Primary Care Update

Mark Ebell

Three healthily skeptical primary care physicians discuss the latest in primary care medicine. Join Essential Evidence Editor Mark Ebell MD, JFP editor John Hickner MD, and POEMs co-founder Henry Barry MD, for this fast-paced weekly update on evidence-based primary care.

  • 30 minutes 57 seconds
    Episode 154: triptans and CV risk, urate levels and flares, tests for acute diverticulitis, and APOE4

    Quite a diversity of topics this week, as Gary, Henry, Kate and Mark talk about: CV risk with triptans, baseline urate levels and risk of acute flairs in adults with gout, primary care feasible tests for acute diverticulitis, and how APOE4 homozygosity represents a distinct genetic form of Alzheimer’s disease.


    8 May 2024, 2:31 pm
  • 30 minutes 8 seconds
    Episode 153: gabapentinoids and COPD, shoulder dislocations, and older Alzheimer's drugs

    This week, Mark is taking a break so Kate, Henry and Gary will discuss gabapentinoids and the risk of severe COPD, rehab after an initial anterior shoulder dislocation, and cognitive enhancers for patients with Alzheimer’s dementia 


    24 April 2024, 6:10 pm
  • 29 minutes 2 seconds
    Episode 152: SGLT2's for heart failure, bariatric surgery outcomes, UTI in kids, and lung screening outcomes.

    Join Kate, Gary, Mark and Henry (who went to the eclipse!) as they discuss SGLT2 inhibitors for older adults and frail adults with heart failure, the long term outcomes of bariatric surgery in adults with T2DM, the best duration of antibiotics for febrile UTI in kids, and real world outcomes of lung cancer screening.


    10 April 2024, 9:21 pm
  • 30 minutes 52 seconds
    Episode 151: SSRIs and mania, oseltamivir, exercise and BP, and HPV vaccine preventing cancer.

    Join us today as Gary, Kate, Mark and Henry discuss risks of SSRIs provoking mania in adolescents, real world effectiveness of HPV vaccination for preventing cervical cancer, whether tamiflu reduces hospitalization in adults with flu, and the effects of exercise on BP.


    25 March 2024, 8:07 pm
  • 30 minutes 37 seconds
    Episode 150: EXXUA for depression, ubrogepant for migraine, PCI for stable angina, and a simple way to communications

    This week, Gary, Kate, Henry and Mark discuss a newly approved medication for major depression in adults, initiation of abortive therapy using ubrogepant during migraine prodrome, the value of PCI for patients with stable angina, and a simple intervention to improve communication with hospitalized patients. And a quiz!


    11 March 2024, 4:20 pm
  • 32 minutes 58 seconds
    Episode 149: afib risk scores, tai chi and cognition, flu vax, and managing gallstones

    This week join us as Kate, Mark, Henry and Gary discuss clinical prediction tool for patients using DOACs for atrial fibrillation, the benefits of cognitively enhanced tai chi, whether high dose recombinant flu vaccine is useful in adults 50-64, and watching patients with symptomatic gallstone disease. 


    26 February 2024, 4:27 pm
  • 23 minutes 19 seconds
    Episode 148: meds for alcohol withdrawal, opioids and stimulants, and treating agitation in AD

    This week, Kate, Henry and Mark discuss pharmacotherapy for alcohol use disorder, using opioids in adults with cancer pain who also use non-medical stimulants, and brexpiprazole for agitation in patients with Alzheimer's dementia.


    13 February 2024, 7:11 pm
  • 32 minutes 37 seconds
    Episode 147: TENS for post-op pain, Alzheimer's meds, and delivering bad news

    Join Kate, Mark, Henry and Gary as they talk about: TENS for pain after cesarean delivery, cholinesterase inhibitors and risk of falls, a meta-analysis of the new Alzheimer’s drugs, and telephone delivery of bad news


    30 January 2024, 7:48 pm
  • 31 minutes 58 seconds
    Episode 146: nasal suction for infants, amitriptyline for IBS, aspirin to prevent CRC, and talking about hard things

    This week, join Henry, Kate, Gary and Mark as they discuss 4 great studies: home suction devices for infants with bronchiolitis, amitriptyline for adults with irritable bowel, high-dose aspirin for preventing colorectal cancer, and communicating about serious illness and end of life.


    17 January 2024, 4:37 pm
  • 36 minutes 7 seconds
    Episode 145: DAPT for dementia, BP control post-stroke, managing CHD, and probiotics for IBS

    This week, Kate, Henry, Mark and Gary discuss antiplatelet medications to prevent dementia, post-stroke blood pressure control, the latest guideline for managing patients with chronic cardiac disease, and probiotics for patients with irritable bowel syndrome.


    3 January 2024, 3:41 pm
  • 30 minutes 23 seconds
    Episode 144: cellulitis prognosis, chronic migraine tx, long COVID tx, and drugs for lipids

    This week Kate, Mark, Henry and Gary talk about how long it takes for lower extremity cellulitis to improve, how long it takes for CGRP monoclonal antibodies to take effect in adults with chronic migraine, whether CBT is effective for fatigue in patients with long COVID, and outcome data for various lipid lowering therapies. Plus a painful quiz, and Gary learns what an umbrella review is!


    21 December 2023, 11:24 pm
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