Caring for patients using mitragynine-derived substances

Familiarize 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).

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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.

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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

• 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

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Sponsor: Continuing Education Company

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Separating Signal from Hype

Patients 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.

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Show 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

• 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

Disclosures

The Curbsiders report no relevant financial disclosures.

Sponsor: FIGS

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

Sponsor: Panacea Financial

Visit Panacea.Legal/curb to schedule your free consultation.

Sponsor:Continuing Education Company

Visit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts.

Diagnosis and Management of Obstructive Sleep Apnea

Show description:
Explore the interpretation of sleep studies in the diagnosis of obstructive sleep apnea. Master treatment of OSA and how to troubleshoot CPAP challenges with Dr. Aneesa Das.

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Show Segments

• Intro and guest bio
• Case from Kashlak
• Definitions
• Sleep Testing and Interpretation
• Management of OSA
• Outro

• Written and produced by: Alise Burke MD
• Infographic and Cover Art: Dylan Naldzin
• 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: Aneesa Das MD

Disclosures

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

Sponsor: Freed

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Sponsor: DeleteMe

Get 20% off your DeleteMe plan when you go to www.joindeleteme.com/CURB and use promo code CURB at checkout.

Sponsor: Continuing Education Company

Visit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts.

This episode explores complex questions around addiction treatment from our audience, including the off-label use of GLPs for SUDs, the nuances of naloxone, and managing high-dose methadone in hospital settings. Experts Drs. Shawn Cohen and Zina Huxley-Reicher, in addition to the co-hosts Drs. Carolyn Chan and Era Kryzhanovskaya share insights, resources, and practical tips for clinicians navigating these challenging scenarios.

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

• Intro, disclaimer
• Picks of the Week
• Off-Label GLP use
• Naloxone review
• Acute pain in patients with opioid use disorder (OUD)
• Care Coordination with opioid treatment programs (OTPs)
• New medications for pain; suzetrigine
• Perioperative pain management for patients with OUD
• Outro

• Producer, Show Notes, Infographic: Era Kryzhanovskaya, MD
• Hosts: Carolyn Chan, MD. MHS and Era Kryzhanovskaya, MD
• Reviewer: Kenny Morford, MD
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Shawn Cohen, MD; Zina Huxley-Reicher, MD

Sponsor: The Permanente Medical Group

Join us in New York City as we host Information Sessions on Thursday, August 20th, Friday the 21st, and Saturday the 22nd, , as well as a Social Mixer at the Castell Rooftop Lounge on Friday, August 21st. Visit northerncalifornia.permanente.org and RSVP today

Sponsor: UpToDate

For a limited time, listeners can get 10% off UpToDate packages with code CURB1. Visit store.uptodate.com.

Sponsor: FIGS

Get 15% OFF your first order at wearfigs.com with code FIGSRX.

Sponsor: Quince

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I’m Going Bananas for This One!

Learn how to formulate a framework while dealing with potassium disorders in patients with varying levels of kidney disease.We’re joined by Dr Joel Topf, (@kidney_boy) to explore how to navigate potassium disorders, develop etiology frameworks, and treat these patients.

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Show Segments

• Intro
• Rapid fire questions/Picks of the Week
• Case 1: Hyperkalemia
• How to Approach Patients with Hyperkalemia
• Treatment Options for Hyperkalemia
• Case 2: Hypokalemia
• How to Approach Patients With Hypokalemia
• Treatment Options for Hypokalemia
• Case 3: Hyperkalemia in ESKD patients
• How To Approach the Management in ESKD patients
• Take Home Points
• Outro

• Producer, Writer, Show Notes, Infographics, & Cover Art: Sai S Achi MD MBA FACP
• 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: Joel Topf MD, FACP

Disclosures

Dr. Topf reports the following conflicts of interests: Advisor-Travere Therapeutics, Advisor-Otsuka, Advisor-Vera Therapeutics, Advisor-Novartis, Advisor-Vertex Therapeutics

The Curbsiders report no relevant financial disclosures.

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Sponsor: Continuing Education Company
Visit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts.

Sponsor: DeleteMe
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Sponsor: DocUpdate
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All About Disorders of Gut-Brain Interaction

Master disorders of gut–brain interaction. Learn how Rome V changes the diagnosis of IBS and other DGBIs, how to approach chronic diarrhea and the microbiome, and how to choose targeted treatments for bloating, pain, and vomiting. We’re joined by Dr. Xiao Jing (Iris) Wang, a gastroenterologist and expert in disorders of gut–brain interaction.

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

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Show Segments

• Intro
• Updates to Rome V Criteria
• Microbiome Information
• Evaluation and Management of Chronic Diarrhea
• Abelchia
• Abdominophrenic Dyssynergia
• Key Takeaways
• Outro

• Written and Produced by: Zoya Surani
• Show Notes, Infographic, Cover Art by: 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: Dr. Xiao Jing (Iris) Wang

Disclosures

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

Sponsor: Panacea

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Sponsor: UpToDate

For a limited time, listeners can get 10% off UpToDate packages with code CURB at store.uptodate.com

Sponsor: FIGS

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

Sponsor: MasterClass

Get at least 15% off any annual membership at MASTERCLASS.com/CURB

Cut through the hype of Multi-Cancer Early Detection (MCED) tests and learn how to counsel patients on the real-world utility, false-positive risks, and the "stage shift" debate of these emerging blood assays. We are joined by world-renowned oncologist Dr. Margaret Tempero,UCSF Cancer Early Detection and Interception, to discuss whether these tests are truly ready for clinical prime time.

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


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Show Segments

• 00:00 Introduction
• 01:57 Current Cancer Screening Programs
• 06:05 Emerging Blood-Based Cancer Tests
• 11:55 Test Characteristics and Limitations
• 18:05 Practical Considerations for Patients
• 25:33 Direct-to-Consumer Testing/Whole Body MRIs
• 36:46 Navigating Positive Test Results
• 45:10 Anxiety and Patient Education
• 47:08 Future Directions in Cancer Screening
• Outro

• Producer, Writer, Show Notes, Infographic, Cover Art: Molly Heublein 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: Margaret Tempero, MD

Disclosures

Dr. Tempero reports the following financial relationships:
Grail (research support), Global Bio Access Fund (Advisor), Bristol Myers Squibb (Membership on Advisory Committees or Review Panels, Board Membership, etc.), Astra Zeneca (Membership on Advisory Committees or Review Panels, Board Membership, etc), Immunovia (Membership on Advisory Committees or Review Panels, Board Membership, etc.), Merck (advisory committee), Renovo Rx (advisory committee), Urogen (Advisor). Financial relationships have not ended.
The Curbsiders report no relevant financial disclosures.

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Sponsor: Freed

Try Freed Front Desk free for 7 days at getfreed.ai/front-desk.

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