
Join us as we review recent practice-changing articles on cannabidiol (CBD)-induced liver injury, IV iron for HFrEF, bedtime administration of blood pressure meds, carpal tunnel syndrome & rheumatoid arthritis , & FDA approval of finerenone for HFpEF. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), Nora Taranto (@norataranto) and Matt Watto (@doctorwatto).
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Credits
Written and Hosted by: Rahul Ganatra MD, MPH; Nora Taranto MD, 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
CBD-induced liver injury
IV Iron in HFrEF
Bedtime administration of BP medications
Carpal tunnel syndrome and RA
FDA approves Finerenone for HFpEF
Outro
Sponsor: Permanente
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Aug 25
58 min

Why we need to stop calling them “endemic” mycoses & more fungi fun!
Feeling muddled about endemic mycoses? We tackle the clinical presentation of diseases like histoplasmosis, blastomycosis, and coccidioidomycosis, the importance of testing, and how to diagnose fungal infections with our esteemed guest Dr. Andrej Spec, MD!
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Show Segments
Introduction and icebreaker, Fish Club?! 00:00
Case 1 from Kashlak 07:27
Diagnostic framework for dimorphic fungi 11:58
Imaging presentations for fungal pneumonia, diagnostic schemas 18:23
Testing options 27:48
Treatment options 35:44
Dimorphic Fungi Mnemonics 45:50
Retail testing for mold 48:47
Case 2 from Kashlak 56: 42
Takeaways and Conclusions 1:05:19
Credits
Producer, Writer, Show Notes: Beth “Garbs” Gasperlin MD
Infographic and Cover Art: Zoya Surani
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Gasperlin MD
Reviewer: Leah Witt Gaspard MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Andrej Spec MD
Disclosures
Dr. Spec reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.
Sponsor: Quince
Go to Quince.com/curb for free shipping on your order and three hundred and sixty-five -day returns.
Sponsor: Continuing Education Company
Special offer for Curbsiders listeners: Save 30% on all online courses and live webcasts with promo code CURB30. Visit www.CMEmeeting.org/curbsiders to explore all offerings and claim your discount.
Sponsor: Freed
Use code: CURB50 to get $50 off your first month when you subscribe!
Aug 18
1 hr 12 min

Dominate C. diff! Learn to distinguish colonization from infection, select first-line therapies, and counsel patients on recurrence prevention and microbiome recovery. We’re joined by IDSA past president and expert on foodborne and intestinal infections, Dr. Cindy Sears (Johns Hopkins University) for a comprehensive update on Clostridioides difficile (C. diff, Cdiff, CDAD, CDI).
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Show Segments
00:00 Intro
03:00 Guest bio and hobby
04:25 Case of Charles Fleur Fontaine
06:00 Risk factors and epidemiology
08:00 Antibiotic hierarchy of risk
10:00 Diagnosis, testing strategies
14:00 Defining severity
17:30 Treatment options
20:00 Microbiome recovery strategies
24:00 Probiotics and postbiotics
27:00 Infection control counseling
30:00 C. diff and colon cancer
32:00 Recurrent C. diff strategies
35:00 Why some FMT and bezlotoxumab were discontinued
38:00 Microbiota replacement therapies
43:00 Prophylaxis strategies
45:00 Future therapies and ongoing research
47:00 Audience Q&A
52:00 Outro
Credits
Written and Produced by: Matthew Watto, MD, FACP
Cover Art and Infographic by:
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: Cynthia Sears MD
Disclosures
Dr. Sears reports no relevant financial disclosures. Dr. Williams financial relationships disclosed include a Merck grant or research support. This relationship has not ended.
Sponsor: Mint Mobile
This year, skip breaking a sweat AND breaking the bank. Get this new customer offer and your 3-month Unlimited wireless plan for just 15 bucks a month at mintmobile.com/CURB
Sponsor: Panacea Financial
Let Panacea Financial take the financial stress off your plate,so you can get back to doing what matters most. Visit panaceafinancial.com
Sponsor: FIGS
Get15% off your first order at wearfigs.com with the code FIGSRX
Aug 11
57 min

In this special bonus episode, Dr. Linda Blustein (Bendy Bodies https://bit.ly/m/BendyBodies) addresses listener questions about Ehlers-Danlos syndrome (EDS) and hypermobility spectrum disorders.
00:00 – Introduction
00:59 – Can PCPs diagnose hEDS without a geneticist?
03:19 – Limitations of the Beighton Score
05:40 – 2017 hEDS criteria & upcoming revisions
10:29 – How to find a knowledgeable provider
12:52 – SVT vs POTS in a patient with EDS family history
19:53 – How to ask your provider if they’re comfortable treating dysautonomia
22:17 – MTHFR variants and hEDS
29:23 – Celiac, gluten sensitivity & EDS
31:48 – Food allergy vs sensitivity testing
34:11 – Lipoedema and hypermobility
39:00 – LDN, Ketotifen, and Cromolyn
43:41 – Medication sensitivity in EDS/POTS/MCAS patients
45:47 – Wrap up and resources
FIGS
Get 15% off your first order at wear figs.com with the code FIGSRX
Locumstory
Locumstory.com is simply a free, unbiased educational resource about locum tenens
Grammarly
Download Grammarly for free at Grammarly.com/PODCAST
Aug 7
51 min

We have a classic Curbsiders episode for you. Expert guest Dr. Elliot Tapper (@ebtapper) shares his framework for approaching NAFLD/MASLD and the treatment tools he recommends including lifestyle modifications and medications.
Aug 4
1 hr 14 min

An age-friendly approach to arthralgias.
Attack arthralgias with ease! Learn how to evaluate and manage common joint complaints in older adults. We’re joined by Dr Una Makris, @unamakris.bsky.social (UT Southwestern).
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Show Segments
Intro
Case 1 from Kashlak
General approach to joint pain in older adults
Diagnosing osteoarthritis
Management of osteoarthritis in older adults
Non-pharmacological interventions
Pharmacological interventions: topicals, orals, injectables
When to refer for joint replacement
Case 2 from Kashlak
Diagnosis of Late onset rheumatoid arthritis (LORA)
Differential Diagnosis and Distinguishing features
Lab work/Imaging
When to refer to rheumatology
Approach to managing LORA
The 5Ms framework
Initial treatment with glucocorticoids
Ageism as a driver of undertreatment in older adults
Treating to target
Key takeaways
Outro
Credits
Producers, Writers and Show Notes: Joseph (Lee) Young, MD, Leah Witt, MD, Rachel Miller, MD
Cover Art and Infographic: Leah Witt, 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: Dr. Una Makris
Disclosures
Dr. Makris reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.
Sponsor: Heart of Care
If you care about patient safety, team performance, and building a culture of readiness, subscribe to In the Heart of Care. Available now, wherever you get your podcasts.
Sponsor: FIGS
Curbsiders listeners can get 15% off. Just go to wearFIGS.com and use code FIGSRX.
Jul 28
1 hr 13 min

Here is a classic Curbsiders episode with one of our favourite guests of all time, Dr Joel Topf.
Learn how to manage diabetes and hypertension in chronic kidney disease with expert tips from Kidney Boy, Kashlak’s Chief of Nephrology, Dr. Joef Topf @kidney_boy.
Claim CME for this episode at curbsiders.vcuhealth.org!
Heart of Care
If you care about patient safety, team performance, and building a culture of readiness, subscribe to In the Heart of Care. Available now, wherever you get your podcasts.
Quince
Go to Quince.com/curb for free shipping on your order and three hundred and sixty-five -day returns.
Jul 24
1 hr 3 min

Combing through common dermatologic complaints in Primary Care
Hone your framework for assessing generalized and patchy hair loss and learn how to counsel patients about the hair loss advice they hear on social media. We discuss useful tests and treatments, psychosocial factors in relation to hair loss, variations in hair types and mention relevant nail conditions.
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Show Segments
Intro
Examination of hair and nails, ethnic hair types and cultural hair styles and practices.
Lab tests- clinically useful tests, and those to avoid
Telogen Effluvium
Scaly itchy scalp, seborrheic dermatosis, psoriasis
Androgenic alopecia and age-related hair loss
Topical and oral treatments
Examining the nails, conditions related to nail polishes and prosthetics
Patchy hair loss, alopecia areata, Discoid Lupus Erythematosis
Dr Pasieka’s take home points
Outro
Credits
Written & Produced by: Kate Grant MBChB, MRCGP
Show Notes, Infographic & Cover Art : Kate Grant MBChB, MRCGP
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: Helena Pasieka MD MS
Disclosures
Dr. Pasieka reports no relevant financial disclosures. Dr. Pasieka’s views are her own and do not represent those of her employer or the department of defense.
The Curbsiders report no relevant financial disclosures.
Sponsor: Continuing Education Company
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.
Sponsor: FIGS
Curbsiders listeners can get 15% off. Just go to wearFIGS.com and use code FIGSRX.
Sponsor Freed
Use code: CURB50 to get $50 off your first month when you subscribe!
Jul 21
1 hr 28 min

Matt and Paul recap top pearls from a recent episode on Travel Medicine with Dr. Boghuma Titanji (video version) and share their picks of the week. This video episode is only available on Patreon! Below are links to the original interview & show notes.
#449 Travel Medicine
Picks of the week:
Paul recommends: Clutch - Psychic Warfare; Harry Nilsson - The Point
Watto - Mr. McMahon (Netflix Docuseries)
Jul 17
39 min

Decode low neutrophils, recognize thalassemia without chasing iron, and sharpen your approach to bleeding disorders in primary care.
Crack the code on confusing labs. Learn from Dr. Bradley Beeler, an academic hematologist, how to recognize thalassemia without over-ordering tests, why a low neutrophil count in a healthy patient might not be a problem, and how to tackle bleeding disorders in primary care.
Claim CME for this episode at curbsiders.vcuhealth.org!
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Show Segments
Intro
Case 1: Duffy-null associated neutrophil count
Case 2: Bleeding disorders
Case 3: Thalassemia
Outro
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, FACP
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Bradley Beeler MD
Disclosures
Dr. Beeler reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.
Sponsor: Panacea
Search The Podcast for Doctors (By Doctors) on Spotify, Apple Podcasts, or wherever you listen.
Sponsor: Locumstory
Locumstory.com is simply a free, unbiased educational resource about locum tenens.
Sponsor: Continuing Education Company
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.
Jul 14
1 hr 19 min
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