Frankly Speaking About Family Medicine

Latest Episodes:

Treatment of Post-Op Pain Following Spine and Joint Surgery - Frankly Speaking EP 77 Jul 16, 2018

Show notes

This study looked at how pain was treated following spine and joint surgery and found the majority of patients were not encouraged to use non-opioid analgesia and that most had a supply of unused opioids at home.

Guest: Jill Terrien PhD, ANP-BC

Assessing Blood Pressure: How Accurate Are the Blood Pressure Measurements You Use to Care for Your Patients? - Frankly Speaking EP 76 Jul 09, 2018

Show notes

Hypertension affects an estimated 80 million Americans. We diagnose, determine the need for medication therapy, and monitor treatment efficacy based on a simple office blood pressure measurement – but how accurate is that measurement, and what is the most valid method to obtain it?

Guest: Susan Feeney, DNP, FNP-BC

Moving Fast, Moving Slow - Frankly Speaking EP 75 Jul 02, 2018

Show notes

Fibromyalgia can be difficult to treat and often requires a multifaceted approach combining exercise, medications, cognitive behavioral therapy, and health education. For many patients, pain hinders participation in a vigorous exercise regimen. Listen to this review of a randomized trial comparing aerobic exercise to tai chi in a patient population with fibromyalgia.

Guest: Alan Ehrlich, MD

Uncomplicated UTI in Women: What a Pain! - Frankly Speaking EP 74 Jun 25, 2018

Show notes

For women experiencing an uncomplicated UTI, nitrofurantoin and fosfomycin are two first-line options for treatment. Is one more effective than the other? Listen to this episode to learn about the results from a multinational, open-label, randomized clinical trial.

Guest: Jill Terrien PhD, ANP-BC

Put That Finger Down! The End of the Screening Rectal Exam - Frankly Speaking EP 73 Jun 18, 2018

Show notes

Listen to this week’s podcast episode to learn about a meta-analysis showing no benefit to rectal examinations in men.

Guest: Susan Feeney, DNP, FNP-BC

Don’t Make Me Exercise – Give Me Some Tea & a Pill! - Frankly Speaking EP 72 Jun 11, 2018

Show notes

A recent AHA presentation offered data that showed an overwhelming amount of patients would prefer to take a pill or drink tea rather than exercise to lower their BP. This begs the questions: How much does drinking tea lower BP? Does exercise help those with primary HTN or resistant HTN who are already on medication? Finally, how do we get our patients to exercise?

Guest: Robert A. Baldor, MD, FAAFP

Mom, Do I Have to Practice the Piano Again? The Benefit of Music Instruction on Executive Function - Frankly Speaking EP 71 Jun 04, 2018

Show notes

Listen to this week's episode to learn about a randomized trial of children in music vs. visual arts instruction. Music instruction led to improvements in verbal intelligence, executive functions, and academic performance.

Guest: Susan Feeney, DNP, FNP-BC

Hot Flashes, Night Sweats, and Insomnia: Will I Ever Sleep Through the Night Again? - Frankly Speaking EP 70 May 28, 2018

Show notes

This episode will review The Menopause Strategies: Finding Lasting Answers for Symptoms and Health (MsFLASH) series of 4 randomized controlled trials, pooling individual data that will provide guidance for discussing pharmacologic and non-pharmacologic options for your peri- and postmenopausal patients.

Guest: Jill Terrien PhD, ANP-BC

Biomarkers for Alzheimer’s Diagnosis? - Frankly Speaking EP 69 May 21, 2018

Show notes

The National Institute on Aging-Alzheimer’s Association (NIA-AA) just released an updated Framework of the 2011 Guidelines for Alzheimer’s Disease Research, focusing on the use of biomarkers rather than clinical criteria to make the diagnosis. Listen to this week’s episode to learn more.

Guest: Robert A. Baldor, MD, FAAFP

My Joints Are Killing Me! Opioids vs. NSAIDs for Chronic Pain - Frankly Speaking EP 68 May 14, 2018

Show notes

Chronic pain is a difficult but common problem in primary care. Patients are often desperate for any form of relief, and as a result, many are eventually started on opioid analgesics. This can be associated with many adverse effects. But is it worth it? A recent randomized trial compared opioid to non-opioid management of patients with chronic low back pain or chronic hip pain or knee pain due to osteoarthritis.

Guest: Alan Ehrlich, MD

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