The Curbsiders Internal Medicine Podcast

• #476 Medications for Alcohol Use Disorder 2.0 with Dr Stephen Holt

  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) Claim CME for this episode at curbsiders.vcuhealth.org! 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. Episodes | Subscribe | Spotify | iTunes | [email protected] | Free CME! Credits Written, produced, show notes, cover art and infographics by: Shawn Cohen MD  Hosts: Carolyn Chan, MD. MHS, Shawn Cohen MD, and Paul Williams MD Reviewer: Kento Sonoda MD Showrunner: Carolyn Chan, MD, MHS Technical Production: PodPaste Guest:  Stephen Holt MD Sponsor: Pretty Litter Go to Prettylitter.com/curb to save twenty percent on your first order and get a free cat toy.  Sponsor: Quince Go to Quince.com/curb for 365-day returns, plus free shipping on your order.  Sponsor: American College of Physicians Inc Internal Medicine Board Review Courses and offered in the Greater Chicago area May 13-17 and, new for 2025,  Philadelphia, July 14-18. • Enter code COURSECS25 toSave $75 dollars when registering for the Philadelphia course by 6/1.  Registration is open now at acponline.org Sponsor: Ezresus Listeners of the Curbsiders get access to a 2-month free trial, letting them use 100% of the features of the app. Go to .ezresus.com/curbsiders and use promo code Curbsiders

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• #475 Perioperative Update with Dr. Avital O’Glasser

  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 Learn when to hold ACE inhibitors, how to manage OSA without delaying surgery, and why "NPO after midnight" is outdated.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! Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Case Preoperative Assessment & Consulting Tips Risk Calculators Frailty Pulmonary Considerations Cardiovascular Meds & BP Management NPO: Why Are We Still Doing This? Biomarkers & Postoperative Risk MINS Outro Credits Written and produced, show notes, cover art, CME, and infographics: Paul Wurtz 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: Avital O’Glasser MD Disclosures Dr. O’Glasser reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.  Sponsor: EZResus  Listeners of the Cribsiders and Curbsiders podcasts get access to a 2-month free trial,letting them use 100% of the features of the  For more information, www.ezresus.com/curbsiders and Use promo code Curbsiders Sponsor: Freed Visit Freed.ai and Usecode:CURB50 to get $50 off your first month when you subscribe. Sponsor: Mint Mobile Get 3 months of premium wireless service from Mint Mobile for $15 a month.Shop plans at mintmobile.com/curb

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• #474 Resistant Hypertension the Next Frontier

  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). Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME 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.  Sponsor: Factor Eat smart with Factor. Get started at factormeals.com/factorpodcast and use code FACTORPODCAST to get 50% off your first box plus free shipping.  Sponsor: Continuing Education Company  This is a special offer for Curbsiders listeners. Visit www.CMEmeeting.org/curbsiders to save 30% on all online courses and live webcasts with promo code CURB30. Sponsor: Panacea Financial Explore financial solutions designed to make your life better at panaceafinancial.com. 

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• #473 Rapid Response Series: Narrow Complex Tachyarrhythmias with Dr. Noble Maleque

  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) Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME 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 Sponsor: Freed Start your free trial today, no credit card needed. Usecode: CURB50 to get $50 off your first month when you subscribe at Freed.ai  Sponsor: Grammarly Download Grammarly for FREE at grammarly.com/PODCAST Sponsor: Locumstory Visit free-to-use sponsor  at Locumstory.com

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

  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! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME 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.  Sponsor: Bombas Head over to Bombas.com/curb and use code curb for 20% off your first purchase. Sponsor: Pretty Litter  Go to PrettyLitter.com/curb to save twenty percent on your FIRST order and get a free cat toy.  Sponsor: Rocket Money  Cancel your unwanted subscriptions and reach your financial goals faster with Rocket Money. Go to RocketMoney.com/CURB today.

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