The Curbsiders Internal Medicine Podcast
The Curbsiders Internal Medicine Podcast
The Curbsiders is THE internal medicine podcast that uses expert interviews to bring you clinical pearls, practice-changing knowledge, and bad puns. Supercharge your practice as doctors Matthew Watto, Paul Williams, and friends serve up a little knowledge food for your brain hole. Yummy! No boring lectures here, just the stuff you wish they'd taught in medical school and residency.
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My doctor just prescribed me Sprintec x5 the first day, x4 the second day then so on. I have been bleeding for almost 2 months where it stopped for only a week then started again. Is it safe to take that much birth control at once? I’m nervous to take it 🙁
I had borderline Calcium and PTH for years. Depressed, Anxiety,. Constipation, Bone pain, exhausted, weight gain, horrible brain fog, insomnia. My doctor just pushed Prozac and B12 shots. I had enough and started going through my labs. I noticed two things. VERY LOW Vitamin D, and High Blood Calcium. I went in for ultra sounds, CT Scans, Sestamibi parathyroid scan, all showed NOTHING. But I pushed my surgeon who agreed to go looking and there it was. A large Adenoma on my lower left side. Week one after surgery I WAS 18 again. No more brain fog, energy you couldn't believe, no more constipation, I felt AMAZING. UP until 8 months ago when it's all come raging back. PTH 33 cALCIUM 9.9, horrible constipation again, brain fog, anxiety, etc etc etc. All over again. So, I'm hoping to get another surgery.
Had a DVT 12/31/23 (yes New Years Eve LOL)... then PE both lungs. Now on Warfarin and just trying to learn more about APS. This was informative even as a regular person with no medical background. Thank You :D
What about new onset of abnormal bleeding in between periods with a normal result ultrasound AND normal labs? 40/Female. Extremely frustrating.
I’ve been cursed with dysfunctional uterine bleeding in my 20s 30s and now 40s. It comes and goes throughout the year. The Norethindeone mini pill I simply cannot tolerate as it gives me extreme psychological mental breakdowns. I’ve had 8 D&C’s the bleeding always just eventually comes back. I am cursed and the only cure long term is going to be a hysterectomy. I don’t want that right now and feel severely saddened and defeated.
Time is of the essence! Not sure why all symptomatic patients should not be automatically tested regardless of their lifestyle. 23andme has an affordable health test that includes Hereditary Hemochromatosis among other things including Alpha 1 Anti-trypsin Deficiency which can also lead to cirrhosis of the liver.
This is the best instructive video for steroid induced secondary adrenal insufficiency Treatment. 💖🙏
Thanks fellas 👍🏾
Thank you!
Suboxene films didn’t work for my pain . I have rotater cuff tear and an infection in my arm. I was in so much pain I wanted to die. I went to 10 hospitals not one gave me any relief. I never abused pills because I new one day I would need them for pain but because I’m on suboxene I have a stigma against me and that F bull crap. Now I understand why people that have pain they commit suicide!
Great overall discussion BTW.
Interesting on the telehealth heavy services vs non-telehealth heavy death rates but how did the study tease out the elephant in the room difference between those two groups, ie the Covid 19 pandemic and couldn:t the telehealth vs non-telehealth just be a confounder of a more obvious risk factor such as the Covid 19 pandemic? Am I missing something here ?
Just got a midline placed 10 minutes ago
Regarding the 6m mark.. is it typical for tremors to start on the right hand? Also, any thoughts on the theory proposed by Heiko Braak that suggests PD starts in the gut and that the alpha synuclein (Lewy body) spreads through the nervous system to the brain.. and that severing the Vagus Nerve (truncal vagotomy) can stop the progression of the disease? Personally, it seems likely that the non-motor-symptoms* that develop decades before tremors or bradykinesia, are a giant clue.. most notably constipation ( increased Akkermansia and decreased SCFAs-producing bacteria). The link between gingivitis and Alzheimer's disease suggest that also may be a bacterial brain infection that doesn't clear. Would love to see a way an accurate way of measuring alpha synuclein, and if if inhaling anti-bacterial essential oils (EOs) / volatile oils (VOs) can cross directly from the nose to the brain, to reduce lewy bodies. *Insomnia dysphonia / low voice volume REM (Sleep) Behavior Disorder (RBD) asymmetry arms not swinging when walking
Excellent episode! Thanks, so long and thanks for all the puns! Sorry, but...just have to say : I'm guessing Dr. Naik's heard all the "Attila the Pun" lines😁
I had gross hematuria for 4 days. Spefic gravity always high. Dr checked bladder via scope and all clear. Plus no infection per urine. Who do i need to see?
Cant wait for the full podcast. 👍🏾
Great episode. A lot of nice clinical pearls.
6 months carnivore diet, intermediate fasting, sun light for 30 min am pm sun, simple yoga with breathing techniques 2 times a day, grounding for 45 minutes, take care of your gut, supplement: Taurine, magnesium, vitamin D3, B12, Zinc copper. Sleep by 10 pm, anxiety is the main culprit, dont panic, dont read negative comments & stop googling, learn neuroplasticity techniques, with in a year your central nervous system will become normal & you can achieve silence. Tinnitus is not for life.
My favorite clinical problem. Thank you!
Can you put the link here ?
www.patreon.com/posts/108254771?
Sub doesn't help pain..... dnt even tell ppl that bs.... iv been on it since 2015.. i know many ppl on it.. they would laugh hearing it helps with pain 😂😂... but i tell ya what you can 110% mix bupe n oxy together and bupe and lortab together... but yall want tell ppl that... doctors dnt know... most dont... they only know what their classes told em.. most never got addicted but if they ever was put on opiods for a hot min.. they would understand... but they dont... they dont know what it feels like , they dont know what its like living with it.. nor do they know what withdrawal feels like truly... they been told , but experiencing it is totally different.. they wouldn't last 24hours in active withdrawal. It would cripple them n destroy them. Imagine not being able to sleep , at all. Maybe 5 mins per hr. Skin crawling in the arms legs , constantly stretching , yawning , stomach sickness n pain , feverish , eyes watering nose running body feels like its being crushed 24/7 it doesnt stop. It just dissappears after so many days weeks depending.. and when i hear these doctors say they know , or try to act like they know.. i shake my head.. suboxone is fckn evil , that sht had no place in the world of medicine. I been on opiods for a very long time more than half my life. Its trillion × easier to come off oxycodone n lortab then bupe.. its not even a competition.. bupe takes months to come off , oxycodone 2 to 3 day tops.. so why n the fck do that to ppl.?.??? Money... drs charge 100 a week others 150 a week. For it... they are legal drug dealers period.. bupe is a much worse drug then oxy ever was. Drs can taper ppl off oxy easily , you try that with subs your asking for releapse cause 1% can do it n survive that sufering. Bupe fcks the brain so bad its insane. And yet you still wanna push it on ppl... just use lortab n oxycodone to get ppl off opiods. Iv gotten off oxy multiple times. My mistake was choosing to try sub... i dropped to 1/8th a day... n i been on 1/8th sub a day for a yr now.... and here it is day 2.5 and the withdrawal is fckn ridiculous worse than oxy ever was
My dr wants to try me on buph for my severe chronic pain but has stated she isn’t going to take me off Percocet but just add the bup I’m sure she will take me down on the amount of Percocet but not take me off. I’m very nervous to make a change however I’m just not getting the relief much anymore. I’m going to go ahead and try it after I get my shoulder replacement done. I’m not wanting the patch or the film so she said I could do the pill, I hear you saying the pill is more for opioid abuse but can it be used for chronic pain also?
Do not use this junk. It is an AWFUL medication. If you start it for any reason, you will be sorry you did.
Matt do you really say " i dunno" to patients :D ? That made me laugh. P.s amazing episode <3 thankyou Team Curbsiders. <3
Can Meniere's disease, which causes hearing loss, be cured or improved? I have a 37db hearing loss, what treatment would be better to improve my hearing and resolve the fullness issue, as well as the occasional mild vertigo that lasts for 10 seconds and tinnitus that lasts for 1 minute?"
The problem we're all aware about by now tho with going up on the dose of Oxycodone in this case, is that it's inevitable that this issue will result again and again each time you increase the dose, since Opioids for the most part don't have the phenomenon of a ceiling effect/dose, so technically this could continue as a trend every so often until you've reached hundreds of milligrams per dose. A dose which you'd of course be tolerant to, but wouldn't necessarily relieve your pain, due to the opioid receptors becoming accustomed to the presence of the drug. (please correct me if I'm wrong)
Great show. Wished he lived in my area
What medications extend screening past 75?
excellent podcast honestly. How I wish you also had one for paediatrics.
welcome to Baltimore gentlemen
I wish there was an actual cure and diagnosis for aps , I hade dvt in my leg and it took me until I was coughing up blood to go to the hospital , I had pneumonia too . They said there was no direct cause for the aps and no cure just a blood thinner for the rest of my life .
The first 7 minutes need to be edited out. What a waste of time!
Why is this 1 min 39 seconds??
These updated recommendations would definitely have favourable results, if applied to a resource limited countries like ours
😮
Excellent explanation. He simplified it in such a way that we can remember.
Some Drs do and Some Drs don't
can Clostridioides difficil cause malabsorption? or greassy oil stools? floaty! or steatorrhea type
Hi man
Hi everybody my name is daryl I have a question I have tinnitus vertigo dizzy spell and I have hearing loss my understanding is this sounds like manners. But I was told it's Cristals in me inner ear what your thought
I had extremely heavy utetine bleeding; i had fainted and got tskrn to the emergency room, had 6 units of blood transfusion. All tests for cancer, polyps, bleeding didorders, etc were negative. They tried birth control pills, endometrial ablation, D&C,; nothing worked. They just labeled it as idiopathic.
I had extremely heavy utetine bleeding; i had fainted and got tskrn to the emergency room, had 6 units of blood transfusion. All tests for cancer, polyps, bleeding didorders, etc were negative. They just labeled it as idiopathic.
❤❤ from an italian colleague on the edge of MDS 🥲🥲
Amazing episode ! Thanks a lot guys.
‘‘I am not only happy am alive but also glad that "DrMadida" was able treat and cure me with his herbal medication of my parosmia, Meniere disease and Parkinson disease(PD) with their herbal treatment. My smile is so bright because I am happy 😊😊😊’’
Neat
Neat
Excellent episode and guest! Thanks-rural FM
😂 Total BS.