Dr. Kevin Johns, an expert in diagnosing and treating bipolar disorder, discusses the challenges of diagnosing and treating this condition. Topics covered include screening for mania, the importance of family history, understanding the diagnosis and criteria for bipolar disorder, and the challenges of accurate diagnosis and effective treatment. The hosts emphasize the need for regular assessment, monitoring, and a healthy lifestyle for individuals with bipolar disorder.

Celiac Disease with Dr. Amy Oxentenko features Dr. Amy Oxentenko, Chair of Medicine at Mayo Clinic AZ. The podcast discusses recognizing both classic and non-classical features of celiac disease, diagnostic testing, management, and proper patient follow-up. The episode also covers non-celiac gluten sensitivity and considerations for atypical celiac patients. Dr. Oxentenko provides valuable insights while keeping the conversation engaging and informative.

Medical experts Paul Williams, Rahul Ganatra, and Matt Watto discuss VKAs vs DOACs in frail adults, RSV vaccine efficacy in older adults, importance of correct blood pressure cuff size, cotton fever in drug users, new bloating and belching guidelines, and AKI risk of pip-tazo.

Dr. Angela Peng, an ENT expert, shares valuable insights on common ear complaints. Topics include ear exam skills, safely clearing earwax, Eustachian tube dysfunction, cholesteatoma, malignant otitis externa, and cerumen impaction. The episode also discusses itchy ears and open tympanic membrane treatments.

Keep saving lives by prescribing methadone and buprenorphine. Learn how initiations of each have changed in the era of high-potency synthetic opioids (HPSOs) like fentanyl and how to continue to provide person-centered care to people with opioid use disorder. We’re joined by Dr Melissa Weimer, @DrMelissaWeimer (Yale University). This episode is in honor of National Addiction Treatment Week (treataddictionsavelives.org). Claim CME for this episode at curbsiders.vcuhealth.org! By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education. Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | Free CME! Credits Producers: Shawn Cohen MD,  Kenneth Morford MD Writer: Carolyn Chan MD MHS Show Notes: Shawn Cohen MD Infographic and Cover Art: Kenneth Morford MD Hosts: Carolyn Chan MD. MHS Shawn Cohen MD, Natalie Stahl MD, Kenneth Morford MD Reviewer: Kento Sonoda MD Showrunner: Carolyn Chan, MD, MHS Technical Production: PodPaste Guest: Melissa Weimer DO MCR Show Segments Intro, disclaimer, guest bio 00:00 Guest one-liner 05:02 National Addiction Treatment Week  06:00 Case from Kashlak; Definitions 08:30 Starting methadone  11:01 Common methadone pitfalls 15:00 Buprenorphine precipitated opioid withdrawal  23:50 High-dose buprenorphine 32:20 Treating buprenorphine precipitated withdrawal 36:50 Low-dose buprenorphine 41:50 Maintenance dose of buprenorphine 48:15 ER buprenorphine 49:00 Take home points 53:31

Dr. Will Yancy, Director of the Duke Lifestyle and Weight Management Center, discusses lifestyle interventions for weight management including the ketogenic diet and exercise. The podcast covers lab work for low carb diets, understanding and exploring low carb and keto eating plans, and managing diet for weight management. The benefits of low carb and keto diets for weight management, as well as the challenges and key take-home points for patients, are also discussed.

Dr. Atil Kargi, an expert in adrenal insufficiency, discusses diagnosing, managing, and treating adrenal insufficiency with a focus on interpretation of stimulation tests, distinguishing primary from secondary adrenal insufficiency, and educating patients about preventing adrenal crises. They also explore diagnostic testing options, medication adjustments, and the importance of involving an endocrinologist in the process.

Explore the diagnosis and treatment of diabetic foot infections, including risk stratification, vascular evaluations, and the importance of noninvasive studies. Learn about the challenges in assessing infections, starting antibiotics, and the use of oral antibiotics for serious infections. Discover treatment and management strategies, the significance of diabetes control, and the infectious disease specialty.

Dr. Monica Christmas from University of Chicago Medicine joins to discuss hormonal and nonhormonal therapy for vasomotor symptoms of menopause. They cover nonpharmacologic management of symptoms, taking a history for menopausal symptoms, hormone therapy risk assessment and prescribing, troubleshooting hormone therapy, premature menopause, and discontinuation of hormone therapy.

Learn about COPD in older adults with expert guests Dr. Leah Witt and Dr. Amber Lanae Martirosov. Topics covered include COPD diagnosis and classification, inhaler misuse and cost, and the impact of COVID-19 on pulmonary care. They also discuss the challenges of medication cost and coverage, and the need for standardized use of maintenance inhalers.