Optimize and update your approach to atrial fibrillation (afib) as we discuss early rhythm control, antiarrhythmic drugs, TTE/cardioversion, afib ablation, new onset afib in the hospitalized patient, and left atrial appendage closure. Plus, we try to answer, Does afib burden matter? Our guest is cardiologist-electrophysiologist, Hugh Calkins MD, @hughcalkinsMD, Professor of Cardiology at Johns Hopkins, @hopkinsheart.  Sorry, but we won’t be offering CME for this episode. You can claim CME for past episodes at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | askcurbsiders@gmail.com | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner Case from Kashlak; Definitions An approach to new-onset afib in the office Rhythm control Lifestyle modification is a pillar of afib treatment Indications for hospitalization in afib More on rhythm control and when to pursue afib ablation Rhythm control in heart failure New onset afib in the hospitalized patient Does afib burden matter? Left atrial appendage closure  Watto and Paul recap what we’ve learned Outro Credits Written and Produced by: Matthew Watto MD, FACP Show Notes: Matthew Watto MD, FACP Cover art and Infographic by: 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: Hugh Calkins MD Sponsor: Grammarly Go to grammarly.com/curb to sign up for a free account. And when you’re ready to upgrade to Grammarly Premium, get 20% off.  Full transcript HERE

Recap and review the top pearls from recent episodes #341 Migraine Headaches Update and #350 Acute Hypoxemia with Watto and Paul. It’s Tales from the Curbside! (TFTC), our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning. Note No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for shows #341 and #350! Show Segments Intro, disclaimer, guest bio Migraine Headaches Update An approach to Hypoxemia Outro Credits Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP   Show Notes: Matthew Watto MD, FACP TFTC Cover Art design: Edison Jyang Technical Production: Pod Paste Full transcript HERE

Lipids Update 2022: Cardiovascular Risk Reduction and New Medications on the Horizon with Erin Michos, MD Show description:  Ready to take the next step in management of your patient with hyperlipidemia? Dr. Erin Michos (@erinmichos) returns to give us a lesson in Advanced Lipidology. She updates us on what new medications we can use for those difficult to treat lipids and what medications are on the horizon. Unfortunately, this episode will not be available for CME. You can claim free CME for other episodes at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | askcurbsiders@gmail.com | Free CME! Show Segments Intro, Getting to know Dr. Erin Michos, Pick of the Week Patient Case, Digging into ASCVD Risk  Coronary artery calcium scoring - why it’s important What are “Risk Enhancing Factors”? Biomarker testing, what is the significance of Lip a and how can we use it to drive management? Introduction to PCSK9 inhibitors More than just statins - other LDL-lowering medications siRNAs, ASOs - Pelacarsen and more Apollo Trial regarding Pelacarsen Importance of Family History What to do if maxed out on a statin or statin intolerance - Ezetimibe, PCSK9 inhibitors, MAB therapies, and more Bempedoic Acid discussion Medication side effects Homozygous FH - approach to treatment, ANGPTL3 inhibitors Triglycerides discussion, icosapent ethyl, the REDUCE-IT trial Wrap-up and Take home points, Outtro Credits Producer and written by: Christopher Chiu MD, FACP, FAAP Show Notes: James Antaki MD Infographic: Edison Jyang Cover Art: Kate Grant MBChB, DipGUMed Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Associate Editor: Leah Witt MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Erin Michos MD, MHS Sponsor: Birch Living Birch is giving $400 off all mattresses and 2 free eco-rest pillows at BirchLiving.com/curb.  Full transcript HERE

The treatment your patients need but may not be getting! Take a bite out of our latest episode featuring guest expert Dr. Michelle McMacken (@DrMcMacken) and learn how you can help your patients effectively and sustainably reap the health benefits of improved nutrition. Discover the enormous evidence base for nutritional recommendations, develop scripts to engage patients, and update your CVD, T2DM, and hyperlipidemia treatment plans to meaningfully incorporate nutrition. Get your truffle-hunting outfit on, it’s time to go foraging for some tasty knowledge food!  Show Segments Intro, disclaimer, guest bio Guest one-liner, favorite advice Case from Kashlak; definitions “Evidence-based nutrition” vs plant-based diet Unifying the guidelines for patient care Treating the skeptical patient Tailoring recommendations to patients’ needs  Treating the motivated patient Host questions Outro Credits Written and Produced by: Deep Shah MD Show Notes:  Sarah Phoebe Roberts, Deep Shah MD Infographic and Cover Art: Lyan Chang Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Deep Shah MD Reviewers:  Emi Okamoto MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Michelle McMacken MD, FACP, DipABLM Sponsor: BetterHelp Visit BetterHelp.com/curb today to get 10% off your first month. Sponsor: Indeed Visit Indeed.com/internalmedicine to start hiring now. Super foods handout  Full transcript HERE

Master the latest knowledge on the ongoing monkeypox outbreak with Dr. Boghuma Titanji (@Boghuma)! Learn how to recognize monkeypox in the clinic, how to test for monkeypox, how to approach management (including options for antiviral agents), and more. Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | askcurbsiders@gmail.com | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner, Picks of the Week Case from Kashlak History of monkeypox - past and current outbreaks Transmission of monkeypox Risk factors for monkeypox Clinical presentation of monkeypox Testing for monkeypox Management of monkeypox: supportive care and antivirals Monkeypox in patients with HIV Monkeypox in pregnancy Monkeypox vaccines Outro Credits Producer and Writer: Paul Williams MD, FACP Show Notes: Malini Gandhi  Infographic: Sarah Phoebe Roberts Cover Art: Kate Grant MD Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Emi Okamoto MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Boghuma Titanji MD Sponsor: Green Chef Go to GreenChef.com/curb135 and use code curb135 to get $135 off across five boxes and your first box ships free.  Sponsor: Medmastery Go to medmastery.com/curbsiders to claim your discount. Full Transcript HERE

From Cord Compression to Tumor Lysis Syndrome Do you freak out over oncologic emergencies like cord compression or tumor lysis syndrome? Join Dr. Aditi Singh (University of Pennsylvania, Abramson Cancer Center, @AditiSinghMD) for this comprehensive conversation on six commonly encountered oncologic emergencies we see in the hospital! Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | askcurbsiders@gmail.com | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner, Picks of the Week* Cord Compression SVC Syndrome Malignant Obstruction Tumor Lysis Syndrome Blast Crisis Outro Credits Producer, Writer, Hosts: Meredith Trubitt, MD MPH; Monee Amin, MD Infographic and Cover Art: Caroline Coleman Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Associate Editor: Leah Witt, MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Aditi Singh, MD Sponsor: BetterHelp Visit BetterHelp.com/curb today to get 10% off your first month.   Sponsor: Indeed  Visit Indeed.com/internalmedicine to start hiring now.   Sponsor: Hello Fresh   Go to HelloFresh.com/curb65 and use code curb65 for 65% off plus free shipping.    Full Transcript HERE

Find out if ultra-short course (two days) antibiotics work for pneumonia, if acetazolamide improves diuretic efficiency in acute decompensated heart failure, should we prescribe psilocybin (magic mushrooms) to treat alcohol use disorder, and if removal of asymptomatic kidney stones decreases the incidence of future events! Time to fill your plate with a fresh stack of hotcakes! Drs. Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto) catch up on recent practice-changing articles and guidelines!  Claim 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 Ultra-short Antibiotics for Pneumonia,  Acetazolamide for acute heart failure exacerbations,  Psilocybin for AUD, Asymptomatic Kidney Stone Removal Outro Credits Written by: Nora Taranto MD; Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP Cover Art: Matthew Watto MD, FACP Reviewer: Rahul Ganatral MD, MPH Technical Production: Pod Paste Full transcript HERE

Brush up on your COPD skills and learn some new tips for diagnosis and management of this common respiratory condition from our expert Dr. Antonio Anzueto (University of Texas San Antonio).  Claim 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 Guest one-liner Case from Kashlak Epidemiology Diagnosis Workup Characterization of disease Treatment Outro Credits Writer and Producer: Cyrus Askin, MD Show Notes: Deborah Gorth MD, PhD Infographic: Kate Grant MD Cover Art: Kate Grant MD Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Associate Editor: Leah Witt, MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Antonio Anzueto, MD Sponsor: Wild Grain Start your subscription at Wildgrain.com/curb and get $30 off your first box plus free croissants in every box. Sponsor: Grammarly Go to grammarly.com/curb to sign up for a free account and get 20% off when you upgrade to Grammarly Premium. Full Transcript HERE

Upper and Lower GI Bleed Diagnosis and Management Handle the gush of upper and lower GI bleeds with ease thanks to Dr. Tanvi Dhere (@DhereMdEmory)! Learn diagnosis, initial management as well as post-procedure management including when to resume anticoagulation and antithrombotic therapy. Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | askcurbsiders@gmail.com | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner, Picks of the Week* Case from Kashlak; Upper GI bleed Labs, Stool Studies Initial Management of GI bleed Endoscopy Post-procedure management Lower GI bleed Colonoscopy Imaging/Interventional Radiology Outro Credits Producers and Writers: Meredith Trubitt MD, MPH; Monee Amin MD Show Notes:  Monee Amin, MD Infographics and Cover Art: Caroline Coleman, MD Hosts: Meredith Trubitt MD, MPH; Monee Amin MD   Reviewer: Emi Okamoto MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Tanvi Dhere, MD Sponsor: Birch Birch is giving $400 off all mattresses and 2 free eco-resy pillows at BirchLiving.com/curb Sponsor: BetterHelp Visit BetterHelp.com/curb to get 10% off your first month. Sponsor: Medmastery Go to medmastery.com/curbsiders to claim a discount on any of your subscriptions. Sponsor: Indeed Visit Indeed.com/internalmedicine to start hiring now. Full Transcript HERE

We’re back with another women in medicine episode– this time Shreya and Leah interview their she-ro Dr. Kemi Doll, career coach extraordinaire to women of color in academic medicine. She is breaking down the biggest challenges she’s seen her clients face and how to tackle them!  Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner, Picks of the Week Dr. Doll’s journey into coaching women of color in academic medicine Top 5 challenges faced by women of color in academic medicine Solutions to the challenges Outro Credits Written and Produced by: Leah Witt, MD and Shreya Trivedi, MD Infographic and Cover Art: Shreya Trivedi, MD Show Notes: Leah Witt, MD Hosts: Leah Witt, MD, Shreya Trivedi, MD and Matthew Watto MD, FACP Associate Editor: Emi Okamoto, MD Showrunners: Leah Witt, MD and Shreya Trivedi, MD Technical Production: PodPaste Guest: Kemi Doll, MD Full transcript HERE