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 60: DAPT after stroke, gout, and HRT after 20 years | File Type: audio/x-m4a | Duration: 00:24:33

This week John, Henry and Mark discuss dual antiplatelet therapy after stroke, updated recommendations for management of gout, and long-term follow up of hormone replacement for post menopausal women.

 Episode 59: Top COVID-19 research studies, part deux | File Type: audio/x-m4a | Duration: 00:33:21

We review 9 more of the top COVID-19 research studies to date, including studies on transmission, treatment, and prognosis.

 Episode 58: Top COVID studies: 9 of the most important COVID-19 studies | File Type: audio/x-m4a | Duration: 00:28:09

In this episode we summarize 9 top COVID-19 studies in a special episode prepared for the Indiana Academy of Family Physicians.

 Episode 57: Our (hopefully) last 2 HCQ studies, rehab for COPD, and funny shoes for knee OA | File Type: audio/x-m4a | Duration: 00:26:07

This week, we discuss hopefully the last two studies of hydroxychloroquine for patients with COVID (still doesn't work), pulmonary rehab in patients with COPD, and the use of special footwear in patients with knee DJD.

 Episode 56: Israeli school outbreak, antibody tests, going nerveless for HTN, and syncope | File Type: audio/x-m4a | Duration: 00:29:21

This week, a COVID-19 outbreak in an Israeli high school, the accuracy of antibody studies, denervation to treat hypertension, and identifying low-risk patients with syncope. Plus the quiz, and a recommendation. 

 Episode 55: COVID-19: vaccines, HCQ for mild illness, and C-19 in kids | File Type: audio/x-m4a | Duration: 00:24:17

This week, an all COVID-19 episode covers 7 new studies in just 24 thrill-packed minutes: 2 phase 2 vaccine trials just out yesterday, outpatient monitoring of patients with COVID-19, hydroxychloroquine in mildly ill patients, and transmission of COVID-19 by children

 Episode 54: COVID, overactive bladder, and pro/synbiotics post-op | File Type: audio/x-m4a | Duration: 00:25:03

This week we discuss COVID research on how many are asymptomatic and for how long people are infectious , managing overactive bladder symptoms in men, and perioperative probiotics and synbiotics for patients undergoing abdominal surgery.

 Episode 53: COVID prevalence, treating UTI, migraine prophylaxis, and lab values | File Type: audio/x-m4a | Duration: 00:27:47

2  COVID papers on seroprevalence and total vs confirmed cases, treating UTI with telehealth, migraine prophylaxis for kids, and variation in lab values.

 Episode 52: COVID-19, 6 studies on steroids, NPI, MIRS in kids, and more | File Type: audio/x-m4a | Duration: 00:26:09

This week, 6 COVID-19 updates: corticosteroids reduce mortality for sickest patients, non-drug approaches to controlling COVID, a review of the multisystem inflammatory syndrome in kids, another study on COVID 19 mortality and race, asymptomatic COVID and a report from the CDC on factors related to hospital and ICU use among patients with COVID-19.

 Episode 51: Convalescent plasma, patient self-testing, pneumothorax, and colic | File Type: audio/x-m4a | Duration: 00:22:54

This week on Primary Care Update: 2 COVID-19 studies (convalescent plasma RCT and accuracy of patient self-sampling), plus managing pneumothorax, and something that seems to work for infantile colic. 

 Episode 50: Last call for HCQ: we cover 6 COVID-19 studies | File Type: audio/x-m4a | Duration: 00:22:18

A lot to cover: remdesivir updates, the effect of cancer treatment on COVID mortality, hypertensive medications, last call for HCQ, and racial disparities.

 Episode 49: COVID news, cellulitis diagnosis, and COPD | File Type: audio/x-m4a | Duration: 00:23:35

This week on primary care update: safety of convalescent sera, two social distancing studies, cellulitis diagnosis, and treating COPD exacerbations. Plus a bonus beer POEM.

 Episode 48: Two COVID-19 studies, OA guideline, and choosing insulins | File Type: audio/x-m4a | Duration: 00:27:09

This week: salivary testing for COVID, COVID immunity, ACR guidelines for managing patients with degenerative joint disease, and the use of old forms of insulin in managing patients with type 2 diabetes.

 Episode 46: remdesivir trials, fecal shedding, and more | File Type: audio/x-m4a | Duration: 00:26:34

In episode 46 we again cover all things COVID-19: 2 trials of remdesivir, news on viral shedding, COVID mortality, thrombotic events and risk of infection among COVID contacts. You can get all of our research briefs on COVID-19 here: https://www.aafp.org/journals/afp/explore/covid-19-daily-briefs.html

 Episode 45: 2 COVID studies, IBS and prostate CA screening | File Type: audio/x-m4a | Duration: 00:24:12

This week, 2 new COVID-19 studies (doi:10.1001/jama.2020.6771 and doi: 10.1001/jama.2020.6775), an effective treatment for irritable bowel syndrome (https://www.ncbi.nlm.nih.gov/pubmed/31852769), and trends in prostate cancer screening (https://www.ncbi.nlm.nih.gov/pubmed/31794057).

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