The Curbsiders Internal Medicine Podcast6 Okt 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

Denne episoden er hentet fra en åpen RSS-feed og er ikke publisert av Podme. Den kan derfor inneholde annonser.

Episoder(500)

#501 GERD vs NERD: Reflux Updates with Dr. James Callaway

Update your approach to the evaluation and management of GERD with Dr. James Callaway. Learn when to consider ambulatory reflux monitoring and how to determine if someone has an indication for long-te...

13 Okt 20251h 8min

500th Ep Bonus AMA: Diabetes Meds, AI in Medicine, Thyroid Antibodies, Sleep Meds, Top 5 Lists, Favorite Failures, and More!

In this bonus episode, Matt and Paul answer Patreon listener questions on various topics, including the role of AI in medicine, concerns about antibiotics and their impact on health, insomnia treatm...

8 Okt 202549min

REBOOT: #460 Heart Failure with Preserved Ejection Fraction

We have a classic episode for you. Preserve your sanity while treating heart failure with preserved ejection fraction. Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) illuminates this confounding ...

29 Sep 202548min

#499 Inpatient DOAC Dilemmas with Dr. Jori May

Sorting out DOAC Drama in the Hospital Is it treatment failure or not? Join us for a great conversation with Dr. Jori May (University of Alabama-Birmingham) on all the nuances around DOAC treatment f...

22 Sep 20251h 7min

#498 Opioid Withdrawal with Dr. Ashish Thakrar

Grow your management tools for opioid withdrawal in the hospital. Investigate how to decide between methadone and buprenorphine, additional medications to manage symptoms and how and when to use short...

15 Sep 20251h 17min

#497 Methamphetamine Use Disorder: Tailoring and Ramping up Management with Dr. Phillip Coffin

In this high-yield episode of Curbsiders Addiction Medicine, we dive deep into a practical and compassionate approach to caring for patients using methamphetamines and/or living with methamphetamine u...

8 Sep 20251h 2min

REBOOT: #457 Cold and Flu Season: Upper Respiratory Infections

We have a classic episode for you. Dive deep into upper respiratory viral infections with Dr Amber Bird, MD (Penn). Feel confident on when to order testing, recommend symptom relieving treatments, an...

1 Sep 20251h 5min