Primary Care Update show

Primary Care Update

Summary: Four healthily skeptical primary care physicians discuss the latest in primary care medicine. Join Essential Evidence Editor Mark Ebell MD, Rush University's Kate Rowland MD, MSU Professor of Medicine Gary Ferenchick MD, and POEMs co-founder Henry Barry MD, MS for this fast-paced weekly update on evidence-based primary care.

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Podcasts:

 Episode 90: music therapy, lung CA screening, VTE prophylaxis, and a pain guideline | File Type: audio/x-m4a | Duration: 00:32:49

This week, Kate, John, Mark and Henry discuss music to improve sleep and cognition in older adults, lung cancer screening in an organized health system, a comparison of 2 agents for VTE prophylaxis after total knee arthroplasty, and a new pain guideline with a surprising recommendation.

 Episode 89: pumpkin seeds, placebo for post-op pain, muscle relaxants, and depression screening | File Type: audio/x-m4a | Duration: 00:26:33

This week, join Kate, John, Henry and Mark for a discussion of pumpkin seed oil for BPH symptoms, open label placebo for post-op pain, muscle relaxants for low back pain, and the implications of universal depression screening. 

 Episode 88: influenza, stroke prevention, a novel telemedicine use, and T2DM overtreatment | File Type: audio/x-m4a | Duration: 00:33:22

Join Kate, Henry, John and Mark as they discuss antivirals in children hospitalized with influenza, DAPT for secondary stroke prevention, the safety and effectiveness of no-test medical abortions, and harms of overtreating older persons with T2DM.

 Episode 87: COVID boosters, ivermectin, and pregnancy outcomes with COVID infection | File Type: audio/x-m4a | Duration: 00:24:44

Kate, Mark, John and Henry discuss the value of three doses of mRNA vaccine for immunocompromised people, Ivermectin for treating persons with COVID-19, the benefits of boosters based on Israeli data, and pregnancy outcomes of women with COVID-19 infection. 

 Episode 86: dexamethasone post-op, topical terbinafine for toenails, thromboprophylaxis, and vaccine adverse events | File Type: audio/x-m4a | Duration: 00:29:41

This week Kate, Mark, Henry and John (he's back!) discuss dexamethasone after major non-cardiac surgery, topical terbinafine for onychomycosis, thromboprophylaxis during knee replacement, and mRNA COVID vaccine adverse events

 Episode 85: aspirin and antidepressant doses, how low to go with BP, and eye drops for migraine | File Type: audio/x-m4a | Duration: 00:29:58

This week, Kate, Henry and Mark discuss comparative efficacy of aspirin doses, blood pressure lowering and health outcomes, dosing of antidepressants, timolol eye drops for acute migraine treatment

 Episode 84: adenotonsillectomy in kids with OSA, DAPT vs ASA for stroke prevention, and ovarian cancer screening | File Type: audio/x-m4a | Duration: 00:28:15

This week Kate, Henry and Mark give John the week off and discuss outcomes after adenotonsillectomy in children with OSA, the effectiveness and safety of DAPT vs ASA for secondary stroke prevention, and the final results of the largest trial of screening for ovarian cancer using CA-125 and ultrasound.

 Episode 83: TIA risk score, US for frractures, CDC delta variant report, and harms of MRI | File Type: audio/x-m4a | Duration: 00:28:40

This week, Kate, Henry, Mark and John will discuss the Canadian TIA score, ultrasound for diagnosing upper extremity fractures in children, a summary of the leaked CDC report on breakthrough cases and the delta variant, and how MRI reports can cause harm

 Episode 82: PCR stool tests in kids, duration of antibiotics for CAP in kids, and an UGI bleed guideline | File Type: audio/x-m4a | Duration: 00:25:21

This week, we give John the episode off, so Kate, Mark and Henry will discuss rapid stool tests in children with community acquired diarrhea, a guideline for managing patients with acute UGI bleeding, and the best duration of antibiotics for ambulatory kids with community-acquired pneumonia

 Episode 81: LDL targets, guided antiplatelet therapy, CRC screening, and myocarditis after mRNA vax | File Type: audio/x-m4a | Duration: 00:31:39

This week, we will discuss LDL targets after stroke, guided antiplatelet therapy after PCI, updated CRC screening recommendation from the USPSTF, and the risk of myocarditis after mRNA-based COVID vaccination. For CME credit go to IAFP.com and click on the online education link, and then find our podcast.

 Episode 80: Cannabis, PRP for plantar fasciitis, epidural steroids, and COVID mortality and race | File Type: audio/x-m4a | Duration: 00:29:47

This week, Kate, Mark, John and henry will discuss cannabis use in patients with rheumatologic disorders, platelet-rich plasma injections for persons with plantar fasciitis, epidural steroid injections for sciatica, and COVID mortality and race.

 Episode 79: caffeine in pregnancy, DM and cancer, ruling out MI, and COVID reinfection | File Type: audio/x-m4a | Duration: 00:27:42

This week we tackle caffeine in pregnancy, new onset diabetes and cancer risk; a clinical prediction tool to help rule out acute myocardial infarction and a report on the frequency of COVID reinfection.

 Episode 78: PCN allergy, US guided injections, IBS, and prediabetes prognosis | File Type: audio/x-m4a | Duration: 00:26:30

This week, Kate, Mark, Henry and John will discuss penicillin allergy, US-guided steroid injections, psychological therapies for patients with IBS and the natural history of “prediabetes”. Plus the quiz from Kate.

 Episode 77: deprescribing antibiotics, BP screening recommendations, vit D and fish oil to prevent AF, and steroids for wheeze preschoolers. | File Type: audio/x-m4a | Duration: 00:26:35

This week, Kate, Mark, John and Henry discuss a proven strategy to decrease antibiotic prescribing, learn about updated USPSTF recommendations for blood pressure screening, whether vitamin D and fish oil for prevent A fib, and the value of oral steroids for wheezy preschoolers age 2 to 5.

 Episode 76: inhaled steroids work for early COVID, new opiate rules, managing metatarsal fracture, and mRNA vaccines in pregnancy | File Type: audio/x-m4a | Duration: 00:24:14

We are really excited to introduce our new co-host, Dr. Kate Rowland, an Associate Professor in the Department of Family Medicine at Rush University in Chicago. We have been teaching with Kate for a long time in our in-person courses, and it's great to have her on board for the podcast. This week we talk about a new study from Oxford University finding a clear benefit for inhaled steroids in patients newly diagnosed with COVID-19. Kate discusses changes (good ones!) in regulations around MAT, Henry has good news about managing 5th metatarsal fractures, and John closes with data on the safety of mRNA vaccines in pregnancy. And the quiz!

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