Energize your education on endometriosis! Learn common clinical presentations, optimal diagnostic imaging tests, and how to counsel patient on treatment options. We are joined by Dr. Adela Cope (Mayo Clinic) and Dr. Isabel Green @isabelgreenMD (Mayo Clinic).

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Show Segments

• 00:00 Intro 
• 03:00 Guest Introduction
• 06:45 Topic
• 07:30 Endo Definition & Symptoms
• 14:40 Endo phenotypes
• 21:30 Differential Diagnoses to Consider
• 25:47 Making a Diagnosis 
• 31:00 Imaging to consider
• 37:40 Endo Hormonal Treatment Optiosn
• 48:30 Monitoring Treatment
• 52:20 When to Refer
• 57:30 Surgical Treatment
• 1:09:20 Pain Management
• 1:13:30 Take Homes
• 1:19:00 Outro

Credits

• Producer, Show notes, Infographics: Carolyn Chan, MD, MHS
• 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: Dr. Adela Cope and Dr. Isabel Green

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A real pain in the neck (Get it?! We have fun.)

Protect your neck!  Learn how to evaluate a patient with neck pain, and differentiate between mechanical neck pain, radiculopathy, and myelopathy. You’ll learn who should be reassured, who should see a surgeon, and what nonoperative options are available.  We’re joined by Dr. Anthony Mikula @anthony_mikula from Mayo Clinic. 

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Show Segments

• 00:00 Introduction 
• 06:14 Anatomy and Pain Generators
• 09:58 Approach to Neck Pain
• 22:57 Differentiating Radiculopathy from Non-Specific Neck Pain
• 24:05 Management of Mechanical Neck Pain
• 27:36 Indications for Imaging
• 29:21 Terminology and Explanation of Spondylosis, Spondylolisthesis, and Spondylolysis
• 30:48 Diffuse Idiopathic Skeletal Hyperostosis (DISH)
• 32:23 Imaging Terminology and Plain Films
• 36:19 Pathophysiology of Cervical Radiculopathy
• 38:34 Physical Examination for Cervical Radiculopathy
• 44:54 Diagnostic Work-up for Radiculopathy
• 51:53 Interventions for Cervical Radiculopathy
• 53:53 Considerations for Surgery
• 57:49 Recognizing Cervical Myelopathy
• 01:00:17 Natural History of Myelopathy
• 01:02:25 Referral and Treatment for Myelopathy
• 01:09:28 Summary and Takeaways

Credits

• Written and Produced by: Paul Williams, MD, FACP
• Show Notes: Paul Williams, MD, FACP
• Infographic and Cover Art: Paul Williams, MD, FACP
• 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: Anthony Mikula, MD

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It’s NOT Always a UTI!

Sounds like another UTI but it could be more than that! Time to explore the entire pelvic floor and see what more you can treat. School’s in session with the Bladder Teacher,  Kellen Choi, DO from the University of Louisville @KellenChoi

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Show Segments

• Intro
• Rapid fire questions/Picks of the Week
• Case #1 and Definitions
• Bowel habits
• Water intake 
• Case #2
• Vaginal Estrogen
• Non-antibiotic prophylaxis
• Antibiotic in prophylaxis
• Pelvic Floor Physical Therapy
• Take-home points
• Outro

Credits

• Producer, Writer & Show Notes: Isabel Valdez, PA
• Infographic & Covert Art: Edison Jyang
• 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: Kellen Choi DO, FAOCS

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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!

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Show Segments

• 00:00 Introduction and Diabetes Puns
• 01:00 Introduction of Guest and Topic
• 09:12 Qualifications and Eligibility for CGMs
• 11:32 Types of CGMs and Sensor Placement
• 24:47 Interpreting CGM Data and Alarms
• 34:30 Troubleshooting Patterns and Adjustments
• 35:23 Understanding Hypoglycemia and Counter Regulatory Hormone Responses
• 36:15 The Rule of 15 and Addressing Hypoglycemia
• 37:10 Reducing Basal Insulin to Address Nocturnal Hypoglycemia
• 38:29 Addressing Postprandial Highs with GLP-1, SGLT-2 Inhibitors, or Prandial Insulin
• 39:51 Managing Exercise-Induced Hypoglycemia
• 41:43 Preventing Exercise-Induced Hypoglycemia with Snacks
• 43:42 Managing Nocturnal Hypoglycemia with Sulfonylureas
• 45:31 Addressing Postprandial Hyperglycemia with GLP-1, SGLT-2 Inhibitors, or Prandial Insulin
• 46:54 Adjusting Basal Insulin to Address Morning Hyperglycemia
• 51:18 Troubleshooting High Blood Sugars with Basal Insulin and Mealtime Insulin
• 56:49 Managing High Blood Sugars with Basal Insulin and Mealtime Insulin
• 57:44 Addressing Adherence and Medication Barriers
• 59:39 Using Continuous Glucose Monitors (CGMs) for Diabetes Management
• 01:02:30 Using Sulfonylureas and Basal Insulin Combination as a Stopgap
• 01:05:49 Considering Patient Adherence and Barriers to Treatment

Credits

• Writer and Producer: Matthew Watto MD, FACP
• Show Notes: Matthew Watto MD, FACP
• Cover Art and Infographic: 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: Jeff Colburn MD

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Join us as we review recent practice-changing articles on E-cigarettes for smoking cessation, Gabapentin and COPD exacerbations, lidocaine patches for mechanical neck pain, Cdiff risk by antibiotic type, and “dosing by clicks” for GLP1 agonists. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto).

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Credits

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

• Introduction and disclaimer
• E-cigarettes for smoking cessation
• Gabapentinoids and COPD exacerbations
• Topical lidocaine for neck pain
• Association between specific antibiotics and C. diff infection
• Shortage of GLP-1 agonists and “dosing by clicks”

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Show description: 
Join us as we review the diagnosis and treatment of pericarditis, myocarditis, peri-myocarditis, myo-pericarditis…and everything in between! We are joined by our esteemed guest, Dr. Vivek Kulkarni (@VivekKulkarniMD), a clinical cardiologist and assistant program director for the Cardiovascular Disease Fellowship at Cooper University Health Care, who helps us get to the heart of the matter! 

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Show Segments

• Intro, disclaimer
• A case of pericarditis
• Diagnosing pericarditis
• The difference between pericarditis, myocarditis, myopericarditis, and perimyocarditis
• Etiologies of pericarditis and initial testing recommendations
• Treatment of acute uncomplicated pericarditis
• Using colchicine to prevent recurrent pericarditis
• Patient counseling after diagnosing pericarditis
• A case of myocarditis
• Interpreting elevated troponin levels
• Distinguishing between myocardial infarction and myocardial injury
• Diagnostic testing for suspected myocarditis
• When to pursue cardiac MRI and endomyocardial biopsy
• The spectrum of myocarditis presentations
• Fulminant myocarditis
• Common etiologies of myocarditis
• Immune checkpoint inhibitor myocarditis
• Myocarditis from mRNA vaccines and from SARS-CoV-2 infection
• Management of patients with myocarditis
• Activity restrictions for patients with myocarditis
• Outro

Credits

• Hosts: Paul Williams, MD, FACP, Matthew Watto MD, FACP
• Guest: Vivek Kulkarni, MD, FACC
• Producer, Script, and Show Notes: Adam Barelski, MD
• Infographics and Cover Art: Edison Jyang
• Reviewer: Leah Witt, MD
• Technical Production: Pod Paste
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Sponsor: Freed

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Sponsor: Panacea Financial

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Sponsor: Factor

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This episode has been Unlocked from patreon.com/curbsiders!

Hone your obesity medicine skills in primary care! We discuss overcoming barriers, patient counseling, obesity pathophysiology, motivational interviewing, tools and tips from a weight loss program, and how to discuss medications for weight loss including phentermine/topiramate, bupropion/naltrexone, orlistat, oral superabsorbent hydrogel, and GLP1 agonists. We’re joined by obesity medicine expert, Dr. Kimberly Anne Gudzune of @HopkinsMedicine, recorded @SocietyGIM#SGIM23 in Denver, Colorado This audio episode is only available on Patreon! 

Below are links to the original interview & show notes.
#405 Obesity Medicine, GLP1 agonists, Weight Loss Management Tools and Tips

Picks of the week:

• Paul recommends: Blue Eye Samurai (Netflix)
• Matt recommends:  Live, Die, Repeat aka Edge of Tomorrow (film)

Show Segments
00:00 Introduction and Happy New Year
02:22 Overview of Obesity Medicine
04:13 Challenges in Weight Maintenance
06:07 Prevention of Obesity
08:04 Barriers to Obesity Care
09:29 Setting Realistic Weight Loss Goals
10:24 Counseling Patients on Weight Loss
11:45 Measuring Waist Circumference
12:44 Telemedicine and Tracking Apps
13:41 Psychological Considerations in Obesity Medicine
15:05 Low-Carb Diets
21:04 Managing Side Effects of GLP-1 Agonists
23:54 New Medication for Obesity
24:52 Prolia and Forteo for Osteoporosis
26:18 Statins and Lab Testing
29:30 Annual Labs and Urine Testing
32:37 Picks of the Week
35:02 Outro

Join our Patreon today and save 16% on an annual membership at patreon.com/curbsiders. Kashlak Admitting Privileges comes with ad-free episodes, access to the Kashlak Vault, which contains PDF files and graphics from over 400 Curbsiders shows, access to our private Discord group, plus twice monthly bonus episodes like this one!

Is bicarbonate supplementation for metabolic acidosis in chronic kidney disease (CKD) a thing we do for no reason? We cover the pathophysiology and long-term consequences of metabolic acidosis, the history of bicarbonate use, alternative options for bicarbonate repletion including baking soda, lemon juice, fruits and veggies, whether the renal diet works, counseling patients with CKD, and common mistakes and pitfalls in managing metabolic acidosis in CKD. Our guest is Dr. Timothy Yau (@Maximal_Change, @WUNephrology, @AJKDOnline). It’s NephMadness 2024! Fill out your bracket today and check out the other podcasts participating in the NephMadness pod crawl!

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Show Segments

Time stamps refer to the ad-free version

• 00:00 Introduction and Guest Bio
• 07:46 Case Presentation
• 08:42 Initial Approach to CKD Management
• 09:10 Metabolic Acidosis in CKD
• 13:30 Consequences of Metabolic Acidosis
• 22:28 Administration of Bicarbonate
• 23:54 Alternative Options for Bicarbonate Repletion
• 24:47 Citrate and Bicarbonate
• 26:02 Sodium Bicarbonate for CKD
• 30:19 Dietary Modifications
• 33:35 Renal Diet
• 38:20 Counseling CKD Patients
• 41:39 Veverimer and Other Treatments
• 44:36 Mistakes and Pitfalls
• 46:55 Conclusion

Credits

• Writer and Producer: Matthew Watto MD, FACP
• Show Notes: Matthew Watto MD, FACP
• Cover Art and Infographic: 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: Timothy Yau MD

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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). 

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Show Segments

• Intro
• Case from Kashlak
• Diagnosing anxiety
• Explaining anxiety to patients
• Non-pharmacological management of anxiety
• Pharmacological management of anxiety
• 2nd and 3rd line treatments
• Cannabis and anxiety
• Outro

Credits

• Writer, Producer, Show Notes, Infographic, Cover Art: Edison Jyang
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Sai Achi MD, MBA
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Jessi Gold MD

Sponsor: Locumstory

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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: Allbirds 

 Visit and use code CURB for a free pair of socks with a purchase of $48 or more.

Join us as we review recent articles and news featured in The DIGEST #48, #49, and #50 including thromboprophylaxis for patients receiving chemotherapy,  eosinophil count to guide steroids in COPD exacerbations, anticoagulation in subclinical atrial fibrillation, the new genetic testing recommendations for patients with breast cancer, and at-home STI testing–not to mention trial names galore.  Fill your brain hole with a fully digestible meal! Featuring Paul Williams (@PaulNWilliamz), Nora Taranto (@norataranto) and Matt Watto (@doctorwatto). 

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Credits

• Written and Hosted by: Nora Taranto MD; Paul Williams, MD, FACP, Matthew Watto MD, FACP
• Cover Art: Nora Taranto MD 
• Reviewer: Emi Okamoto MD 
• Technical Production: Pod Paste
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

• 00:00 Introduction + Pun 
• 06:06 Target TP Trial: Thromboprophylaxis in Cancer Patients
• 13:07 Steroids for COPD Exacerbations
• 25:25 Anticoagulation in Subclinical Atrial Fibrillation
• 34:01 Genetic Testing in Breast Cancer
• 43:38 Home STI Testing

Transcript Disclaimer
We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content.


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Download NetSuite’s popular KPI Checklist, designed to give you
consistently excellent performance - absolutely free, at NetSuite.com/CURBSIDERS.


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The clinical picture of an underrecognized disease

Amyloidosis demystified. Learn the clinical clues that suggest possible amyloidosis and how to order the correct tests to diagnose this disease. We are joined by Dr. Michelle Kittleson who shows us the ropes of treating fibril accumulation, @MKittlesonMD (Cedars Sinai). 

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Show Segments

• Introduction
• Case Presentation: Mr. Smith
• Differential Diagnosis of Heart Failure with Preserved Ejection Fraction
• Understanding Amyloidosis
• Clinical Clues and Red Flags for Amyloidosis
• Physical Examination Findings
• Workup for Amyloidosis
• Treatment Options
• AL Amyloidosis and Hematologist's Role
• ATTR Amyloidosis and Cardiologist's Role
• Other Therapies for TTR Amyloidosis
• Therapy on the Horizon
• Cost and Access to Tafamidis
• Alternative Therapies and Supplements
• Monitoring and Side Effects of Tafamidis
• Symptomatic Management and Anticoagulation
• Take Home Points

Credits

• Written and Produced by; Deborah Gorth, MD, PhD
• Infographic and Cover Art: Meryl Gorth, RD, MPH and Deborah Gorth, MD, PhD
• 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: Michelle Kittleson, MD, PhD

Transcript Disclaimer
We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content.

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