Primary Care Update

This week, a couple of COVID-19 updates, plus POEMs on breast cancer prevention ( https://www.ncbi.nlm.nih.gov/pubmed/31839281 ) and a cool new (old) way to reduce bad things after an MI ( https://www.ncbi.nlm.nih.gov/pubmed/31733140 ).

All COVID-19 all the time this week with 6 updates: 2 HCQ studies, the new antibody tests, case fatality rates, whether handwashing really works, and an editorial from NEJM. We'll be doing regular podcasts focused on COVID-19, plus our regular podcasts covering all the rest.

This week: 3 brief summaries of breaking research on COVID-19 (convalescent sera, hydroxychloroquine, and risk stratification); whether you really need surgery for a mid-clavicular fracture ( https://www.ncbi.nlm.nih.gov/pubmed/30835150 ); and whether acetaminophen does anything ( https://www.ncbi.nlm.nih.gov/pubmed/31892511 ). 

This week: preventing food allergies ( https://www.ncbi.nlm.nih.gov/pubmed/31633778 ), choosing the right BP target long-term after stroke ( https://www.ncbi.nlm.nih.gov/pubmed/31355878 ), and improving uptake of colorectal cancer screening ( https://www.ncbi.nlm.nih.gov/pubmed/30915656 ).

This week: the results of screening for autism ( https://www.ncbi.nlm.nih.gov/pubmed/31562252 ), does soccer cause dementia ( https://www.ncbi.nlm.nih.gov/pubmed/31633894 ), and the best way to diagnose hip OA on exam ( https://www.ncbi.nlm.nih.gov/pubmed/31846019 ).

We finish our top 20 from 2019: bleeding risk with different DOACs ( https://www.ncbi.nlm.nih.gov/pubmed/30512099 ), whether higher doses of ibuprofen are better than low ( https://www.ncbi.nlm.nih.gov/pubmed/31383385 ), a comparison of Shingrix with Zostavax ( https://www.ncbi.nlm.nih.gov/pubmed/30361202 ), and whether exercise really prevents falls ( https://www.ncbi.nlm.nih.gov/pubmed/30592475...

Part 2 of our review of the top 20 POEMs of 2019. This week infections (ruling out CAP, typical duration of RTI in kids, and 5 vs 10 days for strep throat) and colorectal cancer screening (yield of FIT over 10 years ~ colonoscopy, no need to stop NSAID or anticoagulant, and family history effect on risk). 

In part 1 this week, we discuss 10 of 2019's top 20 POEMs. POEMs address hypertension, lipid management, behavioral medicine, and aspirin. This is the best of the best of the best for 2019...enjoy!

This week: Dapagliflozin...for heart failure, not T2DM? ( https://www.ncbi.nlm.nih.gov/pubmed/31535829 ) Do muscle relaxants add anything to NSAIDs for back pain? ( https://www.ncbi.nlm.nih.gov/pubmed/30955985 ) And early vs delayed surgery for gallstone pancreatitis ( https://www.ncbi.nlm.nih.gov/pubmed/31268184 ). Plus the quiz and a recommendation. 

Happy Holidays... we hope our listeners are getting some downtime. This week, we discuss the benifits (or not) of treating subclinical hypothroidism,  the benefits (or not) of atorvastatin for patients with rheumatoid arthritis, and the best preventive strategy for patients with coronary artery disease and atrial fibrillation.

Happy Holidays! This week we talk about whether adding ibuprofen and codeine improves pain control ( https://pubmed.ncbi.nlm.nih.gov/31378383 ); whether or not a colonoscopy is needed to look for cancer after an episode of diverticultitis ( https://pubmed.ncbi.nlm.nih.gov/31260589 ); and why everyone should take their blood pressure meds at night ( https://pubmed.ncbi.nlm.nih.gov/31641769 ). 

Our Thanksgiving episode, we even added theme music! Our 3 POEMs this week address whether to add ticagrelor to ASA in CAD ( https://www.ncbi.nlm.nih.gov/pubmed/31475798 ); how often is a cough caused by an ACE inhibitor ( https://www.ncbi.nlm.nih.gov/pubmed/29330882 ); and how effective is HAART at preventing HIV transmission  ( https://www.ncbi.nlm.nih.gov/pubmed/31056293 )?

A whole lotta diabetes goin' on: linagliptin ($780) vs glimepiride ($3) for T2DM ( https://www.ncbi.nlm.nih.gov/pubmed/31536101 ); semaglutide in T2DM + vascular/CKD ( https://www.ncbi.nlm.nih.gov/pubmed/31185157 ); and whether we should care about pre-diabetes ( https://www.ncbi.nlm.nih.gov/pubmed/31076416 ).

It's Halloween, and we start with a seasonally appropriate study. That's followed by new recommendations re: BRCA mutations ( https://www.ncbi.nlm.nih.gov/pubmed/31429902 ), Dave Slawson with an Atrium BEAT on the value (?) of Sitz baths, fecal transplant for irritable bowel ( https://www.ncbi.nlm.nih.gov/pubmed/30908299 ), and a quick review of the latest pneumonia guidelines.

A busy pod today: what patients mean when they say "congestion" ( https://www.ncbi.nlm.nih.gov/pubmed/31145430 ); Dave Slawson on why decongestants are safer than we thought; are personal sound amplifiers any good ( https://www.ncbi.nlm.nih.gov/pubmed/31095263 ); and ongoing overtreatment of asymptomatic bacteriuria ( https://www.ncbi.nlm.nih.gov/pubmed/31449295 ). 

This week, guest host Dr. Dave Slawson joins Henry and Mark. We discuss rapid (< 2 hr) protocols for ruling out MI ( https://www.ncbi.nlm.nih.gov/pubmed/31242362 ); whether tramadol is as safe as it's cracked up to be ( https://www.ncbi.nlm.nih.gov/pubmed/31088782 ); and steroids for pneumonia ( https://www.ncbi.nlm.nih.gov/pubmed/29937237 ). Plus the quiz, and Mark reviews two clinical predict...

This week, Dr. Dave Slawson, co-inventor of the POEMs concept, joins us to talk about a new project called "Atrium BEATS" (https://www.iambeats.io). Plus, we discuss new studies in how long to continue dual anti-platelet therapy after PCI, whether rimegapant works for migraine, and a possible alternative to ceftriaxone for gonorrhea.

Special guest Dave Slawson, plus 3 POEMs: 1 vs 12 months of DAPT following PCI; rimegepant for migraine; and the best treatment for clinically suspected gonorrhea and chlamydia.

This week: how accurate is clinical gestalt ( https://www.ncbi.nlm.nih.gov/pubmed/31208974 ), canagliflozin and renal outcomes in high risk patients ( https://www.ncbi.nlm.nih.gov/pubmed/30990260 ) and whether oral immunotherapy for peanut allergy is safe and effective ( https://www.ncbi.nlm.nih.gov/pubmed/31030987 ).

This week: baloxavir (Xofluza) for flu ( https://www.ncbi.nlm.nih.gov/pubmed/30184455 ); a new guideline for subclinical hypothyroidism ( https://www.ncbi.nlm.nih.gov/pubmed/31088853 ); and a great review on treating opioid use disorders in primary care ( https://www.ncbi.nlm.nih.gov/pubmed/31088885 ).

This week: as needed steroid + LABA for mild asthma ( https://www.ncbi.nlm.nih.gov/pubmed/31112386 ); platelet rich plasma for rotator cuff injury ( https://www.ncbi.nlm.nih.gov/pubmed/31000394 ); and pioglitazone in high risk diabetics who've had a stroke ( https://www.ncbi.nlm.nih.gov/pubmed/30734043 ). 

This week, John, Henry and Mark talk about adding ultrasound to mammography for screening ( https://www.ncbi.nlm.nih.gov/pubmed/30882843 ), routine labs for patients on an antifungal ( https://www.ncbi.nlm.nih.gov/pubmed/30347032 ), and podiatry interventions to prevent falls ( https://www.ncbi.nlm.nih.gov/pubmed/30615052 ).

Today we talk about what to do for patients with both coronary heart disease and afib ( https://www.ncbi.nlm.nih.gov/pubmed/30883055 ); a practice changer for the three of us addressing how patient to be with antidepressants ( https://www.ncbi.nlm.nih.gov/pubmed/29952277 ); and whether early or delayed cardioversion is better for afib ( https://www.ncbi.nlm.nih.gov/pubmed/30883054 ).

This week we talk about ruling out serious bacterial infection in young infants ( https://www.ncbi.nlm.nih.gov/pubmed/30776077 ), whether exercise can prevent falls in the elderly ( https://www.ncbi.nlm.nih.gov/pubmed/30592475 ), and whether statins and BP meds prevent cognitive decline ( https://www.ncbi.nlm.nih.gov/pubmed/30814321 ).

This week we cover why you should start using automated BP measurement if you're not already ( https://www.ncbi.nlm.nih.gov/pubmed/30715088 ); ablation vs rhythm control for afib ( https://www.ncbi.nlm.nih.gov/pubmed/30874766 ); and the value of early aerobic exercise after sports concussion ( https://www.ncbi.nlm.nih.gov/pubmed/30715132 ). Plus, the value (?) of self-monitoring blood glucose in n...