PCOS
From January 2021, Welcome, 2021!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.
27min 5Rana Malek, MD, Neda Frayha, MD, and Paul Simmons, MD
SGLT2 Inhibitors and GLP1 Agonists
From September 2020, LARCs and SPIKES and Cryo, Oh MyThe world of diabetes management has changed dramatically in the past several years. Given the new ADA guidelines and all the new literature on SGLT2 inhibitors and GLP1 receptor antagonists, endocrinologist Dr. Beth Lamos is back to help us understand how to use these drugs in practice.
26min 56Neda Frayha, MD and Elizabeth Lamos, MD
Continuous Glucose Monitors
From June 2020, Cause of Death?Are you an expert in continuous glucose monitors and how to use them? Great! Then you can teach us! If not, endocrinologist and friend of the podcast Dr. Beth Lamos is back to walk us through the indications for CGMs and practical ways to use them in our patients.
24min 25Elizabeth Lamos, MD and Paul Simmons, MD
Diabetic Neuropathy
From April 2020, More Listener LoveWhen 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. •
20min 17Neda Frayha, MD and Harpreet Tsui, DO
Hyperprolactinemia
From March 2020, Mailbag March MadnessHyperprolactinemia 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. •
18min 50Aisha Lofters, MD and Neda Frayha, MD
Gestational Diabetes
From December 2019, Anxious AdolescentsAlthough we typically think of gestational diabetes as an obstetric diagnosis, it has implications that can affect a woman even after her delivery. Miz and Neda sit down with Dr. Rana Malek to discuss gestational diabetes and what we need to know as primary care clinicians.
16min 7Rana Malek, MD, Mizuho Morrison, DO, and Neda Frayha, MD
The Skinny on Weight Loss Programs
From July 2019, Dude, Where's My DEA Number?When an international expert in obesity medicine is (a) a fun, great teacher and (b) happy to talk to Hippo about how we can help our patients lose weight effectively, we jump at the chance to interview her. In this segment, Dr. Kim Gudzune from Johns Hopkins University School of Medicine reviews …
8min 59Neda Frayha, MD, Matthew DeLaney, MD, FACEP, FAAEM, and Kimberly Gudzune, MD, MPH
Practical Diabetes Care: How Do I Order That?
From May 2019, This Mailbag is About to Rupture!Ever struggled with how to prescribe lancets, test strips, or insulin pen needles? Or wondered which syringe length or gauge to order? In this mind-blowingly practical, helpful segment, endocrinologist and clinician educator Dr. Rana Malek teaches Miz and Neda the basics of what to order for our …
25min 36Mizuho Morrison, DO, Neda Frayha, MD, and Rana Malek, MD
Egg Freezing and Genetic Screening
From January 2019, Hello, New Year! Bye Bye, PPIs?When we last heard from reproductive endocrinologist and fertility specialist Dr. Lauren Roth, she took us through the workup and treatment algorithm of patients with infertility. In this segment, Dr. Roth walks us through the basics of egg freezing and genetic screening.
7min 2Lauren Roth, MD and Neda Frayha, MD
Menopause Treatment Options
From November 2018, Those Clots are So SuperficialA listener asked for a review of menopause treatment options, especially given the controversial findings of the Women’s Health Initiative. So, in this segment, Drs. Molly Heublein and Neda Frayha discuss an evidence-based approach to the treatment of menopause symptoms.
21min 58Molly Heublein, MD and Neda Frayha, MD
Insulin Pump Basics
From November 2018, Those Clots are So SuperficialInsulin pumps are an amazing technological advancement that makes control of blood sugar so much more accurate and titratable. However when the gadget goes awry it is important to know what to do. Matt sits down with Ryan Pedigo MD to discuss troubleshooting the insulin pump when its not working …
16min 11Ryan Pedigo, MD and Matthieu DeClerck, MD
Hospitalist Corner: Common Diabetes Mistakes
From October 2018, My Pancreas is Necrosing!Managing diabetes in our inpatients can be fraught with error. Should we hold their oral home meds? What if they’re on a home insulin regimen? In this segment, hospitalist Majid Cina highlights the three big complications to avoid in inpatients with diabetes, current targets for blood glucose …
19min 38Maj Cina, MD and Neda Frayha, MD
Infertility
From September 2018, Retrieve Those FiltersInfertility affects 1 in 8 couples in the U.S., and patients often present first to their primary care providers. In this segment, reproductive endocrinologist and fertility specialist Dr. Lauren Roth takes us through the workup and treatment algorithm of patients with infertility, including …
20min 31Neda Frayha, MD and Lauren Roth, MD
Weight Gain in Middle Age: The Problems
From August 2018, Good SamaritansWhen a listener wrote in wondering how she can best advise her female patients in their 40s who gain weight for seemingly no reason, the PC RAP team jumped all over this request. Endocrinologist and weight loss specialist Dr. Ava Port reviews why weight creep happens in aging women, as well as …
18min 21Ava Port, MD and Neda Frayha, MD
Hyperthyroidism in Pregnancy
From June 2018, A Hyperthyroid FetusWhen Neda met a pregnant, hyperthyroid patient who was new to care, she developed palpitations of her own. In this conversation, Neda and Andrew go through which lab tests to order, how to interpret thyroid function tests in pregnancy, and how to treat depending on the trimester.
12min 29Neda Frayha, MD and Andrew Buelt, DO
Things I Do But Should I - Vitamin D Levels and Frequency of Dosing
From February 2018, The Tragically Sore HipVitamin D is a vitamin in flux, at least with regards to how much we should be recommending our patients take and the frequency with which they should take it. Vaness and Adrien sift through the evidence and conclude that weekly or monthly dose is adequate for most patients. They also remind us …
8min 33Adrien Selim, MD and Vanessa Cardy, MD
Paperchase #5 - Don't Bother Rechecking Lipids Once You Start That Statin
From December 2017, Jingle, JingleThe Objective of this study was to understand clinician rationale for ordering monitoring lipid panels among patients on statin therapy and to determine how often treatment changes occur as a result of testing. For their bottom line, Joe and Andrew conclude that most monitoring of lipid profiles …
4min 47Andrew Buelt, DO and Joe Weatherly, DO
Santa’s Health (Obesity, Soot Wart, Stress and OSA)
From December 2017, Jingle, JingleSanta Claus is not a healthy fellow! Andrew and Heidi stuff your stockings with brief updates on obesity, high sugar diets, soot wart, lung cancer screening, effect of long work hours, cardiovascular risks of stimulants and surgery for OSA.
12min 12Heidi James, MD and Andrew Buelt, DO
Paperchase #4 - Weight and Metabolic Outcomes 12 Years after Gastric Bypass
From December 2017, Jingle, JingleThis study found that at 12 years, the Roux-en-Y gastric bypass group had improved markers in diabetes, HTN, dyslipidemia compared to the nonsurgical treatment. •
4min 57Andrew Buelt, DO and Joe Weatherly, DO
I’m Deathly Tired….The Fatigue Work Up
From October 2017, It's Bloody Halloween!Fatigue is a very common symptom in primary care. Unfortunately, the cause is rarely found. Taking a thorough history and doing a physical exam may identity the cause of the fatigue or help direct further investigations. The differential is wide and encompasses many cardiovascular, respiratory …
22min 25Neda Frayha, MD and Heidi James, MD
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