Rio Bravo qWeek

Episode 26: Eye Know The sun rises over the San Joaquin Valley California. Today is September 4, 2020. It should be not surprise to us that evidence shows the use of marijuana during pregnancy affects the development of the nervous system of the fetus. More than 500,000 live births were analyzed retrospectively from the Canadian birth registry and it showed incidence of autism spectrum disorder (A...

Episode 25: Autism  [Music to start: Grieg’s Morning Mood ( https://www.youtube.com/watch?v=-rh8gMvzPw0 )  The sun rises over the San Joaquin Valley, California, today is August 28, 2020 .  The Journal of the American Board of Family Medicine recently published the characteristics of primary care physicians (PCPs) associated with prescribing potentially inappropriate medication (PIM) for elderly p...

Episode 24: Alcohol in Clinic [Music to start: Grieg’s Morning Mood ( https://www.youtube.com/watch?v=-rh8gMvzPw0 )  The sun rises over the San Joaquin Valley, California, today is August 21, 2020 .  Fresh from the oven! The USPSTF issued the following recommendation on August 18, 2020: All sexually active adolescents and adults at increased risk should receive behavioral counseling to prevent Sex...

Episode 23: Blood Clots: DVT The sun rises over the San Joaquin Valley, California, today is August 14, 2020 .  Pain relief is a task that always keeps doctors very busy, especially if pain relief can be accomplished by a medication that is easily-administered, given at a convenient frequency, with no adverse effects, and with no addiction potential (specially to fight the so-called “opioid epidem...

Episode 22 Salty and Sweet: Hypertension and Diabetes The sun rises over the San Joaquin Valley, California, today is August 7, 2020. Have you heard any news about COVID-19? You surely have, who hasn’t? But above all the negativity surrounding this disease, including political issues, there is hope for the future. Have you heard of, for example, mRNA 1273?(1) Could this be the vaccine we have been...

The following episode is a didactic activity. Our goal is teaching family medicine residents about these diseases and prepare them to treat their patients. We hope those who are suffering from these diseases do not find this activity offensive. May you find an appropriate treatment and get better. Consult your own family medicine doctor to learn more.   Similar but different, sound-alike but oppos...

Episode 20: Baby Blues The sun rises over the San Joaquin Valley, California, today is Jul 17, 2020. It feels good to talk about prevention when an effective and safe vaccine is actually available! This is the case for the Pneumococcal Conjugate Vaccine 13 (PCV13 or Prevnar 13®).   In November 2019, the CDC issued an update on PCV13 vaccination. PCV13 vaccination for ALL immunocompetent adults 65...

Episode 19: Bartter and Gitelman    The sun rises over the San Joaquin Valley, California, today is July 10, 2020.  In case you did not notice, we did not have an episode last week. We were very busy in our residency. We started a new rotation and a new academic year. We welcomed a new group of PGY1s, along with 3rd-year medical students, and Sub-Is. We also said goodbye to our dear graduates: Gre...

Episode 18: Cervical Polyps The sun rises over the San Joaquin Valley, California, today is June 26, 2020. As our nation continues to battle the OPIOID epidemic (along with other epidemics), our good, old-fashioned aspirin at high doses (900 to 1300 mg) was found to be effective and safe to treat acute migraine headaches. Further research is needed to recommend aspirin as a prophylactic therapy, b...

Episode 17 – Tension Headache The sun rises over the San Joaquin Valley, California, today is June 19, 2020.  This week we welcomed a new group of residents who started on June 15, 2020. Welcome aboard, Drs. Amodio, Civelli, Grewal, Lorenzo, Lundquist, Martinez, Nwosu, and Viamontes. We are excited for you and all the experiences you will have in the next 3 years.  On Jun 9, the USPSTF recommended...

Episode 16: Snoop That Headache The sun rises over the San Joaquin Valley, California, today is June 12, 2020.  The results of the DAPA-HF (Dapagliflozin and Prevention of Adverse-Outcomes in Heart Failure Trial) were presented in November 2019. If you haven’t heard about it, here you have it: In patients with Heart Failure with reduced Ejection Fraction, both WITH and WITHOUT Type 2 Diabetes, dap...

Episode 15: Colorectal Cancer Screening   The sun rises over the San Joaquin Valley, California, today is June 5, 2020. Have you heard about a new once-a-day gabapentinoid for postherpetic neuralgia? It’s called Gralise®. Keep it in mind, but also be mindful of the price. According to GoodRx, 30 tablets of 300 mg may cost $200 with a discount coupon. Consult your patient’s formulary to verify its...

Episode 14: Gender Diversity The sun rises over the San Joaquin Valley, California, today is May 29, 2020. Did you know that educational attainment has been demonstrated to be a strong predictor of health outcomes, including obesity and age of death?(1) That should be a motivation to continue educating yourself, for instance, you can listen to this podcast while you go for a walk around your block...

Episode 13: Treat the Partner(s): EPT The sun rises over the San Joaquin Valley, California, today is May 22, 2020. The COVID 19 pandemic has created a limited access to PPE in many health centers around the nation. Last week, Amazon also prioritized individual physicians for COVID-19 Supplies in providing much needed PPE for private practices. As a result, AAFP members and others working on the f...

Episode 12: Got the Hiccups! The sun rises over the San Joaquin Valley, California, today is May 15, 2020. It’s 85 degrees today, Bakersfield is finally warming up! Some people are excited, but some may not be so thrilled, because Bakersfield’s heat in mid-summer is no joke. Would COVID 19 fade out with these warmer temperatures? We don’t know, but that’s our hope. Our program director, Carol Stew...

Episode 11 Chlamydia with Clau   The sun rises over the San Joaquin Valley, California,today is May 8, 2020.  On April 28, 2020, the USPSTF released a final recommendation about prevention of tobacco use in children and adolescents. It is recommended that primary care clinicians provide interventions, including education or brief counseling, to prevent initiation of tobacco use among children and...

Urinary Retention   The sun rises over the San Joaquin Valley, California, today is April 29, 2020 . Clinica Sierra Vista’s CEO, Brian Harris, resigned from his position on April 24. We appreciate Brian’s leadership and enthusiasm. He brought positive changes to this institution, and we wish him a successful future.  How many times have you checked UpToDate today? UpToDate is probably one of the m...

Vaccine Hesitancy   The sun rises over the San Joaquin Valley, California, today in April 23, 2020. This week the FDA approved the first IV medication for prophylaxis of migraine:  Epti-nezu-mab- jjmr (brand name Vyepti®). This is a humanized monoclonal antibody that blocks the calcitonin gene-related peptide (CGRP). Blocking this receptor results in prevention of migraines. Epti-nezu-mab is admin...

Wash Your Hands! The sun rises over the San Joaquin Valley, California, today is April 20, 2020. During this time of reflection, we bring a difficult question for you: Who are we as humans ?  The estimated ratio of human cell to microbe is at least 1:1, some people estimate it is 1:10, that is one human cell per one to ten microbes in our bodies(1). Based on that, we are at least half bacteria.  A...

Episode 7 - Suboxone: One Film at a Time The sun rises over the San Joaquin Valley, California. Today is April 15, 2020. Viral diseases anyone? The American Society for Colposcopy and Cervical Pathology (ASCCP) recommended HPV vaccination for clinicians routinely exposed to HPV. This recommendation encompasses the complete provider team, including physicians, nurse practitioners, nurses, residents...

Learning About Wound Care   The sun rises over the San Joaquin Valley, California, today is April 9, 2020. This week, for pregnant patients who are not at increased risk for preterm delivery the USPSTF recommended AGAINST screening for bacterial vaginosis (BV). This is a D recommendation. So, do NOT screen for BV in these patients.  For your patients who actually ARE at INCREASED RISK for PRETERM...

Yellowish Choledocholithiasis The sun rises over the San Joaquin Valley, California.    BIG NEWS! Our program has relinquished our affiliation with UCLA and we have decided to join USC instead. Just kidding, April fools. Today is April, 1, 2020. This week the United States became the country with the most coronavirus cases in the world with over 213,000 confirmed cases, probably more by the time t...

Episode 4 - A Sweet Refreshment: Diabetes The sun rises over the San Joaquin Valley, California, and today is March, 23, 2020. We are excited to announce our new group of residents [drum roll] Daniela A., Daniela V., Valerie, Namdeep, Anabel, Ariana, Yosbel, and Ikenna. Welcome to the club, doctors! This is the beginning of the most exciting chapter in your medical career. We are so thrilled to ha...

The Suicide Headache: Cluster Headaches    The sun rises over the San Joaquin Valley, California, today is March 18, 2020. Last week marked the 5thanniversary since we opened our home at East Niles Community Health Center. The grand opening was on March 6, 2015. Also, Match Day 2020 is coming soon! We are happy to inform that we matched all 8 positions. We will know the residents’ names in a few d...

The Wicked Crown: Coronavirus   The sun rises over the San Joaquin Valley, California,today is March 6, 2020.  This week, the United States Preventive Services Task Force (USPSTF) updated its recommendation for hepatitis C screening to include all asymptomatic adults, with no evidence of liver disease, aged 18 to 79 years. A one-time screening for most adults is enough, more frequent screenings is...