IBD in Primary CareFrom June 2019, Does My Liver Look Fat?
In this segment, Dr. Sandra Quezada teaches Tom and Neda about the importance of specific health maintenance components in the care of patients with inflammatory bowel disease. We primary care providers can feel empowered to take great care of these patients without sending them back to their …21min 11Sandra Quezada, MD, Tom Robertson, MD, and Neda Frayha, MD
Small Intestinal Bacterial Overgrowth - SIBOFrom August 2017, Diabetes and Whispered Pectorilo….what???
The small bowel is usually home to small amounts of bacteria. SIBO is characterized by a profusion of bacteria which can lead to bloating, diarrhea, abdominal pain and malabsorption, among other symptoms. It’s associated with various medical conditions and anatomical anomalies. While it’s diagnosis …15min 36Vanessa Cardy, MD and Heidi James, MD
Paper Chase 1 - PPI Predicts Heart Failure in Patients with CADFrom May 2017, My Gut Biome Told Me So
In this study, PPI use was associated with a higher risk of CHF and death, but not ischemia. Further research is needed to clarify this relationship.6min 3Andrew Buelt, DO and Joe Weatherly, DO
Gut BiomeFrom May 2017, My Gut Biome Told Me So
Brandon brings us interesting research showing the bacteria that colonize our bowels may be big players in everything from our dietary preferences to autoimmune diseases and beyond. Increased levels of pro-inflammatory bacteria have been found in patients with chronic fatigue syndrome …13min 21Brandon Grove, MD and Heidi James, MD
Non-Celiac Gluten Sensitivity: It’s a Thing?From May 2017, My Gut Biome Told Me So
Non-celiac gluten sensitivity (NCGS) is a controversial emerging clinical entity. Individuals without celiac disease or wheat allergy can describe IBS-like gastrointestinal symptoms as well as other manifestations like brain fog when they consume gluten containing foods. While the …15min 16Heidi James, MD, Robert Berger, MD, and Vanessa Cardy, MD
No Gluten for You! Celiac Disease Primer, Part 1From April 2017, Antibiotics in the Lyme-Light
Celiac disease is an autoimmune condition which affects roughly 1% of the population. Diagnosis is made through a combination of clinical suspicion, laboratory testing, and duodenal biopsy. Treatment is a gluten-free diet. Patients with celiac disease are at higher risk for other autoimmune …17min 54Robert Berger, MD and Heidi James, MD
No Gluten for You! Celiac Disease Primer, Part 2From April 2017, Antibiotics in the Lyme-Light
Celiac disease is an autoimmune condition which affects roughly 1% of the population. Diagnosis is made through a combination of clinical suspicion, laboratory testing, and duodenal biopsy. Treatment is a gluten-free diet. Patients with celiac disease are at higher risk for other autoimmune …12min 24Heidi James, MD and Robert Berger, MD
HemorrhoidsFrom January 2017, Bones Lose Their Autonomy
Hemorrhoids are common. As Casey Parker reviews, the generally respond well to conservative management, but sometimes a visit to the local general surgeon is in order. •24min 53Casey Parker, MD and Joe Weatherly, DO
Colon Cancer Screening: The Guidelines and ControversyFrom November 2016, Aspirin Loses Its Tenure
When it comes to colon cancer screening, colonoscopy isn't the only answer. The best test most patients is the one they are most likely to have completed. •10min 8Dave Sharkis, MD
Colon Cancer Screening: The BasicsFrom November 2016, Aspirin Loses Its Tenure
The Shark gives a primer on different colon cancer screening tests.11min 11Dave Sharkis, MD
Things I do But Should I: Fecal Occult Blood TestingFrom October 2016, Running Toward Longevity
Discuss evidence based dietary and medication restrictions prior to fecal occult blood testing, based on the article by Konrad, Gerald, and Alan Katz. "Are medication restrictions before FOBT necessary? Practical advice based on a systematic review of the literature." Canadian Family Physician 58.9 …13min 15Vanessa Cardy, MD and Adrien Selim, MD
Paperchase 1: Drug Choices for Painful Diabetic NeuropathyFrom September 2016, Best Weight, Best Exercise!
•5min 2Andrew Buelt, DO and Joe Weatherly, DO
Things I Do, But Should I? NSAIDS for Biliary ColicFrom August 2016, Feeling Restless
Prescribing patterns vary widely among providers when it comes to managing biliary colic. Opiates are often the first line, but NSAIDS are a viable alternative. •5min 58Vanessa Cardy, MD and Adrien Selim, MD
Palliative Care: Management of VomitingFrom August 2016, Feeling Restless
It’s not just cancer patients who suffer from nausea and vomiting. CHF, chronic kidney disease, and AIDS patients can also have it (to name a few). •20min 26Vanessa Cardy, MD
Paper Chase 1: PPI’s and Increased Risk of Dementia, It’s Far-Fetched.From June 2016, C Diff Shows No Mercy!
Discuss findings from the recent study by Gomm, Willy, et al. "Association of Proton Pump Inhibitors With Risk of Dementia: A Pharmacoepidemiological Claims Data Analysis." JAMA neurology (2016).6min 36Andrew Buelt, DO and Joe Weatherly, DO
Clostridium DifficileFrom June 2016, C Diff Shows No Mercy!
Heidi James sits down with infectious disease specialist Dan Smythe to break down C Diff infection: Are some antibiotics worse than others when it comes to causing C Diff? What’s the ideal first line treatment? How often do patients relapse?24min 21Heidi James, MD and Dan Smyth, MD
Groin Hernia: Part 1From April 2016, Hernias and Ovaries
Discuss diagnosis and management of inguinal and “sports” hernias.17min 28Paul Goobie, MD and Heidi James, MD
Groin Hernia: Part 2From April 2016, Hernias and Ovaries
Part 2 of our talk on the diagnosis and management of inguinal and “sports” hernias with Heidi James and Paul Goobie. •10min 58Heidi James, MD and Paul Goobie, MD
Introduction: Functional DyspepsiaFrom February 2016, The Allergy That Isn't and the B-12 That Is
Have you ever gone a week in clinic without seeing a patient with dyspepsia? Some have true structural disease like peptic ulcers or even cancer. Most, however, will end up with no discernible cause of their symptoms and end up with the diagnosis of ‘functional dyspepsia’. In this segment, we …12min 51Rob Orman, MD and Andrew Buelt, DO
Paper Chase 5: Yet Another Reason to Limit PPI PrescriptionFrom February 2016, The Allergy That Isn't and the B-12 That Is
In patients treated with clopidogrel after successful drug-eluting stents implantation, the concomitant administration of PPI was associated with high platelet reactivity and a greater rate of adverse outcomes during long-term follow-up. •7min 8Andrew Buelt, DO and Joe Weatherly, DO
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