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). 

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Show Segments




Intro
Case from Kashlak
Diagnosing anxiety
Explaining anxiety to patients
Non-pharmacological management of anxiety
Pharmacological management of anxiety
2nd and 3rd line treatments
Cannabis and anxiety
Outro



Credits




Writer, Producer, Show Notes, Infographic, Cover Art: Edison Jyang
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
Reviewer: Sai Achi MD, MBA
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Jessi Gold MD



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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.

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#429 Anxiety 2.0: with Dr. Jessi Gold

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). 

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Credits




Written and Hosted by: Nora Taranto MD; Paul Williams, MD, FACP, Matthew Watto MD, FACP
Cover Art: Nora Taranto MD 
Reviewer: Emi Okamoto MD 
Technical Production: Pod Paste
Showrunners: 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.


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Sponsor: NetSuite

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consistently excellent performance - absolutely free, at NetSuite.com/CURBSIDERS.


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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.

#428 DIGEST: DVT prophylaxis in patients with cancer, anticoagulation in subclinical AFib, steroids in COPD exacerbations, breast cancer genetic testing guidelines, and at-home STI testing

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). 

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Show Segments




Introduction
Case Presentation: Mr. Smith
Differential Diagnosis of Heart Failure with Preserved Ejection Fraction
Understanding Amyloidosis
Clinical Clues and Red Flags for Amyloidosis
Physical Examination Findings
Workup for Amyloidosis
Treatment Options
AL Amyloidosis and Hematologist's Role
ATTR Amyloidosis and Cardiologist's Role
Other Therapies for TTR Amyloidosis
Therapy on the Horizon
Cost and Access to Tafamidis
Alternative Therapies and Supplements
Monitoring and Side Effects of Tafamidis
Symptomatic Management and Anticoagulation
Take Home Points



Credits




Written and Produced by; Deborah Gorth, MD, PhD
Infographic and Cover Art: Meryl Gorth, RD, MPH and Deborah Gorth, MD, PhD
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: 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.

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#427 Kittleson Rules Amyloidosis

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.

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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 MD
Infographic and Cover Art: Edison Jyang
Hosts: Molly Heublein MD, Era Kryzhanovskaya MD 
Reviewer: Leah Witt, MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: 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.

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Sponsor: Babbel

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#426 Breast Cancer for the PCP With Dr Sandhya Pruthi

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. 

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Show Segments




Intro
Rapid Fire Questions/Picks of the Week
Case 1
Risk stratification of thromboembolism and bleeding
Review of types of surgeries and risk associated with surgical intervention
Utilizing scoring systems to aid decision making
Bridging
Considerations for VKAs, DOACs 
Pitfalls to bridging
Case 2
Aspirin Management
P2Y12 Management
Consultants
Outro



Credits




Written, produced and show notes by: Jaimie Patel MD
Infographic and Cover Art by: Caroline Coleman MD
Hosts: Monee Amin MD; Meredith Trubitt MD  
Reviewer: Fatima Syed MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: 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.

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Sponsor: Allbirds

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Sponsor: Pathway

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#425 Perioperative Management of Antithrombotics with Dr. Poorvi Hardman

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!

R.S.V. Immunization with The Cribsiders

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).

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Credits




Written, Produced, and Hosted by: Rahul Ganatra MD, MPH; 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




00:00 Introduction and Calcium Puns
03:11 Iron Deficiency and Iron Supplementation
12:20 Corrected Calcium
18:09 Virologic Rebound after nirmatrelvir/ritonavir (Paxlovid™)
32:09 Phenylephrine and its Ineffectiveness
37:00 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.

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#424 Hotcakes: Transfusion in Acute MI, COVID-19 Rebound after Paxlovid, Every-other-day Iron Revisited, Oral Phenylephrine Doesn’t Work, and Stop Correcting Serum Calcium

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. 

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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 MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: 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

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Sponsor: Factor

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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.

#423 Dental Pain, Caries, Gingivitis, and Oral Care Tips & Tactics for Primary Care With Dr Lisa Simon

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.

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Show Segments




00:00 Intro
01:27 Getting to know our guest
07:48 Case Presentation and Initial Management of Sickle Cell Disease (SCD)
13:46 Misconceptions about opioid use disorder and sickle cell
17:02 Management of Acute Pain in Sickle Cell Disease
25:46 Adjuvant therapy for pain
29:04 Transition to outpatient care
32:46 General admission orders for sickle cell
38:44 Management of Acute Chest Syndrome
42:01 Simple vs exchange transfusion
47:08 Transfusion in preoperative and pregnant patients
48:03 Transitions and follow-up care
49:35 Key takeaways and Outro



Credits




Written and Produced by:  Matthew Watto MD, FACP
Cover Art & Infographic: Matthew Watto 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: 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.

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Sponsor: NetSuite

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#422 LIVE! Inpatient Management of Sickle Cell Crisis, Acute Pain, RBC Transfusions & Acute Chest Syndrome

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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Show Segments




Intro
Case from Kashlak
What is antiphospholipid syndrome?
Clinical features that raise suspicion for antiphospholipid syndrome
Laboratory testing and diagnosis of antiphospholipid syndrome
Management of antiphospholipid syndrome: initial treatment
Management of antiphospholipid syndrome: managing recurrent thrombosis
Return to Case: Pregnancy in patients with a history of thrombotic APLS
Obstetric APLS
Final questions
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: 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
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Sponsor: Green Chef
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#421 Antiphospholipid Syndrome with Dr. Arielle Langer

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)

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Show Segments




Intro, disclaimer, guest bio
Guest 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 points
Outro



Credits




Producer: Elena Gibson MD
Writer:Andréa Perdigão, Elena Gibson
Show Notes and Infographics: Andréa Perdigão
Cover Art: Kate Grant
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
Associate Editor: Leah Witt
Showrunner: Matthew Watto MD, FACP
Editor: Clair Morgan of nodderly.com

Guest: Dr. Xiao Jing (Iris) Wang MD

REBOOT: #334 IBS, Functional Dyspepsia, and Cyclic Vomiting: Disorders of Gut Brain Interaction (DGBI)

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 Overview
09:42 Hormonal and Non-Hormonal Therapy for Menopause Symptoms
14:20 Understanding Hemochromatosis
19:24 Evaluation and Management of Hematuria
25:00 Updates in Diabetes Management
29:35 Xylazine Overdose and Withdrawal
35:35 Primary Aldosteronism
39:36 Resistant Hypertension
44:12 Delirium and its Implications
46:29 The Acorn trial and AKI risk
49:47 HIV trial: Reprieve
51:11 Updates in hospital medicine
56:00 Kratom and its implications
59:11 RSV vaccines and their effectiveness
01:05:38 Reflections and Gratitude



Credits




Written, Produced, and Hosted by: Nora Taranto MD, Rahul Ganatra MD, MPH; Matthew Watto MD, FACP; Paul Williams MD, FACP
Cover Art: Matthew Watto MD, FACP
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical 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. 

#420 Recap Extravaganza: 2023 Highlights and Top Stories

Absorb all (but not too much) of the Calcium for your brain hole as Dr. Carl Pallais (Brigham and Women’s Hospital) walks us through his approach to Hypercalcemia. We learn about how tightly our body regulates calcium and what to do when that regulation goes awry.  Not to mention that PTH is the name to remember (and phosphorus, if you need a quick stand-in while that PTH is pending).  

Claim CE credit at curbsiders.vcuhealth.org. It&#39;s free for all healthcare professionals!

Absorb all (but not too much) of the Calcium for your brain hole as Dr. Carl Pallais (Brigham and Women’s Hospital) walks us through his approach to Hypercalcemia. We learn about how tightly our body regulates calcium and what to do when that regulation goes awry.  Not to mention that PTH is the name to remember (and phosphorus, if you need a quick stand-in while that PTH is pending).  

Show Segments




Intro, disclaimer, guest bio
Dr. Pallais One-Liner
Case from Kashlak
Definitions: What’s a Normal Calcium Level, and how to adjust for Albumin
Causes of hypercalcemia
How Lithium works! 
Testing for Hypercalcemia: Get that PTH, and that phos 
Symptoms of Hypercalcemia, and Questions on History 
Indications for Surgery for Parathyroidectomy 
Management of Hypercalcemia and Hypercalcemic Emergency 
Outro


Credits




Producer, Writer, Infographic, Cover Art: Nora Taranto MD 
Hosts: Matthew Watto MD, FACP; Nora Taranto MD  
Reviewer: Yan Emily Yuan MD, MSc
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

Guest:  Carl Pallais MD, MPH 


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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. 


Sponsor - PatternAt Pattern, we give you a quick, simple way to compare and buy disability insurance. Busy doctors shouldn&#39;t have to worry about whether or not they are getting the best rates and discounts. Trying to research all your options and make the right decision while in training can make the process even more overwhelming. That’s why thousands of doctors trust Pattern to help them compare and understand the disability insurance they are buying. 

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REBOOT #281 Hypercalcemia: Calci-fun! with Dr. Carl Pallais

We’re taking a short break, but we’ll be back in two week with a brand-new episode. Can’t wait? Join our Kashlak family at patreon.com/curbsiders for access to twice-monthly bonus episodes… there are already 17 of them available to feed your brain hole! Yummy!
Time Stamps*

Kashlak’s esteemed Chief of Nephrology, Dr Joel Topf @kidney_boy walks us through the evaluation and differentiation of nephrotic syndrome and glomerulonephritis. Embrace the kidney again as we sort the different diagnostics, managements, and prognosis for these two pathologies. 

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Time Stamps*

*Note: Time Stamps refer to ad free version




Intro, disclaimer, guest bio - 00:00
Picks of the Week - 3:10
Case from Kashlak - 6:30
Nephrotic syndrome definition- 12:30
Proteinuria evaluation - 15:04
Additional lab testing - 27:08; 40:09
Types of Nephrotic syndrome - 30:15
Mechanism of nephrotic syndrome edema - 33:08
Management of nephrotic syndrome - 44:07
Second Kashlak Case- Glomerulonephritis - 55:05
Treatment of glomerulonephritis - 65:05
Outro and post-credits scene - 73:20


Credits




Producer, writer, infographic, cover art: Elena Gibson MD
Hosts: Elena Gibson MD, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP  
Editor: Emi Okamoto MD (written); Clair Morgan of nodderly.com (audio)
Guest: Joel Topf MD



Sponsor - Pattern Life 


Request your quotes online at patternlife.com/curbsiders

REBOOT #250 Nephrotic Syndrome vs. Glomerulonephritis with Kidney Boy, Dr. Joel Topf

A shock to the system

Join us for an infectious conversation about sepsis as we learn about the recognition and initial management of sepsis on the wards. We are joined by Dr. Mohleen Kang (@KangMohleen, Emory University).

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

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Show Segments




Intro
Rapid fire questions/Picks of the Week
Case
Managing rapid response logistics
Sepsis Scoring Systems
Diagnostic Work-up for Sepsis
Access 
Antibiotic Management
Fluids
Pressors 
Supportive Measures for Sepsis
Outro



Credits




Producers, Writers, and Hosts: Meredith Trubitt, MD  and Monee Amin, MD 
Show Notes: Meredith Trubitt, MD
Infographic and Cover Art: Sean Evans or Caroline Coleman
Reviewer: Leah Witt, MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Mohleen Kang, MD, MSc


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: Birch 

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#419 Rapid Response Series: Sepsis with Dr. Mohleen Kang A shock to the system

Join us as we review recent articles and news featured in The DIGEST #45 and #46, including semaglutide in HFpEF and obesity (STEP HFpEF), TCAs for irritable bowel syndrome (ATLANTIS), clopidogrel versus aspirin as long-term secondary prevention after PCI (HOST-EXAM), statins in HIV (REPRIEVE), weight changes and diet, and heavy metal exposure in cannabis users. Fill your brain hole with a delicious stack of hotcakes! Featuring Drs. Paul Williams (@PaulNWilliamz), Nora Taranto (@norataranto), and Matt Watto (@doctorwatto).

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Credits




Written and Hosted by: Nora Taranto MD; Paul Williams, MD, FACP, Matthew Watto MD, FACP
Cover Art: Matthew Watto MD, FACP
Reviewers: Nora Taranto MD; Paul Williams, MD, FACP; Matthew Watto MD, FACP; Sai Achi, MD MBA
Technical Production: Pod Paste
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP



Show Segments




Intro, disclaimer
STEP HFpEF: semaglutide for HFpEF in obesity 
TCAs for IBS 
HOST-EXAM and post-PCI  clopidogrel versus aspirin after DAPT 
REPRIEVE and pitavastatin in HIV
Starchy vegetables and weight changes 
Cannabis and heavy metal content 
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: Uncommon Goods
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Sponsor: Locumstory 
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#418 DIGEST (Tofurkey Edition): Semaglutide for HFpEF,  TCAs for IBS, Aspirin vs Clopidogrel after PCI, Pitavastatin for HIV, Starchy Vegetables & Weight Gain, Heavy Metals in Cannabis

Become a pro on pre-exposure prophylaxis!

Review the updated 2023 United States Preventive Task Force (USPSTF) guidelines on PrEP for HIV Prevention with Dr. John Wong.

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Show Segments




Intro
What is PrEP?
USPSTF PrEP for HIV Prophylaxis recommendations
Defining Increased Risk for HIV
Counseling pearls
Types of PrEP, considerations about choice of PrEP
Talking about Safer Sex practices, HIV and STI screening on PrEP
Recap; outro



Credits





Producer, Writer, Show Notes, Infographic/Cover Art: Beth Garbitelli MD
Hosts: Paul Williams MD, FACP, Beth Garbitelli MD
Reviewer:Leah Witt MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: John Wong 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.

#417 USPSTF Update: PrEP for HIV Prevention with Dr. John Wong MD

“I collect spores, molds and fungus” - Dr. Egon Spengler

Dr. Ilan Schwartz MD PhD (@GermHunterMD) teaches us that we should always at least consider fungi in the differential diagnosis of unexplained sepsis, especially in patients with impaired immune systems or complex medical or surgical histories, and walks us through an approach to antifungals.  Be sure to check out the Mycoses Study Group Education & Research Consortium (@MSG_ERC), an organization of clinicians who are dedicated to advancing diagnostics and treatment of fungal disease (where Dr. Schwartz serves on the board of directors!) Claim CME for this episode at curbsiders.vcuhealth.org!

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Show Segments




Intro
Rapid fire questions, get to know our guest
Intentionally vague case; When should we be worried about fungal infection?
Overnight emergencies: Candidiasis and mucormycosis
Starting empiric anti-fungals
Testing basics: direct versus indirect
Fungemia, fungal endocarditis
Resistant candida; candida auris
Pneumocystis jiroveci pneumonia
Outro



Credits




Producer, Writer, Show Notes, Infographic/Cover Art: Beth Garbitelli MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli MD
Reviewer: Emi Okamoto MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Ilan Schwartz 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: Uncommon Goods

To get 15% off your next gift, go to uncommongoods.com/CURB.

Sponsor: NetSuite

Go to NetSuite.com/CURBSIDERS to get your own KPI Checklist. 

Sponsor: Locumstory

Get a comprehensive view of locums at locumstory.com.

#416: Antifungals, Candida, Mucorales, Aspergillus, Pneumocystis: The Fungus Among Us with Dr. Ilan Schwartz MD

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)

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Show Segments




Intro
Case
Screening for mania
History for diagnosing bipolar disorder
Definition
Mimickers
Treatment
Outro



Credits




Written and Produced by: Deborah Gorth MD, PhD 
Infographic and Cover Art: Deborah Gorth MD, PhD and Meryl Gorth MPH, RD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Deborah Gorth MD, PhD 
Reviewer: Molly Heublein MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest:   Kevin Johns 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: Locumstory

Get a comprehensive view of locums at locumstory.com. 


Sponsor: Uncommon Goods

To get 15% off your next gift, go to uncommongoods.com/CURB.

#415 Bipolar Disorder With Dr. Kevin Johns

We’re taking a short break, but we’ll be back next week with a brand-new episode. Can’t wait? Join our Kashlak family at patreon.com/curbsiders for access to twice-monthly bonus episodes… there are already 15 of them available to feed your brain hole! Yummy!

Tighten up your glute-n facts!

Take control of celiac disease (CD) with gastroenterologist, Dr. Amy Oxentenko (Chair of Medicine at Mayo Clinic AZ, @AmyOxentenkoMD). Learn how to recognize both classic and non-classical features of CD and  understand diagnostic testing, management and proper follow-up for patients.

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

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Show Segments




Intro, disclaimer, guest bio
Guest one-liner, Picks of the Week
Case from Kashlak; Definitions
Workup for a typical celiac patient
Nonclassical features of CD
When to do a small bowel biopsy
Management of CD
Considerations for atypical celiac patient and differentials
Non-celiac gluten sensitivity
Outro



Credits




Production and Script: Matthew Watto MD, FACP
Production, Show Notes and Infographics: Edison Jyang
Cover Art: Kate Grant MBChB, MRCGP, DipGUMed
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Beth Garbitelli   
Reviewer: Emi Okamoto MD
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

Guest: Amy Oxentenko MD, FACG


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