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Primary Care Fitness Mark Ebell and friends Mark Ebell Medicine Science

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Expert mode marketing technology, AI, and CX insights from top brands and Martech platforms fill every episode, focusing on what leaders need to know to build customer lifetime value and long-term business value. The Agile Brand with Greg Kihlström® features executives and thought leaders from top brands and platforms discussing the industry's trends, like first-party data strategies, artificial intelligence, consumer data privacy, omnichannel customer experience, and more. The Agile Brand is hosted by Greg Kihlström, advisor and consultant to leading brands, speaker, entrepreneur, and best-selling author. It provides a fresh perspective on the continually evolving dynamic between brands and the audiences they serve.

Primary Care Update

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Konten disediakan oleh Mark Ebell. Semua konten podcast termasuk episode, grafik, dan deskripsi podcast diunggah dan disediakan langsung oleh Mark Ebell atau mitra platform podcast mereka. Jika Anda yakin seseorang menggunakan karya berhak cipta Anda tanpa izin, Anda dapat mengikuti proses yang diuraikan di sini https://id.player.fm/legal.

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.

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179 episode

#Primary Care #Fitness #Mark Ebell and friends #Mark Ebell #Medicine #Science

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Primary Care Update

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updated 17 hari yang lalu

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Konten disediakan oleh Mark Ebell. Semua konten podcast termasuk episode, grafik, dan deskripsi podcast diunggah dan disediakan langsung oleh Mark Ebell atau mitra platform podcast mereka. Jika Anda yakin seseorang menggunakan karya berhak cipta Anda tanpa izin, Anda dapat mengikuti proses yang diuraikan di sini https://id.player.fm/legal.

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.

… continue reading

179 episode

#Primary Care #Fitness #Mark Ebell and friends #Mark Ebell #Medicine #Science

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Episode 179: novel migraine tx, safety of albuterol in infants, new UTI antibiotic, and vitamin K2 for leg cramps 32:06

17 hari yang lalu32:06

32:06

This week join our intrepid primary care physicians Kate, Gary, Henry and Mark as they discuss 4 new studies: an experimental treatment for chronic migraines, safety of albuterol in wheezy kids under 2, oral gepotidacin for uncomplicated UTI, and vitamin K2 and Leg Cramps. Here are the links: Lukas' Fund supporting the Piedmont Athens and Grady Atlanta NICUs: https://www.lukasfund.org Essential Evidence Plus: http://www.essentialevidenceplus.com Vibrating intranasal balloons for migraine: https://pubmed.ncbi.nlm.nih.gov/39787477/ and Ozilia Safety of albuterol in infants: https://www.ncbi.nlm.nih.gov/pubmed/39266286 Oral gepotidacin for uncomplicated UTI: https://www.ncbi.nlm.nih.gov/pubmed/38342126 Vitamin K2 for nocturnal leg cramps: https://pmc.ncbi.nlm.nih.gov/articles/PMC11581596/…

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Episode 178: tapering benzos, neuro testing for athletes, vonoprazan for PUD, and zoster-dementia link 34:24

4 weeks yang lalu34:24

34:24

This week Kate, Gary, Mark and Henry discuss discontinuation of benzodiazepines and treatment of insomnia, the value of baseline cognitive testing of college athletes, vonoprazan vs PPI for preventing and treating ulcers, and whether herpes zoster vaccine reduces dementia risk. Show links: Essential Evidence Plus: www.essentialevidenceplus.com Tapering benzos: https://pubmed.ncbi.nlm.nih.gov/39374004/ Baseline neuro eval for athletes: pubmed.ncbi.nlm.nih.gov/39741470/ David Kaufman, “We Need You in the Locker Room” https://thesagergroup.net/books/in-the-locker-room Vonoprazan vs PPIs for ulcers: https://pubmed.ncbi.nlm.nih.gov/39294424/ Zoster and dementia: https://pubmed.ncbi.nlm.nih.gov/40175543/…

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Episode 177: steroids and CV risk, dementia guideline, fezolinetant for VMS, and osteoporosis screening 31:11

6 weeks yang lalu31:11

31:11

This week Gary, Mark, Kate and Henry discuss: adverse effects from inhaled steroids in asthma, Italian dementia guideline, fezolinetant for treatment of vasomotor symptoms, and updated USPSTF recommendations for osteoporosis screening. Show notes and links: Asthma and risk of CV events: https://pubmed.ncbi.nlm.nih.gov/39088770/ GINA 2024 guidelines: https://ginasthma.org/2024-report/ Italian dementia guidelines: https://www.ncbi.nlm.nih.gov/pubmed/39544104 with link to full report in Inglese: https://www.iss.it/documents/d/guest/the-full-guideline-english-version Fezolinetant for vasomotor symptoms: https://pubmed.ncbi.nlm.nih.gov/39557487/ USPSTF osteoporosis screening guideline: https://pubmed.ncbi.nlm.nih.gov/39808425/ Dietary assessment tool: https://epi.grants.cancer.gov/asa24/ Article on interval for next BMD screening based on initial result: https://pubmed.ncbi.nlm.nih.gov/22256806/…

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Episode 176: bright lights, fever in kids, new anticoagulant for AF, and antibiotics for appendicitis 28:15

8 weeks yang lalu28:15

28:15

Join Kate, Gary, Mark and Henry as they discuss 4 new POEMs relevant to primary care: bright light therapy for non-seasonal depression, fever control in children, abelacimab for atrial fibrillation, antibiotics vs surgery in children with nonperforated appendicitis. Get all of the POEMs (a new one every day) by going to Essential Evidence Plus and subscribing. Links from today's podcast: Bright lights for non-seasonal depression: https://pubmed.ncbi.nlm.nih.gov/39356500/ Controlling fever in children: https://pubmed.ncbi.nlm.nih.gov/39318339/ Abelacimab for anticoagulation in atrial fib: https://pubmed.ncbi.nlm.nih.gov/39842011/ Antibiotics vs surgery for appendicitis in kids: https://www.ncbi.nlm.nih.gov/pubmed/39826968 Independent predictors of suicidal ideation: https://pubmed.ncbi.nlm.nih.gov/7966924/ Here is the probability of suicidal ideation by # of risk factors: 0: 0.5% 1: 3.0% 2: 7.4% 3: 23% 4: 46%…

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Episode 175: RSV monoclonals, acupuncture for sciatica, zoledronate in low risk women, and measuring BP at home. 32:41

10 weeks yang lalu32:41

32:41

This week, Gary, Kate, Henry and Mark discuss 4 new studies relevant to primary care practice: the effectiveness of RSV monoclonals in infants, acupuncture for sciatica associated with disk herniation, zoledronate every 5 years for low risk women, and the effect of arm position on blood pressure readings. Plus a quiz! Please see below for show notes and links: Learn more about Essential Evidence Plus: www.essentialevidenceplus.com Real world study of nirsevemab for average risk infants: https://pubmed.ncbi.nlm.nih.gov/39257372/ Acupuncture effective for sciatica: https://pubmed.ncbi.nlm.nih.gov/39401008/ Zoledronate every 5 years for average risk women: https://pubmed.ncbi.nlm.nih.gov/39813642/ Importance of correct arm position for BP: https://pubmed.ncbi.nlm.nih.gov/39373998/ A nice infographic for measuring BP correctly from the AMA and Johns Hopkins: https://targetbp.org/wp-content/uploads/2016/10/MAPHypertension_7StepsInOfficeInfographic_Landscape_English_NoCropsNoBleeds-12.pdf…

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Episode 174: sexual dysfunction, GLP-1 benefits, surveillance for DCIS, episodic migraine prevention 31:12

12 weeks yang lalu31:12

31:12

Join Kate, Mark, Gary and Henry as they discuss 4 new POEMs on treatment of sexual dysfunction, the benefits and harms of GLP-1 agonists, active surveillance vs usual care for ductal carcinoma in situ, and medications to prevent episodic migraine headache. Henry mentioned AAFP's uncensored resources: www.aafp.org/family-physician/patient-care/clinical-recommendations.html www.aafp.org/family-physician/patient-care/care-resources.html www.aafp.org/family-physician/patient-care/prevention-wellness/immunizations-vaccines.html www.aafp.org/family-physician/patient-care/care-resources/sexually-transmitted-infections.html www.aafp.org/family-physician/patient-care/care-resources/womens-health.html www.aafp.org/family-physician/patient-care/care-resources/reproductive-health.html Kate's links on sexual dysfunction: NEJM review: https://pubmed.ncbi.nlm.nih.gov/39167808/ ED prevalence: https://pubmed.ncbi.nlm.nih.gov/38410029/ GLP-1s do everything: www.ncbi.nlm.nih.gov/pubmed/39833406 Active monitoring of DCIS: https://pubmed.ncbi.nlm.nih.gov/39665585/ Episodic migraines: https://pubmed.ncbi.nlm.nih.gov/39899861/ https://www.ncbi.nlm.nih.gov/pubmed/39631943…

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Episode 173: prenatal cannabis use, fluids in sickle crisis, single or dual tx for AF plus CAD, and exercise for weight loss. 29:02

13 weeks yang lalu29:02

29:02

This week, join Kate, Mark, Gary and Henry as they discuss 4 new studies: prenatal cannabis exposure, fluid resuscitation during acute sickle crises, edoxaban or edoxaban + ASA for afib with CAD, and the impact of aerobic exercise on weight loss in adults

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Episode 172: mindfulness for pain, methotrexate and resveratrol for OA, and eradicating HP 23:55

16 weeks yang lalu23:55

23:55

Join Henry, Kate, Mark and Gary as they discuss 4 new POEMs: an RCT of mindfulness for chronic pain, use of methotrexate (huh?) for pain relief in adults with knee DJD, a new way to eradicate H., and oral resveratrol for adults with painful DJD of the knee (you know, the stuff from red wine). And a quiz: what actually are the benefits of lower BP targets? Links Mindfulness for chronic pain: https://pubmed.ncbi.nlm.nih.gov/39158851/ Methotrexate for OA: https://pubmed.ncbi.nlm.nih.gov/39074374/ Eradicating H. pylori: https://pubmed.ncbi.nlm.nih.gov/38906695/ Resveratrol for OA: https://www.ncbi.nlm.nih.gov/pubmed/39137167 Cochrane Review: Blood pressure targets in adults with hypertension .…

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Episode 171: obesity in babies, DOACs after stroke, semaglutide for OA, and thunderclap headaches 28:12

17 weeks yang lalu28:12

28:12

This week join our intrepid team of skeptical primary care doctors as Kate, Mark, Henry and Gary discuss a web- and text-based intervention to prevent obesity in babies, the best timing of DOAC initiation after ischemic stroke in adults with atrial fibrillation, using semaglutide for knee osteoarthritis, and the differential diagnosis of thunderclap headaches. Plus the BEST quiz ever. Links: Preventing obesity in babies: https://pubmed.ncbi.nlm.nih.gov/39489149/ https://www.ncbi.nlm.nih.gov/pubmed/39491870 Semaglutide to reduce pain in knee OA: https://pubmed.ncbi.nlm.nih.gov/39476339/ Causes of thunderclap headaches: https://www.ncbi.nlm.nih.gov/pubmed/39303457…

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

20 weeks yang lalu29:24

29:24

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…

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Episode 169: migraine, plantar fasciitis, beta-blocker duration and prostate cancer 28:37

22 weeks yang lalu28:37

28:37

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/ 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/…

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Episode 168: RSV med, colonoscopy by PCP, hair loss drug, and AI for ECGs 24:25

24 weeks yang lalu24:25

24:25

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 electrocardiograms . RSV medication: https://www.nejm.org/doi/full/10.1056/NEJMoa2313551#ap2 and https://pubmed.ncbi.nlm.nih.gov/39321361/ Colonoscopy by specialty https://pubmed.ncbi.nlm.nih.gov/38588561/ https://aapce.wildapricot.org/ Minoxidil: https://pubmed.ncbi.nlm.nih.gov/38598226/ AI for ECGs: https://www.ncbi.nlm.nih.gov/pubmed/39096711…

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Episode 167: laughter, HP eradication, antibiotics for delirium, and MRIs of the knee 27:49

26 weeks yang lalu27:49

27:49

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/…

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Episode 166: vaping cessation, BP meds and dementia, SGLT-2's, and AI for melanoma 29:20

28 weeks yang lalu29:20

29:20

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 app–based artificial intelligence for diagnosing melanoma. Click here for transcript, notes and links for this episode.…

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Episode 165: psychedelics for depression, preventing and treating influenza, and GLP-2 for...sleep apnea? 34:15

30 weeks yang lalu34:15

34:15

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.

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Episode 164: HTN in kids, steroids for hip OA, drugs for T2DM, and AI to develop guidelines 32:38

32 weeks yang lalu32:38

32:38

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!…

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Episode 163: salt substitutes, VR apps for pain, multivitamins, and vitamin D 29:24

34 weeks yang lalu29:24

29:24

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.

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Episode 162: PREVENT risk score, UTI prognosis, sinusitis treatment, and biomarkers for SDAT 33:53

36 weeks yang lalu33:53

33:53

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 Alzheimer’s disease

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Episode 161: Antibiotics for CAP, melatonin for delirium, screening for lung disease, and seizures after COVID vaccine 30:53

38 weeks yang lalu30:53

30:53

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

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Episode 160: prostate meds and dementia, umbilical hernias, mortality for infections, and AF detection 26:21

40 weeks yang lalu26:21

26:21

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.

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Episode 159: DAPT duration, starting contraception, krill oil for OA, and misdiagnosis of CAP 29:58

42 weeks yang lalu29:58

29:58

This week, join Kate, Henry, Gary and Mark as they discuss same-day start contraception, krill oil for adults with knee DJD, misdiagnosis of community-acquired pneumonia, and ticagrelor + placebo VS ticagrelor + ASA after PCI. Plus some book recommendations: Whalefall, The Demon of Unrest, and the Commissario Brunetti novels by Donna Leon…

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Episode 158: dequalinium for BV, mammography, weight loss drugs, and tirzepatide for OSA 28:39

44 weeks yang lalu28:39

28:39

Happy 4th of July! This week Kate, Gary, Henry and Mark celebrate by talking about dequalinium for bacterial vaginosis, the comparative effectiveness of weight loss drugs, the new USPSTF mammography recommendation, and tirzepatide for adults with sleep apnea.

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Episode 157: Bleeding risk with AF, treating minor ischemic stroke, and beta-blockers after AMI 27:21

46 weeks yang lalu27:21

27:21

It's cardiovascular day at Primary Care Update as Kate, Mark and Henry discuss bleeding risk with diltiazem in treatment for atrial fibrillation, whether alteplase improves outcomes in patients with minor ischemic stroke, and whether to continue beta-blockers long-term after acute MI with preserved ejection fraction.…

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Episode 156: APAP in pregnancy, AI for AOM, current use of Paxlovid, and CGM for T2DM 35:34

48 weeks yang lalu35:34

35:34

This week, Kate, Gary, Mark and Henry discuss 4 new studies that answer some important questions: Does acetaminophen in pregnancy and neurodevelopmental outcomes in offspring? Can AI accurately diagnose otitis media in children? Is nirmatrelvir-ritonavir (Paxlovid) still an effective treatment for outpatients with mild to moderate COVID? And finally, what are the benefits and harms of continuous glucose monitoring in patients with type 2 diabetes.…

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Episode 155: wrist imaging, opioids post-op, rate vs rhythm control, and updated Cologuard, 31:00

50 weeks yang lalu31:00

31:00

This week, Kate, Gary, Henry and Mark discuss 4 new studies: a decision support tool for imaging wrist injuries, how many opioids should be dispensed after ACL reconstruction, an updated fecal DNA + FIT test for colon cancer screening, and rate vs. rhythm control and the risk of dementia/cognitive decline. And a quiz about...cicadas! Bzzzz.…

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Episode 154: triptans and CV risk, urate levels and flares, tests for acute diverticulitis, and APOE4 30:57

1 year yang lalu30:57

30:57

Quite a diversity of topics this week, as Gary, Henry, Kate and Mark talk about: CV risk with triptans, baseline urate levels and risk of acute flairs in adults with gout, primary care feasible tests for acute diverticulitis, and how APOE4 homozygosity represents a distinct genetic form of Alzheimer’s disease.…

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Episode 153: gabapentinoids and COPD, shoulder dislocations, and older Alzheimer's drugs 30:08

1 year yang lalu30:08

30:08

This week, Mark is taking a break so Kate, Henry and Gary will discuss gabapentinoids and the risk of severe COPD, rehab after an initial anterior shoulder dislocation, and cognitive enhancers for patients with Alzheimer’s dementia

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Episode 152: SGLT2's for heart failure, bariatric surgery outcomes, UTI in kids, and lung screening outcomes. 29:02

1 year yang lalu29:02

29:02

Join Kate, Gary, Mark and Henry (who went to the eclipse!) as they discuss SGLT2 inhibitors for older adults and frail adults with heart failure, the long term outcomes of bariatric surgery in adults with T2DM, the best duration of antibiotics for febrile UTI in kids, and real world outcomes of lung cancer screening.…

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Episode 151: SSRIs and mania, oseltamivir, exercise and BP, and HPV vaccine preventing cancer. 30:52

1 year yang lalu30:52

30:52

Join us today as Gary, Kate, Mark and Henry discuss risks of SSRIs provoking mania in adolescents, real world effectiveness of HPV vaccination for preventing cervical cancer, whether tamiflu reduces hospitalization in adults with flu, and the effects of exercise on BP.

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Episode 150: EXXUA for depression, ubrogepant for migraine, PCI for stable angina, and a simple way to communications 30:37

1 year yang lalu30:37

30:37

This week, Gary, Kate, Henry and Mark discuss a newly approved medication for major depression in adults, initiation of abortive therapy using ubrogepant during migraine prodrome, the value of PCI for patients with stable angina, and a simple intervention to improve communication with hospitalized patients. And a quiz!…

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