Episodes

  • #497 Tailoring and Ramping up Management of Methamphetamine Use Disorder for the Current Era with Dr. Phillip Coffin

    #497 Tailoring and Ramping up Management of Methamphetamine Use Disorder for the Current Era with Dr. Phillip Coffin
    Sep 8 2025
    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.

    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!

    Credits

    • Producer/Script Writer/Show Notes: Era Kryzhanovskaya, MD
    • Infographic and Cover Art: Zoya Surani
    • Hosts: Carolyn Chan, MD. MHS and Era Kryzhanovskaya, MD
    • Reviewer: Sarah Leyde MD
    • Showrunner: Carolyn Chan, MD, MHS
    • Technical Production: PodPaste
    • Guest: Dr. Phillip Coffin

    Show Segments

    • Intro, disclaimer, guest bio
    • Guest one-liner
    • Case from Kashlak; Definitions
    • Four-tier approach to taking care of patients with methamphetamine use/use disorder
    • Medications for treatment
    • Psychosocial treatment
    • Harm reduction
    • New horizons in treatment
    • Outro

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    Sponsor: Grammarly

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    1 hr and 3 mins
  • REBOOT: #457 Cold and Flu Season: Upper Respiratory Infections

    REBOOT: #457 Cold and Flu Season: Upper Respiratory Infections
    Sep 1 2025
    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.

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

    FIGS
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    Freed
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    1 hr and 6 mins
  • #496 Hotcakes: Cannabidiol (CBD)-induced liver injury, IV iron for HFrEF, bedtime BP meds, Carpal Tunnel Syndrome & RA, & Finerenone for HFpEF

    #496 Hotcakes: Cannabidiol (CBD)-induced liver injury, IV iron for HFrEF, bedtime BP meds, Carpal Tunnel Syndrome & RA, & Finerenone for HFpEF
    Aug 25 2025
    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).

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

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    Credits

    • Written and Hosted by: Rahul Ganatra MD, MPH; Nora Taranto MD, Paul Williams, MD, FACP, Matthew Watto MD, FACP
    • Cover Art: Rahul Ganatra MD, MPH
    • Reviewer: Emi Okamoto, MD
    • Technical Production: Pod Paste
    • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
    Show Segments

    • Intro, disclaimer
    • CBD-induced liver injury
    • IV Iron in HFrEF
    • Bedtime administration of BP medications
    • Carpal tunnel syndrome and RA
    • FDA approves Finerenone for HFpEF
    • Outro

    Sponsor:     Permanente

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    59 mins
  • #495 Fungal Infections -Histo/Blasto/Cocci with Dr. Andrej Spec

    #495 Fungal Infections -Histo/Blasto/Cocci with Dr. Andrej Spec
    Aug 18 2025
    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!

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

    Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME


    Show Segments

    • Introduction and icebreaker, Fish Club?! 00:00
    • Case 1 from Kashlak 07:27
    • Diagnostic framework for dimorphic fungi 11:58
    • Imaging presentations for fungal pneumonia, diagnostic schemas 18:23
    • Testing options 27:48
    • Treatment options 35:44
    • Dimorphic Fungi Mnemonics 45:50
    • Retail testing for mold 48:47
    • Case 2 from Kashlak 56: 42
    • Takeaways and Conclusions 1:05:19

    Credits

    • Producer, Writer, Show Notes: Beth “Garbs” Gasperlin MD
    • Infographic and Cover Art: Zoya Surani
    • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Gasperlin MD
    • Reviewer: Leah Witt Gaspard MD
    • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Technical Production: PodPaste
    • Guest: Andrej Spec MD

    Disclosures

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

    Sponsor: Quince
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    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.


    Sponsor: Freed
    Use code: CURB50 to get $50 off your first month when you subscribe!
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    1 hr and 13 mins
  • #494 C. diff, Diarrhea, the Microbiome, and New Therapies with Dr. Cynthia Sears. Live from Johns Hopkins Grand Rounds

    #494 C. diff, Diarrhea, the Microbiome, and New Therapies with Dr. Cynthia Sears. Live from Johns Hopkins Grand Rounds
    Aug 11 2025
    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).

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

    Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME

    Show Segments

    • 00:00 Intro
    • 03:00 Guest bio and hobby
    • 04:25 Case of Charles Fleur Fontaine
    • 06:00 Risk factors and epidemiology
    • 08:00 Antibiotic hierarchy of risk
    • 10:00 Diagnosis, testing strategies
    • 14:00 Defining severity
    • 17:30 Treatment options
    • 20:00 Microbiome recovery strategies
    • 24:00 Probiotics and postbiotics
    • 27:00 Infection control counseling
    • 30:00 C. diff and colon cancer
    • 32:00 Recurrent C. diff strategies
    • 35:00 Why some FMT and bezlotoxumab were discontinued
    • 38:00 Microbiota replacement therapies
    • 43:00 Prophylaxis strategies
    • 45:00 Future therapies and ongoing research
    • 47:00 Audience Q&A
    • 52:00 Outro

    Credits

    • Written and Produced by: Matthew Watto, MD, FACP
    • Cover Art and Infographic by:
    • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Reviewer: Sai S Achi MD,MBA,FACP
    • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
    • Technical Production: PodPaste
    • Guest: Cynthia Sears MD

    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.

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    Sponsor:     Panacea Financial

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    Sponsor:     FIGS

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    58 mins
  • Bonus: Hypermobility Q&A with Bendy Bodies Dr. Linda Bluestein

    Bonus: Hypermobility Q&A with Bendy Bodies Dr. Linda Bluestein
    Aug 7 2025
    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
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    Locumstory
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    Grammarly
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    51 mins
  • REBOOT: #452 NAFLD/MASLD with Dr. Elliot Tapper

    REBOOT: #452 NAFLD/MASLD with Dr. Elliot Tapper
    Aug 4 2025
    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.


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    1 hr and 14 mins
  • #493: Joint Pain in Older Adults with Dr. Una Makris

    #493: Joint Pain in Older Adults with Dr. Una Makris
    Jul 28 2025
    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).

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

    Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME

    Show Segments

    • Intro
    • Case 1 from Kashlak
    • General approach to joint pain in older adults
    • Diagnosing osteoarthritis
    • Management of osteoarthritis in older adults
      • Non-pharmacological interventions
      • Pharmacological interventions: topicals, orals, injectables
      • When to refer for joint replacement
    • Case 2 from Kashlak
    • Diagnosis of Late onset rheumatoid arthritis (LORA)
      • Differential Diagnosis and Distinguishing features
      • Lab work/Imaging
      • When to refer to rheumatology
    • Approach to managing LORA
      • The 5Ms framework
      • Initial treatment with glucocorticoids
      • Ageism as a driver of undertreatment in older adults
      • Treating to target
    • Key takeaways
    • Outro

    Credits

    • Producers, Writers and Show Notes: Joseph (Lee) Young, MD, Leah Witt, MD, Rachel Miller, MD
    • Cover Art and Infographic: Leah Witt, 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: Dr. Una Makris

    Disclosures

    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.

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    1 hr and 14 mins