The Curbsiders Internal Medicine Podcast

Join Dr. Era Kryzhanovskaya and guests as they discuss mortality benefits for weekend warriors, fluid strategies for acute pancreatitis, colonoscopy screening impact on mortality, and the legacy of the SPRINT trial. Delve into intense blood pressure control, colon cancer risks, and patient population considerations in this engaging episode.

With Carolyn Chan MD and Shawn Cohen MD Conquer acute pain in the hospitalized patient with opioid use disorder! It’s challenging to treat opioid withdrawal and acute pain simultaneously. This episode features clinical pearls on prescribing methadone, buprenorphine, low-dose buprenorphine initiation, and how to incorporate opioids as part of multimodal pain treatment responsibly. We’re joined by The Curbsiders Addiction Medicine Podcast hosts, Drs. Carolyn Chan (@carolynachan) and Shawn Cohen (@shawncohen)! 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 Acute pain in the patient on buprenorphine maintenance Acute pain in the patient on methadone maintenance Acute pain in the patient with opioid withdrawal Standard buprenorphine initiation Methadone initiation Low dose buprenorphine initiation Take-home points Outro Credits Writer and Producer: Matthew Watto MD, FACP Show Notes: Matthew Watto MD, FACP Cover Art and Infographic: Matthew Watto MD, FACP Hosts: Matthew Watto MD, FACP   Reviewer: Fatima Syed MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Carolyn Chan MD and Shawn Cohen MD Sponsor: ExpressVPN Visit expressvpn.com/curb to get and extra three months free.  Sponsor: Southern California Permanente Medical Group  Learn more or apply at scpmgphysiciancareers.com or call (866) 449-1684.  Full transcript HERE

We’ve Come a Long Way From Ether Learn how an anesthesiologist approaches perioperative medicine from how to choose the right type of anesthesia (general anesthesia vs regional anesthesia vs MAC), to preoperative risk assessment, and how to avoid anesthesia related complications. Our guest, anesthesiologist, Dr. Angela Selzer (Denver, CO) helps us explore high yield pearls regarding the practice of anesthesiology to empower the internal medicine clinician to deliver team-based, perioperative care. Claim Free CE credit for this episode through VCU Health CE 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 Introduction to anesthesiology  Introduction to regional anesthesiology   Walk through what an anesthesiologist does in the operating room Ambulatory surgery center exclusions  Approach to preop assessments “Will it change management?” applied to anesthesiologists ASA Classes  Anesthesia complications Take Home Points; Outro; Bonus clip Credits Written and Produced by: Edison Jyang; Avital O’Glasser MD, FACP, SFHM Cover Art: Sarah Phoebe Roberts, MPH Infographic:  Avital O’Glasser MD, FACP, SFHM; Edison Jyang Show Notes: Avital O’Glasser MD, FACP, SFHM Hosts: Matthew Watto MD, FACP; Avital O’Glasser MD, FACP, SFHM Technical Production: Pod Paste  Reviewer: Sai S Achi, MD MBA Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Angela Selzer, MD Sponsor: Better Help Save 10% off your first month at BetterHelp.com/curb  Sponsor: Hello Fresh Go to HelloFresh.com/curb65 and use code curb65 for 65% off plus free shipping.  Sponsor: Indeed Visit Indeed.com/internalmedicine to start hiring now. Full transcript HERE

Dr. Katrina Donahue, a Professor at UNC Chapel Hill and a member of the U.S. Preventive Services Task Force, dives into the vital conversation about syphilis screening. She outlines the recent USPSTF guidelines, emphasizing the importance of screening high-risk individuals as syphilis cases rise. The discussion also contrasts traditional testing methods with newer rapid tests, weighing their efficacy. Additionally, Dr. Donahue addresses the delicate balance of risks and benefits in screening, calling for better risk assessments in primary care.

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