Frankly Speaking About Family Medicine

Latest Episodes:

Helping Depressed Patients Change: Behavioral Activation - Frankly Speaking EP 57 Feb 26, 2018

Show notes

Listen to this week’s episode to learn about the basic concepts of behavioral activation (BA), what research has demonstrated about its use in depression, and how to apply BA in everyday care.

Guest: Susan Feeney, DNP, FNP-BC

The Flu is Bad for Your Heart - Frankly Speaking EP 56 Feb 19, 2018

Show notes

Patients with chronic diseases, including coronary artery disease, are advised to get yearly flu shots because they are at higher risk for having a more severe illness. Canadian researchers have found that in the week following being diagnosed with the flu, adults over 65 years old have a significantly increased risk of myocardial infection.

Too Little, Too Much: How Much Sleep is Just Right? - Frankly Speaking EP 55 Feb 12, 2018

Show notes

In this session we discuss the impact of length of sleep on obesity and DM II.

Your Morning “Cup of Joe” Could Be Doing More Than Starting Your Day - Frankly Speaking EP 54 Feb 05, 2018

Show notes

This session will review the existing evidence between coffee consumption and multiple health outcomes.

An Oral Fecal Transplant for Lunch?- Frankly Speaking EP 53 Jan 29, 2018

Show notes

Treating recurrent C. difficile colitis can be difficult, but recent trials have demonstrated the benefit of treating with fecal transplantation. Questions exist, however, about around the best mode of administration. Listen to this week’s episode to learn about a recent RCT that compares oral and colonoscopic delivery methods and provides an answer.

Learning Objectives:

Appreciate the current guidelines for treating recurrent difficile colitis
Understand the pharmacology of fecal transplantation
Learn about the latest research on how best to administer such treatment

The New Hypertension Guidelines - Frankly Speaking EP 52 Jan 22, 2018

Show notes

New hypertension guidelines from the American College of Cardiology have introduced a new blood pressure classification system and lowered the threshold for initiating pharmacotherapy in certain patient populations.

Learning Objectives:

Understand the new classification categories of hypertension
Understand the new thresholds for starting treatment
Understand the limitations of the new recommendations to specific patient populations

Preventing Opioid Addiction: Treating Acute Pain Safely - Frankly Speaking EP 51 Jan 15, 2018

Show notes

For severe, acute pain, 1000 mg of acetaminophen PLUS 400 mg of ibuprofen is as effective as acetaminophen/oxycodone, acetaminophen/hydrocodone, or acetaminophen/codeine. Listen to this week’s episode to learn more about treating acute pain safely.

Learning Objectives:

Review the current trial comparing Acetaminophen plus Ibuprofen to other acetaminophen/opioid combinations on pain outcomes
Summarize the other data supporting this combination in children and adults
Understand the path that can lead from acute pain to dependence.

Herpes Zoster Vaccination: New Recommendations for Shingles Prevention - Frankly Speaking EP 50 Jan 08, 2018

Show notes

This session will review the recommendations put forth by the CDC’s Advisory Committee on Immunization Practices for the use of a new shingles vaccine. Dosing, use, and efficacy will be discussed.

Learning Objectives:

Review the new vaccine recommendations for the prevention of shingles.
Discuss the use of the current vaccine and new vaccine with dosage and schedule.
Provide a resource for the treatment of post herpetic neuralgia.

Diabetes Remission with Weight Loss - Frankly Speaking EP 49 Jan 02, 2018

Show notes

Diabetes remission is defined as a return to normal blood sugar control without the use of medications. Listen to this episode to learn about a trial in which the use of a very low calorie diet in a primary care setting resulted in significant weight loss and remission of diabetes.

Learning Objectives:

Understand what is meant by diabetes remission
Understand what treatments can lead to diabetes remission

What Does the Evidence Tell Us About Diagnosing and Treating Sinusitis? - Frankly Speaking EP 48 Dec 26, 2017

Show notes

Listen to this episode to learn about the evidence-based guidelines for the diagnosis and management of acute sinusitis.

Learning Objectives:

Discuss the most recent EBP Guidelines on diagnosis and management of acute sinusitis
Discuss application of best practices for appropriate management of acute sinusitis and strategies for good antibiotic stewardship.

Guest: Susan Feeney, DNP, FNP-BC

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