Frankly Speaking About Family Medicine

When Can We Start Preventing Recurrence of Acute Gout? - Frankly Speaking EP13

Most patients who suffer an acute gout attack should be started on urate lowering therapy. It is known that starting urate lowering therapy can itself precipitate a gout attack and concern for not worsening the acute symptoms has been the reason some guidelines recommend waiting until after the acute episode has subsided to start urate lowering therapy. A look at recent data indicates waiting for the acute attack to subside may not be necessary Learning Objectives: Understand the principles of urate lowering therapy for preventing gout attacks Be familiar with the risks and benefits or starting urate lowering therapy during an acute gout attack

Constipation: Going With the Flow - Frankly Speaking EP12

In this week's podcast episode, we will review recent literature on ineffectiveness of laxatives and learn about indications for newer agents. 

Physical Activity Following a Concussion - Frankly Speaking EP11

In this podcast episode, we will discuss current guidelines for a concussion evaluation or work-up as well as return to activity following a concussion. We will also put into context this paper and consider what impact this should have on your practice.

Treating Systolic Hypertension in the Elderly - Frankly Speaking EP10

In this podcast episode, we will talk about how systolic hypertension effects outcomes, put into context a recent JACC systematic review paper on the topic and JNC 8 and discuss NNT and NNH.

Obstructive Sleep Apnea: Recommendations for Screening Adults - Frankly Speaking EP9

In this week's podcast episode, we will identify the known health risks of OSA and outcomes of OSA treatment, discuss the new USPSTF screening recommendations on OSA and consider application of the new recommendations, known risks and outcomes of practice.

Non-Fasting Lipids for Cardiovascular Risk Evaluation - Frankly Speaking EP8

In this podcast episode, we will consider the rationale for using non-fasting labs to screen for ASCVD as well as review the controversies around their use and talk about the differential diagnosis of hypertriglyceridemia.

Helping Kidney Stones Pass: Use of Alpha Antagonists – Frankly Speaking EP7

In this podcast episode, we will talk about the benefits of alpha antagonists on passing larger kidney stones as well as discuss the need for stone collection and analysis to prevent future stones. We will also learn how to effectively counsel patients about alpha antagonist use including risks and benefits.

Breast Cancer and the Harms of Overdiagnosis - Frankly Speaking EP6

In this podcast episode, we consider the premise of overdiagnosis and how it applies to women being screened for breast cancer and highlight ways to mitigate the risks of overdiagnosis of breast cancer.

Weekend Warrior: Exercising on the Weekends can be enough - Frankly Speaking EP5

Objectives: Appreciate the data on different exercise timelines Learn new options when counseling patients for exercise Understand the need to include exercise counseling for most adults

Easy Management of Statin Induced Myalgias - Frankly Speaking EP4

Have a patient with Statin Induced Myalgias? This episode will give you the best evidence on a simple and cost effective solution, and dispel common myths about this problem.