The Curbsiders Internal Medicine Podcast

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! | CME Show 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: Locumstory Get a comprehensive view of locum and decide if it’s right for you at locumstory.com Sponsor: Brooklinen Your Memorial Day Sale is coming soon! Shop 20% off in-store or online at Brooklinen.com Sponsor: Panacea Financial  Visit panaceafinancial.com to open your free account today.   Full transcript available HERE

15 Mai 202354min

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

8 Mai 20231h 40min

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! | CME Show 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

1 Mai 202356min

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! | CME Show 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

26 Apr 202345min

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

24 Apr 20231h 17min

Hypertension FAQ Round #2 Dr. Jordy Cohen Strikes Back Tackle 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! | CME Show 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: Indeed Visit Indeed.com/INTERNALMEDICINE to start hiring now Full transcript available HERE

17 Apr 20231h 17min

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

10 Apr 20231h 8min

LIVE! Updates in HIV management at Hershey Highly 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 | askcurbsiders@gmail.com | 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 Chef Go 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 Full transcript available HERE

3 Apr 202354min