Rethink how you’re diagnosing and managing chronic pain with high-yield tips from pain experts and primary care doctors Soraya Azari MD @azarimugs (UCSF), and Phoebe Cushman MD, MS (UMass Memorial). Because let’s face it, managing chronic pain can be very difficult. Expand your toolbox for management-- including the importance of activity, empowering your patient, risk stratification for patients prior to opioid initiation, how to identify opioid use disorder, and how to taper opioids. Plus, updates on recent practice changing articles in chronic pain.





Full show notes at https://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.






Credits






Written and produced by: Nora Taranto MD
Hosts: Nora Taranto MD, Paul Williams MD, Matthew Watto MD
Edited by: Emi Okamoto MD, Matthew Watto MD
Guests: Soraya Azari MD; Phoebe Cushman MD, MS


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This episodes was recorded LIVE at #SGIM19 in Washington DC! Join the Society for General Internal Medicine today!


#156 Chronic Pain, Opioids, Tapers

Supercharge your learning and enhance your practice with this Internal Medicine Podcast featuring board certified Internists as they interview the experts to bring you clinical pearls, practice-changing knowledge, and bad puns. Doctors Matthew Watto, Paul Williams, and friends (a national network of students, residents, and clinician-educators) deliver a little knowledge food for your brain hole. Yummy! No boring lectures here, just high-value content and a healthy dose of humor. Fantastic for Internal Medicine, Family Medicine, Primary Care, and Hospital Medicine.

Education

Training

Language Courses

Higher Education

K-12

Educational Technology

Medicine

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Science

Health & Fitness

We went to it so you don’t have to



We recap the top pearls for the hospitalist from #SHM #Converge24 covering discussions on heart failure, gastrointestinal bleeds, sepsis, updates in critical care, updates in hospital medicine, oncologic emergencies, pneumonia, COPD, transitions of care, vulnerable populations, AI, and more!



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Show Segments






Intro
Picks of the Week
Heart Failure
Patients with Disabilities
POCUS on Inpatient Service
GI Updates
High Value Delivery of Medical Education
Molecular Testing for Infectious Diseases
Interhospital Transfers
Artificial intelligence in Inpatient Care
Care of the Incarcerated Patient
Periop Updates
Oncologic Emergencies--Neutropenic Fever
Oral vs IV Antibiotics
Updates in Hospital Medicine
Updates in Critical Care & Guidelines in Hospital Medicine
Post Acute Care
Things We Do For No Reason ™
Iron Deficiency Anemia
Updates in Community Acquired Pneumonia
Updates in Palliative Care
Outro




Credits






Written, produced and show notes by: Monee Amin MD, Caroline Coleman MD, Meredith Trubitt MD 
Cover Art: Caroline Coleman MD
Hosts: Monee Amin MD, Meredith Trubitt MD 
Reviewer: Rahul Ganatra, MD, MPH
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guests: Harika Gorti MD, Sneha Neurgaonkar MD




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: Pattern



Request your disability insurance quote online at patternlife.com/curbsiders.








#438 Recap from SHM #Converge24

We cover angina, COPD-asthma overlap, home oxygen, colon cancer screening, cancer survivorship, tobacco cessation, e-cigarettes, step counts for health,  new drugs, the RSV vaccine, addiction medicine, interstitial lung disease, APOL1-mediated kidney disease, testosterone therapy, antimicrobial resistance, office-based allergy testing and more! The Curbsiders review highlights, clinical pearls, and practice-changing updates from the American College of Physician Internal Medicine Meeting #IM2024! 



No CME for this episode due to rapid turnaround, but claim CME for most episodes at  curbsiders.vcuhealth.org!



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Show Segments






Intro
ACP Pearls
Outro




Credits








Producers: Matthew Watto MD, FACP; Paul Williams MD, FACP, Molly Heublein MD, Nora Taranto MD, Chris Chiu MD, Rahul Ganatra MD MPH, Beth Garbitelli MD
Show Notes: Matthew Watto MD, FACP; Paul Williams MD, FACP, Molly Heublein MD, Nora Taranto MD, Chris Chiu MD, Rahul Ganatra MD MPH, Beth Garbitelli MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
Reviewer:Matthew Watto MD FACP
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste




Sponsor: Beginly Health



Visit https://beginlyhealth.com/curbsiders for the job matching platform for every Physician and Advanced Practice Clinician, from training to practice





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.












#437 Clinical Pearls ACP #IM2024

Energize your education on endometriosis! Learn common clinical presentations, optimal diagnostic imaging tests, and how to counsel patient on treatment options. We are joined by Dr. Adela Cope (Mayo Clinic) and Dr. Isabel Green @isabelgreenMD (Mayo Clinic).



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



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Show Segments






00:00 Intro 
03:00 Guest Introduction
06:45 Topic
07:30 Endo Definition & Symptoms
14:40 Endo phenotypes
21:30 Differential Diagnoses to Consider
25:47 Making a Diagnosis 
31:00 Imaging to consider
37:40 Endo Hormonal Treatment Optiosn
48:30 Monitoring Treatment
52:20 When to Refer
57:30 Surgical Treatment
1:09:20 Pain Management
1:13:30 Take Homes
1:19:00 Outro




Credits






Producer, Show notes, Infographics: Carolyn Chan, MD, MHS
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
Reviewer: Sai S Achi, MD, MBA
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Dr. Adela Cope and Dr. Isabel Green




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: Locumstory



Tune in to The Locumstory Podcast on Spotify, Apple, or Google podcasts.



Sponsor: Babbel



Curbsiders listeners get 60% off at babbel.com/CURB








#436 Endometriosis for the Internist with Dr. Cope & Dr. Green

A real pain in the neck (Get it?! We have fun.)



Protect your neck!  Learn how to evaluate a patient with neck pain, and differentiate between mechanical neck pain, radiculopathy, and myelopathy. You’ll learn who should be reassured, who should see a surgeon, and what nonoperative options are available.  We’re joined by Dr. Anthony Mikula @anthony_mikula from Mayo Clinic. 



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



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Show Segments






00:00 Introduction 
06:14 Anatomy and Pain Generators
09:58 Approach to Neck Pain
22:57 Differentiating Radiculopathy from Non-Specific Neck Pain
24:05 Management of Mechanical Neck Pain
27:36 Indications for Imaging
29:21 Terminology and Explanation of Spondylosis, Spondylolisthesis, and Spondylolysis
30:48 Diffuse Idiopathic Skeletal Hyperostosis (DISH)
32:23 Imaging Terminology and Plain Films
36:19 Pathophysiology of Cervical Radiculopathy
38:34 Physical Examination for Cervical Radiculopathy
44:54 Diagnostic Work-up for Radiculopathy
51:53 Interventions for Cervical Radiculopathy
53:53 Considerations for Surgery
57:49 Recognizing Cervical Myelopathy
01:00:17 Natural History of Myelopathy
01:02:25 Referral and Treatment for Myelopathy
01:09:28 Summary and Takeaways




Credits






Written and Produced by: Paul Williams, MD, FACP
Show Notes: Paul Williams, MD, FACP
Infographic and Cover Art: Paul Williams, MD, FACP
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: Anthony Mikula, MD




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: Grammarly





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#435 Neck Pain with Dr. Anthony Mikula

It’s NOT Always a UTI!



Sounds like another UTI but it could be more than that! Time to explore the entire pelvic floor and see what more you can treat. School’s in session with the Bladder Teacher,  Kellen Choi, DO from the University of Louisville @KellenChoi



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



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Show Segments






Intro
Rapid fire questions/Picks of the Week
Case #1 and Definitions
Bowel habits
Water intake 
Case #2
Vaginal Estrogen
Non-antibiotic prophylaxis
Antibiotic in prophylaxis
Pelvic Floor Physical Therapy
Take-home points
Outro




Credits






Producer, Writer & Show Notes: Isabel Valdez, PA
Infographic & Covert Art: Edison Jyang
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
Reviewer: Fatima Syed, MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Kellen Choi DO, FAOCS




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: Locumstory



Tune in to The Locumstory Podcast on Spotify, Apple, or Google podcasts.








#156 Chronic Pain, Opioids, Tapers

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