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 17 minutes
    #440 Hepatitis B with Dr. Arthur Kim
    Become a pro in Hepatitis B! Dr. Arthur Kim teaches us how to approach Hepatitis B screening and vaccination in primary care, provides pearls on counseling patients with chronic Hepatitis B infection, and summarizes considerations for Hepatitis B antiviral treatment and monitoring.

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    Show Segments

    • Intro
    • Case from Kashlak
    • Hepatitis B screening - who should be screened?
    • Hepatitis B screening - interpreting test results
    • Hepatitis B vaccination
    • Stages of Chronic HBV infection
    • Counseling patients with chronic HBV about preventing transmission and protecting liver health
    • Treatment of chronic HBV infection
    • Screening for hepatocellular carcinoma
    • Outro

    Credits

    • Producer, Writer, Show Notes, Infographics, and Cover Art: Malini Gandhi 
    • 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: Arthur Kim MD

    Sponsor:
    Babbel

    Get up to 60% off your Babbel subscription Babbel.com/curb

    Sponsor: Freed

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

    Sponsor: Pattern

    Request your disability insurance quotes with Pattern at patternlife.com/curbsiders.


    20 May 2024, 7:00 am
  • 1 hour 7 minutes
    #439 Shoulder Pain: Impingement, Bursitis, Tendonitis, Cuff Tears, and Arthritis with Dr. Ted Parks
    Repair and replace your old approach to shoulder pain! We cover shoulder anatomy, explain the continuum of impingement syndrome (from bursitis to tendonitis to rotator cuff tears to cuff tear arthropathy), how to take a good shoulder history, perform a high-yield physical exam, when to refer, and when to get an MRI. Plus, how to differentiate glenohumeral joint arthritis from frozen shoulder, and how to diagnose AC joint pathology. We’re joined by everyone’s favorite orthopedic surgeon, inventor, and renaissance man, Dr. Ted Parks.

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    Show Segments

    • 00:00 Intro
    • 05:38 Shoulder Anatomy
    • 14:47 Continuum of Impingement Syndrome
    • 33:41 When to order an MRI
    • 36:28 Glenohumeral joint arthritis vs frozen shoulder
    • 51:50 AC joint arthritis 
    • 62:25 Outro

    Credits

    • Written and Produced by: Matthew Watto MD, FACP
    • Show Notes: Matthew Watto MD, FACP
    • Cover Art and Infographic: Beth Garbitelli MD
    • 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: Ted Parks 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

    Request your disability insurance quote online at patternlife.com/curbsiders.


    Sponsor:
    Panacea Financial

     Visit panaceafinancial.com to learn more about a nationwide digital bank built for doctors, by doctors.


    13 May 2024, 7:00 am
  • 1 hour 19 minutes
    #438 Recap from SHM #Converge24
    We went to it so you don’t have to

    We recap the top pearls for the hospitalist from #SHM #Converge24 covering discussions on heart failure, gastrointestinal bleeds, sepsis, updates in critical care, updates in hospital medicine, oncologic emergencies, pneumonia, COPD, transitions of care, vulnerable populations, AI, and more!

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    Show Segments

    • Intro
    • Picks of the Week
    • Heart Failure
    • Patients with Disabilities
    • POCUS on Inpatient Service
    • GI Updates
    • High Value Delivery of Medical Education
    • Molecular Testing for Infectious Diseases
    • Interhospital Transfers
    • Artificial intelligence in Inpatient Care
    • Care of the Incarcerated Patient
    • Periop Updates
    • Oncologic Emergencies--Neutropenic Fever
    • Oral vs IV Antibiotics
    • Updates in Hospital Medicine
    • Updates in Critical Care & Guidelines in Hospital Medicine
    • Post Acute Care
    • Things We Do For No Reason ™
    • Iron Deficiency Anemia
    • Updates in Community Acquired Pneumonia
    • Updates in Palliative Care
    • Outro

    Credits

    • Written, produced and show notes by: Monee Amin MD, Caroline Coleman MD, Meredith Trubitt MD 
    • Cover Art: Caroline Coleman MD
    • Hosts: Monee Amin MD, Meredith Trubitt MD 
    • Reviewer: Rahul Ganatra, MD, MPH
    • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Technical Production: PodPaste
    • Guests: Harika Gorti MD, Sneha Neurgaonkar 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

    Request your disability insurance quote online at patternlife.com/curbsiders.


    6 May 2024, 7:00 am
  • 57 minutes 32 seconds
    #437 Clinical Pearls ACP #IM2024
    We cover angina, COPD-asthma overlap, home oxygen, colon cancer screening, cancer survivorship, tobacco cessation, e-cigarettes, step counts for health,  new drugs, the RSV vaccine, addiction medicine, interstitial lung disease, APOL1-mediated kidney disease, testosterone therapy, antimicrobial resistance, office-based allergy testing and more! The Curbsiders review highlights, clinical pearls, and practice-changing updates from the American College of Physician Internal Medicine Meeting #IM2024! 

    No CME for this episode due to rapid turnaround, but claim CME for most episodes at  !

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    Show Segments

    • Intro
    • ACP Pearls
    • Outro

    Credits


    • Producers: Matthew Watto MD, FACP; Paul Williams MD, FACP, Molly Heublein MD, Nora Taranto MD, Chris Chiu MD, Rahul Ganatra MD MPH, Beth Garbitelli MD
    • Show Notes: Matthew Watto MD, FACP; Paul Williams MD, FACP, Molly Heublein MD, Nora Taranto MD, Chris Chiu MD, Rahul Ganatra MD MPH, Beth Garbitelli MD
    • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
    • Reviewer:Matthew Watto MD FACP
    • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Technical Production: PodPaste

    Sponsor:
    Beginly Health

    Visit https://beginlyhealth.com/curbsiders for the job matching platform for every Physician and Advanced Practice Clinician, from training to practice


    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.




    29 April 2024, 7:00 am
  • 1 hour 24 minutes
    #436 Endometriosis for the Internist with Dr. Cope & Dr. Green
    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

    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:
    Locumstory

    Tune in to The Locumstory Podcast on Spotify, Apple, or Google podcasts.

    Sponsor:
    Babbel

    Curbsiders listeners get 60% off at babbel.com/CURB


    22 April 2024, 7:00 am
  • 1 hour 14 minutes
    #435 Neck Pain with Dr. Anthony Mikula
    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

    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:
    Grammarly

    • Make a bigger impact at work with Grammarly. Sign up and download for FREE at
    15 April 2024, 7:00 am
  • 1 hour 2 minutes
    #434: Ur-INe for Recurrent UTI?! with Dr. Kellen Choi, DO AKA The Bladder Teacher
    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

    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:
    Locumstory

    Tune in to The Locumstory Podcast on Spotify, Apple, or Google podcasts.


    8 April 2024, 7:00 am
  • 1 hour 13 minutes
    #433 CGMs, Insulin, and How to Adjust Diabetes Meds to Glucose Patterns
    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

    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 Financial


    Download the 2024 Residents & Fellows Survey Report for free at panaceafinancial.com/report.



    1 April 2024, 7:00 am
  • 56 minutes 13 seconds
    #432 Hotcakes: E-cigarettes for smoking cessation, Gabapentin and COPD exacerbations, Lidocaine for neck pain, C diff risk by antibiotic type, and “dosing by clicks” for GLP1’s
    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).

    Claim CME for this episode at !

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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”

    Sponsor:
    Locumstory

    Tune in to The Locumstory Podcast on Spotify, Apple, or Google podcasts.


    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. 
    25 March 2024, 7:00 am
  • 54 minutes 5 seconds
    #431 Myocarditis and Pericarditis
    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

    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 Financial

    Download the full  2024 Residents & Fellows Survey Report for free at panaceafinancial.com/report.

    Sponsor: Factor

    Head to factormeals.com/curb50 and use code curb50 to get 50% off.
    18 March 2024, 7:00 am
  • 37 minutes 20 seconds
    Unlocked Weight Management, Low Carb, Listener Q&A, Picks of the Weeks (Patreon #19)
    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: 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!
    13 March 2024, 7:00 am
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