Frankly Speaking About Family Medicine

Latest Episodes:

Contraception: The Pill Needs to Share - Frankly Speaking EP17 May 22, 2017

Show notes

Sensitive and important conversations with your adolescent population include contraceptive options. How do long acting reversible contraceptive methods (LARC’s) fit into your conversation? Let’s discuss a recent review and update your talk!

Learning Objectives:

Discuss the use of long acting reversible contraceptive methods (LARC’s).
Describe the efficacy or LARC’s compared to other birth control methods.
Describe communication strategies useful in discussing contraception with adolescents.

Safe and Effective Narcotic Use in Chronic Pain - Frankly Speaking EP 16 May 15, 2017

Show notes

Based upon CDC data of death, narcotic prescription length of less than 5 days provided the best outcomes and the lowest risk of continued narcotic use.

Learning Objectives:

Understand the scope of the death attributable to narcotics
Learn how to prevent a patient from becoming dependent upon opioids
Consider methods to wean off opioids and use other proven agents for chronic non-cancerous pain

Oxygen for patients with STEMI: Who benefits? - Frankly Speaking EP 15 May 08, 2017

Show notes

Oxygen is frequently given to patients routinely during the initial treatment of a myocardial infarction, but there is a lack of data to support or refute this. A recent systematic review found no benefit in patients who did not have baseline hypoxia. Oxygen therapy continues to be indicated for those with hypoxia and needs to be used with caution in COPD patients with carbon dioxide retention.

Learning Objectives

Understand the role of oxygen in the management of acute myocardial infarction
Understand the potential for harm of unnecessary oxygen therapy

Back Pain is Here to Stay! - Frankly Speaking EP 14 May 01, 2017

Show notes

What are your evidence-based strategies for managing acute, subacute and chronic low back pain? A review of the current American College of Physicians Clinical Practice Guideline can renew your toolkit as you help your patients with back pain maintain a healthy and active lifestyle.

Learning Objectives

Review the latest guidelines on acute, subacute and chronic low back pain (ACP 2/2017)
Discuss non-pharmacologic and pharmacologic therapies available to the primary care provider

When Can We Start Preventing Recurrence of Acute Gout? - Frankly Speaking EP13 Apr 24, 2017

Show notes

Most patients who suffer an acute gout attack should be started on urate lowering therapy. It is known that starting urate lowering therapy can itself precipitate a gout attack and concern for not worsening the acute symptoms has been the reason some guidelines recommend waiting until after the acute episode has subsided to start urate lowering therapy. A look at recent data indicates waiting for the acute attack to subside may not be necessary

Learning Objectives:

Understand the principles of urate lowering therapy for preventing gout attacks
Be familiar with the risks and benefits or starting urate lowering therapy during an acute gout attack

Constipation: Going With the Flow - Frankly Speaking EP12 Apr 17, 2017

Show notes

In this week's podcast episode, we will review recent literature on ineffectiveness of laxatives and learn about indications for newer agents.

Physical Activity Following a Concussion - Frankly Speaking EP11 Apr 10, 2017

Show notes

In this podcast episode, we will discuss current guidelines for a concussion evaluation or work-up as well as return to activity following a concussion. We will also put into context this paper and consider what impact this should have on your practice.

Treating Systolic Hypertension in the Elderly - Frankly Speaking EP10 Apr 03, 2017

Show notes

In this podcast episode, we will talk about how systolic hypertension effects outcomes, put into context a recent JACC systematic review paper on the topic and JNC 8 and discuss NNT and NNH.

Obstructive Sleep Apnea: Recommendations for Screening Adults - Frankly Speaking EP9 Mar 27, 2017

Show notes

In this week's podcast episode, we will identify the known health risks of OSA and outcomes of OSA treatment, discuss the new USPSTF screening recommendations on OSA and consider application of the new recommendations, known risks and outcomes of practice.

Non-Fasting Lipids for Cardiovascular Risk Evaluation - Frankly Speaking EP8 Mar 20, 2017

Show notes

In this podcast episode, we will consider the rationale for using non-fasting labs to screen for ASCVD as well as review the controversies around their use and talk about the differential diagnosis of hypertriglyceridemia.

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