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The Curbsiders Internal Medicine Podcast

490: Update! Anticoagulation for Venous Thromboembolism with Dr. Tara Lech, PharmD

The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.83.1K Ratings

🗓️ 7 July 2025

⏱️ 85 minutes

🧾️ Download transcript

Summary

Master the latest approaches for treating venous thromboembolism with expert tips on direct oral anticoagulant (DOAC) selection, dosing, and duration. Learn how to tailor anticoagulation for special populations, handle treatment failures, and navigate long-distance travel risks. We’re joined by Dr. Tara Lech, PharmD, CACP (Beth Israel Lahey Health, @AnticoagPharmD, @anticoagpharmd.bsky.social‬).

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

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Show Segments

  • Intro
  • Case 1 from Kashlak
  • Choosing the right anticoagulant
  • Distal deep vein thrombosis management
  • Anticoagulation in special populations
  • Case 2 from Kashlak
  • Understanding treatment failure
  • Anticoagulation reversal agents
  • Outro

Credits

  • Producer, Writer, Show Notes, Infographic, Cover Art: Ben Furman 
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Reviewer: Leah Witt, MD
  • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Technical Production: PodPaste
  • Guest: Tara Lech, PharmD 

Disclosures

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


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Transcript

Click on a timestamp to play from that location

0:00.0

Hey, before we get to the show, I wanted to remind you to check out our Patreon at patreon.com

0:05.3

slash curbsiders.

0:06.5

If you haven't signed up yet, sign up now to get ad-free episodes, twice-monthly bonus episodes,

0:11.7

and a whole bunch of other cool stuff at patreon.com slash curbsiders.

0:17.8

Hey, Paul.

0:20.0

I've just written a song. It's about tortillas, Paul. I've just written a song.

0:21.7

It's about tortillas, actually.

0:26.1

It's more of a rap.

0:30.3

That might be my favorite one you've ever done, actually.

0:33.7

Oh, well, that's unexpected.

0:39.2

The Curbsiders podcast is for entertainment, education, and information purposes only, and the topics discussed should not be used solely to diagnose, treat, cure, or prevent any diseases or conditions.

0:45.7

For the more of the views and statements expressed on this podcast are solely those of those and should not be interpreted to reflect official policy or position of any entity aside from possibly cash like a moral and affiliate outreach programs.

0:52.1

If indeed, there are any, In fact, there are none. Pretty much, we are responsible if you screw up.

0:55.1

You should always do your own homework and let us know when we're wrong.

1:00.1

Welcome back to the curbsiders.

1:06.3

I'm Dr. Matthew Frank Guaddo, feeling really good about myself right now,

1:10.5

joined here by Dr. Paul Nelson

1:13.8

Williams, America's primary care physician. Paul, how are you doing?

1:18.4

I am well, Matt. How are you doing? I'm doing well, and I should just mention that Paul being

1:25.5

America's primary care physician for that one listener who got really upset about it.

1:30.5

Listen, man, it's just an honorary title.

1:33.5

It's like if I had a coffee mug that said world's best dad, I mean, it doesn't mean I'm claiming I'm the world's best dad.

...

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