The Curbsiders Internal Medicine Podcast

Brush up on your high-value care by exploring four Things We Do For No Reason with experts Dr. Tony Breu (@tony_breu [https://x.com/tony_breu], Harvard University [https://connects.catalyst.harvard.edu/Profiles/display/Person/73536]) and Dr. Lenny Feldman (@DocLennyF [https://x.com/doclennyf], Johns Hopkins University [https://profiles.hopkinsmedicine.org/provider/lenny-feldman/2702796]). Follow along as they explore lactate-guided resuscitation in shock, beta blocker use with cocaine, holding anticoagulation in patients with fall risk, and discharge before noon. Claim CME for this episode at curbsiders.vcuhealth.org [http://curbsiders.vcuhealth.org] [http://curbsiders.vcuhealth.org]! Patreon [http://patreon.com/curbsiders] | Episodes [https://thecurbsiders.com/category/curbsiders-podcast] | Subscribe [https://audioboom.com/channels/5034728.rss] | Spotify [https://open.spotify.com/show/3SKlzOLxyztvA1BkJfnf67] | YouTube [https://www.youtube.com/@thecurbsiders7326] | Newsletter [https://thecurbsiders.com/digest] | Contact [askcurbsiders@gmail.com] | Swag! [https://www.teepublic.com/user/kashlakmemorial] | CME [http://curbsiders.vcuhealth.org] Show Segments * Intro * Picks of the Week * Part 1: Things We Do for No Reason™: Using lactate as our resuscitation guide in sepsis * Part 2: Things We Do for No Reason™: Discontinuing β-blockers in patients who use cocaine * Part 3: Things We Do for No Reason™: Discontinuing anticoagulation in older patients with atrial fibrillation and a high risk of falls * Part 4: Things We Do for No Reason™: Discharge before noon * Outro Credits * Producers: Caroline Coleman MD, Monee Amin MD, Meredith Trubitt MD  * Writers:  Monee Amin MD and Meredith Trubitt MD * Show Notes, Infographic, Cover Art: Caroline Coleman, 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: Lenny Feldman, MD and Tony Breu, MD Disclosures Dr. Breu and Dr Feldman report no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.  Sponsor: FIGS [http://wearfigs.com] Curbsiders listeners can get 15% off. Just go to wearFIGS.com [http://wearfigs.com] and use code FIGSRX Sponsor: Freed [http://freed.ai] Usecode: CURB50 to get $50 off your first month when you subscribe at Freed.ai [http://freed.ai] Sponsor: Locumstory [http://locumstory.com] Learn about locums and get insights from real-life physicians, PAs and NP sat Locumstory.com [http://locumstory.com] Sponsor: Continuing Education Company [http://cmemeeting.org/curbsiders] Curbsiders listeners get 45% off select online courses—that’s the biggest discount CEC has ever offered, and it’s exclusive to you with promo code Curb45, through July 30. You can also use Curb30 for 30% off all webcasts and on demand replay courses. Check it all out at CMEmeeting.org/curbsiders [http://cmemeeting.org/curbsiders].

Join us as we review recent practice-changing articles on the effect of vitamin D3 and omega-3 fatty acids on physical performance, gabapentin and falls, gepotidacin for uncomplicated UTI, and intermittent fasting for weight loss. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz [https://twitter.com/PaulNWilliamz]), Rahul Ganatra (@rbganatra [https://twitter.com/rbganatra]), special guest Laura Glick (@LauraRGlick [https://x.com/laurarglick]) and Matt Watto (@doctorwatto) [https://twitter.com/doctorwatto]. Claim CME for this episode at curbsiders.vcuhealth.org [http://curbsiders.vcuhealth.org] [http://curbsiders.vcuhealth.org]! Patreon [http://patreon.com/curbsiders] | Episodes [https://thecurbsiders.com/category/curbsiders-podcast] | Subscribe [https://audioboom.com/channels/5034728.rss] | Spotify [https://open.spotify.com/show/3SKlzOLxyztvA1BkJfnf67] | YouTube [https://www.youtube.com/@thecurbsiders7326] | Newsletter [https://thecurbsiders.com/digest] | Contact [askcurbsiders@gmail.com] | Swag! [https://www.teepublic.com/user/kashlakmemorial] | CME [http://curbsiders.vcuhealth.org] Credits * Written and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP * Cover Art: Rahul Ganatra MD, FACP * Reviewer: Sai S Achi, MD,MBA,FACP * Technical Production: Pod Paste * Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Show Segments * Intro, disclaimer * Vitamin D3 vs omega-3 fatty acids and physical performance * Gabapentin vs duloxetine and risk of falls * Gepotidacin vs nitrofurantoin for uncomplicated UTI * Intermittent fasting vs daily calorie restriction for weight loss * Outro Sponsor: Bombas [http://bombas.com/curb] Head over to Bombas.com/curb [http://bombas.com/curb] and use code curb for 20% off your first purchase.

This episode doesn't sugarcoat the truth about tricky diabetes management! Wrangle wild blood sugars among older adults, pregnant individuals, and those taking corticosteroids! Join our Kashlak resident endocrinologist Dr. Jeff Colburn, as we dive into diabetic dilemmas. We will help you dodge dangerous lows and navigate tricky treatment traps in these special populations. Get the un-sugar-coated truth on managing complex diabetes cases!  Claim CME for this episode at curbsiders.vcuhealth.org [http://curbsiders.vcuhealth.org] [http://curbsiders.vcuhealth.org]! Patreon [http://patreon.com/curbsiders] | Episodes [https://thecurbsiders.com/category/curbsiders-podcast] | Subscribe [https://audioboom.com/channels/5034728.rss] | Spotify [https://open.spotify.com/show/3SKlzOLxyztvA1BkJfnf67] | YouTube [https://www.youtube.com/@thecurbsiders7326] | Newsletter [https://thecurbsiders.com/digest] | Contact [askcurbsiders@gmail.com] | Swag! [https://www.teepublic.com/user/kashlakmemorial] | CME [http://curbsiders.vcuhealth.org] Show Segments * Intro * Diabetes in Older Adults (Geriatrics) * General Approach * Risks of Hypoglycemia * 4Ms Framework * Insulin Management * Oral Medications * Diabetes in Pregnancy * Preconception Counseling * Eye Health Monitoring * Insulin Therapy During Pregnancy * Postpartum Care * Steroid-Induced Hyperglycemia * General Approach * Postprandial Insulin Adjustment * NPH Insulin Usage * Initiating Insulin * Role of GLP-1RA and SGLT2-inhibitors * Take-home Points * Outro Credits * Producer, Writer, and Show Notes: Isabel Valdez, PA-C * Infographic and Cover Art: Zoya Surani, BA, MS * 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: Jeff Colburn, MD Disclosures Dr. Jeff Colburn reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.  Sponsor: Continuing Education Company [http://visitwww.cmemeeting.org/curbsiders] Special offer for Curbsiders listeners: Save 30% on all online courses and live webcasts with promo code CURB30. Visit www.CMEmeeting.org/curbsiders [http://visitwww.cmemeeting.org/curbsiders] to explore all offerings and claim your discount.  Sponsor: Freed [https://www.getfreed.ai/] Visit Freed.ai [http://freed.ai] and Usecode: CURB50 to get $50 off your first month when you subscribe.  Sponsor: Quince [http://quince.com/curb] Go to Quince.com/curb [http://quince.com/curb] for free shipping on your order and 365 day returns.

Join us at patreon.com/curbsiders [http://patreon.com/curbsiders] today and save 20% on NEW Annual Memberships with promo code: UNLOCKED. *This offer expires at 3am EST on May 15, 2025. Matt and Paul recap top pearls from a recent episode on heart failure with reduced ejection fraction (HFrEF) and the importance of understanding the underlying causes of heart failure with Dr. Michelle Kittleson (video version). They also answer listener questions and share their picks of the week. Chapters: 00:00 Introduction and Humor 01:41 Understanding Heart Failure 04:50 Guideline-Directed Medical Therapy 09:57 Practical Approaches to Treatment 13:58 The Importance of Medication Adherence 16:22 Dietary Considerations in Heart Failure 18:24 ED Follow-Ups and Patient Management 20:38 SGLT2 Inhibitors and Infections 25:58 Patient Counseling and Preventative Care 26:33 Picks of the Week

We’re taking a break this week, but we’ll be back next week with a brand-new episode.  Provide superb outpatient care for your patients with HFrEF. Identify underlying causes of heart failure and titrate medications with ease. Dr Michelle Kittleson @MKittlesonMD [https://x.com/MKIttlesonMD] (Cedars Sinai [https://researchers.cedars-sinai.edu/Michelle.Kittleson]) breaks down the nuances of treating this common cardiac condition.  Claim CME for this episode at curbsiders.vcuhealth.org [http://curbsiders.vcuhealth.org] [http://curbsiders.vcuhealth.org]! Patreon [http://patreon.com/curbsiders] | Episodes [https://thecurbsiders.com/category/curbsiders-podcast] | Subscribe [https://audioboom.com/channels/5034728.rss] | Spotify [https://open.spotify.com/show/3SKlzOLxyztvA1BkJfnf67] | YouTube [https://www.youtube.com/@thecurbsiders7326] | Newsletter [https://thecurbsiders.com/digest] | Contact [askcurbsiders@gmail.com] | Swag! [https://www.teepublic.com/user/kashlakmemorial] | CME [http://curbsiders.vcuhealth.org] Show Segments * 00:00 Introduction  * 03:22 Case Presentation: Newly Diagnosed Heart Failure * 07:26 Using Physical Exam Findings to Guide Diuresis * 11:58 The Four Pillars of Guideline-Directed Medical Therapy for Heart Failure * 15:07 Optimizing Therapy and Follow-Up in Heart Failure Patients * 22:10 The Benefits of High-Intensity Initiation and Titration of Guideline-Directed Medical Therapy * 28:02 Consideration of Other Medications * 40:02 Referral to Advanced Heart Failure Specialist * 49:11 Optimizing Therapy and Follow-Up * 55:33 Conclusion and Book Recommendation Credits * Writer and Producer: Deborah Gorth MD, PhD * Infographic and Cover Art: Zoya Surani * 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: Michelle Kittleson MD, PhD Sponsor: Mint Mobile [https://www.mintmobile.com/?utm_source=podcast&utm_medium=audio&utm_campaign=mint_podcast&utm_content=curb&dnfemfkahqkdlf=curb]  Get your summer savings and shop premium wireless plans at MINTMOBILE. com/CURB [https://www.mintmobile.com/?utm_source=podcast&utm_medium=audio&utm_campaign=mint_podcast&utm_content=curb&dnfemfkahqkdlf=curb]. Sponsor: American College of Physicians [https://www.acponline.org/] Order ACP MKSAP today at acponline.org [http://acponline.org]. Curbsiders Listeners who use promo code  CORECS will receive a MKSAP gift pack with their subscription. Sponsor: Panacea Legal [http://panacea.legal] Learn more and schedule your free consultation at Panacea.Legal [http://panacea.legal].