The Curbsiders Internal Medicine Podcast

Contraception simplified with clinical pearls from reproductive health and family planning experts, Dr Angeline Ti, and Dr Moira Rashid. We cover it all including: the menstrual cycle, mechanism of action for various methods of birth control, hormonal versus nonhormonal contraceptives (e.g. intrauterine devices, patches, pills, rings, implants), patient counseling, and lots of resources to make your job easier. Women’s health correspondent, Dr Molly Heublein returns as cohost. Take our self-assessment quiz! Written by: Molly Heublein, MD, Beth Garbitelli and Sarah Roberts, MPH. Edited by Matt Watto, MD 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.

Abolish anemia, and iron deficiency w/tips on IV iron therapy from real life iron man, Michael Auerbach, MD, FACP, Clinical Professor of Medicine Georgetown University School of Medicine. Topics include oral versus IV iron therapy, safety of IV iron, ferritin cutoffs, and how to diagnosis/ treat iron deficiency in patients with chronic inflammation, chronic kidney disease, pregnancy, heart failure, and more! Take our Self Assessment Test Here. Images by Beth Garbitelli; Written and produced by Justin Berk, MD and Matthew Watto, MD. 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.

In this enlightening discussion, Dr. Eli Gelfand, a leading cardiology expert from Harvard, and GP Dr. Kate Grant dive deep into valvular heart disease. They unravel the complexities of TAVR vs. SAVR, share insights on anticoagulation strategies, and highlight the importance of echocardiograms. Their engaging anecdotes from unexpected medical situations add a light touch, while they emphasize guidelines for managing rheumatic heart disease and the significance of multidisciplinary care. A blend of humor and expert advice makes this conversation a must-listen!

In this insightful discussion, Dr. Eric Widera, a geriatrics expert, and Dr. Leah Witt, a Geriatrics Fellow, challenge common dementia treatment practices. They delve into the controversial use of cholinesterase inhibitors and antipsychotics, revealing risks and emphasizing patient-centered care. The duo advocates for the DICE approach to manage difficult behaviors and highlights the ethical implications of feeding decisions in advanced dementia. Their engaging dialogue underscores the importance of individualized care and effective communication with caregivers.

Mark W. Green, Director of Headache/Pain Medicine at the Icahn School of Medicine, explores the fascinating world of placebos and nocebos. He dives into how sugar pills can significantly impact treatment efficacy and discusses the ethical implications of their use in medicine. Listeners learn about the extraordinary power of patient perception and expectation in shaping treatment outcomes. The conversation also touches on open-label placebos and the complexities of the nocebo effect, making it clear that belief truly matters in healing.

Dr. John J. Ryan, a prominent cardiologist and director of the University of Utah Pulmonary Hypertension Center, dives into the complexities of pulmonary hypertension. He shares invaluable clinical pearls on diagnosing and managing this condition. The conversation highlights the fascinating reasons why cows don’t get ankle edema, along with key diagnostic tests and echocardiogram findings. Ryan explains how to best counsel patients and emphasizes the importance of understanding various risk factors and treatment options in pulmonary hypertension management.

Dr. Kalman Watsky, a clinical professor of dermatology at Yale, dives deep into the world of dermatitis. He explains how atopic dermatitis can evolve over time and offers tips on avoiding irritants like fragrances in soap. Watsky demystifies patch testing and highlights its importance for diagnosing work-related dermatitis. He also discusses practical patient counseling strategies and treatment options, including the use of topical steroids and innovative therapies like bleach baths and phototherapy. A must-listen for anyone interested in dermatological health!

It's a potpourri of Infectious Diseases with tips from expert, Dr Paul Sax, MD, Clinical Director of the Division of Infectious Diseases at Brigham and Women's Hospital, and Professor of Medicine at Harvard Medical School. We discuss the man flu, the flu vaccine, travel medicine, malaria, lyme disease, post lyme syndrome, chronic lyme, shingles, cellulitis, abscesses, antibiotics, c diff, antibiotic associated diarrhea, the dangers of fluoroquinolones, why doxycycline is awesome, and more! Told you it was a potpourri. Dr Shreya Trivedi joins Matt and Paul as guest host. Show Notes, MCQ by Shreya Trivedi, MD Edited by Matthew Watto, MD Infographics and cover image by Matthew Watto, MD 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. Time Stamps: 00:00 Announcement 01:38 Intro 03:46 Picks of the Week 06:47 Guest bio 08:47 Getting to know our guest 15:40 Flu vaccination 19:54 Barriers to the flu vaccine 23:34 Can you give the flu vaccine to an ill patient 24:14 Man flu 26:27 Travel Medicine 30:35 Tick bites 33:49 Lyme serologies 35:38 Lyme prophylaxis 37:37 Chronic lyme disease and post lyme syndrome 38:55 Penicillin and antibiotic allergies 41:48 Fluoroquinolones and adverse reactions 45:24 Should antibiotics be given after an I&D of an abscess  49:34 Antibiotic associated diarrhea, C diff 52:10 Probiotics, stool transplantation, and C diff 54:50 Shingles, recurrent zoster, complications, and the new subunit vaccine 61:45 Using salad tongs at a buffet 63:04 Take home points 64:26 Outro Tags:  ID, infectious, diseases, disease, flu, influenza, lyme, doxycycline, cdiff, antibiotics, infection, cellulitis, abscess, vaccine, zoster, shingles, malaria, travel, assistant, care, doctor, education, family, foam, foamed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student

Dr. Mary Ann Forciea, a leader in geriatric medicine and chair of the ACP hypertension guidelines, shares her insights into blood pressure management for older adults. She discusses the nuances of measuring blood pressure properly and the significance of different target goals. Dr. Forciea also highlights how guideline development works and the importance of critically evaluating them. Key topics include the role of ambulatory monitoring, managing frail patients, and the differential recommendations from the ACP and ACC/AHA guidelines.

Dr. Robert Centor, a seasoned internal medicine professor, joins Neela Bajandas, an Assistant Professor at Temple University, to tackle the complexities of community-acquired pneumonia. They discuss the fine line between accurate diagnosis and misdiagnosis, the importance of biomarkers like procalcitonin, and the nuances of choosing antibiotics in emergency situations. Listeners will gain insights into evolving treatment guidelines, the impact of clinical tools, and a fresh perspective on the challenges within pneumonia management—all served with a side of humor.