Épisodes

  • #483: Diabetic Dilemmas in Older Adults, Pregnancy and Corticosteroid Use with Jeff Colburn, MD

    #483: Diabetic Dilemmas in Older Adults, Pregnancy and Corticosteroid Use with Jeff Colburn, MD
    May 19 2025
    This episode doesn't sugarcoat the truth about tricky diabetes management!

    Wrangle wild blood sugars among older adults, pregnant individuals, and those taking corticosteroids! Join our Kashlak resident endocrinologist Dr. Jeff Colburn, as we dive into diabetic dilemmas. We will help you dodge dangerous lows and navigate tricky treatment traps in these special populations. Get the un-sugar-coated truth on managing complex diabetes cases!

    Claim CME for this episode at curbsiders.vcuhealth.org!

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    Show Segments

    • Intro
    • Diabetes in Older Adults (Geriatrics)
      • General Approach
      • Risks of Hypoglycemia
      • 4Ms Framework
      • Insulin Management
      • Oral Medications
    • Diabetes in Pregnancy
      • Preconception Counseling
      • Eye Health Monitoring
      • Insulin Therapy During Pregnancy
      • Postpartum Care
    • Steroid-Induced Hyperglycemia
      • General Approach
      • Postprandial Insulin Adjustment
      • NPH Insulin Usage
      • Initiating Insulin
      • Role of GLP-1RA and SGLT2-inhibitors
    • Take-home Points
    • Outro

    Credits

    • Producer, Writer, and Show Notes: Isabel Valdez, PA-C
    • Infographic and Cover Art: Zoya Surani, BA, MS
    • 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: Jeff Colburn, MD

    Disclosures

    Dr. Jeff Colburn reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

    Sponsor:     Continuing Education Company

    Special offer for Curbsiders listeners: Save30%on all online courses and live webcasts with promocodeCURB30. Visit www.CMEmeeting.org/curbsiders to explore all offerings and claim your discount.

    Sponsor:     Freed

    Visit Freed.ai and Usecode: CURB50 to get $50 off your first month when you subscribe.

    Sponsor:     Quince

    Go to Quince.com/curb for free shipping on your order and 365 day returns.
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    1 h et 19 min
  • UNLOCKED #43 Exclusive! HFrEF (TFTC audio)

    UNLOCKED #43 Exclusive! HFrEF (TFTC audio)
    May 14 2025
    Join us at patreon.com/curbsiders today and save 20% on NEW Annual Memberships with promo code: UNLOCKED.

    *This offer expires at 3am EST on May 15, 2025.

    Matt and Paul recap top pearls from a recent episode on heart failure with reduced ejection fraction (HFrEF) and the importance of understanding the underlying causes of heart failure with Dr. Michelle Kittleson (video version). They also answer listener questions and share their picks of the week.

    Chapters:
    00:00 Introduction and Humor
    01:41 Understanding Heart Failure
    04:50 Guideline-Directed Medical Therapy
    09:57 Practical Approaches to Treatment
    13:58 The Importance of Medication Adherence
    16:22 Dietary Considerations in Heart Failure
    18:24 ED Follow-Ups and Patient Management
    20:38 SGLT2 Inhibitors and Infections
    25:58 Patient Counseling and Preventative Care
    26:33 Picks of the Week
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    31 min
  • REBOOT #458 Heart Failure with Reduced Ejection Fraction - Kittleson Rules Outpatient Heart Failure Volume 1

    REBOOT #458 Heart Failure with Reduced Ejection Fraction - Kittleson Rules Outpatient Heart Failure Volume 1
    May 12 2025
    We’re taking a break this week, but we’ll be back next week with a brand-new episode.

    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.

    Claim CME for this episode at curbsiders.vcuhealth.org!

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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:     Mint Mobile

    Get your summer savings and shop premium wireless plans at MINTMOBILE. com/CURB.

    Sponsor: American College of Physicians

    Order ACP MKSAP today at acponline.org. Curbsiders Listeners who use promo code CORECS will receive a MKSAP gift pack with their subscription.

    Sponsor: Panacea Legal

    Learn more and schedule your free consultation at Panacea.Legal.
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    1 h et 3 min
  • #482 Recap from SHM #Converge25

    #482 Recap from SHM #Converge25
    May 5 2025
    Highlights and Pearls from SHM’s Annual Meeting

    We recap the top pearls for the hospitalist from #SHM #Converge25 hitting updates in GI, stroke, anticoagulation, perioperative medicine, artificial intelligence, and more.

    Note: There is no CME for this episode, but visit curbsiders.vcuhealth.org to claim credit for past episodes.

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    Show Segments

    • Intro
    • Care of the Patient Experiencing Homelessness
    • Updates in GI
    • Delirium
    • Adaptive Leadership
    • Transgender Health
    • Capacity Assessment
    • Heart Failure
    • Care of the Transplanted Kidney
    • Precipitated Withdrawal
    • IV contrast
    • Alcohol Withdrawal
    • MRSA Nares Swabs
    • Bugs, Bite, and Fever
    • Perioperative Medicine
    • Parkinson’s Disease
    • Stroke
    • Outro

    Credits

    • Producer, Writer, Show Notes: Meredith Trubitt MD, Monee Amin MD, Caroline Coleman MD
    • Cover Art: Caroline Coleman, MD
    • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Reviewer: Rahul Ganatra, MD MPH
    • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Technical Production: PodPaste
    • Guest: Michelle Brooks MD, Avital O’Glasser MD, Rahul Ganatra MD MPH
    Disclosures

    The Curbsiders report no relevant financial disclosures.

    Sponsor:     Freed

    Visit www.getfreed.ai and sse code: CURB50 to get $50 off your first month when you subscribe!

    Sponsor:     Locumstory

    Learn about locums and get insights from real-life physicians, PAs and NPs at Locumstory.com.

    Sponsor:     Grammarly

    Download Grammarly for free at Grammarly.com/PODCAST.

    Sponsor:     Continuing Education Company

    Special offer for Curbsiders listeners: Save 30% on all online courses and live webcasts with promo code CURB30. Visit www.CMEmeeting.org/curbsiders to explore all offerings and claim your discount.
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    1 h et 29 min
  • #481 Prediabetes and Diabetes Prevention with Dr. Scott Isaacs

    #481 Prediabetes and Diabetes Prevention with Dr. Scott Isaacs
    Apr 28 2025
    Conquer prediabetes and diabetes prevention! We’re joined by Dr. Scott Isaacs, who provides essential pearls on navigating screening tests for diabetes and prediabetes, identifying atypical cases of prediabetes, and individualizing management of prediabetes with lifestyle changes and medications.

    Claim CME for this episode at curbsiders.vcuhealth.org!

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    Show Segments

    • Intro
    • Case from Kashlak
    • Why screen for prediabetes and diabetes?
    • Who to screen for prediabetes and diabetes
    • How to screen for prediabetes and diabetes
    • Role of the physical exam
    • Explaining a diagnosis of prediabetes to patients
    • Atypical types of prediabetes
    • Management of prediabetes: lifestyle changes
    • Management of prediabetes: medications
    • Outro

    Credits

    • Producer, Writer, and Show Notes: Malini Gandhi MD
    • Infographic and Cover Art: Zoya Surani
    • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Reviewer: Sai Achi MD,MBA,FACP
    • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Technical Production: PodPaste
    • Guest: Scott Isaacs MD

    Disclosures

    Dr. Isaacs reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

    Sponsor:     FIGS

    Go to WearFIGS.com and as a Nurses Week exclusive get 20% off everything starting this Thursday May 1st thru May 7th.

    Sponsor: Bombas

    Enjoy worldwide shipping to over two hundred countries. Head over to Bombas.com/curb and use code curb for twenty percent off your first purchase.

    Sponsor:     Continuing Education Company

    Visit www.CMEmeeting.org/curbsiders. Special offer for Curbsiders listeners: Save 30% on all online courses and live webcasts with promo code CURB30.
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    1 h et 33 min
  • #480 Hypermobility with Dr. Linda Bluestein

    #480 Hypermobility with Dr. Linda Bluestein
    Apr 21 2025
    Don’t bend the knee to hypermobility! Learn how to evaluate patients for possible joint hypermobility, what associated conditions to be mindful of, and where to start with management. We’re joined by Dr. Linda Bluestein, @BluesteinLinda (https://www.hypermobilitymd.com), who shares her years of experience in treating patients with hypermobility!

    Claim CME for this episode at curbsiders.vcuhealth.org!

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    Show Segments

    • Intro and getting to know our guest
    • Case from Kashlak
    • Hypermobility definitions and background
    • Initial screening for hypermobility
    • Physical examination
    • Associated conditions and symptoms
    • Management principles of joint hypermobility
    • Outro

    Credits


    • Writer and Producer: 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: Emi Okamoto, MD
    • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Technical Production: PodPaste
    • Guest: Linda Bluestein, MD

    Disclosures

    Dr. Bluestein reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

    Sponsor: Quince

    Go to Quince.com/curb for free shipping on your order and 365 returns.

    Sponsor:     Mint Mobile

    Shop data plans at MINTMOBILE.com/CURB to get 3 months of premium wireless service from Mint Mobile for $15 a month

    Sponsor:     Continuing Education Company

    Special offer for Curbsiders listeners: Save 30% on all online courses and live webcasts with promo code CURB30. Visit www.CMEmeeting.org/curbsiders to explore all offerings and claim your discount.



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    1 h et 24 min
  • #479 Managing Treatment-Resistant Depression featuring Dr. Jessi Gold

    #479 Managing Treatment-Resistant Depression featuring Dr. Jessi Gold
    Apr 14 2025
    Lead the way in depression management! We’re joined by Dr. Jessi Gold, a psychiatrist and mental health advocate, who provides essential pearls on ways to recognize the multifaceted nature of depression and similarly presenting medical conditions. We also discuss the complexities of treatment options including various medication options and therapies, and how to choose between these treatments.

    Claim CME for this episode at curbsiders.vcuhealth.org!

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    Show Segments

    • Intro
    • Case 1 from Kashlak
    • Medical conditions that can mimic depression
    • Diagnosis of depression
    • How to explain depression to family
    • Initial treatment options for depression
    • Case 2 from Kashlak
    • Suicide risk assessment
    • Trialing, augmenting, and tapering of medications
    • Pharmacogenetic testing
    • Alternate treatment options: TMS, ECT, ketamine, psilocybin, cannabis
    • Outro

    Credits

    • Written and Produced by: Zoya Surani
    • Show Notes, Infographic, and Cover Art: Zoya Surani
    • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Reviewer: Sai Achi MD,MBA,FACP
    • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Technical Production: PodPaste
    • Guest: Jessi Gold, MD

    Disclosures

    Dr. Gold reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.


    Sponsor:     Panacea Financial

    Visit PanaceaFinancial.com to explore financial solutions designed to make your life better.

    Sponsor:     FIGS

    Go to WearFIGS.com and use the code FIGSRX to get 15% off your first order.

    Sponsor:     Ezresus

    Listeners of the Cribsiders get access to a 2-month free trial, letting them use 100% of the features of the app. For more information visit www.ezresus.com/curbsiders

    Sponsor: Freed

    Visit Freed.ai and use code CURB50 to get $50 off your first month when you subscribe!
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    1 h et 34 min
  • #478 Dementia 2.0 with Anna Chodos

    #478 Dementia 2.0 with Anna Chodos
    Apr 7 2025
    Updates in classification, evaluation, and treatment

    Become dexterous with dementia management! We’re talking with Dr. Anna Chodos about cognitive domains, diagnostic criteria, patient and caregiver resources, new antibody therapies, and brain health plans!

    Claim CME for this episode at curbsiders.vcuhealth.org!

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    Show Segments

    • Intro
    • Rapid fire questions
    • The Terminology of Neurocognitive Disorders
    • Cognitive Domains: A Comprehensive Approach
    • Physical Examination Insights
    • Medical Workup for Dementia
    • Imaging and Biomarkers in Dementia Diagnosis
    • Referral Considerations for Dementia Patients
    • Understanding Dementia Stages and Prognosis
    • Implementing Brain Health Plans
    • Medications for Dementia Management
    • Controversies in Monoclonal Antibody Therapies
    • The Importance of Early Detection and Planning
    • Outro

    Credits

    • Producers, Writers and Show Notes: Leah Witt, MD and Margaret Heller, MD
    • Infographic and Cover Art: Leah Witt, MD
    • 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: Anna Chodos, MD
    Disclosures

    Dr. Chodos received remuneration from Novo Nordisk for participating in a task force looking at the feasibility of incorporating biomarkers for Alzheimer's disease into primary care. The financial relationship has ended. The Curbsiders report no relevant financial disclosures.

    The production of this episode was supported by the Penn Geriatrics AGE-SMART Geriatric Workforce Enhancement Grant. This podcast content is solely the responsibility of the authors and does not necessarily represent the official views of the Health Resources and Services Administration or the U.S. Department of Health and Human Services.

    Sponsor: Locumstory

    Locumstory.com is simply a free, unbiased educational resource about locum tenens.

    Sponsor:     Grammarly

    Download Grammarly for free at Grammarly.com/PODCAST

    Sponsor: Continuing Education Company

    Special offer for Curbsiders listeners: Save 30% on all online courses and live webcasts with promo code CURB30. Visit www.CMEmeeting.org/curbsiders to explore all offerings and claim your discount. Whether live, online, or on-demand, Continuing Education Company makes earning CME easy and rewarding.
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    1 h et 30 min