The Curbsiders Internal Medicine Podcast

Find out how tirzepatide might revolutionize weight loss, pharmacogenomics might improve antidepressant prescribing, seasonal edema affects Google searches, and whether nirmatrelvir/ritonavir helps standard-risk patients with COVID-19, and patient-centered recommendations for inpatient care from SHM/Choosing Wisely! Time to fill your plate with a fresh stack of hotcakes! Drs. Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), Nora Taranto (@NoraTaranto), and Matt Watto (@doctorwatto) catch us 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, Picks of the Week Case from Kashlak; Definitions Tirzepatide for weight loss Pharmacogenomics for personalized antidepressants Seasonal Edema Nirmatrelvir/ritonavir for standard-risk COVID-19 Hospital Medicine Choosing Wisely recommendations Outro Credits Hosted and Written by: Nora Taranto MD; 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 Sponsor: Medmastery Visit medmastery.com/curbsiders to claim a discount on any subscription.  Sponsor: Green Chef Go to GreenChef.com/curb135 and use curb135 to get $135 off across 5 boxes and your first box shipped free.  Sponsor: South California Permanente Medical Group Visit scpmgphysiciancareers.com or call (866) 449-1684 to apply to join SCPMG as an Outpatient Internal Medicine Physician. Full Transcript HERE The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. 

Learn to recognize myositis and myopathy (aka the idiopathic inflammatory myopathies), perform the appropriate initial testing, whether or not statins and exercise are safe to continue, and how to partner with our subspecialist colleagues to treat these patients in primary care.  Recorded LIVE at Johns Hopkins, we’re joined by Dr. Lisa Christopher-Stine, @DrLisaCS of @HopkinsMedicine, a rheumatologist and leading expert on myositis and myopathy!  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, Picks of the Week* Case from Kashlak History and Exam Workup for suspected myositis Cancer screening Safety of statin use and exercise Our role in primary care Audience Questions Outro Credits Written and Produced by: Matthew Watto MD, FACP Show Notes: Matthew Watto MD, FACP Cover Art and Infographic: Andréa Perdigão Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Molly Heublein MD Technical Production: Pod Paste Guest: Lisa Christopher-Stine MD, MPH Sponsor: Grammarly Go to grammarly.com/CURB to sign up for a free account and 20% off when you upgrade to Grammarly Premium. Sponsor: Betterhelp Visit BetterHelp.com/Curb to get 10% off your first month. Sponsor: Wildgrain Sign up at Wildgrain.com/CURB or use CURB at the checkout to get $30 off your first box plus free croissants in every box. Full Transcript HERE The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. 

USPSTF Update with Dr. John Wong Review the updated 2022 United States Preventive Task Force (USPSTF) guidelines on aspirin use to prevent cardiovascular disease (CVD) with Dr. John Wong. Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Credits Producer & Writer: Elena Gibson MD Show Notes: Elena Gibson MD  Cover Art & Infographic: Elena Gibson MD  Hosts: Paul Williams MD, FACP; Elena Gibson MD   Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: John Wong, MD  Sponsor: Medmastery Visit medmastery.com/curbsiders to receive a discount.  Full Transcript HERE

There’s nothing that gets a hospitalist more anxious and excited at the same time than a case of suspected meningitis. In this episode, we learn that if the thought crosses our mind, a lumbar puncture is almost certainly indicated. Our guest, Dr. Payal Patel, helps us with the balancing act that is diagnosing and managing meningitis! 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, Picks of the Week* Case from Kashlak; history and physical Initial workup for meningitis Treatment choices and duration Transitions of Care Credits Written and Produced by: Monee Amin MD, Meredith Trubitt MD, MPH Infographic and Cover Art: Caroline Coleman, MD Show Notes: Monee Amin, MD Hosts: Matthew Watto MD, FACP; Monee amin,, MD Reviewer: Rahul Ganatra, MD MPH Executive Producer: Karly Loy Showrunner: Matthew Watto MD, FACP Editor: podpaste Guest: Payal Patel, MD Sponsor: Indeed  Visit Indeed.com/internalmedicine to start hiring now.  Sponsor: Birch  Birch is giving $200 off ALL mattresses and 2 free eco-rest pillows at birchliving.com/curb.  Sponsor: Green Chef  Go to greenchef.com/curb135 and use code curb135 to get $135 off across five boxes and your first box shipped for free. Full Transcript HERE The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. 

Can vitamins prevent CVD and cancer? We kind of don’t have the answer! Is vitamin and mineral supplementation safe? Effective? Listen as our esteemed guest Dr. Michael Barry talks to us about the new United States Preventive Services Task Force recommendation regarding the role of vitamin and mineral supplementation in preventing cardiovascular disease and cancer. Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Credits Producers: Paul Williams MD, FACP and Elena Gibson, MD Writer: Paul Williams MD, FACP Show notes: Paul Williams MD, FACP Infographic and Cover Art: Elena Gibson, MD Hosts: Paul Williams MD, FACP and Elena Gibson MD  Production team: Podpaste Guest: Michael Barry MD Full Transcript HERE

Lipids Update! Get up close and personal with ASCVD prevention and lipid management guidelines, including changes in the 2018 update, with our discussion with Dr. Erin Michos @erinmichos, preventive cardiologist and associate professor of medicine at the Johns Hopkins University Hospital! We review the background on the ASCVD risk calculator, basics of primary and secondary prevention, statins benefits and misconceptions, appropriate follow-up, cool things to look out for in the future, the deal with medications like aspirin and icosapent ethyl, among many other things! If that wasn’t enough, Dr. Michos also goes over great ways to counsel patients on healthy living and when that darn statin is giving you the “muscle aches”! Get the original show notes here! Prior lipid episodes:  #37 Lipids, PCSK9, and ezetimibe: Lower is better. #10 Cholesterol, lipids, statins, fish oil. Become a Master Lipidologist. Sorry, no CME for this reboot episode, but claim CME for past episodes at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Show Segments Intro Getting to know Dr. Erin Michos Picks of the Week*: Sparking Joy- concept for Marie Kondo (book and show), The Life-Changing Magic of Tidying Up by Marie Kondo; Shadowland, book by Peter Straub; The Crown, Netflix series; Catch and Kill, book by Ronan Farrow; Trick Mirror, essay collection by Jia Tolentino; Make it Stick, book by Brown, Roediger, and McDaniel Digging into ASCVD Risk Calculator Who should get 10 year ASCVD Risk assessment and what are the categories? How Dr. Michos discusses healthy lifestyle and “Primordial Prevention” What are “Risk Enhancing Factors”? Who should get biomarker testing vs CAC scoring? How Dr. Michos discusses statin therapy with her patients How to address risks of side effects Primary vs Secondary Prevention “What should my cholesterol be?” How often to follow-up labs? Differences between stain intensity How to manage side effects PCSK9 inhibitor discussion Aspirin, Fibrates and Icosapent Ethyl High Risk vs Stable ASCVD Take home points and the future Outro Credits Producers: Christopher Chiu MD FACP FAAP; Jasneet Devgun DO; Justin Berk MD MPH MBA; Beth Garbitelli MD Writers: Jasneet Devgun DO; Justin Berk MD MPH MBA Infographic: Beth “Garbs” Garbitelli MD Cover Art: Kate Grant MBChB DipGUMed Hosts: Christopher Chiu MD FACP FAAP; Matthew Watto MD FACP; Paul Williams MD FACP    Editors: Emi Okamoto MD (written materials); Clair Morgan of Nodderly.com (audio) Guest: Erin Michos MD MHS Sponsor: Better Help Visit BetterHelp.com/curb to 10% off your first month. 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 Listeners of this show can claim a 15% lifetime discount on any of their subscriptions. Just go to www.medmastery.com/curbsiders claim your discount and use the code curbsiders15.

Recognize multiple sclerosis in the clinic, learn how to diagnose it, and partner with your neurology colleagues to help care for these patients. Dr. Annette Okai expertly walks us through multiple sclerosis (North Texas Institute of Neurology & Headache).  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 Patient presentation Physical exam Labs and imaging Pathophysiology Treatment Recognizing and treating relapses Outro Credits Written and Produced by: Deborah Gorth MD, PhD Infographic and Cover Art by: Deborah Gorth MD, PhD and Meryl Gorth Hosts: Matthew Watto MD, FACP and Paul Williams MD, FACP    Reviewer: Emi Okamoto MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Annette Okai MD Sponsor: Panacea Financial Visit panaceafinancial.com to learn how a bank for doctors, by doctors can help you.  Sponsor: Ten Thousand  Go to tenthousand.cc/curb to get 15% off Sponsor: Indeed Visit Indeed.com/internalmedicine to start hiring now. Business only pay for quality applications matching the sponsored job description.  Sponsor: Medmastery Go to medmastery.com/curbsiders and use curbsiders15 to claim a 15% lifetime discount on any subscription.  Full Transcript HERE The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. 

Supercharge your knowledge on using methadone for the treatment of opioid use disorder! We discuss treatment goals, and how to start or continue methadone in the hospital.  We’re joined by guest Dr Ruth Potee, addiction medicine physician, full-scope family medicine doc, feminist, and expert composter.  She inspires us to be strong advocates for our patients.  Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | CurbsidersAddictionMed@gmail.com | Free CME! Show Segments Intro, disclaimer, guest bio 0:46 Guest one-liner 3:23 Case from Kashlak 5:00 Methadone for OUD 5:47 Methadone Dosing 16:35 72 hour Rule 25:35 What is a methadone clinic  31:00 Methadone Checklist 35:44 QTc Prolongation and Methadone 39:15 Confirming Methadone Dose 43:17 Managing Missed Methadone doses: 45:20 Outro 50:40 Credits Producer, Writer: Kenneth Morford, MD Show Notes, Infographic, Cover Art: Zina Huxley-Reicher, MD Hosts: Matthew Watto MD, FACP; Carolyn Chan, MD; Kenneth Morford, MD  Reviewer: Shawn Cohen MD Showrunner: Carolyn Chan, MD Technical Production: Castos Guest: Dr. Ruth Potee The Curbsiders Addiction Medicine are proud to partner with  The American College of Addiction Medicine (ACAAM) to bring you this mini-series.  ACAAM is the proud home for academic addiction medicine faculty and trainees and is dedicated to training and supporting the next generation of academic addiction medicine leaders. Visit their website at acaam.org to learn more about their organization. The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. 

Master the management of hyperglycemia, DKA, and learn to avoid common pitfalls. This episode is packed with clinical pearls from repeat guest, Endocrinologist, Dr. Jeffrey Colburn. Get the original show notes here! Prior diabetes episodes:  #330 & #331 Inpatient Diabetes with Dr. Dave Lieb #309 USPSTF Quick Update: Prediabetes & Type 2 Diabetes Screening #296 Diabetes FAQ with Dr. Jeff Colburn #243 Diabetes Triple Distilled #168 Diabetes Update with Jeff Colburn MD #96: Diabetes: A1C targets & ACP guidelines controversy #51: Diabetes treatment in 2017: New meds, insulin, and cardiac risk reduction Sorry, no CME for this reboot episode, but claim CME for past episodes at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Show Segments Intro Rapid fire questions Definitions and classification of diabetes DKA in type 2 diabetes? Pathophysiology of DKA Severe hyperglycemia mislabeled as DKA Which type 2 diabetics get DKA? The cardinal issue is dehydration Starvation ketosis vs DKA vs other How to handle severe hyperglycemia in outpatients Sick day management in type 1 diabetes Initial testing for diagnosis of DKA Subcutaneous or IV insulin for DKA Initial evaluation and management in ER Fluids and electrolyte management SGLT2 inhibitors and euglycemic DKA Credits Writer, Producer: Matthew Watto MD, FACP Show Notes: Matthew Watto MD, FACP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Stuart Brigham MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Jeffrey Colburn MD, FACP, FACE Sponsor: Better Help Visit BetterHelp.com/curb to get 10% off your first month.  Sponsor: Panacea Financial  Visit panaceafinancial.com today to learn how a bank for doctors, by doctors, can help you. 

Recap and review the top pearls from recent episodes #321 Hypertension FAQ and #326 Cardiorenal Syndrome (NephMadness 2022) 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 #321, and #326! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Show Segments Intro, disclaimer, guest bio Hypertension FAQ Cardiorenal syndrome 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 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 for being my listener. Sponsor: Pattern Request your disability insurance quotes with Pattern at patternlife.com/curbsiders. Full Transcript HERE The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.