Join us as Paul and Watto reflect on the past year, discussing some favorite insights gained covering a range of topics, including dental pain management, cardiac amyloidosis, the impact of continuous glucose monitoring on diabetes care, the complexities of diagnosing primary hyperparathyroidism, hepatitis B screening and vaccination, GLP-1 agonists, travel medicine, endometriosis, rhinitis, and recurrent UTIs.  Plus, we feature listener voicemails sharing their favorite episodes and why they love the Curbsiders!

No CME for this episode, but claim CME for past shows at !

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

Show Segments

• 00:00 Introduction and Year-End Reflections
• 02:59 Picks of the Year
• 05:53 Dental Pain and Oral Care Insights
• 10:25 Cardiac Amyloidosis
• 14:33 Listener mail- diabetes
• 16:33 Neck Pain
• 19:08 Continuous Glucose Monitoring in Diabetes
• 23:57 Hyperparathyroidism
• 30:48  Hepatitis B 
• 34:01 Listener mail- obesity
• 36:14 Travel Medicine: Malaria, Diarrhea, and Vaccination
• 40:38 Endometriosis
• 46:08 Rhinitis and Environmental Allergies
• 49.24  Recurrent UTIs
• 55:08 Reflections on Nine Years of Curbsiders

Credits

• Written, Produced, and hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Cover Art: Matthew Watto MD, FACP
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Molly Heublein MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste

Sponsor: AquaTru

Today listeners receive 20% OFF any AquaTru purifier! Just go to AquaTru.com and enter code “CURB“ at checkout.  

Sponsor: Freed

Visit Freed.ai. Use code CURB50 to get $50 off your first month.

Sponsor: Quince

Go to Quince.com/curb for 365-day returns, plus free shipping on your order! 

We're taking a short winter break, but we’ll be back with new shows in time for Christmas and New Years! Can’t wait for more new episodes? Sign up for our Patreon with 15% off an annual membership at patreon.com/curbsiders (https://www.patreon.com/c/curbsiders) and get instant access to 40 plus bonus episodes!

Elevate your primary care management of anxiety. Become confident in counseling patients about a new anxiety diagnosis, 2nd and 3rd line medications, augmentation for anxiety treatment, and options for non-pharmacological anxiety treatment. We are joined by psychiatrist and mental health expert Dr. Jessi Gold, @drjessigold (University of Tennessee System; drjessigold.com). Check out her book, How Do You Feel?

Visit our website for detailed show notes for this episode.

Claim CME for this episode at !


Sponsor: Freed

You can try Freed for free right now by going to freed.ai.  use code CURB50 for $50 off your first month.


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

Sponsor: Pattern
With huge discounts for doctors in training, now is truly the best time to request your disability insurance quotes with Pattern at patternlife.com/curbsiders.

We're taking a short winter break, but we’ll be back with new shows in time for Christmas and New Years! Can’t wait for more new episodes? Sign up for our Patreon with 15% off an annual membership at patreon.com/curbsiders (https://www.patreon.com/c/curbsiders) and get instant access to 40 plus bonus episodes!

Step up your diabetes game! Learn the ins and outs of continuous glucose monitors (CGM) including key features, what and how to order, interpreting CGM data (time in range, time above range, etc.), and how to make adjustments to a patient’s insulin regimen, aka “insulin pattern matching”. We discuss common scenarios including overnight hypoglycemia, exercise-induced hypoglycemia, post-prandial hyperglycemia, what to do when the patient runs high all the time, and how to incorporate GLP1 agonists and SGLT2 inhibitors into a patient's regimen. Returning guest and Paul’s favorite frenemy, Dr. Jeff Colburn (VCU Health) returns!

Visit our website for detailed show notes for this episode.

Claim free CME for this episode at !

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: 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: Panacea Legal
Physicians deserve to be informed of the risks and benefits of their employment contract. Let Panacea Legal help you today at Panacea.Legal

We're taking a short winter break, but we’ll be back with new shows in time for Christmas and New Years! Can’t wait for more new episodes? Sign up for our Patreon with 15% off an annual membership at patreon.com/curbsiders (https://www.patreon.com/c/curbsiders) and get instant access to 40 plus bonus episodes!

Diagnosing and treating bipolar disorder is not always black-and-white. Dr. Kevin Johns teaches us how to not get tripped up on this tricky diagnosis. (The Ohio State University Wexner Medical Center)

Visit our website for detailed show notes for this episode. 

Claim free CME for this episode at !

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: Uncommon Goods

To get 15% off your next gift, go to uncommongoods.com/curb. 

Sponsor: Bombas

Head over to Bombas.com/curb and use code curb for 20% off your first purchase

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).

Claim CME for this episode at !

Episodes | Subscribe | Spotify | Swag! |Mailing List | Contact | CME!

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

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: AquaTru

Today listeners receive 20% off any AquaTru purifier! Just go to AquaTru.com and enter code “CURB“ at checkout.

Sponsor: Uncommon Goods

To get 15% off your next gift, go to uncommongoods.com/curb.

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.

Claim CME for this episode at !

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

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

With huge discounts for doctors in training, now is truly the best time to request your disability insurance quotes with Pattern at patternlife.com/curbsiders.

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).

Claim CME for this episode at !

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

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

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


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.

Claim CME for this episode at !

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

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

Head over to Bombas.com/curb and use code curb for 20% off your first purchase.

Sponsor: Beginly Health

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

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).**

Claim CME for this episode at curbsiders.vcu !

Episodes | Subscribe | Spotify | Swag! |Mailing List | Contact | CME!

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

Go to Quince.com/curb for free shipping on your order and 365-day returns.

Sponsor: Beginly Health

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

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. 

Claim CME for this episode at !

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

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.

Claim CME for this episode at !

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

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

 Let Panacea Legal help you today at Panacea.Legal