The Curbsiders Internal Medicine Podcast

Dive into fascinating insights on dental pain management, including the differences between gingivitis and periodontitis. Discover the complexities of diagnosing cardiac amyloidosis and how continuous glucose monitors enhance diabetes management. Explore the challenges of identifying endometriosis and effective treatments. Unravel the intricacies of neck pain, including potential interventions. Plus, hear engaging discussions on travel medicine, hepatitis B, and the importance of community in navigating healthcare. Tune in for a year-end reflection filled with valuable medical knowledge!

In this engaging discussion, Dr. Jessi Gold, Chief Wellness Officer and psychiatry expert, dives deep into anxiety management strategies. She shares insights on integrating writing with mental health practices, emphasizing its therapeutic benefits. The conversation covers the complexities of diagnosing anxiety disorders, the importance of personalized treatment plans, and self-care strategies for coping with anxiety. Dr. Gold also highlights the challenges within the mental health system and stresses the need for effective, science-backed support.

Dr. Jeff Colburn, an expert in diabetes management and virtual care, shares valuable insights on continuous glucose monitors (CGMs) and insulin management. He discusses how to interpret CGM data, addressing issues such as overnight hypoglycemia and post-prandial highs. The conversation also highlights personalized medication strategies and the integration of GLP-1 agonists and SGLT-2 inhibitors. Colburn emphasizes the importance of patient education and adjusting treatment plans based on individual glucose patterns, making diabetes care more accessible and effective.

Dr. Kevin Johns, a psychiatrist at Ohio State University Wexner Medical Center, shares vital insights into bipolar disorder treatment. He discusses the complexities of diagnosing this condition, emphasizing the variability of symptoms and the need for thorough evaluations. Dr. Johns critiques common screening tools, highlighting CIDI 3.0 as a preferable option. He also examines medication management, particularly the challenges of treating depressive phases, and underscores the importance of long-term observation and lifestyle modifications for effective treatment.

Delve into groundbreaking topics like a promising new triple pill for hypertension, which could reshape treatment approaches. Learn how arm positioning can skew blood pressure readings, impacting clinical accuracy. Explore the implications of early TAVR for asymptomatic patients with severe aortic stenosis and the contrasting transfusion strategies for acute brain injuries. Lastly, get a rundown of the 2024 perioperative guidelines that aim to enhance risk assessment in non-cardiac surgeries. It's informative, insightful, and garnished with some humor!

Dr. Bradley Anawalt, Chief of Medicine at the University of Washington Medical Center and an endocrinology expert, joins to unravel the complexities of male hypogonadism. They discuss the critical factors for testing testosterone levels and the importance of lifestyle changes over immediate therapy. The conversation highlights risks associated with testosterone treatments, particularly concerning prostate health and cardiovascular risks. Anawalt also addresses secondary causes of hypogonadism and emphasizes individualized patient care in treatment decision-making.

Dr. Jordan Amar, an Assistant Professor of Clinical Neurology at USC Keck School of Medicine, dives into the complexities of Bell's palsy. He shares captivating anecdotes and key tips for differentiating Bell's palsy from strokes and other conditions. Listeners learn about the importance of meticulous history-taking and physical exams. The discussion covers treatment options, including corticosteroids and antivirals, while addressing patient support and emotional impact. A memorable mnemonic adds a fun twist to complex medical insights!

Dr. Michelle Kittleson, a heart failure expert and professor at Cedars-Sinai, discusses the complexities of heart failure with preserved ejection fraction (HFpEF). She breaks down the challenges of diagnosing this condition and introduces the H2F-PEF score for assessment. The conversation covers managing comorbidities, the positive impact of weight loss and exercise, and highlights promising results from GLP-1 receptor agonists. Kittleson emphasizes the importance of recognizing unique patient needs and adjusting treatment strategies accordingly.

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.