The Curbsiders Internal Medicine Podcast

Join us as we review recent practice-changing articles on left atrial appendage closure vs AC for AFib, apixaban vs rivaroxaban for VTE, intensive LDL targeting, GLP1s and substance use disorders, and more! Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Shani Herzig (@ShaniHerzig) Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto).Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMECredits Written and Hosted by: Rahul Ganatra MD, MPH; Shani Herzig, MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP Cover Art: Rahul Ganatra MD, MPH Reviewer: Emi Okamoto, MD Technical Production: Pod Paste Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Show Segments Intro, disclaimer Left atrial appendage closure vs anticoagulation in AF Apixaban vs rivaroxaban for VTE Intensive LDL targeting in ASCVD GLP1s and substance use disorders FDA approves Orforglipron E-cigarettes and cancer Early AM blood draws and sleep quality Outro Sponsor: FIGSGo to wearfigs.com to get 20% off during Nurses WeekSponsor: Panacea Financial If you're about to make the leap into  residency and feeling the financial pressure of that transition, visit PanaceaFinancial.com/curbsiders todaySponsor: MasterClass Right now, as a listener of this show, you get at least 15% off any annual membership at MASTERCLASS.com/CURB.

Join us as we explore practical, evidence-based strategies to help patients age with strength and confidence, and navigate the transition into retirement. We’re joined by Dr. Elizabeth Eckstrom (Oregon Health & Science University)!Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Case Navigating Retirement Staying Physically Active Benefits of Tai Chi Nutrition Mobility limitations/chronic pain Osteoporosis Anti-aging/memory supplements  Community Resources  Outro Credits Written and Produced by: Ashlee Randolph DO, Rachel Miller MD Show Notes, infographic, cover art: Ashlee Randolph DO, Rachel Miller MD 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: Elizabeth Eckstrom MD, MPH DisclosuresDr. Elizabeth Eckstrom reports no relevant financial disclosures. 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. Sponsor: BabbelRight now get up to 60% off your Babbel subscription – at Babbel.com/CURBSponsor: Continuing Education CompanyVisit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts.  Sponsor: Locumstory.comLocumstory.com is literally just a free, unbiased resource dedicated to educating physicians about locums.

Gain an insider’s perspective on the techniques of pelvic floor physical therapy. Learn when to refer, what to expect and what can be gained from working with your friendly neighborhood pelvic floor PT specialist. We’re joined by our guests Dr. Nicole Schaffer and Dr. Rachel Rosvold from Uplift Pelvic Floor Physical Therapy in Horsham, PA.Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro, guest bios Case #1 from Kashlak Urinary incontinence in post-partum setting Pelvic floor changes in perimenopause Case #2 from Kashlak Erectile dysfunction PT for chronic prostatitis and erectile dysfunction  Constipation and fecal incontinence   Outro Credits Written and Produced by: Alise Burke, MD   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: Nicole Schaffer PT, DPT, cert MDT and Rachel Rosvold PT, DPT. Follow them on Instagram @upliftpelvicpt Disclosures Dr. Nicole Schaffer and Dr. Rachel Rosvold report no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Sponsor: Quince Go to Quince.com/curb for free shipping and 365-day returns. Now available in Canada, too.Sponsor: FreedUse code FREED50 for fifty dollars off your first month at Freed.aiSponsor: FIGSCurbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX. 

How do we help patients improve health span without letting wearables, biomarkers, and wellness trends take over the conversation? Learn how to think about CGMs in patients without diabetes, how to interpret early cardiometabolic risk beyond the A1c, how to prescribe exercise in a practical way, and how to counsel patients about sleep, wearables, and even peptides. We’re joined by Dr. Sandeep Palakadedi (Dr. “Deep”), founder and CEO of Velocity Health and author of The Ultimate Asset.Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro CGMs, Postprandial Glucose, and Data Neurosis Beyond Glucose: ApoB, Lp(a), and Early Cardiometabolic Risk Body Composition, VO2 Max, and Functional Longevity Sleep, HRV, and Wearables Prescribing Exercise in Real Life How to Talk to Patients About Peptides Take-Home Points CreditsWritten 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: Sandeep Palakodeti MD, MPH DisclosuresDr. Palakodeti reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Sponsor: MINT MOBILEShop plans at MINTMOBILE.com/CURB.Sponsor: FIGSWe’ve teamed up with FIGS, and now Curbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX. Sponsor: Continuing Education CompanyFor Curbsiders listeners, there’s a special offer: use promo code Curb30 for 30% off all online courses and webcasts. Visit CMEmeeting.org/curbsiders to learn more.  

Become a master of cortisol and learn how to identify and treat a common condition in patients with adrenal tumors! Join us as we learn about mild autonomous cortisol secretion (MACS) with Dr. Irina Bancos (@irinabancos), an internationally renowned adrenal expert!Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Advice for listeners Adrenal incidentaloma Definition (Case 1) Hormonal workup for adrenal incidentalomas Defining mild autonomous cortisol secretion (MACS) Significance and prevalence of MACS Diagnostic testing for MACS Treatment options for MACS (surgery vs. comorbidity management) Post surgical management of MACS (Case 2) Diagnostic testing for adrenal insufficiency (AI) Glucocorticoid withdrawal syndrome management Deciding when patients are able to come off of steroids after AI Outcomes after adrenalectomy in MACS Take home points CreditsWritten and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD. Producer, writer, show notes, and CME: Mobeen Ahmad MD Cover art and infographic: Kate Grant MBChb, MRCGP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Mobeen Ahmad MD Reviewer: Emi Okamoto MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Irina Bancos MD, MSc DisclosuresDr. Bancos has the following disclosures: Consulting, advisory board or safety monitoring board (all fees to institution): Recordati, Corcept, Esteve, Spruce, Sparrow, Diurnal, Neurocrine, Lufordi, Adaptyx, Crinetics, Xeris, AstraZeneca, NovoNordisc, Camurus. Research grant for investigator initiated research (to institution): Esteve, Recordati Sponsor: Panacea FinancialVisit PanaceaFinancial.com today to claim your $100 bonus and start banking built for the way you actually live and work.Sponsor: MasterClassRight now, as a listener of this show, you get at least 15% off any annual membership at MASTERCLASS.com/CURB.Sponsor: Branch Basics Use code [CURB] for 15% off the Premium Starter Kit at BranchBasics.com.

Metabolic Health, Advanced Lipidology, and Preventing ASCVDLevel up your primary prevention game. Learn when ApoB, Lp(a), and CAC actually change management, how to spot cardiometabolic risk before diabetes declares itself, and how to make smarter lipid decisions beyond the standard panel. We’re joined by Dr. Greg Katz, cardiologist and prevention expert at NYU Langone Health.Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Primary Prevention & Metabolic Syndrome (Case 1) Beyond the Standard Lipid Panel When to Order ApoB How Lp(a) Changes Management (Case 2) Using CAC/CCTA in the Gray Zone Recognizing Early Cardiometabolic Risk CGMs, Wearables, and Signal vs Noise (Case 3) How to Talk to Patients About Risk Take-Home Points CreditsWritten 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: Greg Katz MD DisclosuresDr. Katz reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Sponsor: DeleteMeGet 20% off your DeleteMe plan when you go to joindeleteme.com/CURB and use promocode CURB at checkout.Sponsor: Panacea Legal Visit Panacea.Legal  and use code CURB20 for 20% off contract review services.Sponsor: FIGSWe’ve teamed up with FIGS, and now Curbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX. Sponsor: Continuing Education CompanyFor Curbsiders listeners, there’s a special offer: use promo code Curb30 for 30% off all online courses and webcasts. Visit CMEmeeting.org/curbsiders to learn more.  

Join us as we review and appraise recent practice-changing articles. In this episode, we cover the latest in GLP-1s and GIP agonists for CVD, Type 2 Diabetes, and Obesity, valacyclovir to treat Alzheimer’s, weight regain patterns after medication-induced weight loss, and a deep dive into the data behind deprescribing – and behavioral science to increase deprescribing behavior.  Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Alex Chaitoff (@alexchaitoff), Nora Taranto (@norataranto), & Matt Watto (@doctorwatto).Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMECredits Written and Hosted by: Nora Taranto MD, MSCE; Alexander Chaitoff MD, MPH; Paul Williams, MD, FACP,, & Matthew Watto MD, FACP Cover Art: Nora Taranto MD, MSCE Reviewer: Sai S Achi MD, MBA, FACP Technical Production: Pod Paste Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Show Segments Intro, disclaimer GLP-1 + GIPs vs GLP-1s for patients with T2DM and Obesity – SURPASS-CVOT  Weight Regain after Weight loss  VALAD – Valacyclovir in patients with early Alzheimer’s  Nudges to increase Deprescribing  Outro Sponsor: MedStudy Qbank Study less. Remember more. Pass confidently.Medstudy.com/CurbsidersCURB15 for 15% offSponsor: FIGSWe’ve teamed up with FIGS, and now Curbsiders listeners can get 15% off at Wearfigs.com with code FIGSRX. Sponsor: QuinceRight now, go to Quince.com/curb for free shipping and 365-day returns. Sponsor: A Dangerous DiagnosisTo get 20% off use DIAGNOSIS20 at www.penguinrandomhouse.com/books/808848/a-dangerous-diagnosis-by-shantanu-rai/paperback/

We have a classic episode for you. 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!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow 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 DisclosuresDr. Isaacs reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Sponsor: BabbelGet up to 60% off at Babbel.com/CURB. Sponsor: MedStudy QbankStudy less. Remember more. Pass confidently. Medstudy.com/Curbsiders CURB15 for 15% offSponsor: UPenn GSELearn more about our master’s program, explore our certificate option, and sign up for an application fee waiver code. Take the next step in advancing medical education—visit www.gse.upenn.edu/curbsiders. Sponsor: LocumstoryWhether you’re simply curious or seriously considering a change, pop by Locumstory.com to see if it’s something that makes sense for you

Stop getting TICK’ed off by LymeMaster Lyme disease — from recognizing erythema migrans and avoiding unnecessary testing to managing disseminated Lyme and post-exposure prophylaxis. Learn practical, evidence-based strategies you can use in the clinic. We’re joined by Dr. Sophie Woolston MD, infectious diseases expert and clinician-educator. (MaineHealth)Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Case 1 Lyme Basics Stages of Lyme Lyme Testing and Interpretation Coinfection Lyme Treatment Tick Prevention and Removal Post-Treatment Lyme Disease Syndrome Outro Credits Written and Produced by: Beth Gasperlin MD Show Notes, Infographics, and Cover Art by: Zoya Surani Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Gasperlin MD   Reviewer: Leah Witt MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Sophie Woolston MD DisclosuresDr. Woolston reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Sponsor: Continuing Education CompanyFor Curbsiders listeners, there’s a special offer: use promo code Curb30 for 30% off all online courses and webcasts.  Visit CMEmeeting.org/curbsiders to learn more.  Sponsor: Mint MobileShop plans at MINTMOBILE.com/CURB.Sponsor: FIGSWe’ve teamed up with FIGS, and now Curbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX.Sponsor: FreedUse code FREED50 for fifty dollars off your first month at Freed.ai

Helping you diagnose a common cause of hypertension!Hypertension is a growing disease globally, affecting millions of individuals and increasing the risk of heart disease and stroke. Along with the expert help of Dr. Vaidya (Brigham and Women’s Hospital), we help reimagine the approach of clinicians in terms of hypertension and help them navigate common diagnostic dilemmas! @AnandVaidya17 (Bluesky) @AnandVaidya17 (X)Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Introduction and Personal Interests Advice and Wisdom in Medicine  Case 1 Defining Primary Aldosteronism Screening for Primary Aldosteronism How common is Primary Aldosteronism Challenges in Diagnosis and Testing Medication Management and Testing Protocols Managing indeterminate cases Aldosterone Suppression Testing and its role Discussing treatment options with patients Case 2 Considering genetic causes of Primary Aldosteronism The need for AVS for lateralization Upcoming imaging modalities for Primary Aldosteronism Case 3 Medical Management of Primary Aldosteronism Future Directions in Treatment Credits Producer, Writer, Show Notes:Mobeen Ahmad MBBS  Infographic:Kate Grant MBChB MRCGP Cover Art:Kate Grant MBChB MRCGP 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:  Anand Vaidya MD, MMSc DisclosuresDr. Vaidya has disclosed the following: Financial Relationships: Astra Zeneca-Consulting Fee and Corcept-Consulting Fee, relationships have not ended. The Curbsiders report no relevant financial disclosures. Sponsor: The Sanford GuideCurbsiders listeners can get 20% off the already very moderately priced yearly subscriptions directly at sanfordguide.com. Go to sanfordguide.com and use the code, CURB at checkout.Sponsor: MedStudy PodcastCurbsiders listeners get 15% off with code CURB15 atmedstudy.comSponsor: Panacea Legal Visit Panacea.Legal and use code CURB20 for 20% off contract review services.Sponsor: DeleteMeGet 20% off your DeleteMe plan when you go to joindeleteme.com/CURB and use promo code CURB at checkout.