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- 1 weeks ago1h 18m
S3 Ep24: #528 Hospital Addiction Medicine 3.0 with Dr. Maggie Lowenstein
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 | CurbsidersAddictionMed@gmail.com | 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
- Nov 17, 20251h 13m
S2 Ep23: #498 Opioid Withdrawal with Dr. Ashish Thakrar
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. 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, 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
- Nov 17, 202558 min
S2 Ep22: #497 Tailoring and Ramping up Management of Methamphetamine Use Disorder for the Current Era with Dr. Phillip Coffin
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!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 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
- Jun 16, 20251h 25m
S2 Ep21: #487 Chronic Pain & Opioid Use Disorder with Dr. Jessie Merlin
Dive into practical, evidence-based approaches to managing pain in patients with opioid use disorder, bust common myths, and explore strategies to support patients. This episode will enhance your skills in providing holistic, patient-centered care. We’re joined by Dr. Jessica Merlin, @JessicaMerlinMD (University of Pittsburgh). 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, Show Notes, Infographics: Carolyn Chan MD, MHS Hosts: Carolyn Chan, MD, MHS and Shawn Cohen MD Reviewer: Payel Jhoom Roy MD, MSc Showrunner: Carolyn Chan, MD, MHS Technical Production: PodPaste Guest: Jessica Merlin MD, PhD, MBA Sponsor: JournalFeedTry JournalFeed free for 7 days — and get 20% off your first year with code CURB25 at journalfeed.org/curb.Sponsor: FreedUsecode: CURB50 to get $50 off your first month when you subscribe at freed.aiSponsor: Mint MobileGet your summer savings and shop premium wireless plans at MINTMOBILE.com/CURB.
- Mar 24, 20251h 1m
S2 Ep20: #31 Medications for Alcohol Use Disorder 2.0 with Dr Stephen Holt
Level up your treatment for people with alcohol use disorder. Learn about medication options beyond the first line, when they’re appropriate and not, and how to work with your patients to set goals that fit them. We’re joined by Dr Stephen Holt (Yale University School of Medicine)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 | Free CME!Credits Written, produced, show notes, cover art and infographics by: Shawn Cohen MD Hosts: Carolyn Chan, MD. MHS, Shawn Cohen MD, and Paul Williams MD Reviewer: Kento Sonoda MD Showrunner: Carolyn Chan, MD, MHS Technical Production: PodPaste Guest: Stephen Holt MD Sponsor: Pretty LitterGo to Prettylitter.com/curb to save twenty percent on your first order and get a free cat toy. Sponsor: QuinceGo to Quince.com/curb for 365-day returns, plus free shipping on your order. Sponsor: American College of Physicians IncInternal Medicine Board Review Courses and offered in the Greater Chicago area May 13-17 and, new for 2025, Philadelphia, July 14-18. • Enter code COURSECS25 toSave $75 dollars when registering for the Philadelphia course by 6/1. Registration is open now at acponline.org Sponsor: EzresusListeners of the Curbsiders get access to a 2-month free trial, letting them use 100% of the features of the app. Go to .ezresus.com/curbsiders and use promo code Curbsiders
- Aug 22, 20241h 6m
S2 Ep19: #30 Blazing Hot Takes: The Latest in Vaping With Drs. Ling and Vijayaraghavan
Join us to hear the latest pearls and best practices on talking to patients about vaping, if e-cigarettes can be used to stop smoking cigarettes, and every other question you hadn’t thought to ask about vaping with Drs. Pam Ling (UCSF) and Maya Vijayaraghavan (UCSF). 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.We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM)!Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | Free CME!Credits Producer/Writer: Era Kryzhanovskaya, MD Show Notes: Zina Huxley-Reicher, MD; Era Kryzhanovskaya, MD CME: Era Kryzhanovskaya, MD Infographic and Cover Art: Zina Huxley-Reicher, MD Hosts: Carolyn Chan, MD, MHS and Era Kryzhanovskaya, MD Reviewer: Kento Sonoda, MD Showrunner: Carolyn Chan, MD, MHS Technical Production: PodPaste Guests:. Pam Ling, MD; Maya Vijayaraghavan, MD Show Segments 00:11 Intro, disclaimer 02:22 Guest bios 04:28 Guest one-liners 10:28 Case from Kashlak 11:55 Vape info and definitions 14:32 How to discuss vaping with patients 17:53 FDA authority over vapes 20:37 Development of nicotine (via vaping) use disorder 23:29 Questions to ask about use disorder 30:53 E-cigarettes for tobacco cessation 35:39 Exploring ways to quit smoking (+/- vapes) 39:53 Screening for vaping use disorder; research measures 43:10 Resources for e-cigarette cessation 45:33 Medication approaches 48:25 Behavioral supports for e-cigarette cessation 1:00:31 Take Home Points 1:05:08 Outro
- Aug 15, 20241h 2m
S2 Ep18: #29 Hallucinogens with Dr. Al Garcia-Romeu
From Recreational Use to Possible Therapeutic InterventionsLearn how different hallucinogens act in the body and common dosing strategies. Appreciate the risks of use and the current state of hallucinogen research. We are joined in this episode by Dr. Albert Garcia-Romeu (Johns Hopkins Center for Psychedelic and Consciousness Research) We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM)! 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 | Free CME!Show Segments Intro, disclaimer, guest bio Case from Kashlak; Definitions of hallucinogens and psychedelics Examples of hallucinogens and mechanisms of action Dosing strategies Risks of Use Psychedelic Assisted Therapy Outro Credits Producer, Writer, Show Notes, Infographic, Cover Art: Kat Mullins, MD Hosts: Shawn Cohen, MD and Kat Mullins, MD Reviewer: Kento Sonoda, MD Showrunner: Carolyn Chan, MD, MHS Technical Production: PodPaste Guest: Albert Garcia-Romeu, PhD
- Aug 8, 20241h 6m
S2 Ep17: #28 Alcohol-Associated Liver Disease with Dr. Lamia Haque Helping Patients Liver Longer
Maximize your treatment of alcohol-associated liver disease. Learn how to evaluate liver disease in patients with alcohol use disorder (AUD), choose AUD medications that are safe and effective, and identify patients who may be eligible for early liver transplantation. We’re joined by Dr. Lamia Haque, @lykhaque (Yale School of Medicine). We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM)!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 | Free CME!Show Segments Intro, disclaimer, guest bio 0:00 Guest one-liner 3:10 Case from Kashlak 6:30 Epidemiology of alcohol-associated liver disease (ALD) 7:40 How does alcohol affect the liver? 11:11 Spectrum of ALD 13:10 Risk factors for ALD 16:13 Evaluating for ALD 19:35 When to refer to hepatology 33:08 Medications for AUD in patients with ALD 37:00 Monitoring liver tests for naltrexone 44:27 Optimizing treatment for patients who continue drinking 47:18 ALD and liver transplantation 50:45 Post-transplant care 1:00:15 Take-home points 1:02:30 Outro 1:04:56 Credits Writer and Producer: Kenneth Morford, MD Show Notes: Kenneth Morford, MD Infographic and Cover Art: Natalie Stahl, MD, MPH Hosts: Carolyn Chan, MD. MHS and Kenneth Morford, MD Reviewer: Sarah Leyde, MD Showrunner: Carolyn Chan, MD, MHS Technical Production: PodPaste Guest: Lamia Haque, MD, MPH
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