The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

Supercharge your learning and enhance your practice with this Internal Medicine Podcast featuring board certified Internists as they interview the experts to bring you clinical pearls, practice-changing knowledge, and bad puns. Doctors Matthew Watto, Paul Williams, and friends (a national network of students, residents, and clinician-educators) deliver a little knowledge food for your brain hole. Yummy! No boring lectures here, just high-value content and a healthy dose of humor. Fantastic for Internal Medicine, Family Medicine, Primary Care, and Hospital Medicine.

  • 1 hour 21 minutes
    #466 Cirrhosis Update with Scott Matherly
    Update your approach to cirrhosis evaluation and management with Dr. Scott Matherly Associate Professor of Hepatology and Gastroenterology at Virginia Commonwealth University 

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    Show Segments

    • Intro, disclaimer, guest bio
    • Case from Kashlak; Definitions
    • Cirrhosis Diagnosis and Initial Evaluation 
    • Cirrhosis Physical Examination 
    • Decompensated Cirrhosis Management 
    • Ascites and TIPS
    • MELD and transplant consideration
    • Outro

    Credits

    • Written and Produced by: Elena Gibson MD
    • Infographic and Cover Art: Edison Jyang MD
    • Hosts: Paul Williams MD, FACP; Elena Gibson MD    
    • Reviewer: Emi Okamoto MD
    • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Technical Production: PodPaste
    • Guest: Scott Matherly MD 

    Sponsor:
    Rocket Money

    Cancel your unwanted subscriptions and reach your financial goals faster with Rocket Money. Go to RocketMoney.com/CURB today

    Sponsor: Rosetta Stone

    Visit rosettastone.com/curbsiders for 50% off unlimited access to 25 language courses for the rest of your life. 

    Sponsor: Grammarly 

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    13 January 2025, 8:00 am
  • 1 hour 20 minutes
    REBOOT #421 Antiphospholipid Syndrome with Dr. Arielle Langer
    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!

    Conquer your fear of antiphospholipid syndrome! Dr. Arielle Langer leads us through what clinical features raise suspicion for antiphospholipid syndrome, how to interpret laboratory testing, and the nuances of antiphospholipid syndrome management.

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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: Panacea
    Let Panacea Legal help you today at Panacea.Legal

    Sponsor: Acorns
    Head to acorns.com/curb or download the Acorns app to start saving and investing for your future today.

    6 January 2025, 8:00 am
  • 40 minutes 50 seconds
    #465 Hospital Medicine Recap Extravaganza: Diabetic Foot, Sepsis, Syncope, Acute Coronary Syndrome, and more!
    Join us as Monee and Meredith with the rest of the hospital medicine team reflect on the past year, discussing some favorite insights gained covering a range of topics, including diabetic foot infections, sepsis, sickle cell inpatient management, syncope, psychiatry for the hospitalist, and acute coronary syndrome. 

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

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    Show Segments

    • Introduction
    • Picks of the Year
    • Diabetic Foot Infections 
    • Sepsis
    • Sickle Cell Inpatient Management 
    • Psychiatry Primer
    • Syncope 
    • Acute Coronary Syndrome 
    • Reflections from the Year 

    Credits

    • Written, Produced, and hosted by: Meredith Trubitt  MD; Monee Amin MD
    • Script Written: Caroline Coleman, MD, RJ Blackburn, MD
    • Cover Art: Caroline Coleman, MD
    • Reviewer: Rahul Ganatra MD
    • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Technical Production: PodPaste

    Sponsor:
    Rosetta Stone

    Redeem your 50% off at rosettastone.com/curbsiders

    30 December 2024, 8:00 am
  • 1 hour 6 minutes
    #464 Recap Extravaganza: Dental Pain, Cardiac Amyloidosis, Diabetes & CGMs, Hyperparathyroidism, Neck Pain, Endometriosis, Rhinitis, and more!
    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 !

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    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! 
    23 December 2024, 8:00 am
  • 1 hour 33 minutes
    REBOOT #429 Anxiety 2.0: with Dr. Jessi Gold
    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.






    16 December 2024, 8:00 am
  • 1 hour 15 minutes
    REBOOT #433 CGMs, Insulin, and How to Adjust Diabetes Meds to Glucose Patterns
    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




    9 December 2024, 8:00 am
  • 1 hour 19 minutes
    REBOOT #415 Bipolar Disorder With Dr. Kevin Johns
    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

    2 December 2024, 8:00 am
  • 49 minutes 38 seconds
    #463 Tofurkey-cakes: A Hypertension Triple Pill, Arm Position & BP, early TAVR, Liberal vs Restrictive Transfusions, New Periop Guidelines
    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

    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.
    25 November 2024, 8:00 am
  • 1 hour 31 minutes
    #462 Male Hypogonadism Pearls with Dr. Bradley Anawalt: Insights on Testosterone Deficiency
    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

    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.

    18 November 2024, 8:00 am
  • 1 hour 7 minutes
    #461: Facial Nerve Follies: Understanding Bell's Palsy
    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

    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. 


    11 November 2024, 8:00 am
  • 49 minutes 39 seconds
    #460 HFpEF: Heart Failure with Preserved Ejection Fraction
    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

    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

    4 November 2024, 8:00 am
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