Primary Care Pod

DIY -At Home Alcohol Withdrawal Management

Hey everyone

 

On this episode, we review the recent AFP article on outpatient alcohol withdrawal management. 

ACEs vs ARBs, Is There a Winner?

New study looking at outcomes between ACE and ARBs. Is there a difference? Does the choice matter? 

 

PLUS BONUS HCTZ concerns

Polypills =Easy Mode + Dosing Aspirin by Weight?

Meta-analysis shows us polypills win, again.  Easy button.

 

Also, should we be dosing aspirin by weight and giving it to everyone?

Adolescent Anxiety and Depression Management: The Power of the Placebo

What's the real NNT when placebo works so well? Let's discuss management of adolescent anxiety and depression.

Practice Management -Schedule Efficiency

Today we do something VERY different. We talk about practice management, specifically diving into a question from a listener about how to effectively manage an efficient schedule to stay on time. Hope you enjoy. Back to the studies next week.

Opioid Tapering is Bad? W.T.F.?

Hey everyone,

 

New JAMA article showing some significant issues with opioid tapering. Pretty scary data. Let's dive in.

Prostate Cancer Screening with Targeted MRI Biopsy

Hey everyone,

 

On today's episode we look at a new Swedish study from this week on the benefits of improving our accuracy of prostate cancer screening by adding MRI before biopsy. Does it reduce false positive PSAs and unnecessary biopsies? Does it catch high grade and not low grade (Gleason <6) cancers?  Is this viable in the real world? Guideline changing? (Probably not, but let's talk pros and cons).

Intractable Hiccups!

My 3 Brazilians listeners can be experts for discussions about their recently hospitalized president when they listen to this podcast episode on intractable hiccups!

K.I.S.S.: Simplifying Insulin Regimens

Keep It Simple, Stupid!

 

Can we simplify complex multiple insulin types and doses per day and go away from the Basal Bolus regimen (which, btw, usually works super well) without sacrificing efficacy? Can we make patients happy, make our lives managing their diabetes easier, and yet not be inferior to the Basal/Bolus method?

 

New study last month validates that yes, you can!

 

listen in!

Physical Exam for the Red Eye

Today we're talking about clinic exam maneuvers that are evidence-based for examining a patient presenting to clinic with a red eye.

Risk Based Breast Cancer Screening

Hey! Are we appropriately screening women for breast cancer? What are the risks/benefits to different screening strategies? Is there a better way? Let's explore

SGLTs are Amazing, Except for Diabetes

SGLT2s are apparently the greatest medication on the planet, but they are just mediocre for A1c reduction, let's review a couple of recent studies on the topic

Treating Loss of Smell after COVID

Let's fix some broken noses, people. Well, not actually broken, but you know...

Guideline Update! ACP on Antibiotics: Less is More

This is a description of the podcast, but I'm too lazy to write anything.  

New Treatment for Alzheimer's? Monoclonal Antibody Time!

Does it work? GUESS YOU'LL HAVE TO LISTEN TO FIND OUT?

Lung Cancer Screening Guidelines and COVID News

Reviewing Episode 53 USPSTF Lung cancer screening guidelines and discussing recent relevant COVID 19 articles.

These Foods Will Kill You!

Lol @ clickbait headlines.

 

Let's dig into 2 new food-related health studies, shall we?

Diverticulitis for Dummies: New Studies and Guideline Updates

Diverticulitis!

 

Augmentin > Fluoroquinolones + flagyl

Diet choices matter

Obesity/Genetics/Smoking/NSAIDs/Opioids matter more.

Guideline recommendations.

PPIs in Infants and Statin Myalgias

Hey everybody - 2fer today: 2 topics that couldn't be more different. Family medicine in a nutshell.

How Risky is Metformin in CKD?

Heeeeeeeeeeeeeeey everybody, today we discuss the evidence on the risks of metformin and its associated lactic acidosis in type 2 DM in CKD. Good/bad? What do you need to know to be safe and yet do good diabetic care?  Let's dive in.

Medical Management of Appendicitis?

Hey pod peeps, let's listen to how it is absolutely possible to management appendicitis as PCPs, based on recent and not so recent data. 

Diabetes, Microalbuminuria and CKD for the PCP

Alternative title for today is Dr. List presents the Idiot's Guide to the Kidneys in Diabetes.

 

I think I messed up and said 2007 was the article from the Journal of International Society of Nephrology, meant to say 2017.

 

Here's a link to the graph that show's your patient's risk of progression to CKD based on GFR and albuminuria levels: https://www.researchgate.net/figure/Prognosis-of-CKD-by-GFR-and-Albuminuria-categories-12_fig1_296618862

Ivermectin for COVID?

Comments go here

When to Send: Hematuria

Hey everyone! Today we discuss the new AUA 2020 Hematuria guidelines. Merry Christmas/Happy Holidays!

COVID19 Vaccine Hesitancy

On this episode of the podcast we talk about arguably the most important topic in medicine today: combating vaccination hesitancy for the COVID19 vaccine.