Diabetic NeuropathyFrom April 2020, More Listener Love
When 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
HyperprolactinemiaFrom March 2020, Mailbag March Madness
Hyperprolactinemia 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 DiabetesFrom December 2019, Anxious Adolescents
Although 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 ProgramsFrom 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 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 #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
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
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
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