Frankly Speaking About Family Medicine

Latest Episodes:

Chronic Non-Cancer Pain in Older Adults: Can We Teach Our Patients to “Unlearn” it? - Frankly Speaking EP 87 Sep 24, 2018

Show notes

Chronic non-cancer pain in adults over 60 years old is common. The consequences are a decreased quality of life, disability and increased healthcare costs which can be due to the cost of therapies or from adverse pharmacologic effects to name a few. This episode discusses the results of a systematic review and meta-analysis by Niknejad et al (2018) that looked at pain outcomes in this population using psychological modalities.

Guest: Jill Terrien PhD, ANP-BC

Shoulder Surgery Usually Not Beneficial For Most - Frankly Speaking EP 86 Sep 17, 2018

Show notes

Adults often present with atraumatic shoulder pain around age 50 and are diagnosed with impingement syndrome (rotator cuff tendonitis). However, as this recent study demonstrates, the standard of care for treatment should not be surgery.

Guest: Susan Feeney, DNP, FNP-BC

Digital Media Use and ADHD Symptoms in Teenagers – Is There an Association? - Frankly Speaking EP 85 Sep 10, 2018

Show notes

A recent longitudinal study of high school students in the LA area found a modest but significant association between high-frequency digital media use (phones, tablets) and subsequent ADHD symptoms. Join us as we discuss these findings and the possible impact on adolescent primary care.

Guest: Susan Feeney, DNP, FNP-BC

Physician Burnout: What Degree Have We Reached? - Frankly Speaking EP 84 Sep 03, 2018

Show notes

This episode is an introductory discussion of the very real problem of physician burnout. It affects you and those around you. What do we know about burnout and how can we move beyond it?

Guest: Jill Terrien PhD, ANP-BC

Should You Use Budesonide-Formoterol as Needed for Mild Asthma? - Frankly Speaking EP 83 Aug 27, 2018

Show notes

In this episode, we will discuss using an inhaled steroid twice a day to control mild asthma symptoms, versus using the combination budesonide and formoterol.

Guest: Jill Terrien PhD, ANP-BC

More Than Beauty: Length and Quality of Sleep and Its Impact on CV Risk Factors in Teens - Frankly Speaking EP 82 Aug 20, 2018

Show notes

It has been fairly established that short duration of sleep is associated with obesity in teens and adults; however, the impact of quantity and quality of sleep has not been as well established. A cross-sectional study by Feliciano et al. found that longer and better sleep was associated with better cardiometabolic profiles in early adolescence – independent of other factors.

Guest: Susan Feeney, DNP, FNP-BC

Goals of Care Discussions in Patients with Serious Illness: Is It a Downer? - Frankly Speaking EP 81 Aug 13, 2018

Show notes

Discussing goals of care with patients that have a serious, life-limiting illness does not affect the patient’s anxiety or depression—but can increase the quality of the communication. Listen to this podcast episode for tips that are easily adaptable to any outpatient or specialty practice.

Guest: Jill Terrien PhD, ANP-BC

Breastfeeding Supplemented with Formula; When Is It the Right Thing to Do? - Frankly Speaking EP 80 Aug 06, 2018

Show notes

Breastfeeding exclusively in the first six months of life is widely recommended. However, in this study of newborns who were losing weight because their mother’s milk had not yet come in, post-breastfeeding supplementation improved weight and did not alter breastfeeding rates at one month.

Guest: Susan Feeney, DNP, FNP-BC

Mangia: What Is the Truth about the Mediterranean Diet and CVD Health? - Frankly Speaking EP 79 Jul 30, 2018

Show notes

In 2013, a groundbreaking clinical trial from Spain touted the benefits of the Mediterranean Diet to reduce CVD risk. A recent review of the study found some irregularities in the randomization procedure that cast concern on the validity of the findings. After reanalysis of the data, however, the results were essentially the same.

Guest: Susan Feeney, DNP, FNP-BC

Binge Drinking in Adolescents: A Sober Subject That Begs for Attention - Frankly Speaking EP 78 Jul 23, 2018

Show notes

For adolescents who binge drink, when they begin and how often they do it affects academic performance. This episode discusses the findings of a longitudinal analysis of secondary school students in Canada: The COMPASS study.

Guest: Jill Terrien PhD, ANP-BC

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