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All Roads Lead to Cheese Fries

Travel Medicine

Rob Orman, MD and Dave Bauer, MD
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27:56
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Tags travel medicine · vaccinations

You’re going where to do what? Take a listen to Dr. Bauer and Dr. Orman as they drop some pearls of wisdom on the topic of travel medicine and how to help your patients stay safe in the wild.

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Mel H. -

Note to self... get travel insurance!

gmete -

Very thought provoking episode. Been advising patients on travel for years but usually just on travel meds. I'm gonna tweak my counseling now.

Eric S. -

Any recommandations for the strength of the graduated compression stockings? Is 20-30mmHg sufficient or do we need to go to 30-40mmHg?

Rob O., MD -

Hi Eric, I don't know of any head to head trials comparing efficacy of different stocking pressures. The LONFLIT4 trial used 14-17mm Hg and 20-30mm Hg stockings, LONFLIT2 used 25mm Hg. From what I've seen, 20-30 should be sufficient. Would 30-40 be better? Unknown.
Here is a link to a Cochrane Review on the topic.
http://www.sigvariscares.com/ftp/MedArts/Art28.pdf

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All Roads Lead to Cheese Fries Full episode audio for MD edition 220:38 min - 104 MB - M4AHippo Primary Care RAP August 2014 Written Summary 559 KB - PDF