In episode 609, Jamie and James chat with Jennifer Young about what the evidence says around exercise for fibromyalgia. Unfortunately, the evidence and the way it is presented is somewhat limited but nonetheless we do put it into context to help you and your patients make decisions. Show Notes 1) Tools For Practice Use the […]
In episode 608, Tina and James invite Jennifer Young back again to the podcast to go over the evidence we have for a simple but important question around buckle fractures – does treating with a soft bandage versus a rigid splint/cast produce different clinical outcomes? The answer is quite clear around what we should do. […]
In episode 607, Tina and James invite Caitlin Finley to go over what the group found with regard to the best available evidence around surgical frenotomy. We look at the effect the surgery has on breast pain, self-reported breastfeeding improvement, and infant weight gain. Tune in as you might be impressed with the absolute benefits. […]
THE CASE It is Friday, the end of a long and busy week and a sunny weekend is calling you. Your tasks this afternoon includes seeing some patients who have complex comorbidity and have been booked in for medication reviews. Next up is a longstanding patient, aged 76 who is on 14 different medication, for […]
THE CASE You have just seen James aged 37 about an ankle sprain. He says he also wants to ask about an exercise test. He has just got a new job and the company have offered him a cut price “Private medical well man appointment which includes tests that your own GP doesn’t do including […]
In episode 606, Jamie and James go over the best available evidence we have for the medications used in overactive bladder, with a focus on a newer agent mirabegron. We end up having to discuss the exciting topics of number of voids and dry mouth and at the end we give you all the numbers […]
In episode 605, James and Jamie get Emelie Braschi to answer a simple and common clinical question. ASA versus direct oral anticoagulants – which one is safer with regard to bleeding? As always it comes down to the numbers and we go over all those numbers and put them into the overall benefit and harm […]
THE CASE Mrs Green aged 60 comes complaining that she feels fatigued and tired, although there are no specific symptoms and she has no fever, pain, bowel upset, bleeding, nor any mental health symptoms. She is sleeping normally and doing all her usual activities easily, and working full time. She is happily married and has […]
In episode 604, James and Mike K get Jennifer Young to tackle the topic of nose bleeds and what the evidence shows around the use of topical tranexamic acid and how it compares to other treatments. We go over all the endpoints and give you all the numbers. Show Notes 1) Tools For Practice Stop […]
In episode 603, James and Mike K invite Jennifer Young back to the podcast to talk about the best available evidence for topical minoxidil and hair growth. We discuss outcomes such as the numbers of hairs per squared centimeter – the main outcome reported – but when available, we also other report on other outcomes […]
In episode 602, James and Mike Kolber go over the best available evidence for the benefits and the harms for one of the most commonly used classes of medications – proton pump inhibitors. We find out the benefit numbers are much larger than the harm numbers. Check out the podcast to get all the numbers […]
THE CASE Dr Ashville is training to be a family physician and gets a phone call from a disgruntled patient called Jane Brown. She got a message saying “As your Cardiovascular risk is now 10% it is recommended you take a statin medication”. She is a bit cross she didn’t get a proper conversation about […]
THE CASE Nurse J and advanced nurse practitioner and Dr A are taking a short coffee break and discussing the management of lifestyle issues in their mixed practice. Many of their patients are living in poverty, with a lot of patients having Long Term Conditions. They feel under pressure from health service management to push […]
In episode 601, James and Mike invite Jennifer Young back to the podcast to go over all the evidence we have for pregabalin and gabapentin in patients with fibromyalgia. During the discussion we find out how many people actually get a ≥30% reduction in pain compared to placebo. We even look at some information about […]
Show notes THE CASE Dr P works in a busy inner-city practice. One day a cancer patient bemoans the fact that she “never sees the same doctor twice” at the hospital, and asks “can I see you again doctor, you have been so helpful and understanding today?” Like many practices Dr P’s workplace uses a […]
In episode 600, James and Mike invite Jamie Falk back to the podcast again and we talk about if exercise helps movement in Parkinson’s disease. You might be surprised by the size of the effect so have a listen and get all the evidence and numbers you need. Show Notes Tools For Practice Exercise for […]
Show notes THE CASE M is a hard-working clinician in primary care aiming for high professional standards; they passed all their exams at medical school and post grad training, and continue to engage in regular CPD. To their surprise, medicine in practice seems to get more and more difficult as time goes on. Many patients […]
In episode 599, James and Mike invite Roni Kraut to the podcast for the first time to talk about a common problem that has a simple answer. What route and/or duration of antifungals is needed when treating uncomplicated vulvovaginal candidiasis in non-pregnant women. Tune in to find out all the simple details. Show Notes Tools […]
THE CASE Mrs P is aged 56 and has Type 2 Diabetes. Her HBA1c has reduced from 69 (8.5) to 58 (7.5) and her SBP has been reduced from 150 to 135. Her GP gets this discharge summary: Mrs P had surgery for a bowel obstruction caused by adhesions from a previous hysterectomy 5 years […]
THE CASE A 40 y/o, or so, primary health care provider who enjoys taking care of patients and has been working hard for the last 12 years they want to make their practice less frustrating, more interesting, more rewarding. Welcome to the premiere episode of The Contented Clinician Podcast! We’re excited to introduce you to […]
Shawna
love the humor in this episode!!
Shawna
helpful episode !! thank you
Brianne Hartman
not your best episode. The part of alternative prophylactic therapies was not at all clear.
monnie🤬
I have COPD and this is my first time....Now its my last.Next time, stop laughing.