Primary Care Pod

By Dr. Mark ListMedicine Health & Fitness

Primary Care Pod episodes

May 07, 2024 USPSTF 2024 Breast Cancer Screening Guideline Update!
We're back!
17 min
July 07, 2023 A New Pandemic? PICKLEBALL INJURIES ON THE RISE!
Fun, quick episode this week.

https://pubmed.ncbi.nlm.nih.gov/33934725/

Non-fatal senior pickleball and tennis-related injuries treated in United States emergency departments, 2010-2019

Harold Weiss 1, Jacob Dougherty 2, Charles DiMaggio 3
5 min
July 04, 2023 First Unprovoked VTE, Cause for Lifelong Blood Thinners?
Today's episode is a very complicated topic without clear cut benefits. Expert opinions and modeling data to address a dangerous and serious topic. Let's look at 2 sources: a new study from the Annals of Internal Medicine and an expert opinion from Uptodate.

https://www.uptodate.com/contents/selecting-adult-patients-with-lower-extremity-deep-venous-thrombosis-and-pulmonary-embolism-for-indefinite-anticoagulation?search=unprovoked%20dvt§ionRank=1&usage_type=default&anchor=H648618&source=machineLearning&selectedTitle=1~150&display_rank=1#H648618

vs.

https://pubmed.ncbi.nlm.nih.gov/37364263/
Indefinite Anticoagulant Therapy for First Unprovoked Venous Thromboembolism : A Cost-Effectiveness Study
Faizan Khan 1, Doug Coyle 2, Kednapa Thavorn 3, Sasha van Katwyk 4, Tobias Tritschler 5, Brian Hutton 6, Grégoire Le Gal 7, Marc A Rodger 8, Dean A Fergusson 9
17 min
June 28, 2023 Intermittent Fasting vs. Caloric Restriction, Head to Head!
Time restricted eating vs. caloric restriction. Is there a winner in this 1:1:1 12-month trial from Chicago?

https://pubmed.ncbi.nlm.nih.gov/37364268/
Time-Restricted Eating Without Calorie Counting for Weight Loss in a Racially Diverse Population : A Randomized Controlled Trial
Shuhao Lin 1, Sofia Cienfuegos 1, Mark Ezpeleta 1, Kelsey Gabel 1, Vasiliki Pavlou 1, Andrea Mulas 1, Kaitie Chakos 1, Mara McStay 1, Jackie Wu 1, Lisa Tussing-Humphreys 2, Shaina J Alexandria 3, Julienne Sanchez 4, Terry Unterman 5, Krista A Varady 1
16 min
May 24, 2023 New RSV Vaccine Studies!
Talking about 2 studies released last month:

1. Giving it to 3rd trimester moms and seeing what happens in newborns:
https://pubmed.ncbi.nlm.nih.gov/37018474/

2. Giving it to 60+ yo adults and seeing what happens:
https://pubmed.ncbi.nlm.nih.gov/37018468/

What happens when I review these? Listen to find out!

Helpful table (Not sure if this will reproduce well or not):

NNT
Vaccine Efficacy
Severe LRI

first 90 d
142
81%
In 6 mo
75
69%
ADULTS
1428
85%

non-severe LRI

first 90 d
111
57
6mo
55
51%
ADULTS
769
66%

Any URI

ADULTS
500
62%

23 min
April 25, 2023 Personalization - A New Treatment Algorithm for Blood Pressure Management
Hey everyone, on today's episode we are talking about a recent JAMA article on Heterogeneity in Blood Pressure Response to various blood pressure medicines and the idea of individualizing antihypertensive algorithms.

https://jamanetwork.com/journals/jama/article-abstract/2803518
14 min
March 21, 2023 Treating Resistant Depression in Elders - Add or Switch Meds?
Today's episode we look at a study of 60+ year olds who have poorly controlled depression. Is it better to add on medications? Switch medications? Does it matter?

Study link:
https://pubmed.ncbi.nlm.nih.gov/36867173/
17 min
March 05, 2023 New(ish) Drug for MACE Prevention
Bempedoic Acid aka Nexletol has a new trial in NEJM that shows MACE reduction in very high risk patients (mostly secondary but some primary prevention). NNT? NNH? Other trials on Bempedoic acid? Tune in and find out.

16 min
March 05, 2023 Asthma Management: Less is More?
Interesting study today that looks at High dose ICS inhalers possibly have worse outcomes in patients than medium dose ICS inhalers, leading to more exacerbations and need for antibiotics. Plausible? Let's discuss!
16 min
February 17, 2023 Low Serum Creatinine Can Be Dangerous
We take a Pre-operative study from the Annals of Surgery and talk about perioperative risk management for patients with low serum creatinine.
10 min