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We all like to get paid, right? Do you know all the “ins and outs” of reimbursement? If not, you are in luck! Adrian and Kris talk about the five most common questions regarding reimbursement for PAs in 2019. After that, stick around to hear how to help destigmatize therapy for our patients and make it more universally accepted.
Neda and Paul are back at it, answering your questions. Here they cover: TMJ dysfunction, the new Nordic diet, and hypopigmentation
To evaluate beta blockers efficacy in preventing COPD exacerbations.
It’s estimated that at least 1.4 million Americans identify as transgender. In this segment, Neda and endocrinologist Dr. Elizabeth Lamos discuss how we, as primary care clinicians, can best serve our transgender patients at any point before, during, or after their gender transition.
When a patient with poorly controlled diabetes presents with numbness and tingling in their feet, how well do we really know what to do next? To help us understand diabetic neuropathy a bit better, Dr. Harpreet Tsui joins Neda to discuss screening, diagnosis, and treatment pearls.
To assess effect of Dapagliflozin vs placebo in patients with HFrEF.
Sometimes it can seem like every other child we see has a food allergy. How prevalent are food allergies in the general population, and how can we best diagnose and manage them? To shed light on these questions, as well as recent guideline changes in the allergy community and novel therapies on the horizon, PC RAP welcomes back Dr. Torie Grant, a Med/Peds allergist and immunologist at Johns Hopkins. She sits down with Neda to share the full scoop on food allergies.
Tramadol - good or bad? This age-old question has been burning for decades. Today, Paul Simmons and Justin McCarthy will attempt to settle the matter once and for all in our latest Things I Do But Should I conversation.
To evaluate the safety and efficacy of 10 mg prednisolone in treatment of patients with osteoarthritis and signs of inflammation.
Sol interviews Children’s Hospital of Phildelphia NICU doc Joanna Parga-Belinkie to discuss Covid-19 and the some of the peripartum issues that come up during the novel coronavirus pandemic for both pregnant moms and their newborns.
Mizuho sits down with emergency medicine pharmacist/toxicologist Bryan Hayes, PhD to answer some pertinent questions and myth-bust clarifications about pharmaceutical options in COIVD-19 treatment.
If your car broke down on the side of the road, wouldn’t you ask for help? New PC RAP contributor Dr. Jay-Sheree Allen brings this analogy to how we can help our patients seek the appropriate mental health care they need, focusing on the indications for and benefits of therapy.
To assess the effect of post-discharge scheduling assistance on PCP followup or readmissions.
Pre-charting can be a controversial topic in the medical community. Should we do it? Should we not? Aisha shares her thoughts on the advantages and disadvantages of pre-charting, as well as some tips and tricks she uses in her own practice.
Vaginal bleeding - an Ob/Gyn concern, right? Not so fast. Turns out, we can handle quite a bit of this in primary care. Neda and Dr. Megan Jones dive into diagnosis and management of bleeding in both the pre and post-menopausal woman.
To investigate the safety of a standardized perioperative DOAC management strategy.
Has your clinical practice shifted to telemedicine yet? In the era of COVID-19, clinicians everywhere are being thrown into telemedicine, often without any experience or background knowledge. To help us all get up to speed with this patient care technology, Hippo Education’s Dr. Neda Frayha sits down with Dr. Edward Kaftarian, the Vice Chair of Mental Health at the American Telemedicine Association and CEO of Orbit Health Telepsychiatry. Together they explore the benefits and potential pitfalls of telemedicine, the equipment required, billing and coding considerations, appropriate etiquette, and much more.
Many healthcare workers are worried if we get called in to help with COVID patients because this may be outside our scope of practice. Aaron Bright, MD sits down with Salim Rezaie, MD to simplify critical frontline lessons to keep you and your patients safe if you get called in. Topics include pearls and pitfalls regarding: PPE, management of stable suspected COVID patients, respiratory interventions, diagnostic and radiology patterns, and provider self-care tips.
Our panel of podcast hosts from a variety of practice settings discuss the logistical and psychological impact of the COVID-19 pandemic on healthcare workers and discuss strategies to mitigate the stress associated with the pandemic.
In this Hippo Education Short, Infectious Diseases specialist Dr. Devang Patel and our own Dr. Neda Frayha discuss the latest, clinician-focused updates on the COVID-19 coronavirus outbreak.
Adrian and Kris talk PAs and Medically Assisted Treatment- that’s MAT for our patients struggling with opioid dependency. Tune is to learn more about the PAs role and opportunities in fighting this crisis.
When the PC RAP mailbag is overflowing, Neda and Paul get to work and tackle a few of your questions at once.
When a patient with COPD and CHF presents with shortness of breath, how do we know what’s causing it? The heart? The lungs? Both? Neda discusses the best approach for this diagnostic conundrum with Dr. Sam Ashoo, ED physician and dyspnea expert.
To assess the ability of a smartwatch to identify individuals with new afib.
Hyperprolactinemia is a common endocrine condition that can be treated in the primary care setting if our patients aren’t able to see an endocrinologist. Aisha and Neda run through the complete diagnosis and management of hyperprolactinemia in this segment.
To assess if there is a superior first-line antihypertensive.
It is now recommended that NOACs are chosen over warfarin, in patients with atrial fibrillation, except in patients with moderate to severe mitral valve stenosis or a mechanical heart valve.
To investigate the relationship between metabolic surgery and incident major adverse cardiovascular events in patients with type 2 diabetes and obesity.
When we treat patients, whether in the hospital or outpatient setting, involving their family members can lead to improved outcomes. Tom and Miz discuss the engagement of family members with Dr. Giora Netzer, who literally wrote the book on family centered care.
To assess incidence compare mortality from neurodegenerative disease morbidity and mortality among soccer players.
Sol Behar interviews Portland, OR doctors Holly Tse (urgent care) and Paul Lewis (infectious disease and public health) to chat about the real world experience of responding to the measles outbreak in their community.
While eye complaints are common, true eye related emergencies are fortunately rare. Any patient with sudden painful vision loss, binocular diplopia or possible penetrating globe injury should be seen emergently by an ophthalmologist.
To describe prescribing trends of gabapentinoids in hospitalized patients.
Approximately 8.2% of the population engages in same-sex behaviors. This population is considered in the sexual minority, and has a different set of health needs from the sexual majority. Neda, Tom, and Dr. Helen Hedian dive into the details of these needs so we can better serve our LGB patients.
PA’s in the UK have finally won their fight to gain licensure regulation! This is a big win for the profession across the pond specifically, and a big win or the profession globally. Then Adrian and Kris will help you “swallow” the segment on dysphagia and give you some of the highlights for your clinical PA practice.
Broken hearts? Octopus traps? What’s the deal with Takotsubo cardiomyopathy? Matt DeClerck and Neda Frayha dive into the details of this interesting condition in this introduction segment.
Bedtime hypertension treatment improves cardiovascular risk reduction: the Hygia Chronotherapy Trial.
We provide supplemental oxygen all the time. But how often do we really understand the physiology behind what we’re doing, or the different modalities we have available to us? Dr. Avir Mitra, Clerkship Director of Emergency Medicine at the Icahn School of Medicine at Mount Sinai Beth Israel in New York, joins Neda for a conversation about O2 supplementation, mechanical airway support, and the tools we have to oxygenate and ventilate our patients.
How Much Time are Physicians and Nurses Spending Together at the Patient Bedside.
We have been waiting and waiting and waiting for the new community acquired guidelines. And here they are! Infectious Diseases expert Dr. Devang Patel joins Matt DeLaney and Neda Frayha for a conversation on CAP in general and the new guidelines in specific.
N95 Respirators vs Medical Masks for Preventing Influenza Among Health Care Personnel.
Management of sprains can be divided into the acute and functional phase. In the acute phase early range of motion exercises and techniques to manage pain and swelling are key aspects of treatment. In the functional phase the focus shifts more to emphasize strength, stability, and a return to pre-injury activity.
The clinical and cost-effectiveness of total vs partial knee replacement I patients with medial compartment osteoarthritis (TOPKAT): 5-year outcomes of a randomized controlled trial.
Dysphagia? Sounds like a hard-to-swallow diagnosis. ENT expert, Dr. Elizabeth Guardini, helps us navigate phases of swallowing, diagnostic testing, and deciding when to refer to a specialist.
Randomized Trial of Medical versus Surgical Treatment for Refractory Heartburn.
Talking about sex with our patients can feel uncomfortable, but is an important part of primary care practice. Dr. Helene Hedian walks us through how to have this conversation in a sensitive and inclusive manner.
In this Hippo Education Short, Infectious Diseases specialist Dr. Devang Patel sits down with our own Dr. Neda Frayha to discuss what we know so far about the new 2019-n-CoV coronavirus outbreak and what front-line clinicians can do if we suspect a patient of ours might have this viral illness.
How about a little spaced repetition? Lets break in the New Year with a little friendly competition between Adrian and Kris…challenge bowl style! Listen while they recap some of the important topics over the last few months of Primary Care RAP. Got an itch for more? Then “stay put” around as they discuss intrahepatic cholestasis of pregnancy.
Wet to dry dressings? Nope! Our Urgent Care RAP cousin Matt DeLaney schools Neda and Paul on a better way to do wound care. Such as: Foam dressings address the important elements of wound healing; they absorb exponentially more than gauze, keep wound somewhat moist, and can stay on for 3-7 days. Downsides are that they may not help all wounds (little benefit for arterial ulcers).
To determine patterns of apixaban use and its outcomes in dialysis-dependent patients with ESRD and atrial fibrillation.
Respiratory failure in primary care? Not an oxymoron! Our own Drs. Mizuho Morrison and Tom Robertson interview returning pulmonologist extraordinaire, Dr. Nirav Shah, about how we approach and manage respiratory failure, both before our patients need the ICU and after they come out of intensive care.
Itching is a common complaint in pregnancy. When do we need to worry about cholestasis of pregnancy when a pregnant woman complains of itching? Neda sits down with our newest PC Rap contributor, Dr. Matthew Zeitler, to scratch the surface of the most common pregnancy-specific liver disease.
To compare the efficacy of oral finasteride and topical minoxidil for males with androgenetic alopecia.
PC RAP has covered the start-screening-mammos-at-age-50 perspective in the past. Today, we’ll explore the other side of the coin: why women’s health focused organizations recommend beginning annual screening mammography at age 40. Neda sat down with Dr. Alison Chetlen, breast imaging expert and Associate Professor and Vice Chair of Education in the Department of Radiology at Penn State Health and Hershey Medical Center, for a deeper dive into the evidence we don’t always hear about in primary care.
As marijuana becomes legal in more states, it’s important for us to be able to advise our patients on the risk of inhaled marijuana causing lung disease. Neda discusses the current literature with Dr. Kathryn Robinett, pulmonologist extraordinaire.s
To evaluate the efficacy of a polypill containing atorvastatin amlodipine losartan and hydrochlorothiazide for lowering blood pressure and LDL.
Even in the primary care setting, we all need to be prepared to deal with emergencies, including anaphylaxis. Dr. Jason Liebzeit, EM physician, arms us with the knowledge and power to recognize and treat anaphylaxis in the primary care setting.
The medical assistant workforce is the largest in US ambulatory clinics. As nurses shift to inpatient roles, we use medical assistants more and more in the outpatient setting. Neda and Dr. Michael Baca-Atlas chat about how to best utilize this group of allied health professionals as well as share some ideas for expanding their roles in the clinic.
To determine whether providing essential medicines at no charge to outpatients who reported not being able to afford medicines improves adherence.
Kari Sampsel MD reviews how to recognize and manage sexual assault from a medical perspective and also social support that patients warrant.
Back pain is one of the most common complaints that we see in primary care. Many of our patients have either already seen a chiropractor for their pain, or ask our opinion about seeing one. Neda and Tom Robertson talk with Dr. John Allen about the literature regarding chiropractic care.
To obtain patients’ perspectives of factors associated with the onset and continuation of high hospital use.
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