The Curbsiders Internal Medicine Podcast

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.

With great power comes great immunogenicity.  Learn about the ins and outs of immunotherapy–its indications, its power, and its adverse effects–in this episode with Dr. Christian Cable, hematologist/oncologist and medical educator extraordinaire.  We learn a riveting history of immunotherapy and about how checkpoint inhibitors work, as well as the best practices for identifying downstream effects of checkpoint inhibitors and their immune system activation (it’s all about the -Itis!). 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 What is Immunotherapy? A History Lesson Immune Checkpoint Inhibitors (ICIs)  Immune Related Adverse Events (irAEs)  Endocrine complications of checkpoint inhibitors Rheumatologic complications of checkpoint inhibitors  Considerations before starting checkpoint inhibitors (and what labs to check)  Diagnosing and Managing irAEs  Common post-irAE questions  New Kids on the Block: CAR-T  Take Home Points  Credits Written and Produced by: Nora Taranto MD Hosted by: Molly Heublein MD; Nora Taranto MD; Paul Williams MD, FACP   Guests: Christian Cable MD  Show Notes: Nora Taranto MD  Cover Art: Andrea Perdigão Infographics: Andrea Perdigão Reviewer: Emi Okamoto MD, FACP  Production team: Pod Paste Sponsor: Southern California Permanente Medical Group Learn more or apply at scpmgphysiciancareers.com Sponsor: Locumstory Visit locumstory.com to learn more about locums. 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

Dr. Kevin Weber @KwebMD (Ohio State University Wexner Medical School) takes the pain out of headache management!  Have the confidence to prescribe new CGRP-antagonists and ditans for migraine prevention and acute relief.  We also dive deep into when to order imaging and alternatives like infusions and devices.  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 Definitions Imaging for headaches Labs Headache types Acute Migraine Treatment Ditans Anti-cgrp medications Prophylactic Migraine Treatment CGRP antagonists Devices Take home points Outro Credits Producer, writer, and show notes: Isabel Valdez PA-C Infographic: Edison Jyang Cover Art: Chris Chiu MD Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Chris Chiu MD    Reviewer: Molly Heublein MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Dr. Kevin Weber Sponsor: Better Help Go to betterhelp.com/curb to get 10% off your first month.  Sponsor: Birch Living Birch is giving $200 off all mattresses and 2 free eco-rest pillows at birchliving.com/curb Sponsor: Indeed Sign up at indeed.com/internalmedicine now and get $75 credit toward your first sponsored job. Sponsor: Locumstory Visit locumstory.com to learn more about locums.  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. 

Help your patients navigate gallbladder disease, including asymptomatic stones, incidental polyps, and uncomplicated cholecystitis. Dr. Rahul Pannala (@RahulPannala) talks us through how to diagnose biliary colic, what imaging to order, and what to anticipate for potential post-cholecystectomy complications (eg persistent pain or diarrhea). Feel confident in sending the right patients for cholecystectomy!  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; Definitions Typical biliary pain Imaging for cholelithiasis Treatment for symptomatic gallstones Post-cholecystectomy diarrhea and pain Inpatient management of cholecystitis Advanced imaging- HIDA scans and MRCP Incidental gallbladder findings Outro Credits Producer, Writer, Show Notes: Molly Heublein, MD Infographic/Cover Art: Lyan Chang Hosts: Molly Heublein, MD, Nora Taranto, MD; Paul Williams MD, FACP    Associate Editor: Leah Witt, MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Audio Engineer for this live episode: Chris Chiu, MD Guest: Rahul Pannala, MD Sponsor: Ten Thousand Go to tenthousand.cc/CURB to get 15% off. Sponsor: Blueland You can get 20% off your first order when you go to Blueland.com/CURB Sponsor: Locumstory Visit Locumstory.com to find out more about locum tenens. 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. 

Join us as Curbsiders favorite Dr. Ted Parks gives us a hand with the diagnosis and management of common causes of hand and wrist pain. 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 Anatomy review: the thumb is the short one Pathophysiology of De Quervain’s tenosynovitis Physical examination for thumb pain Management of DeQuervain’s and CMC arthritis Pathophysiology of trigger finger Management of trigger finger Pathophysiology of carpal tunnel syndrome Physical examination for carpal tunnel syndrome Carpal tunnel syndrome management Outro Credits Writer and Producer: Paul Williams, MD Infographic and Cover Art: Paul Williams, MD Hosts: Paul Williams MD and Molly Heublein, MD Editor: Emi Okamoto, MD (written materials) Guest: Ted Parks, MD Sponsor: Panacea Financial  Visit panaceafinancial.com today to learn how a bank for doctors, by doctors, can help you. Sponsor: Better Help Visit betterhelp.com/curb to get 10% off your first month. Sponsor:  Provider Solutions & Development  Visit info.psdconnect.org/curbsiders to start a conversation with and with an expert recruitment advisor. Sponsor: Indeed Sign up at indeed.com/internalmedicine now and get a $75 credit toward your first sponsored job.  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. 

It’s high time we revisit the benefits and harms Master the ins-and-outs of medical cannabis! Dr. Julia Arnsten (@DrArnsten) will lead us through the initial evaluation of a patient interested in medical cannabis, summarize the state of evidence for the benefits and harms, lay out a schema for dosing and formulations, provide pearls on how to counsel patients, and more! 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 Definitions and terminology A brief history of medical cannabis Case from Kashlak History to obtain for a patient interested in medical cannabis Medical cannabis dosing and formulations Conditions for which the evidence supports considering medical cannabis Risks of medical cannabis Disparities in access to medical cannabis Does medical cannabis reduce opioid use? Outro Credits Producer and Writer: Matthew Watto MD, FACP Show Notes, Infographic, and Cover Art: Malini Gandhi Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Associate Editor: Leah Witt MD Showrunner: Matthew Watto MD, FACP Production Team: PodPaste Guest: Julia Arnsten MD, MPH Sponsor: Grammarly Visit grammarly.com/CURB and get 20% off when you upgrade to Grammarly Premium.  Sponsor: Medmastery Visit medmastery.com/curbsiders to claim a 15% lifetime discount on and of their subscriptions. Sponsor: Locumstory Visit Locumstory.com to learn more about locums Sponsor: Green Chef Go to GreenChef.com/curb130 and use code curb130 to get $130 off, plus free shipping 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. 

Recap and review the top pearls from recent episodes #320 Palpitations and #317 Erectile Dysfunction 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. Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Show Segments Intro, disclaimer, guest bio Palpitations: Diagnosis, Cardiac Monitors, Treatment, Patient Counseling Erectile Dysfunction Outro Credits Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP   Show Notes: Matthew Watto MD, FACP Cover Art: Edison Jyang Technical Production: Pod Paste Sponsor: Pattern Get disability insurance quotes with Pattern at patternlife.com/curbsiders 

Learn from an expert panel in addiction medicine about a potpourri of fascinating topics, with updated data to guide clinical decision-making.  We picked the brains of physicians Stefan Kertesz, Ximena Levander, Kenny Morford, and Katherine Mullins to learn about the latest updates in opioid tapering (don’t do it if there isn’t a good reason!), how to define recovery in alcohol use disorder,  different options to treat methamphetamine use disorder, and Hepatitis C treatment in patients with active IV drug use.  And there’s so much more, that we’re following this with a whole series in Addiction Medicine, set to come out in early July 2022! Visit curbsiders.vcuhealth.org to claim CME credit for this episode.  Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Show Segments Intro Tapering long-term opioids Perioperative buprenorphine management Defining recovery in alcohol use disorder The Fourth Wave Treatment for methamphetamine use disorder E-cigarettes for smoking cessation Disparities in substance use disorder prevalence and treatment  Advocacy opportunities Outro Credits Written and Produced by: Nora Taranto MD Hosted by: Nora Taranto MD; Matthew Watto MD, FACP; Paul Williams MD, FACP   Guests: Stefan Kertesz MD MSc; Ximena Levander MD MCR FACP; Kenneth Morford MD FASAM; Katherine Mullins MD  Show Notes, Cover Art, Infographics: Nora Taranto MD  Reviewer: Molly Heublein MD  Production team: Pod Paste Sponsor: Birch by Helix Visit birchliving.com/curb to get $200 off ALL mattresses and 2 free eco-rest pillows.  Sponsor: Blueland Visit Blueland.com/curb to get 20% off your first order. CME Partner: VCU Health CE 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. 

Join us as we de-mystify the diagnosis, talk treatment strategies, parse through pharmaceutical options, and figure out follow-up in Generalized Anxiety Disorder with Dr. Dheepa Sekar (@DheepaSekarMD)! Anxiety disorders are one of the most common mental health concerns in our country and this episode will give you the tools to address it in clinic!  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; Definitions Differential diagnosis for GAD Counseling about diagnosis Initial guidance on first-line management, apps for mindfulness Prescribing basics, SSRI and SNRI considerations Bridging with hydroxyzine and buspirone Monitoring treatment response Managing side effects Tapering medication Alternative agents, atypical antipsychotics, and benzos Take Home points, Outro Credits Producer, Scriptwriter, Show Notes, Infographic/Cover Art: Beth Garbitelli Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli    Reviewer: Emi Okamoto MD Showrunner: Matthew Watto MD, FACP Production Team: PodPaste Guest: Dheepa Sekar MD Sponsor: Indeed Visit indeed.com/internalmedicine to claim you $75 credit now. Sponsor: Locumstory Visit Locumstory.com to learn more about locums Sponsor: Panacea Financial  Visit panaceafinancial.com today to learn how a bank for doctors, by doctors can help you.   Sponsor: BetterHelp Visit betterhelp.com/curb for 10% of your first month. CME Partner: VCU Health CE 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.