Fun, quick episode this week.    https://pubmed.ncbi.nlm.nih.gov/33934725/   Non-fatal senior pickleball and tennis-related injuries treated in United States emergency departments, 2010-2019   Harold Weiss https://pubmed.ncbi.nlm.nih.gov/?term=Weiss+H&cauthor_id=33934725 1 https://pubmed.ncbi.nlm.nih.gov/33934725/#full-view-affiliation-1, Jacob Dougherty https://pubmed.ncbi.nlm.nih.gov/?term=Dougherty+J&cauthor_id=33934725 2 https://pubmed.ncbi.nlm.nih.gov/33934725/#full-view-affiliation-2, Charles DiMaggio https://pubmed.ncbi.nlm.nih.gov/?term=DiMaggio+C&cauthor_id=33934725 3 https://pubmed.ncbi.nlm.nih.gov/33934725/#full-view-affiliation-3

4m

Jul 07, 2023

Today's episode is a very complicated topic without clear cut benefits. Expert opinions and modeling data to address a dangerous and serious topic. Let's look at 2 sources: a new study from the Annals of Internal Medicine and an expert opinion from Uptodate.   https://www.uptodate.com/contents/selecting-adult-patients-with-lower-extremity-deep-venous-thrombosis-and-pulmonary-embolism-for-indefinite-anticoagulation?search=unprovoked%20dvt&sectionRank=1&usage_type=default&anchor=H648618&source=machineLearning&selectedTitle=1~150&display_rank=1#H648618   vs.   https://pubmed.ncbi.nlm.nih.gov/37364263/ Indefinite Anticoagulant Therapy for First Unprovoked Venous Thromboembolism : A Cost-Effectiveness Study Faizan Khan https://pubmed.ncbi.nlm.nih.gov/?term=Khan+F&cauthor_id=37364263 1 https://pubmed.ncbi.nlm.nih.gov/37364263/#full-view-affiliation-1, Doug Coyle https://pubmed.ncbi.nlm.nih.gov/?term=Coyle+D&cauthor_id=37364263 2 https://pubmed.ncbi.nlm.nih.gov/37364263/#full-view-affiliation-2, Kednapa Thavorn https://pubmed.ncbi.nlm.nih.gov/?term=Thavorn+K&cauthor_id=37364263 3 https://pubmed.ncbi.nlm.nih.gov/37364263/#full-view-affiliation-3, Sasha van Katwyk https://pubmed.ncbi.nlm.nih.gov/?term=van+Katwyk+S&cauthor_id=37364263 4 https://pubmed.ncbi.nlm.nih.gov/37364263/#full-view-affiliation-4, Tobias Tritschler https://pubmed.ncbi.nlm.nih.gov/?term=Tritschler+T&cauthor_id=37364263 5 https://pubmed.ncbi.nlm.nih.gov/37364263/#full-view-affiliation-5, Brian Hutton https://pubmed.ncbi.nlm.nih.gov/?term=Hutton+B&cauthor_id=37364263 6 https://pubmed.ncbi.nlm.nih.gov/37364263/#full-view-affiliation-6, Grégoire Le Gal https://pubmed.ncbi.nlm.nih.gov/?term=Le+Gal+G&cauthor_id=37364263 7 https://pubmed.ncbi.nlm.nih.gov/37364263/#full-view-affiliation-7, Marc A Rodger https://pubmed.ncbi.nlm.nih.gov/?term=Rodger+MA&cauthor_id=37364263 8 https://pubmed.ncbi.nlm.nih.gov/37364263/#full-view-affiliation-8, Dean A Fergusson https://pubmed.ncbi.nlm.nih.gov/?term=Fergusson+DA&cauthor_id=37364263 9 https://pubmed.ncbi.nlm.nih.gov/37364263/#full-view-affiliation-9

16m

Jul 04, 2023

Time restricted eating vs. caloric restriction. Is there a winner in this 1:1:1 12-month trial from Chicago?   https://pubmed.ncbi.nlm.nih.gov/37364268/ Time-Restricted Eating Without Calorie Counting for Weight Loss in a Racially Diverse Population : A Randomized Controlled Trial Shuhao Lin https://pubmed.ncbi.nlm.nih.gov/?term=Lin+S&cauthor_id=37364268 1 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-1, Sofia Cienfuegos https://pubmed.ncbi.nlm.nih.gov/?term=Cienfuegos+S&cauthor_id=37364268 1 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-1, Mark Ezpeleta https://pubmed.ncbi.nlm.nih.gov/?term=Ezpeleta+M&cauthor_id=37364268 1 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-1, Kelsey Gabel https://pubmed.ncbi.nlm.nih.gov/?term=Gabel+K&cauthor_id=37364268 1 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-1, Vasiliki Pavlou https://pubmed.ncbi.nlm.nih.gov/?term=Pavlou+V&cauthor_id=37364268 1 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-1, Andrea Mulas https://pubmed.ncbi.nlm.nih.gov/?term=Mulas+A&cauthor_id=37364268 1 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-1, Kaitie Chakos https://pubmed.ncbi.nlm.nih.gov/?term=Chakos+K&cauthor_id=37364268 1 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-1, Mara McStay https://pubmed.ncbi.nlm.nih.gov/?term=McStay+M&cauthor_id=37364268 1 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-1, Jackie Wu https://pubmed.ncbi.nlm.nih.gov/?term=Wu+J&cauthor_id=37364268 1 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-1, Lisa Tussing-Humphreys https://pubmed.ncbi.nlm.nih.gov/?term=Tussing-Humphreys+L&cauthor_id=37364268 2 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-2, Shaina J Alexandria https://pubmed.ncbi.nlm.nih.gov/?term=Alexandria+SJ&cauthor_id=37364268 3 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-3, Julienne Sanchez https://pubmed.ncbi.nlm.nih.gov/?term=Sanchez+J&cauthor_id=37364268 4 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-4, Terry Unterman https://pubmed.ncbi.nlm.nih.gov/?term=Unterman+T&cauthor_id=37364268 5 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-5, Krista A Varady https://pubmed.ncbi.nlm.nih.gov/?term=Varady+KA&cauthor_id=37364268 1 https://pubmed.ncbi.nlm.nih.gov/37364268/#full-view-affiliation-1

15m

Jun 28, 2023

Talking about 2 studies released last month:   1. Giving it to 3rd trimester moms and seeing what happens in newborns: https://pubmed.ncbi.nlm.nih.gov/37018474/   2. Giving it to 60+ yo adults and seeing what happens: https://pubmed.ncbi.nlm.nih.gov/37018468/   What happens when I review these? Listen to find out!   Helpful table (Not sure if this will reproduce well or not):   NNT Vaccine Efficacy Severe LRI     first 90 d 142 81% In 6 mo 75 69% ADULTS 1428 85%       non-severe LRI     first 90 d 111 57 6mo 55 51% ADULTS 769 66%       Any URI     ADULTS 500 62%  

22m

May 24, 2023

Hey everyone, on today's episode we are talking about a recent JAMA article on Heterogeneity in Blood Pressure Response to various blood pressure medicines and the idea of individualizing antihypertensive algorithms.   https://jamanetwork.com/journals/jama/article-abstract/2803518

13m

Apr 25, 2023

Today's episode we look at a study of 60+ year olds who have poorly controlled depression.  Is it better to add on medications? Switch medications? Does it matter?    Study link: https://pubmed.ncbi.nlm.nih.gov/36867173/

16m

Mar 21, 2023

Bempedoic Acid aka Nexletol has a new trial in NEJM that shows MACE reduction in very high risk patients (mostly secondary but some primary prevention).  NNT? NNH? Other trials on Bempedoic acid? Tune in and find out.    

15m

Mar 05, 2023

Interesting study today that looks at High dose ICS inhalers possibly have worse outcomes in patients than medium dose ICS inhalers, leading to more exacerbations and need for antibiotics. Plausible? Let's discuss!

15m

Mar 05, 2023

We take a Pre-operative study from the Annals of Surgery and talk about perioperative risk management for patients with low serum creatinine.

9m

Feb 17, 2023

Minor changes, but enough that it's probably useful for an update!

11m

Feb 10, 2023

Fun episode today!

18m

Feb 07, 2023

Words go here

13m

Jan 27, 2023

Let's review a clinical trial of medical cannabis use in chronic pain patients with the goal of reducing daily MME dose.

16m

Jan 20, 2023

Interesting Study out of the Netherlands on different typing speeds in clinical practice by age, gender, medical role, and specialty.    Take home - You aren't as fast as a typer as you think!

12m

Jan 13, 2023

Kicking 2023 year off with a topic on Motivational Interviewing, and what I'm focusing on to help patients make healthy choices and beneficial lifestyle changes for this year.

16m

Jan 06, 2023

Thanks to Dr. Leah Prestbo, you the MVP.

16m

Dec 09, 2022

Today we discuss a recent study looking at intra-articular steroid injections for knee arthritis vs. IM steroid injections in the glute.  Non-inferior???

12m

Nov 29, 2022

Apparently, the relationship between HDL and coronary artery disease is much more complicated than previously thought. Low HDL doesn't matter if you are black? Let's read about a November 2022 study from JACC.

18m

Nov 22, 2022

Last decade, data has pointed us to prescribe BP meds at night, new study says, maybe it doesn't matter?

9m

Nov 11, 2022

words go here

7m

Nov 04, 2022

SHOCKING! DRAMA! Not really, so let's dig into the details from NEJM October article on colonoscopy RCT in Europe.

15m

Oct 25, 2022

I HAVE NOTHING TO PUT IN HERE, JUST LISTEN OK.

15m

Oct 21, 2022

Works!  How Well? Well, pretty good. Let's get more details!

11m

Oct 14, 2022

1. New classifications for your documentation - HFrEF, HFmrEF, HFpEf, HFiEF 2. Medications for HFrEF, HFmrEF 3. Medications for HFpEF. 4. MEMORIZE ALL THE ACRONYMS

8m

Oct 07, 2022

Not smoking cessation, but SITTING CESSATION? How a British RCT showed that PCPs can improved hours of sedentary sitting per day, and make changes to patient's overall wellbeing and ? health?  Let's discuss!

14m

Sep 30, 2022

WELCOME BACK.   Let's talk about a recent study last month on treatment options for painful neuropathy in diabetes. Monotherapy or dual therapy? Is More Better? Is this practice changing? Do I like typing questions in here? Find out in this episode!

16m

Sep 23, 2022

Let's talk about cfDNA and how a new test is soon to be coming to a PCP office near you to screen healthy patients for all cancers in a single blood test.

17m

Sep 15, 2022

On today's episode: Standard opening and joke, but with a new sponsorship from Panacea Financial!   Pod Episode is on an interesting study from last month on management of hyperkalemia with patients on ACE/ARBs that I thought was super interesting and very relevant to primary care.  Hope you agree!

15m

Sep 10, 2022

Let's talk and review research (and future treatments of LpA) on today's episode of the PCP.

20m

Aug 19, 2022