Frankly Speaking About Family Medicine
Episodes
Don’t Make Me Exercise – Give Me Some Tea & a Pill! - Frankly Speaking EP 72
11 Jun 2018
Contributed by Lukas
A recent AHA presentation offered data that showed an overwhelming amount of patients would prefer to take a pill or drink tea rather than exercise to...
Mom, Do I Have to Practice the Piano Again? The Benefit of Music Instruction on Executive Function - Frankly Speaking EP 71
04 Jun 2018
Contributed by Lukas
Listen to this week's episode to learn about a randomized trial of children in music vs. visual arts instruction. Music instruction led to improvement...
Hot Flashes, Night Sweats, and Insomnia: Will I Ever Sleep Through the Night Again? - Frankly Speaking EP 70
28 May 2018
Contributed by Lukas
This episode will review The Menopause Strategies: Finding Lasting Answers for Symptoms and Health (MsFLASH) series of 4 randomized controlled trials,...
Biomarkers for Alzheimer’s Diagnosis? - Frankly Speaking EP 69
21 May 2018
Contributed by Lukas
The National Institute on Aging-Alzheimer’s Association (NIA-AA) just released an updated Framework of the 2011 Guidelines for Alzheimer’s Disease...
My Joints Are Killing Me! Opioids vs. NSAIDs for Chronic Pain - Frankly Speaking EP 68
14 May 2018
Contributed by Lukas
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 eventua...
Antibiotics and Sinusitis – How Long is Too Long? - Frankly Speaking EP 67
07 May 2018
Contributed by Lukas
A recent research study published in JAMA Internal Medicine examined the use of antibiotics to treat acute sinusitis based upon the Infectious Disease...
Best Evidence Goals for Type 2 Diabetes - Frankly Speaking EP 66
30 Apr 2018
Contributed by Lukas
The American College of Physicians supported an evidence-based review of the topic guidelines for type 2 diabetes and concluded clinicians should aim ...
Is Screen Time Taking Your Child’s Sleep Time? - Frankly Speaking EP 65
23 Apr 2018
Contributed by Lukas
Listen to this podcast episode for a brief summary of the literature on electronic media and its relation to sleep—specifically delayed bedtimes and...
Diet! Diet! Who’s Got the Best Diet? - Frankly Speaking EP 64
16 Apr 2018
Contributed by Lukas
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 f...
Changing Immunization Practices: 2-Dose Vaccines - Frankly Speaking EP 63
09 Apr 2018
Contributed by Lukas
Immunization practices are constantly in flux as new vaccines are approved and guidelines are updated. Recently, the FDA approved a 2-dose hepatitis B...
I’ve Got Rhythm: Catheter Ablation Therapy for Patients with Atrial Fibrillation and Heart Failure - Frankly Speaking EP 62
02 Apr 2018
Contributed by Lukas
Management of patients with atrial fibrillation has long centered on the relative merits of rate control versus rhythm control. The CASTLE-AF trial ev...
How to Best Treat Cognitive Impairment – 2018 AAN Recommendations - Frankly Speaking EP 61
26 Mar 2018
Contributed by Lukas
In this week’s episode, we’ll be continuing the discussion on the AAN’s updated practice guideline on mild cognitive impairment. Last week’s p...
Screening for Dementia; Better Than MMSE (Mini Mental Status Exam) - Frankly Speaking EP 60
19 Mar 2018
Contributed by Lukas
The American Academy of Neurology recently published the first updated practice guideline on mild cognitive impairment since 2001. Listen to this week...
GET UP: A Small Bit of Movement Makes a Big Impact - Frankly Speaking EP 59
12 Mar 2018
Contributed by Lukas
This observational study found adding very little activity, akin to going for a 30-minute walk or converting to a standing desk for half your workday,...
Do We Still Use Warfarin? - Frankly Speaking EP 58
05 Mar 2018
Contributed by Lukas
Direct acting oral anticoagulants are increasingly used for stroke prevention for individuals with atrial fibrillation. Whether these agents are as sa...
Helping Depressed Patients Change: Behavioral Activation - Frankly Speaking EP 57
26 Feb 2018
Contributed by Lukas
Listen to this week’s episode to learn about the basic concepts of behavioral activation (BA), what research has demonstrated about its use in depre...
The Flu is Bad for Your Heart - Frankly Speaking EP 56
19 Feb 2018
Contributed by Lukas
Patients with chronic diseases, including coronary artery disease, are advised to get yearly flu shots because they are at higher risk for having a mo...
Too Little, Too Much: How Much Sleep is Just Right? - Frankly Speaking EP 55
12 Feb 2018
Contributed by Lukas
In this session we discuss the impact of length of sleep on obesity and DM II.
Your Morning “Cup of Joe” Could Be Doing More Than Starting Your Day - Frankly Speaking EP 54
05 Feb 2018
Contributed by Lukas
This session will review the existing evidence between coffee consumption and multiple health outcomes.
An Oral Fecal Transplant for Lunch?- Frankly Speaking EP 53
29 Jan 2018
Contributed by Lukas
Treating recurrent C. difficile colitis can be difficult, but recent trials have demonstrated the benefit of treating with fecal transplantation. Ques...
The New Hypertension Guidelines - Frankly Speaking EP 52
22 Jan 2018
Contributed by Lukas
New hypertension guidelines from the American College of Cardiology have introduced a new blood pressure classification system and lowered the thresho...
Preventing Opioid Addiction: Treating Acute Pain Safely - Frankly Speaking EP 51
15 Jan 2018
Contributed by Lukas
For severe, acute pain, 1000 mg of acetaminophen PLUS 400 mg of ibuprofen is as effective as acetaminophen/oxycodone, acetaminophen/hydrocodone, or ac...
Herpes Zoster Vaccination: New Recommendations for Shingles Prevention - Frankly Speaking EP 50
08 Jan 2018
Contributed by Lukas
This session will review the recommendations put forth by the CDC’s Advisory Committee on Immunization Practices for the use of a new shingles vacci...
Diabetes Remission with Weight Loss - Frankly Speaking EP 49
02 Jan 2018
Contributed by Lukas
Diabetes remission is defined as a return to normal blood sugar control without the use of medications. Listen to this episode to learn about a trial ...
What Does the Evidence Tell Us About Diagnosing and Treating Sinusitis? - Frankly Speaking EP 48
26 Dec 2017
Contributed by Lukas
Listen to this episode to learn about the evidence-based guidelines for the diagnosis and management of acute sinusitis. Learning Objectives: Discus...
Treatment Options in Opioid Dependence - Frankly Speaking EP 47
18 Dec 2017
Contributed by Lukas
Medication-based maintenance therapy is recommended for patients with opioid dependence. Listen to this week’s episode to learn how once monthly nal...
New Treatment for Asthma - Frankly Speaking EP 46
11 Dec 2017
Contributed by Lukas
We will discuss the use of azithromycin as a therapeutic option for patients with persistent symptomatic asthma despite controller maintenance therapy...
Endurance Sports: In it for the long haul - Frankly Speaking EP 45
04 Dec 2017
Contributed by Lukas
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 wi...
Blood Pressure Determination on Obese Arms - Frankly Speaking EP 44
27 Nov 2017
Contributed by Lukas
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 comp...
Tattooing and Body Modification: From Risky to Mainstream – What are the Implications for Patient Care? - Frankly Speaking EP 43
20 Nov 2017
Contributed by Lukas
In this episode, we discuss the first evidence-based guidelines by the American Academy of Pediatrics on body modification, piercing, and scarificatio...
‘Tis the Season … for Depression; Get Your Patients Moving. - Frankly Speaking EP 42
13 Nov 2017
Contributed by Lukas
How much exercise makes a difference in the primary prevention of depression and anxiety? Find out in this podcast which will provide insights from No...
Is Oxygen Helpful for Patients with Acute Stroke? - Frankly Speaking EP 41
06 Nov 2017
Contributed by Lukas
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
30 Oct 2017
Contributed by Lukas
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...
Rare Risks with Pediatric Cough & Cold Medications - Frankly Speaking EP 39
23 Oct 2017
Contributed by Lukas
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 h...
Treating Major Depressive Disorder: Considerations in Applying the Evidence - Frankly Speaking EP 38
16 Oct 2017
Contributed by Lukas
Learning Objectives: Identify the concerns surrounding depression screening and treatment. Discuss the numerous factors primary care providers nee...
PPIs: Too Much of a Good Thing? When and How to Discontinue Them - Frankly Speaking EP 37
09 Oct 2017
Contributed by Lukas
Learning Objectives: Discuss EBP Guidelines on management of Acid related GI condition and PPI prescribing Discuss best practice for appropriate P...
The Flu Stops with You – 2017/2018 Influenza Vaccination Recommendations - Frankly Speaking EP 36
02 Oct 2017
Contributed by Lukas
Learning Objectives: Discuss the 2017-2018 American College of Advisory Committee on Immunization Practices (ACIP) 2017-2018 Seasonal Influenza Vacci...
Tonsillectomy Improves Sleep Disordered Breathing In Children - Frankly Speaking EP 35
25 Sep 2017
Contributed by Lukas
Learning Objectives: Understand the scope of the problems associated with sleep disordered breathing in children Review outcomes from this systema...
Putting E-cigarettes to Good Use: Evidence on Smoking Cessation Impact and Population Health - Frankly Speaking EP 34
18 Sep 2017
Contributed by Lukas
Learning Objectives: Clarify the concerns surrounding e-cigarette use. Discuss the potential for incorporating e-cigarette use as a smoking cessatio...
Treating an Abscess: When are Antibiotics Needed? - Frankly Speaking EP 33
11 Sep 2017
Contributed by Lukas
Learning Objectives: Know which patients are most likely to benefit from antibiotics following incision and drainage of and abscess Know which ant...
Infant Sleep Safety: AAP Recommendations Explained - Frankly Speaking EP 32
04 Sep 2017
Contributed by Lukas
Learning Objectives: Discuss the most recent evidence based practice guidelines on safe infant sleep environment Discuss barriers to implementing th...
Late Breaking News: Let’s Talk About Alcohol Consumption and Health Outcomes - Frankly Speaking EP 31
28 Aug 2017
Contributed by Lukas
Learning Objectives: Discuss the results of a longitudinal cohort study re: alcohol consumption and cognitive decline. Review U.S. Guidelines for al...
Help Me with My Headache—Please! - Frankly Speaking EP 30
21 Aug 2017
Contributed by Lukas
Learning Objectives: Review best practices in the identification of migraine headache. Discuss recent updates for the prevention and treatment of...
Practical Approaches to the New Guidelines on Breast Cancer Screening - Frankly Speaking EP 29
14 Aug 2017
Contributed by Lukas
Learning Objectives: Review and compare current EB guidelines from the ACS, ACOG and USPSTF Discuss breast cancer risk and its impact on screening r...
E-Cigarettes – Risks of Teen Vaping - Frankly Speaking EP 28
07 Aug 2017
Contributed by Lukas
Learning Objectives: Discuss the history of e-Cigarettes and how they function Discuss the findings of the recent meta-analysis/systematic review re...
The American Heart Association Update on the Role of Fat in Your Diet - Frankly Speaking EP 27
31 Jul 2017
Contributed by Lukas
Learning Objectives: Discuss the AHA position statement on fats in the diet Review the types of fat and what is known about their relationship to h...
The Opioid Epidemic: Is Your Practice Changing? - Frankly Speaking EP 26
24 Jul 2017
Contributed by Lukas
Learning Objectives: Discuss the findings of Martins et al survey results in the context of primary care practice Identify validated tools useful in...
Artificial Sweeteners: Does Diet Soda Do More Harm Than Good? - Frankly Speaking EP 25
17 Jul 2017
Contributed by Lukas
Learning Objectives: Review how the correlation of artificial sweeteners and CNS outcomes were related Summarize how artificial sweeteners may incre...
Whole Milk Does Not Increase Adverse Cardiovascular Outcomes - Frankly Speaking EP 24
10 Jul 2017
Contributed by Lukas
This podcast reviews the results of a meta-analysis that found no negative relationship between whole milk consumption and cardiovascular disease or w...
Here’s to Your Health: What Meat Shall You Eat? - Frankly Speaking EP 23
03 Jul 2017
Contributed by Lukas
Teaching patients lifestyle management strategies to improve health is no easy task. First steps involve increasing provider knowledge of the impact f...
Fruit Juice and Kids: How Sweet it is - Frankly Speaking EP 22
26 Jun 2017
Contributed by Lukas
Kids love fruit juice. But how much is OK? What are the facts on fruit juice consumption in kids and what should you advise the families you care for?...
New Simpler HPV Vaccine Schedule - Frankly Speaking EP 21
19 Jun 2017
Contributed by Lukas
HPV immunization has been recommended for pre-teens and teens for over a decade, however vaccination rates remain low. In October 2016 the CDC changed...
Are Short-term Corticosteroids Dangerous? - Frankly Speaking EP 20
12 Jun 2017
Contributed by Lukas
Corticosteroids are often prescribed for short-term use for conditions such as asthma exacerbation, contact dermatitis, gout, and Bell’s palsy. Adve...
Alternate-day Fasting for Weight Loss - Frankly Speaking EP 19
05 Jun 2017
Contributed by Lukas
Is Alternate day fasting the future of weight loss? Maybe not... Learning Objectives Understand how Alternate day fasting is practiced Appreciate...
Do Corticosteroids Decrease the Pain of Acute Pharyngitis? - Frankly Speaking EP 18
29 May 2017
Contributed by Lukas
When patients present with symptoms of a sore throat, an option for managing the pain that is sometimes used is corticosteroids. A randomized trial ...
Contraception: The Pill Needs to Share - Frankly Speaking EP17
22 May 2017
Contributed by Lukas
Sensitive and important conversations with your adolescent population include contraceptive options. How do long acting reversible contraceptive met...
Safe and Effective Narcotic Use in Chronic Pain - Frankly Speaking EP 16
15 May 2017
Contributed by Lukas
Based upon CDC data of death, narcotic prescription length of less than 5 days provided the best outcomes and the lowest risk of continued narcotic us...
Oxygen for patients with STEMI: Who benefits? - Frankly Speaking EP 15
08 May 2017
Contributed by Lukas
Oxygen is frequently given to patients routinely during the initial treatment of a myocardial infarction, but there is a lack of data to support or ...
Back Pain is Here to Stay! - Frankly Speaking EP 14
01 May 2017
Contributed by Lukas
What are your evidence-based strategies for managing acute, subacute and chronic low back pain? A review of the current American College of Physicia...
When Can We Start Preventing Recurrence of Acute Gout? - Frankly Speaking EP13
24 Apr 2017
Contributed by Lukas
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...
Constipation: Going With the Flow - Frankly Speaking EP12
17 Apr 2017
Contributed by Lukas
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
10 Apr 2017
Contributed by Lukas
In this podcast episode, we will discuss current guidelines for a concussion evaluation or work-up as well as return to activity following a concussio...
Treating Systolic Hypertension in the Elderly - Frankly Speaking EP10
03 Apr 2017
Contributed by Lukas
In this podcast episode, we will talk about how systolic hypertension effects outcomes, put into context a recent JACC systematic review paper on the ...
Obstructive Sleep Apnea: Recommendations for Screening Adults - Frankly Speaking EP9
27 Mar 2017
Contributed by Lukas
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 recomme...
Non-Fasting Lipids for Cardiovascular Risk Evaluation - Frankly Speaking EP8
20 Mar 2017
Contributed by Lukas
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 thei...
Helping Kidney Stones Pass: Use of Alpha Antagonists – Frankly Speaking EP7
13 Mar 2017
Contributed by Lukas
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 co...
Breast Cancer and the Harms of Overdiagnosis - Frankly Speaking EP6
06 Mar 2017
Contributed by Lukas
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 m...
Weekend Warrior: Exercising on the Weekends can be enough - Frankly Speaking EP5
27 Feb 2017
Contributed by Lukas
Objectives: Appreciate the data on different exercise timelines Learn new options when counseling patients for exercise Understand the need to incl...
Easy Management of Statin Induced Myalgias - Frankly Speaking EP4
17 Feb 2017
Contributed by Lukas
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 m...
Introduction of Food to Infants: Preventing Peanut Allergies - Frankly Speaking EP3
25 Jan 2017
Contributed by Lukas
Can peanut allergy be prevented in children? This podcast will review the newest AAP recommendations on feeding in the first year of life, with a spec...
Getting the Complicated Asthmatic Under Control - Frankly Speaking EP2
24 Jan 2017
Contributed by Lukas
This episode will build on the previous podcast with a focus on how to apply the management guidelines in Asthma with a focus on critical features to...
Asthma: Critical Risk Stratification to Decide Care - Frankly Speaking EP1
10 Jan 2017
Contributed by Lukas
This episode will review the basics of asthma diagnosis and management, covering the critical content for both patient management and board preparati...