All Episodes
Primary Care Update — 213 episodes
Episode 213: dementia risk factors, COVID-19 vaccines, and shoulder MRIs
Episode 212: preventing multimorbidity, high dose vit D, skin cancer screening, and withdrawing a GLP-1
Episode 211: semaglutide for AUD, preventing post-vax syncope, PCR panel for RTI, fluvoxamine for long-COVID
Episode 210: screen time, stopping levothyroxine, new mRNA flu vaccine, and NAS supplements.
Episode 209: cocoa, best UTI antibiotic, LAA closure for AF, and evolocumab for primary (sort of) prevention
Episode 208: drinks with diabetes, new Paxlovid trial, antiplatelet agents in stroke, and dietary advice from the AHA
Episode 207: AI, singing for post-partum depression, and new AHA lipid guidelines
Episode 206: biomarkers for dementia, toileting, bleeding risk, and diagnosing volume overload.
Episode 205: inhaled steroid dose, titrating GLP-1s, zoster vaccine and dementia, and trusting AI
Episode 204: lowering triglycerides, cannabinoids for pain, managing AF + stent, and lower LDL targets for CAD
Episode 203: melatonin for dementia, new PE guidelies, inhaled steroids for asthma
Episode 202: Repatha for prevention, baby lotions to prevent eczema, opioids for kid pain, and treatment of appendicitis
Episode 201: HPV collection, Tramadol, anticoag after ablation, and COVID vaccines
Episode 200: implant bleeding, introducing yourself, avoiding LP for infants, anticoag for AF with stroke
Episode 199: GIPs, risk based breast CA screening, 1 vs 2 doses HPV vaccine, and surgery for shoulder impingement
Episode 198: Tirzepatide, using Beers, stent for carotid stenosis, and high dose flu vaccine
Episode 197: tirzepatide for kids, new flu vaccine, bathing for eczema and beta-blockers post-MI
Episode 196: Med diet, pneumonia guideline, coffee for afib, and meds for agitation in elderly
Episode 195: aspirin or clopidogrel, lipids and dementia, colon CA reminders
Episode 194: CBD safety, HTN guideline, choosing DM drugs, and COVID-19 vax efficacy
Episode 193: Intensive BP lowering, elinzanetant for VMS, HTN in pregnancy and prostate CA screening
Episode 192: anticoag duration, old drugs for insomnia, lower dose Ozempic, and aspirin + anticoag or anticoag alone
Episode 191: acetaminophen, leucovorin, MMR and autism; the value of primary care
Episode 190: flu vaccine & dementia, colchicine for CHD, endometriosis pain and green tea.
Episode 189: asthma rescue, exercise for cancer, digitoxin, and minor stroke treatment
Episode 188: digital therapy, DKA with SGLT2s, esketamine for resistant depression, and what is a normal TSH
Episode 187: incidental activity, a new definition of Alzheimers, blood test for CRC screening, and DORAs for sleep
Episode 186: wound care, migraine tx, breast CA screening, and metformin for OA
Episode 185: resistant HTN tx, mirtazepine for sleep, baloxav for prevention, PRP for OA
Episode 184: new UTI antibiotic, fibromyalgia tx, trial of an MCED, and the best time for HTN meds
Episode 183: triple inhaler for COPD, managing pain in kids, and suzetrigine for pain
Episode 182: atrial appendage occlusion for AF, oral semaglutide, and epidural steroidsand
Episode 181: wipes to prevent foot ulcer, tirzepatide efficacy,
Episode 180: dance benefits, POCUS for clavicles, treating BV, and prehab
Episode 179: novel migraine tx, safety of albuterol in infants, new UTI antibiotic, and vitamin K2 for leg cramps
Episode 178: tapering benzos, neuro testing for athletes, vonoprazan for PUD, and zoster-dementia link
Episode 177: steroids and CV risk, dementia guideline, fezolinetant for VMS, and osteoporosis screening
Episode 176: bright lights, fever in kids, new anticoagulant for AF, and antibiotics for appendicitis
Episode 175: RSV monoclonals, acupuncture for sciatica, zoledronate in low risk women, and measuring BP at home.
Episode 174: sexual dysfunction, GLP-1 benefits, surveillance for DCIS, episodic migraine prevention
Episode 173: prenatal cannabis use, fluids in sickle crisis, single or dual tx for AF plus CAD, and exercise for weight loss.
Episode 172: mindfulness for pain, methotrexate and resveratrol for OA, and eradicating HP
Episode 171: obesity in babies, DOACs after stroke, semaglutide for OA, and thunderclap headaches
Episode 170: yoga for incontinence, muscle relaxants for pain, maternal cannabis use, and GLP-1 v. surgery
Episode 169: migraine, plantar fasciitis, beta-blocker duration and prostate cancer
Episode 168: RSV med, colonoscopy by PCP, hair loss drug, and AI for ECGs
Episode 167: laughter, HP eradication, antibiotics for delirium, and MRIs of the knee
Episode 166: vaping cessation, BP meds and dementia, SGLT-2's, and AI for melanoma
Episode 165: psychedelics for depression, preventing and treating influenza, and GLP-2 for...sleep apnea?
Episode 164: HTN in kids, steroids for hip OA, drugs for T2DM, and AI to develop guidelines
Episode 163: salt substitutes, VR apps for pain, multivitamins, and vitamin D
Episode 162: PREVENT risk score, UTI prognosis, sinusitis treatment, and biomarkers for SDAT
Episode 161: Antibiotics for CAP, melatonin for delirium, screening for lung disease, and seizures after COVID vaccine
Episode 160: prostate meds and dementia, umbilical hernias, mortality for infections, and AF detection
Episode 159: DAPT duration, starting contraception, krill oil for OA, and misdiagnosis of CAP
Episode 158: dequalinium for BV, mammography, weight loss drugs, and tirzepatide for OSA
Episode 157: Bleeding risk with AF, treating minor ischemic stroke, and beta-blockers after AMI
Episode 156: APAP in pregnancy, AI for AOM, current use of Paxlovid, and CGM for T2DM
Episode 155: wrist imaging, opioids post-op, rate vs rhythm control, and updated Cologuard,
Episode 154: triptans and CV risk, urate levels and flares, tests for acute diverticulitis, and APOE4
Episode 153: gabapentinoids and COPD, shoulder dislocations, and older Alzheimer's drugs
Episode 152: SGLT2's for heart failure, bariatric surgery outcomes, UTI in kids, and lung screening outcomes.
Episode 151: SSRIs and mania, oseltamivir, exercise and BP, and HPV vaccine preventing cancer.
Episode 150: EXXUA for depression, ubrogepant for migraine, PCI for stable angina, and a simple way to communications
Episode 149: afib risk scores, tai chi and cognition, flu vax, and managing gallstones
Episode 148: meds for alcohol withdrawal, opioids and stimulants, and treating agitation in AD
Episode 147: TENS for post-op pain, Alzheimer's meds, and delivering bad news
Episode 146: nasal suction for infants, amitriptyline for IBS, aspirin to prevent CRC, and talking about hard things
Episode 145: DAPT for dementia, BP control post-stroke, managing CHD, and probiotics for IBS
Episode 144: cellulitis prognosis, chronic migraine tx, long COVID tx, and drugs for lipids
Episode 143: sponges for acne, renal colic, breast CA overdiagnosis, BP cuff size
Episode 142: Tdap in pregnancy, atogepant for migraine, POCUS for SBO and gastroparesis
Episode 141: an app to reduce drinking, e-cigs to quit smoking, and does ADHD lead to substance use
Episode 140: Mg+ for CP, amox challenge, ACP guidelines, and carotid surgery
Episode 139: U=U, tetracyclines and teeth staining, metformin to prevent long COVID and the best med for onychomycosis
Episode 138: Deprescribing, meds for neuropsych symptoms in dementia, and lowering BP too much
Episode 137: amox/mono, hearing aids, stem cells for knee OA, and preventing T2DM
Episode 136: Beers, testosterone harms, opioids for back and neck pain, and SDOH
Episode 135: osteoporosis treatment, evolocumab, mifepristone for adenomyosis, and ambulatory BP
Primary Care Update Episode 134
Episode 133: bilirubin in infants, rest after concussion, child abuse, and why words matter
Episode 132: new drug for hot flushes, screening for autism, and steroids for pneumonia
Episode 131: non-STEMI management in frail elderly, diagnosing secondary HTN in kids, and RSV vaccine for pregnant women
Episode 130: bempedoic acid, polypills and dementia, prophylaxis for STIs, and interpreting asymptomatic CAD
Episode 129: estimating mortality in acute HF, a new migraine drug, and 15 year f/u of the largest RCT of prostate CA treatment
Episode 128: BP targets, treatment resistant depression, angry and disruptive patients, and putting infants to bed
Episode 127: LDL targets, genicular nerve blocks, adding cytology to HPV, and HCTZ to prevent stones
Episode 126: screening for genital herpes, semaglutide for obesity, ACG guideline on lower GI bleed, and whether invasive management is helpful for stable CAD
Episode 125: reducing seizure frequency, antidepressants for pain, and periop anticoagulation
Episode 124: etonogestrel and lactogensis, celiac guidelines, FODMAPS for IBS, and a new CV drug
Episode 123: mindfulness, PRP for Achilles rupture, lecanab for Alzheimer's, and VTE prophylaxis post-fracture
Episode 122: predicing dementia, incentives to quit smoking, HP eradication for dyspepsia, and comparison of diabetes meds
Episode 121: vitamin C for sepsis, probiotics for halitosis, and dyspepsia evaluation
Episode 120: sleepy time for kids, crenezumab for Alzheimers, prognosis after TKA, and intermittent fasting
Episode 119: insomnia treatment, when to take HTN meds, colonoscopy effectiveness, and chlorthalidone vs HCTZ
Episode 118: hyperbilirubinemia, diabetic neuropathy, acute heart failure, and screening for CVD
Episode 117: the plague, treatment of prediabetes, asymptomatic bacteriuria, and the value of pyuria
Episode 116: Polypills, yoga for migraine, best 2nd drug for DM, and Paxlovid for omicron
Episode 115: bisphosphonates and mortality, COVID rebound, and 2 IBS treatments
Episode 114: cannabis for chronic pain, scaphoid fractures, and steroids for renal colic
Episode 113: POC respiratory panels, fever in adults, and CV benefits of SGLT-2's
Episode 112: buckle fractures, tirzepatide for obesity, and stroke risk with severe carotid stenosis
Episode 110: pharmacogenomics, functional abdominal pain in kids, vitamin D and fractures, and a T2DM guideline
Primary Care Update: Remembering John Hickner, MD, MS
Episode 109: motivational interviewing for weight loss, urate lowering in gout, and screening for anal cancer.
Episode 108: LDL and mortality, cost-effectiveness of Alzheimer drugs, and surgery for ortho problems
Episode 107: TENS for renal colic, secondary HTN in kids, and evaluating chest pain
Episode 106: hMKPX (OK, monkeypox), screening for afib, and aducanumab for Alzheimer dementia
Episode 105: coronary calcium CT, what happens to prediabetics, an RCT of ketamine, and 1 vs 2 antidepressants
Episode 104: stress urinary incontinence, thyroid meds, Achilles tendon rupture, and HEPA for COPD
Episode 103: rosacea treatment, Dr. Google, and vitamin D and COVID
Episode 102: Prevention of preterm delivery, statins during pregnancy, and aromatherapy for postmenopausal symptoms
Episode 101: new VTE guidelines, weight loss drugs, and increased CV risk post-COVID
Episode 100: Best of the best of the best!
Episode 99: NSAIDS for back pain, masks in schools, fluoride, and antipsychotics
Episode 98: COVID, pain management without opioids, irritable bowel, and communicating risk
Episode 97: acne, hypoglycemia in the nursing home, DAPT or aspirin after stroke, and lockdowns
Episode 96: medication safety, midodrine for syncope, empagliflozin for heart failure, and peppermint oil for IBS
Episode 95: measuring temps, implantable monitors, procalcitonin in primary care, and HPV based cancer screening
Episode 94: overcoming vaccine hesitancy, fluvoxamine and Paxlovid for COVID-19, and tighter BP control in elders
Episode 93: holiday death rates, ear wax, amoxicillin for kids, and vaccines and the omicron variant
Episode 92: urinary incontinence, forearm fractures in kids, COVID testing in schools, and a novel hypertension strategy
Episode 91: iron for anemic infants, IL-6 antagonists and inhaled steroids for COVID, and PRP for Achilles tendinopathy
Episode 90: music therapy, lung CA screening, VTE prophylaxis, and a pain guideline
Episode 89: pumpkin seeds, placebo for post-op pain, muscle relaxants, and depression screening
Episode 88: influenza, stroke prevention, a novel telemedicine use, and T2DM overtreatment
Episode 87: COVID boosters, ivermectin, and pregnancy outcomes with COVID infection
Episode 86: dexamethasone post-op, topical terbinafine for toenails, thromboprophylaxis, and vaccine adverse events
Episode 85: aspirin and antidepressant doses, how low to go with BP, and eye drops for migraine
Episode 84: adenotonsillectomy in kids with OSA, DAPT vs ASA for stroke prevention, and ovarian cancer screening
Episode 83: TIA risk score, US for frractures, CDC delta variant report, and harms of MRI
Episode 82: PCR stool tests in kids, duration of antibiotics for CAP in kids, and an UGI bleed guideline
Episode 81: LDL targets, guided antiplatelet therapy, CRC screening, and myocarditis after mRNA vax
Episode 80: Cannabis, PRP for plantar fasciitis, epidural steroids, and COVID mortality and race
Episode 79: caffeine in pregnancy, DM and cancer, ruling out MI, and COVID reinfection
Episode 78: PCN allergy, US guided injections, IBS, and prediabetes prognosis
Episode 77: deprescribing antibiotics, BP screening recommendations, vit D and fish oil to prevent AF, and steroids for wheeze preschoolers.
Episode 76: inhaled steroids work for early COVID, new opiate rules, managing metatarsal fracture, and mRNA vaccines in pregnancy
Episode 75: Duration of symptoms with mild and severe COVID, and true rate of vaccine anaphylaxis
Episode 74: More flozins and tides, Lyme disease, and something new for acute migraine
Episode 73: low-carb diets for T2DM, chronic back pain, and reinfection with COVID
Episode 72: Flozins and tides, new med for migraine, and antidepressants for back pain and DJD
Episode 71: thromboprophylaxis for COVID inpatients, colchicine for outpatients with COVID, and COVID variant mortality
Episode 70: colchicine for heart disease, pregnancy after contraception, and prostate CA screening
Episode 69: baricitinib + remdesivir, positive study of convalescent plasma, and long-haulers
Episode 68: lung cancer screening, preventing celiac disease, and a positive convalescent plasma trial
Episode 67: HPV vaccine, a test for IBD in kids, and household transmission of COVID
Episode 66: repurposed antivirals, banlamivimab for outpatients, and convalescent serum, all for COVID-19
Episode 65: gabapentin for chronic pain, achilles tendons, and aspirin for primary prevention
Episode 64: COVID vaccine update, natural immunity, tocilizumab trials, and a fishing story
Episode 63: overactive bladder, smoking cessation, and bone density testing
Episode 62: Tests for COVID, kids with COVID, and vaccines.
Episode 61: Baloxavir, scaphoid fracture, and bariatric surgery
Episode 60: DAPT after stroke, gout, and HRT after 20 years
Episode 59: Top COVID-19 research studies, part deux
Episode 58: Top COVID studies: 9 of the most important COVID-19 studies
Episode 57: Our (hopefully) last 2 HCQ studies, rehab for COPD, and funny shoes for knee OA
Episode 56: Israeli school outbreak, antibody tests, going nerveless for HTN, and syncope
Episode 55: COVID-19: vaccines, HCQ for mild illness, and C-19 in kids
Episode 54: COVID, overactive bladder, and pro/synbiotics post-op
Episode 53: COVID prevalence, treating UTI, migraine prophylaxis, and lab values
Episode 52: COVID-19, 6 studies on steroids, NPI, MIRS in kids, and more
Episode 51: Convalescent plasma, patient self-testing, pneumothorax, and colic
Episode 50: Last call for HCQ: we cover 6 COVID-19 studies
Episode 49: COVID news, cellulitis diagnosis, and COPD
Episode 48: Two COVID-19 studies, OA guideline, and choosing insulins
Episode 46: remdesivir trials, fecal shedding, and more
Episode 45: 2 COVID studies, IBS and prostate CA screening
Episode 44: 6 COVID-19 studies
Episode 43: 2 COVID-19 studies, breast CA prevention, and post-MI tx
Episode 42: COVID-19 edition
Episode 41: COVID-19 briefs, clavicle fractures, and acetaminophen
Episode 40: food allergies, BP tarbets, and CRC screening
Episode 39: autism, soccer and dementia, and diagnosing hip OA
Episode 38: Top 20 POEMs of 2019, part 3
Episode 37: Top 20 POEMs of 2019, Part 2
Episode 36: Top 20 POEMs of 2019, Part 1
Episode 35: dapagliflozin for HF, muscle relaxants, and gallstone pancreatitis
Episode 34: subclinical hypothyroidism, RA, and preventing CAD and AF
Episode 33: controlling pain, diverticulitis, and when to take BP meds
Episode 32: ticagrelor for CAD, cough and ACEI, and preventing HIV
Episode 31: T2DM treatment, T2DM with CVD or CKD, and pre-diabetes
Episode 30: BRCA mutations, Sitz baths, fecal transplant for IBS, and pneumonia guidelines
Episode 29: congestion, decongestants, personal sound amplifiers, and overtreatment of asymptomatic bacteriuria
Episode 28: 2 hour MI rule out, tramadol safety, and steroids for pneumonia
Primary Care Update Episode 27
Primary Care Update Episode 27
Primary Care Update Episode 26
Primary Care Update Episode 25
Primary Care Update Episode 24
Primary Care Update Episode 23
Episode 22: CHD and AF, antidepressant mgmt, and cardioversion for AF
Primary Care Update Episode 21
Primary Care Update Episode 20
Primary Care Update Episode 19
Primary Care Update Episode 18
Primary Care Update Episode 17
Primary Care Update Episode 16
Primary Care Update Episode 15
Primary Care Update Episode 14
Primary Care Update Episode 13
Primary Care Update: Episode 12
Primary Care Update - Episode 11
Primary Care Update: Episode 10
Primary Care Update: Episode 9
Primary Care Update: Episode 8, 12/20/18
Primary Care Update: Episode 7
Primary Care Update: Episode 6
Primary Care Update: Episode 5
Primary Care Update: Episode 4
Primary Care Update: Episode 3
Primary Care Update: Episode 2
Primary Care Update: Episode 1