Mark Ebell

Primary Care Update

Health EN ↓ 210 episodes

Four healthily skeptical primary care physicians discuss the latest in primary care medicine. Join Essential Evidence Editor Mark Ebell MD, Rush University's Kate Rowland MD, MSU Professor of Medicine Gary Ferenchick MD, and POEMs co-founder Henry Barry MD, MS for this fast-paced weekly update on evidence-based primary care.

Author

Mark Ebell

Episodes

Episode 34: subclinical hypothyroidism, RA, and preventing CAD and AF 26.12.2019 23:31

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.

Episode 33: controlling pain, diverticulitis, and when to take BP meds 12.12.2019 25:55

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 ). 

Episode 32: ticagrelor for CAD, cough and ACEI, and preventing HIV 26.11.2019 24:58

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 )?

Episode 31: T2DM treatment, T2DM with CVD or CKD, and pre-diabetes 14.11.2019 28:52

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 ).

Episode 30: BRCA mutations, Sitz baths, fecal transplant for IBS, and pneumonia guidelines 01.11.2019 31:20

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.

Episode 29: congestion, decongestants, personal sound amplifiers, and overtreatment of asymptomatic bacteriuria 15.10.2019 22:12

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 ). 

Episode 28: 2 hour MI rule out, tramadol safety, and steroids for pneumonia 03.10.2019 23:54

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...

Primary Care Update Episode 27 22.09.2019 29:08

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.

Primary Care Update Episode 27 20.09.2019 28:56

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.

Primary Care Update Episode 26 06.09.2019 26:08

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 ).

Primary Care Update Episode 25 28.08.2019 24:30

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 ).

Primary Care Update Episode 24 09.08.2019 24:29

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 ). 

Primary Care Update Episode 23 23.07.2019 24:19

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 ).

Episode 22: CHD and AF, antidepressant mgmt, and cardioversion for AF 11.07.2019 23:07

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 ).

Primary Care Update Episode 21 26.06.2019 25:02

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 ).

Primary Care Update Episode 20 12.06.2019 23:44

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...

Primary Care Update Episode 19 28.05.2019 25:00

This week John, Henry and Mark discuss interpretation of FIT tests for CRC screening ( https://www.ncbi.nlm.nih.gov/pubmed/30802902 ); diagnosis of appendicitis ( https://www.ncbi.nlm.nih.gov/pubmed/30017693 ); and treatment of neonatal abstinence syndrome ( https://www.ncbi.nlm.nih.gov/pubmed/30667476 ). Plus, a quiz about metformin.

Primary Care Update Episode 18 14.05.2019 20:54

Today Mark, John and Henry talk about: how to rule out (and rule in) pneumonia ( https://www.ncbi.nlm.nih.gov/pubmed/30850460 ); an RCT of e-cigarettes for smoking cessation ( https://www.ncbi.nlm.nih.gov/pubmed/30699054 ); and non-drug treatments for IBS ( https://www.ncbi.nlm.nih.gov/pubmed/30177784 ). 

Primary Care Update Episode 17 29.04.2019 22:48

This week, Henry, Mark and John discuss: statins for primary prevention in the elderly ( https://www.ncbi.nlm.nih.gov/pubmed/30712900 ); beer before wine or vice versa ( https://www.ncbi.nlm.nih.gov/pubmed/30753321 ); and the impact on control on school performance in kids with T1DM ( https://www.ncbi.nlm.nih.gov/pubmed/30721295 ). Plus a beer themed quiz.

Primary Care Update Episode 16 17.04.2019 18:38

How long does a new knee or hip last ( https://www.ncbi.nlm.nih.gov/pubmed/30782340 ); does subacromial decompression work for chronic shoulder pain ( https://www.ncbi.nlm.nih.gov/pubmed/30728120 ); fentanyl or ketamine intranasally for extremity injury in kids ( https://www.ncbi.nlm.nih.gov/pubmed/30592476 ); and splint or cast for fibular fracture ( https://www.ncbi.nlm.nih.gov/pubmed/30674451 )...

Primary Care Update Episode 15 27.03.2019 24:45

This week: is it safe to skip breakfast ( https://www.ncbi.nlm.nih.gov/pubmed/30700403 ), reducing fracture risk in women with osteopenia ( https://www.ncbi.nlm.nih.gov/pubmed/30575489 ) , drug therapy for anxiety disorder ( https://www.ncbi.nlm.nih.gov/pubmed/30712879 ), and antibiotics for serious asthma exacerbations ( https://www.ncbi.nlm.nih.gov/pubmed/30688986 ). 

Primary Care Update Episode 14 19.03.2019 26:41

Today we talk about stem cell injections for osteoarthritis ( https://www.ncbi.nlm.nih.gov/pubmed/29099618 ), a rant about mortality outcomes in cancer screening from Mark, omega-3 oils for primary prevention ( https://www.ncbi.nlm.nih.gov/pubmed/30415637 ), and testosterone for depression in men ( https://www.ncbi.nlm.nih.gov/pubmed/30427999 ).

Primary Care Update Episode 13 06.03.2019 25:15

Today we talk about the impact of more primary care physicians in a population on health outcomes; whether or not probiotics, prebiotics, and antibiotics are helpful for irritable bowel; and the impact of SGLT-2 inhibitors like empagliflozin on cardiovascular outcomes in diabetics with heart disease or at very high risk.

Primary Care Update: Episode 12 12.02.2019 25:03

Today's topics: what is the safest oral anticoagulant ( https://www.ncbi.nlm.nih.gov/pubmed/30512099 ), new diabetes guidelines ( https://www.ncbi.nlm.nih.gov/pubmed/30291106 ), and the good and the ouch of the new zoster vaccines ( https://www.ncbi.nlm.nih.gov/pubmed/30361202 ).

Primary Care Update - Episode 11 08.02.2019 31:03

Today we discuss: vitamin D for pain and headache ( https://www.ncbi.nlm.nih.gov/pubmed/25261164 ); chronic diarrhea guidelines ( https://www.ncbi.nlm.nih.gov/pubmed/29653941 ); lorcaserin and T2DM ( https://www.ncbi.nlm.nih.gov/pubmed/30293771 ); and the results of "screening" MRI ( https://www.bmj.com/content/363/bmj.k4577 ).