Episodes

  • #441 More Clinical Pearls (New antibiotics, syphilis, heart disease, cirrhosis, lots more!) from ACP #IM2024

    #441 More Clinical Pearls (New antibiotics, syphilis, heart disease, cirrhosis, lots more!) from ACP #IM2024
    May 27 2024
    More clinical pearls from ACP #IM2024, including emerging infectious diseases in the US (malaria, dengue, super gonorrhea, and a resurgence of syphilis), new C. diff treatments, coagulopathy and cirrhosis, fatty liver disease, HFpEF, peripheral arterial disease, Lp(a) and ApoB, CAR T-cells for autoimmune disease, SGLT2i for gout, and hematology updates. Paul and Watto are joined by Drs. Nora Taranto, Beth Garbitelli, and of course Chris “The Chiu Man” Chiu.

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

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    Show Segments

    • 00:00 Tropical Diseases: Resurgence of Malaria and Dengue Fever
    • 03:44 Infectious Diseases: Syphilis Rates and New Treatments for C. diff
    • 08:28 Coagulopathy and Cirrhosis: Managing Hemostasis and Portal Vein Thrombosis
    • 11:34 Fatty Liver Disease: Risk Stratification and Treatment
    • 14:59 Cardiology Updates: Cardiovascular Kidney Metabolic Syndrome
    • 31:03 New Medications for Hypertension
    • 32:54 Renal Denervation and Hypertension
    • 33:51 Lp(a) Drugs and Their Potential
    • 36:01 Peripheral Arterial Disease and Claudication
    • 38:10 SGLT2 Inhibitors and Gout
    • 41:50 APO-B and LDL Cholesterol
    • 42:45 Secondary Hypogonadism and Head and Neck Radiation
    • 45:30 VEXAS: A Genetic Autoimmune Condition
    • 49:08 Obesity-Induced Leukocytosis
    • 52:49 CAR T-Cell Therapy in Rheumatologic Diseases
    Credits
    • Producers/Writers/Show Notes: Matthew Watto MD, FACP; Paul Williams MD, FACP, Nora Taranto MD, Chris Chiu MD, Beth Garbitelli MD
    • CME, Cover Art: Beth Garbitelli MD
    • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Reviewer: Nora Taranto MD
    • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Technical Production: PodPaste

    Sponsor:     Litter Robot

    Go to stopscooping.com/CURB and enter promocode CURB to save an EXTRA $50 on any Litter-Robot bundle.

    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:     Beginly

    Visit beginlyhealth.com/curbsiders for the job matching platform for every Physician and Advanced Practice Clinician, from training to practice
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    1 hr and 8 mins
  • #440 Hepatitis B with Dr. Arthur Kim

    #440 Hepatitis B with Dr. Arthur Kim
    May 20 2024
    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.

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

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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.
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    1 hr and 18 mins
  • #439 Shoulder Pain: Impingement, Bursitis, Tendonitis, Cuff Tears, and Arthritis with Dr. Ted Parks

    #439 Shoulder Pain: Impingement, Bursitis, Tendonitis, Cuff Tears, and Arthritis with Dr. Ted Parks
    May 13 2024
    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.

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

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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.
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    1 hr and 8 mins
  • #438 Recap from SHM #Converge24

    #438 Recap from SHM #Converge24
    May 6 2024
    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.
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    1 hr and 19 mins
  • #437 Clinical Pearls ACP #IM2024

    #437 Clinical Pearls ACP #IM2024
    Apr 29 2024
    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 curbsiders.vcuhealth.org!

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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.
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    58 mins
  • #436 Endometriosis for the Internist with Dr. Cope & Dr. Green

    #436 Endometriosis for the Internist with Dr. Cope & Dr. Green
    Apr 22 2024
    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).

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

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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
    Show more Show less
    1 hr and 24 mins
  • #435 Neck Pain with Dr. Anthony Mikula

    #435 Neck Pain with Dr. Anthony Mikula
    Apr 15 2024
    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.

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

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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 grammarly.com/PODCAST
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    1 hr and 15 mins
  • #434: Ur-INe for Recurrent UTI?! with Dr. Kellen Choi, DO AKA The Bladder Teacher

    #434: Ur-INe for Recurrent UTI?! with Dr. Kellen Choi, DO AKA The Bladder Teacher
    Apr 8 2024
    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

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

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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.
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    1 hr and 3 mins