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The Curbsiders Internal Medicine Podcast

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The Curbsiders Internal Medicine Podcast

#460 Heart Failure with Preserved Ejection Fraction

Mon, 04 Nov 2024
Preserve your sanity while treating heart failure with preserved ejection fraction.  Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) illuminates this confounding cardiac condition.



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Show Segments






  • 00:00 Introduction and Advice for Physicians

  • 02:24 Case Presentation

  • 04:16 Understanding HFpEF

  • 08:11 Differential Diagnosis of Dyspnea and Edema

  • 11:30 Diagnosing HFPEF: H2F-PEF Score and Testing

  • 17:07 Managing Comorbidities in HFpEF

  • 20:54 Non-Pharmacological Interventions: Weight Loss and Exercise

  • 23:16 Understanding the Challenges of HFpEF

  • 25:08 Medications

  • 30:13 Promising Results of GLP-1 Receptor Agonists

  • 36:38 Managing Salt and Water Intake





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: Freed



You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month. 



Sponsor: Bombas



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Sponsor: Beginly Health



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#459 DIGEST: Finerenone for Heart Failure, PCV21 and the latest Pneumonia Vaccine Recs, 24-hour vs 15-hour Oxygen Therapy, and PREVENT vs PCE for Cardiovascular Risk Estimation

Mon, 28 Oct 2024
Join us as we review recent articles and news featured in The DIGEST issues #56 and #57, including finerenone for heart failure, the skinny on pneumonia vaccines and the latest, PCV21, long-term oxygen therapy (the REDOX trial), and the PREVENT vs PCE cardiovascular risk equations.  Fill your brain hole with a fully digestible meal! Featuring Alex Chaitoff (@alexchaitoff), Rahul Ganatra (@rbganatra), Nora Taranto (@norataranto), and Matt Watto (@doctorwatto). 



Note: **Update on Pneumonia Vaccine from ACIP: After we recorded and just before we published this episode, the CDC updated its vaccine guidance to include pneumonia vaccination for all adults aged 50 years and older to receive either PCV20, PCV21, or the combination of PCV15 followed by PPSV23 one year later (CDC site accessed 24 Oct 2024).**



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Credits






  • Written and Hosted by: Nora Taranto MD; Rahul Ganatra MD, MPH, Alex Chaitoff MD, MPH, Matthew Watto MD, FACP

  • Cover Art: Matthew Watto MD 

  • Reviewer: Emi Okamoto MD 

  • Technical Production: Pod Paste

  • Showrunners: Matthew Watto MD, FACP 





Show Segments






  • Introduction + Pun 

  • Exploring Finerenone in Heart Failure

  • Pneumonia Vaccines: The PCV21 Trial

  • Long-Term Oxygen Therapy: The REDOX Trial

  • Cardiovascular Risk Calculators: The PREVENT Equation





Sponsor: Freed



You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month. 



Sponsor: Quince



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Sponsor: Beginly Health



Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started





#458 Heart Failure with Reduced Ejection Fraction

Mon, 21 Oct 2024
Kittleson Rules Outpatient Heart Failure Volume 1



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. 



Claim CME for this episode at curbsiders.vcuhealth.org!



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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: Freed



You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month. 



Sponsor: Litter Robot



Right now, Whisker is offering $75 off Litter-Robot bundles. AND, as a special offer to listeners, you can get an additional $50 off when you go to stopscooping.com/CURB.



Sponsor: Beginly Health



Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started







#457 Cold and Flu Season: Upper Respiratory Infections

Mon, 14 Oct 2024
Treating colds, flu, and more with Dr Amber Bird!



Dive deep into upper respiratory viral infections with Dr Amber Bird, MD (Penn).  Feel confident on when to order testing, recommend symptom relieving treatments, and avoid unnecessary antibiotics.



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Show Segments






  • 00:00 Introduction and Setting the Agenda

  • 03:07 Getting to Know the Guest and Rapid Fire Questions

  • 05:51 Case from Kashlak: Mateo with Common Cold Symptoms

  • 06:12 Defining and Diagnosing the Common Cold

  • 09:08 Approach to History and Physical Exam

  • 13:23 Viral Respiratory Testing and Its Indications

  • 17:36 Symptomatic Treatment Options for the Common Cold

  • 24:25 Managing Cough and Nasal Congestion

  • 35:03 Home Remedies and natural products

  • 42:16 Prescribing Antivirals for Influenza

  • 46:33 Antibiotics and Counseling Patients

  • 52:07 Contagiousness and Risk to Family Members

  • 54:52 Recurring Colds and Risk Factors

  • 59:38 Vaccination recommendations

  • 01:01:23 Key Takeaways and Conclusion





Credits






  • Producer: Leah Witt, MD and Molly Heublein, MD

  • Show Notes/CME: Molly Heublein, MD

  • Cover Art and Infographic: Leah Witt, MD

  • Hosts, writers: Leah Witt and Molly Heublein, MD  

  • Reviewer: Fatima Syed, MD

  • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

  • Technical Production: PodPaste

  • Guest: Amber Bird, MD





Sponsor: Babbel



Get up to 60% off at Babbel.com/CURB. 



Sponsor: Freed



You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code

CURB50 for $50 off their first month.



Sponsor: Panacea Legal



 Let Panacea Legal help you today at Panacea.Legal

#456 Outpatient Oxygen Therapy

Mon, 07 Oct 2024
Supplemental oxygen is ubiquitous and yet there is a tremendous amount of uncertainty related to prescription and management in the outpatient setting. Have no fear, we’ve got your back! On this episode of The Curbsiders we host special guest Susan Jacobs, RN, MS who is a bonafide, world-class expert in outpatient oxygen therapy. How to prescribe? What’s out there? What do you do when your patient travels? She joins us to tackle these questions and so much more so make sure to tune in and snag some knowledge food for that old brain hole!



Claim CME for this episode at curbsiders.vcuhealth.org!



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Show Segments






  • Intro

  • Getting to know our guest

  • Basics of oxygen prescribing and devices

  • Caveats for the patient who only has exertional hypoxemia

  • How to prepare for travel

  • Key points & take aways

  • Outro





Credits






  • Producer, Writer, Infographic and Cover Art Artist: Leah Witt, MD

  • Show Notes: Cyrus Askin, MD

  • Reviewer:  Fatima Syed, MD

  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   

  • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

  • Technical Production: PodPaste

  • Guest: Susan Jacobs, RN, MS





Sponsor: UVA Health

To learn more about UVA Health, visit https://uvahealth.com/



Sponsor: Beginly Health



Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started.



Sponsor: Freed AI



You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.



View full show notes at thecurbsiders.com

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