Episódios
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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), Rahul Ganatra (@rbganatra), special guest Laura Glick (@LauraRGlick) and Matt Watto (@doctorwatto).
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Credits
Written and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACPCover Art: Rahul Ganatra MD, FACPReviewer: Sai S Achi, MD,MBA,FACPTechnical Production: Pod PasteShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Show Segments
Intro, disclaimerVitamin D3 vs omega-3 fatty acids and physical performanceGabapentin vs duloxetine and risk of fallsGepotidacin vs nitrofurantoin for uncomplicated UTIIntermittent fasting vs daily calorie restriction for weight lossOutro
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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!
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Show Segments
IntroDiabetes in Older Adults (Geriatrics)General ApproachRisks of Hypoglycemia4Ms FrameworkInsulin ManagementOral MedicationsDiabetes in PregnancyPreconception CounselingEye Health MonitoringInsulin Therapy During PregnancyPostpartum CareSteroid-Induced HyperglycemiaGeneral ApproachPostprandial Insulin AdjustmentNPH Insulin UsageInitiating InsulinRole of GLP-1RA and SGLT2-inhibitorsTake-home PointsOutro
Credits
Producer, Writer, and Show Notes: Isabel Valdez, PA-CInfographic and Cover Art: Zoya Surani, BA, MSHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Leah Witt, MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Jeff Colburn, MD
Disclosures
Dr. Jeff Colburn reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.
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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 (Cedars Sinai) breaks down the nuances of treating this common cardiac condition.
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Show Segments
00:00 Introduction 03:22 Case Presentation: Newly Diagnosed Heart Failure07:26 Using Physical Exam Findings to Guide Diuresis11:58 The Four Pillars of Guideline-Directed Medical Therapy for Heart Failure15:07 Optimizing Therapy and Follow-Up in Heart Failure Patients22:10 The Benefits of High-Intensity Initiation and Titration of Guideline-Directed Medical Therapy28:02 Consideration of Other Medications40:02 Referral to Advanced Heart Failure Specialist49:11 Optimizing Therapy and Follow-Up55:33 Conclusion and Book Recommendation
Credits
Writer and Producer: Deborah Gorth MD, PhDInfographic and Cover Art: Zoya SuraniHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Emi Okamoto MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Michelle Kittleson MD, PhD
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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 to claim credit for past episodes.
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Show Segments
IntroCare of the Patient Experiencing HomelessnessUpdates in GIDeliriumAdaptive LeadershipTransgender HealthCapacity AssessmentHeart FailureCare of the Transplanted KidneyPrecipitated WithdrawalIV contrastAlcohol WithdrawalMRSA Nares SwabsBugs, Bite, and FeverPerioperative Medicine Parkinson’s DiseaseStroke Outro
Credits
Producer, Writer, Show Notes: Meredith Trubitt MD, Monee Amin MD, Caroline Coleman MD Cover Art: Caroline Coleman, MDHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Rahul Ganatra, MD MPHShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Michelle Brooks MD, Avital O’Glasser MD, Rahul Ganatra MD MPHDisclosures
The Curbsiders report no relevant financial disclosures.
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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.
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Show Segments
IntroCase from KashlakWhy screen for prediabetes and diabetes?Who to screen for prediabetes and diabetesHow to screen for prediabetes and diabetesRole of the physical examExplaining a diagnosis of prediabetes to patientsAtypical types of prediabetesManagement of prediabetes: lifestyle changesManagement of prediabetes: medicationsOutro
Credits
Producer, Writer, and Show Notes: Malini Gandhi MDInfographic and Cover Art: Zoya SuraniHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Sai Achi MD,MBA,FACPShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Scott Isaacs MD
Disclosures
Dr. Isaacs reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.
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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), who shares her years of experience in treating patients with hypermobility!
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Show Segments
Intro and getting to know our guestCase from KashlakHypermobility definitions and backgroundInitial screening for hypermobilityPhysical examination Associated conditions and symptomsManagement principles of joint hypermobilityOutro
Credits
Writer and Producer: Paul Williams, MD, FACPShow Notes: Paul Williams, MD, FACPInfographic and Cover Art: Paul Williams, MD, FACPHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Emi Okamoto, MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Linda Bluestein, MD
Disclosures
Dr. Bluestein reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.
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Lead the way in depression management! We’re joined by Dr. Jessi Gold, a psychiatrist and mental health advocate, who provides essential pearls on ways to recognize the multifaceted nature of depression and similarly presenting medical conditions. We also discuss the complexities of treatment options including various medication options and therapies, and how to choose between these treatments.
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Show Segments
IntroCase 1 from KashlakMedical conditions that can mimic depressionDiagnosis of depressionHow to explain depression to familyInitial treatment options for depressionCase 2 from KashlakSuicide risk assessmentTrialing, augmenting, and tapering of medicationsPharmacogenetic testingAlternate treatment options: TMS, ECT, ketamine, psilocybin, cannabisOutro
Credits
Written and Produced by: Zoya SuraniShow Notes, Infographic, and Cover Art: Zoya SuraniHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Sai Achi MD,MBA,FACPShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Jessi Gold, MD
Disclosures
Dr. Gold reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.
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Updates in classification, evaluation, and treatment
Become dexterous with dementia management! We’re talking with Dr. Anna Chodos about cognitive domains, diagnostic criteria, patient and caregiver resources, new antibody therapies, and brain health plans!
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Show Segments
IntroRapid fire questionsThe Terminology of Neurocognitive DisordersCognitive Domains: A Comprehensive ApproachPhysical Examination InsightsMedical Workup for DementiaImaging and Biomarkers in Dementia DiagnosisReferral Considerations for Dementia PatientsUnderstanding Dementia Stages and PrognosisImplementing Brain Health PlansMedications for Dementia ManagementControversies in Monoclonal Antibody TherapiesThe Importance of Early Detection and PlanningOutro
Credits
Producers, Writers and Show Notes: Leah Witt, MD and Margaret Heller, MDInfographic and Cover Art: Leah Witt, MDHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Emi Okamoto, MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Anna Chodos, MDDisclosures
Dr. Chodos received remuneration from Novo Nordisk for participating in a task force looking at the feasibility of incorporating biomarkers for Alzheimer's disease into primary care. The financial relationship has ended. The Curbsiders report no relevant financial disclosures.
The production of this episode was supported by the Penn Geriatrics AGE-SMART Geriatric Workforce Enhancement Grant. This podcast content is solely the responsibility of the authors and does not necessarily represent the official views of the Health Resources and Services Administration or the U.S. Department of Health and Human Services.
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Join us as we review recent practice-changing articles on suzetrigine for acute pain, the risk of PAD events from SGLT2 inhibitors, the safety of very low LDL, and the benefits of restrictive vs liberal transfusion strategies in acute MI with anemia. Fill your brain hole with a delicious stack of hotcakes! Featuring Rahul Ganatra (@rbganatra), Matt Watto (@doctorwatto), and special guest Molly Brett (Paul Williams got a break and took a much-needed vacation this week!).
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Credits
Written and Hosted by: Rahul Ganatra MD, MPH; Molly Brett MD, and Matthew Watto MD, FACPCover Art: Matthew Watto MD, FACPReviewer: Leah Witt, MDTechnical Production: Pod PasteShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Show Segments
Intro, guest introduction, disclaimerCognitive safety of very low LDL CholesterolSuzetrigine for acute painRisk for amputation associated with SGLT2 inhibitorsTransfusion strategies in acute MI with anemia revisitedOutro
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Make MAUD your topira-MATE
Level up your treatment for people with alcohol use disorder. Learn about medication options beyond the first line, when they’re appropriate and not, and how to work with your patients to set goals that fit them. We’re joined by Dr Stephen Holt (Yale University School of Medicine)
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By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
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Credits
Written, produced, show notes, cover art and infographics by: Shawn Cohen MD Hosts: Carolyn Chan, MD. MHS, Shawn Cohen MD, and Paul Williams MDReviewer: Kento Sonoda MDShowrunner: Carolyn Chan, MD, MHSTechnical Production: PodPasteGuest: Stephen Holt MD
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Sponsor: American College of Physicians Inc
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2024 ACC/AHA guideline update, including biomarker testing, MINS, and other consulting tips
Master perioperative medicine! Learn when to hold ACE inhibitors, how to manage OSA without delaying surgery, and why "NPO after midnight" is outdated. We’re joined by Dr. Avital O’Glasser, our Chief of Perioperative Medicine!
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Show Segments
IntroCasePreoperative Assessment & Consulting TipsRisk CalculatorsFrailtyPulmonary ConsiderationsCardiovascular Meds & BP ManagementNPO: Why Are We Still Doing This?Biomarkers & Postoperative RiskMINSOutro
Credits
Written and produced, show notes, cover art, CME, and infographics: Paul Wurtz MD. Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACPReviewer: Molly Heublein MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Avital O’Glasser MD
Disclosures
Dr. O’Glasser reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.
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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 Interests01:55 Understanding Hypertension11:59 Blood Pressure Measurement Techniques19:58 Treatment Goals and Guidelines for Hypertension30:02 Managing Resistant Hypertension and New Treatments36:00 Exploring GLP-1 Agonists and Blood Pressure Benefits39:06 Aldosterone Synthase Inhibitors: A New Hope42:00 Innovative Approaches: Small Interfering RNAs in Hypertension47:06 Renal Denervation: A Controversial Procedure55:01 Understanding Resistant Hypertension and Testing Protocols
Credits
Writer and Producer: Deborah Gorth MD, PhDShow Notes: Ben Furman and Deborah Gorth MD, PhDCover Art and Infographic: Deborah Gorth MD, PhD and Meryl Gorth RD, MPHHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Sai Achi MD, MBA, FACPShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Jordana Cohen MD, MSCE
Disclosures
Dr. Jordana Cohen and The Curbsiders report no relevant financial disclosures.
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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
IntroCase 1, part 1: Unstable narrow tachyarrhythmiasCase 1, part 2: Stable, narrow tachyarrhythmias – regular rhythmVagal tone: Valsalva, Modified Valsalva, or Carotid Massage?Adenosine2nd line AV nodal blockade: metoprolol, diltiazemCase 2: Stable, narrow tachyarrhythmias – irregular rhythmAV nodal blockadeAmiodarone and diltiazemRapid fire questions/Picks of the WeekOutro
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, MDHosts: Meredith Trubitt, MD and Monee Amin, MDReviewer: Rahul Ganatra, MD MPHShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Noble Maleque, MD
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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).
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Show Segments
00:00 Introduction and Overview02:57 The IDENTIFY study: Non-Invasive Prenatal Testing and Cancer Detection with cfDNA05:54 Implications of Non-Reportable Results in Prenatal Testing08:51 Vitamin K2: A New Approach to Managing Nocturnal Leg Cramps12:07 Practicality and Future of Vitamin K2 in Clinical Practice23:21 The Dangers of As-Needed Antihypertensives in the hospital32:21 Exploring GLP-1 Agonists for Alcohol Use Disorder40:24 Shorter Antibiotic Courses in Sepsis46:09 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, FACPShow Notes: Nora Taranto MDCover Art: Matthew Watto MD, FACPHosts: Nora Taranto MD, Laura Glick MD, Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Emi Okamoto MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPaste
Disclosures
The Curbsiders report no relevant financial disclosures.
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Conquer the art of managing patients with iron deficiency anemia. We are joined by the amazing Dr. Tom DeLoughery, @Bloodman (Oregon Health & Science University).
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Show Segments
IntroRapid fire questions/Picks of the WeekCaseHistory and PhysicalLaboratory FindingsManagement of Iron Deficiency AnemiaDietOral SupplementationUnexplained Iron DeficiencyCase 2IV Iron SupplementationIV iron reactionsCase 3Laboratory Follow Up Post SupplementationWhen 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, MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Dr. Tom DeLoughery MD, MACP, FAWM
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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.
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Show Segments
Intro, guest biosCase From KashlakThyroid nodule evaluation and managementThyroid cancer diagnosis and treatmentGLP-1s relationship to thyroid nodules and cancerOutro
Credits
Writer, producer, show notes, infographic, cover art: Alise Burke, MD Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Emi Okamoto MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Kaniksha Desai MD and Ana Chindris MD
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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)
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Show Segments
IntroRapid Fire Questions/Picks of the WeekCase Aliquot 1Defining Heart FailurePOCUS in Heart FailureTiming/Indications for EchocardiographyInitiating Diuretic TherapyAdjusting Diuretic Therapy/Drip vs BolusAdjunct Diuretic TherapyAfterload ReductionMonitoring Diuretic ResponseInpatient Sodium and Fluid RestrictionCase Aliquot 2Classifying Heart FailurePharmacotherapy for HFrEFPharmacotherapy for HFpEFIschemic EvaluationInterval Summary/HighlightsCase Aliquot 3Considerations for Initial Care of Cardiogenic ShockChoosing Inotrope/VasopressorRight Heart CatheterizationCase Aliquot 4Discharge Medications for Heart FailureTitration of Goal Directed Medical TherapyPost Discharge Follow UpWashout Period for ACEi/ARBCost/Barriers of ARNIPatient EducationTake Home PointsOutro
Credits
Writer, Producer, and Show Notes by: Reaford Blackburn, Jr., MDInfographic & Cover Art: Caroline Coleman MDHosts: Monee Amin, MD and Meredith Trubitt, MD Reviewer: Rahul Ganatra MDTechnical Production: PodPasteGuest: Gurusher Panjrath, MDSponsor: CME Meeting
Visit www.CMEmeeting.org/curbsiders to explore all offerings and claim your discount. Whether live, online, or on-demand, Continuing Education Company makes earning CME easy and rewarding. Special offer for Curbsiders listeners: Save 30% on all online courses and live webcasts with promocode CURB30
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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
IntroCaseTopicRapid fire questions/Picks of the WeekOutro
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, FACPShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Cyrus Askin MDSponsor: Babble
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Sponsor: Bombas
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Sponsor: Pretty Litter
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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!
Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME
Show Segments
IntroRapid fire questionsCaseDefining Unintentional Weight LossApplying the Geriatric 5Ms FrameworkDiagnostic Work-UpAddressing Ageism in Medical DecisionsDefining Geriatric SyndromesWeight Loss TreatmentsOutro
Credits
Producer: Leah Witt, MD, Rachel Miller, MD, MSEdWriters: Abigail Schmucker, MD, Joseph Young, MD, Margaret Heller, MD, Alyson Michener, MD, Leah Witt, MDShow Notes, Infographic and Cover Art: Leah Witt, MDHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Molly Heublein, MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Eva Szymanski, MD
Sponsor: Quince
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Sponsor: Mint Mobile
Switch to Mint and new customers can get half off an Unlimited plan until February 2. To get your new wireless plan for just $15 a month, and get the plan shipped to your door for FREE, go to MINTMOBILE.com/curb - Mostrar mais
