In episode 373, Mike and James get back to the last of the listener questions. We talk about vaginal infections, statins (of course), diabetes, medical education, alcohol hand sanitizers and TPA yet again. As always, we leave everyone with more questions than before we started – you have to love healthcare.

In episode 372, James and Mike get back to even more listener questions. We talk about lipids, CBC screening, NNTs for lots of treatments, spinal manipulation and other medical podcasts. Yet again we hopefully leave the audience with more answers than questions.

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Tools for Practice

In episode 371, James and Mike get back to listener question. We talk about iron, TPA, big blood pressure numbers, antipsychotics and lab measurements. Hopefully we leave the audience with more answers than questions.

Show notes

1) Are we giving too much iron? Low-dose iron therapy is effective in octogenarians

In episode 369, James and Mike ask Tina back again to talk about the tricky and tasty issue of peanut allergies. We talk about the landmark study in this area and then put it into context of all the other evidence we have around this issue. We then discuss what we should likely be recommending when it comes to peanut ingestion in early childhood.

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In episode 368, James and Mike ask Tina to talk about the evidence around sleep training for infant sleep issues. We find out that a simple training method implemented at around six months can have useful benefits for not only the infant but also the parent. Check it out.

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Tools For Practice

In episode 366, Mike, James, and Tony continue to talk about the very important and broad topic of social determinants of health. Interestingly, evidence is fairly clear that social spending may be more useful to health than health spending and we need more focus on community services and primary care.

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In episode 365, Mike and James invite Tony Nickonchuk to talk about the very important and broad topic of social determinants of health. We find when it comes to what makes us sick, approximately 75% of our health issues happen to our patients and us before they or we engage the health care system. That’s important to know.

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In episode 364, James, Mike, and primarily Bruce talk about an approach - Focussed Acceptance and Commitment Therapy (FACT) - that clinicians in primary care can use across a broad range of psychological problems. This type of 15-20 minute approach has been evaluated in many RCTs – so have a listen and reach for the behaviour and not the medication.

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In episode 363, James, Mike, Bruce and Helena continue to talk about depression in primary care. The key messages are that instead of calling it depression we should consider telling people they are “stuck”, negotiate non drug therapies like behavioural activation, do follow-up phone calls and basically NEVER prescribe an antidepressant on the first visit.

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In episode 362, James and Mike invite Bruce Arroll back to talk about his latest systematic review on antidepressants for treatment of depression in primary care. We quickly come to the realization that primary care is different than specialty care and that we need to talk first and prescribe later and have the clinician be the drug.

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