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.

  • 49 minutes 39 seconds
    #460 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
  • 54 minutes 41 seconds
    #459 DIGEST: Finerenone for Heart Failure, PCV21 and the latest Pneumonia Vaccine Recs, 24-hour vs 15-hour Oxygen Therapy, and PREVENT vs PCE for Cardiovascular Risk Estimation
    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 !

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    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

    28 October 2024, 7:00 am
  • 1 hour 4 minutes
    #458 Heart Failure with Reduced Ejection Fraction
    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. 

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    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


    21 October 2024, 7:00 am
  • 1 hour 6 minutes
    #457 Cold and Flu Season: Upper Respiratory Infections
    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.

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    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
    14 October 2024, 6:00 am
  • 1 hour 12 minutes
    #456 Outpatient Oxygen Therapy
    Supplemental oxygen is ubiquitous and yet there is a tremendous amount of uncertainty related to prescription and management in the outpatient setting. Have no fear, we’ve got your back! On this episode of The Curbsiders we host special guest Susan Jacobs, RN, MS who is a bonafide, world-class expert in outpatient oxygen therapy. How to prescribe? What’s out there? What do you do when your patient travels? She joins us to tackle these questions and so much more so make sure to tune in and snag some knowledge food for that old brain hole!

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    Show Segments

    • Intro
    • Getting to know our guest
    • Basics of oxygen prescribing and devices
    • Caveats for the patient who only has exertional hypoxemia
    • How to prepare for travel
    • Key points & take aways
    • Outro

    Credits

    • Producer, Writer, Infographic and Cover Art Artist: Leah Witt, MD
    • Show Notes: Cyrus Askin, MD
    • Reviewer:  Fatima Syed, MD
    • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
    • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Technical Production: PodPaste
    • Guest: Susan Jacobs, RN, MS

    Sponsor: UVA Health
    To learn more about UVA Health, visit https://uvahealth.com/

    Sponsor:
    Beginly Health

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

    Sponsor: Freed AI

    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.

    View full show notes at thecurbsiders.com
    7 October 2024, 9:00 am
  • 54 minutes 4 seconds
    #455 Sports Injuries Part 2: Hip and Knee
    De-stress your approach to stress fractures (and trochanteric pain syndromes and meniscus tears)!

    Follow along as the great Dr. Senter guides us through the diagnosis, workup, and treatment of an all-star lineup of sport injuries. Part 2 covers stress fractures, relative energy deficiency in sports, trochanteric pain, meniscus tears, and the ongoing quest to diagnose Paul’s mysterious hip injury. 

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    Show Segments

    • Case 1 - Hip stress fracture 
    • Approach to hip injuries in runners  
    • Relative Energy Deficiency in Sports (RED-S)
    • Imaging consideration for bone stress injuries
    • Surgical and treatment consideration for hip stress fractures
    • Osteoporosis evaluation
    • Case 2 - Greater trochanteric pain syndrome 
    • Hip and trochanter anatomy  
    • Treatment and imaging of trochanteric tendinopathies
    • Case 3 - Meniscus tear
    • Knee evaluation and physical exam  
    • Bucket handle tears and surgical considerations
    • Special physical exam maneuvers 
    • Imaging and further surgical considerations 
    • Outro & Take Home Points 


    Credits

    • Producer and Show Notes: Peter Wikoff MD
    • Writer, Infographic and Cover art: Edison Jyang MD 
    • Reviewer: Sai S Achi MD MBA FACP
    • Hosts and Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP   
    • Technical Production: PodPaste
    • Guest: Dr. Carlin Senter MD

    Sponsor:
    ClinicalKey AI

    To learn more about ClinicalKey AI, visit Elsevier.health/AI 

    Sponsor:
    Beginly Health

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

    Sponsor: Freed AI

    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.

    30 September 2024, 7:00 am
  • 1 hour 5 minutes
    #454 Kidney Boy on Managing Diabetes and Hypertension in CKD
    Learn how to manage diabetes and hypertension in chronic kidney disease with expert tips from Kidney Boy, Kashlak’s Chief of Nephrology, Dr. Joef Topf @kidney_boy

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    Credits

    • Written and Produced by: Fatima Syed, MD, MSc
    • Infographic and Cover Art: Zoya Surani, MD 
    • Show Notes: Fatima Syed, MD, MSc
    • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Reviewer: Sai S Achi, MD, MBA, FACP
    • Showrunners: Matthew Watto MD, FACP and Paul Williams MD, FACP
    • Technical Production: Pod Paste
    • Guest: Joel Topf, MD

    Sponsor: Mint Mobile

    To get this new customer offer and your new 3-month premium wireless plan for just 15 bucks a month, go to mintmobile.com/CURB

    Sponsor:
    ClinicalKey AI

    ClinicalKey AI is an award-winning solution that combines trusted, evidence-based clinical content with conversational search powered by generative AI. To unlock the power of AI in clinical decision-making with ClinicalKey AI, visit Elsevier.health/AI

    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.

    23 September 2024, 7:00 am
  • 57 minutes 30 seconds
    #453 Sports Injuries Part 1: Concussion and Hip Pain
    Follow along as the great Dr. Senter guides us through the diagnosis, workup, and treatment of an all-star lineup of sport injuries. Part 1 covers concussions, femoroacetabular  impingement (FAI), and the ongoing quest to diagnose Paul’s mysterious hip injury. 

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    Show Segments

    00:00 Introduction 
    08:43 Case 1 - Concussion 
    9:39 Approach and Workup of Concussions 
    18:08 Treatment of Concussions (Return to Activity) 
    24:10 Consideration of Head Imaging 
    33:20 Case 2 - Hip Pain (FAI) 
    34:15 Hip Anatomy and Differential Diagnosis 
    38:41 Hip Physical Exam 
    45:41 Hip Imaging 
    47:28 Treatment of FAI
    Outro & Take Home Points 


    Credits

    • Producer and Show Notes: Peter Wikoff MD
    • Writer, Infographic and Cover art: Edison Jyang MD 
    • Reviewer: Sai S Achi MD MBA FACP
    • Hosts and Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP   
    • Technical Production: PodPaste
    • Guest: Dr. Carlin Senter MD

    Sponsor:
    ClinicalKey AI

    ClinicalKey AI is an award-winning solution that combines trusted, evidence-based clinical content with conversational search powered by generative AI. To unlock the power of AI in clinical decision-making with ClinicalKey AI, visit Elsevier.health/AI

    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: Babbel

    Get up to 60% off your Babbel subscription - but only for our listeners at Babbel.com/CURB.


    16 September 2024, 7:00 am
  • 1 hour 15 minutes
    #452 NAFLD/MASLD with Dr. Elliot Tapper
    Expand your NAFLD/MASLD knowledge!

    Expert guest Dr. Elliot Tapper (@ebtapper) shares his framework for approaching NAFLD/MASLD and the treatment tools he recommends including lifestyle modifications and medications. 

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    Show Segments

    • Intro
    • Rapid Fire Segment
    • Case 1 Part 1
    • NAFLD/MASLD terminology and differential diagnoses
    • PEth testing 
    • Diagnostic tools for NAFLD/MASLD: Fib4 Score
    • Imaging
    • When to Refer to a Hepatologist?
    • Treatment options
    • Lifestyle modifications
    •  Role of GLP-1 agonists
    • Role of new FDA approved medications
    • Outro

    Credits

    • Producer: Sai S Achi, MD, MBA, FACP; Matthew Watto MD, FACP 
    • Writer, Show Notes, Cover Art, and Infographics: Sai S Achi, MD MBA, 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: Dr. Elliot Tapper 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:
    The University of Virginia

    Visit uvahealth.com website to explore this exceptional opportunity and submit your application today.

    Sponsor:
    Beginly Health

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

    9 September 2024, 7:00 am
  • 1 hour 3 minutes
    #451 Acute Coronary Syndrome with Dr. Sanjeev Francis - Part 2
    Quit playing games with my heart

    Yet another beat no to skip here with part 2 of our conversation with cardiologist Dr. Sanjeev Francis (@, Maine Medical Center)for acute coronary syndrome. Learn about the warranty on stress tests, initial management of ACS and how to deal with those pesky elevated troponins from patients with sepsis.

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    Show Segments

    • Start Part 1
    • Intro
    • Rapid fire questions/Picks of the Week
    • Case 1
    • History and Physical
    • ECGs 
    • Definitions
    • Risk Stratification Tools
    • Non-invasive Testing Options
    • End Part 1
    • Start Part 2
    • Case 2
    • Warranty on Non-invasive Testing
    • Invasive Management of non ST elevation ACS 
    • Medical Management of non ST elevation ACS 
    • Case 3
    • Myocardial Injury Definitions
    • Diagnostics to Consider for Myocardial Injury
    • Transitions of Care
    • Outro
    • End Part 2

    Credits

    • Producer, Writer, Show Notes, Hosts: Meredith Trubitt, MD, MPH, Monee Amin MD
    • Infographic, Cover Art: Caroline Coleman, MD
    • Reviewer: Rahul Ganatra, MD, MPH
    • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Technical Production: PodPaste
    • Guest: Sanjeev Francis, MD

    Sponsor:
    Babbel

    Get up to 60% off your Babbel subscription - but only for our listeners 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 Financial 

    If you’re ready to join the thousands of doctors who have declared independence from traditional banks, visit panaceafinancial.com today.


    2 September 2024, 7:00 am
  • 1 hour 2 minutes
    #450 Acute Coronary Syndrome with Dr. Sanjeev Francis - Part 1
    Quit playing games with my heart

    Don’t skip a beat and join us  in part 1 of our conversation with cardiologist  Dr. Sanjeev Francis (@, Maine Medical Center)for acute coronary syndrome. First up, the basics on physical exam, how to interpret high-sensitivity troponin and how to think through the spectrum of acute coronary syndrome.

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    Show Segments

    • Start Part 1
    • Intro
    • Rapid fire questions/Picks of the Week
    • Case 1
    • History and Physical
    • ECGs 
    • Definitions
    • Risk Stratification Tools
    • Non-invasive Testing Options
    • End Part 1
    • Start Part 2
    • Case 2
    • Warranty on Non-invasive Testing
    • Invasive Management of non ST elevation ACS 
    • Medical Management of non ST elevation ACS 
    • Case 3
    • Myocardial Injury Definitions
    • Diagnostics to Consider for Myocardial Injury
    • Transitions of Care
    • Outro
    • End Part 2

    Credits

    • Producer, Writer, Show Notes, Hosts: Meredith Trubitt, MD, MPH, Monee Amin MD
    • Infographic, Cover Art: Caroline Coleman, MD
    • Reviewer: Rahul Ganatra, MD, MPH
    • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Technical Production: PodPaste
    • Guest: Sanjeev Francis, MD

    Sponsor:
    Mint Mobile 

    To get your new 3-month premium wireless plan for just 15 bucks a month, go to mintmobile.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 your first month. 


    Sponsor:
    American College of Physicians

    Preorder ACP MKSAP to receive discounted pricing plus free MKSAP 19 premium content you can use now at acponline.org/acpmksap

    26 August 2024, 7:00 am
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