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

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

Author: The Curbsiders Internal Medicine Podcast July 7, 2025 Duration: 1:24:58
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!

Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME

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. 


Sponsor:
Grammarly 

Let Grammarly take the busywork off your plate so you can focus on high-impact work. Download Grammarly for free at Grammarly.com/PODCAST.

Sponsor: Freed

CURB50 to get $50 off your first month when you subscribe at freed.ai

Sponsor:
JournalFeed

Try JournalFeed free for 7 days—and get 20% off your first year with code CURB25 at journalfeed.org/curb


Tune in to The Curbsiders Internal Medicine Podcast for a direct line to practical clinical knowledge and the ever-evolving art of patient care. This isn't a dry lecture series; it's a dynamic conversation among practicing physicians who break down complex topics into actionable insights you can use. Each episode delves into the nuances of internal medicine, from managing common chronic conditions to interpreting the latest guidelines and navigating diagnostic dilemmas. You'll hear honest discussions about challenges at the bedside, evidence-based debates, and expert interviews that go beyond textbook summaries to reveal how medicine works in the real world. The podcast serves as both a continuing education resource and a professional companion, offering thoughtful analysis and clinical pearls that resonate whether you're a seasoned hospitalist, a resident in training, or a primary care provider. The focus is consistently on deepening understanding and improving daily practice, making the rounds or the clinic day feel a little less daunting and a lot more informed. Listen for a blend of curiosity, camaraderie, and a genuine commitment to mastering the craft of medicine, all delivered through engaging dialogue that feels like consulting with a trusted colleague.
Author: Language: English Episodes: 100

The Curbsiders Internal Medicine Podcast
Podcast Episodes
REBOOT: #460 Heart Failure with Preserved Ejection Fraction [not-audio_url] [/not-audio_url]

Duration: 48:57
We have a classic episode for you. Preserve your sanity while treating heart failure with preserved ejection fraction. Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) illuminates this confounding cardiac condition.Spo…
#499 Inpatient DOAC Dilemmas with Dr. Jori May [not-audio_url] [/not-audio_url]

Duration: 1:07:20
Sorting out DOAC Drama in the Hospital Is it treatment failure or not? Join us for a great conversation with Dr. Jori May (University of Alabama-Birmingham) on all the nuances around DOAC treatment failure and treatment…
#498 Opioid Withdrawal with Dr. Ashish Thakrar [not-audio_url] [/not-audio_url]

Duration: 1:17:15
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…
REBOOT: #457 Cold and Flu Season: Upper Respiratory Infections [not-audio_url] [/not-audio_url]

Duration: 1:05:47
We have a classic episode for you. Dive deep into upper respiratory viral infections with Dr Amber Bird, MD (Penn). Feel confident on when to order testing, recommend symptom relieving treatments, and avoid unnecessary a…
#495 Fungal Infections -Histo/Blasto/Cocci with Dr. Andrej Spec [not-audio_url] [/not-audio_url]

Duration: 1:12:46
Why we need to stop calling them “endemic” mycoses & more fungi fun!Feeling muddled about endemic mycoses? We tackle the clinical presentation of diseases like histoplasmosis, blastomycosis, and coccidioidomycosis, the i…
Bonus: Hypermobility Q&A with Bendy Bodies Dr. Linda Bluestein [not-audio_url] [/not-audio_url]

Duration: 51:22
In this special bonus episode, Dr. Linda Blustein (Bendy Bodies https://bit.ly/m/BendyBodies) addresses listener questions about Ehlers-Danlos syndrome (EDS) and hypermobility spectrum disorders.00:00 – Introduction00:59…
REBOOT: #452 NAFLD/MASLD with Dr. Elliot Tapper [not-audio_url] [/not-audio_url]

Duration: 1:14:01
We have a classic Curbsiders episode for you. Expert guest Dr. Elliot Tapper (@ebtapper) shares his framework for approaching NAFLD/MASLD and the treatment tools he recommends including lifestyle modifications and medica…