
Author:
Subscribed: 0Played: 0Subscribe
Share
Description
Episodes
Reverse
Recap and review the top pearls from recent episodes #320 Palpitations and #317 Erectile Dysfunction 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.
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Show Segments
Intro, disclaimer, guest bio
Palpitations: Diagnosis, Cardiac Monitors, Treatment, Patient Counseling
Erectile Dysfunction
Outro
Credits
Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP
Show Notes: Matthew Watto MD, FACP
Cover Art: Edison Jyang
Technical Production: Pod Paste
Sponsor: Pattern
Get disability insurance quotes with Pattern at patternlife.com/curbsiders
Learn from an expert panel in addiction medicine about a potpourri of fascinating topics, with updated data to guide clinical decision-making. We picked the brains of physicians Stefan Kertesz, Ximena Levander, Kenny Morford, and Katherine Mullins to learn about the latest updates in opioid tapering (don’t do it if there isn’t a good reason!), how to define recovery in alcohol use disorder, different options to treat methamphetamine use disorder, and Hepatitis C treatment in patients with active IV drug use. And there’s so much more, that we’re following this with a whole series in Addiction Medicine, set to come out in early July 2022!
Visit curbsiders.vcuhealth.org to claim CME credit for this episode.
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Show Segments
Intro
Tapering long-term opioids
Perioperative buprenorphine management
Defining recovery in alcohol use disorder
The Fourth Wave
Treatment for methamphetamine use disorder
E-cigarettes for smoking cessation
Disparities in substance use disorder prevalence and treatment
Advocacy opportunities
Outro
Credits
Written and Produced by: Nora Taranto MD
Hosted by: Nora Taranto MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Guests: Stefan Kertesz MD MSc; Ximena Levander MD MCR FACP; Kenneth Morford MD FASAM; Katherine Mullins MD
Show Notes, Cover Art, Infographics: Nora Taranto MD
Reviewer: Molly Heublein MD
Production team: Pod Paste
Sponsor: Birch by Helix
Visit birchliving.com/curb to get $200 off ALL mattresses and 2 free eco-rest pillows.
Sponsor: Blueland
Visit Blueland.com/curb to get 20% off your first order.
CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.
Join us as we de-mystify the diagnosis, talk treatment strategies, parse through pharmaceutical options, and figure out follow-up in Generalized Anxiety Disorder with Dr. Dheepa Sekar (@DheepaSekarMD)! Anxiety disorders are one of the most common mental health concerns in our country and this episode will give you the tools to address it in clinic!
Claim free CME for this episode at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Show Segments
Intro, disclaimer, guest bio
Guest one-liner, Picks of the Week*
Case from Kashlak; Definitions
Differential diagnosis for GAD
Counseling about diagnosis
Initial guidance on first-line management, apps for mindfulness
Prescribing basics, SSRI and SNRI considerations
Bridging with hydroxyzine and buspirone
Monitoring treatment response
Managing side effects
Tapering medication
Alternative agents, atypical antipsychotics, and benzos
Take Home points, Outro
Credits
Producer, Scriptwriter, Show Notes, Infographic/Cover Art: Beth Garbitelli
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli
Reviewer: Emi Okamoto MD
Showrunner: Matthew Watto MD, FACP
Production Team: PodPaste
Guest: Dheepa Sekar MD
Sponsor: Indeed
Visit indeed.com/internalmedicine to claim you $75 credit now.
Sponsor: Locumstory
Visit Locumstory.com to learn more about locums
Sponsor: Panacea Financial
Visit panaceafinancial.com today to learn how a bank for doctors, by doctors can help you.
Sponsor: BetterHelp
Visit betterhelp.com/curb for 10% of your first month.
CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.
Learn diagnostic and therapeutic management strategies for IBS, functional dyspepsia, and cyclic vomiting (aka disorders of gut brain interaction (DGBI))! It's like three episodes in one as we run through how to individualize evaluation and management for patients with functional dyspepsia, IBS, and cyclic vomiting. Topics: scripts for counseling patients, the pathophysiology of DGBI, which diagnostic tests are necessary, pharmacologic and nonpharmacologic options, and even hypnotherapy?! We’re joined again by the great Dr. Xiao Jing (Iris) Wang, (@IrisWangMD, Mayo Clinic)
Claim free CME for this episode at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Show Segments
Intro, disclaimer, guest bio
Guest one-liner, Picks of the Week*
Case from Kashlak; Definitions (6:20)
Definition of Disorders of the Gut-Brain Interaction (7:30-11:00)
Functional Dyspepsia: diagnostic criteria, definitions (15:30-24:30), and treatments (24:30-36:00)
Irritable bowel disease: diagnostics (41:00), testing algorithm, and treatments (55:00)
Cyclic Vomiting Syndrome and Cannabis Hyperemesis Syndrome: definitions, diagnosis, and management (1:11)
Take home points
Outro
Credits
Producer: Elena Gibson MD
Writer:Andréa Perdigão, Elena Gibson
Show Notes and Infographics: Andréa Perdigão
Cover Art: Kate Grant
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Associate Editor: Leah Witt
Showrunner: Matthew Watto MD, FACP
Editor: Clair Morgan of nodderly.com
Guest: Dr. Xiao Jing (Iris) Wang MD
Sponsor: Ten Thousand
Go to tenthousand.cc/curb to receive 10% off.
Sponsor: Pattern
Visit patternlife.com/curbsiders to request a disability insurance quote.
CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.
We recap the top pearls from ACP #IM2022 including important drug interactions/intolerance (acetaminophen, tramadol, ticagrelor, nirmatrelvir-ritonavir), perioperative medicine (bridging, DOAC reversal agents, dental procedures, MINS), recognizing PMR, when to initiate urate-lowering therapy in gout, glucocorticoid-induced osteoporosis, food as medicine, dietary potassium, OSA, nocturia, telemedicine and health equity, a new obesity medicine paradigm, advances in HIV/PrEP, and rethinking atrial fibrillation!
Note: Due to a rapid turnaround there is no CME for this episode, but visit curbsiders.vcuhealth.org to claim credit for past episodes.
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Show Segments
Intro
Tapering long-term opioids
Physician Wellbeing
Common drug interactions (acetaminophen, ticagrelor, tramadol, Nirmatrelvir-ritonavir)
Perioperative medicine (bridging, DOAC reversal agents, dental procedures, MINS)
Nocturia and OSA
Food as Medicine
Rheumatology (how to diagnose PMR, when to initiate ULT for gout and steroid-induced osteoporosis)
Avi’s pearls on (diversity, telemedicine, telehealth, burnout)
Obesity medicine (a new paradigm and a new medication)
HIV in primary care (PrEP, long-acting injectable antiviral therapy)
Atrial fibrillation
Outro
Credits
Written, Produced, and Hosted by: Nora Taranto MD; Molly Heublein MD; Chris Chiu MD, FACP, FAAP; Avital O’Glasser MD, FACP; Alan Dow MD, FACP; Matthew Watto MD, FACP; Paul Williams MD, FACP
Show Notes: Matthew Watto MD, FACP
Cover Art: Chris Chiu MD, FACP, FAAP
Production team: Pod Paste
Sponsor: Indeed
Visit indeed.com/internalmedicine to claim you $75 credit now.
Sponsor: Locumstory
Visit Locumstory.com to learn more about locums
Join Dr. Nathan Erdmann (@NerdmannID, University of Alabama Birmingham) as he walks us through inpatient covid management from antivirals, immune modulators and anticoagulation.
Claim free CME for this episode at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Show Segments
Intro, disclaimer, guest bio
Guest one-liner, Picks of the Week*
Case from Kashlak; Definitions
Outpatient vs ER therapeutic options
Considerations for labs to risk stratify
Antivirals
Immunomodulators
Anticoagulation
Empiric Antibiotics
Transitions of Care
Take Home Points
Outro
Credits
Producer: Monee Amin, MD
Writers: Monee Amin, MD and Meredith Trubitt, MD
Show Notes: Meredith Trubitt, MD
Infographic and Cover Art: Monee Amin, MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Rahul Ganatra, MD
Showrunner: Matthew Watto MD, FACP
Production Team: PodPaste
Guest: Nathan Erdmann, MD
Sponsor: Panacea Financial
Visit panaceafinancial.com today to learn how a bank for doctors, by doctors can help you.
Sponsor: BetterHelp
Visit betterhelp.com/curb for 10% of your first month.
CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.
More inpatient diabetes! In this part 2 of 2, we cover diabetic ketoacidosis (DKA), euglycemic DKA, how to handle insulin pumps in the hospital, continuous glucose monitors, and how to transition patients off an insulin drip! Our guest is Dr. Dave Lieb (@dclieb), an internist, endocrinologist and the endocrinology program director from Eastern Virginia Medical School.
Claim free CME for this episode at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Show Segments
Intro
DKA and HHS - introduction and therapy overview
Insulin drips, closing the gap and transitioning to a subcutaneous regimen
Euglycemic DKA
Pumps and glucose monitors
Final take home points
Outro
Credits
Producer: Adam Barelski MD, Cyrus Askin MD
Writer: Adam Barelski MD
Show Notes: Cyrus Askin MD
Infographic: Edison Jyang
Cover Art: Kate Grant MBChb, MRCGP
Hosts: Matthew Watto MD, FACP; Adam Barelski MD
Technical Production: Pod Paste
Showrunner: Matthew Watto MD, FACP
Content Editor: Emi Okamoto MD
Guest & Content Reviewer: David Lieb MD, FACE, FACP
CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.
Sponsor: Bambee
Visit bambee.com/curb for a free HR audit of your business.
Sponsor: Grammarly
Visit grammarly.com/curb for 20% off when you sign up
Dominate inpatient diabetes! In this part 1 of 2, we discuss how to handle oral hypoglycemics, how to choose an initial insulin regimen, the use of correction scale insulin monotherapy, how to titrate insulin, how to use NPH for steroid-induced hyperglycemia (check out this Twitter thread on safe dosing), and how to reconcile diabetes meds at discharge!
Stay tuned for part 2 (drops Wed April 27th) covering diabetic ketoacidosis (DKA), euglycemic DKA, how to handle insulin pumps in the hospital, continuous glucose monitors, and how to transition patients off an insulin drip!
Our guest is Dr. Dave Lieb (@dclieb), an internist, endocrinologist and the endocrinology program director from Eastern Virginia Medical School.
Claim free CME for this episode at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Show Segments
Intro #1, disclaimer, guest bio
Guest one-liner, Picks of the Week*
Inpatient diabetes - a bird’s eye view and the goal(s) of therapy
Management of outpatient diabetes medications
Inpatient insulin - options and dosing
Correctional insulin (“sliding scale”)
A word on the “Diabetic Diet”
Steroids and hyperglycemia
Discharge pearls for the patient with diabetes
Outro #1
Credits
Producer: Adam Barelski MD, Cyrus Askin MD
Writer: Adam Barelski MD
Show Notes: Cyrus Askin MD
Infographic: Edison Jyang
Cover Art: Kate Grant MBChb, MRCGP
Hosts: Matthew Watto MD, FACP; Adam Barelski MD
Technical Production: Pod Paste
Showrunner: Matthew Watto MD, FACP
Content Editor: Emi Okamoto MD
Guest & Content Reviewer: David Lieb MD, FACE, FACP
Sponsor: Bambee
Visit bambee.com/curb for a free HR audit of your business.
Sponsor: Grammarly
Visit grammarly.com/curb for 20% off when you sign up
CME Partner: VCU Health CE
The Curbsiders partner with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.
DeLiver on the promise of elimination with Dr. Christian Ramers
Let’s deLiver on the promise of hepatitis C elimination! Dr. Christian Ramers @cramersmd brings hepatitis C diagnosis, care, and cure into the primary care clinic with a simplified algorithm for workup and treatment.
Claim free CME for this episode at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Show Segments
Intro, disclaimer, guest bio
Guest one-liner, Picks of the Week*
Case from Kashlak; Definitions
Who should we screen?
Patient Workup
Preparing for treatment
Treating hepatitis C
Opportunities for integration of care
Outro
Credits
Producer, writer, co-host: Emi Okamoto MD, FACP
Show Notes, infographic, cover art: Lyan Chang
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Leah Witt, MD
Executive Producer: Beth Garbitelli
Showrunner: Matthew Watto MD, FACP
Editor: Clair Morgan of nodderly.com
Guest: Christian Ramers MD, MPH, FIDSA
Sponsor: BetterHelp
Visit betterhelp.com/curb for 10% of your first month.
Sponsor: MedMastery
Visit www.medmastery.com/curbsiders for a 15% lifetime discount!
Sponsor: Birch Matresses
Visit birchliving.com/curb to claim your $200 off any Birch Mattress plus two free pillows
Sponsor: Indeed
Visit Indeed.com/internalmedicine and get a $75 credit to sponsor your first job
CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.
Update Description
Fill up with delicious practice-changing knowledge food from #SGIM22 as The Curbsiders team discusses breast cancer survivorship, sexual dysfunction, How climate change will affect health, Are PT consults necessary in the hospital?, Do we need antibiotics for aspiration events?, bias in note writing, Are plant-based meats a healthy?, complications after breast implantation, how to get breast reduction approved, doxycycline for chlamydia, the metronidazole and alcohol myth, pearls for clinician-educators, telehealth, TEACHIM.org, CGMs help lower a1c, PT for rotator cuff disease, Is it safe to taper antidepressants? and how to treat methamphetamine use disorder!
Note: There is no CME for this episode, but claim CME for prior episodes at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Written and Hosted by: Nora Taranto MD, Beth Garbitelli (about to be an MD!), Era Kryzhanovskaya MD, Justin Berk MD, MPH, MBA, Shreya Trivedi MD, Chris Chiu MD, Paul Williams MD, Matthew Watto MD
Show Notes and Cover Art: Matthew Watto MD, FACP
Showrunner: Matthew Watto MD, FACP
Technical Production: Pod Paste
Show Segments
Intro
A few ambulatory teaching models include the One Minute Preceptor, SNAPS (summarize, narrow, analyze, probe, plan, and select), PIPP (precepting in the presence of the patient) [see Community Preceptor Toolbox]
Ikigai is a Japanese term indicating a motivational force or reason for living. It is associated with decreased mortality [Tanno, 2009]. Explore your ikigai here (PositivePsychology.com).
Listening to podcasts while driving does not affect knowledge retention (Gottleib et al. 2021)
Treatment of Hot flashes: Avoid paroxetine, fluoxetine, and sertraline in breast cancers survivors taking tamoxifen. Instead use venlafaxine (or another SNRI), citalopram, or escitalopram. Gabapentin given at bedtime is also an option. (Clinical Update 2019: Tamoxifen and Antidepressants)
Distress in patients with cancer can be measured using the NCCN screening tool [NCCN Distress Thermometer]
Don’t forget to ask for a Cancer Survivorship Plan from oncology [CDC Cancer Survivorship Care Plans]
Ask about sexual dysfunction in cancer survivors.
How will climate change impact our patient’s health? NIH framework; CH2OPD2 environmental screening tool [CH2OPD2 ]; and the 15 steps of climate communication.
Use the AM-PAC score cutoff of >18 to avoid a PT consult in hospitalized patients (Martinez 2021).
Early antibiotics after an aspiration event do not improve outcomes (Aga 2021).
Biased language is more common in notes about Black patients (Beach 2021). Be thoughtful about what you write and role model good behavior.
While plant-based meats are more eco-friendly than animal-sourced meats, they are heavily processed foods (van Vliet 2021) and may have high sodium.
Silicone breast implant rupture can be insidious. Guidelines recommend screening with MRI after 6 years, then every 2-3 years (FDA 2020, More FDA info) (Note: FDA’s most recent guidance also recommends ultrasound as an alternative screening method, so always check with the patient's insurance about which modality will be covered)
Document a trial of NSAIDs, physical therapy, attempted weight loss, and supportive bra usage before breast reduction surgery for macromastia.
Doxycycline is now first line for chlamydia rather than azithromycin [STI Treatment Guidelines Update], BUT the most effective treatment is the one your patient will take!
Metronidazole does not cause a disulfiram-like reaction and is no longer recommended by the guidelines [STI Treatment Guidelines Update]
More clinician-educator pearls from Era: Don’t be afraid to brand yourself! Network with like-minded individuals (e.g. interest groups).
BST mode: bite-sized teaching pearls can help reduce extrinsic load and improve retention [Manning, 2021]
A guided discussion based on Scrubs episodes can improve resident wellness [Holtzclaw 2021]
Chris recaps some posters (click links to see them on Twitter!): Telehealth disparities and tech equity (poster 1, poster 2); TeachIM.org (poster)
Continuous glucose monitors can help lower a1c in patients on basal insulin [Martens 2021]
A single session of PT improved shoulder pain. The benefits of steroid injections were limited to 8 weeks in the GRASP trial [Hopewell 2021]
There is a high risk of recurrence after tapering antidepressants [Lewis 2021]
Methamphetamine use disorder can be treated with IM naltrexone every 3 weeks, plus oral bupropion 450 mg daily [Trivedi 2021]. Limitations include cost and co-use of opioids.
Outro
Sponsor: Masterworks
Get started at masterworks.art/curbsiders.
Sponsor: Ten Thousand
Get 15% off at tenthousand.cc/curb
Sponsor: Green Chef
Go to GreenChef.com/curb130 and use code curb130 to get $130 off, plus free shipping!
Sponsor: Blueland
Get 20% off your first order at blueland.com/curb
We need a few days to process the highlights from #SGIM22 in Orlando, FL. We'll be dropping a DELUXE recap and highlights episode this Friday April 15, 2022 covering Updates in Hospital Medicine, Primary Care, Breast Health, Sexual Health, Addiction Medicine, Meded and more!
Learn what you really need to diagnose pancreatitis, when to use imaging sources and what is most important in management! Rapidly treating Acute Pancreatitis might change its course! We’re joined by Dr. Kaveh Sharzehi @sharzehi of Oregon Health & Science University (@OHSUNews).
Claim free CME for this episode at curbsiders.vcuhealth.org!
Episodes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Show Segments
Intro, disclaimer, guest bio
Guest one-liner
Case from Kashlak
Risk factors for severe course
Use of Scoring Systems
Requirements to make the diagnosis
Rational use of imaging
Initial management: fluids, analgesia, and nutrition
When to use antibiotics
When to perform cholecystectomy
Most common complications and interventions
How to follow up in the outpatient setting
Credits
Producer & Scriptwriters: Monee Amin MD and Meredith Trubitt MD
Show Notes & Infographics: Andréa Perdigão
Cover Art: Monee Amin MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Molly Heublein MD
Executive Producer: Beth Garbitelli
Showrunner: Matthew Watto MD, FACP
Editor: Clair Morgan of nodderly.com
Guest: Kaveh Sharzehi MD, MS
Sponsor: BetterHelp
Visit betterhelp.com/curb for 10% of your first month.
Sponsor: MedMastery
Visit www.medmastery.com/curbsiders for a 15% lifetime discount!
CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.
Recognize common presentations of anaphylaxis and stop under-treating this deadly allergic reaction with tips from Dr. Olajumoke Fadugba, Assistant Professor of Medicine, University of Pennsylvania! We review the basic pathophysiology and the standard criteria for diagnosing anaphylaxis, treatment basics, the primary importance of epinephrine, and the utility of adjunctive therapies. Also included are great tips on counseling patients about auto-injectable epinephrine, and a reminder not to panic…even when you inject your own thumb?! Original show notes here.
Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Producer, infographic, and cover art: Emi Okamoto MD
Hosts: Matthew Watto MD, FACP; Stuart Brigham MD, Emi Okamoto MD
Editor: Matthew Watto MD, FACP
Guest: Olajumoke Fadugba MD
Special thanks to Sarah Phoebe Roberts MPH for booking!
Show Segments
Intro and disclaimer
Guest one-liner, book recommendation, advice to fellows and trainees
Case of anaphylaxis with mucocutaneous and GI symptoms
Anaphylaxis (IgE mediated mast cell action) vs anaphylactoid (non-IgE mediated mast cell activation; e.g. contrast allergy, vancomycin)
Vancomycin and non-IgE mediated reactions
Common presentations of anaphylaxis and the three diagnostic criteria
Biphasic reactions and predicting severity
Counseling patients on the use of epinephrine
Stuart’s thumb question
Adjuvant medications: antihistamines and corticosteroids
Are there any contraindications to epinephrine use?
Use of tryptase levels when the diagnosis of anaphylaxis is uncertain
Outro
Sponsor
Medmastery - Visit www.medmastery.com/curbsiders for a 15% lifetime discount!
Tackle the complex pathophysiology, diagnosis, and management of hepatorenal syndrome in this Curbsiders classic from #NephMadness 2019 featuring @kidney_boy Joel Topf, HRS expert Juan Carlos Velez (@veleznephhepato), and self-proclaimed most-handsome-nephrologist Bill Whittier (@TWhittier_RUSH) episode! Topics: hepatorenal physiology, renal ultrasound, urine electrolytes, terlipressin, norepinephrine, midodrine and octreotide, albumin challenge, crystalloids vs colloids, and more! Original show notes here.
Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Written and produced by: Justin Berk MD, Nora Taranto MD
Infographic by: Alex M @nephroguy
Host: Matthew Watto MD
Edited by: Matthew Watto MD (audio), Emi Okamoto MD (written materials)
Guests: Joel Topf MD, Juan Carlos Velez MD, Bill Whittier MD
Show Segments
NephMadness Kidney Pun Contest
Disclaimer
Intro, guest one-liners
Case of acute kidney injury in a patient with cirrhosis
Initial differential diagnosis and approach to newly elevated creatinine in cirrhosis (urinalysis, FeNa, urine sodium)
History and physical in cirrhosis and AKI
Fluid choice
Diuretic therapy in cirrhosis and volume overload
Is a Renal Ultrasound useful in AKI?
Recap: the initial approach to AKI in cirrhosis
Therapeutic trials when volume status is uncertain
Hepatorenal physiology revisited
Vasoconstrictor therapy with octreotide, terlipressin, or norepinephrine
Type 1 versus type 2 hepatorenal syndrome
Large-volume paracentesis (LVP) in cirrhosis with AKI; how much fluid to remove; use of diuretics or LVP in patients on norepinephrine?!
Diagnostic criteria or HRS
NephMadness matchups including bile cast nephropathy
Outro
Sponsors
Grammarly. Visit grammarly.com/curb for 20% off.
Panacea Financial. Visit panaceafinancial.com a bank for doctors, by doctors.
We tackle the complexities of pain management in patients with chronic kidney disease in this reboot from @NephMadness 2019 that, on a scale of 1-10, will leave you feeling very relieved in addressing pain. Topics: Opioids, gabapentinoids, NSAIDS, pain ladders, why tramadol is tramadont, and more!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Written and produced by: Justin Berk MD
NephMadness Pain Region: Samantha Gelfand MD
NephMadness Pun Contest produced by: Hannah R Abrams
Cover art by: Kate Grant MBChB, Dip GUMed
Hosts: Matthew Watto MD, Paul Williams MD, Stuart Brigham MD
Edited by: Matthew Watto MD (audio), Emi Okamoto MD (show notes)
Guests: Samantha Gelfand MD, Matthew Sparks MD, David Juurlink MD
Show Segments
Kidney Pun
Disclaimer, intro and guest bios
Guest one-liners
Clinical Case and Pain Management Disclaimer
Modalities for pain meds in ckd
Opioids for pain and their metabolites
Dave Juurlink reframes the question, “what is our real goal with pain management?”
Matt Sparks reiterates the dangers of morphine and codeine in patients with advanced CKD
Communicating meds that are contraindicated or relatively contraindicated in CKD
Buprenorphine
What about the WHO Pain Ladder for CKD?
Should we use more cannabinoids? Ketamine?
Dave Juurlink rants on Tramadol
NSAIDS and CKD
Gabapentinoids (gabapentin and pregabalin) for neuropathic pain and driving?!
Estimating eGFR in CKD and AKI. Which equation is best?
How would each of our experts treat this patient with CKD and knee pain
Outro
Sponsors:
Birch by Helix birchliving.com/curb for $200 off all mattresses and 2 free eco-rest pillows
BetterHelp betterhelp.com/curb for 10% of your first month
Indeed indeed.com/internalmedicine for a $75 sponsored job credit
Squarespace squarespace.com/curb offer code: CURB to save 10%
Lose your heart to NephMadness 2022! Dr. Joel Topf (@kidney_boy) and Dr. Sadiya Khan (@HeartDocSadiya) tackle the NephMadness 2022 Cardiorenal Syndrome region, leading us through the pathophysiology of cardiorenal syndrome, how to approach the creatinine “bump” with diuresis, managing patients with diuretic resistance, and more. This episode is part of our first ever NephMadness Pod Crawl, so check out the other podcasts, and fill out your NephMadness 2022 brackets!
Credits
Producer, Writer, Show Notes, Infographics: Malini Gandhi
Cover Art: Beth Garbitelli
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Emi Okamoto MD, FACP
Executive Producer: Beth Garbitelli
Showrunner: Matthew Watto MD, FACP
Editor: Clair Morgan of nodderly.com
Guest: Dr. Joel Topf MD, Dr. Sadiya Khan MD
*Claim free CME for this episode at curbsiders.vcuhealth.org! *Available within 24 hours of release.
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Show Segments
Intro, disclaimer, guest bios
Guest one-liners, Introduction to Nephmadness 2022
Case #1 from Kashlak: acute decompensated heart failure with elevated creatinine
Definition and pathophysiology of cardiorenal syndrome
Use of home ACE-is/ARBs and SGLT-2 inhibitors in cardiorenal syndrome
Case #2 from Kashlak: the creatinine bump with diuresis
Approach to the creatinine bump with diuresis
Tips for the volume exam
Interpreting cardiac biomarkers in patients with chronic kidney disease
Case #3 from Kashlak: diuretic resistance
Maximizing loop diuretic efficacy
Sequential nephron blockade
Use of hypertonic saline
Outro
NephMadness 2022 Pod Crawl
Tues 3/15: The Drs. Washington - Inequities in Nephrology. Listen on Apple or Spotify. Website: https://www.drlatonyawashington.com/drswashingtonpodcast
Wed 3/16: The Cribsiders - Neonatal AKI. Listen on Apple or Spotify. Website: http://thecurbsiders.com/thecribsiders
Thurs 3/17: Up My Nursing Game - Hemodialysis. Listen on Apple or Spotify. Website: www.upmynursinggame.com
Fri 3/18: BS Medicine - #505: Albuminuria, basketball and the Great White North. Listen on Apple or Spotify. Website: https://therapeuticseducation.org/
Sat 3/19: Freely Filtered - Animal House Region. Listen on Apple or Spotify. Website: http://www.nephjc.com/freelyfiltered
Twitter: @thecurbsiders @TheCribsiders @NephJC_Podcast @drs_washington @upmynursinggame @medmyths
Sponsor: ACP’s Internal Medicine Board Review
The Greater Chicago course, beginning on May 23rd through May 27th or
Washington, D.C., on July 11th through July 15th
New registrants will receive 6 months of access to the course recordings. Visit acponline.org/imbr2022 to register or learn more.
Sponsor: SquareSpace
Go to Squarespace.com for a free trial, and when you’re ready to launch, go to squarespace.com/Curb to save 10% off your first purchase of a website or domain.
Sponsor: Green Chef
Go to GreenChef.com/curb130 and use code curb130 to get $130 off, plus free shipping!
Sponsor: Masterworks
Masterworks is giving listeners priority access to their newest offerings. Just head to masterworks.art/curbsiders
CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.
Find out whether balanced solutions beat saline in the ICU (fluid wars revisited), how sleep affects weight loss and calorie intake, whether or not Vitamin D can prevent autoimmune disease, new guidelines for pneumonia and hepatitis B (HBV) vaccination, and the utility of ultrasound to measure JVP! Time to fill your plate with a fresh stack of hotcakes! Drs. Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), Nora Taranto (@NoraTaranto), and Matt Watto (@doctorwatto) catch us up on recent practice-changing articles and guidelines!
Claim free CME for this episode at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Hosted and Written by: Nora Taranto MD; Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP
Reviewer: Matthew Watto, MD, FACP
Executive Producer: Beth Garbitelli
Showrunner: Matthew Watto MD, FACP
Editor: Clair Morgan of nodderly.com
Sponsor: Green Chef
Go to GreenChef.com/curb130 and use code curb130 to get $130 off, plus free shipping!
Sponsor: BetterHelp
Special offer for The Curbsiders listeners: get 10% off your first month at betterhelp.com/Curb
Sponsor: Panacea Financial
Visit panaceafinancial.com today for information on their student loan refinance loans and to learn about their “refer a friend” program.
Sponsor: Indeed
Go to Indeed.com/INTERNALMEDICINE to claim your $75 CREDIT before March 31st.
CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.
Show Segments
Intro, picks of the week
Fluid wars: balance solution vs saline
Sleep and energy intake, weight loss
Vitamin D to prevent autoimmune disease
New ACIP guidelines for Pneumonia and Hepatitis B (HBV) vaccines
Ultrasound for JVP
Outro
Resuscitate your inner nephrology nerd with a bolus of kidney themed podcast episodes in the first annual NephMadness Pod Crawl featuring topics like cardiorenal syndrome, hemodialysis, chronic kidney disease (CKD), neonatal AKI, and inequalities in nephrology! The pod crawl starts Monday March 14, 2022 with The Curbsiders Cardiorenal episode and continues all week! See the schedule below, check out the other podcasts in the pod crawl, and fill out your brackets for NephMadness 2022 #nephmadness #NephPodCrawl
Pod Crawl Release schedule:
Mon 3/14: The Curbsiders - Cardiorenal Syndrome. Listen on Apple or Spotify. Website: https://thecurbsiders.com
Tues 3/15: The Drs. Washington - Inequities in Nephrology. Listen on Apple or Spotify. Website: https://www.drlatonyawashington.com/drswashingtonpodcast
Wed 3/16: The Cribsiders - Neonatal AKI. Listen on Apple or Spotify. Website: http://thecurbsiders.com/thecribsiders
Thurs 3/17: Up My Nursing Game - Hemodialysis. Listen on Apple or Spotify. Website: www.upmynursinggame.com
Fri 3/18: BS Medicine - #505: Albuminuria, basketball and the Great White North. Listen on Apple or Spotify. Website: https://therapeuticseducation.org/
Sat 3/19: Freely Filtered - Animal House Region. Listen on Apple or Spotify. Website: http://www.nephjc.com/freelyfiltered
Learn how to prescribe affordable, effective medications for obesity medicine! We discuss metformin, naltrexone, bupropion, phentermine, topiramate, GLP1 agonists, and how to counsel patients about the available weight loss modalities. Dr. Fatima Cody Stanford (@AskDrFatima) of Massachusetts General Hospital helps reframe our approach as she walks through these Obesity Medicine FAQs. Obesity treatment has been around since the 1950s but we’ve been underutilizing it for far too long!
Claim free CME for this episode at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Producer, Writer, Show Notes, Infographics, Cover Art: Isabel Valdez, PA-C
Show Notes, Infographics: Maddison McLellan
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Monee Amin, MD
Executive Producer: Beth Garbitelli
Showrunner: Matthew Watto MD, FACP
Editor: Clair Morgan of nodderly.com
Guest: Fatima Cody Stanford, MD
Sponsor: ACP
Join us in Chicago for internal medicine’s premier educational meeting April 28-30, 2022! We’ll be there in person. For the Early Bird discount: use code IM22CURB. Visit annualmeeting.acponline.org to learn more.
Sponsor: Grammarly
Our listeners can get 20% off Grammarly Premium at grammarly.com/CURB
Sponsor: MedMastery
Listers are eligible for a lifetime 15% off discount on subscription if you go to https://www.medmastery.com/curbsiders!
CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.
Show Segments
Intro, disclaimer, guest bio
Guest one-liner by Dr. Fatima Cody Stanford
Case from Kashlak
Guidelines for treatment
Getting the history and discussing weight goals
The Care Team: Dietician, Behavioral Specialist, Provider
Medications: Phentermine, Topiramate, Bupropion, Naltrexone
Obesity treatment in pregnancy
Referring to bariatric surgery
Take home points
Outro
We recap the top pearls on pelvic pain, constipation, and Long COVID. It’s Tales from the Curbside! (TFTC), our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning.
Note: There is no CME for this mini-episode, but visit curbsiders.vcuhealth.org to claim credit for shows #311, #314, and #315 at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Written, Produced, and Hosted by: Beth Garbitelli, Matthew Watto MD, FACP; Paul Williams MD, FACP
Cover Art: Edison Jyang
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Sponsor: Birch
Birch is giving 200 dollars off ALL mattresses and 2 free eco-rest pillows at BirchLiving.com/curb
Sponsor: Blueland
Right now, you can get 20% off your first order when you go to Blueland.com/CURB
CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.
Show Segments
Intro, disclaimer, guest bio
Pelvic Pain
Constipation
Long COVID
Outro
Thanks for info about the Abbott SARS-cov-2 IgG blood test. Note that Labcorp exclusively uses this test. Quest uses this test for some samples.
very good but please attach algorithm and link
Amazing podcast for medical students. Highly recommend!
Internal medicine