I had a vertigo episode which came with tinnitus 20 years ago at the age of 18, i have not had any attacks after that but i feel dizzy easily if i spin. Tinnitus is on my left side and i have not had major hearing loss on my left ear in these 20 years. I suffer from depression and i think that was the trigger, now 20 years later i had a very stressful time in my life and the sound of tinnitus got worse. I wonder if it can be meniere, i do suffer often from migraine and have high blood pressure. I have never seen a specialist about this, should i?

Elliot would you want to see me? I've been diagnosed with hereditary hemochromatosis. I would like a 2nd opinion

What happens if you do a taper, and the bleeding comes back at the lower doses.?

Very good discussion! Thanks!

First of all, thank you for amazing educational podcasts! I do prefer to watch these on KZbin over listening to podcasts. I am wondering if it is possible to have a view on the screen, during case presentations of the pertinent info. E.g. 45 year old male, BMI 32, thick neck, labs blah blah blah etc?

I`m 63 year old male, 11.6 CA, 194 PTH and 11.7 Vit D hydroxy. My doc advised large amount of Vit D supplement. I refused as it makes no sense to me to do that as it could send calcium level to dangerous levels. I am awaiting a surgical consult now (I consulted with Dr. Deva Boone of SW Parathyroid Center, and she advised to immediately halt all Vit D supplements, as well).

I just had this happen yesterday. Thank God the internet told me to call my MD and get to my ENT immediately.

This is such a great podcast! Kudos to all!

Why do you lump chronic pain patients in with addicts??? I can’t believe there is still a stigma with this medication.

Why don’t they get to the point?

Awesome podcast with VERY helpful information!

I was diagnosed with heart failure with a ejection fracture of 11. I was 46 at the time and had never been sick and was a ex weight-lifter my max was 365 lbs.I had been sick for about 2 months and would not go to the doctor. I finally went to Harborview Hospital emergency room in Seattle,Washington. At that time was told I was in heart failure stayed 12 days in the hospital. Found out I had a blood clot in my left ventricle, both lungs and clots in both legs from my groin to my ankles. The clot did permanent damage to my heart.I am 68 now and my ejection fraction is 25-30 percent.I walk 3 miles everyday. When I see my heart doctors they always ask me the same thing.Can I sleep on my back and can I walk.I tell them that I can sleep in any position and I walk 3 miles a day. The doctors reply be that I should not be able to because of my heart condition.When I was sick in 2003 one doctor told me I had about 5 years to live. Here it is 2024 and I am still here but I do feel like I am on borrowed time. So everybody out there with a heart condition never give up and keep a positive attitude.

My favorite so far! So informative! Thank you!

Finearts-HF study showed that finerenone can be beneficial for heart failure with preserved ejection fraction

I am 72 have way high PTH osteoporosis and osteopenia, have lost 2 inches in height, recent spine X-ray because my right foot is numb, pain in hips, thirsty and pee all the time………looking into getting a parathyroid surgery, cannot get to see an endocrinologist for another 2 months here in California. So I am by passing the endocrinologist and addressing a thyroid surgery center and that is all they do. I want to get the surgery ASAP

<<< diagnosed july2015 with congestive heart failure, now recently retired, doing great but living with Persistent Afib, life is ok considering , Right .?still alive and kicking, LOL.

i would love to have this ladies opinion on the need for a patient to have to take an expensive like Xarelto 685.00 a month 30 pills, do we have a cheaper alternative that is just as good, ? and please do not offer up Warfarin, i suffered a stroke while taking Warfarin, i got lucky the cardiologist's that saved my life were hero's, they cleared the blockage from my brain stem and i walked out of that hospital the next day, Erlanger Hospital in Chattanooga, TN

very behind on the latest research-only quod for very mild chronic pain- sadly more and more people will die because experiencing chronic pain all the time with zero relief becomes unbearable. l wish that these doctors could experience the pain l suffer just for 1 month because they would actually treat chronic pain properly instead of repurposed psych drugs.

Great video, as always. Thanks from Colombia guys.

Thank you. This was very helpful.

Dr. Parks is fantastic! Can't even understand the dude in the middle w the blue shirt. Slow down an speak clearly pls.

"Ayurvedic remedies are a gift from nature, and Planet Ayurveda knows how to harness their power! Highly recommend this for anyone dealing with DUB."

Slow internet connection makes the woman sound like a Dalek.

Great episode !

This video was very helpful. Thank you.

Heck yeah! Thanks for this.

It seems the common theme is that most of these patients have hidden volume excess and diuretics are under prescribed…what about the skinny young patient, with high renin and normal aldo, the classic ‘high-renin phenotype’? Aren’t beta blockers the best course of action here? When did bb’s get such a bad rap? Maybe they don’t have the same reduction in risk, but typically these patients are low risk anyway?

When the CDC came between doctors and their patients the doctors and nurses should've banned together and threatened to all walk out of the hospitals. Doctors are putting up with this bulls*t because they threaten to take away their livelihood, the license to practice. Every man has a price (patients be damned!)!! The VA is currently trying to force this drug on me instead of giving me something that actually works (opiates). I tried the patch and the dissolving strips, both of which were useless for my back pain! I tried the tablets that you dissolve under your tongue and had what I believe was a reaction to the med. My pores opened up and I began to sweat profusely. I became itchy and had hives break out on my leg. I took a picture of the hives to show the pain team. I thought I was overdosing and seriously considered using the Narcan that they also provided me. I was instructed to quarter a pill and to try that. I did as was instructed and again felt odd in the head, as if the medication went straight to my head behind my eyes. It was a very odd sensation and very hard to explain. I didn't sweat like before but again felt itchy all over, especially on my forehead and face. The pharmacist from the pain team now wants me to go back to the dissolving strips and to try taking more of them. I feel like they are minimizing the reactions that I had and only wanting to hear what they want to hear. I truly believe that I had an allergic reaction to this medication and they refuse to not only hear what I told them but want to force me to take more of it! For puck sakes, why don't they just hand me the loaded gun?! It's all being done for my safety though!! 14 1/2 years in the Army including deployment to three wars! I think I earned the right to not only be heard but to decide what drug I want to put into my body! If I want morphine or heroin, give it to me. The Army got my back and the best years of my life! Please quit making me decide if I'm going to end my pain every day that I wake up! Help me live again because what I'm doing now is not even close to living, it's survival!

What happens if the Dr puts you on Buprenorphine 5mcg patches and YOU DO NOT HAVE OUD??

This was my first episode and most definitely not the last! Thank you for the education and entertainment!

I have a question. My pain dr put me on Buprenorphine 5mcg patches and it turns out that I'm severely allergic to this medication. BUT, HE REFUSES TO PUT ME ON SOMETHING I CAN TAKE. Like Oxycodone ER. How do I approach this subject without being dismissed?

As a registered nurse who has just received news that I have low EF and a dilated LV, this video was fascinating. Thank you! Now if I can just get in to see the cardiologist!

Keep up the good work ❤

Great info! Thanks 🙏🏾

Is anyone looking for the root cause as opposed to just throwing drugs at the problem?!

Been on a keto diet for 5 years. Neph Dx PA off an ARR screen and started me on lowest dose MRA (spir) as my 4th drug. This is 3rd diuretic and I do not tolerate the diuretic. I feel dehydrated and electrolyte imbalance even on lowest dose spironolactone. ClonidiNe patch caused hives. ARR is high, renin low and aldo is normal. No one knows what to do from here.

Great podcast! Thanks. And what a beautiful woman she is :-)

Hello curbs - what do you do when the patient screens for PA (no confirmation Dx test yet) but lowest dose of MRA causes dehydration and electrolyte imbalance?

The discussion about the cerumenolytics - hydrogen peroxide vs carbamide peroxide - same thing? The latter is a popular OTC for softening the earwax. The mineral oil - is it just the regular baby oil or is it available specifically as ear drops. There appears to be so many OTC ear drops. Dear team Curbsiders please consider a more detailed discussion on managing impacted earwax in the primary care office, thanks!

Great speaker 👌👌👌

Great talk. Can I ask something please? A patient on optimal GDMT, but also now having a CRT-D in situ, has now developed AF. Not decompensated. Would increasing their beta blockers help decrease AF load?

I will always appreciate dr Obulor for the amazing work you did for helping me cure UTI completely I’m thankful and happy doctor😊..

I will always appreciate dr Obulor for the amazing work you did for helping me cure UTI completely I’m thankful and happy doctor😊..

Great episode, especially emphasizing what to do instead of antibiotics for cold viruses. Oxymetazoline (Afrin) is the nasal spray medicine discussed for anyone confused by the slight mispronunciation in the episode.

That hypotension wisdom is a bit controversial but actually it always crosses my mind when I treat HFrEF patient. Great talk

Great episode, great job Curbsiders team. I think you're right to keep having Dr. Kittleson back. She's a great educator. Thanks for getting the youtube option set up too.

I was wondering what you think. My free cortisol 24 urine is 3.6 which was flagged low. My ratio in urine for creatine cortisol ratio flagged low 6.9 ACTH low at 5.2 then 2 weeks later on the lower normal range at 7.7. My cortisol am serum 3.6 and CORTISOL LEVEL, SERUM/PLASMA 3.9

Help! Gabapentin gave my friend vitiligo. How can they get back their melanin? I'm open to suggestions that work.

Can I get in line for some peanut butter cookies !!!!!😂😂😂🤤🤤🤤🤤🤤🤤