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.

  • 29 minutes 24 seconds
    Episode 170: yoga for incontinence, muscle relaxants for pain, maternal cannabis use, and GLP-1 v. surgery

    This month Kate, Mark, Gary and Henry discuss yoga for treating urinary incontinence in older women, benefits and harms of muscle relaxants for adults with chronic pain, maternal prenatal cannabis use and developmental delays, and bariatric surgery vs. glucagon-like peptide 1 receptor agonists in obese adults with T2DM.

    Links:

    Yoga for incontinence: https://pubmed.ncbi.nlm.nih.gov/39186785/

    Muscle relaxants for painful conditions: https://pubmed.ncbi.nlm.nih.gov/39298168/

    Maternal cannabis use and developmental delays: https://pubmed.ncbi.nlm.nih.gov/39422907/

    Bariatric surgery vs. GLP-1s: https://www.ncbi.nlm.nih.gov/pubmed/39235379


    16 December 2024, 3:22 pm
  • 28 minutes 37 seconds
    Episode 169: migraine, plantar fasciitis, beta-blocker duration and prostate cancer

    This week Mark, Kate, Gary and Henry talk about the comparative effectiveness of migraine medications, strategies for adults with plantar fascia pain, whether to continue beta-blocker use after acute MI, and the outcomes of 5-alpha reductase inhibitor use prior to prostate cancer diagnosis.

    Links

    Migraine: https://www.bmj.com/content/386/bmj-2024-080107

    Plantar fasciitis: https://pubmed.ncbi.nlm.nih.gov/38904119/Ā  and https://pubmed.ncbi.nlm.nih.gov/16801514/

    Beta-blockers post MI: https://pubmed.ncbi.nlm.nih.gov/39213187/

    Prostate cancer: https://pubmed.ncbi.nlm.nih.gov/39190306/


    4 December 2024, 12:28 am
  • 24 minutes 25 seconds
    Episode 168: RSV med, colonoscopy by PCP, hair loss drug, and AI for ECGs

    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 electrocardiogramsĀ .

    RSV medication:

    https://www.nejm.org/doi/full/10.1056/NEJMoa2313551#ap2Ā  and https://pubmed.ncbi.nlm.nih.gov/39321361/Ā 

    Colonoscopy by specialty

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


    https://aapce.wildapricot.org/Ā Ā 

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

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

    18 November 2024, 5:13 pm
  • 27 minutes 49 seconds
    Episode 167: laughter, HP eradication, antibiotics for delirium, and MRIs of the knee

    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/

    6 November 2024, 8:44 pm
  • 29 minutes 20 seconds
    Episode 166: vaping cessation, BP meds and dementia, SGLT-2's, and AI for melanoma

    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 appā€“based artificial intelligence for diagnosing melanoma.

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


    23 October 2024, 6:27 pm
  • 34 minutes 15 seconds
    Episode 165: psychedelics for depression, preventing and treating influenza, and GLP-2 for...sleep apnea?

    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.

    8 October 2024, 9:33 pm
  • 32 minutes 38 seconds
    Episode 164: HTN in kids, steroids for hip OA, drugs for T2DM, and AI to develop guidelines

    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!


    24 September 2024, 8:14 pm
  • 29 minutes 24 seconds
    Episode 163: salt substitutes, VR apps for pain, multivitamins, and vitamin D

    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.


    11 September 2024, 2:36 pm
  • 33 minutes 53 seconds
    Episode 162: PREVENT risk score, UTI prognosis, sinusitis treatment, and biomarkers for SDAT

    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 Alzheimerā€™s disease


    29 August 2024, 3:13 pm
  • 30 minutes 53 seconds
    Episode 161: Antibiotics for CAP, melatonin for delirium, screening for lung disease, and seizures after COVID vaccine

    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


    15 August 2024, 8:38 pm
  • 26 minutes 21 seconds
    Episode 160: prostate meds and dementia, umbilical hernias, mortality for infections, and AF detection

    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.


    5 August 2024, 2:55 pm
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