Four healthily skeptical primary care physicians discuss the latest in primary care medicine. Join Essential Evidence Editor Mark Ebell MD, Rush University's Kate Rowland MD, MSU Professor of Medicine Gary Ferenchick MD, and POEMs co-founder Henry Barry MD, MS for this fast-paced weekly update on evidence-based primary care.
Episode 142: Tdap in pregnancy, atogepant for migraine, POCUS for SBO and gastroparesis
This week, join Kate, Mark, Henry and Gary (from his carport) as they discuss third trimester Tdap for prevention of infant pertussis, atogepant for preventing migraines, POCUS for diagnosing small bowel obstruction, and whether any medications work for treating gastroparesis
Episode 141: an app to reduce drinking, e-cigs to quit smoking, and does ADHD lead to substance use
This week, we give Henry the day off, leaving Kate, Mark and Gary to discuss a new app to reduce unhealthy alcohol use, whether e-cigarettes can help you quit smoking, and whether taking stimulant meds for ADHD increases the risk of substance use down the road. And the quiz, and a book recommendation ("A Voyage for Madmen").
Episode 140: Mg+ for CP, amox challenge, ACP guidelines, and carotid surgery
This week Kate, Mark, Gary and Henry discuss magnesium to prevent cerebral palsy, amoxicillin challenge in the primary care clinic for suspectec PCN non-allergy, new ACP guidance on colorectal cancer screening, and surgery for carotid disease.
Episode 139: U=U, tetracyclines and teeth staining, metformin to prevent long COVID and the best med for onychomycosis
This week, Kate, Mark, Gary and Henry discuss viral loads and risk of HIV transmission, tetracyclines and dental staining in kids, metformin to prevent long COVID in obese and overweight adults, and the effectiveness of terbinafine pulse therapy for ugly toenails
Episode 138: Deprescribing, meds for neuropsych symptoms in dementia, and lowering BP too much
While Mark is biking, Kate, Henry and Gary talk about a deprescribing intervention for older adults in the hospital, medications for managing neuropsychiatric symptoms in adults with dementia, and harms associated with aggressive BP lowering in hospitalized older adults.
Episode 137: amox/mono, hearing aids, stem cells for knee OA, and preventing T2DM
This week, Kate, Mark, Henry and Gary talk about whether amoxicillin really causes a rash in kids with mono, whether hearing aids improve cognition in the elderly, stem cell injections and knee OA, and nonpharmacologic approaches to preventing type 2 DM.
Great perspectives, love the humor
I’m a new listener but already a huge fan. The hosts are fantastic and I appreciate the approach—very well informed but realistic and pragmatic as far as what we can actually achieve in the primary care setting and staying focused on patient centered goals. Love the humor and skepticism/borderline mistrust of the medical establishment when discussing new drugs and trials. Highly recommend for primary care and family med providers.
Love the dynamics between the hosts and the studies they present. The sound is very poor with sometimes a lot of background noise but still great show, great EBM.
The best medical podcast
Good vibe amongst the Podcasters. I have always really struggled with evidence-based medicine, how to really understand the results of the study.