The Curbsiders Internal Medicine Podcast

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.



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



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Show Segments

Credits



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.



Sponsors



Sponsor: FIGS

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





Sponsor: Permanente Medical Group

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. 



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



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Show Segments

Credits

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.



Sponsor: Quince



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. 



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

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.



Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | CME!





Show Segments

Credits

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.