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Chronic pain is a difficult but common problem in primary care. Patients are often desperate for any form of relief, and as a result, many are eventually started on opioid analgesics which can be associated with adverse effects. Is it worth it? Listen to this episode to learn about a recent randomized trial that compared opioid to non-opioid management of patients with chronic low back or hip pain or knee pain due to osteoarthritis.

Discussing goals of care with patients that have a serious, life-limiting illness does not affect the patient’s anxiety or depression—but can increase the quality of the communication. Listen to this podcast episode for tips that are easily adaptable to any outpatient or specialty practice.

Listen to this episode to learn about the update to the 2012 United States Preventive Services Task Force (USPSTF) recommendation on screening for cervical cancer.

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.

Mild persistent asthma is traditionally treated with a single preventative agent, like a medium dose inhaled.

This podcast episode considers recent data that sheds light on how diet soda and artificial sweeteners might influence CNS outcomes, especially the risk for ischemic stroke.

When patients present with symptoms of a sore throat, an option for managing the pain that is sometimes used is corticosteroids. A randomized trial of a 1-time dose of 10 mg in patients with moderate to severe pharyngitis who were deemed to not need antibiotics found higher rates of symptom resolution at 48 hours.

The AHA published their recent review on the role of fat in diet and concluded that saturated fat is a likely cause of CV adverse outcomes. Their decisions seem in contrast the best evidence available; this session will review the AHA position and maybe reach a different conclusion

Systematic Review data has found the risk of adverse events, including MI, Stroke, CV mortality and all cause mortality are increased when SU are used

Treating recurrent C. difficile colitis can be difficult, but recent trials have demonstrated the benefit of treating with fecal transplantation. Questions exist, however, about around the best mode of administration. Listen to this week’s episode to learn about a recent RCT that compares oral and colonoscopic delivery methods and provides an answer.

In this podcast episode, we will talk about the data on different exercise timelines, consider new options when counseling patients for exercise and highlight the need to include exercise counseling for most adults.

For women experiencing an uncomplicated UTI, nitrofurantoin and fosfomycin are two first-line options for treatment. Is one more effective than the other? Listen to this episode to learn about the results from a multinational, open-label, randomized clinical trial.