Frankly Speaking About Family Medicine

Frankly Speaking About Family Medicine

A weekly Podcast series covering newsworthy topics in primary care medicine.

Pri-Med Science 100 rész Frankly Speaking about Family Medicine
Curcumin for osteoarthritis - Frankly Speaking Ep 216
11 perc 100. rész

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Overview: Osteoarthritis is a common problem, but pharmacologic treatments do not alter the course of the disease and are often associated with side effects, or even contraindicated in many older patients. Curcumin is an herbal treatment that has been shown to be effective for treating symptoms of osteoarthritis

 

Episode resource links:

  • Wang Z. et al. Effectiveness of Curcuma longa Extract for the Treatment of Symptoms and Effusion-Synovitis of Knee Osteoarthritis : A Randomized Trial. Ann Intern Med. 2020 Dec 1;173(11):861-869.
  • Daily JW, Yang M, Park S. Efficacy of Turmeric Extracts and Curcumin for Alleviating the Symptoms of Joint Arthritis: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. J Med Food. 2016 Aug;19(8):717-29

Guest: Alan Ehrlich MD, FAAFP

 

Music Credit: Richard Onorato

Managing Stress in Pregnancy: Good News Regarding Mind-Body Interventions (MBI) - Frankly Speaking Ep 215
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Overview: Times are stressful. Recent evidence has shown that stress, anxiety, and depression experienced by pregnant women may have a negative impact on the wellness of the newborn. Stress management is constrained during pregnancy due to concerns that pharmaceutical approaches may be harmful to the baby. Non-pharmaceutical approaches are accessible and safe. Join us as we review recent evidence on the effectiveness of mind-body interventions (MBI) in reducing stress and decreasing depression and anxiety in pregnant women, and discuss how MBI can be incorporated into patient care.

 

Episode resource links:

  • Re-Engineering Your Clinical Practice for Patient and Clinician Well-Being
  • Guo P, Zhang X, Liu N, Wang J, Chen D, Sun W, Li P, Zhang W. Mind-body interventions on stress management in pregnant women: A systematic review and meta-analysis of randomized controlled trials. J Adv Nurs. 2020 Oct 13. doi: 10.1111/jan.14588. Epub ahead of print. PMID: 33048358.
  • Leaviss J, Davis S, Ren S, Hamilton J, Scope A, Booth A, Sutton A, Parry G, Buszewicz M, Moss-Morris R, White P. Behavioural modification interventions for medically unexplained symptoms in primary care: systematic reviews and economic evaluation. Health Technol Assess. 2020 Sep;24(46):1-490. doi: 10.3310/hta24460. PMID: 32975190; PMCID: PMC7548871

 

Guest: Susan Feeney, DNP, FNP-BC, NP-C

 

Music Credit: Richard Onorato

Teens and Vaping: A Gateway to Cigarette Smoking? - Frankly Speaking Ep 214
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Overview: Rates of electronic cigarettes or vaping in teens has increased exponentially over the last 3 years. Prior to the introduction of the sleek 4th generation vaping device, tobacco use in the teen population was decreasing, and rates were low. Recent evidence indicates that teens with low intention to smoke, once they start vaping, are at increased risk of smoking cigarettes in future. Join us as we discuss the implications of this new evidence on our clinical practice and discuss strategies to reduce risk to adolescents.

 

Guest: Susan Feeney, DNP, FNP-BC, NP-C

 

Music Credit: Richard Onorato

Clinical Guidelines: Acute Pain Management of Musculoskeletal Injuries (Non-low Back) in the Outpatient Setting - Frankly Speaking Ep 213
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Overview: Join us as we discuss the American College of Physicians (ACP) and American Academy of Family Physicians (AAFP) newly released clinical guideline on the non-pharmacologic and pharmacologic management of acute pain from non-low back musculoskeletal injuries in adults.

 

Guest: Jill Terrien PhD, ANP-BC

 

Music Credit: Richard Onorato

COVID-19 in the Office: Outpatient Management
29 perc 100. rész

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Overview: So much has changed concerning COVID-19 management, but few interventions are clearly beneficial in the outpatient management of patients.  This podcast will try to answer some of the common questions community based providers have about handling their patients’ illness.

Episode reference links: 
Vitamin D for COVID-19 (VIVID) study

STOP COVID Trial

Rise Above COVID

 

Guest: Paul E. Sax, MD

 

Music Credit: Richard Onorato

Vitamin D: What It Helps, and What It Doesn’t - Frankly Speaking Ep 212
14 perc 100. rész

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Overview: During this episode, we will review some of the recent data on Vitamin D supplementation and its association with cardiovascular outcomes, falls, vertigo, and general health.

 

Guest: Susan Feeney, DNP, FNP-BC, NP-C

 

Music Credit: Richard Onorato

Let’s Get Physical: Consider PT for Initial Treatment of Sciatica - Frankly Speaking Ep 211
13 perc 100. rész

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Overview: There are various treatment options for patients with acute sciatica. Choosing the best option should be tailored to the specific needs of the patient, and when possible, include early recommendation for physical therapy (PT). In this episode we review research on use of PT for treatment of sciatica and discuss how you can incorporate PT recommendations into patient care.

 

Guest: Alan Ehrlich MD, FAAFP

 

Music Credit: Richard Onorato

A Fundamental Change in Asthma Management! Treatment of Moderate to Severe Asthma Now Includes Combined ICS-LABA Therapy as Maintenance and Rescue Therapy - Frankly Speaking Ep 210
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Overview: This session will review the evidence used by the National Asthma Education and Prevention Program (NAEPP) in making their newer recommendations and the new asthma management protocols.

 

Guest: Robert A. Baldor, MD, FAAFP

 

Music Credit: Richard Onorato

PolyPill, One Pill, or No Pill? - Frankly Speaking Ep 209
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Overview: In this episode, we will review a recent publication examining how the polypill might lower atherosclerotic cardiovascular disease (ASCVD) risk in the general population.

 

Guest: Alan Ehrlich MD, FAAFP

 

Music Credit: Richard Onorato

USPSTF Colorectal Cancer Screening: Back Up the Bus! - Frankly Speaking Ep 208
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Overview: Join us as we review the United States Preventive Services Task Force’s (USPSTF) recently published draft recommendation statement on colorectal cancer (CRC) screening and the implications it has for primary care practice and your patients.

 

Guest: Jill Terrien PhD, ANP-BC

 

Music Credit: Richard Onorato

Statin Use in the Elderly – Start or Stop? - Frankly Speaking Ep 207
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Overview: Data are limited regarding statin therapy for primary prevention of atherosclerotic cardiovascular disease in adults 75 years and older. During this episode we will review recent studies on the use of statins in elderly patients and discuss how to consider this data in your clinical practice.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

A Big Change for the 2021 Medicare Physician Fee Schedule: New Guidance on Coding
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Overview: This session will overview the new 2021 changes for outpatient E&M billing documentation requirements.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Making a Real Difference: High-Intensity Lifestyle Intervention Can Aid Weight Loss in Individuals With Obesity in Underserved Populations - Frankly Speaking Ep 206
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Overview: The evidence of the impact of obesity and sedentary lifestyles on health and disease states is well established. Finding and applying strategies to assist people with the necessary behavior changes is a monumental task, but for Americans who are at lower income levels and in traditionally underserved populations, the evidence on what is effective is tragically lacking. The social determinants of health (SDOH) impact all aspects of care delivery, from access to care, to knowing what really works. Join us as we discuss a recent randomized controlled trial that evaluated a strategy that demonstrated weight loss in underserved populations, and may have promise to aid in this important aspect of care.

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

COVID-19 VACCINE: Get the Facts and Bust the Myths - Frankly Speaking Covid Immunization Update
24 perc 100. rész

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Overview: This podcast will give an overview of the two mRNA vaccines granted emergency use authorization in the US including their efficacy and side effect profile.

Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

frankly-speaking-ep205-afib-rate-rhythm
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Overview: In patients with new-onset atrial fibrillation, the decision to aim for rate control versus rhythm control is controversial. Older data suggested rhythm control did not result in better outcomes, but advances in medications and techniques have led to a new trial to evaluate this question.

Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

frankly-speaking-ep-204-ada-update
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Overview: The American Diabetes Association (ADA) has recently updated their guidelines for pharmacologic management of T2DM which addresses patients with various co-morbid conditions. This episode will overview these guidelines to help primary care clinicians hone treatment of their patients with T2DM.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

No Good Reason to Go Nuts Over Coconut Oil - Frankly Speaking Ep 203
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Overview: Join us as we discuss the risks of elevated cholesterol when consuming coconut oil.

Guest: Jill Terrien, PhD, ANP-BC

Music Credit: Richard Onorato

COVID-19 Update: Vaccines, Working From Home, and So Much More - Frankly Speaking Ep 202
26 perc 100. rész

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Overview: There are many aspects of the COVID-19 pandemic that clinicians need to stay current with. In this episode we will briefly review ten hot topics related to COVID-19, including but not limited to: testing, vaccines, and reinfection.

Guest: Alan Ehrlich, MD, FAAFP

Music Credit: Richard Onorato

Is it Time to Stop Checking LDL-C? - Frankly Speaking Ep 201
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Overview: Various organizations develop guidelines to assist with patient care. This episode will review the most significant changes to the U.S. Department of Veterans Affairs and U.S. Department of Defense (VA/DoD) Clinical Practice Guidelines for the Management of Dyslipidemia for Cardiovascular Disease Risk Reduction.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Favorite Podcast of the Last 200! - Frankly Speaking Ep 200
21 perc 100. rész

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Overview: Join us for the 200th episode of Frankly Speaking about Family Medicine! In this episode, each podcaster will review  their favorite topics since the inception of this podcast and will describe patient encounters where this practice changing knowledge was helpful.  

Guest: Alan Ehrlich, MD, FAAFP; Robert A. Baldor, MD, FAAFP; Susan Feeney, DNP, FNP-BC, NP-C; Jill Terrien, PhD, ANP-BC

Music Credit: Richard Onorato

Evaluation of Microhematuria: A Risk-based Approach - Frankly Speaking Ep 199
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Overview: Microhematuria is a common finding. It is usually benign, but it needs proper evaluation since it may also be a sign of malignancy. A risk-based approach can avoid unnecessary testing, while still identifying those patients with malignancy. Recent American Urological Association (AUA) guidelines use a validated risk-based approach.

Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

“Just a Spoonful of Honey”: Evidence Supporting Honey for URTI Symptom Relief - Frankly Speaking Ep 198
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Overview: Upper respiratory tract infections (URTI) are one of the most common conditions seen in primary care. Effective treatments for this acute, bothersome illness are limited; inappropriate antibiotic prescribing and use of therapeutics with little evidence of effectiveness are common. Join our discussion as we discuss a recent meta-analysis from the BMJ which suggests that honey, in any form, is superior to usual, common treatment for URTIs.

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Handling Upper Respiratory Symptoms During the COVID-19 Pandemic - Frankly Speaking Ep 197
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Overview: This episode will review how to best care for patients who present with respiratory symptoms during the fall and winter.

Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

That Cup of Joe – Good for You! - Frankly Speaking Ep 196
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Overview: The New England Journal of Medicine recently published an evidence-based review of the benefits and harms related to caffeine and coffee consumption.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Peanut Allergies, Time to Follow the Guidelines? - Frankly Speaking Ep 195
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Overview: For patients who have hip replacement or knee arthroplasty there is an increased risk of venous thromboembolism This episode will review the effectiveness of aspirin for preventing VTE in this population

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Is There a Correlation Between Low-to-Moderate Alcohol Consumption and Improved Cognitive Function? - Frankly Speaking Ep 194
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Overview: The available evidence on alcohol consumption and its relationship to health is abundant, varied, and often conflicting. The evidence that excessive consumption is associated with poor outcomes is consistent; however, evidence on low-to-moderate alcohol consumption has ranged from poor outcomes to no impact to improved outcomes. Join us while we discuss new evidence that reveals an association between low-to-moderate alcohol use in white middle-to-older aged adults and improved cognition.

Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

Heads Up! 2020 Guideline Update on Cervical Cancer Screening - Frankly Speaking Ep 193
9 perc 100. rész

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Overview: Join us as we discuss the American Cancer Society 2020 guideline update on cervical cancer screening for women of average risk

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Lung Cancer Screening: The U.S. Preventive Services Task Force Weights In - Frankly Speaking Ep 192
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Overview: Currently a low-dose CT scan is the only screening test for lung cancer that is recommended by the American Cancer Society. In July 202, the U.S. Preventive Services Task Force (USPSTF) issued a draft recommendation statement on screening for lung cancer. The USPSTF suggests annual screening with low-dose CT for individuals aged 50-80 who have a 20 pack-year smoking history and who currently smoke or have quit smoking within the past 15 years. These recommendations expand screening eligibility, but they also suggest that screening be discontinued if a person has not smoked for 15 years, develops a health problem that substantially limits life expectancy, or is unable or unwilling to have curative lung surgery.

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

Testing is Appropriate at an Annual Health Exam: What, When, and WHY? - Frankly Speaking Ep 191
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Overview: Screening for asymptomatic conditions is an essential and important aspect of primary care. But what is the potential downstream impact to the patents and the healthcare system when low-risk individuals are screened? What are the benefits and the potential harms? Join us as we discuss a recent retrospective study on the downstream effects of low-value testing on low-risk people at their annual health exam and how this may impact your practice.

Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

frankly-speaking-covid-19-antibody-testing-190
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Overview: A review of the latest evidence on antibody testing to identify current and past COVID-19 infection

Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Influenza Immunization and Lower Mortality Rates in Diabetes - Frankly Speaking Ep 189
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Overview: This session will discuss an observational study performed in Denmark on how receiving the influenza vaccine affected diabetics long-term outcomes.

Guest: Jill M. Terrien, PhD, ANP-BC

Music Credit: Richard Onorato

Hydroxychloroquine for COVID-19: Not Ready for Prime-Time - Frankly Speaking Ep 188
13 perc 99. rész

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Overview: A review of the latest evidence regarding hydroxychloroquine (HCQ) as treatment for SARS-CoV-2 infection.

Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Vitamin D and COVID-19 - Frankly Speaking Episode 187
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Overview: This podcast will review what is known and theorized about vitamin D status, susceptibility to viral infections, and mortality from viral infections.

Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

COVID-19: School Closing, Prevention, and Prognosis - Frankly Speaking Episode 186
14 perc 97. rész

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Overview: This episode will review current literature on COVID-19 data.

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

A Change In Treating Mild Asthma - Frankly Speaking EP 185
11 perc 96. rész

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Overview: This episode will review a study of using LABA with inhaled steroid rather than a short acting rescue inhaler.

Guest: Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Aspirin Can Prevent VTE After Hip or Knee Surgery - Frankly Speaking EP 184
9 perc 95. rész

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Overview: For patients who have hip replacement or knee arthroplasty there is an increased risk of venous thromboembolism (VTE). This episode will review the effectiveness of aspirin for preventing VTE in this population.

Guest: Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Counseling About Healthy Lifestyles: Time to Simplify - Frankly Speaking EP 183
10 perc 94. rész

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Overview: While it is well established that selected lifestyle factors are individually associated with lower risk of chronic diseases, it has been unclear which combinations of these factors are associated with disease-free life-years. This session presents the result of a recent meta-analysis that provides insights into this important subject.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Testosterone for Low ‘T’? - Frankly Speaking Episode 182
12 perc 93. rész

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Overview: About 20% of men older than 60 experience low testosterone; however, the prevalence of low testosterone with sexual dysfunction symptoms is significantly lower. Although there is an association between advancing age, testosterone levels, and other quality of life factors, the exact causal relationship remains challenging. This latest guideline from the American College of Physicians (ACP) examines the evidence regarding testosterone replacement recommendations.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Weighted Vests Reduce Weight - Frankly Speaking EP 181
9 perc 92. rész

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Overview: This podcast reviews a recent study evaluating the benefit of adding a weighted vest to dietary interventions to promote weight loss and discusses its implications for clinical practice. 

Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

Gout - An Updated Treatment Guideline from the American College of Rheumatology - Frankly Speaking EP 180
12 perc 91. rész

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Overview: The American College of Rheumatology (ACR) updated their 2012 guidelines for treating gout. To do this, they used established evidenced-based methods including population, intervention, comparator, outcomes (PICO) questions. 

Guest: Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

For Osteoarthritis of the Knee, What’s the Point of Injecting Steroids? - Frankly Speaking EP 179
9 perc 90. rész

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Overview: The comparative efficacy of corticosteroid and physical therapy for managing osteoarthritis of the knee is controversial. This podcast will review a recent randomized trial comparing the efficacy of the 2 treatments in 156 patients who were followed for 1 year.

Guest: Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

An Epidemic That Nobody is Talking About - Frankly Speaking EP 178
8 perc 89. rész

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Overview: As men age, over-active bladder (OAB) symptoms (urgency, frequency, nocturia) are commonly seen. Typically, these symptoms are secondary to the development of benign prostate hypertrophy (BPH). Alpha-blocking and/or antimuscarinic agents are commonly prescribed to treat such symptoms. In this podcast we review the COBALT study which examines the benefits of behavioral treatments (pelvic floor muscle training and fluid restriction before bedtime) alone or combined with drug therapy to treat OAB symptoms.

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

Concussion Risk and Prevention Among High School Student Athletes - Frankly Speaking EP 177
7 perc 88. rész

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Overview: This session will discuss the latest evidence on concussion occurrence among high school athletes and review return-to play-guidelines and laws. It will also provide a nuanced and realistic discussion of concussion prevention.

Guest: Guest: Hillary Mullan

Music Credit: Richard Onorato

Getting to Remission—Not Just Better: Can a Web-Based CBT Tool Help Resolve Residual Depressive Symptoms in People Treated for Depression? - Frankly Speaking EP 176
10 perc 87. rész

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Overview: Achieving a euthymic state can be very challenging for individuals with depression and anxiety. Many people live with residual symptoms even while on anti-depressive medications. Changing pharmacotherapy, escalating doses, and adding medications are common. Join us while we discuss the results of a recent RCT of primary care patients, which demonstrated improved resolution of residual depressive symptoms for those who used a web-based CBT tool as adjunctive therapy.

Guest: Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

Pap Smears and Bimanual Exams: Do Teens Really Need Them? - Frankly Speaking EP 175
8 perc 86. rész

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Overview: Clinical practice guidelines from the American College of Obstetrics and Gynecology and the United States Preventive Services Task Force recommend against routine Pap smears and bimanual exams in adolescents. This recommendation includes those planning on starting oral contraceptives or with possible sexually transmitted diseases. A recent study found nearly half of all such exams in this age group lack indications. While the evidence indicates a new direction, clinicians have been slow to change their practice. Join us as we discuss the reasons for these guidelines and review appropriate indications for these exams. 

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

Frankly Speaking Update: COVID-19 and Special Populations (Recorded 5/22/20)
17 perc 85. rész

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Overview: Listen to this Q&A session about special topics on COVID-19 infection, including COVID in pregnancy and pediatric patients  

Guest: Guest: Alan Ehrlich, MD

Music Credit: Richard Onorato

What Happened to My Furosemide? Torsemide for Congestive Heart Failure - Frankly Speaking EP 174
9 perc 84. rész

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Overview: In this episodes, we will discuss a systematic review and meta-analysis that examines outcomes from the use of furosemide compared to torsemide in patients with congestive heart failure.

Guest: Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

The Prescribing Cascade: What Is It and How Do We Prevent It? - Frankly Speaking EP 173
10 perc 83. rész

Credits: 0.25 AMA PRA Category 1 Credits

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Overview: In primary care we are tasked with treating multiple conditions, therefore many of our patients are on numerous medications. Some of these medications are prescribed to deal with side effects of other medications. Often clinicians may not be aware that they are treating preventable drug side effects and wind up prescribing even more medications. This causes a cascade effect that results in significant polypharmacy. Join us while we discuss this common phenomenon and strategies to minimize or avoid it entirely.

Guest: Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

Kegels for Men? - Frankly Speaking EP 172
8 perc 82. rész

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Overview: As men age, over-active bladder (OAB) symptoms (urgency, frequency, nocturia) are commonly seen. Typically, these symptoms are secondary to the development of benign prostate hypertrophy (BPH). Alpha-blocking and/or antimuscarinic agents are commonly prescribed to treat such symptoms. In this podcast we review the COBALT study which examines the benefits of behavioral treatments (pelvic floor muscle training and fluid restriction before bedtime) alone or combined with drug therapy to treat OAB symptoms.

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

Caution! Falling Seniors Ahead! - Frankly Speaking EP 171
9 perc 81. rész

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Overview: Join us as we discuss falls: a clinical issue that warrants regular assessment in adults over the age of 65.

Guest: Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Corticosteroid Injection for Plantar Fasciitis: All Pain, No Gain - Frankly Speaking EP 170
8 perc 80. rész

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Overview: Plantar fasciitis is a common and often unsuccessfully treated chronic, painful condition. Multiple interventions have been suggested with varying degrees of effectiveness. Corticosteroid injections are sometimes used, but the evidence for efficacy has been limited with significant bias present in many of the trials. A Cochrane review in 2017 found a small degree of short-term benefit. Since then, a number of additional trials have been performed, and a newer systematic review finds no benefit.

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

5 Tools to Improve the Patient Encounter - Frankly Speaking EP 169
7 perc 79. rész

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Overview: Many providers are dissatisfied with patient visits because of issues such as time limits and technology burden. Join us as we discuss 5 practices that could improve satisfaction with visits for both patients and providers.

Guest: Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

“Make it Stop!” – can a simple and quick intervention help improve quit rates in your patients who smoke? - Frankly Speaking EP 168
10 perc 78. rész

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Overview: A recent RCT from Hong Kong found that a brief 1-minute standardized intervention (based on the AWARD Model and self-determination theory) was more effective than giving printed smoking cessation materials to semi-urgent and non-urgent emergency department patients at smoking abstinence at 12 months. Join us as we discuss the implications of this study on your practice and care of individuals who smoke.

Guest: Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

"B" is for Back Pain: How Vitamins May Benefit Acute Low Back Pain - Frankly Speaking EP 167
10 perc 77. rész

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Overview: Acute low back pain is a common problem and a frequent cause of inability to work. Although there are many treatments available, they often provide limited relief and have accompanying side effects. Listen to this episode to hear about how using certain vitamins may act as an adjunct treatment to speed recovery of acute low back pain.

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

Ask the ID Expert: Common COVID-19 Questions in Primary Care (Recorded 3/28/20)
38 perc 76. rész

Credits: 0.50 AMA PRA Category 1 Credits

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Overview: With information changing rapidly around the COVID-19 pandemic, it is difficult for primary care clinicians on the front lines of care to stay up to date on the most accurate information regarding prevention, testing, and treatment. Join this live discussion between family physician Dr. Frank Domino and infectious disease specialist Dr. Paul Sax as they discuss common questions related to COVID-19 that will help you give your patients the best possible care and advice during these uncertain times.

Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 3/28/2020 and they are subject to change as new information is published. 

Guest: Frank J. Domino, MD & Paul E. Sax, MD 

Alcohol and A-fib: Is Abstinence the Best Medicine? - Frankly Speaking EP 166
9 perc 75. rész

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Overview: Alcohol consumption has been associated with negative cardiovascular outcomes, yet many clinicians still counsel patients that it is okay in moderation. Past observational studies have supported this idea, showing a dose-dependent relationship between alcohol consumption and the incidence of a-fib. In this episode we will explore the latest RCT out of Australia, which suggest that no level of alcohol intake is safe when it comes to a-fib.

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

Effective Tool or Diet Fad? Can Intermittent Fasting Decrease Weight and Improve Cardiovascular Markers?
11 perc 74. rész

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Overview: Obesity, dyslipidemia, and hypertension are significant challenges to public health and impact a growing number of Americans. Weight loss and dietary changes are effective in preventing CVD and DMII and reducing cardiometabolic complications, but can be difficult for many people. Growing evidence supports the use of timed fasting to promote weight loss and reduce these complications. Join us as we discuss a recent study that shows promising data regarding a 10-hour feeding window and improved CV markers.

Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

Frankly Speaking Update: Common Questions About Coronavirus (Recorded 3/21/20)
14 perc 73. rész

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Overview: Review the latest data on the Pandemic in a patient centered manner 

Music Credit: Richard Onorato

Coronavirus Update, March 6, 2020 - Frankly Speaking EP 164
8 perc 72. rész

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Overview: Review the latest recommendations from the CDC to assist in responding to patient questions and concerns. 

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato 

Safe Sex – Counseling Makes a Difference - Frankly Speaking EP 163 (Live from Pri-Med South)
13 perc 71. rész

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Overview: STIs in the US are a major public health risk with an estimated 20 million new cases per year, more than half occurring in 15-24-year-olds. The USPSTF found intensive counseling in young adults to reduce the likelihood of STIs. Join us as we discuss how to apply these recommendations to your practice.

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Milk: Whole, Skim or Something In Between? - Frankly Speaking EP 162 (Live from Pri-Med South)
12 perc 70. rész

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Overview: This episode will review four recent publications that help guide milk consumption in children and adults. 

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato 

Too Sweet! Rates of Prediabetes in US Adolescents and Young Adults - Frankly Speaking EP 161
11 perc 69. rész

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Overview: The incidence and prevalence of prediabetes and Type II Diabetes Mellitus in adolescents and young adults has increased over the past decade. A recent cross-sectional study of 12 years of NHANES data suggests that this population has an associated increased cardiometabolic risk. Listen as our team discusses these findings and some prevention strategies to help improve health outcomes.  

Guest: Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Treating Strep Throat in Half the Time - Frankly Speaking EP 160
10 perc 68. rész

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Overview: This episode will review clinical decision-making tools for diagnosing and treating streptococcal pharyngitis and will discuss a recent randomized controlled trial utilizing a 5-day course of Penicillin for treatment. 

Guest: Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Adolescent Mental Health: Family Relationships Matter - Frankly Speaking EP 159
10 perc 67. rész

Credits: 0.25 AMA PRA Category 1 Credits™

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Overview: Join us as we discuss data from the National Longitudinal Study of Adolescent to Adult Health examining how family relationships impact depression.  

Guest: Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Coronavirus: Frankly Speaking Special Update
3 perc 66. rész

Listen to Dr. Frank Domino provide a timely update regarding the recent Coronavirus outbreak, and provide resources in order to get the most up-to-date information. 

The Dangers of Non-Nutritive Sweeteners: What Does the Data Say? - Frankly Speaking EP 158
11 perc 65. rész

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Overview: Review the latest research on the impact of Non-Nutritive Sweeteners (NNS) on mortality, disease, and intermediate outcomes like microbiome and gut hormones. 

Guest: Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

Heartburn – Why “Test and Treat” Is Best - Frankly Speaking EP 157
11 perc 64. rész

Credits: 0.25 AMA PRA Category 1 Credits™

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Overview: Heartburn is a frequent complaint in primary care practices. The etiology is broad, from reflux to H. pylori infection and PUD. While many clinicians treat symptomatically, this may not lead to patient satisfaction. A recent network meta-analysis published in The BMJ, concluded that a ‘test and treat’ approach resulted in the lowest reports for patients to remain symptomatic at follow-up.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Cannabis Use in Pregnancy: A Worrisome Trend - Frankly Speaking EP 156
9 perc 63. rész

Credits: 0.25 AMA PRA Category 1 Credits™

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Overview: Cannabis use has been increasing as numerous states have decriminalized or even legalized cannabis possession and use. As a result, the rates of pregnant women who use cannabis have been rising. Learn more about these trends and the risks associated with cannabis use in pregnancy.

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

A Brief Update of the Guidelines on the Management of Type 2 Diabetes - Frankly Speaking EP 155
10 perc 62. rész

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Overview: Join us as we discuss key points from the 2019 update to the American Diabetes Association and the European Association for the Study of Diabetes consensus report. This update is now reflected in the American Diabetes Association's Standards of Medical Care—2020

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Skip the Colonoscopy? - Frankly Speaking EP 154
13 perc 61. rész

Credits: 0.25 AMA PRA Category 1 Credits™

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Overview: Join us as we discuss a recent report in the British Medical Journal that reviewed data on the effectiveness of colorectal cancer screening programs. The report presented new guidelines which recommend a “shared decision-making model,” and suggest that individuals with an estimated 15-year colorectal cancer risk below 3% undergo no screening at all. This session will review the recently published guidelines to understand the data behind their recommendations and discuss how best to implement such an approach in your practice. 

Guest: Robert Baldor, MD,FAAFP 

Music Credit: Richard Onorato

Improving Communication Between Parents and Teens - Frankly Speaking EP 153
11 perc 60. rész

Credits: 0.25 AMA PRA Category 1 Credits™

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Overview: Discuss a recently published randomized controlled trial that examined methods to help parents improve their ability to discuss important health issues with their teenagers (ex. sexual activity, substance use).

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Winter’s Here – Time to Review the Latest Community-Acquired Pneumonia Guidelines - Frankly Speaking EP 152
10 perc 59. rész

Credits: 0.25 AMA PRA Category 1 Credits™

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Overview: The Infectious Disease Society of America in conjunction with the American Thoracic Society have updated their guidelines on diagnosing and treating Community Acquired Pneumonia (CAP) in adults. Recommended changes from the 2007 guidelines include how to address the growing issue of antibiotic resistance. We will review this latest recommendation, focusing on the best approach for outpatient care.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Vaping: Health Threats in a Rapidly Changing Landscape - Frankly Speaking EP 151
11 perc 58. rész

Credits: 0.25 AMA PRA Category 1 Credits™

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Overview: Every day new information on e-cigarettes is in the media – the explosion of teen use with a resulting epidemic of nicotine addiction and most recently, increasing cases of serious lung related illness associated with vaping. Join us as we discuss this epidemic and the emergence of VAPI (Vaping Associated Pulmonary Injury)

Guest: Susan Feeney, DNP, FNP-BC

Music Credit: Richard Onorato

Red Meat: Confusion and Conflicts of Interest - Frankly Speaking EP 150
14 perc 57. rész

Credits: 0.25 AMA PRA Category 1 Credits™

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Overview: Join us as we review a landmark paper that reached the conclusion that limiting red meat would not have a large impact on patient outcomes.

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

Transgender Care: Breaking the Barriers and Acknowledging Bias - Frankly Speaking EP 149
10 perc 56. rész

Credits: 0.25 AMA PRA Category 1 Credits™

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Overview: Join us as we discuss best practices for providing care to the transgender population. 

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Screening for Autism Spectrum Disorders: We Need Better Tools - Frankly Speaking EP 148
9 perc 55. rész

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Overview: Universal screening of young children is recommended by the American Academy of Pediatrics (AAP) for diagnosing Autism Spectrum Disorders (ASD), as early intervention leads to improvements in function. The U.S. Preventive Services Task Force (USPSTF), however, has concluded there isn't enough evidence about the efficacy of universal screening to recommend it. To assess the effectiveness of the Modified Checklist for Autism in Toddlers with Follow-Up (M-CHAT/F), a study of 26,000 children was completed at the Children's Hospital of Philadelphia. This episode will review the current guidelines for ASD screening and the results of this study—which revealed significant shortcomings in current screening tools—as well as discuss how to counsel concerned parents.

Guest: Robert Baldor, MD, FAAFP

Music Credit: Richard Onorato

Put Your Phone Down: The Association Between Adolescent Mental Health and Social Media Use - Frankly Speaking EP 147
12 perc 54. rész

Credits: 0.25 AMA PRA Category 1 Credits™

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Overview: Social media use is ubiquitous across American society. There has also been an increase in adolescent mood disorders, such as anxiety and depression, as well as teen suicidal behavior. Join us as we discuss the association between social media use and adolescent mental health. 

Guest: Susan Feeney, DNP, FNP-BC 

Music Credit: Richard Onorato

Breast Density and Supplemental Imaging: Detecting Advanced Breast Cancer - Frankly Speaking EP 146
8 perc 53. rész

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Overview: Join us as we discuss breast density and the use of supplemental imaging to assess risk for advanced breast cancer.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

COPD Exacerbations: Who Needs Antibiotics? - Frankly Speaking EP 145
10 perc 52. rész

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Overview: Patients with COPD frequently have exacerbations, often triggered by an acute upper respiratory infection (URI). C-reactive protein (CRP) testing is a new way of assessing whether or not antibiotics are needed to treat. 

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

Getting Glutened: Early Childhood Gluten Consumption and the Risk of Celiac Disease - Frankly Speaking EP 144
10 perc 51. rész

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Overview: The degree to which early exposure to gluten-containing foods affects the risk of developing celiac disease is controversial. Join us as we discuss a recent Norwegian study suggesting that the timing of introduction of gluten in the diet may be less important than the amount of gluten in the diet at 18 months of age.

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato

Antibiotic Use in the US: A Look into How Americans Use Antibiotics Without a Prescription - Frankly Speaking EP 143
11 perc 50. rész

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Overview: A recent scoping review revealed that nonprescription antibiotic use is a prevalent and understudied public health concern in the US. Inappropriate antibiotic prescribing and use has been a well-documented concern and these new findings only reinforce the need for more comprehensive approaches to this problem. Join us while we discuss the scoping review findings and some strategies for implementing antibiotic stewardship into your practice.

Guest: Susan Feeney, DNP, FNP-BC, NP-C

Music Credit: Richard Onorato

Saving the Brain: How Long Is Too Long to Pursue Endovascular Reperfusion After a Stroke? - Frankly Speaking EP 142
11 perc 49. rész

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Overview: There has been increasing interest in the use of endovascular reperfusion for patients who have suffered an ischemic stroke. The American Heart Association (AHA) and the American Stroke Association (ASA) have jointly developed a nationwide registry to evaluate the benefits of these techniques on stroke outcomes. During this episode we will review a recent retrospective cohort study of almost 7,000 patients presenting with an acute ischemic stroke that demonstrates a significant benefit to endovascular reperfusion, even several hours after the onset of symptoms.

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

Gun Safety in Pediatric Populations: Exploring New Data and Assessing Risk - Frankly Speaking EP 141
9 perc 48. rész

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Overview: Join us as we discuss gun safety and injury prevention in primary care practice.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

Weight Loss with Apps – Do they Work? - Frankly Speaking 140
11 perc 47. rész

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Overview: This session will discuss the utility of digital apps and daily self-weight measurement for weight loss.

Guest: Robert A. Baldor, MD, FAAFP

Music Credit: Richard Onorato

Needlepoint for the Heart: An Integrative Option for Chronic Stable Angina - Frankly Speaking EP 139
9 perc 46. rész

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Overview: Join us as we discuss acupuncture as an adjunctive therapy in patients with chronic stable angina.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato

What Does Exercise Have to Do with It: What Is the Relationship Between a Healthy Lifestyle and Genetic Risk of Dementia? - Frankly Speaking EP 138
10 perc 45. rész

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Overview: Genetic and lifestyle risk factors have been implicated in the development of Alzheimer’s dementia (AD) as well as other subtypes of dementia. Specific genetic protein mutations have been identified in individuals who develop AD. There is also an abundant amount of evidence that suggests the risk of dementia can be reduced by avoiding tobacco smoking, limiting alcohol consumption, keeping physically active, and maintaining a healthy diet. Join our discussion of a recent study that shows a healthy lifestyle is associated with decreased risk of dementia in those with both low and high genetic risk.

Guest: Susan Feeney, DNP, FNP

Music Credit: Richard Onorato 

Statins After 75 Years of Age in Healthy Seniors? Still No - Frankly Speaking EP 137
10 perc 44. rész

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Overview: In this episode we expand on the rationale for not screening and treating hyperlipidemia in patients without CV disease, diabetes, renal failure or heart failure.

Guest: Robert A. Baldor, MD

Music Credit: Richard Onorato 

Boning Up on Treatment for Osteopenia - Frankly Speaking EP 136
12 perc 43. rész

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Overview: Bisphosphonates help prevent fractures in elderly women with osteoporosis, but their benefit in women with osteopenia has been unclear. A recent trial showed that a yearly injection of zoledronic acid can reduce fractures in women with osteopenia.

Guest: Alan Ehrlich MD, FAAFP

Music Credit: Richard Onorato 

What Channel Are You On? Video Visits for Primary Care - Frankly Speaking EP 135
10 perc 42. rész

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Overview: Measles were declared eliminated in 2000; however, in June 2019, the CDC announced that there were > 1,000 cases identified in the US—the largest number of cases since 1992. Join us as we discuss the causes of this increase in a vaccine-preventable disease (VPD) and strategies for containing this looming public health concern.

Guest: Jill Terrien PhD, ANP-BC 

Music Credit: Richard Onorato 

Back to the Future: Measles Resurgence and Vaccine Hesitancy - Frankly Speaking EP 134
11 perc 41. rész

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Overview: Measles were declared eliminated in 2000; however, in June 2019, the CDC announced that there were > 1,000 cases identified in the US—the largest number of cases since 1992. Join us as we discuss the causes of this increase in a vaccine-preventable disease (VPD) and strategies for containing this looming public health concern.

Guest: Jill Terrien PhD, ANP-BC 

Music Credit: Richard Onorato 

An Uncomfortable Problem: Recurrent Urinary Tract Infections (UTIs) in Women - Frankly Speaking EP 133
13 perc 40. rész

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Overview: Join us as we discuss a new guideline for women with recurrent UTIs. 

Guest: Jill Terrien PhD, ANP-BC 

Music Credit: Richard Onorato 

What Is Your Purpose in Life? Impact of Perceived Life Purpose on Life Expectancy - Frankly Speaking EP 132
11 perc 39. rész

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Overview: A recently published study looked at the association between a perceived life purpose (using modified Ryff and Keyes Scales of Psychological Well-being) and mortality in individuals participating in the Health and Retirement Study (HRS). The results seem to indicate that a strong sense of purpose to one’s life is associated with decreased mortality. Join us as we discuss the implications of this study and how to apply it in practice to improve your patients’ health and well-being as well as your own. 

Guest: Susan Feeney, DNP, FNP

Music Credit: Richard Onorato 

Diagnosed Prostate Cancer: How to Choose A Treatment - Frankly Speaking EP 131
14 perc 38. rész

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Overview: After the debate on whether to screen for prostate cancer comes the debate on how to treat it. Options include “watchful waiting,” radiation, surgery, and androgen deprivation. This session will focus on how to help your patient diagnosed with prostate cancer decide on a treatment plan using a cohort-based decision tool. 

Guest: Susan Feeney, DNP, FNP & Jill Terrien PhD, ANP-BC 

Music Credit: Richard Onorato 

Weed Indeed! - Frankly Speaking EP 130
9 perc 37. rész

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Overview: This study looked at hospitalizations following legislation that legalized marijuana use in Colorado compared to two states that have not legalized marijuana, New York and Oklahoma. The goal was to determine what impact this law might have on common and chronic conditions. It found hospitalizations for some conditions increased while issues of social anxiety disorder decreased

Guest: Alan M. Ehrlich, MD, FAAFP

Music Credit: Richard Onorato 

Mammography Screening: Sorting through Conflicting Guidelines - Frankly Speaking EP 129
11 perc 36. rész

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Overview: Multiple organizations have issued guidelines on breast cancer screening, but these guidelines are often conflicting. Recently, the American College of Physicians (ACP) reviewed the data supporting seven different guideline recommendations and issued new guidance on breast cancer screening for average-risk women. Join our discussion of the recommendations to help develop a consistent approach to breast cancer screening in your practice. 

Guest: Alan M. Ehrlich, MD, FAAFP

Music Credit: Richard Onorato 

The Challenges of Managing Bone Loss: Separating Fact from Fiction - Frankly Speaking EP 128
13 perc 35. rész

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-128

Overview: Conflicting evidence-based guidelines and medication risks have complicated the care of individuals with low bone density. The Endocrine Society just released its most recent recommendations for pharmacologic management of postmenopausal women with osteoporosis. Their goal was to address the most challenging aspects of low bone density management with clear evidence-based guidance. Join us as we review their new recommendations, compare them with other guidelines, and discuss their impact on your practice. 

Guest: Susan Feeney, DNP, FNP

Music Credit: Richard Onorato 

Gabapentinoid Drugs Off-Label Use: Stay in Your Lane! - Frankly Speaking EP 127
10 perc 34. rész

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-127

Overview: Join us as we discuss the increased off-label use of gabapentinoids most likely in response to the treatment of pain. 

Guest: Jill Terrien PhD, ANP-BC 

Music Credit: Richard Onorato 

Reading to Your Toddler: Is There a Difference Between Reading an Ebook and a Traditional Book? - Frankly Speaking EP 126
10 perc 33. rész

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-126

Overview: Reading to young children is a well-established activity that can impact neuro-cognitive and emotional development in children. Since many parents use E-readers and other digital platforms to read to their kids, in this episode we will explore whether there is a difference or benefit to using a particular type of book. Join us as we discuss the recent findings on parent-toddler interactions when reading from a print book versus an E-reader.

Guest: Susan Feeney, DNP, FNP

Music Credit: Richard Onorato 

Barriers to Physical Activity: Women’s Breast Size - Frankly Speaking EP 125
11 perc 32. rész

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-125

Overview: Join us as we discuss barriers to physical activity and how providers can help to address these issues, particularly in women with large breast size.

Guest: Jill Terrien PhD, ANP-BC

Music Credit: Richard Onorato 

Saving Money on Insulin - Frankly Speaking EP 124
11 perc 31. rész

Credits: 0.25 AMA PRA Category 1 Credits™

Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-124

Overview: When patients with T2DM have difficulty controlling their glucose with standard approaches, or are newly diagnosed but severely hyperglycemic, insulin is commonly used to help control their metabolism. Using long acting, once a day agents is a standard of care but in the last 15 years, the costs of insulin has skyrocketed. During this episode we will review a study examining the effects of using Neutral Protamine Hagedorn Insulin (NPH) rather than once a day insulin on A1c control and risk for hypoglycemia and discuss their findings, which suggest NPH can be used with equivalent glycemic control and with no additional risk.

Guest: Alan M. Ehrlich, MD, FAAFP

Music Credit: Richard Onorato 

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