The Curbsiders Internal Medicine Podcast

Dr. Alan Dow from VCU sheds light on key takeaways from the ACP's Internal Medicine Meeting, diving into topics like sleep deprivation's critical impact on health and the glymphatic system's role. Emi Okamoto shares vital insights on dermatology and immigrant health, emphasizing the need for trauma-informed care. They discuss innovative treatment options for chronic back pain, heart failure management, and the shifting landscape of medical marijuana in tackling pain and sleep issues. Humor and camaraderie shine through their lively conversation.

Discover the latest in medical innovation, like baloxavir, a game-changing flu treatment with its single-dose convenience. Unpack important insights about penicillin allergies and their treatment implications. Learn about non-invasive coronary assessment using supercomputers, which could reshape cardiac practices. Dive into the latest strategies for stress testing and managing syncope, comparing guidelines from the UK and the US. Plus, enjoy lighthearted banter on hiring challenges in academia amidst serious medical discussions!

Join Renee Dversdal, Chief of POCUS at Cashlack Memorial, as she shares insights from the ACP’s Internal Medicine Meeting in Philadelphia. She dives into the significance of point-of-care ultrasound in diagnosis. The conversation also touches on Lyme disease treatment, management of back pain, and the latest on sexually transmitted infections. Listeners will benefit from invaluable pearls on cardiology, including when it’s safe to resume intimacy after a myocardial infarction and the flip-flop fungal sign in pulmonology. Tune in for a wealth of practical medical knowledge!

Join(t) us in learning about rheumatoid arthritis care for the internist with Robert McLean MD, rheumatologist, Associate Clinical Professor at Yale, and President Elect of the ACP! We discuss the complexity of rheumatoid arthritis, how to differentiate from other arthritic conditions, and how to have a patient-centered framework for the evaluation and treatment of affected patients. ACP members can claim CME-MOC credit at on ACP's site.. Full show notes available at http://thecurbsiders.com/podcast. 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 Writer (Interview & CME questions): Cyrus Askin MD Show Notes and Infographic by: Elena Gibson MS4 Hosts: Matthew Watto MD, Stuart Brigham MD Editors: Matthew Watto MD, Emi Okamoto MD Guest: Robert McLean MD

Explore the complexities of pain management in chronic kidney disease (CKD), including the risks and benefits of opioids, gabapentin, tramadol, and NSAIDs. The use of non-steroidal anti-inflammatory drugs (NSAIDs) in CKD is discussed, along with alternative options like topical NSAIDs. Discover pain management options for neuropathy and arthritis, and hear predictions and analysis of various pain meds in the NephMadness tournament.

Does your sympathetic nervous system get activated when you notice acute kidney injury in patients with cirrhosis? Ever wonder how to really diagnose hepatorenal syndrome (HRS)? Think you have the bile-acid-stones to start diuretics on a patient requiring pressor support for kidney failure? You have come to the right place! Listen to @kidney_boy Joel Topf, HRS expert Juan Carlos Velez (@veleznephhepato), and self-proclaimed most-handsome-nephrologist Bill Whittier (@TWhittier_RUSH) tackle the complex pathophysiology and treatment of hepatorenal syndrome in this NephMadness 2019 special episode! Fill out your bracket for NephMadness 2019 today and sign up as part of The Curbsiders! Earn CME and read about each region at AJKD blog. 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 and produced by: Justin Berk MD, Nora Taranto MS4 Infographic by: Alex M @nephroguy Hosts: Matthew Watto MD Edited by: Matthew Watto MD, Emi Okamoto MD Guests: Joel Topf MD, Juan Carlos Velez MD, Bill Whittier MD Sponsor Get your ACP membership today and use the code CURB100 to save $100 when you join by March 31, 2019.

Some precocious policy wonks take a deep dive into the evolving trends and future directions for our primary care workforce. Experts, Dr. Fatima Syed and Dr. Deep Shah return to school us on Physician Supply and Demand, the Access Gap, role of NPs and PAs, Retail Clinics, and Managed Care Clinics. ACP members can visit https://acponline.org/curbsiders to claim free CME-MOC credit for this episode and show notes (goes live 0900 EST). Catch up on our previous discussions with Dr. Syed and Dr. Shah:  Episode #62: Pod Save Health Care: The Curbsiders Foray into health policy and  Episode #120 Health Policy, Patients, Payments, Paperwork for more context. We also did an overview of health care policy essentials with Dr. Sue Bornstein in  Episode #64: Stuff You Should Know About Health Policy Full show notes available at http://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 and produced by: Fatima Syed MD, MSc; Deep Shah MD, MSc CME questions by: Chris Chiu MD, Beth Garbitelli MS1, Hosts: Stuart Brigham MD, Paul Williams MD, Matthew Watto MD, Images and infographics: Beth Garbitelli MS1 Edited by: Matthew Watto MD, Chris Chiu MD Guest: Fatima Syed MD, MSc, Deep Shah MD, MSc

Three nephrology experts discuss inpatient hypertension, including how to respond to overnight nursing calls for elevated blood pressures and the role of treating hypertensive urgency in the hospital. They also explore the question of whether ACE-inhibitors are dangerous to give or hold during an operation. This episode provides insights into the role of anti-hypertensives in the inpatient setting.

In this engaging discussion, nephrology experts Joel Topf, the Chief of Nephrology at Cashlack Memorial Hospital, and Pascale Khairallah, a second-year fellow at Columbia University, dive into the heated debate of fluid resuscitation. They explore whether Lactated Ringers are superior to normal saline and tackle the effects of these fluids on patient health. Listeners also learn about the fun and educational Neff Madness tournament, which ranks vital nephrology concepts, blending humor with deep insights into modern nephrology practices.

Cirrhosis TIPS for the decompensated cirrhotic & acute on chronic liver failure from expert hepatologist and keto-practitioner Scott Matherly MD, @liverprof and chief hepatologist at @KashlakHospital. We walk through acute management of variceal bleeds, when to suspect SBP in decompensated cirrhosis (all the time, it turns out), how much fluid to remove in paracentesis, and some definitions about what decompensated cirrhosis and acute on chronic liver failure really mean. Take our pretest on cirrhosis! Full show notes available at http://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 and produced by: Nora Taranto MS4, Matthew Watto MD Pretest by: Cyrus Askin MD Hosts: Matthew Watto MD, Paul Williams MD, Images and infographics: Hannah Abrams MS3 Edited by: Matthew Watto MD Guest: Scott Matherly MD Sponsor  Get your ACP membership today and use the code CURB100 to save $100 when you join by March 31, 2019.