The Curbsiders Internal Medicine Podcast

Join us as we review and appraise recent practice-changing articles on oral semaglutide for obesity, fish oil in ESRD, IV iron during infection, the new US Dietary Guidelines, & anticoagulation after ablation in AFib. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), Josh Gilman, & Matt Watto (@doctorwatto).
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Credits

Written and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Joshua Gilman, MD, & Matthew Watto MD, FACP

Cover Art: Rahul Ganatra, MD MPH

Reviewer: Emi Okamoto, MD

Technical Production: Pod Paste

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

Intro, disclaimer

Oral Semaglutide for obesity

Fish Oil for CV risk reduction in hemodialysis patients

IV Iron for iron deficiency anemia during infection

New USA Dietary Guidelines

Anticoagulation after catheter ablation for AF

Outro

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We have another classic episode for you. Master inpatient heart failure management! Learn key tips for initiating guideline-directed medical therapy, diuretic therapy pearls, and ensuring smooth transitions of care. We are joined by Dr. Gurusher Panjrath @PanjrathG (GW School of Medicine and Health Sciences-Dr. Panjrath)
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Show Segments

Intro

Rapid Fire Questions/Picks of the Week

Case Aliquot 1

Defining Heart Failure

POCUS in Heart Failure

Timing/Indications for Echocardiography

Initiating Diuretic Therapy

Adjusting Diuretic Therapy/Drip vs Bolus

Adjunct Diuretic Therapy

Afterload Reduction

Monitoring Diuretic Response

Inpatient Sodium and Fluid Restriction

Case Aliquot 2

Classifying Heart Failure

Pharmacotherapy for HFrEF

Pharmacotherapy for HFpEF

Ischemic Evaluation

Interval Summary/Highlights

Case Aliquot 3

Considerations for Initial Care of Cardiogenic Shock

Choosing Inotrope/Vasopressor

Right Heart Catheterization

Case Aliquot 4

Discharge Medications for Heart Failure

Titration of Goal Directed Medical Therapy

Post Discharge Follow Up

Washout Period for ACEi/ARB

Cost/Barriers of ARNI

Patient Education

Take Home Points

Outro

Credits

Writer, Producer, and Show Notes by: Reaford Blackburn, Jr., MD

Infographic & Cover Art: Caroline Coleman MD

Hosts: Monee Amin, MD and Meredith Trubitt, MD   

Reviewer: Rahul Ganatra MD

Technical Production: PodPaste

Guest: Gurusher Panjrath, MD

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Dr. Fleseriu schools us on managing the unexpected
Become a master of pituitary incidentalomas. Learn about the hormonal workup and management of pituitary microadenomas, macroadenomas and empty sella syndrome and when surgery may be needed. We’re joined by Dr. Maria Fleseriu, @MariaFleseriu (Oregon Health and Science University)
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Show Segments

Intro

Rapid fire questions/Picks of the Week

Case 1

Defining Pituitary Incidentalomas

What is the difference between micro adenoma, macroadenoma and functional vs non-functional adenomas

Hormonal workup of microadenoma (assessing for hypopituitarism and hormonal excess)

Decided when to reimage patients and long term follow up of microadenomas

Case 2

Hormonal workup for pituitary macroadenoma

Deciding when surgery should be considered

Discussing the role of visual field testing

Case 3

Defining empty sella syndrome

Discussing hormonal assessment of empty sella syndrome

Treatment options for hyperprolactinemia caused by empty sella syndrome

Outro

Credits

Producer, writer, show notes, and CME: Mobeen Ahmad MD

Infographic and cover art: Kate Grant MBChb, MRCGP

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: Dr. Maria Fleseriu

Disclosures

Dr. Fleseriu reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 
Sponsor: Continuing Education Company

Curbsiders listeners, there’s a special offer: use promo code Curb30 for 30% off all online courses and webcasts. Visit CMEmeeting.org/curbsiders to learn more.

Sponsor: Mint Mobile

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Sponsor: Locumstory

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Sponsor: FIGS

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We have a classic episode for you. Master male hypogonadism diagnosis and management. Discover when and how to test, how to tackle confounding conditions, and why lifestyle changes may be more effective than testosterone therapy in certain patients. We are joined by Dr. Brad Anawalt, an expert in endocrine care, to guide us through the essentials.
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Show Segments

Intro

Case 1

History and Physical 

Laboratory Testing 

Effect of Lifestyle on Testosterone

Case 2

Prostate and Cardiovascular risk

Treatment Options and Considerations

Secondary Causes of Hypogonadism

Case 3

Testicular Size and Klinefelter Syndrome

hCG and Clomiphene

Monitoring and Follow-Up

Take-Home Points

Outro

Credits

Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD. 

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   

Reviewer: Sai S Achi MD, MBA, FACP

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Bradley D. Anawalt MD

Sponsor: Gusto

Try Gusto today at gusto.com/CURB, and get three months free when you run your first payroll.

Sponsor: Locumstory

Locumstory.com is literally just a free, unbiased resource dedicated to educating physicians about locums. 

Sponsor: MedStudy

MedStudy Qbank+ Study less. Remember more. Pass confidently. Medstudy.com/Curbsiders CURB15 for 15% off

Sponsor: The Sanford Guide

Curbsiders listeners can get 20% off the already very moderately priced yearly subscriptions directly at sanfordguide.com. Go to sanfordguide.com and use the code, CURB at checkout.

What Dreams May Come
Breeze through your next visit for insomnia. Learn how to comfortably approach insomnia and optimize sleep. We touch on specifics such as cognitive behavioral therapy for insomnia or the effects of various sleep-related drugs/supplements, and how to taper down from them. We are joined by Ashley E. Mason, PhD (UCSF).
Claim CME for this episode at curbsiders.vcuhealth.org!
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Show Segments

Intro

Case

Understanding patient’s goals

Cognitive behavioral therapy for insomnia

Stimulus control

Sleep Hygiene

Time-in-bed restriction

Impact of different medications/substances on sleep

Tapering off medications

Outro

Credits

Producer and Writer: Matthew Watto MD, FACP

Producer, Show Notes, Infographic, and Cover art: Edison Jyang, MD

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   

Reviewer: Sai S Achi, MD, MBA, FACP

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Ashley E. Mason, PhD

Disclosures

Dr. Mason has disclosed the following:
Financial Relationships: Evolve Global, consulting fee and stock options; Oura Health, consulting fee.
The Curbsiders report no relevant financial disclosures. 
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Take 15% off your first order at Wearfigs.com with the code FIGSRX.
Sponsor: Continuing Education Company

Visit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts. 
Sponsor: Mint Mobile
Shop Mint Unlimited Plans at mintmobile.com/CURB.