#485: Things We Do For No Reason™Live from SHM #Converge2025
Brush up on your high-value care by exploring four Things We Do For No Reason with experts Dr. Tony Breu (@tony_breu, Harvard University) and Dr. Lenny Feldman (@DocLennyF, Johns Hopkins University). Follow along as they explore lactate-guided resuscitation in shock, beta blocker use with cocaine, holding anticoagulation in patients with fall risk, and discharge before noon.
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Show Segments
Intro
Picks of the Week
Part 1: Things We Do for No Reason™: Using lactate as our resuscitation guide in sepsis
Part 2: Things We Do for No Reason™: Discontinuing β-blockers in patients who use cocaine
Part 3: Things We Do for No Reason™: Discontinuing anticoagulation in older patients with atrial fibrillation and a high risk of falls
Part 4: Things We Do for No Reason™: Discharge before noon
Outro
Credits
Producers: Caroline Coleman MD, Monee Amin MD, Meredith Trubitt MD
Writers: Monee Amin MD and Meredith Trubitt MD
Show Notes, Infographic, Cover Art: Caroline Coleman, 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: Lenny Feldman, MD and Tony Breu, MD
Disclosures
Dr. Breu and Dr Feldman report no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.
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1:09:38
#484 Hotcakes: Vitamin D3, Omega-3 Fatty Acids, and Physical Performance, Gabapentin and Falls, Gepotidacin for UTI, and Intermittent Fasting for Weight Loss
Join us as we review recent practice-changing articles on the effect of vitamin D3 and omega-3 fatty acids on physical performance, gabapentin and falls, gepotidacin for uncomplicated UTI, and intermittent fasting for weight loss. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), special guest Laura Glick (@LauraRGlick) and Matt Watto (@doctorwatto).
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Credits
Written and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP
Cover Art: Rahul Ganatra MD, FACP
Reviewer: Sai S Achi, MD,MBA,FACP
Technical Production: Pod Paste
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Show Segments
Intro, disclaimer
Vitamin D3 vs omega-3 fatty acids and physical performance
Gabapentin vs duloxetine and risk of falls
Gepotidacin vs nitrofurantoin for uncomplicated UTI
Intermittent fasting vs daily calorie restriction for weight loss
Outro
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59:16
#483: Diabetic Dilemmas in Older Adults, Pregnancy and Corticosteroid Use with Jeff Colburn, MD
This episode doesn't sugarcoat the truth about tricky diabetes management!
Wrangle wild blood sugars among older adults, pregnant individuals, and those taking corticosteroids! Join our Kashlak resident endocrinologist Dr. Jeff Colburn, as we dive into diabetic dilemmas. We will help you dodge dangerous lows and navigate tricky treatment traps in these special populations. Get the un-sugar-coated truth on managing complex diabetes cases!
Claim CME for this episode at curbsiders.vcuhealth.org!
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Show Segments
Intro
Diabetes in Older Adults (Geriatrics)
General Approach
Risks of Hypoglycemia
4Ms Framework
Insulin Management
Oral Medications
Diabetes in Pregnancy
Preconception Counseling
Eye Health Monitoring
Insulin Therapy During Pregnancy
Postpartum Care
Steroid-Induced Hyperglycemia
General Approach
Postprandial Insulin Adjustment
NPH Insulin Usage
Initiating Insulin
Role of GLP-1RA and SGLT2-inhibitors
Take-home Points
Outro
Credits
Producer, Writer, and Show Notes: Isabel Valdez, PA-C
Infographic and Cover Art: Zoya Surani, BA, MS
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: Jeff Colburn, MD
Disclosures
Dr. Jeff Colburn reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.
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.
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1:19:16
UNLOCKED #43 Exclusive! HFrEF (TFTC audio)
Join us at patreon.com/curbsiders today and save 20% on NEW Annual Memberships with promo code: UNLOCKED.
*This offer expires at 3am EST on May 15, 2025.
Matt and Paul recap top pearls from a recent episode on heart failure with reduced ejection fraction (HFrEF) and the importance of understanding the underlying causes of heart failure with Dr. Michelle Kittleson (video version). They also answer listener questions and share their picks of the week.
Chapters:
00:00 Introduction and Humor
01:41 Understanding Heart Failure
04:50 Guideline-Directed Medical Therapy
09:57 Practical Approaches to Treatment
13:58 The Importance of Medication Adherence
16:22 Dietary Considerations in Heart Failure
18:24 ED Follow-Ups and Patient Management
20:38 SGLT2 Inhibitors and Infections
25:58 Patient Counseling and Preventative Care
26:33 Picks of the Week
We’re taking a break this week, but we’ll be back next week with a brand-new episode.
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
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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.