Primary Care Update

Latest Episodes:

Episode 168: RSV med, colonoscopy by PCP, hair loss drug, and AI for ECGs Nov 18, 2024

Show notes

This week listen in as Kate, Mark, Gary and Henry discuss antiviral treatment for infant RSV, colonoscopy competence by specialty, oral minoxidil for hair loss in men, and artificial intelligence performance on interpreting electrocardiograms .

RSV medication:

https://www.nejm.org/doi/full/10.1056/NEJMoa2313551#ap2 and https://pubmed.ncbi.nlm.nih.gov/39321361/

Colonoscopy by specialty

https://pubmed.ncbi.nlm.nih.gov/38588561/

https://aapce.wildapricot.org/

Minoxidil:
https://pubmed.ncbi.nlm.nih.gov/38598226/

AI for ECGs:
https://www.ncbi.nlm.nih.gov/pubmed/39096711

Episode 167: laughter, HP eradication, antibiotics for delirium, and MRIs of the knee Nov 06, 2024

Show notes

Join Kate, Gary, Henry and Mark as they discuss a new therapy for dry eye syndrome, antibiotics for suspected UTI in adults with delirium, a new ACG guideline for treating H pylori, and the prevalence of knee pathology in asymptomatic adults. See below for links to the articles and other stuff:

Dry eye treatment

BMJ: https://www.bmj.com/content/386/bmj-2024-080474

Patient instructions: https://www.bmj.com/content/bmj/suppl/2024/09/11/bmj-2024-080474.DC1/liji080474.ww2.pdf

Antibiotics for UTI in delirium: https://pubmed.ncbi.nlm.nih.gov/38895992/

ACG guideline for H. Pylori: https://pubmed.ncbi.nlm.nih.gov/28071659/ MRI of asymptomatic knees: https://pubmed.ncbi.nlm.nih.gov/32060622/

Elections and CVD: https://pmc.ncbi.nlm.nih.gov/articles/PMC9021908/

Episode 166: vaping cessation, BP meds and dementia, SGLT-2's, and AI for melanoma Oct 23, 2024

Show notes

Join Gary, Kate, Mark and Henry as they discuss text messages for adolescent vaping cessation, stopping BP meds in nursing home residents with dementia, the benefits of SGLT-2 inhibitors, and mobile phone app–based artificial intelligence for diagnosing melanoma.

Click here for transcript, notes and links for this episode.

Episode 165: psychedelics for depression, preventing and treating influenza, and GLP-2 for...sleep apnea? Oct 08, 2024

Show notes

It's biscuit week, oops, I mean flu week here on the Great Primary Care Update. Join our bakers, I mean POETs, as they discuss preventing influenza, treating severe influenza, psychedelics for depression, and GLP-1 agonists to treat sleep apnea of all things.

Episode 164: HTN in kids, steroids for hip OA, drugs for T2DM, and AI to develop guidelines Sep 24, 2024

Show notes

This week, Gary, Henry, Kate and Mark discuss CV events in children with hypertension, intra-articular steroid injections in adults with hip DJD, the best drug classes for treating adults with T2DM, and AI supported development of practice guideline questions. And a quiz, and two sports stories from Henry!

Episode 163: salt substitutes, VR apps for pain, multivitamins, and vitamin D Sep 11, 2024

Show notes

This week join Kate, Mark, Henry and Gary for a discussion of the cardiovascular benefits of salt substitutes, using virtual reality for cancer-related pain, whether multivitamins reduce mortality, and if and when to recommend vitamin D supplements.

Episode 162: PREVENT risk score, UTI prognosis, sinusitis treatment, and biomarkers for SDAT Aug 29, 2024

Show notes

This week, Kate, Mark, Gary and Henry tackle 4 new studies: the updated PREVENT cardiovascular disease risk calculators from the AHA, long-term consequences of UTIs in children, antibiotics for sinusitis in kids, and biomarkers to diagnose Alzheimer’s disease

Episode 161: Antibiotics for CAP, melatonin for delirium, screening for lung disease, and seizures after COVID vaccine Aug 15, 2024

Show notes

This week, join Kate, Gary, Mark and Henry as they discuss screening asymptomatic people for COPD and asthma, the rate of new onset seizures after COVID vaccination, choosing the best oral antibiotic for mild to moderate CAP, and a trail of melatonin for delirium in older, hospitalized adults

Episode 160: prostate meds and dementia, umbilical hernias, mortality for infections, and AF detection Aug 05, 2024

Show notes

This week, Kate, Mark, Henry and Gary tackle the association between prostate medications and lower dementia risk, the natural history of umbilical hernias in children, differential mortality for flu, RSV and COVID, and what to do about device-detected atrial fibrillation.

Episode 159: DAPT duration, starting contraception, krill oil for OA, and misdiagnosis of CAP Jul 17, 2024

Show notes

This week, join Kate, Henry, Gary and Mark as they discuss same-day start contraception, krill oil for adults with knee DJD, misdiagnosis of community-acquired pneumonia, and ticagrelor + placebo VS ticagrelor + ASA after PCI. Plus some book recommendations: Whalefall, The Demon of Unrest, and the Commissario Brunetti novels by Donna Leon

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