Primary Care Update

Latest Episodes:

Episode 98: COVID, pain management without opioids, irritable bowel, and communicating risk Mar 04, 2022

Show notes

A diverse set of POEMs from Kate, John, Henry and Mark: CDC COVID mitigation and vaccination updates, non-opioid post-op pain management, a guideline for managing persons with IBS, and the challenges of communicating risk with words

Episode 97: acne, hypoglycemia in the nursing home, DAPT or aspirin after stroke, and lockdowns Feb 16, 2022

Show notes

This week our skeptics discuss the best topical acne treatments, hypoglycemia in nursing home residents, the best antiplatelet therapy after minor stroke or TIA, and whether lockdowns reduced COVID-19 mortality.

Episode 96: medication safety, midodrine for syncope, empagliflozin for heart failure, and peppermint oil for IBS Feb 02, 2022

Show notes

This week Kate, Henry, Mark and John are all over the map, with 4 new studies on the safety of Janus Kinase inhibitors, midodrine for recurrent vasovagal syncope, empagliflozin for heart failure (not DM) and peppermint oil for irritable bowel syndrome.

Episode 95: measuring temps, implantable monitors, procalcitonin in primary care, and HPV based cancer screening Jan 19, 2022

Show notes

This week Kate, Mark, Henry and John talk about measuring temps in kids, implantable monitors to diagnose afib, procalcitonin in primary care, and HPV based cervical cancer screening

Episode 94: overcoming vaccine hesitancy, fluvoxamine and Paxlovid for COVID-19, and tighter BP control in elders Jan 05, 2022

Show notes

This week family physicians Kate, John, Henry and Mark discuss best practices for vaccine uptake, fluvoxamine for outpatients with COVID, Paxlovid for outpatients with COVID, and the benefits and harms of lowering BP in older persons.

Episode 93: holiday death rates, ear wax, amoxicillin for kids, and vaccines and the omicron variant Dec 22, 2021

Show notes

This week, family physicians Kate, John, Henry and Mark will discuss whether mortality really increases over the holidays, the best way to prep patients for ear wax removal, whether high dose amoxicillin is effective for kids with lower respiratory infection, and how effective vaccines are against omicron. Plus a special Christmas quiz!

Episode 92: urinary incontinence, forearm fractures in kids, COVID testing in schools, and a novel hypertension strategy Dec 09, 2021

Show notes

This week on Primary Care Update we talk about group PT visits for urinary incontinence in women older than 60, managing uncomplicated forearm fractures in children, a COVID testing strategy for keeping kids in school, and a quadpill for treating hypertension

Episode 91: iron for anemic infants, IL-6 antagonists and inhaled steroids for COVID, and PRP for Achilles tendinopathy Nov 24, 2021

Show notes

This week Kate, Henry, John and Mark discuss whether iron supplementation provides real benefits for anemic infants, IL6 antagonists for COVID, inhaled corticosteroids for COVID, and platelet rich plasma for Achilles tendinopathy.

Episode 90: music therapy, lung CA screening, VTE prophylaxis, and a pain guideline Nov 20, 2021

Show notes

This week, Kate, John, Mark and Henry discuss music to improve sleep and cognition in older adults, lung cancer screening in an organized health system, a comparison of 2 agents for VTE prophylaxis after total knee arthroplasty, and a new pain guideline with a surprising recommendation.

Episode 89: pumpkin seeds, placebo for post-op pain, muscle relaxants, and depression screening Oct 28, 2021

Show notes

This week, join Kate, John, Henry and Mark for a discussion of pumpkin seed oil for BPH symptoms, open label placebo for post-op pain, muscle relaxants for low back pain, and the implications of universal depression screening.

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