Frankly Speaking About Family Medicine

New Treatment for Asthma - Frankly Speaking EP 46

We will discuss the use of azithromycin as a therapeutic option for patients with persistent symptomatic asthma despite controller maintenance therapy with inhaled corticosteroids and a long-acting bronchodilator. Learning Objectives: Understand the effect of chronic azithromycin for reducing asthma exacerbation Understand the role azithromycin can play in asthma step-wise therapy

Endurance Sports: In it for the long haul - Frankly Speaking EP 45

What do you say when your 50-year-old patient that has been relatively sedentary in the last 3 decades wants to do a triathlon? In this episode, we will review a U.S. case series of participants in triathlon races from 1985-2016, and discuss risk, reward, and reality. Learning Objectives:  Review data collected over 30 years on triathlon events and the risks to participants. Discuss recommendations for patients embarking on extreme physical activity. Review strategies to promote well-being and lower risk when considering endurance sports.

Blood Pressure Determination on Obese Arms - Frankly Speaking EP 44

If you become frustrated trying to get a thigh cuff onto the arm of an obese patient, we may have the answer. Learning Objectives:  Review the comparison of standard BP determination with using the forearm and radial pulse with a large cuff Appreciate the benefits of systolic hypertension control Review the causes of secondary hypertension in obese patients 

Tattooing and Body Modification: From Risky to Mainstream – What are the Implications for Patient Care? - Frankly Speaking EP 43

In this episode, we discuss the first evidence-based guidelines by the American Academy of Pediatrics on body modification, piercing, and scarification, including complications and assessment of risk.  Learning Objectives:  Discuss the AAP’s EBP Guidelines on body modification, piercing and scarification in children, adolescents and young adults Discuss best practices for counseling adolescents and strategies for reducing associated risks regarding these practices.    

‘Tis the Season … for Depression; Get Your Patients Moving. - Frankly Speaking EP 42

How much exercise makes a difference in the primary prevention of depression and anxiety? Find out in this podcast which will provide insights from Norway’s HUNT cohort study that followed a healthy cohort of 33,908 individuals for 11 years. Learning Objectives:  Review the relation of exercise and the development of depression and anxiety in a healthy population. Discuss strategies and options to alleviate stress and promote wellness.  

Is Oxygen Helpful for Patients with Acute Stroke? - Frankly Speaking EP 41

Learning Objectives:  Understand the results of the Stroke Oxygen Study Understand which patients will benefit from supplemental oxygen

The Sun is Setting for Sulfonylureas - Frankly Speaking EP 40

Learning Objectives:  Review the data on the risks of SU use Consider other second line approaches to Type 2 DM Review Primary Treatment Goals for T2DM

Rare Risks with Pediatric Cough & Cold Medications - Frankly Speaking EP 39

Learning Objectives: Discuss the AAP position and why Review findings of adverse events and where the danger lies Offer advice on what to use and how to dose.

Treating Major Depressive Disorder: Considerations in Applying the Evidence - Frankly Speaking EP 38

Learning Objectives:  Identify the concerns surrounding depression screening and treatment. Discuss the numerous factors primary care providers need to take into consideration to improve management of depression in their patients.

PPIs: Too Much of a Good Thing? When and How to Discontinue Them - Frankly Speaking EP 37

Learning Objectives:  Discuss EBP Guidelines on management of Acid related GI condition and PPI prescribing Discuss best practice for appropriate PPI use in primary care and strategies for discontinuation.