The Curbsiders Internal Medicine Podcast

#498 Opioid Withdrawal with Dr. Ashish Thakrar

Mon, 15 Sep 2025

Grow your management tools for opioid withdrawal in the hospital. Investigate how to decide between methadone and buprenorphine, additional medications to manage symptoms and how and when to use short-acting opioids for management of withdrawal. We’re joined by Ashish Thakrar, MD at the University of Pennsylvania.

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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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Show Segments

Intro, disclaimer, guest bio

Guest one-liner

Case from Kashlak; Definitions

Symptoms of opioid withdrawal

Medications for the management of opioid withdrawal

Buprenorphine precipitated withdrawal

Starting Buprenorphine: Experiences and Strategies

Titrating Methadone: Dosage and Adjuncts

Adjunctive short-acting opioids

Emerging Trends in Drug Supply: Xylazine and Medetomidine

Outro

Credits

Producer, Show Notes: Zina Huxley-Reicher

Infographics: Zina Huxley-Reicher MD and Zoya Surani

Hosts: Carolyn Chan, MD MHS, Zina Huxley-Reicher MD, Shawn Cohen, MD

Reviewer: Payel Jhoom Roy, MD, MSc

Showrunner: Carolyn Chan, MD, MHS

Technical Production: PodPaste

Guest: Ashish Thakrar, MD MHSP

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#497 Methamphetamine Use Disorder: Tailoring and Ramping up Management with Dr. Phillip Coffin

Mon, 08 Sep 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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REBOOT: #457 Cold and Flu Season: Upper Respiratory Infections

Mon, 01 Sep 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.

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

Mon, 25 Aug 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).

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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

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

Mon, 18 Aug 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!

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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.

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