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Mailbag

Neda Frayha, MD and Paul Simmons, MD
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09:38
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Jared S. -

I am from Minnesota and would love to hear you guys touch on the New Nordic Diet as an alternative to the Mediterranean diet.

Neda F., MD -

Mmmm, sounds delicious! We'll add this to our list of mailbag requests. Thanks for writing, Jared. -- Neda

Hannah S., APRN.CNP -

I would like to have a lecture on ordering tests (when to order, how to order, what kind), interpreting test results (weeding through all the incidental findings and knowing what is truly significant, and how/when to follow up on those test results. I am a new NP and am really struggling with knowing if I am over/under ordering diagnostics and then getting those results back from radiology and knowing what the heck to do about it? Just yesterday I ordered a simple chest x-ray to rule out pneumonia and got back the results of cardiogenic fat and opacities. I have no clue what cardiogenic fat is? I am assuming this is not significant but I dont want to ignore that and be wrong. Should I have even ordered this in the first place and just treated the patient empirically?
I also struggle with PET scans and EMGs. Knowing when to order these.
Also, there are several different kinds of x-rays/CTs/MRIs for certain conditions. For example which views to get for X-rays and how finely to get slices for CT scans.

Neda F., MD -

Hi Hannah. Thanks so much for writing in. There is a lot here! Ordering and interpreting diagnostics is a huge part of what we do. We'll do our best to add individual components of your request to the listener mailbag. Wishing you lots of luck in your new role. -- Neda

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Are We Better in the Morning? Full episode audio for MD edition 188:54 min - 88 MB - M4APrimary Care RAP September 2019 Written Summary 580 KB - PDF