Primary Care Pearls

A medical education podcast focused on primary care made by learners, for learners and - most importantly - led by our patients' stories. Episodes released every two weeks.

"Thank goodness there is Formula" - Infant Nutrition (Part II)

In this episode, Helen Cai and Dr. Faith Crittenden chat with Katherine and Dr. Porto about the challenges and opportunities of relying on infant formula, especially if it wasn’t a parent’s original plan. === Outline === Chapter 1: The realities of Infant Feeding Chapter 2: The history and science behind formula Chapter 3: Safe practices in handing infant formula Chapter 4: Formula’s unintended benefits on family life === Learning Points === All infant formula are safe and complete due to...

12-15
50:12

“I did not expect it to be as challenging as it was” - Breastfeeding, Infant Nutrition (Part I)

In this episode, Helen Cai chats with Dr. Chen and Dr. Nardella about the challenges and joys involved with feeding babies through breastfeeding. === Outline === Chapter 1: Motivation for Learning Chapter 2: Counseling on benefits of Breastfeeding Chapter 3: Collecting a history and troubleshooting Chapter 4: Not all situations are the same === Learning Points === Breastfeeding Pain is Not Normal: While some tenderness may occur in the very early days, ongoing pain, is a sign of a problem...

11-28
01:05:57

"The doctor is also just a person" - Transitions of Care for Adolescents (Part II)

In this episode, Dr. Liang chats with Alexis and Dr. Quinn about the challenges involved with helping adolescents transition care into the adulthood. === Outline === Chapter 1: Building a team of specialists Chapter 2: Transitions to adult care Chapter 3: The role of parents Chapter 4: Parting advice Chapter 5: Conclusion === Learning Points === While it’s tempting to think of adolescents as simply younger versions of adult patients, we need to recognize that they have their own needs and...

08-13
42:44

"We Have a Voice" - Mental Health, Social Media, and Sexual & Reproductive Health in Adolescents (Part I)

In this episode, Dr. Liang interviews Dr. Quinn (Adolescent Health Provider) and Alexis (Teenager) on her personal experience with navigating social media, mental health struggles, and reproductive health with her healthcare providers. === Outline === Chapter 1: Definitions Chapter 2: Establishing a relationship with the patient Chapter 3: Mental health Chapter 4: Social media Chapter 5: Sexual and reproductive health Chapter 6: Conclusion === Learning Points === First impressions a...

06-30
41:51

"My whole life changed." - Dialysis and Kidney Transplantation (ESRD, Part II)

In the final episode of the ESRD series, Dr. Montano and Bernstein discuss the implications and mechanisms behind dialysis and our patients share their experiences with both dialysis and kidney transplantation. === Outline === Chapter 1: Approaching dialysis Chapter 2: Hemodialysis vs peritoneal dialysis Chapter 3: Practicalities of living on dialysis Chapter 4: Kidney transplantation === Learning Points === Hemodialysis and peritoneal dialysis are the two primary options for long-term re...

05-19
45:41

"Is this really happening to me?" - Diagnosing End-Stage Renal Disease (Part I)

In this first episode of the ESRD series, Dr. Montano and Bernstein discuss how to diagnose kidney failure while Drs. Hart and Aklilu wrestle with the fraught history of using race in the measurement of kidney function. === Outline === Chapter 1: A gradual progression Chapter 2: A history of EGFR through the lens of race Chapter 3: Involving the nephrologist Chapter 4: Medication adjustments and monitoring === Learning Points === The symptoms underlying a progression from CKD to ESR...

05-05
51:06

"A light that is slowly going to turn off." - Dementia (Geriatric Series Part II)

In our final episode of the Geriatric series, Dr. Xu and Drs. Ouellets discuss how to manage neurocognitive disorders in elderly patients. Daniel facilitates the conversation with a sweet couple navigating these challenges. === Outline === Chapter 1: An Unexpected Diagnosis Chapter 2: Diagnosing Dementia Chapter 3: Dementia Treatment and Specialist Care Chapter 4: Supporting Caregivers === Learning Points === Dementia is characterized by both functional and cognitive impairment. Whil...

04-21
51:39

"You have to be willing to talk about death." - Advance Care Planning (Geriatric Series Part I)

In our first episode of the Geriatric series, Dr. Xu and Drs. Ouellets discuss how to have difficult topics with patients involving death and loss of function. Darius facilitates the conversation with a beautiful couple facing these existential questions. === Outline === Chapter 1: Introduction to Advance Care Planning Chapter 2: Discussing Difficult Topics Chapter 3: Who’s in the room? Stakeholders Chapter 4: Key Elemaents of an Advance Care Plan === Learning Points === We can define adv...

04-07
51:19

"You need to create a new life, whatever that life is gonna be" - Managing Alcohol Use Disorder (Part II)

In this episode, Dr. Barenboim and Dr. Holt discuss the important role that medications and mutual support groups play in helping James maintain sobriety from alcohol. Share your reactions and questions with us at Speak Pipe . We might feature you on a future episode! === Outline === Chapter 1: Managing Alcohol Withdrawal in the Outpatient Setting Chapter 2: Medications for AUD Chapter 3: Recovery Group/Social Support === Learning Points === Although our training has historically f...

03-24
48:43

"His best friend was Alcohol.. I wanted my best friend back" - Diagnosing Alcohol Use Disorder (Part I)

In this episode, Dr. Barenboim and Dr. Holt explore a couple's journey through a changing relationship to alcohol and when it became an alcohol use disorder. Share your reactions and questions with us at Speak Pipe . We might feature you on a future episode! === Outline === Chapter 1: Early Development of a Relationship with Alcohol Chapter 2: Diagnosing AUD Chapter 3: Approaching the Conversation Chapter 4: Motivational Interviewing === Learning Points === Someone’s relationship w...

03-10
39:20

"This Isn't a Goodbye. It's a 'See You Later'" - Season 1 Finale

Please complete this brief 3 minute survey to provide us Feedback on Season 1 so we can continue to improve the podcast for all our listeners!

02-06
07:26

"Reach out for Help" - Metabolic Health (Part II)

In this episode, Dr. Vasudevan and Dr. Moreno explore the ever-expanding treatment options for Obeisty, and our patient tells us about his experience with some of these interventions. Share your reactions and questions with us at Speak Pipe . We might feature you on a future episode! === Outline === 1. Introduction 2. Chapter 1: Lifestyle Changes (Diet/Exercies) 3. Chapter 2: Weight Loss Medications 4. Chapter 3: Bariatric Surgery 5. Chapter 4: Advise to Young Clinicians and Fell...

01-23
46:37

"I Miss Hiking" - Metabolic Health (Part I)

In this episode, Dr. Vasudevan and Dr. Moreno unpack our patient's experience with weight and how it's impacted his life. Share your reactions and questions with us at Speak Pipe . We might feature you on a future episode! === Outline === 1. Introduction 2. Chapter 1: Personal Relationship to Weight 3. Chapter 2: Impact of Weight on Mental Health 4. Chapter 3: Relationship with PCP 5. Conclusion === Learning Points === Commonly used measures of obesity include BMI and waist circ...

01-09
39:00

"A refrigerator full of ice cream" - Nutrition Medicine (Part IV)

In this episode, Nate and Justin discuss ways that Tina could modify her food environment to keep moving toward her health goals. They also discuss the tricky aspect of social determinants of health and how that may (or may not?) hamper our efforts to help patients achieve healthy lifestyles. Share your reactions and questions with us at Speak Pipe . We might feature you on a future episode! === Outline === 1. Introduction 2. Chapter 1: Food Environment 3. Chapter 2: Social Deter...

12-26
36:13

"I can't discipline myself, but I don't want to disappoint you" - Nutrition Medicine (Part III)

In this episode, Nate and Justin discuss the powerful technique of motivational interviewing to figure out how to help Tina inch closer towards her own goals. Share your reactions and questions with us at Speak Pipe . We might feature you on a future episode! === Outline === 1. Introduction 2. Chapter 1: Taking a Dietary History 3. Chapter 2: Motivational Interviewing 4. Conclusion === Learning Points === Changes in food habits and eating patterns can mean breaking patterns that have ...

12-12
33:35

"I loved [Keto] because I lost the weight" - Nutrition Medicine (Part II)

In this episode, Nate, Justin, and Tina sit around the proverbial dinner table to discuss different types of eating patterns or "diets" and why a whole food plant-based diet might deserve a spot at the top of the food chain. Share your reactions and questions with us at Speak Pipe . We might feature you on a future episode! === Outline === 1. Introduction 2. Chapter 1: Types of Eating Patterns 3. Chapter 2: Whole Food Plant-Based Diet 4. Chapter 3: Emotional and Psychological Nature of...

11-28
26:58

"Nothing was ever real food..." - Nutrition Medicine (Part I)

In our inaugural episode of the nutrition series, Nate, Justin and our patient, Tina, tackle nutrition myths and what it means to eat for joy. Pretty ambitious... did they bite off more than they can chew?? Listen to find out. Share your reactions and questions with us at Speak Pipe . We might feature you on a future episode! === Outline === 1. Introduction 2. Chapter 1: Tina's Story 3. Chapter 2: Eating for Joy 4. Chapter 3: Busting Nutrition Myths 5. Conclusion === Learni...

11-14
27:33

Elderly, Kidney Disease, and Pregnancy - Hypertension (Part III)

In the final episode of our hypertension series, Taylor and Dr. Gallagher discuss the causes of high blood pressure and management in special populations. Share your reactions and questions with us at Speak Pipe . We might feature you on a future episode! === Outline === 1. Introduction 2. Chapter 1: Causes of Primary Hypertension 3. Chapter 2: Secondary Hypertension 4. Chapter 3: Treating Hypertension in Special Populations 6. Conclusion === Learning Points === About 90% of patie...

10-31
53:36

"The Big Ask" - Hypertension (Part II)

In the second episode of our hypertension series, Taylor and Dr. Gallagher discuss lifestyle modifications and medications used in the treatment of high blood pressure. Share your reactions and questions with us at Speak Pipe . We might feature you on a future episode! === Outline === 1. Introduction 2. Chapter 1: Setting goals 3. Chapter 2: Lifestyle modifications 4. Chapter 3: Initiating Pharmacotherapy 5. Chapter 4: Adherence to Medications 6. Conclusion === Learning Points ==...

10-17
46:43

"This Seems Crazy... Nothing's Wrong with Me." - Hypertension (Part I)

In the first episode of our hypertension series, our patient Taylor joins us for a discussion on receiving and coming to terms with a diagnosis of high blood pressure. Share your reactions and questions with us at Speak Pipe . We might feature you on a future episode! === Outline === 1. Introduction 2. Chapter 1: Taylor's Story/Hypertensive Urgency 3. Chapter 2: Defining Hypertension 4. Chapter 3: Measuring Blood Pressure 5. Chapter 4: White Coat Hypertension 6. Concl...

10-03
39:33

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