What what are we doing so you don't like surprise me which one and the intro or outro intro intro yeah, yeah, how sweet crackers is that bad?

What are we saying? I didn't know we're gonna do sweet crackers. I like that one

Welcome back to the curbsiders. Hello Matt. Hello the internal medicine podcast that uses expert interviews to bring you clinical pearls and practice changing knowledge. I'm Dr. Matthew Wato here with my co-host Dr. Stewart Brigham. Hi Paul. How are you doing Paul?

Great Stewart. Thanks so much for not up. Yeah, you're welcome. So how was how's everything going Paul? Not bad not bad. It's it's warm here. Is it really it's pretty warm here too. Yeah warm everywhere. I wanted to do a hold on this is going to be an interesting part of the show here. What?

I wanted to present Stewart with a somewhat serious moment. Oh, no. This is the last this is the last time that Stewart and I are recording together from the podcast for it. I can't wait to see this.

And I am an amateur t-shirt baker. Oh no. So I wanted to give you I wanted to give you one of two existing t-shirts Stewart. This says I love it. I want to wear it tomorrow.

Cashlack Bimorial. So it is a I don't know if the size is right but it probably is. Yeah, it looks good. And it is we could put a picture of that on on the on the website or in the show notes.

Right. Anyway, what I I did want to give you that Stewart. I just as a thank you for being being a good coworker good co-host and kind of pushing me not to be lazy at work and feel like you're trying to get rid of me.

This feels like a yellow jeep. I yeah, I think loving husband and fantastic. I think trying to be serious odd air is not working out. But anyway Stewart, thank you. Thank you very much. Paul, at some point I'll get you a t-shirt. But you know, it just well you're going to see him again. Yeah.

It's going to be a while. So I don't feel like that's strictly necessary. We can still do this remotely. I don't know that we have to have actual face time. Yeah, I'm not going to Paul. Yeah, I'm not allergic to cats. But I don't have much interest of recording live from your home. So I will probably just record record from my house. That's all right. Yeah, I'm allergic to visit. Yeah.

Okay. How are the movies going Paul? Yeah, there's I've had a long spell of mediocrity that I'm still waiting to break.

Hmm. Well, this was a long one. So I don't know. You guys want to do any picks of the week tonight or Paul, if you had anything prepared that's fine. I think we can pass on it tonight since we had such a long episode with Dr. Adler. Yeah, let's let's not do the next week. I don't think prepared pet a dog hug your mom.

Those things are good things to do.

Okay.

On this episode, we talked heart failure with Dr. Eric Adler. And the reason we wanted to do this, obviously it's a very common diagnosis. But there were recent guidelines put out by the ACC and AHA.

These were updates were a focused update to the 2013 guidelines. We will of course link to all these in the show notes. But we talk through some of the updates to the guidelines.

And I think this will be very helpful. A lot of high yield information here. Dr. Eric Adler is a cardiologist and an associate professor of medicine at UC San Diego.

He is also a professor soon to be professor. He is also the director of cardiac transplant and mechanical circulatory support at UCSD. Dr. Adler earned his medical degree from Boston University School of Medicine.

Completed a residency at the University of Washington School of Medicine and a cardiology fellowship at Mount Sinai School of Medicine.

He's board certified in advanced heart failure and transplant cardiology and cardiovascular disease. His interests are in the care of patients with advanced heart failure, mechanical circulatory support and cardiac transplant.

He has a strong interest in the appropriate use of palliation and heart failure, which we'll talk a little bit about the show on the show.

And we are thrilled to have him on to talk to us about heart failure, mostly heart failure with reduced ejection fraction.

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