The Curbsiders Internal Medicine Podcast

Dive into the latest innovations in heart failure treatment with finerenone, spotlighting its significant findings. Discover updates on pneumonia vaccination, especially the new PCV21, and its impact on risk for older adults. The discussion also covers long-term oxygen therapy strategies and their implications for patient care. Plus, explore critiques of outdated cardiovascular risk calculators and the introduction of the PREVENT equations for more tailored assessments. It's a jam-packed conversation that blends medical insights with a dash of humor!

Dr. Michelle Kittleson, a renowned heart failure expert from Cedars-Sinai, shares her insights on managing heart failure with reduced ejection fraction. She discusses the importance of accurately diagnosing underlying causes and emphasizes personalized medication strategies. The conversation covers the critical role of high-intensity treatment initiation, the efficacy of various drug classes, and the necessity for ongoing patient follow-up. Kittleson also introduces innovative approaches like the 'I Need Help' mnemonic for identifying patients requiring specialized care.

Dr. Amber Bird, an academic general internist at Penn and residency program director, dives into the nitty-gritty of upper respiratory infections. She emphasizes the importance of accurate diagnosis and symptom relief while steering clear of unnecessary antibiotics. The discussion includes effective home remedies and the role of vaccinations in preventing complications. Learn about antivirals for influenza and the significance of educating patients on managing their symptoms. A mix of humor and valuable insights makes this a must-listen for anyone navigating cold and flu season!

Susan Jacobs, a leading expert and research nurse manager at Stanford, dives deep into the complicated world of outpatient oxygen therapy. She discusses critical prescribing practices and stresses the importance of patient education in community settings. Jacobs also addresses the impact of reimbursement policies on liquid oxygen access and highlights the need for legislative changes to improve therapy availability. Expect insightful discussions on patient qualifications, logistics, and how to navigate oxygen therapy while traveling!

Dr. Carlin Senter, a specialist in sports injuries, joins to unravel the complexities of hip and knee injuries. Discover the critical factors surrounding stress fractures and relative energy deficiency in athletes. Dr. Senter discusses how to differentiate between conditions like trochanteric pain syndrome and meniscus tears. The podcast delves into anatomical insights, imaging strategies, and treatment considerations, emphasizing the importance of a holistic approach to recovery and rehabilitation for athletes.

Join nephrologist Joel Topf, also known as Kidney Boy, as he shares his expertise on managing diabetes and hypertension in chronic kidney disease. He discusses key strategies for controlling blood pressure, the importance of timely referrals, and the latest updates in CKD management guidelines. Delve into innovative treatments like SGLT2 inhibitors and ARNI drugs, and explore the significance of personalized care for elderly patients. Topf also champions the use of AI technology to enhance clinical documentation, making patient care more efficient.

Join Dr. Carlin Senter, a sports injury expert, as he dives into the intricacies of diagnosing and treating sports injuries. Discover effective approaches for managing concussions, including the SCOTE6 assessment tool and the importance of tailored recovery plans. Learn about femoroacetabular impingement (FAI) and the essential examination techniques for hip pain. With valuable insights on imaging and treatment strategies, this discussion aims to enhance understanding for athletes and clinicians alike.

Dr. Elliot Tapper, Chief of Hepatology at the University of Michigan, dives deep into Non-Alcoholic Fatty Liver Disease (NAFLD), offering insights on its complexities and management. He discusses the importance of lifestyle modifications and introduces innovative medications like GLP-1 agonists. The conversation also touches on diagnostic tools such as the Fib4 Score and the vital role of effective communication with patients. With a mix of medical knowledge and relatable anecdotes, Dr. Tapper sheds light on liver health in a lively manner.

In this enlightening discussion, Dr. Sanjeev Francis, a cardiologist from Maine Medical Center, dives deep into acute coronary syndrome management. He explains the nuances of stress test warranties and how to tackle elevated troponins in septic patients. The conversation also covers risk stratification, the intricacies of diagnosing myocardial injury, and approaches to non-ST elevation ACS. Through real-life case studies, listeners gain valuable insights on treatment protocols and the importance of patient communication in cardiac care.

Dr. Sanjeev Francis, a cardiologist at Maine Medical Center, dives deep into acute coronary syndrome. He discusses the vital role of comprehensive patient assessment, emphasizing unique presentations in women. The conversation highlights advancements in high-sensitivity troponin tests, their implications for diagnosis, and the importance of serial ECGs in atypical cases. With insights on risk stratification tools and non-invasive testing options, this insightful dialogue not only educates but also entertains with personal anecdotes and critical case studies.