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Depression and Medication Side Effects: Is Your Depression Due to Something You Are Taking? - Frankly Speaking EP 88

The number of adults in the US on prescription medications is rising, with approximately 15% taking five or more daily medications. A recent study found that depression is a common side effect—37.2% prevalence among American adults taking prescription medications—and is associated with an increased risk of concurrent depression. Guest: Susan Feeney, DNP, FNP-BC

The number of adults in the US on prescription medications is rising, with approximately 15% taking five or more daily medications. A recent study found that depression is a common side effect—37.2% prevalence among American adults taking prescription medications—and is associated with an increased risk of concurrent depression.


Antibiotics and Sinusitis – How Long Is Too Long? - Frankly Speaking EP 67

A recent research study published in JAMA Internal Medicine examined the use of antibiotics to treat acute sinusitis based upon the Infectious Diseases Society of America (IDSA) guideline recommending 5-7 days when antibiotics are indicated and found that most courses of antibiotics are too long. Listen to this week’s episode to learn more. Guest: Robert A. Baldor, MD, FAAFP

A recent research study published in JAMA Internal Medicine examined the use of antibiotics to treat acute sinusitis based upon the Infectious Diseases Society of America (IDSA) guideline recommending 5-7 days when antibiotics are indicated and found that most courses of antibiotics are too long. Listen to this week’s episode to learn more.


Treatment of Post-Op Pain Following Spine and Joint Surgery - Frankly Speaking EP 77

This study looked at how pain was treated following spine and joint surgery and found the majority of patients were not encouraged to use non-opioid analgesia and that most had a supply of unused opioids at home. Guest: Jill Terrien PhD, ANP-BC

This study looked at how pain was treated following spine and joint surgery and found the majority of patients were not encouraged to use non-opioid analgesia and that most had a supply of unused opioids at home.


Chronic Non-Cancer Pain in Older Adults: Can We Teach Our Patients to “Unlearn” It? - Frankly Speaking EP 87

Chronic non-cancer pain in adults over 60 years is common and often causes decreased quality of life, disability, adverse pharmacologic effects, and increased healthcare costs. Listen to this podcast to learn the results of a systematic review and meta-analysis by Niknejad et al. (2018) looking at pain outcomes in this population using psychological modalities. Guest: Jill Terrien PhD, ANP-BC

Chronic non-cancer pain in adults over 60 years is common and often causes decreased quality of life, disability, adverse pharmacologic effects, and increased healthcare costs. Listen to this podcast to learn the results of a systematic review and meta-analysis by Niknejad et al. (2018) looking at pain outcomes in this population using psychological modalities.


Best Evidence Goals for Type 2 Diabetes - Frankly Speaking EP 66

The American College of Physicians supported an evidence-based review of the topic guidelines for type 2 diabetes and concluded clinicians should aim for an A1c goal between 7.0-8.0 and recommended even less aggressive care for those over the age 80 years. Listen to this podcast episode to learn more about these new guidelines. Guest: Alan Ehrlich MD

The American College of Physicians supported an evidence-based review of the topic guidelines for type 2 diabetes and concluded clinicians should aim for an A1c goal between 7.0-8.0 and recommended even less aggressive care for those over the age 80 years. Listen to this podcast episode to learn more about these new guidelines.


Assessing Blood Pressure: How Accurate Are the Blood Pressure Measurements You Use to Care for Your Patients? - Frankly Speaking EP 76

Hypertension affects an estimated 80 million Americans. We diagnose, determine the need for medication therapy, and monitor treatment efficacy based on a simple office blood pressure measurement – but how accurate is that measurement, and what is the most valid method to obtain it? Guest: Susan Feeney, DNP, FNP-BC

Hypertension affects an estimated 80 million Americans. We diagnose, determine the need for medication therapy, and monitor treatment efficacy based on a simple office blood pressure measurement – but how accurate is that measurement, and what is the most valid method to obtain it?


Is Shoulder Surgery Beneficial for Impingement Syndrome? - Frankly Speaking EP 86

Adults often present with atraumatic shoulder pain around age 50 and are diagnosed with impingement syndrome (rotator cuff tendonitis). However, as this recent study demonstrates, the standard of care for treatment should not be surgery. Guest: Susan Feeney, DNP, FNP-BC

Adults often present with atraumatic shoulder pain around age 50 and are diagnosed with impingement syndrome (rotator cuff tendonitis). However, as this recent study demonstrates, the standard of care for treatment should not be surgery.


Moving Fast, Moving Slow - Frankly Speaking EP 75

Fibromyalgia can be difficult to treat and often requires a multifaceted approach combining exercise, medications, cognitive behavioral therapy, and health education. For many patients, pain hinders participation in a vigorous exercise regimen. Listen to this review of a randomized trial comparing aerobic exercise to tai chi in a patient population with fibromyalgia. Guest: Alan Ehrlich, MD

Fibromyalgia can be difficult to treat and often requires a multifaceted approach combining exercise, medications, cognitive behavioral therapy, and health education. For many patients, pain hinders participation in a vigorous exercise regimen. Listen to this review of a randomized trial comparing aerobic exercise to tai chi in a patient population with fibromyalgia.


Is Screen Time Taking Your Child’s Sleep Time? - Frankly Speaking EP 65

Listen to this podcast episode for a brief summary of the literature on electronic media and its relation to sleep—specifically delayed bedtimes and decreased sleep duration. Screen-based media consumption is eating up our sleep health! Guest: Jill Terrien PhD, ANP-BC

This session will review a brief report summarizing the literature on electronic media and its relation to sleep—specifically delayed bed times and decreased sleep duration. Screen based media consumption is eating up our sleep health!


Uncomplicated UTI in Women: What a Pain! - Frankly Speaking EP 74

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. Guest: Jill Terrien PhD, ANP-BC

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.


Digital Media Use and ADHD Symptoms in Teenagers – Is There an Association? - Frankly Speaking EP 85

A recent longitudinal study of high school students in the LA area found a modest but significant association between high-frequency digital media use (phones, tablets) and subsequent ADHD symptoms. Join us as we discuss these findings and the possible impact on adolescent primary care. Guest: Susan Feeney, DNP, FNP-BC

A recent longitudinal study of high school students in the LA area found a modest but significant association between high-frequency digital media use (phones, tablets) and subsequent ADHD symptoms. Join us as we discuss these findings and the possible impact on adolescent primary care.


Diet! Diet! Who’s Got the Best Diet? - Frankly Speaking EP 64

71% of adults in the United States are overweight or obese. To tackle this problem, primary care providers must stay up to date on the best evidence for addressing overweight and obese status in their patients. The DIETFITS Randomized Clinical Trial offers direction for nutritional advice in this important and serious public health concern. Guest: Kenneth Peterson, PhD, FNP-BC

71% of adults in the United States are overweight or obese. The impact the medical community is making on reducing high rates of overweight and obesity is less than optimal. Primary care providers (PCPs) bear witness to this staggering statistic on a daily basis and are in a unique position to address this problem. To tackle this problem PCPs must be up to date on best evidence for addressing overweight and obese status in their patients. What seems simple might not be the case. As clinical evidence for best practice in treating overweight and obese patients grows, which approach is considered best. With limited time for patient encounters and higher patient volumes, what health counseling, patient education or behavioral health strategies will work best. With a variety of diets available for patients to choose, which one is preferred. The DIETFITS Randomized Clinical Trial offers direction for nutritional advice in this important and serious public health concern.