#97 Hotcakes: Hypertension, Prostate Cancer Screening, Lifestyle & Mortality
Keep current with this monthly journal club covering landmark articles through May 2018, plus rapid fire hot takes from the medical literature and health news. We rate each article according to a highly scientific ‘Hotcakes’ scale to highlight what practice-changing knowledge we’ll take to work this month. Topics: Hypertension, blood pressure monitoring, prostate cancer screening, Intimate Part...
39m May 28, 2018
39m
#96 Diabetes: A1C targets & ACP guidelines controversy
Get schooled on hemoglobin a1c targets in type 2 diabetes mellitus by American College of Physicians guidelines coauthor, Devan Kansagara MD MCR, Associate Professor of Medicine, Oregon Health Sciences University. We summarize outcomes from the landmark diabetes trials (ACCORD, ADVANCE, VADT, UKPDS 33 & 34), how a1c targets effect microvascular and macrovascular events, estimating life expectan...
50m May 21, 2018
50m
#95 Food allergy, food intolerance and celiac disease
Separate the wheat from the chaff when it comes to food allergy, food intolerance, and celiac disease. Featuring renowned gastroenterologist and current president of the American Gastroenterological Association, Dr. Sheila Crowe (http://www.gastro.org/about/people/president-elect) MD FRCPC FACP FACG AGAF, we discuss how to differentiate a food allergy from an intolerance, what diagnostic testin...
58m May 14, 2018
58m
#94: Random Pearls: Microbiome, POTS, Gabapentin, and Leonardo Da Vinci
A random serving of knowledge food for your brain hole with returning guest, Dr. Alan Dow, Professor of Internal Medicine at Virginia Commonwealth University School of Medicine. Our final live recap show from ACP 2018 covering: human microbiome, copper deficiency, POTS syndrome, substances of abuse, drugs for delirium and how to be more like Leonardo Da Vinci. Please let us know what you liked,...
29m May 07, 2018
29m
#93 Clinical Pearls ACP 2018 with Nina Mingioni MD
A fast moving recap of hot topics and clinical pearls live from Internal Medicine’s largest national conference, ACP 2018 in New Orleans! Dr. Nina Mingioni, Clinical Associate Professor and director of Undergraduate Medical Education in Internal Medicine at Thomas Jefferson University Hospital serves up some knowledge food for our brain holes. Topics: the athlete as a patient, sports physicals,...
32m Apr 30, 2018
32m
#92: Pulmonary Embolism for the Internist
Wow the crowd with your knowledge of pulmonary embolism! What are the red flags? What tools are available to guide you? How on Earth do you triage a patient with pulmonary embolism (PE)? What exactly is the RV spiral & how do PEs really cause morbidity and mortality?! Get schooled by pulmonary embolism expert, Dr. Oren Friedman (https://twitter.com/OrenFriedman) , associate director of the Card...
57m Apr 23, 2018
57m
Random Clinical Pearls ACP 2018 Day 2
Random clinical pearls from day 2 of ACP 2018 live in New Orleans. Topics include: Perioperative medicine, DOACs, anticoagulation, reversal agents, ACP statements on hidden curriculum, physician well being and burnout, modeling behavior, dermatology pearls, rashes, venous stasis ulcers, pentoxifylline, biotin and Grave's disease, dermatology pearls, Stuart's tips on sports doping, and how choco...
23m Apr 21, 2018
23m
Random Clinical Pearls ACP 2018 Day 1
The Curbsiders share random clinical pearls from day 1 of ACP 2018 live in New Orleans. Topics covered include: breast density and cancer risk, patients before paperwork, diverticulitis, social determinants of health, migraine prevention, PrEP and thunderclap headaches. Doctors Chris Chiu and Chris Thrash join us on air to discuss their favorite teaching points from today's sessions. Join (htt...
18m Apr 20, 2018
18m
#91 Hotcakes: Fluid Wars, Barbershops, HTN, Aromatherapy, Coffee
Keep up-to-date with this fast moving discussion of recent journal articles and thought-provoking headlines in medicine. Welcome to the first-ever Curbsiders journal club covering landmark articles from March to April 2018, plus rapid fire hot takes and the unveiling of our new hotcake based rating system. Please let us know what you liked, didn’t like and how we can make this better next month...
34m Apr 16, 2018
34m
#90 Clinical Reasoning: Become an expert diagnostician
Become an expert diagnostician like Dr Gurpreet Dhaliwal, Professor of Medicine at UCSF. Join us for this deep dive into clinical reasoning and how doctors think! Topics include: how to improve your own clinical reasoning and diagnostic skills, how to teach these skills, and the initial steps to building your own expertise/mastery in clinical medicine! Dr. Osler once admonished his students to ...
1hr 4m Apr 09, 2018
1hr 4m
#89 Conjunctivitis: Red Eye in Pr-eye-mary Care with Dr Glaucomflecken
Revolutionize your approach to the red eye in pr-eye-mary care! Dr. Glaucomflecken (https://twitter.com/DGlaucomflecken) (of GomerBlog (https://t.co/Enk2wCfMNX) /Twitter--fame) teaches us to recognize and manage common eye complaints. You’ll develop an approach to diagnosing and treating your patient with the dreaded red eye. We answer: What presentations should have us running down the hallway...
58m Apr 02, 2018
58m
#88 Acid base, boy bands, and grandfather clocks with Joel Topf MD
Dominate acid-base disturbances with the wisdom of @kidney_boy (https://twitter.com/kidney_boy) aka Joel Topf, MD, Chief of Nephrology at Kashlak Memorial Hospital.  Master his 5 key steps for interpreting acid-base disorders and decode any ABG, VBG, and BMP to find the primary disorder, and any other disorders tucked away in the ABG! Plus: Henderson-Hasselbach and pH simplified; the anion gap,...
1hr 33m Mar 26, 2018
1hr 33m
#87 Toxicology 101: Talking Tox with The Dantastic Mr. Tox & Howard
Want to look cool like a toxicology consultant, sipping coffee on rounds? Ever check a patient for armpit sweat? Learn the secrets of tox from the titans of toxicology podcasting, The Dantastic Mr. Tox & Howard (AKA Dr. Dan Rusyniak and Dr. Howard Greller), as they loquaciously dish on all things tox. Topics include: how to approach the patient with an unknown overdose, are toxidromes clinicall...
1hr 19m Mar 19, 2018
1hr 19m
#86 COPD: Diagnosis, treatment, PFTs, and nihilism
Take a deep breath and tune in to this week’s episode full of COPD diagnosis and management pearls, with expert Dr. Denitza Blagev, a pulmonologist, intensivist, and Medical Director for Quality, Speciality Care at Intermountain Healthcare in Utah with a particular interest in physician wellness and issues related to women in medicine. We cover: history taking, interpreting PFTs, patient counse...
1hr 20m Mar 12, 2018
1hr 20m
#85: Contraceptives: Pills, mini pills, and tiny pills
Contraception simplified with clinical pearls from reproductive health and family planning experts, Dr Angeline Ti, and Dr Moira Rashid. We cover it all including: the menstrual cycle, mechanism of action for various methods of birth control, hormonal versus nonhormonal contraceptives (e.g. intrauterine devices, patches, pills, rings, implants), patient counseling, and lots of resources to make...
1hr 5m Mar 05, 2018
1hr 5m
#84: Anemia, Iron Deficiency, IV iron, and Tony Stark
Abolish anemia, and iron deficiency w/tips on IV iron therapy from real life iron man, Michael Auerbach, MD, FACP, Clinical Professor of Medicine Georgetown University School of Medicine. Topics include oral versus IV iron therapy, safety of IV iron, ferritin cutoffs, and how to diagnosis/ treat iron deficiency in patients with chronic inflammation, chronic kidney disease, pregnancy, heart fail...
1hr 2m Feb 26, 2018
1hr 2m
#83 Valvular heart disease, anticoagulation, TAVR, and primary care
Get the latest on valvular heart disease: TAVR vs SAVR, choice of valve type, rheumatic heart disease, antibiotic prophylaxis for endocarditis, who needs an echocardiogram, and anticoagulation goals with tips from cardiologist, Dr Eli Gelfand, Section Chief of General Cardiology at Beth Israel Deaconess Medical Center in Boston and an Assistant Professor of Medicine at Harvard Medical School. C...
1hr 8m Feb 19, 2018
1hr 8m
#82 Dementia Dos and Don’ts: The GeriSiders
Challenge your beliefs on the efficacy of pervasive treatments used in dementia with expert Eric Widera, MD, Professor and clinician-educator in the Division of Geriatrics at the University of California-San Francisco. We explore the use of cholinesterase inhibitors, antipsychotics for behavior disturbances, feeding tubes, medications and supplements used for weight gain (inspired by Choosing W...
1hr 21m Feb 12, 2018
1hr 21m
#81: Placebos, nocebos, and the doctor as a placebo
Boost treatment efficacy and amplify the “doctor as a placebo” phenomenon with tips from placebo expert (and ex-cartoonist), Mark W. Green, MD, Director of Headache/Pain Medicine and Professor of Neurology, Anesthesiology, and Rehabilitation Medicine at the Icahn School of Medicine at Mount Sinai. Topics include: What’s that pesky sugar pill actually doing to us? Why do we get a boost from taki...
53m Feb 05, 2018
53m
#80 Pulmonary hypertension, freeways, and cows in heart failure
Pulmonary hypertension deconstructed with clinical pearls from cardiologist, John J. Ryan MD, FACC, FAHA, director of University of Utah Pulmonary Hypertension Center. We discuss classification, diagnosis/differentiation, initial workup, additional testing, echo findings, how to counsel patients with pulmonary hypertension, and why cows never get ankle edema! Written and produced by: Jordana K...
1hr 2m Jan 29, 2018
1hr 2m
#79 Dermatitis: Atopic to Remember w/The DermSiders
Differentiate, diagnose, and treat the various forms of dermatitis and stop the ‘itch that rashes’ with this in-depth, myth-busting episode of “The Dermsiders” with Dr. Kalman Watsky Clinical Professor of Dermatology at Yale Medical School. Topics include: how to differentiate between and diagnosis various forms of dermatitis, topical therapies, common pitfalls, patch testing, and more! Special...
1hr 13m Jan 22, 2018
1hr 13m
#78 ID Pearls with Paul Sax MD
It's a potpourri of Infectious Diseases with tips from expert, Dr Paul Sax, MD, Clinical Director of the Division of Infectious Diseases at Brigham and Women's Hospital, and Professor of Medicine at Harvard Medical School. We discuss the man flu, the flu vaccine, travel medicine, malaria, lyme disease, post lyme syndrome, chronic lyme, shingles, cellulitis, abscesses, antibiotics, c diff, antib...
1hr 6m Jan 15, 2018
1hr 6m
#77 Hypertension Guidelines Showdown
Ease the tension around blood pressure goals in older adults and get inside the hypertension guidelines released by the ACP and ACC/AHA in 2017 with the sagacity of Dr. Mary Ann Forciea, MD, MACP, Professor of Medicine at University of Pennsylvania. We cover: how to properly measure blood pressure, how to diagnose hypertension, blood pressure targets, why BP goals differ by society, how to guid...
1hr 15m Jan 08, 2018
1hr 15m
#76 Pneumonia Pearls with Dr Robert Centor
Conquer community acquired pneumonia and avoid misdiagnosis with tips from Dr. Robert Centor, Professor Emeritus University of Alabama and newly appointed Chair of Medicine at Kashlak Memorial Hospital. We discuss diagnosis, misdiagnosis, procalcitonin, steroids for severe pneumonia, pneumonia severity index versus CURB-65, and how to determine antibiotic choice and duration. Special thanks to ...
1hr 7m Jan 01, 2018
1hr 7m
#75 Recap, highlights, and clinical pearls extravaganza for The Curbsiders 2017
Join us for this recap of the key clinical pearls and favorite fan voted episodes from 2017 including: lipids, asthma, diuretics, hyponatremia, CKD, vertigo, and dizziness. Plus, Picks of the Year, exciting announcements for 2018, and Paul reveals that he has a wife! Matt, and Paul are joined by Curbsiders Correspondent, Dr. Chris Chiu, who wrote and produced this episode. Stuart was out with t...
1hr 9m Dec 25, 2017
1hr 9m
#74 Opioid use disorder, pain, detox, tapers, health policy, and more!
Combat opioid use disorder and the opioid epidemic as we review common clinical scenarios with addiction medicine specialists,  Dr. Stefan Kertesz (https://www.uab.edu/medicine/dopm/primary-faculty-menu/kertesz) , University of Alabama at Birmingham School of Medicine and Dr. Ajay Manhapra from the VA Hampton Medical Center in Hampton,Virginia. We need all hands on deck, and that means you! Lea...
1hr 15m Dec 22, 2017
1hr 15m
#73: Opioid Addiction, Chronic Pain, and Abstinence
Take the pain out of pain management with clinical pearls from addiction medicine specialists Dr. Stefan Kertesz (https://www.uab.edu/medicine/dopm/primary-faculty-menu/kertesz) at the University of Alabama at Birmingham School of Medicine and Dr. Ajay Manhapra from the VA Hampton Medical Center in Hampton, Virginia. They walk us through an approach to pain management in persons with a history ...
55m Dec 18, 2017
55m
#72 Transgender Care in Primary Care
Trans patients need excellent primary care and you can provide it with expert tips from endocrinologists, Dr Vin Tangpricha, Professor of Medicine at Emory University School of Medicine, and Dr Jeffrey Colburn, Assistant Professor of Medicine at Uniformed Services University. Learn practical tips in caring for transgender patients including: defining terms like gender dysphoria, gender nonconfo...
1hr 1m Dec 11, 2017
1hr 1m
#71 Asthma Made Simple
Knock the wind out of asthma with tips from Dr Denitza Blagev, a pulmonologist and intensivist who currently serves as Director for the Schmidt Chest Clinic at Intermountain Medical Center in Murray, Utah. We simplify the approach to diagnosis, spirometry, patient counseling, choice of agent, stepwise therapy, and de-escalation...plus, a little myth busting. Special thanks to Dr Cyrus Askin for...
1hr 2m Dec 04, 2017
1hr 2m
#70 KevinMD: Kevin Explains Everything
Dr Kevin Pho, founder KevinMD.com “Social Media’s Leading Physician Voice" (https://www.kevinmd.com/blog/) schools Matt, Paul and Stuart on a potpourri of topics including physician advocacy, the dangers and benefits of social media, the pros and cons of electronic health records, health policy, health advocacy and lastly primary care and the integration of advanced practice providers/clinician...
58m Dec 01, 2017
58m
#69 CKD: Prescribing Do’s and Dont’s with @kidney_boy, Joel Topf
Making all your nephrology dreams come true with part 2 of our interview with  @kidney_boy (https://twitter.com/kidney_boy) , Joel Topf, MD Salt Whisperer (http://www.pbfluids.com) and Chief of Nephrology at Kashlak Memorial Hospital. Flush away your bad prescribing habits when it comes to nephrotoxic drugs in this fast paced run down of the medications which must stay on or off Santa’s naughty...
41m Nov 27, 2017
41m
#68 Tremors: One degree of Kevin Bacon?
Steady your hand and annihilate tremor with tips from Neurologist, and Movement Disorder specialist, Andres Deik, MD, Assistant Professor of Clinical Neurology at Kashlak Memorial Hospital (we can’t tell you where he really works: ) We teach you to differentiate benign causes of tremor from Parkinson’s disease with simple history and physical exam skills, plus nonpharmacologic and pharmacologic...
1hr 3m Nov 20, 2017
1hr 3m
#67 Chronic Kidney Disease Pearls with @kidney_boy, Joel Topf
Take control of chronic kidney disease with tools, and tips from @kidney_boy (https://twitter.com/kidney_boy) , Joel Topf, MD Salt Whisperer (http://www.pbfluids.com) and Chief of Nephrology at Kashlak Memorial Hospital. Learn which equation is best for eGFR, how to counsel patients about progression/prognosis, how to monitor patients in CKD, and who needs a referral to Nephrology. Special than...
44m Nov 13, 2017
44m
#66 Hepatitis C: Workup and Treatment in Primary Care
Hiding from Hep C? Dive in with experts Dr. Gina Simoncini, MD, MPH Associate Professor of Clinical Medicine at Temple University Hospital, & Dr. David Koren, PharmD, BCPS, AAHIVP,  board-certified pharmacotherapy specialist and infectious diseases clinical pharmacist at Temple University Hospital. They walk us through a simplified approach on whom to screen, how to start antiviral therapy, wha...
54m Nov 06, 2017
54m
#65 Scott Weingart of EMCrit on Emergency versus Internal Medicine: The Devil of the Gaps
Fighting with Emergency Medicine colleagues is stupid. Learn how EM doctors think and avoid the petty infighting with tips from Dr. Scott Weingart, MD FCCM  FUCEM (https://lifeinthefastlane.com/ucem/mission-statement/) DipHTFU, host of the EMCrit podcast, Clinical Associate Professor and Chief, Division of Emergency Critical Care at Stony Brook Hospital, NY. We discuss decision making, how to a...
52m Oct 30, 2017
52m
#64 Stuff You Should Know About Health Policy
Get schooled on medical homes, payer reform, and what the future might look like for primary care with Dr. Sue Bornstein, MD, FACP and Executive Director of the Texas Medical Home Initiative and Chair of the Health and Public Policy Committee at the ACP. Dr Alex Lane of Cooper University Hospital joins Matt as cohost! Full show notes available at http://thecurbsiders.com/podcast Join (http:/...
50m Oct 27, 2017
50m
#63 Medical Marijuana: Is it really dope?
Expand your consciousness around medical cannabis (aka marijuana) with expert Dr Donald Abrams, Chief of the Hematology-Oncology Division at San Francisco General Hospital and a Professor of Clinical Medicine at the University of California San Francisco. We explain the cannabinoid system, THC, CBD aka cannabidiol, limitations surrounding cannabis research, current and future medical uses for m...
51m Oct 23, 2017
51m
#62 Pod Save Health Care: The Curbsiders Foray into health policy
Remedy your ignorance as we review some basics of health care policy with Dr. Fatima Syed, Chair of the Council of Residents and Fellows for the American College of Physicians. Dr. Syed is early career physician whose work is already affecting health policy at a national level. You can do it too and we’ll teach you where to start along with defining basic, but poorly understood concepts like Th...
37m Oct 16, 2017
37m
#61 Vasculitis and Giant-Cell Arteritis: ‘Rheum’ for improvement
Keep your cool in the face of inflammation, and make the path to vasculitis diagnosis less tortuous with Dr. Rebecca Sharim, Rheumatologist and Assistant Professor of Medicine at Temple University. In this episode, we go with the flow from large vessel to small vessel vasculitides, and then learn how to make the diagnosis and management of Giant Cell Arteritis (GCA) and polymyalgia rheumatica (...
55m Oct 09, 2017
55m
#60: Masters of MKSAP on Medical Education
How to individualize learning for yourself, and your learners with tips from Dr. Philip A. Masters (https://www.acponline.org/about-acp/acp-international/acp-international-newsletter/philip-a-masters-md-facp-vice-president-of-membership-and-international-programs) , editor-in-chief of MKSAP and IM Essentials, Vice President of Membership/International Programs at the American College of Physici...
55m Oct 02, 2017
55m
#59: Back pain and Sciatica: Straighten out your practice
Solidify your approach to back pain and sciatica with Dr. Chris Miles, Assistant Professor, Family & Community Medicine and Associate Director, Sports Medicine program, Wake Forest Baptist Medical Center. He schools us on red/yellow flags, physical exam maneuvers, when to order imaging, and practical tools and tips for evidence-based management! Correspondent Dr. Shreya Trivedi cohosts! Full s...
1hr 10m Sep 25, 2017
1hr 10m
#58: Concussion, traumatic brain injury, and post-concussive syndrome
Summary: Get a-HEAD of concussions (aka traumatic brain injuries) with tools, tips, and tricks from The Concussion Guy (http://concussionguy.com) , Dr. Evan Ratner, Medical Director of Gridiron Heroes (https://www.gridironheroes.org/) . Learn to recognize concussions/traumatic brain injury, what questions to ask, physical exam maneuvers, and how to counsel patients and families on safe return-...
1hr 13m Sep 18, 2017
1hr 13m
#57: Polypharmacy and deprescribing Part 2: More thinking and thoughts
Improve your prescribing practices with tips from The Curbsiders as Matt, Stuart and Paul “Pwilliams” discuss safe prescribing in frail, older adults with diabetes, chronic kidney disease, hypertension, and/or dementia in this part two episode on polypharmacy and deprescribing. Full show notes available at http://thecurbsiders.com/podcast Join (http://eepurl.com/cAE9LP) our mailing list and r...
24m Sep 15, 2017
24m
#56: Polypharmacy and deprescribing Part 1: Living better through chemicals
Avoid common pitfalls, recognize prescribing cascades, and deprescribe like a champ with tips from Clinical Pharmacist, Dr. Sean M. Jeffery (https://integratedcarepartners.org/clinical-integration/pharmacy-services/dr-sean-m-jeffery) , Clinical Professor of Pharmacy at the University of Connecticut School of Pharmacy, and Chair of the Polypharmacy Special Interest Group for the American Geriatr...
52m Sep 11, 2017
52m
#55: Eating disorders: Specified and Not Otherwise Specified
Enhance your skills in the identification and management of eating disorders with clinical pearls from Dr. Rosalind Kaplan (http://hospitals.jefferson.edu/find-a-doctor/k/kaplan-rosalind-d.html) , Clinical Associate Professor of Medicine at Thomas Jefferson University and a Primary Care Physician in Jefferson Women's Primary Care. We learn who to screen for eating disorders, what questions to a...
1hr 16m Sep 04, 2017
1hr 16m
#54: Upper Respiratory Infections: Coughs, colds, gargling, and antibiotic underuse?!
Don’t miss life threatening upper respiratory infections, and stop underusing antibiotics with tools and tips from our wonderful guests: Dr. Robert Centor, Professor of Medicine at University of Alabama, known for developing the Centor Criteria for pharyngitis, and his excellent blog (http://www.medrants.com) and Twitter feed @medrants (https://twitter.com/medrants) ; and Dr. Alexandra Lane, As...
1hr 8m Aug 28, 2017
1hr 8m
#53: Urinary Incontinence: Tips and strategies to stay dry.
Get control of urinary incontinence with tips from Internist and Women’s Health Specialist, Dr. Molly Heublein, Assistant Clinical Professor of Medicine at UCSF. This is a must listen if you’re still uncomfortable managing urinary incontinence. We learn nonpharmacologic strategies like pelvic floor muscle therapy, bladder training, timed voiding, foods to avoid, and run through the available me...
59m Aug 21, 2017
59m
#52: Anemia: Tips, and tools for diagnosis and treatment
Master the anemia algorithm, and take a deep dive on iron deficiency, anemia of chronic kidney disease, anemia of chronic inflammation, causes of macrocytic anemia and more in this discussion with international expert, Dr. David P. Steensma, Senior Physician from Dana Farber Institute, and Associate Professor of Medicine at Harvard Medical School. Full show notes available at http://thecurbsid...
1hr 6m Aug 14, 2017
1hr 6m
#51: Diabetes treatment in 2017: New meds, insulin, and cardiac risk reduction
Get cozy with these new drugs for diabetes. Don’t be scared, they won’t bite. On this episode,  we interview Endocrinologist and current president of AACE, Dr. Jonathan D. Leffert, MD, FACP, FACE, ECNU about how to utilize the myriad of new diabetes drugs on the marketplace including SGLT2 inhibitors, DPP4 inhibitors, GLP1 agonists, and new ultra long acting insulins. Plus, we’ll teach you how ...
47m Aug 07, 2017
47m
#50: How to read the medical literature like a journal editor
Master this practical approach to reading the medical literature (*No statistics needed!) with expert tips from Dr. Christine Laine (http://annals.org/aim/pages/biography) , Editor in Chief, Annals of Internal Medicine, and Dr. Darren Taichman (http://annals.org/aim/pages/biography) , Executive Deputy Editor, Annals of Internal Medicine. They teach us what we should be reading, and detail their...
56m Jul 31, 2017
56m