In episode 579, Mike and James invite Nicholas Dugré back to the podcast to talk about the evidence around the benefits and harms of a new class of medications for the acute treatment of episodic migraines. Ubrogepant is an oral calcitonin gene-related peptide antagonist. In this case, amazing as it may sound, there are triple the number of systematic reviews than there are RCTs. Nonetheless, we go over all the evidence and at the end of the podcast you’ll know what the world knows about these agents.

Show notes

Tools for Practice

Oral Calcitonin Gene-related Peptide Antagonists: A painfully long name for the acute treatment of migraines

In episode 578, Mike, James and Jennifer Potter try to answer the question, in patients with dementia, how safe and effective are stimulants, antidepressants, and antipsychotics for treating apathy? We look at the evidence for methylphenidate, antipsychotics, and antidepressants so tune in to find out if any of these treatments have any sort of effect in this very difficult to treat condition.

Show notes Tools for Practice Making a difference in indifference? Medications for apathy in dementia

In episode 577, Mike and James invite Jennifer Young to join us to go over all the evidence around how best to close punch biopsies, lacerations and incisions. We go over all the evidence for sutures (absorbable/nonabsorbable), skin glue, and tape. We look at cosmesis, patient satisfaction, and infection rates so have a listen and find out what we found.

Show notes Tools for Practice Looking for Closure: Managing simple excisions or wounds efficiently

n episode 576, James, Mike, and Jamie continue to review the evidence for acne treatments. In this podcast, we examine if antibiotics work and we find they do have an effect. Check out the podcast for all the numbers.

Show notes

Tools for Practice Facing the Evidence in Acne, Part II: Oral Antibiotics

Tools for Practice Is less more with isotretinoin and acne?

Alberta Medication Costs

Mike, Jess and Jennifer follow up with Norma Munroe, a 78 year old patient, who originally presented with insomnia. Today's podcast discusses the management of insomnia including sleep restriction and medications. 

Did you miss Norma's original visit? Tune into episode #24: https://open.spotify.com/episode/4kwHSsa8Yq3Qs8y4JBGvka?si=d858551f82bf4a1f

To claim your Mainpro+ credit, click here: https://cfpclearn.ca/podcast/in-the-clinic-episode-25-insomnia-part-ii/. 

In today's clinic, Mike, Jess and Jennifer introduce Norma Munroe, a 78 year old with complaints of insomnia. This podcast discusses the assessment of insomnia. Be sure to listen to episode #25 also which continues with insomnia managment!

To claim a credit for this podcast, click here: https://cfpclearn.ca/podcast/in-the-clinic-episode-24-insomnia-part-i/.  

Mike, Jess and Émélie follow up with Jennifer Aweiree, a 47 year old patient who presented with fatigue in episode #7. Today's follow up involves screening for depression. 

Did you miss episode #7? Listen now: https://open.spotify.com/episode/5NWcvn4OO2TeJnVs6Zsj4V?si=fcc8f7d80cd64a8a

To claim a credit for episode #23, click here: https://cfpclearn.ca/podcast/in-the-clinic-episode-23-depression/. 

Mike, Jess and Émélie discuss a new patient, Remi Alfred. Remi is a 40 year female patient presenting with joint pain. Join the team as they focus on the differential diagnosis of joint pain and investigations required.

To claim your Mainpro+ credit, complete the survey at this link: https://cfpclearn.ca/podcast/in-the-clinic-episode-22-rheumatoid-arthritis/.

Mike, Jessica and Jennifer present the case of Guy Lumbago, a 40 year old man with low back pain. Tune in as the team discusses the diagnosis and management of Guy's symptoms while offering up some great clinical tools that family docs can use in their office. 

To claim your Mainpro+ credit for listening to this podcast, click here: https://cfpclearn.ca/podcast/in-the-clinic-episode-21-low-back-pain/ 

Mike, Jess and Jennifer discuss the case of Aira Salter, a 16 month old who is brought to the office with coughing and wheezing. 

To claim your Mainpro+ credit for listening to this podcast, click here: https://cfpclearn.ca/podcast/in-the-clinic-episode-20-bronchiolitis/