#201 COVID Narratives: Stories from Physicians at the Front Lines
Listen as the pioneers of the COVID pandemic share their experiences taking care of some of the first COVID patients in the US. Our guests have a broad range of expertise and experiences. This episode features hospitalist Dr. Francisco Alvarez (https://twitter.com/fnalvarez) (University of California at San Francisco, @fnalvarez), Infectious Disease fellow Dr. Karolina Maciag (https://twitter.c...
1hr 5m Mar 26, 2020
1hr 5m
#200 COVID-19 with Paul Sax MD - Transmission, quarantine, PPE, diagnosis and management
Practical tips and discussion of what we do and don’t know about COVID-19 transmission, testing, NSAIDs, ACE inhibitors, quarantine, treatment, personal protective equipment (PPE) and more with Paul Sax MD, @paulsaxMD (https://twitter.com/paulsaxmd?lang=en) (Brigham and Women’s Hospital/Harvard Medical School (http://researchfaculty.brighamandwomens.org/BRIProfile.aspx?id=2297) ). This episode ...
54m Mar 22, 2020
54m
#199 NephMadness: Hyperkalemia, Diet, Potassium Binders, Exercise
NephMadness 2020 is here (https://ajkdblog.org/tag/nephmadness2020/) ! Listen as Dr. Ryann Sohaney (@ryannsohaney (https://twitter.com/RyannSohaney) ), Dr. Deborah Clegg and Dr. Joel Topf (@kidney_boy (https://twitter.com/kidney_boy?lang=en) ) discuss this year’s first Nephmadness topic, Hyperkalemia in CKD. They will (1) review the use of potassium binders for management of hyperkalemia in CKD...
56m Mar 16, 2020
56m
#198 PCOS: Polycystic Ovary Syndrome with Katherine Sherif MD
Polycystic ovary syndrome (PCOS) is more common than we think!  Listen as our esteemed guest Dr Katherine Sherif (@katherinesherif (https://twitter.com/katherinesherif?lang=en) ) reviews common patient complaints that should trigger PCOS in the differential, its pathophysiology, key physical exam findings, an algorithm for lab evaluation for PCOS diagnosis, and common treatments (OCPs, metformi...
1hr 6m Mar 09, 2020
1hr 6m
#197 Pulmonary Nodules and Lung Cancer Screening with Denitza Blagev MD
Join us as we demystify the world of pulmonary nodules & lung cancer screening. During this episode, Dr. Denitza Blagev (@mybetterdoctor (https://twitter.com/mybetterdoctor) ) makes her triumphant return to The Curbsiders to help us tackle this topic. She is currently the Medical Director for Quality/Specialty-Based Care at Intermountain Healthcare and a Pulmonary & Critical Care physician. We ...
54m Mar 02, 2020
54m
#196 LIVE! Refugee Health with Tanuja Devaraj MD
Develop your approach to refugee health in the primary care setting.  We discuss important considerations for primary care of the refugee patient with Dr. Tanuja Devaraj (Penn State (https://hmc.pennstatehealth.org/display-provider/-/provider/7436/tanuja-devaraj-md) ), an internist with expertise in migration health.  We review barriers to primary care, how to take a migration history, and comm...
48m Feb 24, 2020
48m
#195 TWDFNR 3: Potassium, Oxygen, and antipsychotics
Discover common practices that persist in the hospital wards despite no proven benefit! We review how potassium replacement goals should not drive you bananas, extra oxygen should not give you comfort, and how you should maybe calm down with antipsychotics for delirium. Join returning guests: high-value care specialist Dr. Lenny Feldman (@DocLennyF (https://twitter.com/doclennyf) , Johns Hopkin...
1hr Feb 17, 2020
1hr
#194 Treatment of Alcohol Use Disorder with Dr. Marlene Martin MD
Dismantle alcohol use disorder with some evidence based tools for your toolbelt! We cover everything from ways to screen patients for risky drinking, to all the different treatment options with our guest expert Dr. Marlene Martin, @MarleneMartinMD (https://twitter.com/MarleneMartinMD) , Director of the Addiction Care Team and Assistant Professor of Clinical Medicine at the UCSF (https://profile...
54m Feb 10, 2020
54m
#193 LIVE! The Struggling learner with Dr. Melissa McNeil
Join us as we discuss how to approach “The Struggling Learner” with Dr. Melissa McNeil (@missydoc0128 (https://twitter.com/Missydoc0128) ), Professor Medicine and Associate Chief of General Internal Medicine at the University of Pittsburgh Medical Center (UPMC (https://profiles.dom.pitt.edu/dgim/faculty_info.aspx/McNeil4818) ), recorded LIVE in Pittsburgh, PA!  In this episode, we discuss how t...
57m Feb 03, 2020
57m
#192 Dialysis for the Internist with Joel Topf MD
Kidney Boy Returns! Compare the types of dialysis, learn how nephrologists approach medication management in ESRD, and avoid the most common mistakes non-nephrologists make in patients on dialysis! Kashlak Chief of Nephrology Dr. Joel Topf, @kidney_boy (https://twitter.com/kidney_boy?lang=en) , walks us through what you need to know to take care of a patient on dialysis and gives us an idea of ...
1hr 12m Jan 27, 2020
1hr 12m
#191 Lipids Update with Erin Michos MD
Lipids Update! Get up close and personal with ASCVD prevention and lipid management guidelines, including changes in the 2018 update, with our discussion with Dr. Erin Michos @erinmichos (https://twitter.com/ErinMichos) , preventive cardiologist and associate professor of medicine at the Johns Hopkins University Hospital! We review the background on the ASCVD risk calculator, basics of primary ...
1hr 12m Jan 20, 2020
1hr 12m
REBOOT #137 Hyperkalemia Master Class with Joel Topf MD
A Curbsiders classic with a fresh intro by Hannah Abrams @hannahRabrams (https://twitter.com/hannahrabrams?lang=en) (soon to be MD)! Master the management of hyperkalemia with tools, tips and tactics from @kidney_boy (https://twitter.com/kidney_boy?lang=en) , Joel Topf MD, Chief of Nephrology @KashlakHospital. We cover: common causes of hyperkalemia; the U-shaped curve of potassium levels and m...
1hr 17m Jan 13, 2020
1hr 17m
REBOOT #129 Depression and Physician Suicide with Elisabeth Poorman MD
Beth Garbitelli and Nora Taranto MD add a new intro and share their own insights on this Curbsiders classic! Physician suicide is a problem. There, we said it. We all have that story; Many of us have experienced the symptoms of depression or suicidal ideation ourselves, or have the colleague, mentor, friend, teacher, sibling, parent, or significant other who has experienced these signs and sym...
1hr 17m Jan 06, 2020
1hr 17m
#190 Recap Extravaganza 2019
Recap extravaganza 2019 featuring top pearls from our staff’s favorite episodes of 2019 and voicemails from Kashlak faculty, Dr. Avital O’Glasser (@aoglasser (https://twitter.com/aoglasser?lang=en) ), Dr. Kimberly Manning (@gradydoctor (https://twitter.com/gradydoctor?lang=en) ), Dr. Renee Dversdal (@DrSonosRD (https://twitter.com/drsonosrd?lang=en) ) and The Curbsiders team. Topics include: HF...
1hr 5m Dec 30, 2019
1hr 5m
#189 Medical Overuse: Common Cases of Overtesting, Overdiagnosis, Overtreatment
Team up with the authors of the JAMA Medicine series on Medical Overuse, Dr. Dan Morgan @dr_dmorgan (https://twitter.com/dr_dmorgan) (University of Maryland) and Dr. Deborah Korenstein @DKorenstein (https://twitter.com/DKorenstein) (Memorial Sloan Kettering). We discuss procalcitonin (again!), the dangers of incidentalomas, risks of chest CT for lung cancer screening, the easiest place to get a...
1hr 4m Dec 23, 2019
1hr 4m
#188 GERD and Dyspepsia with Dr. Amy Oxentenko MD
Delve into the diagnosis and management of GERD and dyspepsia with Dr. Amy Oxentenko (@AmyOxentenkoMD (https://twitter.com/amyoxentenkomd?lang=en) ), Gastroenterologist and the Internal Medicine Residency Program Director, Associate Chair for the Department of Internal Medicine, and Professor of Medicine at Mayo Clinic in Rochester, MN. Our discussion features a review of the standard presentat...
1hr 22m Dec 16, 2019
1hr 22m
#187 Buprenorphine Master Class: Managing Opioid Use Disorder for the Generalist
How to initiate buprenorphine like a pro. Treating people with Opioid Use Disorder can be the most rewarding part of your practice!  Get comfortable with counseling and pharmacotherapy for OUD with tips from Dr. Michael Fingerhood, Associate Professor of Medicine at Public Health at Johns Hopkins.  We review building a therapeutic relationship with people with substance use disorders, the diffe...
1hr 4m Dec 09, 2019
1hr 4m
#186 Sarcopenia: Raising the Bar in Primary Care
Make some gains with Drs. Feigenbaum (@Jordan_theCoach (https://twitter.com/Jordan_theCoach) ) & Baraki (@AustinBaraki (https://twitter.com/AustinBaraki) ) of Barbell Medicine (https://www.barbellmedicine.com/blog/tag/podcast/) as we delve into the topic of sarcopenia! Together we’ll learn what exactly is sarcopenia, how it is diagnosed, and explore approaches to both management and counseling ...
1hr 11m Dec 02, 2019
1hr 11m
#185 Hotcakes: Updates on CAP, Asthma & Red Meat!
“Guidelines” galore! From Community-Acquired Pneumonia to asthma to...red meat? While you may be listening to this around Thanksgiving, we actually recorded on October 30th‒the best and spookiest time of the year. To really set the mood I wanted to include some terrible skeleton puns, but the ones I found weren’t humerus. What we do have for you are some tasty knowledge treats, courtesy of our ...
55m Nov 27, 2019
55m
#184 Update in Sleep Medicine: LIVE from CHEST 2019!
Score some great insights and clinical pearls from Dr. Christine Won on the incredibly important topic of sleep medicine during this live recording at CHEST! On this episode we’ll tackle why we sleep, how to treat insomnia, the “Z-drugs” and more! ACP members can claim CME-MOC credit at https://www.acponline.org/curbsiders (CME goes live at 0900 ET on the episode’s release date).  Show Notes (...
58m Nov 25, 2019
58m
#183 Longevity, Healthspan and Lifespan with Peter Attia MD
We want to live longer… and healthier too! Dr Peter Attia, a physician focusing on the applied science of longevity, walks us through lifespan and healthspan, exploring tactics aimed at extending both. Listeners will challenge the conventional approach to primary care and explore tactics to optimize exercise, nutrition, and health, including counseling on different dietary patterns, fasting, ex...
1hr 9m Nov 18, 2019
1hr 9m
#182 Becoming a PGY3: Not Just a Repeat of PGY2
This podcast covers several concrete steps that residents can do or program directors can suggest to help residents transition to assuming the role of PGY3. A year is a long time, but requires a strategic approach to ensure that residents get the most out of it. It’s our latest offering from ACP’s IMpower series for residents (https://www.acponline.org/about-acp/about-internal-medicine/career-p...
1hr 1m Nov 11, 2019
1hr 1m
#181 The Multimorbidity Games
Learn how to approach the geriatric patient with multimorbidity and how to parse through and prioritize a mile-long problem list with Dr Josh Uy, master geriatrician at the University of Pennsylvania. We review different approaches to a clinic visit with a patient who takes fifteen daily medications with just as many chief complaints, all in a thirty minute (or less!) appointment time. We discu...
1hr Nov 04, 2019
1hr
#180 CHEST 2019 Recap Part 2
CHEST 2019 Recap Part 2 featuring random pearls and highlights from #CHEST2019 (https://twitter.com/hashtag/chest2019) in New Orleans including: tips for addressing futile end-of-life care, bleeding in the ICU, DOAC reversal agents, use of procalcitonin and monocyte distribution width to identify sepsis, vitamin C for sepsis treatment, small particles and lung cancer risk, augmented reality/vir...
57m Oct 30, 2019
57m
#179 CHEST 2019 Recap Part 1
Recap of random pearls and highlights from #CHEST2019 (https://twitter.com/hashtag/chest2019) including: A pop quiz on inhaler use, interstitial lung disease, pulmonary fibrosis (IPF), limitations of supplemental oxygen, lung cancer screening, imposter syndrome, and is it safe to use beta blockers in COPD.  Special thanks to Dr. Bill Kelly (https://chestmeeting.chestnet.org/2019/10/14/chest-20...
47m Oct 28, 2019
47m
#178 Tuberculosis Updates with Laila Woc-Colburn MD
Catch up on the latest guidelines and insights on tuberculosis with help from Dr. Laila Woc-Colburn, @docwoc71 (https://twitter.com/DocWoc71) (Baylor (https://www.bcm.edu/people/view/laila-woc-colburn-m-d-dtm-amp-h-facp-fidsa/b27e886c-ffed-11e2-be68-080027880ca6) )! We cover new recommendations for screening health care workers, treatment of both latent and active TB, and best practices for cou...
1hr 12m Oct 21, 2019
1hr 12m
#177 Osteoarthritis Master Class with Tuhina Neogi MD, PhD
ACR osteoarthritis guidelines author, Dr. Tuhina Neogi (Boston University (https://www.bumc.bu.edu/busm/profile/tuhina-neogi/) ; @tuhinaneogi (https://twitter.com/tuhinaneogi) ) schools us on all things OA, including new understandings of pathophysiology, diagnosis, when to order imaging and labs, and an overview of pharmacologic and nonpharmacologic therapies. Plus, get answers to your questio...
1hr 13m Oct 14, 2019
1hr 13m
In-Flight Emergencies REBOOT
Dominate the most common in-flight emergencies with tools and tips from this classic Curbsiders episode. Our guest, Angelica Zen MD (https://mydoctor.kaiserpermanente.org/ncal/providers/angelicazen) , (formerly an IM Chief Resident at UCLA), recounts a harrowing tale of heroism at 30,000 feet and schools us on how to throw down in an in-flight emergency. We review what’s available in the standa...
39m Oct 07, 2019
39m
#176 Survive Intern Year: Becoming a PGY1
Tools, tips and tactics to survive intern year from Alex Glaser MD (PENN (https://www.pennmedicine.org/providers/profile/alexander-glaser) ) and Saumil Chudgar MD @saumilchudgar (https://twitter.com/saumilchudgar) (Duke (https://medicine.duke.edu/faculty/saumil-mahendra-chudgar-md) ). It’s our latest offering from ACP’s IMpower series for residents (https://www.acponline.org/about-acp/about-int...
59m Oct 02, 2019
59m
#175 Cervical Cancer Screening and HPV
We dive deep into the relationship between HPV and cervical cancer and identify when and how to screen women with tips from Dr. Karen Smith-McCune (UCSF (https://cancer.ucsf.edu/people/profiles/smith-mccune_karen.3673) ), Professor in the Department of Obstetrics and Gynecology! We review common cytology findings, screening guidelines, and basic indications for HPV vaccination.  Full show note...
59m Sep 30, 2019
59m
#174 Dominate Perioperative Medication Management
Dominate perioperative medication management with tips from Kashlak’s newly minted Chief of Perioperative Medicine, @aoglasser (https://twitter.com/aoglasser?lang=en) , Avital O’Glasser MD, FACP, FHM (OHSU (https://www.ohsu.edu/xd/education/schools/school-of-medicine/departments/clinical-departments/medicine/divisions/hospital-medicine/faculty/avital-oglasser.cfm) ). We cover perioperative anti...
1hr 31m Sep 23, 2019
1hr 31m
#173 Hotcakes: Imposter syndrome, Vacations, Pneumonia vaccine, More!
Dr Kimberly Manning joins to discuss imposter syndrome, how vacations affect health, and an update on the pneumonia vaccine, PCV13. Plus, hot takes on the dangers of vaping, and using procalcitonin and CRP to determine need for antibiotics.  Howdy, gentle listeners! It’s that special time of year when the school doors reopen, classrooms are awash in ‘new pencil’ smell, and FOAMed fans grab the...
1hr 1m Sep 16, 2019
1hr 1m
#172 Cost-of-Care Conversations
  Recognize the importance of cost-of-care conversations and identify resources to facilitate these discussions with help from Gwen Darien, executive vice president at the National Patient Advocate Foundation (https://www.npaf.org/team/gwen-darien/) , and Dr.  Jessica Dine (https://www.med.upenn.edu/apps/faculty/index.php/g275/p37023) , Associate Professor and Chief of the division of Pulmonol...
55m Sep 11, 2019
55m
#171 Lupus in Primary Care with Beth Jonas MD
Diagnose and treat lupus in primary care with tips from rheumatologist, Beth Jonas MD, FACR (UNC (https://www.med.unc.edu/medicine/directory/beth-l-jonas-md/) ). We discuss the history and exam findings in lupus, initial lab workup, the dreaded ANA, who needs expanded lab testing, lifestyle factors in lupus, vaccinations, the basics of treatment...and Jethro Tull (https://en.wikipedia.org/wiki/...
55m Sep 09, 2019
55m
#170 Hypernatremia is Easy with Joel Topf MD
Solve hypernatremia with tips and tactics from Dr. Joel Topf, MD (@kidney_boy (https://twitter.com/kidney_boy?lang=en) ), our Kashlak Chief of Nephrology. We review the diagnostic workup for hypernatremia, polydipsia and polyuria, review the pathophysiology of diabetes insipidus, and how to differentiate between nephrogenic and central DI. Plus, we walk through how to treat hypernatremia in the...
1hr 13m Sep 02, 2019
1hr 13m
#169 PGY3 and Beyond with Alia Chisty MD
Search and secure your first job after residency. Dr. Alia Chisty (Penn State (https://residency.med.psu.edu/programs/internal-medicine-residency/) ) returns to school us on surviving the PGY3 and beyond, part of ACP’s IMpower series (https://www.acponline.org/about-acp/about-internal-medicine/career-paths/residency-career-counseling/resident-career-counseling-guidance-and-tips) . Topics: findi...
1hr 15m Aug 28, 2019
1hr 15m
#168 Diabetes Update with Jeff Colburn MD
Step up your diabetes game! We answer your questions from #MedTwitter (https://twitter.com/hashtag/medtwitter) with help from returning guest, Jeff Colburn MD, FACP, FACE (USU (https://www.usuhs.edu/national/faculty/jeffrey-colburn-md-facp-face) ) Topics include: the pitfalls of A1C testing, the A1C target controversy, lifestyle interventions, continuous glucose monitoring, pathophysiology of T...
1hr 11m Aug 26, 2019
1hr 11m
#167 LIVE! Common CBC Abnormalities with Mary Kwok MD
Take a deep dive into common CBC abnormalities. We recorded LIVE at joint grand rounds between Walter Reed NMMC and Uniformed Services University with hematologist, Dr. Mary Kwok MD (https://www.usuhs.edu/med/facstaff) . Topics include: which parts of the complete blood count (CBC) are most important, interpreting the differential, when to order flow cytometry, who needs a hematology consult an...
50m Aug 19, 2019
50m
#166 Advocacy and Hot Topics in Healthcare Policy with Robert McLean MD, FACP
Join us for this roundtable discussion of advocacy in healthcare and a rundown of hot topics: coding and billing, the Affordable Care Act, universal healthcare, gender equity, women’s health, gun violence and more! Returning guest, Dr. Robert McLean (@rmmclean84 (https://twitter.com/rmmclean84) ), current president of the American College of Physicians, helps us answer questions like, What is a...
1hr 2m Aug 14, 2019
1hr 2m
#165 Things We Do For No Reason™ Part 2
Discover more common practices that persist in the hospital wards despite no proven benefit! We review how hospitals prescribe a “crapload” of docusate which only clogs up the medication list, how unnecessary echocardiograms are ordered enough times to make your head spin, and how basal insulin needs to slide back into your inpatient diabetes management instead of correctional insulin monothera...
1hr 14m Aug 12, 2019
1hr 14m
Reboot #108 POCUS: Point-of-care Ultrasound for the Internist
Point-of-care Ultrasound AKA POCUS ain’t no hocus. Dr. Renee Dversdal (@ReneeDversdal (https://twitter.com/ReneeDversdal) ) Director of the Oregon Health & Science University Point of Care Ultrasound and General Medicine Ultrasound Fellowship Director, joins The Curbsiders to discuss her craft. Topics include: Defining POCUS, the value POCUS adds to the physical exam, training pathways and the ...
1hr Aug 07, 2019
1hr
#164 Stroke and TIA Deconstructed
Update your management of stroke and TIA in primary care. Stroke neurologist, Chris Favilla MD (University of Pennsylvania (https://www.pennmedicine.org/providers/profile/christopher-favilla) ), walks us through the plumbing of the brain, so we can identify ischemic risks in stroke and TIA patients to prevent recurrences.  Learn factors that make a TIA high risk, which imaging studies to order,...
1hr 15m Aug 05, 2019
1hr 15m
#163 Hotcakes: Burnout, iron for heart failure, aspirin & VTE prevention
Summary The sun is shining, the cakes are hot, and the takes are even hotter. Welcome to our July 2019 Hotcakes episode! Join us as our beloved hosts Chris, Matt, Stuart and Paul share some of the latest practice-changing knowledge, news and research in medical science. Today’s discussion covers studies on the use of IV iron supplementation for heart failure, aspirin as VTE prophylaxis after a...
42m Jul 29, 2019
42m
#162 Gender & Sexual Harassment in Medicine, #MeToo
Dr. Reshma Jagsi (TIME’S UP Healthcare (https://www.timesuphealthcare.org/) ;  UMichigan (https://medicine.umich.edu/dept/radonc/reshma-jagsi-md-dphil) ) schools us on sexual harassment and describes the systemic and cultural changes that need to happen to effect real change. She unpacks the definition of sexual harassment, describes the state of the #MeToo and TIME’s UP movements across the sc...
1hr 2m Jul 22, 2019
1hr 2m
#161 A Rash Approach to Rashes with Helena Pasieka MD
Tackle rashes with wisdom from Kashlak’s resident Skinternist (or Internist-Externist) Dr. Helena Pasieka (MedStar, Georgetown (https://www.medstarhealth.org/doctor/dr-helena-b-pasieka-md/) ), board certified in both Internal Medicine and Dermatology.  She offers “a rash approach to rashes” including: initial triage, ‘inside job’ vs ‘outside job’, differential diagnosis, a review of common culp...
1hr 19m Jul 15, 2019
1hr 19m
#160 Hotcakes: E-cigarettes, UTIs, Heart Failure
Confession: we have been holding out on you. Specifically, we’ve been sitting on a special episode of Hotcakes and Hot Takes that we recorded this March, with featured guest Armand Gottlieb, MD of the online publication The Scope (https://www.medicinescope.com/) . But here it is! We hope you’ll enjoy our discussion of topics like the ever-controversial e-cigarettes for smoking cessation questio...
45m Jul 10, 2019
45m
#159 Atrial Fibrillation Review and Update with James Furgerson MD
Take control of atrial fibrillation with expert insights and pearls from cardiologist, Dr. James Furgerson, in this jam-packed episode! You’ll learn why atrial fibrillation is such a big deal, how to diagnose it, how to treat it and when to call in for reinforcements. Dr. James Furgerson, MD  is a cardiologist from San Antonio, Texas with over 20 years in academics. Buckle up - This episode is ...
1hr 20m Jul 08, 2019
1hr 20m
#158 Medicine and Incarceration
Expand your knowledge about how--and how well--we manage the health of incarcerated patients in the United States, with the expert knowledge of correctional health experts Drs. Aaron Fox @adfoxmd (https://twitter.com/adfoxmd) , Jon Giftos @JonGiftosMD (https://twitter.com/jongiftosmd) , and Emily Wang @ewang422 (https://twitter.com/ewang422) . Correctional medicine is a black box for many provi...
59m Jul 01, 2019
59m
#156 Chronic Pain, Opioids, Tapers
Rethink how you’re diagnosing and managing chronic pain with high-yield tips from pain experts and primary care doctors Soraya Azari MD @azarimugs (https://twitter.com/azarimugs) (UCSF), and Phoebe Cushman MD, MS (https://physicians.umassmemorial.org/details/4258/phoebe-cushman-internal_medicine-worcester) (UMass Memorial). Because let’s face it, managing chronic pain can be very difficult. Exp...
1hr 6m Jun 24, 2019
1hr 6m
#155 LGBT Health in Primary Care
Build your knowledge base to improve primary care for LGBT patients! This episode is chock full of clinical pearls and updates for LGBT health from SGIM presenters, Dr. Jenny Siegel (https://www.bmc.org/about-us/directory/doctor/jennifer-r-siegel-md) (Boston University) and Dr. Megan McNamara (https://www.sharecare.com/doctor/dr-megan-s-cunnane) (Louis Stokes Cleveland VAMC). They define common...
53m Jun 17, 2019
53m