The Curbsiders Internal Medicine Podcast

Ready for more knee pain? You’ve already memorized episode #98, so join us as Ted Parks to returns to teach us even more about common causes of knee pain (anterior knee pain, patellofemoral pain, knee bursitis, pain after knee replacement) and what to do about them!Claim free CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMECredits Producer: Paul Williams, MD, FACP Writer: Paul Williams, MD, FACP Show Notes: Paul Williams, MD, FACP Infographic and Cover Art: Paul Williams, MD, FACP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Fatima Syed MD, MSc Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Edward (Ted) Parks, MD Sponsor: Pathway Download the free Pathway app today by visiting https://www.pathway.md/Full transcript available HERE

Hone your obesity medicine skills in primary care! We discuss overcoming barriers, patient counseling, obesity pathophysiology, motivational interviewing, tools and tips from a weight loss program, and how to discuss medications for weight loss including phentermine/topiramate, bupropion/naltrexone, orlistat, oral superabsorbent hydrogel, and GLP1 agonists. We’re joined by obesity medicine expert, Dr. Kimberly Anne Gudzune of @HopkinsMedicine, recorded @SocietyGIM #SGIM23 in Denver, Colorado Claim free CME for this episode at curbsiders.vcuhealth.org!Show Segments Intro Barriers to treating medicine in primary care Patient counseling and obesity pathophysiology Motivational Interviewing Telemedicine for obesity Tools and tips for a weight loss program Medications for Obesity GLP1 agonist prescribing tips Outro Credits Written and Produced by: Matthew Watto MD, FACP Show Notes: Matthew Watto MD, FACP Cover Art and Infographic: Matthew Watto MD, FACP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Leah Witt MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP In-studio Technical Production: Chris Chiu MD, FACP, FAAP Technical Production: PodPaste Guest: Kimberly Anne Gudzune MD, MPH

When there’s blood in the water… Work-up hematuria with confidence. Learn what you should be worrying about, what tests are worth considering, and how to figure out if this is a job for a urologist or nephrologist. Claim free CME for this episode at https://curbsiders.vcuhealth.org! Credits Producer and writer: Paul Williams, MD, FACP Show Notes, Infographic, and Cover Art: Paul Williams, MD, FACP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Emi Okamoto, MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Derek Fine, MD

Join us as we review recent practice-changing articles on ketamine vs ECT for refractory depression, nonhormone treatment (fezolinetant) for menopause, metformin for long COVID, new breast cancer screening draft recommendations, and a primer on kratom. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto). Go to https://thecurbsiders.com for more info Become a Kashlak Memorial Hospital member and support us by joining our Patreon Claim free CME for this episode at curbsiders.vcuhealth.org!

Put on your Primary Care Cat-HatWe are thrilled to be back to kick off season 2! Carolyn Chan, MD (@CarolynAChan) soon to be at the University of Cincinnati, Shawn Cohen MD (@ShawnCohen_MD) at Yale University, Kenneth Morford MD at Yale University, and Natalie Stahl MD (@NanouTheNomad) at Greater Lawrence Family Health Center are back and on this episode, they answer burning questions submitted by listeners. We cover topics such as targeted naltrexone, increasing buprenorphine doses, treating kratom dependence, and so much more! Claim free 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 | Swag! | iTunes | [email protected] | Free CME!Credits Producer, Show Notes: Kenneth Morford, MD Infographic and Cover Art: Carolyn Chan, MD, MHS Hosts: Carolyn Chan MD, MHS, Shawn Cohen MD, Kenneth Morford MD, Natalie Stahl MD, MPH Reviewer: Payel Jhoom Roy, MD Showrunner: Carolyn Chan, MD, MHS Technical Production: PodPaste

Dominate naughty CAUTIs. Learn how to define them, which studies to order, and how to treat and prevent these pesky infections. We’re joined by Dr. Laila Woc-Colburn, @DocWoc71 (Emory University). Claim free CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Credits Please consolidate if performing multiple jobs (e.g. Written and Produced by: Cyrus Askin MD; cover art and infographic by Kate Grant) Producer and Writer:: Noble Maleque MD Show Notes: Caroline Coleman MD & Noble Maleque MD Cover Art and Infographic: Caroline Coleoman MD & Sean Evans MD Hosts: Monee Amin MD & Meredith Trubitt MD Reviewer: Sai S Achi, MD MBA Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Laila Woc-Colburn MD

We are far too classy for a “Rocky Mountain High” joke. Live from SGIM 2023 in Aurora, Colorado! We talk to a panel of Addiction Medicine specialists who recap their outstanding talk on all of the exciting developments in treating addiction. We review major policy changes, trends in drug overdose, outpatient screening for alcohol use, and all of the ways we might be using psychedelics to treat addiction. We are joined by Stefan Kertesz, MD @StefanKertesz (University of Alabama at Birmingham), Ximena Levander, MD, MCR, FACP @XimenaLevander (OHSU), Kenneth L. Morford MD, FASAM (Yale), and Katherine Mullins, MD, AAHIV @_kmullins_ (NYU Langone).Claim free CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMECredits Producer: Carolyn Chan, MD and Paul Williams, MD, FACP Writer: Carolyn Chan, MD and Paul Williams, MD, FACP Show Notes, Infographic, and Cover Art: Paul Williams, MD, FACP Hosts: Carolyn Chan, MD; Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Leah Witt, MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guests: Stefan Kertesz, MD, MSc; Ximena A. Levander, MD, MCR, FACP; Kenneth L. Morford, MD, FASAM; Katherine Mullins, MD, AAHIV

Master the prescription of antiplatelets and anticoagulation for coronary artery disease and afib (atrial fibrillation). We discuss why, when, and how long to prescribe aspirin, clopidogrel, ticagrelor, prasugrel, and/or anticoagulation for primary, secondary, and “primary and a half” prevention including the definition and discussion of mono, dual, and triple therapy for patients with coronary disease who need anticoagulation for atrial fibrillation. We’re joined by preventive cardiologist, Dr. Donald Lloyd-Jones MD, ScM (@dmljmd from NMCardioVasc)! This episode was recorded in person at ACP’s (@ACPIMPhysicians) Internal Medicine Meeting 2023 #im2023 in San Diego.Claim free CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Getting to know our guest Definition mono, dual, triple therapy, DAPT Post-PCI for NSTEMI with existing afib Stable CAD with new Afib CABG with New Afib Prior stent with New Afib Antiplatelet therapy after Acute Coronary Syndrome Primary Prevention Primary “and a half” Prevention Life’s Essential 8 Outro Sponsor: Pattern https://www.patternlife.com/ Sponsor: Panacea Financial https://panaceafinancial.com/Credits Written and Produced by: Matthew Watto MD, FACP Show Notes: Matthew Watto MD, FACP Cover Art & Infographic: Matthew Watto MD, FACP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Fatima Syed MD, MSc Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Donal Lloyd-Jones MD, ScM

The ANA, anti-CCP, RF, and beyond!We all have ‘rheum’ to grow when it comes to making sense of autoantibodies and common markers. We talk through the nuances with rheumatologist Dr. Matthew B. Carroll (biography here!). Our interview covers physical exam tips for inflammatory arthritis, basic interpretation of rheumatologic testing, and what to do with the dreaded ‘vaguely positive’ speckled ANA!Claim free CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Case 1 History clues Physical exam pearls; what does synovitis look like? Interpreting mixed labs Rheumatoid Factor tips Role for imaging Importance of early diagnosis New testing modalities Case 2 Oh no– a vaguely positive ANA! ANA testing basics Outro Credits Showrunners, Hosts, Producers and Writers: Matthew Watto MD, FACP; Paul Williams MD, FACP Show Notes, Infographic, Cover Art: Beth Garbitelli MD Reviewer: Emi Okamoto MD Technical Production: PodPaste Guest: Matthew B. Carroll MD Sponsor: BrooklinenVisit Brooklinen.com today and get $20 off plus free shipping on orders of $100+ with code [CURB]Sponsor: GrammarlyGo to grammarly.com/tone to download and learn more about Grammarly Premium’s advanced tone suggestions.Sponsor: Glass HealthYou can get one month of Glass Pro free by signing up at glass.health and using the code: CURBSIDERS.

Learn to bust through inpatient cirrhosis management! The basics of ascites, HRS, portal vein thrombosis and hepatic encephalopathy management are all here. We’re joined by Dr. Suchita Sata (@suchitasata) (Duke University).Claim free CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Austin Picks of the week Case Ascites Portal Vein Thrombosis AKI/HRS SBP Diuretic Management Albumin Case HRS treatment GIB Management Hepatic Encephalopathy Management Palliative Care Outro Credits Producer, Writer: Monee Amin MD, Meredith Trubitt MD Show Notes, Cover Art: Monee Amin MD Infographic: Caroline Coleman MD Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Sai S Achi MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Suchita Sata MD Sponsor: IndeedStart hiring now with a $75 sponsored job credit to upgrade your job post at Indeed.com/internalmedicine. Sponsor: Birch Living Birch is giving 20% off all mattresses and 2 free eco-rest pillows at birchliving.com/curbSponsor: Green Chef Go to GreenChef.com/curb60 and use code curb60 to get 60% off plus free shipping. Sponsor: Glass Health You can get one month of Glass Pro free by signing up at glass.health and using the code CURBSIDERS Full Transcript available HERE

Don’t be scared of insulin or hypoglycemia anymore! Our Kashlak Friend of the Pod Dr. Jeff Colburn gives us all the essentials you’ll need in your fanny pack for navigating the ups and downs of insulin in type 2 diabetes. Claim free CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Rapid fire questions/Picks of the Week Case #1: Starting insulin Types of basal insulin: glargine, detemir, NPH, 70/30 NPH/regular Glucose monitoring while on insulin Glucose targets when taking insulin Overbasalization Adding additional agents to basal insulin Case #2: Deescalating insulin Insulin use in the geriatric population Hypoglycemia Rule of 15 Glucagon how-to Outro Credits Producer, Writer, Show Notes, Infographic and Cover Art: Isabel Valdez, PA-C Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Leah Witt, MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Jeff Colburn, MD Sponsor: Pattern Request your quotes online at patternlife.com/curbsidersSponsor: BirchBirch is giving 20% off ALL mattresses and two free eco-rest pillows at birchliving.com/curbFull Transcript available HERE

Don’t miss this rapid-fire recap of our top pearls from #SGIM23 in Aurora, Colorado, including obesity medicine, GLP1 agonists, trauma-informed care, an update on hormone therapy for vasomotor symptoms of menopause, treating low sexual desire in women, dementia diagnosis and treatment, chronic pain and buprenorphine, complex persistent opioid dependence, chlorthalidone vs hydrochlorothiazide, the timing of blood pressure medication, how to prescribe CPAP or auto-PAP, and more! Paul and Watto are joined by Drs. Justin Berk (@justinberk), Chris Chiu (@cjchiu), Carolyn Chan (@CarolynAChanMD, Curbsiders Addiction Medicine), and Era Kryzhanovskaya (@EraKryzhMD, Curbsiders TEACH). No CME for this episode due to rapid turnaround, but claim CME for most episodes at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Recap, Top Pearls Part 1 Recap, Top Pearls Part 2 Outro Credits Written, Produced, and Hosted by: Justin Berk MD, MBA, MPH; Chris Chiu MD, FACP, FAAP; Carolyn Chan MD; Era Kryzhanovskaya MD; Matthew Watto MD, FACP; Paul Williams MD, FACP Show Notes: Matthew Watto MD, FACP Cover Art: Matthew Watto MD, FACP Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPasteSponsor: PatternRequest your disability insurance quotes with Pattern at patternlife.com/curbsiders.

There might be a lot to swallow, but you will master an initial approach to dysphagia in this episode. Review the types of dysphagia, common etiologies, initial evaluations and treatment plans. We are joined by Dr. Diana Snyder @DianaSnyderMD (Mayo Clinic)Claim free CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro & Picks of the Week Case Dysphagia definitions Oropharyngeal vs esophageal dysphagia Associated symptoms and alarm signs Outro Credits Producer, Writer & Show Notes: Elena Gibson MD Show Notes: Elena Gibson MD Cover Art & Infographic: Kate Grant MD Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Fatima Syed MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Diana Snyder MD Sponsor: LocumstoryGet a comprehensive view of locum and decide if it’s right for you at locumstory.comSponsor: BrooklinenYour Memorial Day Sale is coming soon! Shop 20% off in-store or online at Brooklinen.comSponsor: Panacea Financial Visit panaceafinancial.com to open your free account today. Full transcript available HERE

Don’t miss this rapid fire recap of our top pearls from ACP #IM2023 in San Diego including hypertension, hypogonadism, frailty, afib, sleep medicine, in-flight emergencies, nephroprotective meds, order of antibiotics for pneumonia in the hospital, genitourinary syndrome of menopause, pickle juice for leg cramps, bristol stool scale and hepatic encephalopathy, coronary calcium, tirzepatide, cystatin c, functional dyspepsia, hair and nails, and more! Paul and Watto are joined by Drs. Justin Berk (@justinberk) and Chris Chiu (@cjchiu) of The Cribsiders Podcast. No CME for this episode due to rapid turnaround, but claim CME for most episodes at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Recap, Top Pearls Part 1 Recap, Top Pearls Part 2 Outro Credits Written, Produced, and Hosted by: Justin Berk MD, MBA, MPH; Chris Chiu MD, FACP, FAAP; Matthew Watto MD, FACP; Paul Williams MD, FACP Show Notes: Matthew Watto MD, FACP Cover Art: Matthew Watto MD, FACP Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Sponsor: Grammarly Go to grammarly.com/tone to download and learn more about Grammarly Premium’s advanced tone suggestions. Sponsor: Indeed Start hiring now with a $75 sponsored job credit to upgrade your job post at Indeed.com/INTERNALMEDICINE. Offer good for a limited time. Full transcript available HERE

Join us for this Hotcakes style episode as we talk through impactful literature for the hospitalist with Dr. Heather Nye (UCSF) and Dr. Rahul Ganatra (@rbganatra, Harvard University) who presented the Clinical Updates in Hospital Medicine at SHM #Converge23. Claim free CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro, disclaimer Rapid fire questions/Picks of the Week EMPULSE ADVOR STRONG-HF CRISTAL Perioperative Gabapentin Waterfall Midline catheters vs PICC lines What’s in a Name? Outro Credits Producer, Writer, Show Notes: Monee Amin MD; Rahul Ganatra, MD; Meredith Trubitt MD; Cover Art: Monee Amin MD Hosts: Monee Amin MD; Meredith Trubitt MD Reviewer: Fatima Syed MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Dr. Rahul Ganatra and Dr. Heather Nye Sponsor: Birch Living Birch is giving 20% off all mattresses and 2 free eco-rest pillows at birchliving.com/curb. Sponsor: Indeed Start hiring now with a $75 sponsored job credit to upgrade your job post at indeed.com/internalmedicine.Full transcript available HERE

Dominate opioid and xylazine (aka tranq) withdrawal in the hospital with expert insights from Dr. Joseph D’Orazio (@dorazepam) recorded LIVE! at Pennsylvania Hospital Grand Rounds in Philadephia, PA. Xylazine, an alpha-2 adrenergic agonist, has emerged as a frequent contaminant in the opioid supply with a distinct withdrawal syndrome. You’ll learn to manage this common withdrawal syndrome while also addressing acute pain complaints and opioid withdrawal. Sorry, no CME for this episode, but check out CME for past episodes at curbsiders.vcuhealth.org.Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Xylazine basics Management of xylazine withdrawal Opioid withdrawal and acute pain Outpatient considerations for xylazine Audience questions Outro Credits Writer and Producer: Matthew Watto MD, FACP Infographic and Cover Art: Matthew Watto MD, FACP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Emi Okamoto MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Joseph D’Orazio MD Full transcript available HERE

Master the nuances of the hypercoagulable work-up! Our expert discussant, Dr. Jean Connors, leads us through when to send testing for thrombophilia and how to interpret the results. Claim free CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Case from Kashlak: DVT after a trip to Singapore History-taking in a patient with a venous thromboembolism (VTE) Risk factors for VTE Who to test for thrombophilia, and how this testing influences management Thrombophilia panel: what to order When to send thrombophilia testing Case from Kashlak: potential obstetric antiphospholipid syndrome Antiphospholipid syndrome: diagnosis Antiphospholipid syndrome: management Outro Credits Producers and Writers: Malini Gandhi and Nora Taranto MD Show Notes, Infographics, and Cover Art: Malini Gandhi Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Leah Witt MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Dr. Jean Connors MD Sponsor: Locumstory Go to locumstory.com to get a comprehensive view of locums and decide if it’s right for you. Sponsor: Panacea Financial Visit panaceafinancial.com today to open your free account. Full transcript available HERE

Hypertension FAQ Round #2 Dr. Jordy Cohen Strikes BackTackle resistant hypertension. Learn when it is pseudo resistant hypertension, and how to treat this pesky condition when it is true resistant hypertension. Dr. Jordy Cohen (@jordy_bc) leads us through her approach to keeping the BP where it should be (University of Pennsylvania).Claim free CME for this episode at curbsiders.vcuhealth.org!Episodes | Subscribe | Spotify | YouTube | Mailing List | Contact | Swag! | CMEShow Segments Intro Case Hypertension definition Mechanisms of hypertension Vascular stiffness and aging Antihypertensive agents Anxiety and hypertension Escalating blood pressure management Resistant hypertension Ruling out pseudo resistant hypertension Substance induced pseudo resistant hypertension Pick of the Week Outro Credits Written and Produced by: Deborah Gorth MD, PhD Infographic and Cover Art: Deborah Gorth MD, PhD and Meryl Gorth Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Sai S Achi MD, MBA Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Jordy Cohen MD, MSCE Sponsor: IndeedVisit Indeed.com/INTERNALMEDICINE to start hiring nowFull transcript available HERE

We recap the top pearls for the hospitalist from #SHM #Converge2023 covering discussions on syncope, heart failure, COPD, pneumonia, sickle cell pain management, nausea and dyspnea, complex pain management issues, delirium, geriatrics updates, severe infections from injection drug use, electrolyte management, perioperative anemia and anticoagulation, and GI updates. Note: Due to a rapid turnaround there is no CME for this episode, but visit curbsiders.vcuhealth.org to claim credit for past episodes. Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Picks of the Week Syncope Heart Failure Nausea and Dyspnea COPD and Pneumonia Sickle Cell Pain Management Pain Management for the Hospitalist Delirium Geriatrics Updates Electrolyte Management Perioperative Anticoagulation Perioperative Anemia Severe Infections from Injection Drug Use GI updates Outro Credits Written, Produced and Hosted by: Christina Sensabaugh MD, Meredith Trubitt MD, and Monee Amin MD Cover Art: Monee Amin MD Show Notes: Meredith Trubitt MD, Monee Amin MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Sponsor: Grammarly Go to grammarly.com/tone to download and learn more about Grammarly Premium’s advanced tone suggestions. Sponsor: Brooklinen For a limited time, visit Brooklinen.com to get $20 off plus free shipping on orders of $100+ with code CURB. Sponsor: Locumstory Get a comprehensive view of locums — and decide if it’s right for you — at locumstory.com. Sponsor: Indeed Visit Indeed.com/INTERNALMEDICINE to start hiring now. Full transcript available HERE

LIVE! Updates in HIV management at HersheyHighly active, high-yield points on HIV management in Primary Care! We are joined by Infectious Disease specialist Dr. Jonathan J. “JJ” Nunez MD (of Penn State Health - Hershey) to review basics of management, important comorbidities, and new horizons in HIV care. Claim free CME for this episode at curbsiders.vcuhealth.org!Episodes | Subscribe | Spotify | YouTube | Mailing List | [email protected] | Swag! | Free CME!Show Segments Intro Establishing HIV Care, Initial History Taking Privacy and HIV Physical Exam Tips for HIV Weight gain, managing cardiometabolic risks Initial labs, tracking viral load Undetectable = Untransmissible Sexual history considerations, PEP, PrEP, Anal paps, cervical cancer screening Long-Acting HIV Medications Take-home points Outro Credits Producer, Writers: Paul Williams MD, FACP, Beth Garbitelli MD Show Notes, Infographic, Cover Art: Beth Garbitelli MD Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Emi Okamoto MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: J.J. Nunez MD Sponsor: Green ChefGo to GreenChef.com/curb60 and use code curb60 to get 60% off plus free shipping.Sponsor: Birch Living Birch is giving 20% off ALL mattresses and 2 free eco-rest pillows at Birchliving.com/curbFull transcript available HERE

Drop the pounds and the sugar with new guidelines New rules to manage diabetes means using new tools. Leverage GLP-1 RA and SGLT2-i to drop with pounds and the sugars with the expert insight from our guest, Dr. Marie McDonnell. Claim free CME for this episode at curbsiders.vcuhealth.org Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Puns and Intro. Disclaimer and Guest bio Case from Kashlak Labs to distinguish type 1 from type 2 diabetes Selecting initial therapy: Focus on weight loss and glucose control HbA1c goals Yeast infections and SGLT2-i Using sulfonylureas and extended release metformin Pancreatitis and GLP-1 RA Cancer and GLP-1 RA Semaglutide tips Tirzepatide, how it works and benefits Take home points Outro Credits Producer: Matthew Watto, MD and Isabel Valdez, PA Writer: Matthew Watto, MD Show Notes, Cover Art and Infographics: Isabel Valdez, PA Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Fatima Syed, MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Marie E. McDonnell, MD Sponsor: Locumstory Get a comprehensive view of locums at locumstory.com Full transcript available HERE

We demystify primary aldosteronism, MRAs (mineralocorticoid receptor antagonists), non-steroidal MRAs, and how to recognize and treat renovascular hypertension with nephrologist/hypertension expert, Dr. Matt Luther (@DrJMLuther) as part of the NephMadness PodCrawl 2023. Fill out a bracket for NephMadness and check out all eight NephMadness PodCrawl participants at NephMadness.com/podcrawl (list below) and the MRA region write-up by Micah Schub (@AcidBassMD). The Curbsiders gets the skinny on mineralocorticoid receptor antagonists Core IM will be covering Kidney Transplant in their classic Five Pearl format The CardioNerds will be covering the effect of Heart Failure Devices on Kidney Health Freely Filtered will try to understand thrombotic microangiopathy ISN Global Kidney Care goes deep on IgA nephropathy The Cribsiders look at transitions, first the Pediatrics to Adult nephrology transition and then from living to death with palliative nephrology Fellow on Call will be covering Onconephrology And finally, The Nephron Segment looks at Transgender Health and CKD Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | YouTube | Mailing List | Contact | Swag | CME Show Segments Intro Diagnosis and Management of Primary Aldosteronism (PA) MRAs vs non-steroidal MRAs (mineralocorticoid receptor antagonists) NephMadness MRA region picks Renovascular Hypertension Outro Credits Writer and Producer: Matthew Watto MD Show Notes: Matthew Watto MD Cover Art & Infographic: Matthew Watto MD Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Leah Witt MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: J. Matthew Luther MD Sponsor: Locumstory Get a comprehensive view of locums, and decide if it;s right for you, at locumstory.com Sponsor: indeed Visit indeed.com/internalmedicine to start hiring now. Full Transcript available HERE

We’ve got the hard-hitting questions and must-know answers on all things TIA and stroke from neurology expert, Dr. Karima Benameur (Emory University). Topics: TIA and stroke supportive management, indicated workup, and anticoagulation and antiplatelet management pearls for the hospitalist.Free CME for this episode at curbsiders.vcuhealth.org!Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME!Show Segments Intro, disclaimer, guest bio Case 1 from Kashlak; Definitions Initial stroke triage, imaging, and assessing for interventions Supportive care for stroke Managing patients already on antiplatelet or anticoagulant therapy Inpatient stroke workup Dual antiplatelet therapy Case 2 from Kashlak; Definitions TIA workup and management Transitions of care: “the invisible deficits” Brain health and nutrition Guest questions and Picks of the Week* Outro Credits Written, Produced, Infographic and Cover Art, Show Notes: Caroline Coleman MD Hosts: Monee Amin MD; Meredith Trubitt MD, MPH; Caroline Coleman MD Reviewer: Molly Heublein MD Executive Producer: Karly Loy Showrunner: Matthew Watto MD, FACP Editor: Pod Paste Guest: Karima Benameur MD Sponsor: Indeed Visit indeed.com/internalmedicine to start hiring now. Sponsor: Glass HealthYou can get one month of Glass Pro free by signing up at glass.health and using the code CURBSIDERS. Sponsor: Grammarly Go to grammarly.com/tone to download and learn more about Grammarly Premium’s advanced tone suggestions.Full transcript available HERE

Stay up-to-date with advances in chronic kidney disease (CKD)! Join our esteemed Chief of Nephrology at Kashlak Memorial Hospital, Dr. Joel Topf, as he leads us through the latest on SGLT2 inhibitors, finerenone, potassium binders, and treatment of CKD-associated metabolic acidosis. Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | YouTube | Mailing List | [email protected] | Swag! | Free CME! Show Segments Intro, disclaimer, guest bio Case from Kashlak SGLT2i: when to initiate SGLT2i: adverse effects Finerenone Potassium binders Treatment of CKD-associated metabolic acidosis Outro Credits Writer, Producer, Show Notes, Infographics, and Cover Art: Malini Gandhi Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Leah Witt MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Dr. Joel Topf MD Sponsor: Better Help Visit betterhelp.com/curb today to get 10% off your first month. Sponsor: Birch Living Birch is giving 20% off all mattresses and 2 free eco-rest pillows at birchliving.com/curb. Sponsor: PanaceaFinancial Visit panaceafinancial.com to open a free account. Full transcript available HERE

Join us as we review recent practice-changing articles on loop diuretics for heart failure exacerbation (torsemide vs furosemide), time-restricted eating vs small frequent meals for weight loss, how sedentary breaks from sitting effect blood glucose & blood pressure, early FMT for C. diff, and a brief rant on medications for obesity. Fill your brain hole with a delicious stack of hotcakes! Featuring Nora Taranto (@norataranto, The DIGEST), Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto).Claim free CME for this episode at curbsiders.vcuhealth.org!Episodes | Subscribe | Spotify | Swag! |Mailing List | [email protected] | Free CME!Show Segments Intro, disclaimer Loop diuretics (torsemide vs furosemide) for heart failure exacerbation Time-restricted eating vs small frequent meals for weight loss Sedentary breaks for lowering blood glucose and blood pressure Early fecal microbiota transplant (FMT) for C. diff infection Outro Credits Written and Hosted by: Nora Taranto MD; Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP Cover Art: Matthew Watto MD, FACP Reviewer: Rahul Ganatra MD, MPH Technical Production: Pod Paste Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Full transcript available HERE

With Dr Holly Wong Cummings Listen in as we talk through abnormal uterine bleeding (AUB) with our esteemed guest Holly Wong Cummings, MD. We review the PALM-COEIN framework for AUB diagnosis and discuss options for acute and chronic treatment of AUB. We can get bleeding under control! Many of the treatments including progesterone only pills, combined oral contraceptives, and tranexamic acid are medications we in primary care should feel confident prescribing to our patients. Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Case from Kashlak Normal Menstrual Cycle Nomenclature for AUB- PALM COEIN History and Physical Exam Laboratory and radiologic evaluation Structural causes for bleeding/interpreting the ultrasound Acute treatment of AUB When to refer to ED Chronic treatment for AUB When to refer to gyn Take home points Outro Credits Producer, Writer, Show Notes: Molly Heublein MD Infographic: Edison Jyang Cover Art: Sarah Phoebe Roberts Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Molly Heublein MD Reviewer: Sai S Achi MD, MBA Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Holly Wong Cummings MD Sponsor: Indeed Visit Indeed.com/internalmedicine to start hiring now. Full transcript available HERE

Join Drs. Amin and Trubitt as they go rogue and LIVE! from Southern Hospital Medicine to discuss Things We Do For No ReasonTM in the hospital that impact the patient experience. They cover NPO at midnight, fluid restriction, VTE chemoprophylaxis and routine vital signs via the hospital course of one poor, unfortunate soul.Note No CME for this mini-episode but visit curbsiders.vcuhealth.orgEpisodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME!Show Segments Intro NPO at midnight Fluid restriction VTE chemoprophylaxis Frequency of vital sign monitoring Outro Credits Written and Produced by: Monee Amin MD and Meredith Trubitt MD Cover art and presentation graphics: Caroline Coleman, MD Show Notes: Monee Amin MD and Meredith Trubitt MD Hosts: Monee Amin, MD and Meredith Trubitt MD Technical Production: PodPaste Showrunner: Matthew Watto MD, FACP Sponsor: Grammarly Go to grammarly.com/tone to download and learn more about Grammarly Premium’s advanced tone suggestions. Sponsor: IndeedVisit indeed.com/internalmedicine to start hiring now. Sponsor: BetterHelp ​​Special offer for Curbsiders listeners: get 10% off your first month at betterhelp.com/curb Full Transcript available HERE

Recognize when to consider the diagnosis of hemochromatosis and how to recognize common mimics of an elevated ferritin level. We’re joined by Dr. Elliot Tapper,@ebtapper on twitter (University of Michigan)Claim free CME for this episode at curbsiders.vcuhealth.org!Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME!Show Segments Intro, disclaimer, guest bio Guest one-liner Case from Kashlak; Definitions Initial evaluation of Hemochromatosis Etiology of elevated ferritin in liver disease Potential mimics of hemochromatosis Diagnosis of hemochromatosis Evaluation of hepatic fibrosis in hemochromatosis Manifestations & complications of hemochromatosis Outro Credits Producer & Writer:: Elena Gibson MD Infographic & Cover Art:Edison Jyang Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Elliot Tapper Sponsor: Green ChefGo to greenchef.com/curb60 and use code curb60 to get 60% off plus free shipping. Sponsor: Birch Living Birch is giving 20% off all mattresses and 2 free eco-rest pillows at birchliving.com/curb. Sponsor: Better Help Visit betterhelp.com/curb to get 10% off your first month. Full transcript available HERE

With Dr Steven RauchDemystify hearing loss, identify who will benefit from hearing aids and learn to evaluate hearing complaints in primary care including an overview of tinnitus and how to recognize and treat Meniere’s disease with guest expert, Dr. Steven Rauch (Harvard University).Claim free CME for this episode at curbsiders.vcuhealth.org!Episodes | Subscribe | Spotify | Swag! | Mailing List | [email protected] | Free CME!Show Segments Intro, disclaimer, guest bio Case from Kashlak; Definitions, etiology and risk factors for hearing loss Initial workup for hearing loss What is an audiogram and what does it show Hearing loss red flags How to manage hearing loss Tinnitus: what can help patients Diagnose, distinguish and treat Meniere’s disease Outro Credits Script and Show Notes written by, Produced by: Kate Grant MBChB, MRCGP and Andréa Perdigão Infographic and Cover Art: Kate Grant MBChB, MRCGP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Molly Heublein MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Steve Rauch MD Sponsor: Better HelpVisit betterhelp.com/curb to get 10% off your first month. Full Transcript HERE

Pro Tips & Practical Insights from Dr. Jim O’BrienAre acute COPD exacerbations taking the wind out of YOUR sails? Join us as we navigate the stormy waters that can be AECOPD with our guest expert, Dr. Jim O’Brien from National Jewish Health Center.Claim free CME for this episode at curbsiders.vcuhealth.org!Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME!Show Segments Intro, disclaimer, guest bio What is a COPD Case from Kashlak - Natalie Harrison Knee jerk reaction: Determining level of illness & disposition Initial work-up considerations What’s in your differential? The second-order assessment - shuffling the differential, honing in on the patient AECOPD: Triggers & Pathophysiology Treatment Pearls I: Steroids Treatment Pearls II: Antibiotics Treatment Pearls III: Bronchodilators Treatment Pearls IV: Oxygen Therapy Preparing for discharge Take home points Lightning Round! Getting to know Dr. O’Brien & Picks of the Week* Outro Credits Writer & Producer: Cyrus Askin MD Show Notes, Infographic & Cover Art: Cyrus Askin MD Hosts: Meredith Trubitt MD, Monee Amin MD & Cyrus Askin MD Reviewer: Sai Achi, MD MBA Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Jim O’Brien MD Sponsor: MedmasteryGo to www.medmastery.com/curbsiders to claim a 15% discount off an annual Medmastery ProSubscription. Full Transcript available HERE

Conquer your fear of adrenal incidentalomas! We’re joined by Dr. William Young, who teaches us pearls for evaluating imaging characteristics of adrenal incidentalomas, tips for assessing and managing functioning adenomas, approaches to follow-up and surgical considerations, and more.Claim free CME for this episode at curbsiders.vcuhealth.org!Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME!Show Segments Intro, disclaimer, guest bio Case #1 from Kashlak; Definitions Discussing adrenal incidentalomas with patients Imaging characteristics of adrenal incidentalomas Evaluation of hormonal hypersecretion - overview Subclinical Cushing’s syndrome Pheochromocytoma Surgical considerations based on nodule size and imaging phenotype Follow-up imaging Case#2 from Kashlak Primary hyperaldosteronism - work-up and management Bilateral adrenal nodules Guest Picks of the Week Outro Credits Producer, Writer, Show Notes, Infographic, and Cover Art: Malini Gandhi Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Leah Witt MD Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: William Young MD Sponsor: GrammarlyGo to grammarly.com/podcast to sign up for an account and download! And when you’re ready to upgrade to Grammarly Premium, get 20% off. Sponsor: BetterHelpVisit betterhelp.com/curb to get 10% off your first month. Full Transcript HERE

We have better tools for prevention, but let’s talk!Should we be offering hormone therapy for primary prevention in postmenopausal patients? Dr. Carol Mangione (UCLA) talks us through the potential benefits and harms, and explains how this can be a jumping off point for important conversations about preventive care.Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME!Credits Producers, Hosts: Elena Gibson MD and Paul Williams MD, FACP Writer, Infographic, and Cover Art: Elena Gibson MD Show notes: Paul Williams MD, FACP Reviewer: Molly Heublein MD Production team: Podpaste Guest: Carol Mangione MD Full transcript available HERE

In this episode you will learn to master delirium in the hospital! We discuss preventing, recognizing, and managing this common and dangerous condition. We are joined by delirium expert and President of the American Delirium Society, Dr. Esther Oh @EstherOh_MDPhD (Johns Hopkins University) Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner, Picks of the Week* Case 1 from Kashlak: hypoactive delirium Definition of delirium Delirium vs. encephalopathy vs. dementia Delirium assessment tools Prevention of delirium Discharging patients with delirium Case 2 from Kashlak: hyperactive delirium Antipsychotics Working up etiologies of delirium Treatment/management pitfalls Outro Credits Produced, Script, Show Notes: Adam Barelski MD Infographic & Cover Art: Edison Jyang; Sarah Phoebe Roberts Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Adam Barelski MD Reviewer: Molly Heublein MD Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Esther Oh MD, PhD Sponsor: Panacea Financial Visit panaceafinancial.com to open your free account. Full transcript HERE

Don’t get distracted, pay attention to the details, and manage ADHD in your patients! Dr. Kevin Simon, @DrKMSimon (Boston Children’s Hospital) shows us how to stay focused and diagnose and manage attention deficit hyperactivity disorder (ADHD) in your patients. Learn how to make the right diagnosis, choose an appropriate medication, and modify therapy. Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Case from Kashlak; Definitions and diagnosis of ADHD Stimulant medications for ADHD Non-stimulant medications for ADHD Mitigating diversion of medications for ADHD Managing ADHD in patients with substance use disorder Lightning round and picks of the week Outro Credits Written and Produced by: Paul Williams, MD, FACP Show Notes: Paul Williams, MD, FACP Infographic and Cover Art: Paul Williams, MD, FACP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Fatima Syed, MD Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Kevin Simon, MD Sponsor: Better Help Save 10% off your first month at betterhelp.com/curb Sponsor: Birch Living Visit birchliving.com/curb to get $400 off all mattresses and 2 free eco-rest pillows. Full Transcript HERE

Celebrate the holiday season with top pearls on constipation, palpitations, hypertension, meds for obesity, cardiorenal syndrome, hepatitis C, staging the liver, vitamin supplementation and more! Plus, Watto and Paul share their reflections on seven years of podcasting, give their picks of the year, and tease upcoming episodes for 2023! Note No CME for this episode but visit curbsiders.vcuhealth.org to claim credit for shows from 2022! Episodes | Subscribe | Spotify | Swag! | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, Reflections on 2022 Constipation, Palpitations, Hypertension, Obesity medications, Cardiorenal syndrome, Hepatitis C, Vitamin supplementation Picks of the Year Outro Credits Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP Show Notes: Matthew Watto MD, FACP Cover Art design: Matthew Watto MD, FACP Technical Production: Pod Paste Full transcript HERE

In this episode, we discuss an overview of inpatient management of can’t miss endo emergencies. Our esteemed guest, Dr. Sara Markley Webster (Emory University, @smarkleywebster) walks us through identification, workup and management of adrenal crisis, myxedema coma, and thyroid storm. Free CME for this episode at curbsiders.vcuhealth.org Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments ● Intro, disclaimer, guest bio ● Guest one-liner, Picks of the Week* ● Case 1 from Kashlak ● Adrenal crisis identification, workup and management ● Case 2 from Kashlak ● Myxedema identification, workup and management ● Case 3 from Kashlak ● Thyroid storm identification, workup and management ● Outro Credits ● Written, Produced, and Hosted by: Monee Amin, MD and Meredith Trubitt, MD ● Show Notes, Infographic and Cover Art: Caroline Coleman, MD ● Reviewer: Emi Okamoto, MD ● Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP ● Technical Production: PodPaste ● Guest: Sara Markley Webster, MD Sponsor: Locumstory If you would like to learn more about locums visit locumstory.com Sponsor: Pattern Visit patternlife.com/curbsiders to get a free disability insurance quote. Full Transcript HERE

Navigating guidelines, parsing through the PSA, Survivorship, & More! Become a pro when addressing prostate cancer! We tackle the nuances surrounding screening for this all-to-common cancer and discuss important considerations in survivorship with our guest Dr. Petar Bajic (Twitter: @PBajicMD, Instagram: @the.sexdoc) of Cleveland Clinic! You’re IN for a good time listening to this episode! Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments ● Intro, disclaimer, guest bio ● Guest one-liner ● Case from Kashlak ● Epidemiology of Prostate Cancer ● Screening Basics ● What is the PSA? ● Next Steps After Elevated PSA ● Thresholds and techniques for biopsy ● Free PSA, Other testing modalities, Prostate MRI ● Active Surveillance Nuts and Bolts ● Survivorship ● Take home points, Outro Credits ● Producer,Writer, Show Notes, Infographic, Cover Art: Beth Garbitelli MD ● Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli MD ● Reviewer: Sai S Achi, MD MBA ● Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP ● Technical Production: PodPaste ● Guest: Dr. Petar Bajic MD Sponsor: Better Help Learn more and save 10% off your first month ast betterhelp.com/curb Sponsor: Birch Living Birch is giving $400 off all mattresses and 2 free eco-rest pillows at birchliving.com/curb Sponsor: Hello Fresh Go to hellofresh.com/curb18 and use code curb18 for 18 free meals plus free shipping. Sponsor: Pattern Life Visit patternlife.com/curbsiders to request your free physician disability insurance quote. Full Transcript HERE

Master the ins-and-outs of Parkinson’s Disease! We’re joined by Dr. Albert Hung, who teaches us pearls for the initial history and physical exam in a patient with undiagnosed Parkinson’s, a framework for management of early and advanced motor symptoms, tips for treating autonomic symptoms and cognitive / psychiatric features, and more.Claim free CME for this episode at curbsiders.vcuhealth.org!Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME!Show Segments Intro, disclaimer, guest bio Guest one-liner Case from Kashlak Initial history in a patient with undiagnosed Parkinson’s “Pre-motor” symptoms of Parkinson’s disease Physical exam in Parkinson’s disease Drug-induced Parkinsonism “Red flags” suggesting atypical parkinsonian syndromes Role of imaging in diagnosis Typical discussion with patient at initial diagnosis Initial management of motor symptoms Management of autonomic symptoms Management of advanced motor symptoms Management of cognitive and psychiatric symptoms Outro Credits Producer, Writer, Show Notes, and Infographic: Malini Gandhi Cover Art: Kate Grant Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Emi Okamoto MD Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Albert Hung MD, PhDFull transcript HERE

Recap and review the top pearls from recent episodes #339 Hand and Wrist Pain, #348 Foot and Ankle Pain, and #351 Myopathy and Myositis with Watto and Paul. It’s Tales from the Curbside! (TFTC), our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning.Note No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for shows #339, #348 and #351!Episodes | Subscribe | Spotify | Swag! | Mailing List | [email protected] | Free CME!Show Segments Intro, disclaimer, guest bio Hand and Wrist pain: CMC joint arthritis, tenosynovitis, carpal tunnel syndrome, trigger finger Foot and Ankle pain: Ankle sprains, Achilles tendon injuries, Posterior tibial tendon dysfunction Myopathy and Myositis pearls Outro Credits Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP Show Notes: Matthew Watto MD, FACP TFTC Cover Art design: Edison Jyang Technical Production: Pod Paste Full transcript HERE

A Rational Approach: Who to Image, How to Treat, and More!Back pain is one of the most common concerns our patients bring to us in the outpatient setting. It’s a lot more complicated than rest, ice, and NSAIDs! Fortunately, we have pain expert, strength coach, and academic internist Dr. Austin Baraki (Austin Baraki, MD (@AustinBaraki) / Twitter) to help us develop a comprehensive, patient centered approach to help our patients manage their pain and lead healthier lives. Take control of your patients’ back pain! Claim free CME for this episode at curbsiders.vcuhealth.org!Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME!Show Segments Intro, disclaimer, guest bio Guest one-liner, Picks of the Week Case from Kashlak Introduction to Back Pain Eliciting the Patient’s Story Risk Stratification, Intro to Red Flags, and and the STarT Back Tool The Importance of Language and Patient-Centered Outcomes A Deeper Dive into Red Flags Setting Expectations for Care Therapeutics for Back Pain - Does anything work? The Exercise Prescription Credits Producers: Isabel Valdez, PA-C & Cyrus Askin, MD Writer, Cover Art and Infographics: Isabel Valdez, PA-C Show Notes: Cyrus Askin, MD Hosts: Matthew Watto MD, FACP; Isabel Valdez, PA-C Reviewer: Molly Heublein, MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Austin Baraki, MD Sponsor: Grammarly Go to grammarly.com/CURB to sign up for a free account! And when you’re ready to upgrade to Grammarly Premium, get 20% off. Full transcript HERE

Join us as we review recent practice-changing articles addressing the questions: Do weekend warriors experience a mortality benefit from exercise? Is an aggressive fluid strategy superior to a moderate strategy in acute pancreatitis? Does an invite for colonoscopy decrease colon cancer-related mortality? Did the benefits of intensive blood pressure control continue after the SPRINT trial ended? Fill your plate with a stack of hot tofurkey cakes! Featuring Drs. Era Kryzhanovskaya (@erakryzhmd), Nora Taranto (@norataranto), Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto). Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer Do weekend warriors experience a mortality benefit? Should you choose aggressive or moderate fluid resuscitation for acute pancreatitis? Does an invite for screening colonoscopy reduce colon cancer and CRC-related mortality? Did benefits from the SPRINT trial persist in observational follow up? Outro Credits Written and Hosted by: Era Kryzhanovskaya, MD, Nora Taranto MD; Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP Cover Art: Matthew Watto MD, FACP Reviewer: Rahul Ganatral MD, MPH Technical Production: Pod Paste Sponsor: Better Help Visit betterhelp.com/curb to save 10% off your first month. Sponsor: Birch Living Go to birchliving.com/curb to get $400 off and 2 free eco-rest pillows.

With Carolyn Chan MD and Shawn Cohen MDConquer acute pain in the hospitalized patient with opioid use disorder! It’s challenging to treat opioid withdrawal and acute pain simultaneously. This episode features clinical pearls on prescribing methadone, buprenorphine, low-dose buprenorphine initiation, and how to incorporate opioids as part of multimodal pain treatment responsibly. We’re joined by The Curbsiders Addiction Medicine Podcast hosts, Drs. Carolyn Chan (@carolynachan) and Shawn Cohen (@shawncohen)!Claim free CME for this episode at curbsiders.vcuhealth.org!Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME!Show Segments Intro, disclaimer, guest bio Guest one-liner Acute pain in the patient on buprenorphine maintenance Acute pain in the patient on methadone maintenance Acute pain in the patient with opioid withdrawal Standard buprenorphine initiation Methadone initiation Low dose buprenorphine initiation Take-home points Outro Credits Writer and Producer: Matthew Watto MD, FACP Show Notes: Matthew Watto MD, FACP Cover Art and Infographic: Matthew Watto MD, FACP Hosts: Matthew Watto MD, FACP Reviewer: Fatima Syed MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Carolyn Chan MD and Shawn Cohen MD Sponsor: ExpressVPNVisit expressvpn.com/curb to get and extra three months free. Sponsor: Southern California Permanente Medical Group Learn more or apply at scpmgphysiciancareers.com or call (866) 449-1684. Full transcript HERE

We’ve Come a Long Way From Ether Learn how an anesthesiologist approaches perioperative medicine from how to choose the right type of anesthesia (general anesthesia vs regional anesthesia vs MAC), to preoperative risk assessment, and how to avoid anesthesia related complications. Our guest, anesthesiologist, Dr. Angela Selzer (Denver, CO) helps us explore high yield pearls regarding the practice of anesthesiology to empower the internal medicine clinician to deliver team-based, perioperative care. Claim Free CE credit for this episode through VCU Health CE at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner Introduction to anesthesiology Introduction to regional anesthesiology Walk through what an anesthesiologist does in the operating room Ambulatory surgery center exclusions Approach to preop assessments “Will it change management?” applied to anesthesiologists ASA Classes Anesthesia complications Take Home Points; Outro; Bonus clip Credits Written and Produced by: Edison Jyang; Avital O’Glasser MD, FACP, SFHM Cover Art: Sarah Phoebe Roberts, MPH Infographic: Avital O’Glasser MD, FACP, SFHM; Edison Jyang Show Notes: Avital O’Glasser MD, FACP, SFHM Hosts: Matthew Watto MD, FACP; Avital O’Glasser MD, FACP, SFHM Technical Production: Pod Paste Reviewer: Sai S Achi, MD MBA Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Angela Selzer, MD Sponsor: Better Help Save 10% off your first month at BetterHelp.com/curb Sponsor: Hello Fresh Go to HelloFresh.com/curb65 and use code curb65 for 65% off plus free shipping. Sponsor: Indeed Visit Indeed.com/internalmedicine to start hiring now. Full transcript HERE

We ran the numbers, and it’s still important! Should patients be screened for syphilis? If so, which ones? Dr. Katrina Donahue (USPSTF) talks us through this re-affirmation of the USPSTF syphilis screening guideline, including who might be high risk and how to screen them. Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Credits Producers: Elena Gibson, MD and Paul Williams MD, FACP Writer: Elena Gibson, MD Show notes: Paul Williams MD, FACP Infographic and Cover Art: Elena Gibson, MD Hosts: Paul Williams MD, FACP and Elena Gibson MD Production team: Podpaste Guest: Katrina Donahue MD Full Transcript HERE

Optimize and update your approach to atrial fibrillation (afib) as we discuss early rhythm control, antiarrhythmic drugs, TTE/cardioversion, afib ablation, new onset afib in the hospitalized patient, and left atrial appendage closure. Plus, we try to answer, Does afib burden matter? Our guest is cardiologist-electrophysiologist, Hugh Calkins MD, @hughcalkinsMD, Professor of Cardiology at Johns Hopkins, @hopkinsheart. Sorry, but we won’t be offering CME for this episode. You can claim CME for past episodes at curbsiders.vcuhealth.org!Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME!Show Segments Intro, disclaimer, guest bio Guest one-liner Case from Kashlak; Definitions An approach to new-onset afib in the office Rhythm control Lifestyle modification is a pillar of afib treatment Indications for hospitalization in afib More on rhythm control and when to pursue afib ablation Rhythm control in heart failure New onset afib in the hospitalized patient Does afib burden matter? Left atrial appendage closure Watto and Paul recap what we’ve learned Outro Credits Written and Produced by: Matthew Watto MD, FACP Show Notes: Matthew Watto MD, FACP Cover art and Infographic by: Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Emi Okamoto MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Hugh Calkins MD Sponsor: GrammarlyGo to grammarly.com/curb to sign up for a free account. And when you’re ready to upgrade to Grammarly Premium, get 20% off. Full transcript HERE

Recap and review the top pearls from recent episodes #341 Migraine Headaches Update and #350 Acute Hypoxemia with Watto and Paul. It’s Tales from the Curbside! (TFTC), our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning.Note No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for shows #341 and #350!Show Segments Intro, disclaimer, guest bio Migraine Headaches Update An approach to Hypoxemia Outro Credits Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP Show Notes: Matthew Watto MD, FACP TFTC Cover Art design: Edison Jyang Technical Production: Pod Paste Full transcript HERE

Lipids Update 2022: Cardiovascular Risk Reduction and New Medications on the Horizon with Erin Michos, MDShow description: Ready to take the next step in management of your patient with hyperlipidemia? Dr. Erin Michos (@erinmichos) returns to give us a lesson in Advanced Lipidology. She updates us on what new medications we can use for those difficult to treat lipids and what medications are on the horizon.Unfortunately, this episode will not be available for CME. You can claim free CME for other episodes at curbsiders.vcuhealth.org!Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME!Show Segments Intro, Getting to know Dr. Erin Michos, Pick of the Week Patient Case, Digging into ASCVD Risk Coronary artery calcium scoring - why it’s important What are “Risk Enhancing Factors”? Biomarker testing, what is the significance of Lip a and how can we use it to drive management? Introduction to PCSK9 inhibitors More than just statins - other LDL-lowering medications siRNAs, ASOs - Pelacarsen and more Apollo Trial regarding Pelacarsen Importance of Family History What to do if maxed out on a statin or statin intolerance - Ezetimibe, PCSK9 inhibitors, MAB therapies, and more Bempedoic Acid discussion Medication side effects Homozygous FH - approach to treatment, ANGPTL3 inhibitors Triglycerides discussion, icosapent ethyl, the REDUCE-IT trial Wrap-up and Take home points, Outtro Credits Producer and written by: Christopher Chiu MD, FACP, FAAP Show Notes: James Antaki MD Infographic: Edison Jyang Cover Art: Kate Grant MBChB, DipGUMed Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Associate Editor: Leah Witt MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Erin Michos MD, MHS Sponsor: Birch LivingBirch is giving $400 off all mattresses and 2 free eco-rest pillows at BirchLiving.com/curb. Full transcript HERE

The treatment your patients need but may not be getting! Take a bite out of our latest episode featuring guest expert Dr. Michelle McMacken (@DrMcMacken) and learn how you can help your patients effectively and sustainably reap the health benefits of improved nutrition. Discover the enormous evidence base for nutritional recommendations, develop scripts to engage patients, and update your CVD, T2DM, and hyperlipidemia treatment plans to meaningfully incorporate nutrition. Get your truffle-hunting outfit on, it’s time to go foraging for some tasty knowledge food! Show Segments Intro, disclaimer, guest bio Guest one-liner, favorite advice Case from Kashlak; definitions “Evidence-based nutrition” vs plant-based diet Unifying the guidelines for patient care Treating the skeptical patient Tailoring recommendations to patients’ needs Treating the motivated patient Host questions Outro Credits Written and Produced by: Deep Shah MD Show Notes: Sarah Phoebe Roberts, Deep Shah MD Infographic and Cover Art: Lyan Chang Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Deep Shah MD Reviewers: Emi Okamoto MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Michelle McMacken MD, FACP, DipABLM Sponsor: BetterHelp Visit BetterHelp.com/curb today to get 10% off your first month. Sponsor: Indeed Visit Indeed.com/internalmedicine to start hiring now. Super foods handout Full transcript HERE

Master the latest knowledge on the ongoing monkeypox outbreak with Dr. Boghuma Titanji (@Boghuma)! Learn how to recognize monkeypox in the clinic, how to test for monkeypox, how to approach management (including options for antiviral agents), and more. Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME! Show Segments Intro, disclaimer, guest bio Guest one-liner, Picks of the Week Case from Kashlak History of monkeypox - past and current outbreaks Transmission of monkeypox Risk factors for monkeypox Clinical presentation of monkeypox Testing for monkeypox Management of monkeypox: supportive care and antivirals Monkeypox in patients with HIV Monkeypox in pregnancy Monkeypox vaccines Outro Credits Producer and Writer: Paul Williams MD, FACP Show Notes: Malini Gandhi Infographic: Sarah Phoebe Roberts Cover Art: Kate Grant MD Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Emi Okamoto MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Boghuma Titanji MD Sponsor: Green Chef Go to GreenChef.com/curb135 and use code curb135 to get $135 off across five boxes and your first box ships free. Sponsor: Medmastery Go to medmastery.com/curbsiders to claim your discount. Full Transcript HERE

From Cord Compression to Tumor Lysis SyndromeDo you freak out over oncologic emergencies like cord compression or tumor lysis syndrome? Join Dr. Aditi Singh (University of Pennsylvania, Abramson Cancer Center, @AditiSinghMD) for this comprehensive conversation on six commonly encountered oncologic emergencies we see in the hospital!Claim free CME for this episode at curbsiders.vcuhealth.org!Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME!Show Segments Intro, disclaimer, guest bio Guest one-liner, Picks of the Week* Cord Compression SVC Syndrome Malignant Obstruction Tumor Lysis Syndrome Blast Crisis Outro Credits Producer, Writer, Hosts: Meredith Trubitt, MD MPH; Monee Amin, MD Infographic and Cover Art: Caroline Coleman Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Associate Editor: Leah Witt, MD Showrunner: Matthew Watto MD, FACP Technical Production: PodPaste Guest: Aditi Singh, MD Sponsor: BetterHelpVisit BetterHelp.com/curb today to get 10% off your first month. Sponsor: Indeed Visit Indeed.com/internalmedicine to start hiring now. Sponsor: Hello Fresh Go to HelloFresh.com/curb65 and use code curb65 for 65% off plus free shipping. Full Transcript HERE