Neonatal Abstinence SyndromeFrom July 2020, The Certainty of Uncertainty
How much do you know about Neonatal Abstinence Syndrome? Whether you work in hospital medicine or in the clinic, it’s important to be aware of the risks of substances on neonates and understand what happens after they’re born. In this segment, Dr. Michael Baca-Atlas and Dr. Matt Zeitler take a deep …18min 16Michael Baca Atlas, MD and Matthew Zeitler, MD
Medications in BreastfeedingFrom June 2020, Cause of Death?
Are you stumped by prescribing medications to nursing mothers? Do you know about pumping and dumping? Neda sits down with Dr. Elizabeth Lavery to discuss the use of medications in breastfeeding women so we can feel empowered to prescribe in this population. •17min 46Elizabeth Lavery, MD and Neda Frayha, MD
The Breast ExamFrom May 2020, Pain in the You-Know-Where
We’ve been discussing breast health and breast cancer screening recently on PC RAP, but haven’t touched on the physical exam yet. In this segment, Dr. Rebecca Zendel Berliner walks us through how to perform a complete history and physical exam for a breast complaint. •21min 49Rebecca Zendel Berliner, MD, and Neda Frayha, MD
Alcohol Use in PregnancyFrom May 2020, Pain in the You-Know-Where
When PC RAP listener David wrote to us that he has seen more of his patients using alcohol in pregnancy, our own Michael Baca-Atlas put on his addiction medicine hat to review research and recommendations regarding alcohol use in pregnancy. •9min 44Michael Baca-Atlas, MD
Pre/Post Menopausal Vaginal BleedingFrom April 2020, More Listener Love
Vaginal bleeding - an Ob/Gyn concern, right? Not so fast. Turns out, we can handle quite a bit of this in primary care. Neda and Dr. Megan Jones dive into diagnosis and management of bleeding in both the pre and post-menopausal woman. •18min 48Megan Jones, MD and Neda Frayha, MD
Cholestasis of PregnancyFrom January 2020, Weird and Wacky Wounds
Itching is a common complaint in pregnancy. When do we need to worry about cholestasis of pregnancy when a pregnant woman complains of itching? Neda sits down with our newest PC Rap contributor, Dr. Matthew Zeitler, to scratch the surface of the most common pregnancy-specific liver disease.20min 45Matthew Zeitler, 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
Peripartum CardiomyopathyFrom November 2019, Just Say No To Teratogens
Peripartum cardiomyopathy accounts for 10% of maternal deaths in the United States. How do we know when to suspect it? How do we manage it? Regular contributor Michael Baca-Atlas sits down with Neda for a primer on all things PPCM. •18min 48Michael Baca-Atlas, MD and Neda Frayha, MD
Meds in PregnancyFrom November 2019, Just Say No To Teratogens
Which meds are safe for a pregnant woman to take when she has a migraine? Upper respiratory tract infection? Back pain? Our listener Cassie asked, and Paul and Neda answer in the introduction to this month’s Primary Care RAP. •12min 55Neda Frayha, MD and Paul Simmons, MD
Chronic Pelvic PainFrom August 2019, Primary Care Gets Some Love
Usually the words “chronic” and “pain” together can feel defeating. Especially when it’s an entity that’s been as poorly understood as chronic pelvic pain. Aisha and Neda are here to shed light on this pain syndrome and provide us with management tips and tricks to help our patients. •15min 17Aisha Lofters, MD and Neda Frayha, MD
First Trimester BleedingFrom July 2019, Dude, Where's My DEA Number?
Vaginal bleeding in the first trimester of pregnancy is one of those topics that seems straightforward but is actually pretty complex. Dr. Jenny Beck-Esmay speaks with our own Dr. Neda Frayha about how to approach first-trimester bleeding in a logical, organized, evidence-based way that’s easy to …28min 14Jenny Beck-Esmay, MD and Neda Frayha, MD
OB PotpourriFrom May 2019, This Mailbag is About to Rupture!
General practitioners manage a wide variety of OB questions and concerns from their patients. In this segment, Dr. Megan Jones and Neda Frayha tackle a potpourri of OB topics for the general practitioner: vaginal bleeding in the pregnant patient, nausea and vomiting in pregnancy, management pearls …19min 7Megan Jones, MD and Neda Frayha, MD
Starting OCPsFrom February 2019, Into Thin Hair
Listeners have been asking for lots of segments on oral contraceptive pills, especially on how to choose an agent when prescribing OCPs to a patient for the first time. In this segment, Molly and Neda build on our Things I Do But Should I duo’s recent OCP myth-busting and go through a systematic …18min 5Molly Heublein, MD and Neda Frayha, 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
TIDBSI: OCP MythsFrom January 2019, Hello, New Year! Bye Bye, PPIs?
In this Things I Do But Should I segment, Adrien and Vanessa tackle some commonly held misconceptions about oral contraceptive pills. It’s one segment of an ongoing series on OCPs, inspired by questions from our listeners.17min 41Vanessa Gervais, MD and Adrien Selim, MD
Hypertensive Disorders of PregnancyFrom December 2018, Clots and OCP's
There are four main types of hypertensive disorders in pregnancy, and there are nuances to how each should be managed differently. In this segment, Drs. Megan Jones and Neda Frayha walk us through these four categories, how to tell them apart from one another and how to manage them, including when …20min 55Megan Jones, MD and Neda Frayha, MD
Clots and OCPsFrom December 2018, Clots and OCP's
Our listeners are always asking for more Hematology content. They are also always asking for more Ob/Gyn content! In this segment, Neda and Rob address the two together with a few cases featuring both hypercoagulability and contraception.10min 23Rob Orman, MD and Neda Frayha, MD
Things I Do But Should I: OCPs and AcneFrom November 2018, Those Clots are So Superficial
When a patient needs an oral contraceptive pill AND happens to have acne, which pill should we prescribe? Are any particular OCPs better than others? In this installment of Things I Do But Should I, Drs. Adrien Selim and Vanessa Gervais walk us through the OCP management of contraception and acne.8min 22Adrien Selim, MD and Vanessa Gervais, 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
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
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