))
Primary Care RAP is an irresistible monthly podcast full of audio CME, presentations, reviews and perspectives. Get started today with some free CME.
Less is more! We were thrilled to learn about the JAMA Internal Medicine series highlighting which primary care services we can scale back on or do away with completely. In this month’s Primary Care RAP introduction, Neda and Paul begin breaking down some of these recommendations and how they’ll … Neda Frayha, MD • Paul Simmons, MD…
P
Primary Care RAP for Eric Huynh
1
The Big Picture: Facing Death with Dr. BJ Miller
25:22
25:22
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
25:22
Why are we so afraid of death? What is the vicarious death bed test, and what role does love play? How can we help our patients face death on their own terms, and how can we all live our best lives beforehand? We ask these questions and more of Dr. BJ Miller, a palliative care specialist with … BJ Miller MD • Neda Frayha, MD…
P
Primary Care RAP for Eric Huynh
1
Paper Chase #1 - CV and Renal Outcomes with Empagliflozin in Heart Failure
7:35
7:35
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
7:35
Among patients with heart failure, SGLT inhibitors improved rate of hospitalizations and decline in renal function regardless of diabetes status Steve Biederman, MD • Tom Robertson, MD
PFTs? Easy as ABC! Pulmonologist Dr. Nirav Shah is back, this time walking Neda and Paul through pulmonary function tests in a super clear, straightforward way. Neda Frayha, MD • Nirav Shah, MD • Paul Simmons, MD
PFTs? Easy as ABC! Pulmonologist Dr. Nirav Shah is back, this time walking Neda and Paul through pulmonary function tests in a super clear, straightforward way. Neda Frayha, MD • Nirav Shah, MD • Paul Simmons, MD
P
Primary Care RAP for Eric Huynh
1
Paper Chase #2 - Early Rhythm-Control Therapy in Patients with A-Fib
7:22
7:22
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
7:22
Early rhythm control therapy was associated with a lower risk of adverse cardiovascular outcomes than usual care among patients with early atrial fibrillation and cardiovascular conditions Steve Biederman, MD • Tom Robertson, MD
It’s time for another installment of our fan-favorite “What’s That Lab?” series! This time, our own Paul Simmons answers a listener question about bilirubin. Paul Simmons, MD
P
Primary Care RAP for Eric Huynh
1
Paper Chase #3 - Time Restricted Eating on Weight Loss
5:58
5:58
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
5:58
Time-restricted eating on its own is not more effective in weight loss than eating throughout the day. Steve Biederman, MD • Tom Robertson, MD
Tattoos have become more and more common over the past decade. Besides regret, there are other cutaneous complications that clinicians should be aware of. Having a broad differential beyond simple bacterial infections can assist in making decisions on appropriate treatment and prompt referral to … Brittney DeClerck, MD • Matthew DeLaney, MD, FACEP,…
P
Primary Care RAP for Eric Huynh
1
Paper Chase #4 - Physician EKG Interpretation Accuracy
5:57
5:57
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
5:57
Physicians at all training levels had deficiencies in EKG interpretation, even after education interventions. Steve Biederman, MD • Tom Robertson, MD
Endocrinologist Dr. Rana Malek is back on Primary Care RAP, this time teaching Neda and Paul about the in’s and out’s of polycystic ovarian syndrome in her usual, chock-full-of-clinical-pearls way. Neda Frayha, MD • Paul Simmons, MD • Rana Malek MD
The COVID-19 pandemic has struck minority populations and populations of color most severely. One population hit particularly hard, but to little public notice, has been the Native American population in North America. Our own Paul Simmons and Dr. Matt Nelson, a family physician providing … Matthew Nelson, DO, MPH • Paul Simmons, MD…
P
Primary Care RAP for Eric Huynh
1
Paper Chase #5 - Fecal Microbiota Transplantation
6:22
6:22
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
6:22
Among patients with recurrent CDI treatment with FMT, cure rates were high with minimal adverse effects. Steve Biederman, MD • Tom Robertson, MD
Just when we all get accustomed to treating COVID-19, along comes Long Covid Syndrome to keep us on our toes. Some patients take months to recover and experience debilitating fatigue, dyspnea, and joint pains that have a huge impact on their quality of life. Neda and Paul answer a few listener … Neda Frayha, MD • Paul Simmons, MD…
P
Primary Care RAP for Eric Huynh
1
What’s That Lab? COVID-19 Labs Special Edition!
20:35
20:35
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
20:35
In this Hippo Education bonus, Dr. Paul Simmons and Dr. Jay-Sheree Allen sit down to discuss what lab studies are recommended on admission of a COVID patient to the hospital, which labs are followed daily, and how they’re best used. Jay-Sheree Allen, MD • Paul Simmons, MD
Do you know how eczema may look different on skin of color compared to light skin? How about psoriasis? Or melanoma? Why do our dermatology lectures feature rashes and skin cancers on light skin only? Dr. Jenna Lester, the dermatologist at UCSF and the founder and director of UCSF’s Skin of Color … Jay-Sheree Allen, MD • Jenna Lester, MD • Neda Fra…
P
Primary Care RAP for Eric Huynh
1
FAQs with an ID expert on COVID mRNA Vaccines
21:35
21:35
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
21:35
In this Hippo Education bonus, Dr. Matthieu DeClerck and Dr. Manie Beheshti, an infectious disease specialist, answer common questions that clinicians have regarding the new mRNA vaccine, including how mRNA vaccines work, concerns about what we know and don’t know, and how to best approach patients. Manie Beheshti, MD • Matthieu DeClerck, MD…
P
Primary Care RAP for Eric Huynh
1
Being a Clinician and Parent in the Time of Covid-19
29:08
29:08
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
29:08
Raising kids while working as front-line clinicians in the Covid-19 pandemic has introduced unprecedented challenges to our lives. Dr. Jason Liebzeit and Primary Care RAP host Dr. Neda Frayha sit down for some real talk on being caregivers as well as clinicians in the time of Covid-19, including … Jason Liebzeit, MD, FACEP • Neda Frayha, MD…
At the end of this weird, wearisome 2020, Neda invites senior Family Medicine resident and Instagram phenom, Dr. Aleah Thompson, to join her for a meta-discussion of how to find the right PCP. Helpful for friends, family, neighbors, and maybe even ourselves. Aleah Thompson, MD • Neda Frayha, MD
P
Primary Care RAP for Eric Huynh
1
Paper Chase #1: CV Risk Reduction with Icosapent Ethyl
8:31
8:31
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
8:31
Among patients with elevated triglycerides despite statin use, risk of ischemic events while on icosapent ethyl was significantly lower compared to placebo. However, it was not significant when looking only at the subgroup taking it for primary prevention. Steve Biederman, MD • Tom Robertson, MD
Lice are a common infestation, especially in pediatric patients. Thankfully, treatment is often very straight forward and successful. The key to diagnosis is inspection for live louse, nits, and eggs. First line treatment includes wet combing, topical pediculicides, or shaving of hair. Second line … Brittney DeClerck, MD • Matthieu DeClerck, MD • M…
Hospitalist Corner Lightning Round is back! This time Dr. Maj Cina drops knowledge on 4 common inpatient scenarios in the arena of infectious diseases. Maj Cina, MD • Matthew DeLaney, MD, FACEP, FAAEM • Neda Frayha, MD
P
Primary Care RAP for Eric Huynh
1
Paper Chase #2: Effect of Icosapent Ethyl on CAD in Patients on Statins
6:32
6:32
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
6:32
Icosapent ethyl showed a significant reduction in coronary plaque size and improved stability compared with placebo. Steve Biederman, MD • Tom Robertson, MD
P
Primary Care RAP for Eric Huynh
1
Bariatric Surgery for the PCP: Part 1
15:45
15:45
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
15:45
How comfortable are you with recommending bariatric surgery to your patients? How about caring for your patients who have had bariatric surgery? In this segment, Neda has an in-depth discussion about all things bariatric surgery with Dr. Arghavan Salles, bariatric surgeon and physician author … Arghavan Salles, MD, PhD • Neda Frayha, MD…
P
Primary Care RAP for Eric Huynh
1
Bariatric Surgery for the PCP: Part 2
14:35
14:35
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
14:35
How comfortable are you with recommending bariatric surgery to your patients? How about caring for your patients who have had bariatric surgery? In this segment, Neda has an in-depth discussion about all things bariatric surgery with Dr. Arghavan Salles, bariatric surgeon and physician author … Arghavan Salles, MD, PhD • Neda Frayha, MD…
P
Primary Care RAP for Eric Huynh
1
Paper Chase #3: Childhood Adversity and Mortality in Early Adulthood
8:37
8:37
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
8:37
Almost half of the children in the study experienced some degree of adversity, and this was associated with a moderately higher risk of mortality in adulthood. Steve Biederman, MD • Tom Robertson, MD
Does it make you dizzy to hear a complaint of dizziness? Here, Michael Baca-Atlas will break down dizziness in the older adult with Family Medicine residency program director and expert in geriatrics, Dr. Mallory McClester Brown. We hope it helps your head stop spinning! Mallory McClester Brown, MD • Michael Baca-Atlas, MD…
Most women experience high rates of satisfaction with IUD as a form of contraception. There are reasons, however, that women may want to have an IUD removed prior to the recommended time. Dr. Molly Heublin, our resident women’s health expert, takes us through reasons for removal as well as some … Molly Heublein, MD…
P
Primary Care RAP for Eric Huynh
1
Paper Chase #4: Iron Deficiency After Bariatric Surgery
6:40
6:40
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
6:40
Iron deficiency anemia requiring intravenous iron is a delayed consequence of bariatric surgery. Young age, anemia, and low ferritin before surgery are associated with an increased risk of iron deficiency anemia during follow-up. Steve Biederman, MD • Tom Robertson, MD
In April 2018, we discussed whether or not we should become Facebook friends with our patients. A lot has changed in the world of social media since that episode; Neda and Jay-Sheree Allen update the discussion and share thoughts about this potentially useful tool. Jay-Sheree Allen, MD • Neda Frayha, MD…
P
Primary Care RAP for Eric Huynh
1
Paper Chase #5: Vitamin D Supplementation and Depression
6:53
6:53
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
6:53
Treatment with vitamin D3 did NOT result in statistically significant difference in the incidence and recurrence of depression. Steve Biederman, MD • Tom Robertson, MD
Aleah Thompson, MD • Neda Frayha, MD
P
Primary Care RAP for Eric Huynh
1
Racial Disparities in COVID-19 Outcomes with Dr. Jasmine Marcelin
24:06
24:06
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
24:06
This year we’ve launched two special audio series to help clinicians practice the best medicine possible: one on the Covid-19 pandemic, and the other on dismantling systemic racism in medicine. In this special conversation, these two audio series come together for an in-depth view of racial … Jasmine R. Marcelin, MD, FACP • Jay-Sheree Allen, MD • N…
Constipation can be a tricky thing to both diagnose and treat. In this month’s intro segment, Neda and Aisha discuss the work up and management of this common complaint. Aisha Lofters, MD • Neda Frayha, MD
Do you have a super amazing approach to patients with joint complaints? If not, you will after listening to this practical conversation between Neda and Dr. Uzma Haque, a rheumatologist and arthritis expert at Johns Hopkins. Neda Frayha, MD • Uzma Haque MD
P
Primary Care RAP for Eric Huynh
1
Paper Chase #1 - Preventing Serious Fall Injuries
6:38
6:38
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
6:38
There was no significantly lower rate of serious fall injury. Steve Biederman, MD • Tom Robertson, MD
COPD can be a big, unwieldy topic in primary care. Thank goodness we have pulmonologist Dr. Kathryn Robinett to walk us through a practical, real world approach to the evaluation, classification, and management of COPD in our primary care practices. Spoiler alert: it’s not always about the Gold … Kathryn Robinett, MD • Paul Simmons, MD…
For most of us, people over the age of 65 make up a huge portion of the patients we see and the energy we pour into clinical care. And yet most of us receive woefully inadequate training to provide the best care for these patients and to overcome structural, systemic biases against the elderly. In … Louise Aronson MD MFA • Neda Frayha, MD…
P
Primary Care RAP for Eric Huynh
1
Paper Chase #2 - Compression Therapy to Prevent Recurrent Cellulitis
6:30
6:30
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
6:30
Compression therapy resulted in lower incidence of recurrent cellulitis Steve Biederman, MD • Tom Robertson, MD
For most of us, people over the age of 65 make up a huge portion of the patients we see and the energy we pour into clinical care. And yet most of us receive woefully inadequate training to provide the best care for these patients and to overcome structural, systemic biases against the elderly. In … Louise Aronson MD MFA • Neda Frayha, MD…
Monocytosis is a fairly common finding that is often of undetermined significance. In this “What’s that Lab?” segment, Paul presents an approach to this abnormality we can use in our practice. Paul Simmons, MD
P
Primary Care RAP for Eric Huynh
1
Paper Chase #3 - Antimicrobial Stewardship for Cystitis in Nursing Homes
5:37
5:37
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
5:37
A low-intensity, multifaceted intervention was associated with improved antibiotic prescribing for uncomplicated cystitis without adverse outcomes Steve Biederman, MD • Tom Robertson, MD
Our cancer patients need to consider lots of different factors when it comes to preserving their fertility. Reproductive endocrinologist Dr. Lauren Roth walks us through the options available to our oncofertility patients. Lauren Roth, MD • Matthew DeLaney, MD, FACEP, FAAEM • Neda Frayha, MD
Incorporation of lung US significantly reduced the risk of urgent visits for worsening CHF Steve Biederman, MD • Tom Robertson, MD
Paul and Matt go over the ins and outs of dog and cat bites. This discussion includes appropriate wound management, use of prophylactic antibiotics,and post-exposure rabies prophylaxis. Matthieu DeClerck, MD • Paul Simmons, MD
P
Primary Care RAP for Eric Huynh
1
Paper Chase #5 - Workplace Wellness Program Effects
8:52
8:52
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
8:52
Among employees of a large US warehouse retail company, a workplace wellness program resulted in greater rates of positive self-reported behaviors but no significant differences in clinical measures of health, healthcare spending and utilization, and employment outcomes Steve Biederman, MD • Tom Robertson, MD…
Aisha Lofters, MD • Neda Frayha, MD
P
Primary Care RAP for Eric Huynh
1
Racism as a Public Health Crisis with AAFP President Dr. Ada Stewart
17:55
17:55
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
17:55
In this Hippo Education bonus conversation, Drs. Jay-Sheree Allen and Neda Frayha sit down with American Academy of Family Physicians President Dr. Ada Stewart. They discuss the AAFP’s recent policy statement that racism is a public health crisis; what the AAFP is doing as an organization to … Ada Stewart, MD, FAAFP • Jay-Sheree Allen, MD • Neda Fr…
P
Primary Care RAP for Eric Huynh
1
The COVID-19 Vaccine with Dr. Paul Offit
25:11
25:11
Nghe Sau
Nghe Sau
Danh sách
Thích
Đã thích
25:11
In this Hippo Education bonus, world-renowned vaccine expert and Pediatric Infectious Diseases specialist Dr. Paul Offit sits down with Peds RAP host Dr. Sol Behar and Primary Care RAP host Dr. Neda Frayha for a candid conversation on where we stand with the development of a COVID-19 vaccine … Neda Frayha, MD • Paul Offit, MD • Solomon Behar, MD…
When you discover an enlarged lymph node in someone who otherwise feels well, what do you do? Aisha and Neda tackle this exact issue in the Introduction to the October 2020 Primary Care RAP episode. Aisha Lofters, MD • Neda Frayha, MD
