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The PA profession had a huge win at the beginning of this year when one of the AAPAs top legislative priorities was signed into law. PAs can now bill and be paid directly by Medicare, something that was previously afforded to other health professions, but not PAs. Adrian and Kris summarize AAPAs news briefing and discuss what this means for PAs. Does it change how you bill?
When our own Dr. Aisha Lofters realized she should have used the word “poop” instead of “stool” when discussing colon cancer screening with her patient, it was a major light bulb moment for her. Join her and Neda as they explore what health literacy means, how low health literacy can affect patient care, and how we can promote happy and healthy outcomes in our lower health literacy patients.
Higher BPs were associated with more CV risk but data on the included studies is limited
How are your anxiety levels? Because we’re about to ratchet them up to an 11. In this segment, EM/IM physician Dr. Joe Martinez teaches Paul about 4 patients with deadly diagnoses who presented with seemingly benign findings. Let’s heighten our awareness of do-not-miss pathology that can masquerade as run-of-the-mill disease processes.
It seems like gabapentin is prescribed for everything from hot flashes to dementia. Are we prescribing it appropriately? In this segment, Dr. Molly Heublein takes a deep dive into the use (and misuse) of gabapentinoids.
Unsafe driving behaviors were higher in the THC and equal THC/CBD groups 40-100 minutes after vaporization. There was no significant difference between CBD only and placebo
Hospitalist Corner Lightning Round is back! This time Dr. Maj Cina drops knowledge on a few common inpatient scenarios, focusing on apixaban and colonoscopy prep.
Recurrent pregnancy loss can be difficult for our patients to live with. Reproductive endocrinologist Dr. Lauren Roth joins us for a conversation on the causes, evaluation, and management of recurrent pregnancy loss
There was no difference between omega-fatty acid supplements and placebo on CV outcomes in eldelrly pts with recent MI
Dr Richard Alan John Asher was an eminent British hematologist and endocrinologist who died in April 1969. During his career, he wrote an essay titled, “Seven Sins of Medicine.” Drs. Paul Simmons and Keith Dickerson ruminate on this essay and how it still applies to the practice of medicine today.
Once-weekly treatment with insulin icodec had glucose-lowering efficacy and safety profile similar to those of once daily insulin glargine U100 in patients with type 2 diabetes
There is a lot of variability in terms of practice patterns when it comes to providing medical care for an out of hospital event. Keys to preparation include having a good understanding of the particular event logistics and anticipating potential injuries and medical complications.
There was not an increased risk of spinal hematoma complications in pts with coagulopathy
Remember when you learned the phrase “If you hear hoofbeats, think horses” to explain that usually the things we see are usual? What happens when those unusual things sneak in though? In this segment, Kris and Adrian review the Unexpected Killers segment and highlight their PA perspectives on thinking about these important “Do Not Miss” diagnoses! Like the diagnoses themselves, a do-not-miss segment.
In this Hippo Education bonus, Dr. Lisa Patel and Dr. Maya Ragavan discuss intimate partner violence (IPV) in the context of COVID-19. While data has focused on prevalence, they dive into how the pandemic has changed survivors’ experiences, access to resources, approach to safety planning, privacy concerns, and survivor resilience. They also discuss alternative means of counseling families for IPV in the setting of increased telehealth, where survivors may not be in a private place to disclose an abusive relationship.
In this installment of Hippo Education’s Race and Medicine series, Jay and Neda dive into some of the unique challenges facing Black medical students and residents. They also discuss solutions in both undergraduate and medical education with two experts in the field: Dr. Millard Collins, Chair of the Department of Family & Community Medicine at Meharry Medical College and Dr. Renee Crichlow, former Director of Advocacy and Policy in the Department of Family Medicine and Community Health at the University of Minnesota School of Medicine. She is currently the Chief Medical Officer of Codman Square Community Health Center and incoming Vice Chair of Health Equity at Boston University Department of Family Medicine.
Kris and Adrian continue their review of patient-oriented evidence to help you provide great care by doing less from the article called, “ Top POEMs of 2019 Consistent with the Principles of the Choosing Wisely Campaign from an online article from the American Academy of Family Practice, October 30, 2020.
What is the deal with amitriptyline? Is it a panacea? Or a pariah? PC RAP’s own Dr. Jay-Sheree Allen and Dr. Neda Frayha break it all down for us in this medication deep dive.
Antibiotics were not inferior to appendectomy at 90 days. 30% of the antibiotic group ended up having an appendectomy by 90 days.
How’s your toenail-removing game? If it needs a little practice, listen to this segment about onychocryptosis to help you proceed with confidence in the why and how of removing a toenail.
Computer games did not improve children's working memory at six months.
On average, 5,000 new medical articles are published every day. In this segment, Dr. Alan Ehrlich, Executive Editor of DynaMed, and Paul Simmons discuss some practical tips in staying current with the literature and applying it to our everyday practice.
Kappa? Lambda? SPEPs? MGUS? WTH? Hematologist Dr. Victoria Giffi walks us through a clear, helpful primer on this alphabet soup of immunoglobulins.
Use of palliative care was associated with less acute healthcare use and modestly lower symptom burden, but there was no significant difference in quality of life.
There are significant health disparities for men who have sex with men. In this enlightening segment, Drs. Matt Zeitler and Hayden Shafer discuss these disparities and how we can address them in our primary care practice.
Patients reported errors in medical documentation almost a quarter of the time, and half of those errors were deemed serious.
Can you picture attending a routine prenatal visit in a visit with other pregnant women? What does the literature say about this? Neda discusses group prenatal care with Ob/Gyn Dr. Sara Mazzoni.
When you are deciding to bill a level 99213 vs 99214, how comfortable are you with your documentation? How about billing for procedures? Paul dives deep into coding with Dr. Kim Yu in this segment, including the 2021 Medicare coding changes.
Among smokers recently diagnosed with cancer, sustained counseling and provision of free cessation medication resulted in higher six month quit rates.
Kris and Adrian review, reflect and share their takes on this month’s 2 part segment about the unique components of care for men who have sex with men.
We made it to 2021!!!! 2020 is behind us, but you can look forward to a great discussion with Adrian and Kris around using quality patient-oriented evidence that matters (POEMs) to change common practice patterns in primary care.
Among patients with heart failure, SGLT inhibitors improved rate of hospitalizations and decline in renal function regardless of diabetes status
Less is more! We were thrilled to learn about the JAMA Internal Medicine series highlighting which primary care services we can scale back on or do away with completely. In this month’s Primary Care RAP introduction, Neda and Paul begin breaking down some of these recommendations and how they’ll put them into practice. Happy new year!
Why are we so afraid of death? What is the vicarious death bed test, and what role does love play? How can we help our patients face death on their own terms, and how can we all live our best lives beforehand? We ask these questions and more of Dr. BJ Miller, a palliative care specialist with Mettle Health and co-author of A Beginner’s Guide to the End: Practical Advice for Living Life and Facing Death.
Early rhythm control therapy was associated with a lower risk of adverse cardiovascular outcomes than usual care among patients with early atrial fibrillation and cardiovascular conditions
PFTs? Easy as ABC! Pulmonologist Dr. Nirav Shah is back, this time walking Neda and Paul through pulmonary function tests in a super clear, straightforward way.
Time-restricted eating on its own is not more effective in weight loss than eating throughout the day.
It’s time for another installment of our fan-favorite “What’s That Lab?” series! This time, our own Paul Simmons answers a listener question about bilirubin.
Tattoos have become more and more common over the past decade. Besides regret, there are other cutaneous complications that clinicians should be aware of. Having a broad differential beyond simple bacterial infections can assist in making decisions on appropriate treatment and prompt referral to specialists when indicated.
Physicians at all training levels had deficiencies in EKG interpretation, even after education interventions.
Endocrinologist Dr. Rana Malek is back on Primary Care RAP, this time teaching Neda and Paul about the in’s and out’s of polycystic ovarian syndrome in her usual, chock-full-of-clinical-pearls way.
The COVID-19 pandemic has struck minority populations and populations of color most severely. One population hit particularly hard, but to little public notice, has been the Native American population in North America. Our own Paul Simmons and Dr. Matt Nelson, a family physician providing full-spectrum care to the Navajo population in Page, Arizona, discuss not only what Dr. Nelson has seen through the COVID-19 pandemic, but his perspective on the unique challenges and benefits of working with the Navajo population.
Among patients with recurrent CDI treatment with FMT, cure rates were high with minimal adverse effects.
Just when we all get accustomed to treating COVID-19, along comes Long Covid Syndrome to keep us on our toes. Some patients take months to recover and experience debilitating fatigue, dyspnea, and joint pains that have a huge impact on their quality of life. Neda and Paul answer a few listener questions about Long Covid Syndrome and what we know about it so far.
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