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 75: Duration of symptoms with mild and severe COVID, and true rate of vaccine anaphylaxis | File Type: audio/x-m4a | Duration: 00:26:22

This week, Mark reports the first study looking at the duration of symptoms with mild COVID in healthcare workers (more than you think) compared to those without COVID. Then Henry looks at the same thing in hospitalized COVID patients compared to those with other respiratory infections in the US and UK, and John tells us the true rate of anaphylaxis with vaccines.

 Episode 74: More flozins and tides, Lyme disease, and something new for acute migraine | File Type: audio/x-m4a | Duration: 00:26:49

This week we discuss a huge and really important meta-analysis of SGLT-2 inhibitors (flozins) and GLP-1 agonists (tides). Also, a good guideline on Lyme disease diagnosis and treatment, and a novel approach to treating migraine.

 Episode 73: low-carb diets for T2DM, chronic back pain, and reinfection with COVID | File Type: audio/x-m4a | Duration: 00:23:28

This week: low-carb diets for patients with T2DM, managing patients with chronic back pain, and reinfection rates in patients with COVID. Plus the quiz, and a reality TV recommendation.

 Episode 72: Flozins and tides, new med for migraine, and antidepressants for back pain and DJD | File Type: audio/x-m4a | Duration: 00:26:43

This week, Mark, Henry and guest POET Kate Rowland from Rush Medical College discuss: newer agents to treat diabetes,  a new medication for migraine prevention, and antidepressants for pain in patients with back pain or DJD.

 Episode 71: thromboprophylaxis for COVID inpatients, colchicine for outpatients with COVID, and COVID variant mortality | File Type: audio/x-m4a | Duration: 00:25:34

This week, we will discuss a potpourri of COVID studies: a large propensity score matched study of thromboprophylaxis in hospitalized patients, novel use of colchicine for COVID-19, and mortality associated with mutant SARS-CoV-2 strains.

 Episode 70: colchicine for heart disease, pregnancy after contraception, and prostate CA screening | File Type: audio/x-m4a | Duration: 00:29:12

This week, we will discuss: a novel use for an old-time drug, pregnancy after contraception, and prostate cancer screening.

 Episode 69: baricitinib + remdesivir, positive study of convalescent plasma, and long-haulers | File Type: audio/x-m4a | Duration: 00:29:32

Today, and all COVID episode. Does adding baricitinib improve outcomes in patients on remdesivir; convalescent plasma given early in high risk elders; and how common are long-hauler symptoms.

 Episode 68: lung cancer screening, preventing celiac disease, and a positive convalescent plasma trial | File Type: audio/x-m4a | Duration: 00:29:57

This week, we will discuss screening for lung cancer, preventing celiac disease with early introduction of wheat, and a positive trial of convalescent plasma for COVID in patients with early infection. 

 Episode 67: HPV vaccine, a test for IBD in kids, and household transmission of COVID | File Type: audio/x-m4a | Duration: 00:26:14

This week, we will discuss the HPV vaccine and whether it actually prevents invasive cervical cancer, diagnosing inflammatory bowel disease in children, and COVID infectivity in households and families. Plus a mythbusting quiz and John's recommendation for what NOT to read. 

 Episode 66: repurposed antivirals, banlamivimab for outpatients, and convalescent serum, all for COVID-19 | File Type: audio/x-m4a | Duration: 00:26:47

This is an all-COVID-19 week. We discuss the WHO Solidarity trial of remdesivir and other antivirals, banlamivimab for outpatients, and an RCT of convalescent serum. 

 Episode 65: gabapentin for chronic pain, achilles tendons, and aspirin for primary prevention | File Type: audio/x-m4a | Duration: 00:27:21

This week we're joined by special guest Dr. Gary Ferenchick, friend of the pod and professor of Internal Medicine at THE Michigan State University. This week we discuss gabapentin for chronic pelvic pain, cast vs boot (vs surgery) for ruptured achilles tendon, and aspirin for primary prevention.

 Episode 64: COVID vaccine update, natural immunity, tocilizumab trials, and a fishing story | File Type: audio/x-m4a | Duration: 00:30:04

We cover 6 COVID-19 studies today, focusing on natural and acquired immunity, the tocilizumab trials, and a fishing story. Also the quiz, and you can get free CME at: https://iafp.mclms.net

 Episode 63: overactive bladder, smoking cessation, and bone density testing | File Type: audio/x-m4a | Duration: 00:29:13

This week we will discuss treatment of overactive bladder syndrome, a smoking cessation guideline and bone density testing. For free CME, go to https://iafp.mclms.net. 

 Episode 62: Tests for COVID, kids with COVID, and vaccines. | File Type: audio/x-m4a | Duration: 00:29:23

Since it has been several weeks since we discussed COVID, this week we will discuss tests for diagnosing it, children and adolescents, whether a vaccine will stop the pandemic, and symptom duration after contracting COVID.

 Episode 61: Baloxavir, scaphoid fracture, and bariatric surgery | File Type: audio/x-m4a | Duration: 00:23:26

This week, we discuss: influenza prophylaxis, treatment of scaphoid fractures and mortality associated with bariatric surgery. And now you can get free CME (0.5 hour) from the Illinois Academy of Family Physicians for listening. Just go to: iafp.mclms.net, answer a short quiz, and claim your credit.

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