Épisodes

  • #474 Resistant Hypertension the Next Frontier

    #474 Resistant Hypertension the Next Frontier
    Mar 10 2025
    Treat Hypertension Like No Doctor Has Ever Treated Hypertension Before

    Treating hypertension never gets boring. Learn about emerging therapies and how to continue to tackle this common diagnosis like a pro. Dr. Jordy Cohen (@jordybc.bsky.social) leads us through her approach to keeping the BP where it should be (University of Pennsylvania).

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    Show Segments

    • 00:00 Introduction and Current Interests
    • 01:55 Understanding Hypertension
    • 11:59 Blood Pressure Measurement Techniques
    • 19:58 Treatment Goals and Guidelines for Hypertension
    • 30:02 Managing Resistant Hypertension and New Treatments
    • 36:00 Exploring GLP-1 Agonists and Blood Pressure Benefits
    • 39:06 Aldosterone Synthase Inhibitors: A New Hope
    • 42:00 Innovative Approaches: Small Interfering RNAs in Hypertension
    • 47:06 Renal Denervation: A Controversial Procedure
    • 55:01 Understanding Resistant Hypertension and Testing Protocols

    Credits

    • Writer and Producer: Deborah Gorth MD, PhD
    • Show Notes: Ben Furman and Deborah Gorth MD, PhD
    • Cover Art and Infographic: Deborah Gorth MD, PhD and Meryl Gorth RD, MPH
    • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Reviewer: Sai Achi MD, MBA, FACP
    • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Technical Production: PodPaste
    • Guest: Jordana Cohen MD, MSCE

    Disclosures

    Dr. Jordana Cohen and The Curbsiders report no relevant financial disclosures.


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    1 h et 17 min
  • #473 Rapid Response Series: Narrow Complex Tachyarrhythmias with Dr. Noble Maleque

    #473 Rapid Response Series: Narrow Complex Tachyarrhythmias with Dr. Noble Maleque
    Mar 3 2025
    Don’t miss a beat as our guest Dr. Noble Maleque guides us through dominating narrow complex tachyarrhythmias (while keeping our own heart rates under control too). @Nobility75 (Emory University)

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    Show Segments

    • Intro
    • Case 1, part 1: Unstable narrow tachyarrhythmias
    • Case 1, part 2: Stable, narrow tachyarrhythmias – regular rhythm
    • Vagal tone: Valsalva, Modified Valsalva, or Carotid Massage?
    • Adenosine
    • 2nd line AV nodal blockade: metoprolol, diltiazem
    • Case 2: Stable, narrow tachyarrhythmias – irregular rhythm
    • AV nodal blockade
    • Amiodarone and diltiazem
    • Rapid fire questions/Picks of the Week
    • Outro

    Credits

    Please consolidate if performing multiple jobs (e.g. Written and Produced by: Cyrus Askin MD; cover art and infographic by Kate Grant)
    • Producer, writer, Infographic, cover art, and show notes by: Caroline Coleman, MD
    • Hosts: Meredith Trubitt, MD and Monee Amin, MD
    • Reviewer: Rahul Ganatra, MD MPH
    • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Technical Production: PodPaste
    • Guest: Noble Maleque, MD

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    1 h et 3 min
  • #472 DIGEST: cfDNA & cancer in Pregnancy, Vitamin K2 for Leg Cramps, PRN anti-hypertensives, GLP-1 Agonists for AUD, Short-Course Antibiotics

    #472 DIGEST: cfDNA & cancer in Pregnancy, Vitamin K2 for Leg Cramps, PRN anti-hypertensives, GLP-1 Agonists for AUD, Short-Course Antibiotics
    Feb 24 2025
    Join us as we review recent articles and news featured in The DIGEST issues #59-61, including cfDNA and incidental detection of cancer in pregnancy, vitamin K2 for nocturnal leg cramps, the danger of as-needed anti-hypertensive medications in the hospital, GLP-1 agonists for alcohol use disorder, short-course (7 vs 14 days) antibiotics for bacteremia, and patient-collected HPV testing for cervical cancer screening. Fill your brain hole with a fully digestible meal! Featuring Laura Glick MD, Nora Taranto (@norataranto), Paul Williams (@paulnwilliamz), and Matt Watto (@doctorwatto).

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

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    Show Segments

    • 00:00 Introduction and Overview
    • 02:57 The IDENTIFY study: Non-Invasive Prenatal Testing and Cancer Detection with cfDNA
    • 05:54 Implications of Non-Reportable Results in Prenatal Testing
    • 08:51 Vitamin K2: A New Approach to Managing Nocturnal Leg Cramps
    • 12:07 Practicality and Future of Vitamin K2 in Clinical Practice
    • 23:21 The Dangers of As-Needed Antihypertensives in the hospital
    • 32:21 Exploring GLP-1 Agonists for Alcohol Use Disorder
    • 40:24 Shorter Antibiotic Courses in Sepsis
    • 46:09 Advancements in Patient-Collected HPV Screening for cervical cancer


    Credits

    • Written and Produced by: Nora Taranto MD, Laura Glick MD, Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Show Notes: Nora Taranto MD
    • Cover Art: Matthew Watto MD, FACP
    • Hosts: Nora Taranto MD, Laura Glick MD, Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Reviewer: Emi Okamoto MD
    • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Technical Production: PodPaste

    Disclosures

    The Curbsiders report no relevant financial disclosures.

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    54 min
  • #471 Iron Deficiency Anemia with Dr. Tom DeLoughery

    #471 Iron Deficiency Anemia with Dr. Tom DeLoughery
    Feb 17 2025
    Conquer the art of managing patients with iron deficiency anemia. We are joined by the amazing Dr. Tom DeLoughery, @Bloodman (Oregon Health & Science University).

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

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    Show Segments

    • Intro
    • Rapid fire questions/Picks of the Week
    • Case
    • History and Physical
    • Laboratory Findings
    • Management of Iron Deficiency Anemia
    • Diet
    • Oral Supplementation
    • Unexplained Iron Deficiency
    • Case 2
    • IV Iron Supplementation
    • IV iron reactions
    • Case 3
    • Laboratory Follow Up Post Supplementation
    • When to Refer to a Hematology/Oncology specialist?
    • Outro

    Credits

    • Producer,Writer, Show Notes, Cover Art, and Infographics: Sai S Achi MD MBA FACP
    • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Reviewer: Leah Witt, MD
    • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Technical Production: PodPaste
    • Guest: Dr. Tom DeLoughery MD, MACP, FAWM

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    1 h et 11 min
  • #470 Thyroid Nodules and Thyroid Cancer for Primary Care

    #470 Thyroid Nodules and Thyroid Cancer for Primary Care
    Feb 10 2025
    Management and Ongoing Monitoring of Thyroid Neoplasms

    Join us as we dive deep into the approach for thyroid nodules with our two fantastic guests, Dr. Kaniksha Desai (Stanford Medicine) and Dr. Ana Chindris (Mayo Clinic)! Learn how to stratify these nodules for cancer risk and walk alongside our patients during treatment for thyroid cancer.

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

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    Show Segments

    • Intro, guest bios
    • Case From Kashlak
    • Thyroid nodule evaluation and management
    • Thyroid cancer diagnosis and treatment
    • GLP-1s relationship to thyroid nodules and cancer
    • Outro

    Credits

    • Writer, producer, show notes, infographic, cover art: Alise Burke, MD
    • 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: Kaniksha Desai MD and Ana Chindris MD

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    1 h et 23 min
  • #469 Inpatient Heart Failure

    #469 Inpatient Heart Failure
    Feb 3 2025
    Diuresing ‘til the heart's content

    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)

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

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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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    1 h et 31 min
  • #468: Asthma Update with Cyrus Askin

    #468: Asthma Update with Cyrus Askin
    Jan 27 2025
    2024 GINA Strategy, peak expiratory flow insights, SMART therapy, and other asthma pearls that will leave you breathless

    Master the art of diagnosing and managing asthma with practical, evidence-based strategies. Learn how to approach the initial interview, gain comfort with key diagnostic tools like spirometry and PEF, and optimize therapy using the latest GINA report. We’re joined by Dr. Cyrus Askin, a longtime Curbsiders member returning as our guest expert to share his insights as a pulmonologist.

    X profile (formerly twitter): @Askins_Razor

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

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    Show Segments

    • Intro
    • Case
    • Topic
    • Rapid fire questions/Picks of the Week
    • 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: Cyrus Askin MD
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    1 h et 25 min
  • #467 Unintentional Weight Loss with Dr. Eva Szymanski

    #467 Unintentional Weight Loss with Dr. Eva Szymanski
    Jan 20 2025
    Become a mini geriatrician in our new Geriatrics series!

    Geriatricize your knowledge of caring for older adults with unintentional weight loss! You’ll round out your history taking and weight gain plan by harnessing the age-friendly “5Ms”. We’re joined by Dr. Eva Szymanski (@eva_szy), expert geriatrician at Penn Medicine.

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

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    Show Segments

    • Intro
    • Rapid fire questions
    • Case
    • Defining Unintentional Weight Loss
    • Applying the Geriatric 5Ms Framework
    • Diagnostic Work-Up
    • Addressing Ageism in Medical Decisions
    • Defining Geriatric Syndromes
    • Weight Loss Treatments
    • Outro

    Credits

    • Producer: Leah Witt, MD, Rachel Miller, MD, MSEd
    • Writers: Abigail Schmucker, MD, Joseph Young, MD, Margaret Heller, MD, Alyson Michener, MD, Leah Witt, MD
    • Show Notes, Infographic and Cover Art: Leah Witt, MD
    • 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: Eva Szymanski, MD

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    1 h et 9 min