Public Health and Pandemics
Welcome to the September 2021 Edition of Primary Care RAP! This month, we grab a box of tissues as we discuss those pesky seasonal allergies, we look at the bigger picture of being a county health officer during a pandemic, Neda and Matt talk about Parvo B19 in the family, we chase some papers, and much more. Let’s get started.
T21, All Grown Up
Welcome to the August 2021 Edition of Primary Care RAP! This month, we head into the lab with Paul to talk about CO2, discuss deadly drug combinations, dig into advanced care planning, chase some papers, and much more. Let’s get started.
New Groundbreaking AAP Guidelines for Managing Fever in Young Infants 8-60 Days
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.
Welcome to the July 2021 Edition of Primary Care RAP! This month, we work on our tans and talk about proper sun care, we discuss alternatives to opioids prescribed in the primary care office, chase some papers, and much more. Let’s get started.
Welcome to the June 2021 Edition of Primary Care RAP! This month, we discuss the top 10 things we should stop doing in the Primary Care, learn how to respond to inappropriate patient requests, chase some papers, and much more. Let’s get started.
Post COVID Return to Play in Pediatric Patients
Reports of long term health issues after COVID infection have raised concerns about when it is safe to return to participate in sports after COVID infection. Cardiology, sports medicine, and pediatric societies have provided guidance to guide health care professionals in advising their patients in regard to return to play issues. In this Hippo segment, sports medicine expert Dr. Tracy Zaslow and pediatric emergency medicine physician Dr. Janet Semple-Hess review all there is to know about Post-COVID Return to Play.
PECARN Pie for PCPs
Welcome to the May 2021 Edition of Primary Care RAP! This month, we grab a slice of PECARN pie with a two-part segment on Infant fevers, talk about new drugs of abuse, and discuss the importance of cancer screenings in the era of covid. Let’s get started.
COVID Vaccine Safety in Pregnancy
In this Hippo Education bonus, Dr. Rob Orman digs into the data just published regarding mRNA vaccine safety in pregnant patients, and what it means for our patients. He also reviews data just published looking at the effect of COVID on maternal and neonatal morbidity and mortality among pregnant women.
Long Covid / Post Acute Sequelae of SARS Co-V 2 (PASC)
Covid isn’t going anywhere. And neither is Long Covid, or as it’s now called, Post-Acute Sequelae of SARS-CoV-2, or PASC. We sit down with pulmonologist, critical care physician, and emerging PASC expert Dr. Andi Levine from the University of Maryland School of Medicine to learn all about this challenging syndrome and how front-line clinicians can best approach its workup and treatment.
The Story Behind COVID Vaccines and Brain Blood Clots
The news this week has been replete with stories about increased clot risk in those who have received the AstraZeneca and Johnson & Johnson COVID-19 vaccines. In this episode, we break down: what we know so far about vaccine induced thrombotic thrombocytopenia (VITT), the research that has revealed an underlying mechanism, CDC and NHS recommendations, and a primer on cerebral venous thrombosis -- the primary clot site associated with VITT.
Becoming Trauma Informed
Welcome to the April 2021 Edition of Primary Care RAP! This month, we help you proceed with confidence with local anesthesia, explore how to deliver trauma informed care, and perfect the art of patient handoffs. Let’s get started!
COVID-19 and School Reopening Update
In this Hippo Education bonus, Lisa Patel, MD, sits down with Jeanne Noble, MD, Associate Professor of Emergency Medicine and Director of COVID Response at UCSF Parnassus, to discuss the clinical data and updated CDC guidelines regarding school reopening during COVID, from in-school transmission rates, vaccines, and mental health issues. Lisa also interviews Itoco Garcia, Ed.D, Superintendent of Sausalito Marin City School District, on how his schools safely reopened during the pandemic.
Race Based Medicine
Have you ever wondered why there’s a Black and Non Black eGFR for our patients or why is race even a factor in pulmonary function tests? Dr. Jay-Sheree Allen and Dr. Neda Frayha discuss the use of race in clinical decision making tools. Think calculators, algorithms, where you insert your patient’s demographic data - including race - and the outcome disparities depending on what data you put in.
Welcome to the March 2021 Edition of Primary Care RAP! This month, we talk through our game bags, Talk about Gabapentinoids with Molly Heublein, Find out who the primary care killers really are, and much more. Let’s get started
COVID-19 and Intimate Partner Violence
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.
Race and Medical Education
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.
Are You Keeping Up?
Welcome to the February 2021 Edition of Primary Care RAP! This month, we jump feet first into a segment on toenail removal, stay up to date on new medical articles with Dr. Alan Ehrlich, learn how to get paid, and much more. Let’s get started
Welcome to the January 2021 edition of Primary Care RAP! This month, we discuss ways that less can be more in your practice, get stuck on tattoo complications, chat about how Long Covid Syndrome is affecting patients, and much more. Let's get started!