Primary Care Update

Latest Episodes:

Episode 78: PCN allergy, US guided injections, IBS, and prediabetes prognosis May 27, 2021

Show notes

This week, Kate, Mark, Henry and John will discuss penicillin allergy, US-guided steroid injections, psychological therapies for patients with IBS and the natural history of “prediabetes”. Plus the quiz from Kate.

Episode 77: deprescribing antibiotics, BP screening recommendations, vit D and fish oil to prevent AF, and steroids for wheeze preschoolers. May 13, 2021

Show notes

This week, Kate, Mark, John and Henry discuss a proven strategy to decrease antibiotic prescribing, learn about updated USPSTF recommendations for blood pressure screening, whether vitamin D and fish oil for prevent A fib, and the value of oral steroids for wheezy preschoolers age 2 to 5.

Episode 76: inhaled steroids work for early COVID, new opiate rules, managing metatarsal fracture, and mRNA vaccines in pregnancy Apr 29, 2021

Show notes

We are really excited to introduce our new co-host, Dr. Kate Rowland, an Associate Professor in the Department of Family Medicine at Rush University in Chicago. We have been teaching with Kate for a long time in our in-person courses, and it's great to have her on board for the podcast. This week we talk about a new study from Oxford University finding a clear benefit for inhaled steroids in patients newly diagnosed with COVID-19. Kate discusses changes (good ones!) in regulations around MAT, Henry has good news about managing 5th metatarsal fractures, and John closes with data on the safety of mRNA vaccines in pregnancy. And the quiz!

Episode 75: Duration of symptoms with mild and severe COVID, and true rate of vaccine anaphylaxis Apr 15, 2021

Show notes

This week, Mark reports the first study looking at the duration of symptoms with mild COVID in healthcare workers (more than you think) compared to those without COVID. Then Henry looks at the same thing in hospitalized COVID patients compared to those with other respiratory infections in the US and UK, and John tells us the true rate of anaphylaxis with vaccines.

Episode 74: More flozins and tides, Lyme disease, and something new for acute migraine Apr 02, 2021

Show notes

This week we discuss a huge and really important meta-analysis of SGLT-2 inhibitors (flozins) and GLP-1 agonists (tides). Also, a good guideline on Lyme disease diagnosis and treatment, and a novel approach to treating migraine.

Episode 73: low-carb diets for T2DM, chronic back pain, and reinfection with COVID Mar 20, 2021

Show notes

This week: low-carb diets for patients with T2DM, managing patients with chronic back pain, and reinfection rates in patients with COVID. Plus the quiz, and a reality TV recommendation.

Episode 72: Flozins and tides, new med for migraine, and antidepressants for back pain and DJD Mar 04, 2021

Show notes

This week, Mark, Henry and guest POET Kate Rowland from Rush Medical College discuss: newer agents to treat diabetes, a new medication for migraine prevention, and antidepressants for pain in patients with back pain or DJD.

Episode 71: thromboprophylaxis for COVID inpatients, colchicine for outpatients with COVID, and COVID variant mortality Feb 18, 2021

Show notes

This week, we will discuss a potpourri of COVID studies: a large propensity score matched study of thromboprophylaxis in hospitalized patients, novel use of colchicine for COVID-19, and mortality associated with mutant SARS-CoV-2 strains.

Episode 70: colchicine for heart disease, pregnancy after contraception, and prostate CA screening Feb 06, 2021

Show notes

This week, we will discuss: a novel use for an old-time drug, pregnancy after contraception, and prostate cancer screening.

Episode 69: baricitinib + remdesivir, positive study of convalescent plasma, and long-haulers Jan 22, 2021

Show notes

Today, and all COVID episode. Does adding baricitinib improve outcomes in patients on remdesivir; convalescent plasma given early in high risk elders; and how common are long-hauler symptoms.

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