Egg Freezing and Genetic ScreeningFrom 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 OptionsFrom November 2018, Those Clots are So Superficial
A 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 BasicsFrom November 2018, Those Clots are So Superficial
Insulin 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 MistakesFrom 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
InfertilityFrom September 2018, Retrieve Those Filters
Infertility 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 ProblemsFrom August 2018, Good Samaritans
When 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 PregnancyFrom June 2018, A Hyperthyroid Fetus
When 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 DosingFrom February 2018, The Tragically Sore Hip
Vitamin 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 StatinFrom December 2017, Jingle, Jingle
The 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
Paperchase #4 - Weight and Metabolic Outcomes 12 Years after Gastric BypassFrom December 2017, Jingle, Jingle
This 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
Santa’s Health (Obesity, Soot Wart, Stress and OSA)From December 2017, Jingle, Jingle
Santa 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
I’m Deathly Tired….The Fatigue Work UpFrom 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
Thrombosis in Transgendered MedicineFrom September 2017, You Can Do It!!
Dr. Deloughery (The Delorean as I like to call him) is back, and this time he’s reviewing what we know about thrombosis risk in transgendered patients on hormone therapy. Transgendered medicine as a discipline has grown exponentially in the past decade, but the hematologic consequences are still …16min 8Tom Deloughery, MD and Heidi James, MD
Diabetes Meds 101From August 2017, Diabetes and Whispered Pectorilo….what???
There are no shortage of medications to choose from in the management of Type 2 diabetes! We review the pharmacologic classes with attention to their unique features and drawbacks. •24min 10Neil Skolnik, MD, Heidi James, MD, and Mizuho Morrison, DO
Paper Chase 5 - Bariatric Surgery versus Intensive Medical Therapy for DiabetesFrom May 2017, My Gut Biome Told Me So
Gastric by-pass surgery was superior to medical management in lowering A1C below 6.0 •4min 8Andrew Buelt, DO and Joe Weatherly, DO
Antipsychotic Side EffectsFrom April 2017, Antibiotics in the Lyme-Light
Antipsychotics are frequently used to treat mental health conditions. They are associated with several common side effects that primary care physicians needs to be family with. These include, metabolic syndrome, hyperprolactinemia, akathisia, acute dystonia, neuroleptic malignant syndrome …11min 31Shawn Hersevoort, MD, MPH and Rob Orman, MD
Paper Chase 2: Blood Glucose Test Strip Quantity-Limit PoliciesFrom March 2017, The Benzos & Fungus Among Us
Quantity limits for blood glucose test strips was not associated with worsening short-term outcomes, suggesting that these policies can reduce costs associated with test strips without causing patient harm. •4min 37Andrew Buelt, DO and Joe Weatherly, DO
Things I Do But Should I? Routine Urinalysis in PregnancyFrom March 2017, The Benzos & Fungus Among Us
Checking for proteinuria and glycosuria is standard of care in many institutions as a means to screen for pre-eclampsia and gestational diabetes. A review of the evidence suggests that we have other, much better screening tests (check blood pressure for pre-eclampsia and oral glucose tolerance …9min 7Vanessa Cardy, MD and Adrien Selim, MD
Vertebral Compression FracturesFrom March 2017, The Benzos & Fungus Among Us
Vertebral compression fractures are the most common osteoporotic fractures. They can be caused by low force activities, such as coughing, straining at stool, or as in this case, trying to open a frozen front door. Plain films are the diagnostic modality of choice, although CT and MRI may also be …23min 29Adrien Selim, MD and Joe Weatherly, DO
Paper Chase 1: Prediabetes with All-Cause and Cardiovascular MortalityFrom March 2017, The Benzos & Fungus Among Us
A diagnosis of pre-diabetes was weakly associated with increased risk of cardiovascular disease and all cause mortality. There are some flaws in the study that call these results into question. •6min 1Andrew Buelt, DO and Joe Weatherly, DO
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