General Medicine and Primary Care

General Medicine and Primary Care

By ReachMDMedicine
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General Medicine and Primary Care episodes

  • CKD Evaluation & Measurement
    Host: Peter Lin MD, CCFP
    Guest: Magdalena Madero, MD

    In this episode, Dr. Peter Lin (Canadian Heart Research Centre, Canada) and Dr. Magdalena Madero (National Heart Institute Mexico City, Mexico) discuss best practices for CKD evaluation and measurement. This episode focuses on the importance of assessing GFR and albuminuria, identifying the causes of CKD, CKD progression, and when more accurate GFR measures (such as cystatin) should be conducted.

    This episode is supported by an independent educational grant from AstraZeneca.

    16 min
  • Applying CKD Interventions
    Host: Peter Lin MD, CCFP
    Guest: Joel Topf, MD

    Join host Dr. Peter Lin (Canadian Heart Research Centre, Canada) in conversation with Dr. Joel Topf (Oakland University, William Beaumont School of Medicine, USA) as they discuss how to combat CKD progression and the role of non-pharmacological vs pharmacological interventions. This episode will explore whether foundational therapies are underused and how to tailor the right treatment for the right patient at the right time.

    This episode is supported by an independent educational grant from AstraZeneca.

    15 min
  • Early Detection of CKD
    Host: Peter Lin MD, CCFP
    Guest: Sri Lekha Tummalapalli, MD, MBA, MAS

    Join host, Dr. Peter Lin (Canadian Heart Research Centre, Canada) and Dr. Lekha Tummalapalli (Weill Cornell Medicine, United States) as they discuss the importance of early CKD detection. This episode explores risk factors, screening for CKD, and country-specific factors to take into account when screening for CKD.

    This episode is supported by an independent educational grant from AstraZeneca.

    9 min
  • Appropriate CKD Referral to Specialists
    Host: Peter Lin MD, CCFP
    Guest: Ikechi Okpechi

    In this episode, Dr. Peter Lin (Canadian Heart Research Centre, Canada) and Ikechi Okpechi (University of Alberta, Canada) discuss the right time to refer patients with CKD to a nephrologist. This episode also addresses rapid CKD progression and the utility of risk prediction equations.

    This episode is supported by an independent educational grant from AstraZeneca.

    16 min
  • How to Recognize & Manage an Angry Patient
    Host: Peter Buch, MD, FACG, AGAF, FACP
    Guest: Douglas Drossman, MD

    We all face angry and disruptive patients from time to time, making it essential to know how to properly de-escalate and handle the situation. That’s why Dr. Peter Buch speaks with Dr. Douglas Drossman, co-author of an article that was published in the American Journal of Gastroenterology titled “De-escalate, Don’t Escalate: Essential Steps to Effectively Recognize and Manage the Patient Who Is Angry and Disruptive.”

    12 min
  • IUD Reduces Blood Loss by 90% in Patients with Heavy Menstrual Bleeding
    Guest: Mitchell D. Creinin, MD

    Dive into the research presented at the 2023 ACOG Annual Scientific and Clinical Meeting that found that the use of levonorgestrel 52-mg intrauterine device (IUD) in patients with heavy menstrual bleeding reduced blood loss by more than 90 percent over six months with Dr. Mitch Creinin, Professor in the Department of Obstetrics and Gynecology as well as the Director of the Complex Family Planning Fellowship at the University of California Davis Health.

    4 min
  • Setting Expectations on IUD Expulsion Among Patients with Heavy Menstrual Bleeding
    Guest: Mitchell D. Creinin, MD

    While the use of levonorgestrel 52-mg intrauterine device (IUD) has been shown to reduce blood loss in patients with heavy menstrual bleeding, these same patients are at an increased likelihood of expelling the IUD. That’s why it’s important to set realistic expectations with patients, as Dr. Mitch Creinin from the University of California Davis Health explains.

    3 min
  • Addressing Gaps to Tackle Obesity in Patients with Type 1 Diabetes
    Host: John Buse, MD, PhD
    Guest: Elizabeth Selvin, PhD, MPH

    As obesity rates continue to rise in adults with type 1 diabetes, what can we do to combat this growing obstacle? Dr. John Buse speaks with an expert in the field, Dr. Elizabeth Selvin, about obesity in patients with type 1 diabetes and shares management strategies.

    9 min
  • Shifting Our Approach to Gun Violence: A Public Health Crisis
    Host: John Russell, MD
    Guest: Stanton Miller, MD, MPH, FACS

    Patients who live in an environment impacted by gun violence may face lifelong challenges. But addressing gun violence from a public health standpoint may help clinicians manage the biological, behavioral, and social aspects of this disease. Dr. John Russell is joined by Dr. Stan Miller from the Jefferson Center for Injury Research & Prevention to discuss how clinicians can reframe their approach.

    10 min
  • New Uses for Old Drugs: Insights on a Treatment Option for OIC
    Host: Charles Turck, PharmD, BCPS, BCCCP
    Guest: W. Frank Peacock, MD

    For patients with opioid-induced constipation (OIC), can Narcan play a role in finding a new treatment option? Dr. Charles Turck is joined by Dr. Frank Peacock from the Baylor College of Medicine to explore key data on the role of methylnaltrexone in the treatment of OIC.

    9 min