The lively pulse of Primary Care (with a PA spin) in an entertaining, monthly podcast.

The covid pandemic has been challenging for all front-line clinicians. Can you imagine if you were in charge of the public health of an entire county? In this very special conversation, Neda sits down with Dr. Nilesh Kalyanaraman, Anne Arundel County Health Officer in Maryland, to learn about his public health goals and personal challenges in the pandemic, and what we can learn from them.

Many of us are comfortable with caring for children with Trisomy 21, but what about adults? Neda sits down with Dr. Micaela Bowers to discuss the care of adults with Trisomy 21.

We have been trying to figure out which febrile young infants have serious bacterial infections for almost four decades now. We now have a new evidence-based approach that allows us to do less invasive testing with a more precise way to find those sick needles in the haystack. Drs. Mizuho Morrison & Sol Behar review this “hot off the press” publication by the AAP, which to date is the greatest collaborative effort from all of the thought leaders in pediatrics and incorporates the best research into one comprehensive guideline on how to manage fever in the well appearing young infant. This latest guideline will give license to clinicians to push the envelope to be more liberal managing very young infants who present with fever. The guidelines may help avoid some invasive procedures (I’m looking at you, LP!), and even manage some of these lower risk patients from the comfort of their homes and with oral antibiotics (or none at all!), rather than shotgunning all of their care on the inpatient ward with broad spectrum antibiotics.

Gluten “intolerance” is all the rage, but how can we evaluate our patients’ concerns while differentiating from celiac disease? Paul Simmons dives into diagnosis and treatment of celiac disease with Dr. Alan Ehrlich, Editor of DynaMed and someone who knows quite a bit about this condition, both personally and professionally.