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
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
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
Paper Chase 2: Semaglutide and Cardio Outcomes in Patients with Type 2 DiabetesFrom February 2017, Sweat Puddled, Brains Muddled
Semaglutide was found to be non-inferior to placebo in the secondary prevention of fatal and nonfatal MI or stroke in composite primary endpoints.4min 51Andrew Buelt, DO and Joe Weatherly, DO
HyperhidrosisFrom February 2017, Sweat Puddled, Brains Muddled
Hyperhidrosis is a common condition characterized by excessive sweating, most often occurring in the axilla. Treatment options include high concentration aluminum antiperspirants, botox injection, water iontophoresis, laser and surgery. •17min 40Heidi James, MD and Joe Weatherly, DO
Osteoporosis, Part 2From January 2017, Bones Lose Their Autonomy
Who should care about osteoporosis? Everybody. It affects 1 in 3 women and 1 in 5 men. Dr. Heidi James and Dr. Sylvie Ouellette discuss the evaluation and treatment of patients at risk for, and who have, osteoporosis.24min 4Heidi James, MD and Sylvie Ouellette, MD
Osteoporosis, Part 1From January 2017, Bones Lose Their Autonomy
Who should care about osteoporosis? Everybody. It affects 1 in 3 women and 1 in 5 men. Dr. Heidi James and Dr. Sylvie Ouellette discuss the evaluation and treatment of patients at risk for, and who have, osteoporosis. •17min 55Heidi James, MD and Sylvie Ouellette, MD
The Primary Care RAP Hot Sheet: December 2016From December 2016, The Primary Care RAP Hot Sheet: December 2016
Andrew and Heidi talk about medical marijuana legislation, new statin guidelines, and the diabetes drug that has everyone talking.5min 55Andrew Buelt, DO and Heidi James, MD
The Primary Care RAP Hot Sheet: November 2016From November 2016, The Primary Care RAP Hot Sheet: November 2016
This month, Andrew and Heidi scoured the web for all things fitness and diabetes related and found.6min 44Andrew Buelt, DO and Heidi James, MD
Hypogonadism Part 1: DiagnosisFrom March 2016, Where Has All The Testosterone Gone?
‘Low T’ by itself is not an indication for testosterone supplementation.17min 24Margaret Wierman, MD and Andrew Buelt, DO
Hypogonadism Pt 2: Initiating Treatment, Risks of Therapy, Monitoring PatientsFrom March 2016, Where Has All The Testosterone Gone?
Obese patients with low testosterone may get significant benefit from weight loss.19min 14Joe Weatherly, DO and Margaret Wierman, MD
Hypogonadism Part 3: Treatment SpecificsFrom March 2016, Where Has All The Testosterone Gone?
Review different modalities of testosterone delivery, testosterone monitoring, goal testosterone levels.11min 16Andrew Buelt, DO and Margaret Wierman, MD
Paper Chase 5 - Annual TSH Testing May be Unnecessary for Those on a Lower LevotFrom November 2015, There's a High Pressure System in the Lungs Today
Discuss findings from the recent article Pecina, Jennifer, Gregory M. Garrison, and Matthew E. Bernard. "Levothyroxine dosage is associated with stability of thyroid-stimulating hormone values." The American journal of medicine 127.3 (2014): 240-245. •6min 29Andrew Buelt, DO and Joe Weatherly, DO
The Transgender Child, Part 1From August 2015, Thinking About This Aneurysm is Keeping Me Awake!
To discuss the sensitive topic of transgenderism and how to best approach a child or family curious or concerned about transgenderism. What workup is recommended and when to refer to a specialist. •19min 58Lee Ann Conard, MD and Nick DeBlasio, MD
The Transgender Child, Part 2From August 2015, Thinking About This Aneurysm is Keeping Me Awake!
There are some big decisions to make with a transgender child.Puberty blockers? Hormone therapy? One thing that’s not a mystery is that acceptance is the most important aspect. Rejection can lead to horrible consequences.9min 20Lee Ann Conard, MD and Nick DeBlasio, MD
Diabetes: Selecting the MedicationFrom July 2015, Some Alcohol, Some Empathy, and a Little Restless Genital
Insulin is not the devil!20min 29Mel Herbert, MD and Anne Peters, MD