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The Curbsiders Internal Medicine Podcast

#501 GERD vs NERD: Reflux Updates with Dr. James Callaway

The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

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

4.83.1K Ratings

🗓️ 13 October 2025

⏱️ 68 minutes

🧾️ Download transcript

Summary

Update your approach to the evaluation and management of GERD with Dr. James Callaway. Learn when to consider ambulatory reflux monitoring and how to determine if someone has an indication for long-term PPI therapy. 

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Show Segments

  • Intro
  • Case
  • Definitions and symptoms
  • Reflux mechanisms and triggers
  • Medications for Acid suppression 
  • Endoscopy and Ambulatory Reflux Monitoring 
  • Stopping the PPI 
  • Additional etiologies of reflux symptoms 
  • Outro

Credits

  • Written and Produced by: Elena Gibson MD 
  • Infographic and Cover Art:Elena Gibson MD 
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Reviewer: Sai S Achi MD, MBA, FACP
  • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Technical Production: PodPaste
  • Guest: James Callaway MD 
Disclosures

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

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Sponsor:  Continuing Education Company

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Transcript

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0:00.0

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

0:06.6

slash curbsiders.

0:07.9

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

0:13.0

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

0:20.2

All right, Paul, I'm going to read this verbatim to you.

0:25.0

Okay.

0:26.9

I left my last boyfriend because he wouldn't stop counting.

0:32.5

Mm-hmm.

0:33.7

I wonder what he's up to now.

0:38.6

For listeners who can't see the video, I could only see through the paper, and it looked like a ransom note put together from other newspaper clippings.

0:46.3

I don't know where you're getting these now, but this is mildly terrifying.

0:49.9

Oh, come on.

0:50.6

This sweet little kid on my side of the team gave me a calendar of a different pun for every day of the year, Paul.

0:57.1

And I'm still in July.

0:59.0

And, you know, so I got, I'm not even up to date on that thing.

1:01.7

And this will give us probably two years worth of material.

1:08.9

The curbsiders podcast is for entertainment, education, and information purposes only,

1:12.0

and the topics discussed should not be used solely to diagnose, treat, cure, or prevent any diseases or conditions. For the more of the views and statements expressed on this podcast are solely those of the host and should not be interpreted to reflect official policy or position of any entity aside from possibly cash like a moral hospital and affiliate outreach programs. If indeed there are any, in fact, there are none. Pretty much we aren't responsible if you screw up. You should always do your own homework and let us know when we're wrong.

1:34.6

Welcome back to the curbsiders.

1:40.8

I'm Dr. Matthew Frank Guaddo here with my great friend and America's primary care physician,

1:46.0

probably the primary care physician, Dr. Paul Nelson Williams. Hey, Paul.

1:52.7

Hi, Matt. How are you? I'm doing well. We have a great returning co-host tonight, and this is a great topic. GERD or gastrointestinal, gastrointestinal, gastro-oosophageal reflux disease. Our guest is Dr. James Callaway, and in a moment, you'll hear about him.

...

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