The Curbsiders Internal Medicine Podcast

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].

Highlights and Pearls from SHM’s Annual Meeting We recap the top pearls for the hospitalist from #SHM #Converge25 hitting updates in GI, stroke, anticoagulation, perioperative medicine, artificial intelligence, and more.  Note: There is no CME for this episode, but visit curbsiders.vcuhealth.org [http://curbsiders.vcuhealth.org] [http://curbsiders.vcuhealth.org] to claim credit for past episodes. 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 * Care of the Patient Experiencing Homelessness * Updates in GI * Delirium * Adaptive Leadership * Transgender Health * Capacity Assessment * Heart Failure * Care of the Transplanted Kidney * Precipitated Withdrawal * IV contrast * Alcohol Withdrawal * MRSA Nares Swabs * Bugs, Bite, and Fever * Perioperative Medicine  * Parkinson’s Disease * Stroke  * Outro Credits * Producer, Writer, Show Notes: Meredith Trubitt MD, Monee Amin MD, Caroline Coleman MD  * Cover Art: Caroline Coleman, MD * Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    * Reviewer: Rahul Ganatra, MD MPH * Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP * Technical Production: PodPaste * Guest: Michelle Brooks MD, Avital O’Glasser MD, Rahul Ganatra MD MPH Disclosures The Curbsiders report no relevant financial disclosures.  Sponsor: Freed [http://www.getfreed.ai] Visit www.getfreed.ai [http://www.getfreed.ai] and sse code: CURB50 to get $50 off your first month when you subscribe! Sponsor: Locumstory [http://locumstory.com] Learn about locums and get insights from real-life physicians, PAs and NPs at Locumstory.com [http://locumstory.com]. Sponsor: Grammarly [http://grammarly.com/PODCAST]  Download Grammarly for free at Grammarly.com/PODCAST [http://grammarly.com/PODCAST]. Sponsor: Continuing Education Company [http://www.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://www.cmemeeting.org/curbsiders] to explore all offerings and claim your discount.

Conquer prediabetes and diabetes prevention! We’re joined by Dr. Scott Isaacs, who provides essential pearls on navigating  screening tests for diabetes and prediabetes, identifying atypical cases of prediabetes, and individualizing management of prediabetes with lifestyle changes and medications. 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 * Case from Kashlak * Why screen for prediabetes and diabetes? * Who to screen for prediabetes and diabetes * How to screen for prediabetes and diabetes * Role of the physical exam * Explaining a diagnosis of prediabetes to patients * Atypical types of prediabetes * Management of prediabetes: lifestyle changes * Management of prediabetes: medications * Outro Credits * Producer, Writer, and Show Notes: Malini Gandhi MD * Infographic and Cover Art: Zoya Surani * 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: Scott Isaacs MD Disclosures Dr. Isaacs reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.  Sponsor: FIGS [http://wearfigs.com] Go to WearFIGS.com [http://wearfigs.com] and as a Nurses Week exclusive get 20% off everything starting this Thursday May 1st thru May 7th. Sponsor: Bombas [http://bombas.com/curb] Enjoy worldwide shipping to over two hundred countries. Head over to Bombas.com/curb [http://bombas.com/curb] and use code curb for twenty percent off your first purchase.  Sponsor: Continuing Education Company [http://www.cmemeeting.org/curbsiders] Visit www.CMEmeeting.org/curbsiders [http://www.cmemeeting.org/curbsiders]. Special offer for Curbsiders listeners: Save 30% on all online courses and live webcasts with promo code CURB30.

Don’t bend the knee to hypermobility!  Learn how to evaluate patients for possible joint hypermobility, what associated conditions to be mindful of, and where to start with management.  We’re joined by Dr. Linda Bluestein, @BluesteinLinda (https://www.hypermobilitymd.com [https://www.hypermobilitymd.com]), who shares her years of experience in treating patients with hypermobility! 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 and getting to know our guest * Case from Kashlak * Hypermobility definitions and background * Initial screening for hypermobility * Physical examination  * Associated conditions and symptoms * Management principles of joint hypermobility * Outro Credits * Writer and Producer: Paul Williams, MD, FACP * Show Notes: Paul Williams, MD, FACP * Infographic and Cover Art: Paul Williams, MD, FACP * 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:  Linda Bluestein, MD Disclosures Dr. Bluestein  reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.  Sponsor: Quince [http://quince.com/curb] Go to Quince.com/curb [http://quince.com/curb] for free shipping on your order and 365 returns.  Sponsor: Mint Mobile [http://mintmobile.com/CURB] Shop data plans at MINTMOBILE.com/CURB [http://MINTMOBILE.com/CURB] [http://mintmobile.com/CURB] to get 3 months of premium wireless service from Mint Mobile for $15 a month Sponsor: Continuing Education Company [http://www.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://www.cmemeeting.org/curbsiders] to explore all offerings and claim your discount.