2024 GINA Strategy, peak expiratory flow insights, SMART therapy, and other asthma pearls that will leave you breathless

Master the art of diagnosing and managing asthma with practical, evidence-based strategies. Learn how to approach the initial interview, gain comfort with key diagnostic tools like spirometry and PEF, and optimize therapy using the latest GINA report. We’re joined by Dr. Cyrus Askin, a longtime Curbsiders member returning as our guest expert to share his insights as a pulmonologist. 

X profile (formerly twitter):  @Askins_Razor 

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Show Segments

• Intro
• Case
• Topic
• Rapid fire questions/Picks of the Week
• 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: Cyrus Askin MD

Sponsor: Babble

Babbel is gifting our listeners 60% off subscriptions at Babbel.com/CURB. 

Sponsor: Bombas

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


Sponsor: Pretty Litter 

Go to PrettyLitter.com/curb to save twenty percent on your FIRST order and get a free cat toy. 

Become a mini geriatrician in our new Geriatrics series!

Geriatricize your knowledge of caring for older adults with unintentional weight loss! You’ll round out your history taking and weight gain plan by harnessing the age-friendly “5Ms”. We’re joined by Dr. Eva Szymanski (@eva_szy), expert geriatrician at Penn Medicine.

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Show Segments

• Intro
• Rapid fire questions
• Case
• Defining Unintentional Weight Loss
• Applying the Geriatric 5Ms Framework
• Diagnostic Work-Up
• Addressing Ageism in Medical Decisions
• Defining Geriatric Syndromes
• Weight Loss Treatments
• Outro

Credits

• Producer: Leah Witt, MD, Rachel Miller, MD, MSEd
• Writers: Abigail Schmucker, MD, Joseph Young, MD, Margaret Heller, MD, Alyson Michener, MD, Leah Witt, MD
• Show Notes, Infographic and Cover Art: Leah Witt, MD
• 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
• Guest: Eva Szymanski, MD

Sponsor: Quince

Upgrade your closet this year without the upgraded price tag. Go to Quince.com/curb for 365-day returns, plus free shipping on your order!

Sponsor: Freed

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

Sponsor: Mint Mobile

Switch to Mint and new customers can get half off an Unlimited plan until February 2. To get your new wireless plan for just $15 a month, and get the plan shipped to your door for FREE, go to MINTMOBILE.com/curb

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 

Download Grammarly for FREE at .

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
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Sponsor: Acorns
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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. 

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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

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! 

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.

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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).

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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.

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.