REBOOT: #509 Fresh Hypertension Guidelines. West Philadelphia Doc Jordy Cohen Keeps Our Hypertension Management Fresh

We have another classic episode for you. Don’t get caught treating high blood pressure like it is 2024. Dr. Jordy Cohen (@jordybc.bsky.social, University of Pennsylvania) guides us through the new hypertension guidelines.Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Case: Jeremy Wearable devices inaccuracies Ideal blood pressure measurement Diagnosis and workup Management and fixed-dose combination pills Case: Jolene and pregnancy Outro Credits Written and Produced by: Deborah Gorth MD, PhD Infographic and Cover Art by: Deborah Gorth MD, PhD and Meryl Gorth RD, MPH 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: Jordana Cohen MD, MSCE DisclosuresFinancial Relationships disclosed for Dr. Jordana Cohen: Wolters Kluwer (Royalties or Patent Beneficiary) and National Institutes of Health (Grant or research support)Sponsor: LocumstoryPop by Locumstory.com to see if it’s something that makes sense for you.  Sponsor: UpToDateFor 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 online courses and webcasts. 

We go so that you want to go next year!Stay current with updates in hospital medicine from SHM Converge 2026 in Nashville, TN. Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Picks of the Week Heart Failure Updates Things We Do For No Reason: Top 10 Pneumonia updates Pharmacotherapy Updates Severe Acute Liver Injury Nephrology Updates MED-TED Competition Pearls Fevers in Oncology Addiction Updates for the Hospitalists Alternatives to Guardianship Infectious disease updates Updates in Transfusion Medicine Sodium overcorrection/demyelinating syndrome Total parenteral nutrition (TPN) Perioperative hip fracture management EKG Updates Dermatology Updates Home Antibiotics Sepsis Updates Updates in Hospital Medicine Diabetes Inpatient Management Updates Outro Credits Producer and Writer: Monee Amin MD, Caroline Coleman MD, Meredith Trubitt MD Show Notes: Caroline Coleman MD and Meredith Trubitt MD Cover Art: Caroline Coleman MD Hosts: Monee Amin, MD, Meredith Trubitt, MD Reviewer: Emi Okamoto MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Dan Hunt MD, Kierstin Kennedy MD, Noble Maleque MD, Suchita Sata MD, Richard White MD DisclosuresDrs. Hunt, Kennedy, Maleque, Sata and White report no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Sponsor: BabbelGet up to 60% off at Babbel.com/CURB. Sponsor: Continuing Education CompanyVisit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcastsSponsor: Mint MobileShop plans at mintmobile.com/CURB

Join us as we review recent practice-changing articles on left atrial appendage closure vs AC for AFib, apixaban vs rivaroxaban for VTE, intensive LDL targeting, GLP1s and substance use disorders, and more! Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Shani Herzig (@ShaniHerzig) Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto).Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMECredits Written and Hosted by: Rahul Ganatra MD, MPH; Shani Herzig, MD, MPH; 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 Left atrial appendage closure vs anticoagulation in AF Apixaban vs rivaroxaban for VTE Intensive LDL targeting in ASCVD GLP1s and substance use disorders FDA approves Orforglipron E-cigarettes and cancer Early AM blood draws and sleep quality Outro Sponsor: FIGSGo to wearfigs.com to get 20% off during Nurses WeekSponsor: Panacea Financial If you're about to make the leap into  residency and feeling the financial pressure of that transition, visit PanaceaFinancial.com/curbsiders todaySponsor: MasterClass Right now, as a listener of this show, you get at least 15% off any annual membership at MASTERCLASS.com/CURB.

Join us as we explore practical, evidence-based strategies to help patients age with strength and confidence, and navigate the transition into retirement. We’re joined by Dr. Elizabeth Eckstrom (Oregon Health & Science University)!Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Case Navigating Retirement Staying Physically Active Benefits of Tai Chi Nutrition Mobility limitations/chronic pain Osteoporosis Anti-aging/memory supplements  Community Resources  Outro Credits Written and Produced by: Ashlee Randolph DO, Rachel Miller MD Show Notes, infographic, cover art: Ashlee Randolph DO, Rachel Miller 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: Elizabeth Eckstrom MD, MPH DisclosuresDr. Elizabeth Eckstrom reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. The production of this episode was supported by the Penn Geriatrics AGE-SMART Geriatric Workforce Enhancement Grant. This podcast content is solely the responsibility of the authors and does not necessarily represent the official views of the Health Resources and Services Administration or the U.S. Department of Health and Human Services. Sponsor: BabbelRight now get up to 60% off your Babbel subscription – at Babbel.com/CURBSponsor: Continuing Education CompanyVisit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts.  Sponsor: Locumstory.comLocumstory.com is literally just a free, unbiased resource dedicated to educating physicians about locums.

Gain an insider’s perspective on the techniques of pelvic floor physical therapy. Learn when to refer, what to expect and what can be gained from working with your friendly neighborhood pelvic floor PT specialist. We’re joined by our guests Dr. Nicole Schaffer and Dr. Rachel Rosvold from Uplift Pelvic Floor Physical Therapy in Horsham, PA.Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro, guest bios Case #1 from Kashlak Urinary incontinence in post-partum setting Pelvic floor changes in perimenopause Case #2 from Kashlak Erectile dysfunction PT for chronic prostatitis and erectile dysfunction  Constipation and fecal incontinence   Outro Credits Written and Produced by: Alise Burke, MD   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: Nicole Schaffer PT, DPT, cert MDT and Rachel Rosvold PT, DPT. Follow them on Instagram @upliftpelvicpt Disclosures Dr. Nicole Schaffer and Dr. Rachel Rosvold report no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Sponsor: Quince Go to Quince.com/curb for free shipping and 365-day returns. Now available in Canada, too.Sponsor: FreedUse code FREED50 for fifty dollars off your first month at Freed.aiSponsor: FIGSCurbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX. 

How do we help patients improve health span without letting wearables, biomarkers, and wellness trends take over the conversation? Learn how to think about CGMs in patients without diabetes, how to interpret early cardiometabolic risk beyond the A1c, how to prescribe exercise in a practical way, and how to counsel patients about sleep, wearables, and even peptides. We’re joined by Dr. Sandeep Palakadedi (Dr. “Deep”), founder and CEO of Velocity Health and author of The Ultimate Asset.Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro CGMs, Postprandial Glucose, and Data Neurosis Beyond Glucose: ApoB, Lp(a), and Early Cardiometabolic Risk Body Composition, VO2 Max, and Functional Longevity Sleep, HRV, and Wearables Prescribing Exercise in Real Life How to Talk to Patients About Peptides Take-Home Points CreditsWritten and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by 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 Guest: Sandeep Palakodeti MD, MPH DisclosuresDr. Palakodeti reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Sponsor: MINT MOBILEShop plans at MINTMOBILE.com/CURB.Sponsor: FIGSWe’ve teamed up with FIGS, and now Curbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX. Sponsor: Continuing Education CompanyFor Curbsiders listeners, there’s a special offer: use promo code Curb30 for 30% off all online courses and webcasts. Visit CMEmeeting.org/curbsiders to learn more.  

Become a master of cortisol and learn how to identify and treat a common condition in patients with adrenal tumors! Join us as we learn about mild autonomous cortisol secretion (MACS) with Dr. Irina Bancos (@irinabancos), an internationally renowned adrenal expert!Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Advice for listeners Adrenal incidentaloma Definition (Case 1) Hormonal workup for adrenal incidentalomas Defining mild autonomous cortisol secretion (MACS) Significance and prevalence of MACS Diagnostic testing for MACS Treatment options for MACS (surgery vs. comorbidity management) Post surgical management of MACS (Case 2) Diagnostic testing for adrenal insufficiency (AI) Glucocorticoid withdrawal syndrome management Deciding when patients are able to come off of steroids after AI Outcomes after adrenalectomy in MACS Take home points CreditsWritten and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD. Producer, writer, show notes, and CME: Mobeen Ahmad MD Cover art and infographic: Kate Grant MBChb, MRCGP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Mobeen Ahmad MD Reviewer: Emi Okamoto MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Irina Bancos MD, MSc DisclosuresDr. Bancos has the following disclosures: Consulting, advisory board or safety monitoring board (all fees to institution): Recordati, Corcept, Esteve, Spruce, Sparrow, Diurnal, Neurocrine, Lufordi, Adaptyx, Crinetics, Xeris, AstraZeneca, NovoNordisc, Camurus. Research grant for investigator initiated research (to institution): Esteve, Recordati Sponsor: Panacea FinancialVisit PanaceaFinancial.com today to claim your $100 bonus and start banking built for the way you actually live and work.Sponsor: MasterClassRight now, as a listener of this show, you get at least 15% off any annual membership at MASTERCLASS.com/CURB.Sponsor: Branch Basics Use code [CURB] for 15% off the Premium Starter Kit at BranchBasics.com.

Metabolic Health, Advanced Lipidology, and Preventing ASCVDLevel 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.Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Primary Prevention & Metabolic Syndrome (Case 1) Beyond the Standard Lipid Panel When to Order ApoB How Lp(a) Changes Management (Case 2) Using CAC/CCTA in the Gray Zone Recognizing Early Cardiometabolic Risk CGMs, Wearables, and Signal vs Noise (Case 3) How to Talk to Patients About Risk Take-Home Points CreditsWritten and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by 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 Guest: Greg Katz MD DisclosuresDr. Katz reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Sponsor: DeleteMeGet 20% off your DeleteMe plan when you go to joindeleteme.com/CURB and use promocode CURB at checkout.Sponsor: Panacea Legal Visit Panacea.Legal  and use code CURB20 for 20% off contract review services.Sponsor: FIGSWe’ve teamed up with FIGS, and now Curbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX. Sponsor: Continuing Education CompanyFor Curbsiders listeners, there’s a special offer: use promo code Curb30 for 30% off all online courses and webcasts. Visit CMEmeeting.org/curbsiders to learn more.  

Join us as we review and appraise recent practice-changing articles. In this episode, we cover the latest in GLP-1s and GIP agonists for CVD, Type 2 Diabetes, and Obesity, valacyclovir to treat Alzheimer’s, weight regain patterns after medication-induced weight loss, and a deep dive into the data behind deprescribing – and behavioral science to increase deprescribing behavior.  Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Alex Chaitoff (@alexchaitoff), Nora Taranto (@norataranto), & Matt Watto (@doctorwatto).Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMECredits Written and Hosted by: Nora Taranto MD, MSCE; Alexander Chaitoff MD, MPH; Paul Williams, MD, FACP,, & Matthew Watto MD, FACP Cover Art: Nora Taranto MD, MSCE Reviewer: Sai S Achi MD, MBA, FACP Technical Production: Pod Paste Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Show Segments Intro, disclaimer GLP-1 + GIPs vs GLP-1s for patients with T2DM and Obesity – SURPASS-CVOT  Weight Regain after Weight loss  VALAD – Valacyclovir in patients with early Alzheimer’s  Nudges to increase Deprescribing  Outro Sponsor: MedStudy Qbank Study less. Remember more. Pass confidently.Medstudy.com/CurbsidersCURB15 for 15% offSponsor: FIGSWe’ve teamed up with FIGS, and now Curbsiders listeners can get 15% off at Wearfigs.com with code FIGSRX. Sponsor: QuinceRight now, go to Quince.com/curb for free shipping and 365-day returns. Sponsor: A Dangerous DiagnosisTo get 20% off use DIAGNOSIS20 at www.penguinrandomhouse.com/books/808848/a-dangerous-diagnosis-by-shantanu-rai/paperback/

We have a classic episode for you. Conquer prediabetes and diabetes prevention! We’re joined by Dr. Scott Isaacs, who provides essential pearls on navigating  screening tests for diabetes and prediabetes, identifying atypical cases of prediabetes, and individualizing management of prediabetes with lifestyle changes and medications.Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Case from Kashlak Why screen for prediabetes and diabetes? Who to screen for prediabetes and diabetes How to screen for prediabetes and diabetes Role of the physical exam Explaining a diagnosis of prediabetes to patients Atypical types of prediabetes Management of prediabetes: lifestyle changes Management of prediabetes: medications Outro Credits Producer, Writer, and Show Notes: Malini Gandhi MD Infographic and Cover Art: Zoya Surani Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Sai Achi MD,MBA,FACP Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Scott Isaacs MD DisclosuresDr. Isaacs reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Sponsor: BabbelGet up to 60% off at Babbel.com/CURB. Sponsor: MedStudy QbankStudy less. Remember more. Pass confidently. Medstudy.com/Curbsiders CURB15 for 15% offSponsor: University of Pennsylvania Graduate School of EducationLearn about our Medical Education master’s program, explore our certificate option, and sign up for an application fee waiver code. Take the next step in advancing medical education—visit www.gse.upenn.edu/curbsiders. Sponsor: LocumstoryWhether you’re simply curious or seriously considering a change, pop by Locumstory.com to see if it’s something that makes sense for you