POEM of the Week Podcast Archive

Episode 107: Minimally invasive radical prostate surgery

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Minimally invasive vs open radical prostatectomy"

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Episode 106: Back pain

Dr. Ebell and Dr. Wilkes discuss the POEM titled "~ 1% of patients with acute back pain in primary care have serious pathology"

Download Episode 106 (mp3, 3.0MB)

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Episode 105: Face masks to prevent flu

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Surgical mask and N95 respirator similarly effective for preventing influenza"

Download Episode 105 (mp3, 3.5MB)

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Episode 104: Probiotics for cold symptoms

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Probiotics prevent cold symptoms in children"

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Episode 103: Treatment for Bell's Palsy

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Steroids beneficial, but antiviral agents are of uncertain value for Bell palsy"

Download Episode 103 (mp3, 3.9MB)

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Episode 102: Screening for depression

Dr. Ebell and Dr. Wilkes discuss the POEM titled "PCP diagnosis of depression: not very accurate"

Download Episode 102 (mp3, 3.8MB)

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Episode 101: Diagnosis of kidney stones in kids

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Ultrasound may be best first test for detecting renal stones in children"

Download Episode 101 (mp3, 3.6MB)

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Episode 100: Carpal tunnel syndrome

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Surgery and nonsurgical treatment of carpal tunnel give similar outcomes"

Download Episode 100 (mp3, 3.3MB)

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Episode 99: Hormone plus radiation for prostate cancer

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Hormones + radiation decrease mortality compared with radiation in prostate cancer"

Download Episode 99 (mp3, 3.5MB)

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Episode 98: Patent foramen ovale

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Patent foramen ovale not necessarily associated with stroke recurrence"

Download Episode 98 (mp3, 3.3MB)

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Episode 97: Ear infection treatment

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Treatment of AOM leads to subsequent ear infections"

Download Episode 97 (mp3, 2.6MB)

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Episode 96: Diagnosing the acute abdomen

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Ultrasound, followed by CT if negative, best for acute abdomen"

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Episode 95: Mamography and overdiagnosis

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Mammography identifies many women who will not benefit from treatment"

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Episode 94: Risk of ACS with normal EKG

Dr. Ebell and Dr. Wilkes discuss the POEM titled "ACS risk similar with normal ECG performed during presence or absence of chest pain"

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Episode 93: Need to monitor BMD after treatment

Dr. Ebell and Dr. Wilkes discuss the POEM titled "No need to monitor BMD after bisphosphonates started"

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Episode 92: Lower back pain guideline

Dr. Ebell and Dr. Wilkes discuss the POEM titled "NICE guidelines for low back pain"

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Episode 91: Discharge instructions

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Structured discharge instructions reduce hospital use"

Download Episode 91 (mp3, 2.6MB)

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Episode 90: False positives

Dr. Ebell and Dr. Wilkes discuss the POEM titled "High false positive rate in repeated, multimodal screening for cancers (PLCO)"

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Episode 89: Treatment for insomnia

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Optimal treatment for persistent insomnia"

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Episode 88: Conflicts of interest

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Pens and trinkets affect attitudes toward medications"

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Episode 87: Diabetic analogues

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Insulin analogues of marginal, if any, benefit"

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Episode 86: Nicotine replacement for those not ready to quit

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Nicotine replacement allows a few smokers to cut down despite initial unwillingness"

Download Episode 86 (mp3, 3.8MB)

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Episode 85: A polly pill for all

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Polypill improves CV risk markers, no data on outcomes (TIPS)"

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Episode 84: Best time to start HIV treatment

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Early initation of antiretrovirals recommended in HIV disease"

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Episode 83: Asthma and esophageal reflux

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Aggressive treatment of asymptomatic GERD does not improve asthma"

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Episode 82: Endometrial polyps

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Incidental endometrial polyps rarely cancerous"

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Episode 81: Religiosity and care at the end of life

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Religious coping associated with increased use of life-prolonging care near death"

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Episode 80: Screening for PSA

Dr. Ebell and Dr. Wilkes discuss the POEM titled "PSA screening does not reduce mortality from prostate CA (PLCO)"

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Episode 79: Vitamin D and osteoporosis

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Vitamin D, at high doses, prevents fractures"

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Episode 78: BNP in heart failure

Dr. Ebell and Dr. Wilkes discuss the POEM titled "No difference in CHF outcomes with BNP-guided therapy"

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Episode 77: Pneumococcal polysaccharide vaccine for adults

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Pneumococcal polysaccharide vaccine of questionable benefit for adults"

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Episode 76: Intensive control of glucose in type II diabetes

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Intensive control of glucose does not improve T2DM outcomes (VADT)"

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Episode 75: Safety of atypical antipsychotics

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Typical and atypical antipsychotics both increase risk of sudden cardiac death"

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Episode 74: Generics for BP

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Generic and brand-name drugs equally effective for cardiovascular disease"

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Episode 73: Exercise for preventing falls in elderly

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Exercise decreases falls in the elderly"

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Episode 72: Steroids for migraine

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Dexamethasone may prevent headache recurrence after treatment of acute migraine"

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Episode 71: Anxiety treatment for children and teens

Dr. Ebell and Dr. Wilkes discuss the POEM titled "CBT, sertraline, and combination effective for childhood anxiety disorders"

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Episode 70: Antidepressants in teens

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Antidepressants only modestly effective for adolescent depression"

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Episode 69: Statins for primary prevention

Dr. Ebell and Dr. Wilkes discuss the POEM titled "High dose statin reduces cardiac events in pts with high CRP (JUPITER)"

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Episode 68: Usefulness of antidepressants

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Guideline: New antidepressants similarly effective (ACP)"

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Episode 67: Preventative antibiotics for COPD

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Long-term erythromycin decreases COPD exacerbations"

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Episode 66: Treatments for IBS

Dr. Ebell and Dr. Wilkes discuss two POEMs examining studies of treatments for IBS

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Episode 65: PSA switching

Dr. Ebell and Dr. Wilkes discuss the POEM titled "USPSTF: No PSA screening in men 75 years and older"

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Episode 64: ACE + ARB

Dr. Ebell and Dr. Wilkes discuss the POEM titled "ACE = ARB, but ACE + ARB worsens renal outcomes (ONTARGET)"

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Episode 63: H. pylori and NSAID safety

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Pretreatment eradication of H. pylori improves NSAID safety"

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Episode 62: Endocarditis prophylaxis

Dr. Ebell and Dr. Wilkes discuss the POEM titled "ACC/AHA: Fewer patients require prophylaxis for endocarditis"

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Episode 61: Nuts, corn, and diverticular disease

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Nuts, corn, and popcorn not associated with risk of diverticular disease"

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Episode 60: Diabetes and home monitoring

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Self-monitoring ineffective in patients with diabetes (ESMON)"

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Episode 59: Homocysteine

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Homocysteine lowering not helpful in women at high risk for CVD"

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Episode 58: Breast CA screening for high risk women

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Combined ultrasound + mammogram for high-risk women increases cancer yield"

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Episode 57: Anxiety and insomnia

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Eszopiclone and escitalopram useful for anxiety and insomnia"

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Episode 56: Quality of life after prostate cancer treatment

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Quality of life varies after different prostate cancer treatments"

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Episode 55: Effectiveness of dementia treatments

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Dementia treatments minimally effective"

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Episode 54: SSRIs and upper GI bleeding

Dr. Ebell and Dr. Wilkes discuss the POEM titled "SSRIs associated with upper GI bleeding"

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Episode 53: Lung Age for smoking cessation

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Telling Lung AgeEsmokers their "lung age" increases quit rates"

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Episode 52: CBT for depression

Dr. Ebell and Dr. Wilkes discuss the POEM titled "CBT+ alternative SSRI better than alternative SSRI alone in adolescent depression"

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Episode 51: Screening for hepatitis C

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Screening for hepatitis C has minimal benefit (NNS = 4000)"

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Episode 50: Antibiotics after I&D of skin abscess

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Antibiotics do not improve outcomes after I&D of skin abscess"

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Episode 49: Surgery for lumbar spinal stenosis

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Surgery of some benefit for lumbar spinal stenosis"

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Episode 48: Honey cough

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Single dose of honey effective for cough in kids"

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Episode 47: Chewing gum and hospital discharge

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Chewing gum hastens bowel motility and shortens hospital stay after colorectal surgery"

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Episode 46: Is there something else?

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Asking "Is there something else?" decreases patients' unmet concerns"

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Episode 45: Atibiotics, steroids for acute sinusitis

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Antibiotics and nasal steroids of little/no benefit for acute sinusitis"

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Episode 44: Drugs for kidney stones

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Alpha-blocker or nifedipine may help pass kidney stones"

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Episode 43: HPV DNA screening

Dr. Ebell and Dr. Wilkes discuss the POEM titled "HPV DNA screening detects CIN3 and cancer earlier"

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Episode 42: Lumbar supports

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Lumbar supports decrease symptoms but not work absence"

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Episode 41: Oral contraceptives and cancer risk

Dr. Ebell and Dr. Wilkes discuss the POEM titled "OCs not associated with overall cancer risk"

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Episode 40: Antibiotics for UR complications

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Antibiotics for URIs reduce complications (but not enough to matter)"

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Episode 39: Bell's Palsy Treatments

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Prednisolone but not acyclovir effective for Bell's palsy"

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Episode 38: Menopausal Symptoms

Dr. Ebell and Dr. Wilkes discuss the POEM titled ""

Download Episode 38 (mp3, 3.2MB)

Episode 37: Early aggressive treatment of stroke

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Aggressive early tx after TIA/minor stroke improves outcomes (EXPRESS)"

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Episode 36: Minocycline and Stroke

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Minocycline improves stroke outcomes"

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Episode 35: Metformin for diabetics with HF

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Metformin does not harm patients with HF and diabetes"

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Episode 34: Intensive lipid lowering

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Intensive lipid lowering adds additional benefit"

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Episode 33: Racial difference between hypertensives

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Little information on racial differences between antihypertensives"

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Episode 32: Pneumonia treatment w/ 3-5 days antibiotics

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Pneumonia can be treated with 3 to 5 days of abx"

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Episode 31: Bariatric Surgery

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Bariatric surgery reduces all-cause mortality in morbidly obese"

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Episode 30: Chronic Constipation

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "PEG more effective than tegaserod for chronic constipation"

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Episode 29: PCOS

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Clinical rule to diagnose PCOS more accurately"

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Episode 28: Leg Ulcers

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Dressing choice unimportant for leg ulcers"

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Episode 27: Discussing Risk

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Presenting risks in different ways affects perceptions"

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Episode 26: Surgery for Sciatica

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Observation an option for patients with sciatica more than 6 weeks"

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Episode 25: Folic Acid and Cancer

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Folic acid does not reduce risk of colorectal adenomas"

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Episode 24: Zoldronic Acid and Osteoporosis

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Zoledronic acid reduces fracture risk in osteoporosis, osteopenia with previous fracture"

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Episode 23: Low dose aspirin

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Aspirin dose >81mg daily not beneficial for secondary prevention of CVD"

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Episode 22: Glitazones and CV risk

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Rosiglitazone associated with increased risk of acute MI"

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Episode 21: Asthma

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "As needed steroid + beta-agonist works well in mild persistent asthma"

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Episode 20: H Pylori

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "1 week = 2 week treatment for HP eradication".

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Episode 19: Capsule Endoscopy

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Capsule endoscopy more sensitive than push enteroscopy".

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Episode 18: Mammograms and False Positives

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Sustained effects of false-positive mammogram results".

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Episode 17: Diets

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Atkins equally or more effective for weight loss in premenopausal women".

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Episode 16: PPIs and Hip Fractures

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Long-term PPI use increases hip fracture risk".

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Episode 15: Impact of Practice Guidelines

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Increased use of COX-2 assoc with more overall GI bleeds".

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Episode 14: Acute Coronary Syndrome

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Presence of risk factors doesn't predict acute coronary syndrome".

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Episode 13: Antibiotics and COPD

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Procalcitonin test can reduce antibiotic use in COPD".

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Episode 12: Early oral treatment for CAP

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Early switch to PO effective for severe CAP".

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Episode 11: Cohosh for vasomotor symptoms

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Black cohosh ineffective for vasomotor symptoms".

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Episode 10: Folate for CVD risk

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Folic acid supplementation does not reduce CVD risk nor mortality".

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Episode 9: Biomarkers and CAD

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "New biomarkers add little to current predictors for CAD".

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Episode 8: BNP and HF

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "BNP misleading in patients with a history of HF".

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Episode 7: Rosiglitazone for Diabetes

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Rosiglitazone delays developing DM (DREAM)".

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Episode 6: Hereditary Breast Cancer Syndromes

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Pedigree identifies hereditary breast cancer syndromes".

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Episode 5: Medications for Kidney Stones

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Medications help passage of kidney stones".

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Episode 4: Antibiotics for Conjunctivitis

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Antibiotics for conjunctivitis decreases symptom duration".

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Episode 3: Cardiovascular Risk of NSAIDs

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Rofecoxib, diclofenac and indomethacin increase risk of CVD".

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Episode 2: PPIs and GI Complications

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Omeprazole = pantoprazole for GI protection with NSAIDs".

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Episode 1: Antibiotic use for Otitis

Dr. Ebell and Dr. Wilkes discuss the InfoPOEM titled "Delayed prescription for AOM reduces unnecessary antibiotics".

Download Episode 1 (mp3, 4.5MB)

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