Update your approach to the evaluation and management of IBD with Dr. Aline Charabaty (@DCharabaty). Review updates in management options, imaging modalities and preventive health recommendations. 

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Disclosures

Dr. Charabaty 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 365-day returns. Now available in Canada, too.

Sponsor: Freed

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

Sponsor: Permanente Medical Group

Discover more at northerncalifornia.permanente.org

Update your approach to the evaluation and management of GERD with Dr. James Callaway. Learn when to consider ambulatory reflux monitoring and how to determine if someone has an indication for long-term PPI therapy. 

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

Schedule a free consultation today and make sure your career stays more treat than trick. Get started at Panacea.Legal

Ready to say yes to saying no? Make the switch at MINTMOBILE.com/CURB

Visit CMEmeeting.org/curbsiders  and use promo code Curb30 to get 30% off all online courses and webcasts.

In this bonus episode, Matt and Paul answer Patreon listener questions  on  various topics, including the role of AI in medicine, concerns about antibiotics and their impact on health, insomnia treatments, thyroid health, reflections on career burnout and more. They also share personal anecdotes and insights emphasizing the importance of continuous learning and adaptation in the medical field.

Chapters

00:00 Exploring AI in Medicine

04:50 Cultural Shifts in Music Appreciation

10:16 Navigating Medical Questions and Antibiotics

14:57 Insomnia Medications and Sleep Hygiene

19:58 Thyroid Health and Selenium

24:59 Reflections on Career and Burnout

29:55 Closing Thoughts and Gratitude

GOLD Updates, Novel Treatments, and Managing Comorbidities in COPD Care

Level up your COPD care with practical, evidence-based strategies. Learn how to confirm airflow obstruction with spirometry (and use LLN/Z-scores thoughtfully), stage patients with the A/B/E framework, and build treatment around long-acting bronchodilation—adding ICS selectively based on exacerbations and eosinophils. We’ll highlight the nonpharmacologic moves that change outcomes (smoking cessation, vaccination, pulmonary rehab, oxygen when indicated), when to reach for add-ons (azithromycin, roflumilast), how to approach chronic hypercapnia with home NIV, and what’s new (hello, ensifentrine). Pulmonologist and longtime Curbsiders member Dr. Cyrus Askin (@Askins_Razor ) returns to share real-world pearls for diagnosing, treating, and managing comorbidities in COPD.

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

 

Sponsor - Freed

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

Sponsor - Grammarly

Sign up for FREE and experience how Grammarly can elevate your professional writing from start to finish. Visit Grammarly.com/podcast

Sponsor -Locumstory

Learn about locums and get insights from real-life physicians, PAs and NPs at Locumstory.com

We have a classic episode for you. Preserve your sanity while treating heart failure with preserved ejection fraction.  Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) illuminates this confounding cardiac condition.

Sponsor: FIGS

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

Discover more at northerncalifornia.permanente.org.

Sponsor: UNCOMMON GOODS

To get 15% off your next gift, go to UNCOMMONGOODS.com/curb.

Sorting out DOAC Drama in the Hospital

Is it treatment failure or not? Join us for a great conversation with Dr. Jori May (University of Alabama-Birmingham) on all the nuances around DOAC treatment failure and treatment indications for the hospitalized patient. 

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Sponsor: Continuing Education Company

Curbsiders listeners: use promo codeCurb30 for 30% off all online courses and webcasts.Head to CMEmeeting.org/curbsiders to learn more

Sponsor: FIGS

We’ve teamed up with FIGS, and now Curbsiders listeners can get 15% off. Just go to WearFIGS.com and use codeFIGSRX.

Go to Quince.com/curb for free shipping on your order and 365-day returns

Grow your management tools for opioid withdrawal in the hospital. Investigate how to decide between methadone and buprenorphine, additional medications to manage symptoms and how and when to use short-acting opioids for management of withdrawal. We’re joined by Ashish Thakrar, MD at the University of Pennsylvania. 

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.

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Sponsor: Mint Mobile 

Shop plans at MINTMOBILE.com/CURB

Sponsor: Freed

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

Sponsor: FIGS 

We’ve teamed up with FIGS, and now Curbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX.

In this high-yield episode of Curbsiders Addiction Medicine, we dive deep into a practical and compassionate approach to caring for patients using methamphetamines and/or living with methamphetamine use disorder. We explore the latest pharmacologic options, harm reduction strategies, contingency management, and innovative ideas for monitoring and supporting patients. Whether you’re in primary care or other subspecialty settings, this episode is packed with pearls for every clinician with our amazing guest, Dr. Phillip Coffin, Director of the Center on Substance Use and Health in the SFDPH. 

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.

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Sponsor: Locumstory

Learn about locums and get insights from real-life physicians, PAs and NPs at Locumstory.com

Sponsor: Panacea

Visit panaceafinancial.com and Panacea’s Resource Library for free student loan articles, guides, and webinars built to help you make informed decisions.

Download Grammarly for free at Grammarly.com/PODCAST

We have a classic episode for you. 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.

Curbsiders listeners: use promo code Curb30 for 30% off all online courses and webcasts. Head to CMEmeeting.org/curbsiders to learn more.

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 at getfreed.ai

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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Sponsor: Permanente

Want to join thousands of physicians who've made TPMG their career destination? Discover more at northerncalifornia.permanente.org