Migraine Headache
From July 2019, Dude, Where's My DEA Number?Paul Simmons brings us another helpful, algorithmic approach to treating a common primary care condition - this time, migraines. Do you know the POUND mnemonic? Or a simple, 5-step approach to treating migraines? After listening to this piece, you will. •
23min 34Paul Simmons, MD and Neda Frayha, MD
Hospitalist Corner: Lightning Round
From June 2019, Does My Liver Look Fat?Our favorite hospitalist Dr. Maj Cina is back, this time with a lightning round of common inpatient scenarios and the latest evidence to support or refute our common practices in these situations, which span the fields of GI, ID, Pulmonology, and Nephrology. •
16min 22Majid Cina, MD and Neda Frayha, MD
Things I Do, But Should I? Codeine for Cough
From June 2019, Does My Liver Look Fat?Our Things I Do But Should I? duo brings us another great discussion on the use of oral codeine for acute cough. We tend to prescribe this for our patients at their wits’ end with cough, but should we? Listen to this segment to find out. •
8min 26Vanessa Gervais, MD and Adrien Selim, MD
Cannabis Use in Pregnancy
From June 2019, Does My Liver Look Fat?We probably know on a gut level that cannabis use in pregnancy is not ideal, but what do the data show? How can we quantify the risks and best advise our pregnant patients who may be regular cannabis users? In this segment, Dr. Erin Lurie sits down with Neda to review the specific risks of cannabis …
20min 10Erin Lurie, MD, CCFP and Neda Frayha, MD
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
TIDBSI: Doxycycline in Kids
From April 2019, A Maelstrom of Mail!Our Things I Do But Should I duo is on a myth-busting streak! In this segment, they explore whether or not we really need to avoid doxycycline for Lyme prophylaxis in kids under the age of 8.
8min 56Vanessa Gervais, MD and Adrien Selim, MD
Sepsis
From March 2019, A World of (Bladder) HurtTo discuss the epidemiology and identification of sepsis, identify areas of increased focus in sepsis management, discuss three recent large trials about early goal-directed therapy, and delineate how we may improve our processes of care. •
18min 56Tom Robertson, MD, Mizuho Morrison, DO, and Nirav Shah, MD
Pharmacologic Treatment of Alcohol Use Disorder
From March 2019, A World of (Bladder) HurtHow much do we really know about the pharmacologic treatment of alcohol use disorder? After this segment with Dr. Michael Baca-Atlas and our own Neda Frayha, the answer will be, a whole lot. •
16min 31Michael Baca Atlas, MD and Neda Frayha, MD
Aspirin: The Latest Literature
From March 2019, A World of (Bladder) HurtWhat is the deal with aspirin for primary prevention of cardiovascular disease? In this segment, Tom and Steve break down some of the most recent, headline-grabbing articles on this exact subject.
10min 27Steve Biederman, MD and Tom Robertson, MD
Alcohol Use Disorder: Emerging Therapies
From March 2019, A World of (Bladder) HurtHow much do we really know about the pharmacologic treatment of alcohol use disorder? After this segment with Dr. Michael Baca-Atlas and our own Neda Frayha, the answer will be, a whole lot.
9min 10Michael Baca Atlas, MD and Neda Frayha, MD
DOAC Reversal
From February 2019, Into Thin HairContinuing the recent discussion between Matt DeClerck and Dr. Tom Deloughery on the direct oral anticoagulants (DOACs), this month we bring you a segment on reversing these DOACs with Matt, Neda, and Dr. Tarlan Hedayati. What are the agents currently on the market, including the newest kid on the …
20min 52Tarlan Hedayati, MD, Neda Frayha, MD, and Matthieu DeClerck, MD
Starting OCPs
From February 2019, Into Thin HairListeners 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
PPI Deprescribing
From January 2019, Hello, New Year! Bye Bye, PPIs?When a listener asked us about the adverse effects of proton pump inhibitors and whether (and how) we should deprescribe these drugs, Neda and Rob jumped all over it. In this segment, they’ll review the major categories of adverse effects described in the literature and figure out what it all means.
14min 59Neda Frayha, MD and Rob Orman, MD
TIDBSI: OCP Myths
From 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
Gastroesophageal Reflux Disease
From January 2019, Hello, New Year! Bye Bye, PPIs?Miz and Jenny discuss current diagnosis, workup and management of GERD. Jenny highlights the step-up approach to treatment when lifestyle modifications alone are insufficient.
19min 28Mizuho Morrison, DO and Jenny Beck-Esmay, MD
ACE vs ARB
From December 2018, Clots and OCP'sAndrew Buelt has often wondered why clinicians are so quick to prescribe ACE inhibitors over ARBs. In this segment, he looks at the literature to investigate whether or not this is actual best practice.
10min 8Andrew Buelt, DO
Menopause Treatment Options
From November 2018, Those Clots are So SuperficialA 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
Things I Do But Should I: OCPs and Acne
From November 2018, Those Clots are So SuperficialWhen 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
Anticoagulation with the DOACs
From October 2018, My Pancreas is Necrosing!It’s time for Hematology Rounds with Dr. Tom DeLoughery! In this segment, he and our own Matt DeClerck review the indications for and potential benefits and pitfalls of the direct oral anticoagulants (DOACs).
31min 9Tom Deloughery, MD and Matthieu DeClerck, MD
Fluoroquinolones: Risks to Patients and Providers
From October 2018, My Pancreas is Necrosing!While widely prescribed, fluoroquinolones have been associated with a large number of adverse events and are the focus of multiple lawsuits against providers. • Currently there are FDA warnings regarding quinolone use and the risk of tendinitis, tendon rupture and peripheral neuropathy. More …
11min 30Matthew DeLaney, MD, FACEP, FAAEM
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