The Curbsiders Internal Medicine Podcast6 Loka 2025

#500: COPD Update with Cyrus Askin

GOLD Updates, Novel Treatments, and Managing Comorbidities in COPD Care

Level up your COPD care with practical, evidence-based strategies. Learn how to confirm airflow obstruction with spirometry (and use LLN/Z-scores thoughtfully), stage patients with the A/B/E framework, and build treatment around long-acting bronchodilation—adding ICS selectively based on exacerbations and eosinophils. We’ll highlight the nonpharmacologic moves that change outcomes (smoking cessation, vaccination, pulmonary rehab, oxygen when indicated), when to reach for add-ons (azithromycin, roflumilast), how to approach chronic hypercapnia with home NIV, and what’s new (hello, ensifentrine). Pulmonologist and longtime Curbsiders member Dr. Cyrus Askin (@Askins_Razor ) returns to share real-world pearls for diagnosing, treating, and managing comorbidities in COPD.

Claim CME for this episode at curbsiders.vcuhealth.org!

Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME

Show Segments

Intro
Case 1
Diagnostic Workup
Understanding the Ratio, LLN/Z-Scores, and Equity
Symptom abd Risk Staging (A/B/E)
Case 2
Foundational Care
Initial Inhaler Strategy
Progression & Hypercapnia: NIV & Adherence Counseling
Add-On Pharmacologic Options for Frequent Exacerbators
What’s New and Emerging
Comorbidities and When to Refer
Take-Home Points Recap
Plugs, CME, and Credits

Credits

Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz 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: Cyrus Askin MD

Sponsor - Freed
Use code: CURB50 to get $50 off your first month when you subscribe at freed.ai

Sponsor - Grammarly
Sign up for FREE and experience how Grammarly can elevate your professional writing from start to finish. Visit Grammarly.com/podcast
Sponsor -Locumstory
Learn about locums and get insights from real-life physicians, PAs and NPs at Locumstory.com

Tämä jakso on lisätty Podme-palveluun avoimen RSS-syötteen kautta eikä se ole Podmen omaa tuotantoa. Siksi jakso saattaa sisältää mainontaa.

Jaksot(500)

#121 HIV Care for the Internist

HIV care for the internist with author and HIV expert, Michael Saag MD, Professor of Infectious Diseases at University of Alabama and founder of the 1917 Clinic. We discuss the specifics of screening ...

22 Loka 20181h

#120 Policy, Patients, Payments, Paperwork

Join us in this roundtable discussion of patients before paperwork, administrative burden, the new CMS payment model proposal, and a bit on health insurance with cohost, Fatima Syed MD MSc and guest, ...

19 Loka 201844min

#119 Nutrition Pearls, Heart Health and Bacon

Nutrition pearls from integrative cardiologist, Steven Devries MD, Associate Professor of Medicine, Northwestern Feinberg School of Medicine, Executive Director of The Gaples Institute. Clinicians rec...

15 Loka 201857min

#118 Female Sexual Problems with Stacy Lindau MD

Houston, we have a female sexual dysfunction problem. Female sexual problems, which can affect women of all ages, are underdiagnosed and undertreated--in part because clinicians are not the best at as...

8 Loka 201856min

#117 Clostridium Difficile: IDSA Guidelines, Bad Puns, and Random Pearls

Summary Conquer Clostridium difficile (Clostridioides difficile) with this “spore-tacular” episode featuring infectious diseases expert, Dr. Curtis Donskey, Professor at Case Western Reserve Universit...

1 Loka 20181h 3min

#116 Geriatric Psychiatry: Sleep, Dementia, and Behavioral Disturbances

Geriatric psychiatry returns. We tackle sleep problems and behavioral disturbances in patients with dementia with returning guest, and Geriatric Psychiatrist Dennis Popeo MD, Clinical Associate Profes...

27 Syys 201829min

#115 Geriatric Depression

Summary Geriatric depression got you down? Boost your spirits with tips and tactics from Geriatric Psychiatrist, Dennis Popeo MD, Clinical Associate Professor of Psychiatry at NYU Langone Medical Cen...

24 Syys 201845min

#114 High Value Care: Assess Quality, Mitigate Diagnostic Uncertainty, Overcome Barriers

Kick up the quality of your care with tips and tactics from Caitlin Clancy MD, coauthor of ACP’s High Value Care Curriculum. We learn to define quality and value in healthcare; the most common barrier...

17 Syys 201858min