The Curbsiders Internal Medicine Podcast

In this engaging discussion, Dr. Daniel Morgan, an expert in epidemiology and public health, and Dr. Deborah Korenstein, an internist and health services researcher, tackle the complexities of medical overuse. They explore the pitfalls of overt testing and overdiagnosis, particularly the risks of incidentalomas found during imaging. The hosts delve into the controversies surrounding procalcitonin testing and unnecessary antibiotic prescriptions for viral infections. The conversation offers valuable insights into the urgent need for better medical decision-making and patient-centered care.

Delve into the diagnosis and management of GERD and dyspepsia with Dr. Amy Oxentenko (@AmyOxentenkoMD), Gastroenterologist and the Internal Medicine Residency Program Director, Associate Chair for the Department of Internal Medicine, and Professor of Medicine at Mayo Clinic in Rochester, MN. Our discussion features a review of the standard presentations of GERD and dyspepsia, alarm symptoms and who needs referral for endoscopy or other specialized testing (pH, impedance testing, screening for Barrett’s esophagus). Additionally, we comprehensively cover proton pump inhibitor (PPI) therapy including: choice of agent, dose, frequency, how taper, how to counsel patients about risk, what labs should be monitored and the use of adjuvant therapies like H2 blockers, antacids and even carafate. After this episode, you will be flexing on reflux! ACP members can claim CME-MOC credit at https://www.acponline.org/curbsiders (CME goes live at 0900 ET on the episode’s release date).  Show Notes | Subscribe | Spotify | Schwag! | Top Picks | Mailing List | thecurbsiders@gmail.com Credits Written and Produced by: Paul Williams MD, FACP, Beth Garbitelli CME Questions: Beth Garbitelli, Matthew Watto MD, FACP Infographic: Beth Garbitelli  Cover Art: Kate Grant MBChB DipGUMed Hosts:  Matthew Watto MD, FACP; Paul Williams MD, FACP    Editor: Matthew Watto MD, FACP (written materials); Clair Morgan at Nodderly.com Guest: Amy Oxentenko MD Time Stamps 00:00 Intro, disclaimer, guest bio 02:47 Guest one-liner, Picks of the Week*: Reality TV Shows: Survivor  and

In this enlightening discussion, Dr. Michael Fingerhood, an Associate Professor at Johns Hopkins and an addiction medicine expert, dives into the art of managing opioid use disorder. He shares valuable techniques for initiating buprenorphine treatment like a pro. The conversation highlights the importance of building therapeutic relationships and understanding the differences between treatment options. Personal experiences are shared, fostering an open dialogue about substance use and a patient-centered approach to recovery. It's both educational and engaging!

Join Dr. Austin Baraki, an academic hospitalist, and Dr. Jordan Feigenbaum, a primary care physician and Barbell Medicine founder, as they dive into sarcopenia, the decline in muscle strength. They discuss how to diagnose and manage this condition through exercise prescriptions and tailored nutritional advice. Discover their insights on engaging patients in lifestyle changes despite comorbidities, and the vital role of resistance training and protein intake. Expect personal anecdotes and humor sprinkled throughout this enlightening conversation on health!

“Guidelines” galore! From Community-Acquired Pneumonia to asthma to...red meat? While you may be listening to this around Thanksgiving, we actually recorded on October 30th‒the best and spookiest time of the year. To really set the mood I wanted to include some terrible skeleton puns, but the ones I found weren’t humerus. What we do have for you are some tasty knowledge treats, courtesy of our ghosts‒oops, I mean our HOSTS‒Chris, Matt, Stuart and Paul. Join us as we review the most terrifyingly relevant research findings and creepiest clinical pearls! Today also marks the debut of our newest Hotcakes team member, the frighteningly talented Dr. Rahul Ganatra. Rahul will now be our resident statistician/study design expert, and will use his research skulls‒no wait, SKILLS‒to provide even more insight into the practice-changing findings we love to highlight for you.   ACP members can claim CME-MOC at CME credit https://www.acponline.org/curbsiders. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Credits  Written and Produced by: Sarah Phoebe Roberts MPH, Christopher Chiu MD Hosts: Matthew Watto MD, Stuart Brigham MD, Paul Williams MD, and Christopher Chiu MD Statistics Expert: Rahul Ganatra MD Editors: Christopher Chiu MD (audio/text), Emi Okamoto MD (text) Cover-Art: Sarah Phoebe Roberts MPH Music: Stuart Brigham MD Time stamps 00:00 Introduction/Disclaimer 03:18 Getting to know Dr. Rahul Gantra 05:35 Community-Acquired Pneumonia Guidelines 15:13 Sarah explains Hotcakes ratings 16:45 A new Asthma Strategy 17:26 Chris forgets what LABA stands for 27:37 Stuart makes a joke 29:00 A lot of meat talk 37:22 Rahul’s Napkin Calculations 51:40 Honorable Mentions 52:42 Take-away Points & Outtro Meet Rahul: Rahul Ganatra is a Medical Attending and Director of Continuing Medical Education for the Medical Service at the VA Boston Healthcare System.  He fell in love with clinical epidemiology and public health while taking night classes for his MPH during medical school. and we

Score some great insights and clinical pearls from Dr. Christine Won on the incredibly important topic of sleep medicine during this live recording at CHEST! On this episode we’ll tackle why we sleep, how to treat insomnia, the “Z-drugs” and more! ACP members can claim CME-MOC credit at https://www.acponline.org/curbsiders (CME goes live at 0900 ET on the episode’s release date).  Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com Credits Written and Produced by: Cyrus Askin MD, Matthew Watto MD, FACP  Infographic: Matthew Watto MD, FACP Cover Art: Kate Grant MBChB DipGUMed Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP    Editor: Matthew Watto MD, FACP; Emi Okamoto MD Guest: Christine Won, MD MSc Sponsor The American College of Chest Physicians Time Stamps 00:00 Intro, disclaimer, guest bio 06:10 Guest one-liner 10:15 Picks of the Week*: Become Your Child’s Sleep Coach (book) by Lynelle Schneeberg; Sleep in Art: How artists portrayed sleep and dreams in the last 7000 years (book) by Meir Kryger; The Toxic Avenger (film);

Dr. Peter Attia, a physician specializing in the applied science of longevity, shares insightful tactics to enhance both lifespan and healthspan. He emphasizes the importance of proactive health measures, discussing personalized nutrition, intermittent fasting, and the role of exercise. Attia challenges conventional primary care methods and encourages listeners to rethink their dietary habits. He also highlights the impact of lifestyle choices over genetics on longevity, inspiring a more mindful approach to health as we age.

This podcast covers several concrete steps that residents can do or program directors can suggest to help residents transition to assuming the role of PGY3. A year is a long time, but requires a strategic approach to ensure that residents get the most out of it. It’s our latest offering from ACP’s IMpower series for residents featuring our friends from Walter Reed IM Residency: Joshua Hartzell MD (@joshuadhartzell); Kim Fabyan MD (@kfabsMD); Jeff Gray MD (@theotherDrGray).   If you are a PGY3 you should: LEAD like someone’s life depends on it! Credits Written and Produced by: Joshua Hartzell MD, MS-HPEd, FACP, FIDSA; Kim Fabyan MD; Jeff Gray MD Infographics: Joshua Hartzell MD, MS-HPEd, FACP, FIDSA; Kim Fabyan MD; Jeff Gray MD Cover Art: Matthew Watto MD, FACP Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP Editor: Matthew Watto MD, FACP Guests:  Joshua Hartzell MD (@joshuadhartzell); Kim Fabyan MD (@kfabsMD); Jeff Gray MD (@theotherDrGray)   Sponsor - ACP IMpower: Catalyzing your professional future Each month, ACP IMpower offers non-clinical tools and resources expertly crafted to support residents during their training and catalyze their professional future. Crafted by ACP leaders, experienced internists, and prominent podcasters, IMpower covers a wide variety of topics valuable to residents at every stage of their training, and beyond. Visit https://www.acponline.org/impower. Time Stamps 00:00 Sponsor, disclaimers, intro, guest bios 05:10 Guest one-liners 07:43 Precocious Passion for teaching 09:30 Picks of the Week*: High Life (film);

Learn how to approach the geriatric patient with multimorbidity and how to parse through and prioritize a mile-long problem list with Dr Josh Uy, master geriatrician at the University of Pennsylvania. We review different approaches to a clinic visit with a patient who takes fifteen daily medications with just as many chief complaints, all in a thirty minute (or less!) appointment time. We discuss what the term “multimorbidity” even means, how to ask about patient preferences and use them to inform the treatment plan, and what the evidence has to say about adjusting treatment goals of common conditions for individual patients. (Spoiler alert: It all depends on the patient, comorbid conditions and goals!)  Full show notes https://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Credits Producer: Nora Taranto MD  Writer:  Nora Taranto MD, Leah Witt MD  Infographic:  Leah Witt MD  Cover Art: Nora Taranto MD  Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Leah Witt MD, Paul Williams MD, FACP Editor: Matthew Watto MD, FACP; Clair Morgan Guest: Josh Uy MD Time Stamps 00:00 Pun, Intro, disclaimer, guest bio 04:30 Guest one-liner; Career advice;  Picks of the Week*: Unbroken (book), Down Dog Yoga (app); Check out Dimash’s music on YouTube; Off Your Rocker (TV show); Finishing Well to the Glory of God (book) 12:30

CHEST 2019 Recap Part 2 featuring random pearls and highlights from #CHEST2019 in New Orleans including: tips for addressing futile end-of-life care, bleeding in the ICU, DOAC reversal agents, use of procalcitonin and monocyte distribution width to identify sepsis, vitamin C for sepsis treatment, small particles and lung cancer risk, augmented reality/virtual learning, and tech as a teaching tool. Special thanks to Dr. Bill Kelly and his team at CHEST (@accpchest) for their hospitality.  Full show notes available at https://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Credits Written, produced, and co-hosted by: Sarah Phoebe Roberts MPH; Paul Williams MD, FACP; Stuart Brigham MD; Matthew Watto MD, FACP Edited by: Matthew Watto MD, FACP Special Guests: Nina Maouelainin DO, MBA (@lungsolutions); Erin Narewski DO, FCCP (@erinnarewski); Chidinma Chima-Melton MD, FCCP (@LABritishLady), Kim Fabyan MD (@kfabsMD) Time Stamps 00:00 Pun, Disclaimer, Intro 03:58 Dr Erin Narewski on end of life conversations 13:30 Bleeding in the ICU 15:40 DOACs and reversal agents 18:40 Dr Chidinma Chima-Melton on ICU visiting hours 22:50 Vitamin C use in the ICU, Stuart’s Vitamin C rant 29:22 Monocyte distribution width for identifying patients with sepsis 30:55 Sarah Phoebe Roberts on Procalcitonin and CRP for sepsis 39:36 Dr Nina on technolo