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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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.

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.

Use code: CURB50 to get $50 off your first month when you subscribe!

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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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

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

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. 

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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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. 

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. 

Finerenone is FDA approved for managing CKD in patients with diabetes. **Update as of July 2025: The non-steroidal mineralocorticoid recepter antagonist, finerenone is now FDA approved to treat heart failure with LVEF at or above 40% based on results of the FINEARTS-HF trial. **

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.

Go to Quince.com/curb for free shipping on your order and three hundred and sixty-five -day returns.

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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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. 

Curbsiders listeners can get 15% off. Just go to wearFIGS.com and use code FIGSRX.

Use code: CURB50 to get $50 off your first month when you subscribe!

Matt and Paul recap top pearls from a recent episode on Travel Medicine with Dr. Boghuma Titanji  (audio version) and share their picks of the week. 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)

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.

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Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz 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.

Master the latest approaches for treating venous thromboembolism with expert tips on direct oral anticoagulant (DOAC) selection, dosing, and duration. Learn how to tailor anticoagulation for special populations, handle treatment failures, and navigate long-distance travel risks. We’re joined by Dr. Tara Lech, PharmD, CACP (Beth Israel Lahey Health, @AnticoagPharmD, @anticoagpharmd.bsky.social‬).

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Dr. Lech reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 

Sponsor: Grammarly 

Let Grammarly take the busywork off your plate so you can focus on high-impact work. Download Grammarly for free at Grammarly.com/PODCAST.

CURB50 to get $50 off your first month when you subscribe at freed.ai

Sponsor: JournalFeed

Try JournalFeed free for 7 days—and get 20% off your first year with code CURB25 at journalfeed.org/curb.