#529 A Case of Syncope with the Clinical Problem Solvers

We have another classic episode for you. Level up your primary prevention game. Learn when ApoB, Lp(a), and CAC actually change management, how to spot cardiometabolic risk before diabetes declares itself, and how to make smarter lipid decisions beyond the standard panel. We’re joined by Dr. Greg Katz, cardiologist and prevention expert at NYU Langone Health.

Separating Signal from HypePatients bring us lists. Greens powders, magnesium for everything, vitamin D “for immunity,” fish oil, creatine, curcumin… so how do we separate signals from hype without becoming the office that just says “no” to everything? In this home-grown deep dive, we build a practical, patient-centered framework for evaluating any supplement, then pressure-test it against the products patients actually take. Learn a five-question approach to any supplement, how to judge product quality in an industry the FDA does not pre-approve, and where the evidence actually lands on greens powders and multivitamins, magnesium, creatine, vitamin D, fish oil (and why cod liver oil is not the same thing), turmeric/curcumin, and glucosamine/chondroitin.Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Ask These Five Questions: A Framework for Any Supplement Supplement Quality and Regulation Greens Powders and Multivitamins Magnesium Creatine Vitamin D Fish Oil and Cod Liver Oil Turmeric and Curcumin Glucosamine and Chondroitin Simplifying the Regimen Take-Home Points Credits Writer and Producer, Show Notes, Cover Art, Infographic: Paul Wurtz MD. 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 DisclosuresThe Curbsiders report no relevant financial disclosures. Sponsor: FIGSCurbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX.   Sponsor: Panacea FinancialVisit Panacea.Legal/curb to schedule your free consultation.Sponsor:Continuing Education CompanyVisit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts.   

Caring for patients using mitragynine-derived substancesFamiliarize yourself with the differences in mitragynine-derived compounds. Understand how to identify and manage kratom use disorder and withdrawal from mitragynine-derived compounds. We’re joined by Dr. Jonathan Tanawan (Profile).   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 | [email protected] | CME!Credits Written and Produced, with  Show Notes, Infographic, and Cover Art by Zina Huxley-Reicher, MD  Hosts: Carolyn Chan, MD. MHS and Zina Huxley-Reicher, MD Reviewer: Kento Sonoda, MD, MPH Showrunner: Carolyn Chan, MD, MHS Technical Production: PodPaste Guest: Jonathan Tanawan, MD Show Segments Intro, disclaimer, guest bio Guest one-liner, Picks of the Week* Case from Kashlak; Definitions Pharmacology of  kratom and other mitragynine-based compounds How to take a mitragynine-specific substance use history Defining a use disorder Withdrawal from kratom  Managing a use disorder with MOUD Legal landscape and regulation  Outro Sponsor: FreedGo to freed.ai and use code FREED50 for fifty dollars off your first month. Sponsor: FigsCurbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX.  Sponsor: Continuing Education CompanyVisit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts.

From Pain to Gain: Diagnosis to Updated Treatment OptionsLearn how to recognize fibromyalgia as a disorder of central pain processing, distinguish it from common mimics, and apply evidence-based strategies for diagnosis and management. In this episode, Dr. Daniel Clauw (University of Michigan) shares practical clinical pearls on nociplastic pain, sensory hypersensitivity, non-pharmacologic therapies, medication selection, and why opioids often fail in fibromyalgia.Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Rapid Fire questions Case 1 on fibromyalgia presentation Diagnosis and exam for fibromyalgia Non-pharmacologic treatment recommendations Pharmacologic treatment recommendations Case 2 on opioids for pain management Outro Credits Written and Produced by: Zoya Surani  Show Notes, 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: Dan J Clauw MD DisclosuresDr. Clauw reports financial disclosures with the following companies: Tonix, Axsome, Ono, Swing (Consulting Fee). The Curbsiders report no relevant financial disclosures. Sponsor: QuinceGo to Quince.com/curb for free shipping on your order and 365-day returns. Now available in Canada, too. Sponsor: BreezeVisit meetbreeze.com/curbsiders to request your free quote and consultation with one of their licensed experts and make protecting your income a Breeze.

With 10+ parts to the 2025 ACLS guidelines, it’s a lot to sift through. Join us for this focused conversation on the parts that have had most practice changing updates with Dr. Jessica Nave (Emory University). Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Rapid Fire Questions/Picks of the Week Case 1 Updates to narrow complex unstable tachyarrhythmias Case 2 Stable ventricular tachycardia Ventricular fibrillation Refractory ventricular fibrillation  POCUS/Lines Post Cardiac Arrest Care Termination of Resuscitation Outro Credits Producer, Writer, Show Notes, Hosts: Monee Amin MD, Meredith Trubitt MD  Cover Art, Infographic:Caroline Coleman MD Reviewer: Sai Achi MD, MBA,FACP Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Jessica Nave MD  DisclosuresDr. Nave reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Sponsor: Mint MobileTo get your new wireless plan for just 15 bucks a month, go to mintmobile.com/CURB. Sponsor: LocumstoryLocumstory.com is literally just a free, unbiased resource dedicated to educating physicians about locums.Sponsor: Babbel Go to Babbel.com/CURB for up to 60% off.

We have another classic episode for you. Transform your approach to menopause care with the latest evidence and expert insights you can use tomorrow. Learn how to move beyond outdated WHI-era fears and confidently prescribe individualized, effective hormonal therapies. We’re joined by urologist and sexual medicine specialist Dr Rachel Rubin (@DrRachelRubin), who brings clarity, practicality, and a fresh perspective to this rapidly evolving field.Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Case Shifting care for menopause WHI/black box warning labels What makes you nervous? Local vaginal treatments Progesterone therapy Estrogen therapy Testosterone therapy Perimenopause Outro Credits Producer, Writer, Show Notes, Infographic, Cover Art: Molly Heublein MD Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Molly Heublein MD Reviewer: Leah Witt MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Rachel Rubin MD DisclosuresDr. Rachel Rubin reports financial support from Sprout Pharmaceuticals . The Curbsiders report no relevant financial disclosures. Sponsor: FIGSCurbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX.Sponsor: Panacea FinancialNew checking account customers can earn up to $300 by completing qualifying activities within 60 days of opening an account. Visit PanaceaFinancial.com/curbsiders today to learn more and see how to qualify for the $300 offer. Sponsor: BreezeVisit meetbreeze.com/curbsiders to request your free quote and consultation with one of their licensed experts and make protecting your income a Breeze.

Confidently counsel on nutrition, as we discuss different dietary patterns and address common patient queries. We are joined by Dr. Joan Salge Blake (Boston University).Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Case Ketogenic Diets Mediterranean & DASH Diets Fiber Oils and Fats Processed Foods Paleolithic and Carnivore Diets Food Order and Glycemic Control Protein Vegetarian and Vegan Diets Intermittent Fasting and Meal Timing Artificial Sweeteners Outro Credits Producer, Writer, Show Notes, Infographic, and Cover Art: Edison Jyang, MD 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: Joan Salge Blake, EdD, MS, RDN, LDN, FAND DisclosuresJoan Salge Blake, EdD, MS, RDN, LDN, FAND  reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Sponsor: FIGSCurbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX. Sponsor: UpToDate For a limited time, get 10% off UpToDate packages with code CURB10. Visit https://store.uptodate.com/ to save on your annual or longer personal UpToDate subscription today. Sponsor: Continuing Education CompanyVisit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all webcasts and THANKYOU40 for up to 40% off online courses  The customer appreciation 40% off offer ends on June 30th.

Enjoy the ride as we go through a case of syncope with the Clinical Problem Solvers! Listen in awe as they break down their thought process when evaluating a patient presenting with syncope. We are joined by Reza Manesh (UCLA) and Rabih Geha (UCSF).Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Aliquot 1 and case discussion Aliquot 2 and case discussion Aliquot 3 and case discussion Aliquot 4 and case discussion Aliquot 5 and case discussion Final Diagnosis Outro Credits Producers: Matthew Watto MD, FACP; Edison Jyang, MD Clinical case writers: Youssef Saklawi, MD; Madallena Conte, MD  Show notes, infographic, and cover art: Edison Jyang, 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: Reza Manesh, MD; Rabih Geha, MD DisclosuresDr. Reza Manesh reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Sponsor: FIGSCurbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX.Sponsor: QuinceGo to Quince.com/curb for free shipping on your order and 365-day returns. Now available in Canada, too. 

Become the Medetomi-Dean of AdmissionsStep up your hospital addiction medicine game by learning to troubleshoot methadone dose confirmations/missed doses and understanding how medetomidine’s emergency in the drug supply is impacting patients and withdrawal management. We’re joined by Dr Maggie Lowenstein (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 | [email protected] | CME!Credits Writer, Producer, and Show Notes: Shawn Cohen MD Infographic and Cover Art: Zoya Surani  Hosts: Carolyn Chan, MD. MHS and Shawn Cohen MD Reviewer: Payel Jhoom Roy MD, MSc Showrunner: Carolyn Chan, MD, MHS Technical Production: PodPaste Guest:  Maggie Lowenstein MD MPhil MSHP Sponsor: BabbelGo to Babbel.com/CURB for up to 60% off.Sponsor: FIGSCurbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX.Sponsor: FreedSetup takes 30 minutes and pricing starts at $149 a month. Try it free for 7 days at getfreed.ai/front-desk.

Malignant Bowel Obstruction, VTE and Goals of CareMaster malignant bowel obstruction, cancer-associated thrombosis, and goals-of-care conversations in hospitalized patients with advanced cancer. Learn practical approaches to symptom management, anticoagulation decisions, and navigating high-stakes discussions around prognosis and hospice care. We’re joined by  Dr. Jensa Morris, @JensaMorrisMD (Yale School of Medicine).Claim free CME for this episode at curbsiders.vcuhealth.org!Show Segments Intro Picks of the Week Case 1: Malignant small bowel obstruction: definitions, initial management, medications, NG tubes, nutrition, and procedural options Case 2: Cancer-associated VTE: choice of anticoagulant, treatment duration, unusual thromboses, and anticoagulation with brain metastases  Case 3: Goals of care: prognosis, performance status, palliative care, hospice and end-of-life planningTake Home Points Outro  Credits Writer, producer, and show notes: Reaford Blackburn, Jr., MD Infographic, Cover Art: Caroline Coleman, MD Hosts: Monee Amin, MD and Meredith Trubitt, MD    Reviewer: Rahul Ganatra, MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Jensa Morris, MD Sponsor: Continuing Education CompanyVisit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts.  Sponsor: LocumstoryLocumstory.com is literally just a free, unbiased resource dedicated to educating physicians about locums.Sponsor: Mint MobileTo get your new wireless plan for just 15 bucks a month, go to mintmobile.com/CURB.