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! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Intro 03:00 Guest Introduction06:45 Topic07:30 Endo Definition & Symptoms14:40 Endo phenotypes21:30 Differential Diagnoses to Consider25:47 Making a Diagnosis 31:00 Imaging to consider37:40 Endo Hormonal Treatment Optiosn48:30 Monitoring Treatment52:20 When to Refer57:30 Surgical Treatment1:09:20 Pain Management1:13:30 Take Homes1:19:00 Outro Credits Producer, Show notes, Infographics: Carolyn Chan, MD, MHSHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Sai S Achi, MD, MBAShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: 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

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! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Introduction 06:14 Anatomy and Pain Generators09:58 Approach to Neck Pain22:57 Differentiating Radiculopathy from Non-Specific Neck Pain24:05 Management of Mechanical Neck Pain27:36 Indications for Imaging29:21 Terminology and Explanation of Spondylosis, Spondylolisthesis, and Spondylolysis30:48 Diffuse Idiopathic Skeletal Hyperostosis (DISH)32:23 Imaging Terminology and Plain Films36:19 Pathophysiology of Cervical Radiculopathy38:34 Physical Examination for Cervical Radiculopathy44:54 Diagnostic Work-up for Radiculopathy51:53 Interventions for Cervical Radiculopathy53:53 Considerations for Surgery57:49 Recognizing Cervical Myelopathy01:00:17 Natural History of Myelopathy01:02:25 Referral and Treatment for Myelopathy01:09:28 Summary and Takeaways Credits Written and Produced by: Paul Williams, MD, FACPShow Notes: Paul Williams, MD, FACPInfographic and Cover Art: Paul Williams, MD, FACPHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Leah Witt, MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: 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

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! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments IntroRapid fire questions/Picks of the WeekCase #1 and DefinitionsBowel habitsWater intake Case #2Vaginal EstrogenNon-antibiotic prophylaxisAntibiotic in prophylaxisPelvic Floor Physical TherapyTake-home pointsOutro Credits Producer, Writer & Show Notes: Isabel Valdez, PAInfographic & Covert Art: Edison JyangHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Fatima Syed, MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: 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.

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! Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Introduction and Diabetes Puns01:00 Introduction of Guest and Topic09:12 Qualifications and Eligibility for CGMs11:32 Types of CGMs and Sensor Placement24:47 Interpreting CGM Data and Alarms34:30 Troubleshooting Patterns and Adjustments35:23 Understanding Hypoglycemia and Counter Regulatory Hormone Responses36:15 The Rule of 15 and Addressing Hypoglycemia37:10 Reducing Basal Insulin to Address Nocturnal Hypoglycemia38:29 Addressing Postprandial Highs with GLP-1, SGLT-2 Inhibitors, or Prandial Insulin39:51 Managing Exercise-Induced Hypoglycemia41:43 Preventing Exercise-Induced Hypoglycemia with Snacks43:42 Managing Nocturnal Hypoglycemia with Sulfonylureas45:31 Addressing Postprandial Hyperglycemia with GLP-1, SGLT-2 Inhibitors, or Prandial Insulin46:54 Adjusting Basal Insulin to Address Morning Hyperglycemia51:18 Troubleshooting High Blood Sugars with Basal Insulin and Mealtime Insulin56:49 Managing High Blood Sugars with Basal Insulin and Mealtime Insulin57:44 Addressing Adherence and Medication Barriers59:39 Using Continuous Glucose Monitors (CGMs) for Diabetes Management01:02:30 Using Sulfonylureas and Basal Insulin Combination as a Stopgap01:05:49 Considering Patient Adherence and Barriers to Treatment Credits Writer and Producer: Matthew Watto MD, FACPShow Notes: Matthew Watto MD, FACPCover Art and Infographic: Matthew Watto MD, FACPHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Emi Okamoto MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: 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.

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 curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! |Mailing List | Contact | CME! Credits Written and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACPCover Art: Matthew Watto MD, FACPReviewer: Rahul Ganatra MD, MPHTechnical Production: Pod PasteShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Show Segments Introduction and disclaimerE-cigarettes for smoking cessationGabapentinoids and COPD exacerbationsTopical lidocaine for neck painAssociation between specific antibiotics and C. diff infectionShortage 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.

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!  Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro, disclaimerA case of pericarditisDiagnosing pericarditisThe difference between pericarditis, myocarditis, myopericarditis, and perimyocarditisEtiologies of pericarditis and initial testing recommendationsTreatment of acute uncomplicated pericarditisUsing colchicine to prevent recurrent pericarditisPatient counseling after diagnosing pericarditisA case of myocarditisInterpreting elevated troponin levelsDistinguishing between myocardial infarction and myocardial injuryDiagnostic testing for suspected myocarditisWhen to pursue cardiac MRI and endomyocardial biopsyThe spectrum of myocarditis presentationsFulminant myocarditisCommon etiologies of myocarditisImmune checkpoint inhibitor myocarditisMyocarditis from mRNA vaccines and from SARS-CoV-2 infectionManagement of patients with myocarditisActivity restrictions for patients with myocarditisOutro Credits Hosts: Paul Williams, MD, FACP, Matthew Watto MD, FACPGuest: Vivek Kulkarni, MD, FACCProducer, Script, and Show Notes: Adam Barelski, MDInfographics and Cover Art: Edison JyangReviewer: Leah Witt, MDTechnical Production: Pod PasteShowrunners: 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.

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: Paul recommends: Blue Eye Samurai (Netflix)Matt recommends:  Live, Die, Repeat aka Edge of Tomorrow (film) 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!

Is bicarbonate supplementation for metabolic acidosis in chronic kidney disease (CKD) a thing we do for no reason? We cover the pathophysiology and long-term consequences of metabolic acidosis, the history of bicarbonate use, alternative options for bicarbonate repletion including baking soda, lemon juice, fruits and veggies, whether the renal diet works, counseling patients with CKD, and common mistakes and pitfalls in managing metabolic acidosis in CKD. Our guest is Dr. Timothy Yau (@Maximal_Change, @WUNephrology, @AJKDOnline). It’s NephMadness 2024! Fill out your bracket today and check out the other podcasts participating in the NephMadness pod crawl! Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Time stamps refer to the ad-free version 00:00 Introduction and Guest Bio07:46 Case Presentation08:42 Initial Approach to CKD Management09:10 Metabolic Acidosis in CKD13:30 Consequences of Metabolic Acidosis22:28 Administration of Bicarbonate23:54 Alternative Options for Bicarbonate Repletion24:47 Citrate and Bicarbonate26:02 Sodium Bicarbonate for CKD30:19 Dietary Modifications33:35 Renal Diet38:20 Counseling CKD Patients41:39 Veverimer and Other Treatments44:36 Mistakes and Pitfalls46:55 Conclusion Credits Writer and Producer: Matthew Watto MD, FACPShow Notes: Matthew Watto MD, FACPCover Art and Infographic: Matthew Watto MD, FACPHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Emi Okamoto MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Timothy Yau MD Sponsor: Rocket Money  Cancel your unwanted subscriptions by going to RocketMoney.com/CURB Sponsor: Freed You can try Freed for free right now by going to freed.ai And listeners of Curbsiders can use code CURB 50 for $50 off their first month.

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).  Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments IntroCase from KashlakDiagnosing anxietyExplaining anxiety to patientsNon-pharmacological management of anxietyPharmacological management of anxiety2nd and 3rd line treatmentsCannabis and anxietyOutro Credits Writer, Producer, Show Notes, Infographic, Cover Art: Edison JyangHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Sai Achi MD, MBAShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Jessi Gold MD 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. Sponsor: Allbirds   Visit Allbirds.com and use code CURB for a free pair of socks with a purchase of $48 or more.

Join us as we review recent articles and news featured in The DIGEST #48, #49, and #50 including thromboprophylaxis for patients receiving chemotherapy,  eosinophil count to guide steroids in COPD exacerbations, anticoagulation in subclinical atrial fibrillation, the new genetic testing recommendations for patients with breast cancer, and at-home STI testing–not to mention trial names galore.  Fill your brain hole with a fully digestible meal! Featuring Paul Williams (@PaulNWilliamz), Nora Taranto (@norataranto) and Matt Watto (@doctorwatto).  Claim CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! |Mailing List | Contact | CME! Credits Written and Hosted by: Nora Taranto MD; Paul Williams, MD, FACP, Matthew Watto MD, FACPCover Art: Nora Taranto MD Reviewer: Emi Okamoto MD Technical Production: Pod PasteShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Show Segments 00:00 Introduction + Pun  06:06 Target TP Trial: Thromboprophylaxis in Cancer Patients 13:07 Steroids for COPD Exacerbations 25:25 Anticoagulation in Subclinical Atrial Fibrillation 34:01 Genetic Testing in Breast Cancer 43:38 Home STI Testing Transcript Disclaimer We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content. Sponsor: Factor Head to FactorMeals.com/curb50 and use code curb50 to get 50% off.  Sponsor: NetSuite Download NetSuite’s popular KPI Checklist, designed to give you consistently excellent performance - absolutely free, at NetSuite.com/CURBSIDERS. 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.

The clinical picture of an underrecognized disease Amyloidosis demystified. Learn the clinical clues that suggest possible amyloidosis and how to order the correct tests to diagnose this disease. We are joined by Dr. Michelle Kittleson who shows us the ropes of treating fibril accumulation, @MKittlesonMD (Cedars Sinai).  Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments IntroductionCase Presentation: Mr. SmithDifferential Diagnosis of Heart Failure with Preserved Ejection FractionUnderstanding AmyloidosisClinical Clues and Red Flags for AmyloidosisPhysical Examination FindingsWorkup for AmyloidosisTreatment OptionsAL Amyloidosis and Hematologist's RoleATTR Amyloidosis and Cardiologist's RoleOther Therapies for TTR AmyloidosisTherapy on the HorizonCost and Access to TafamidisAlternative Therapies and SupplementsMonitoring and Side Effects of TafamidisSymptomatic Management and AnticoagulationTake Home Points Credits Written and Produced by; Deborah Gorth, MD, PhDInfographic and Cover Art: Meryl Gorth, RD, MPH and Deborah Gorth, MD, PhDHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Sai S. Achi MD MBAShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Michelle Kittleson, MD, PhD Transcript Disclaimer We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content. Sponsor: Panacea  Visit panaceafinancial.com today to open your free account. Sponsor: Grammarly  Make a bigger impact at work with Grammarly. Sign up and download for FREE at grammarly.com/PODCAST Sponsor: Rocket Money  Stop wasting money on things you don’t use. Cancel your unwanted subscriptions by going to RocketMoney.com/CURB.

Join us as Sandhya Pruthi, MD talks us through basics of breast cancer, specifically how to share a new diagnosis with a patient, the spectrum of disease from favorable to more aggressive, and the basics of what to expect with initial treatment. Feel more confident sharing a new diagnosis of breast cancer and supporting your patients through this journey. Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Introduction 02:18 Getting to Know Dr Sandhya Pruthi 09:49 Picks of the Week 12:35 Case 1: Diagnosis and Treatment of ductal carcinoma in situ (DCIS) 21:24 Risk Stratification and Active Surveillance for DCIS 23:43 Genetic Testing Recommendations 28:08 Case 2: Evaluation and Diagnosis of a Breast Lump 39:14 Invasive Ductal Carcinoma 47:49 Initial Management of invasive ductal carcinoma (IDC) 48:19 Preoperative Discussion and MRI 49:19 Lumpectomy and Sentinel Lymph Node Biopsy 50:16 Radiation and Hormonal Adjuvant Therapy 51:46 Considerations for Chemotherapy 55:51 Signs of Late Recurrence or Metastasis 58:20 Screening Guidelines and Age 01:02:25 Importance of Breast Self-Awareness Credits Written and produced, Show Notes:  Molly Heublein MDInfographic and Cover Art: Edison JyangHosts: Molly Heublein MD, Era Kryzhanovskaya MD Reviewer: Leah Witt, MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Sandhya Pruthi MD Transcript Disclaimer We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content. Sponsor: Freed You can try Freed for free right now by going to freed.ai Listeners of Curbsiders can use code CURB50 for $50 off their first month.  Sponsor: Babbel Get 50% off at Babbel.com/CURB Sponsor: NetSuite Get your own KPI Checklist at NetSuite.com/CURBSIDERS

Get rid of those clots around anticoagulation and antiplatelet management Join us for a review of the perioperative risk assessment of bleeding and clotting and how to manage each patient’s own antithrombotics. We are joined by Dr. Poorvi Hardman from Ohio State University.  Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments IntroRapid Fire Questions/Picks of the WeekCase 1Risk stratification of thromboembolism and bleedingReview of types of surgeries and risk associated with surgical interventionUtilizing scoring systems to aid decision makingBridgingConsiderations for VKAs, DOACs Pitfalls to bridgingCase 2Aspirin ManagementP2Y12 ManagementConsultantsOutro Credits Written, produced and show notes by: Jaimie Patel MDInfographic and Cover Art by: Caroline Coleman MDHosts: Monee Amin MD; Meredith Trubitt MD  Reviewer: Fatima Syed MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Poorvi Hardman MD Transcript Disclaimer We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content. 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: Allbirds Get your shoes at Allbirds.com and use code CURB and score a free pair of socks with purchase today. Sponsor: Pathway Improve your clinical decision-making process and enhance patient care. Download the Pathway app today by visiting pathway.md

The Curbsiders and Cribsiders are back with a very special Med-Peds collaboration on RSV immunizations! Dr. Buddy Creech, Pediatric Infectious Disease at Vanderbilt, walks us through these breakthrough “vaccines" for both adults and kids. He teaches us about their mechanisms of action, eligibility criteria, and why it’s been so challenging to find doses this season. Get ready for your next shot of fun!

Join us as we review recent practice-changing articles on transfusion thresholds in acute MI, COVID-19 rebound after treatment with ritonavir-boosted nirmatrelvir (PaxlovidTM), the prevalence of iron deficiency, as well as the debut of our new “corrections and omissions” section, in which we cover important knowledge updates on oral iron dosing and correcting serum calcium. And, find out why oral phenylephrine does not work and what you should prescribe instead for upper respiratory symptoms. 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 curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! |Mailing List | Contact | CME! Credits Written, Produced, and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACPCover Art: Matthew Watto MD, FACPReviewer: Rahul Ganatra MD, MPHTechnical Production: Pod PasteShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Show Segments 00:00 Introduction and Calcium Puns03:11 Iron Deficiency and Iron Supplementation12:20 Corrected Calcium18:09 Virologic Rebound after nirmatrelvir/ritonavir (Paxlovid™)32:09 Phenylephrine and its Ineffectiveness37:00 Restrictive vs. Liberal Transfusion Strategy in MI (MINT trial)49:20 Outro Transcript Disclaimer We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content. Sponsor: Rocket Money Cancel unwanted subscriptions by going to RocketMoney.com/CURB Sponsor: Netsuite Download NetSuite’s popular KPI Checklist, designed to give you consistently excellent performance for free, at NetSuite.com/CURBSIDERS 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.

Join Lisa Simon, MD, DMD (@lisathedoc) as we discuss dental care for the PCP- from examination techniques, treatment options, emergencies in dental care, and general dental advice.  Help your patients manage caries, gingivitis, dry mouth, and temporomandibular joint (TMJ) dysfunction.  Be aware of dental side effects of medications, how to manage anticoagulants during dental procedures, and when to recommend antibiotic prophylaxis.  Claim CME for this episode at curbsiders.vcu health.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Introduction and Overview 09:13 Diagnosing Dental Pain and Examination Techniques 18:44 Treatment Options for Dental Pain 29:34 Complications and Emergencies in Dental Care 32:36 Post-operative Care and General Dental Advice 40:35 Dry Mouth and Treatment Options 44:05 Gingivitis 49:39 Temporomandibular Joint (TMJ) Dysfunction 55:43 Medications and Dental Side Effects 56:12 Anticoagulants and Dental Procedures 01:00:55 Endocarditis Prophylaxis 01:03:15 Joint Replacements and Antibiotic Prophylaxis 01:04:10 Oral Health in Patients with Opioid Use Disorder Credits Written and produced, Show Notes, Infographic and Cover Art by Dr Kate Grant Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Molly Heublein MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Lisa Simon MD, DMD Transcript Disclaimer We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content. Sponsor: Grammarly Go to grammarly.com/PODCAST to download for FREE today. Sponsor: Factor Head to FactorMeals.com/curb50 and use code curb50 to get 50% off.  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.

Learn practical tips for the inpatient management of patients with sickle cell disease and vaso-occlusive crisis from guest, Dr. Yoo Mee Shin (Emory). We cover acute pain management including adjuvant therapies, IV fluids, oxygen therapy, the management of acute chest syndrome, and when to perform simple vs exchange transfusions. Key takeaways include the importance of early triage and analgesia, addressing misconceptions about opioid use disorder in patients with sickle cell disease, and recognizing complications of vaso-occlusive crises. Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Intro01:27 Getting to know our guest07:48 Case Presentation and Initial Management of Sickle Cell Disease (SCD)13:46 Misconceptions about opioid use disorder and sickle cell17:02 Management of Acute Pain in Sickle Cell Disease25:46 Adjuvant therapy for pain29:04 Transition to outpatient care32:46 General admission orders for sickle cell38:44 Management of Acute Chest Syndrome42:01 Simple vs exchange transfusion47:08 Transfusion in preoperative and pregnant patients48:03 Transitions and follow-up care49:35 Key takeaways and Outro Credits Written and Produced by:  Matthew Watto MD, FACPCover Art & Infographic: Matthew Watto MD, FACPHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Emi Okamoto MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Yoo Mee Shin MD Transcript Disclaimer We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content. Sponsor: Green Chef Go to greenchef.com/60curb and use code 60curb to get 60% off, plus 20% off your next two months. Sponsor: NetSuite Download NetSuite’s popular KPI Checklist, designed to give you consistently excellent performance -absolutely free, at NetSuite.com/CURBSIDERS

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. Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments IntroCase from KashlakWhat is antiphospholipid syndrome?Clinical features that raise suspicion for antiphospholipid syndromeLaboratory testing and diagnosis of antiphospholipid syndromeManagement of antiphospholipid syndrome: initial treatmentManagement of antiphospholipid syndrome: managing recurrent thrombosisReturn to Case: Pregnancy in patients with a history of thrombotic APLSObstetric APLSFinal questionsOutro Credits Producer, Writer, Show Notes, Infographics, and Cover Art: Malini GandhiHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Fatima Syed MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Arielle Langer MD Transcript Disclaimer We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content. 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: Rocket Money Cancel your unwanted subscriptions by going to RocketMoney.com/CURB. Sponsor: Allbirds Get your shoes at Allbirds.com and use code CURB and score a free pair of socks with purchase today. Sponsor: Green Chef Get sixty percent off Green Chef, plus twenty percent off your next two months, with code 60curb at GREENCHEF.com/60curb.

Discover DGBI! Learn its pathophysiology, evaluation and individualized treatments so you can leave the fear of managing DGBI behind. We’re joined again by the great Dr. Xiao Jing (Iris) Wang, (@IrisWangMD, Mayo Clinic) Claim CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Show Segments Intro, disclaimer, guest bioGuest one-liner, Picks of the Week*Case from Kashlak; Definitions (6:20) Definition of Disorders of the Gut-Brain Interaction (7:30-11:00)Functional Dyspepsia: diagnostic criteria, definitions (15:30-24:30), and treatments  (24:30-36:00)Irritable bowel disease: diagnostics (41:00), testing algorithm, and treatments (55:00)Cyclic Vomiting Syndrome and Cannabis Hyperemesis Syndrome: definitions, diagnosis, and management (1:11)Take home pointsOutro Credits Producer: Elena Gibson MDWriter:Andréa Perdigão, Elena GibsonShow Notes and Infographics: Andréa PerdigãoCover Art: Kate GrantHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Associate Editor: Leah WittShowrunner: Matthew Watto MD, FACPEditor: Clair Morgan of nodderly.com Guest: Dr. Xiao Jing (Iris) Wang MD

Join us as we recap various topics discussed throughout the year, including hormonal and non-hormonal therapy for menopause symptoms, hemochromatosis, evaluation and management of hematuria, updates in diabetes management (insulin, GLP1 agonists, SGLT2 inhibitors, hypoglycemia), xylazine overdose and withdrawal, primary aldosteronism, resistant hypertension, delirium, and its implications, the ACORN trial on AKI risk with pip-tazo vs. cefepime, the REPRIEVE trial on statin therapy in patients with HIV, inpatient heart failure management, the implications of kratom use, and the effectiveness of RSV vaccines. Plus, Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), Nora Taranto (@norataranto), and Matt Watto (@doctorwatto) share their picks of the year and take a moment to reflect on their gratitude for the fans and the opportunity to work on Curbsiders. Our team needed a break so we did not make CME for this episode.  Show Segments Time Stamps are for Patreon (Ad-Free) Version 00:00 Introduction and Overview09:42 Hormonal and Non-Hormonal Therapy for Menopause Symptoms14:20 Understanding Hemochromatosis19:24 Evaluation and Management of Hematuria25:00 Updates in Diabetes Management29:35 Xylazine Overdose and Withdrawal35:35 Primary Aldosteronism39:36 Resistant Hypertension44:12 Delirium and its Implications46:29 The Acorn trial and AKI risk49:47 HIV trial: Reprieve51:11 Updates in hospital medicine56:00 Kratom and its implications59:11 RSV vaccines and their effectiveness01:05:38 Reflections and Gratitude Credits Written, Produced, and Hosted by: Nora Taranto MD, Rahul Ganatra MD, MPH; Matthew Watto MD, FACP; Paul Williams MD, FACPCover Art: Matthew Watto MD, FACPShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPaste Transcript Disclaimer We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content. Sponsor - Glass Health Glass Health was founded in 2021 and has the mission of empowering doctors with AI-powered clinical decision support.  Glass helps clinicians to draft differential diagnoses and draft clinical plans using physician-validated context.  You can also use Glass to capture knowledge of all the schemas, scripts, cases, and pearls that you encounter and leverage them to take better care of patients.  Try Glass for yourself by visiting https://glass.health Personal knowledge management features are completely free and with Glass Pro, you get access to their powerful AI.  You can get one month of Glass Pro free by signing up at https://glass.health and using the code CURBSIDERS  Glass, like a clinical reference text or podcast, should never replace clinician judgment.