Join us as we review recent practice-changing articles on a new triple pill for hypertension, how arm position affects blood pressure, early TAVR for asymptomatic patients with severe AS, liberal versus restrictive transfusion strategy in patients with acute brain injury, and a quick overview of the 2024 ACC/AHA perioperative medicine guidelines. Fill your brain hole with a delicious stack of tofurkey cakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), Jen DeSalvo (@drjendesalvo), and Matt Watto (@doctorwatto).

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Credits

• Written and Hosted by: Rahul Ganatra MD, MPH; Jen DeSalvo MD; 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

Show Segments

• Intro, disclaimer
• A new triple pill for hypertension
• How arm position affects blood pressure
• Early TAVR for asymptomatic patients with severe AS
• Liberal versus restrictive transfusion strategy in patients with acute brain injury
• A quick overview of the 2024 ACC/AHA perioperative medicine guidelines
• Outro

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Risks/benefits in older males, when to test, fertility considerations, and more.

Master male hypogonadism diagnosis and management. Discover when and how to test, how to tackle confounding conditions, and why lifestyle changes may be more effective than testosterone therapy in certain patients. We are joined by Dr. Brad Anawalt, an expert in endocrine care, to guide us through the essentials.

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Show Segments

• Intro
• Case 1
• History and Physical 
• Laboratory Testing 
• Effect of Lifestyle on Testosterone
• Case 2
• Prostate and Cardiovascular risk
• Treatment Options and Considerations
• Secondary Causes of Hypogonadism
• Case 3
• Testicular Size and Klinefelter Syndrome
• hCG and Clomiphene
• Monitoring and Follow-Up
• Take-Home Points
• Outro

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: Sai S Achi MD, MBA, FACP
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Bradley D. Anawalt MD

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month. 

Sponsor: Pattern

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Sponsor: Litter Robot

As a special holiday offer, Whisker is offering up to $100 off Litter-Robot bundles. AND, as a special offer to listeners, you can get an additional $50 off when you go to stopscooping.com/CURB.

A Bell-Ringer of a Presentation

Is it a stroke or is it botox? No, it’s Bell’s palsy! Learn how to differentiate facial palsy from other sinister diagnoses. Join us as Dr. Jordan Amar (Assistant Professor of Clinical Neurology at USC Keck School of Medicine) gives us Bell’s palsy pointers (and a great mnemonic, if there is such a thing).

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Show Segments

• Introduction
• Rapid fire questions and Reflex Hammers
• Case #1: Ms. Melanie
• Framework for Bell's Palsy
• Bell's Palsy vs Stroke: How to Differentiate 
• Approach to History and Physical Exam 
• Case #2: Mr. Lopez
• Red Flags in Facial Palsy (GROWLS FACE)
• Workup: From Imaging to Labs and What Not to Do
• Treatment: The Role of Steroids and Antivirals
• Supportive Care, Complications and Prognosis
• Take-Home Points
• Outro

Credits

• Producer and Writer: Isabel Valdez, PA-C 
• Show Notes: Paul Wurtz MD, Ben Furman MPH MS3, Isabel Valdez, PA-C
• Infographic and Cover Art: Zoya Surani, MS2
• 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: Jordan Amar, MD

Sponsor: Beginly Health

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Sponsor: OpenEvidence 

If you haven't tried it out yet check it out, it will save you time and help you make better decisions go to openevidence.com/curbsiders


Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month. 

Preserve your sanity while treating heart failure with preserved ejection fraction.  Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) illuminates this confounding cardiac condition.

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Show Segments

• 00:00 Introduction and Advice for Physicians
• 02:24 Case Presentation
• 04:16 Understanding HFpEF
• 08:11 Differential Diagnosis of Dyspnea and Edema
• 11:30 Diagnosing HFPEF: H2F-PEF Score and Testing
• 17:07 Managing Comorbidities in HFpEF
• 20:54 Non-Pharmacological Interventions: Weight Loss and Exercise
• 23:16 Understanding the Challenges of HFpEF
• 25:08 Medications
• 30:13 Promising Results of GLP-1 Receptor Agonists
• 36:38 Managing Salt and Water Intake

Credits

• Writer and Producer: Deborah Gorth MD, PhD
• Infographic and Cover Art: Zoya Surani
• 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: Michelle Kittleson MD, PhD

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month. 

Sponsor: Bombas

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Sponsor: Beginly Health

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Join us as we review recent articles and news featured in The DIGEST issues #56 and #57, including finerenone for heart failure, the skinny on pneumonia vaccines and the latest, PCV21, long-term oxygen therapy (the REDOX trial), and the PREVENT vs PCE cardiovascular risk equations.  Fill your brain hole with a fully digestible meal! Featuring Alex Chaitoff (@alexchaitoff), Rahul Ganatra (@rbganatra), Nora Taranto (@norataranto), and Matt Watto (@doctorwatto). 

Note: **Update on Pneumonia Vaccine from ACIP: After we recorded and just before we published this episode, the CDC updated its vaccine guidance to include pneumonia vaccination for all adults aged 50 years and older to receive either PCV20, PCV21, or the combination of PCV15 followed by PPSV23 one year later (CDC site accessed 24 Oct 2024).**

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Credits

• Written and Hosted by: Nora Taranto MD; Rahul Ganatra MD, MPH, Alex Chaitoff MD, MPH, Matthew Watto MD, FACP
• Cover Art: Matthew Watto MD 
• Reviewer: Emi Okamoto MD 
• Technical Production: Pod Paste
• Showrunners: Matthew Watto MD, FACP 

Show Segments

• Introduction + Pun 
• Exploring Finerenone in Heart Failure
• Pneumonia Vaccines: The PCV21 Trial
• Long-Term Oxygen Therapy: The REDOX Trial
• Cardiovascular Risk Calculators: The PREVENT Equation

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month. 

Sponsor: Quince

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Sponsor: Beginly Health

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Kittleson Rules Outpatient Heart Failure Volume 1

Provide superb outpatient care for your patients with HFrEF. Identify underlying causes of heart failure and titrate medications with ease. Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) breaks down the nuances of treating this common cardiac condition. 

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Show Segments

• 00:00 Introduction 
• 03:22 Case Presentation: Newly Diagnosed Heart Failure
• 07:26 Using Physical Exam Findings to Guide Diuresis
• 11:58 The Four Pillars of Guideline-Directed Medical Therapy for Heart Failure
• 15:07 Optimizing Therapy and Follow-Up in Heart Failure Patients
• 22:10 The Benefits of High-Intensity Initiation and Titration of Guideline-Directed Medical Therapy
• 28:02 Consideration of Other Medications
• 40:02 Referral to Advanced Heart Failure Specialist
• 49:11 Optimizing Therapy and Follow-Up
• 55:33 Conclusion and Book Recommendation

Credits

• Writer and Producer: Deborah Gorth MD, PhD
• Infographic and Cover Art: Zoya Surani
• 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: Michelle Kittleson MD, PhD

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month. 

Sponsor: Litter Robot

Right now, Whisker is offering $75 off Litter-Robot bundles. AND, as a special offer to listeners, you can get an additional $50 off when you go to stopscooping.com/CURB.

Sponsor: Beginly Health

Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started

Treating colds, flu, and more with Dr Amber Bird!

Dive deep into upper respiratory viral infections with Dr Amber Bird, MD (Penn).  Feel confident on when to order testing, recommend symptom relieving treatments, and avoid unnecessary antibiotics.

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Show Segments

• 00:00 Introduction and Setting the Agenda
• 03:07 Getting to Know the Guest and Rapid Fire Questions
• 05:51 Case from Kashlak: Mateo with Common Cold Symptoms
• 06:12 Defining and Diagnosing the Common Cold
• 09:08 Approach to History and Physical Exam
• 13:23 Viral Respiratory Testing and Its Indications
• 17:36 Symptomatic Treatment Options for the Common Cold
• 24:25 Managing Cough and Nasal Congestion
• 35:03 Home Remedies and natural products
• 42:16 Prescribing Antivirals for Influenza
• 46:33 Antibiotics and Counseling Patients
• 52:07 Contagiousness and Risk to Family Members
• 54:52 Recurring Colds and Risk Factors
• 59:38 Vaccination recommendations
• 01:01:23 Key Takeaways and Conclusion

Credits

• Producer: Leah Witt, MD and Molly Heublein, MD
• Show Notes/CME: Molly Heublein, MD
• Cover Art and Infographic: Leah Witt, MD
• Hosts, writers: Leah Witt and Molly Heublein, MD  
• Reviewer: Fatima Syed, MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Amber Bird, MD

Sponsor: Babbel

Get up to 60% off at Babbel.com/CURB. 

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code
CURB50 for $50 off their first month.

Sponsor: Panacea Legal

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Supplemental oxygen is ubiquitous and yet there is a tremendous amount of uncertainty related to prescription and management in the outpatient setting. Have no fear, we’ve got your back! On this episode of The Curbsiders we host special guest Susan Jacobs, RN, MS who is a bonafide, world-class expert in outpatient oxygen therapy. How to prescribe? What’s out there? What do you do when your patient travels? She joins us to tackle these questions and so much more so make sure to tune in and snag some knowledge food for that old brain hole!

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Show Segments

• Intro
• Getting to know our guest
• Basics of oxygen prescribing and devices
• Caveats for the patient who only has exertional hypoxemia
• How to prepare for travel
• Key points & take aways
• Outro

Credits

• Producer, Writer, Infographic and Cover Art Artist: Leah Witt, MD
• Show Notes: Cyrus Askin, MD
• Reviewer:  Fatima Syed, MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Susan Jacobs, RN, MS

Sponsor: UVA Health
To learn more about UVA Health, visit https://uvahealth.com/

Sponsor: Beginly Health

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Sponsor: Freed AI

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

View full show notes at thecurbsiders.com

De-stress your approach to stress fractures (and trochanteric pain syndromes and meniscus tears)!

Follow along as the great Dr. Senter guides us through the diagnosis, workup, and treatment of an all-star lineup of sport injuries. Part 2 covers stress fractures, relative energy deficiency in sports, trochanteric pain, meniscus tears, and the ongoing quest to diagnose Paul’s mysterious hip injury. 

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Show Segments

• Case 1 - Hip stress fracture 
• Approach to hip injuries in runners  
• Relative Energy Deficiency in Sports (RED-S)
• Imaging consideration for bone stress injuries
• Surgical and treatment consideration for hip stress fractures
• Osteoporosis evaluation
• Case 2 - Greater trochanteric pain syndrome 
• Hip and trochanter anatomy  
• Treatment and imaging of trochanteric tendinopathies
• Case 3 - Meniscus tear
• Knee evaluation and physical exam  
• Bucket handle tears and surgical considerations
• Special physical exam maneuvers 
• Imaging and further surgical considerations 
• Outro & Take Home Points 

Credits

• Producer and Show Notes: Peter Wikoff MD
• Writer, Infographic and Cover art: Edison Jyang MD 
• Reviewer: Sai S Achi MD MBA FACP
• Hosts and Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Technical Production: PodPaste
• Guest: Dr. Carlin Senter MD

Sponsor: ClinicalKey AI

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Sponsor: Beginly Health

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Sponsor: Freed AI

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Learn how to manage diabetes and hypertension in chronic kidney disease with expert tips from Kidney Boy, Kashlak’s Chief of Nephrology, Dr. Joef Topf @kidney_boy. 

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Credits

• Written and Produced by: Fatima Syed, MD, MSc
• Infographic and Cover Art: Zoya Surani, MD 
• Show Notes: Fatima Syed, MD, MSc
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Reviewer: Sai S Achi, MD, MBA, FACP
• Showrunners: Matthew Watto MD, FACP and Paul Williams MD, FACP
• Technical Production: Pod Paste
• Guest: Joel Topf, MD
  
  

Sponsor: Mint Mobile

To get this new customer offer and your new 3-month premium wireless plan for just 15 bucks a month, go to mintmobile.com/CURB. 

Sponsor: ClinicalKey AI

ClinicalKey AI is an award-winning solution that combines trusted, evidence-based clinical content with conversational search powered by generative AI. To unlock the power of AI in clinical decision-making with ClinicalKey AI, visit Elsevier.health/AI”

Sponsor: Freed

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Follow along as the great Dr. Senter guides us through the diagnosis, workup, and treatment of an all-star lineup of sport injuries. Part 1 covers concussions, femoroacetabular  impingement (FAI), and the ongoing quest to diagnose Paul’s mysterious hip injury. 

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Show Segments

00:00 Introduction 
08:43 Case 1 - Concussion 
9:39 Approach and Workup of Concussions 
18:08 Treatment of Concussions (Return to Activity) 
24:10 Consideration of Head Imaging 
33:20 Case 2 - Hip Pain (FAI) 
34:15 Hip Anatomy and Differential Diagnosis 
38:41 Hip Physical Exam 
45:41 Hip Imaging 
47:28 Treatment of FAI
Outro & Take Home Points 


Credits

• Producer and Show Notes: Peter Wikoff MD
• Writer, Infographic and Cover art: Edison Jyang MD 
• Reviewer: Sai S Achi MD MBA FACP
• Hosts and Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Technical Production: PodPaste
• Guest: Dr. Carlin Senter MD

Sponsor: ClinicalKey AI

ClinicalKey AI is an award-winning solution that combines trusted, evidence-based clinical content with conversational search powered by generative AI. To unlock the power of AI in clinical decision-making with ClinicalKey AI, visit Elsevier.health/AI

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: Babbel

Get up to 60% off your Babbel subscription - but only for our listeners at Babbel.com/CURB.