportive measures for sepsis patients. They emphasize the importance of gathering patient information, evolving sepsis definitions, clinical diagnosis and imaging, antibiotic selection, prioritizing antibiotics for skin infections, management of sepsis, and identification and treatment of sepsis.

Drs. Paul Williams and Nora Taranto discuss semaglutide for HFpEF and obesity, TCAs for IBS, clopidogrel vs aspirin after PCI, pitavastatin in HIV, weight changes and diet, and heavy metal exposure in cannabis users.

Dr. John Wong, an expert in PrEP for HIV Prevention, discusses the updated USPSTF guidelines on PrEP. They cover topics such as defining increased risk for HIV, counseling pearls, types of PrEP, safer sex practices, and HIV and STI screening on PrEP.

A discussion with Dr. Ilan Schwartz, an expert in fungal infections, covers topics like when to worry about fungal infections, starting anti-fungals, testing basics, resistant candida, and Pneumocystis jiroveci pneumonia. The episode also touches on MRI priorities for surgeons, unique holiday gifts, and the challenges of treating Candida and Canada-Oris.

Dr. Kevin Johns, an expert in diagnosing and treating bipolar disorder, discusses the challenges of diagnosing and treating this condition. Topics covered include screening for mania, the importance of family history, understanding the diagnosis and criteria for bipolar disorder, and the challenges of accurate diagnosis and effective treatment. The hosts emphasize the need for regular assessment, monitoring, and a healthy lifestyle for individuals with bipolar disorder.

Celiac Disease with Dr. Amy Oxentenko features Dr. Amy Oxentenko, Chair of Medicine at Mayo Clinic AZ. The podcast discusses recognizing both classic and non-classical features of celiac disease, diagnostic testing, management, and proper patient follow-up. The episode also covers non-celiac gluten sensitivity and considerations for atypical celiac patients. Dr. Oxentenko provides valuable insights while keeping the conversation engaging and informative.

Medical experts Paul Williams, Rahul Ganatra, and Matt Watto discuss VKAs vs DOACs in frail adults, RSV vaccine efficacy in older adults, importance of correct blood pressure cuff size, cotton fever in drug users, new bloating and belching guidelines, and AKI risk of pip-tazo.

Dr. Angela Peng, an ENT expert, shares valuable insights on common ear complaints. Topics include ear exam skills, safely clearing earwax, Eustachian tube dysfunction, cholesteatoma, malignant otitis externa, and cerumen impaction. The episode also discusses itchy ears and open tympanic membrane treatments.

Keep saving lives by prescribing methadone and buprenorphine. Learn how initiations of each have changed in the era of high-potency synthetic opioids (HPSOs) like fentanyl and how to continue to provide person-centered care to people with opioid use disorder. We’re joined by Dr Melissa Weimer, @DrMelissaWeimer (Yale University). This episode is in honor of National Addiction Treatment Week (treataddictionsavelives.org). Claim CME for this episode at curbsiders.vcuhealth.org! By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education. Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | Free CME! Credits Producers: Shawn Cohen MD,  Kenneth Morford MD Writer: Carolyn Chan MD MHS Show Notes: Shawn Cohen MD Infographic and Cover Art: Kenneth Morford MD Hosts: Carolyn Chan MD. MHS Shawn Cohen MD, Natalie Stahl MD, Kenneth Morford MD Reviewer: Kento Sonoda MD Showrunner: Carolyn Chan, MD, MHS Technical Production: PodPaste Guest: Melissa Weimer DO MCR Show Segments Intro, disclaimer, guest bio 00:00 Guest one-liner 05:02 National Addiction Treatment Week  06:00 Case from Kashlak; Definitions 08:30 Starting methadone  11:01 Common methadone pitfalls 15:00 Buprenorphine precipitated opioid withdrawal  23:50 High-dose buprenorphine 32:20 Treating buprenorphine precipitated withdrawal 36:50 Low-dose buprenorphine 41:50 Maintenance dose of buprenorphine 48:15 ER buprenorphine 49:00 Take home points 53:31

Dr. Will Yancy, Director of the Duke Lifestyle and Weight Management Center, discusses lifestyle interventions for weight management including the ketogenic diet and exercise. The podcast covers lab work for low carb diets, understanding and exploring low carb and keto eating plans, and managing diet for weight management. The benefits of low carb and keto diets for weight management, as well as the challenges and key take-home points for patients, are also discussed.