POEM of the Week Podcast Archive

Episode 282: High dose vs low dose flu vaccine

Dr. Ebell and Dr. Wilkes discuss the POEM titled "High-dose vaccine reduces clinical flu in elderly compared with standard dose (NNT = 220)"

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Episode 281: Raising HDL

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Increasing HDL level ineffective at decreasing cardiovascular events"

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Episode 280: Mycoplasma pneumonia in kids

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Evidence does not show benefit of treating mycoplasma pneumonia in children"

Download Episode 280 (mp3, 3.1MB)

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Episode 279: Cholesterol and weight gain

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Increased fat and caloric intake in patients on statins"

Download Episode 279 (mp3, 3.2MB)

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Episode 278: Is desmopressin safe and effective?

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Desmopressin effective for treating nocturia in adults"

Download Episode 278 (mp3, 3.7MB)

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Episode 277: Time of day of testing for serum testosterone

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Optimal time of day to measure serum testosterone levels varies with age"

Download Episode 277 (mp3, 3.3MB)

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Episode 276: Bariatric surgery plus intensive medical therapy

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Bariatric surgery plus intensive medical therapy better than medical therapy alone for diabetes (STAMPEDE)"

Download Episode 276 (mp3, 3.3MB)

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Episode 275: Benefits of smoke-free legislation

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Smoke-free legislation associated with better child and perinatal health"

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Episode 274: Azithromycin in pneumonia and cardiovascular events

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Net benefit with azithromycin use in elderly hospitalized patients with pneumonia"

Download Episode 274 (mp3, 4.6MB)

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Episode 273: Macular degeneration and omega 3 fatty acids

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Omega-3 fatty acid supplementation does not decrease CVD-related outcomes"

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Episode 272: Dual antiplatelet therapy

Dr. Ebell and Dr. Wilkes discuss the POEM titled "No benefit to prolonged dual antiplatelet therapy after drug-eluting stent placement"

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Episode 271: Adenoma detection rates

Dr. Ebell and Dr. Wilkes discuss the POEM titled "High adenoma detection rate during colonoscopy associated with lower incidence of colorectal cancer"

Download Episode 271 (mp3, 3.4MB)

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Episode 270: Cholesterol guidelines and ACA recommendations

Dr. Ebell and Dr. Wilkes discuss the POEM titled "2013 ACC/AHA cholesterol guidelines greatly increase number eligible for statin treatment"

Download Episode 270 (mp3, 3.8MB)

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Episode 269: Guaiac based testing

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Accuracy of fecal DNA and fecal immunochemical test for colorectal cancer detection"

Download Episode 269 (mp3, 5.1MB)

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Episode 268: Common cold and analgesia and steam

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Cold symptoms unaffected by regular analgesic dosing or use of steam"

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Episode 267: Back pain and opioids

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Opioids for chronic back pain: short-term effectiveness, long-term uncertain"

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Episode 266: Colon cancer screening

Dr. Ebell and Dr. Wilkes discuss the POEM titled "IFOBTs moderately sensitive and highly specific for colon cancer"

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Episode 265: Endocrine therapy to prevent breast cancer

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Anastrozole decreases rate of breast cancer in high-risk postmenopausal women (IBIS-II)"

Download Episode 265 (mp3, 1.5MB)

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Episode 264: Lung cancer screening

Dr. Ebell and Dr. Wilkes discuss the POEM titled "USPSTF recommends lung cancer screening for some smokers"

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Episode 263: Intensive follow-up after colorectal cancer surgery

Dr. Ebell and Dr. Wilkes discuss the POEM titled "No increased survival benefit to intensive follow-up after colorectal cancer surgery"

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Episode 262: Varenicline plus bupropion for tobacco cessation

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Varenicline plus bupropion SR no better than varenicline alone for tobacco cessation"

Download Episode 262 (mp3, 3.3MB)

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Episode 261: Predicting poor prognosis with COPD exacerbation

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Sputum purulence and CRP predict poor prognosis with COPD exacerbation"

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Episode 260: Surgery for partial medial meniscectomy

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Surgery ineffective for non-traumatic partial medial meniscus tear"

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Episode 259: Screening for cervical cancer

Dr. Ebell and Dr. Wilkes discuss the POEM titled "HPV screening every 5 years = Pap smear every 3 years"

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Episode 258: Benefits of nuts

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Nut consumption associated with reduced mortality"

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Episode 257: Renal Artery Stenting

Dr. Ebell and Dr. Wilkes discuss the POEM titled "No benefit to addition of stenting for treatment of atherosclerotic renal artery stenosis"

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Episode 256: Obesity medications

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Long-term results of drug treatment for obesity"

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Episode 255: Muscle training for incontinence

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Pelvic floor muscle training does not reduce postpartum urinary incontinence"

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Episode 254: Elderly preferences for screening tests

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Elders want a say in when to stop cancer screenings"

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Episode 253: Flu and cardiac risk

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Flu vaccine reduces risk of adverse CV events in high-risk patients"

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Episode 252: Effectiveness of STI education

Dr. Ebell and Dr. Wilkes discuss the POEM titled "STI counseling with HIV testing does not reduce subsequent STI acquisition"

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Episode 251: Pericarditis

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Colchicine effective for first episode of acute pericarditis"

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Episode 250: Acute bronchitis

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Amox/clav or ibuprofen no better than placebo for acute bronchitis"

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Episode 249: Scoliosis bracing

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Impact of bracing in adolescents with idiopathic scoliosis (BRAIST)"

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Episode 248: What happens with a negative strep test

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Confirmation of negative strep result may be unnecessary in adults"

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Episode 247: Vitamin D and systolic hypertension

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Vitamin D does not affect isolated systolic hypertension"

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Episode 246: Does metformin affect CV events

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Fewer deaths/strokes/revascularizations with metformin than glipizide."

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Episode 245: Finasteride and prevention of prostate cancer

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Finasteride prevents low-grade prostate cancers, but does not reduce mortality"

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Episode 244: Effect of vitamin D on depressive symptoms

Dr. Ebell and Dr. Wilkes discuss the POEM titled "No effect of vitamin D on depressive symptoms"

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Episode 243: Exercise in older people with depression

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Exercise effective for depression in older people"

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Episode 242: Exercise and weight loss in diabetes

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Intensive lifestyle intervention fails to improve patient-oriented outcomes in obese diabetics"

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Episode 241: Criteria for dx of acute bacterial sinusitis in kids

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Sinusitis Guidelines 2013 -- American Academy of Pediatrics"

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Episode 240: Clopidogrel plus ASA in TIA

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Clopidogrel + 21 days ASA superior to ASA alone within first 24 hrs of TIA or minor stroke"

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Episode 239: ASA vs LMWH after THA

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Aspirin as safe and effective as LMWH for extended thromboprophylaxis after THA"

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Episode 238: Prolotherapy for knee

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Dextrose prolotherapy decreases pain and stiffness in knee DJD"

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Episode 237: Systemic Glucocorticoids for COPD

Dr. Ebell and Dr. Wilkes discuss the POEM titled "5-day steroid treatment effective for acute COPD exacerbation"

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Episode 236: Treatments for flu

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Oseltamivir marginally decreases flu duration; no decrease in flu complications"

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Episode 235: Warfarin vs bridging heparin

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Continued warfarin better than bridging therapy for pacemaker or defibrillator surgery (BRUISE CONTROL)"

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Episode 234: n3 fatty acids to prevent CVD

Dr. Ebell and Dr. Wilkes discuss the POEM titled "n-3 fatty acids do not prevent cardiovascular events in high-risk patients"

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Episode 233: ACL ligament tear - rehab vs delayed reconstuction

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Knee injury: rehab = ACL reconstruction for many young adults"

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Episode 232: Chlorthalidone vs HCTZ for HTN in older adults

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Same benefit with equivalent chlorthalidone and HCTZ"

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Episode 231: Mediterranean diet vs low fat diet

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Mediterranean diet reduces cardiovascular events (PREDIMED)"

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Episode 230: Top ten strategies to improve patient safety

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Top 10 strategies to improve patient safety"

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Episode 229: Best interval for fecal testing to screen for colon cancer

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Colorectal neoplasia yield similar for FIT every 1, 2 or 3 years"

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Episode 228: Dabifatran or warfarin in VT

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Extended use of dabigatran no better than warfarin for high-risk pts after VTE; no net benefit vs placebo for avg-risk pts"

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Episode 227: Lateral epicondylitis

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Steroid injection for lateral epicondylitis worse than saline after 1 year"

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Episode 226: Ramipril to improve walking

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Ramipril increases pain-free walking time in patients with intermittent claudication"

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Episode 225: Duration of Cough

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Mean duration of cough is 18 days; patients expect about 1 week"

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Episode 224: Smoking cessation in children and adolescents

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Smoking prevention counseling works in adolescents, cessation efforts don't"

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Episode 223: Self taken swabs and STIs

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Self-taken swabs improve gonorrhea and chlamydia test accuracy"

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Episode 222: Guidelines for patients with multiple conditions

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Guidelines not helpful in patients with multiple conditions"

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Episode 221: Sleeping policemen to diagnose appendicitis

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Speed bumps can aid in the diagnosis of acute appendicitis"

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Episode 220: Vitamin D and calcium to prevent cognitive decline

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Vitamin D + calcium = placebo for cognitive decline (WHI)"

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Episode 219: Special catheters to reduce UTIs

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Rate of UTIs in pts using special catheters = rate using standard catheters"

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Episode 218: ASA after anticoagulation to prevent VTE

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Aspirin following anticoagulation therapy prevents recurrent VTE (ASPIRE)"

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Episode 217: Multivitamins and cancer in men

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Daily multivitamins have minimal, if any, effect on preventing cancer in men and do not affect mortality"

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Episode 216: Beta blockers and MI

Dr. Ebell and Dr. Wilkes discuss the POEM titled "B-blockers not associated with less morbidity/mortality in adults with CAD or CAD risk factors"

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Episode 215: Zoledronic acid and fractures in men

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Zoledronic acid reduces asymptomatic fractures but not clinical ones in men"

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Episode 214: Tiotropium and asthma

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Adding tiotropium of little benefit in asthma"

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Episode 213: Discontinuing warfarin after GI bleeds

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Discontinuing warfarin therapy indefinitely after GI bleeding assoc with worse outcomes"

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Episode 212: Abnormal MRI findings of normal knees

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Knee findings on MRI are common in older adults with or without pain"

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Episode 211: Omega-3 fatty acids and CVD

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Omega-3 fatty acid supplementation does not reduce mortality or CVD events"

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Episode 210: Bridging Heparin during surgery

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Bridging heparin during surgery not supported by evidence"

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Episode 209: Honey and Cough

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Honey improves nocturnal cough in children"

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Episode 208: Reducing length of stay in comm acquired pneumonia

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Implementation of 3-step pathway reduces LOS for hospitalized pneumonia patients"

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Episode 207: Flexible sig to reduce CRC

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Flex sig reduces incidence and mortality of colorectal cancer"

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Episode 206: Lipid related markers to predict CV events

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Lipid-related markers slightly improve CVD prediction"

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Episode 205: Strep throat decision rules

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Rules for strep throat validated"

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Episode 204: Urinary incontinence

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Less than 20% of patients with urinary incontinence benefit from Rx therapy"

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Episode 203: Antibiotics for appendicitis

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Conservative therapy with antibiotics is an option for early uncomplicated acute appendicitis"

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Episode 202: Type 2 DM - less strict control

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Guidelines for type 2 diabetes: less strict control"

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Episode 201: Botulinum treatment for migraines

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Botulinum toxin A useful for chronic daily headaches and chronic migraines"

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Episode 200: Nocturnal leg cramps

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Bedtime leg stretching reduces frequency and severity of nocturnal leg cramps"

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Episode 199: Closure of patent foramen ovale

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Closure of PFO similar to medical therapy for cryptogenic stroke or TIA"

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Episode 198: Medication after stent placement

Dr. Ebell and Dr. Wilkes discuss the POEM titled "24 months of clopidogrel after stent no better than 6 months"

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Episode 197: Prodaxa to prevent MI

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Dabigatran associated with increased risk of coronary events"

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Episode 196: Antibiotics for uncomplicated diverticulitis

Dr. Ebell and Dr. Wilkes discuss the POEM titled "IV abx = IV fluids for acute uncomplicated diverticulitis (AVOD)"

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Episode 195: Home monitoring of blood glucose in type 2 DM

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Home glucose monitoring does not affect control in diabetes not treated with insulin"

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Episode 194: Best interval for repeat BMD testing

Dr. Ebell and Dr. Wilkes discuss the POEM titled "BMD screening every 15 years for low-risk women"

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Episode 193: Screening asymptomatic men for prostate cancer

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Prostate cancer screening: no mortality benefit after 13 years of follow-up (PLCO)"

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Episode 192: Decision rules for suspected influenza

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Validated clinical decision rule to guide management for patients with suspected influenza"

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Episode 191: Pregnant women and at-home birth

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Home = birth center = OB unit for pregnant women at low risk"

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Episode 190: Aspirin and CVD

Dr. Ebell and Dr. Wilkes discuss the POEM titled "ASA: not for primary prevention"

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Episode 189: Steroids and eustachian tube dysfunction

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Nasal steroids ineffective for ET dysfunction"

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Episode 188: Breast cancer screening

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Breast cancer screening benefits overrated"

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Episode 187: H pylori eradication vs placebo

Dr. Ebell and Dr. Wilkes discuss the POEM titled "H. pylori eradication decreases functional dyspepsia symptoms (HEROES)"

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Episode 186: Niacin in patients on statins

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Niacin not effective in CAD with low HDL cholesterol (AIM-HIGH)"

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Episode 185: Asymptomatic gallstones

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Asymptomatic gallstones rarely lead to cholecystectomy & may go away"

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Episode 184: ADHD and heart disease

Dr. Ebell and Dr. Wilkes discuss the POEM titled "ADHD drugs do not increase serious CV events in children and young adults"

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Episode 183: High sensitivity troponins to rule out MI

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Negative high-sensitivity troponin rules out AMI"

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Episode 182: VTE prophylaxis in medical and stroke patients

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Universal VTE prophylaxis not recommended for hospitalized medical and stroke patients"

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Episode 181: Weight loss and coaches

Dr. Ebell and Dr. Wilkes discuss two POEMs related to weight loss

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Episode 180: Vitamin E and prostate cancer

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Vitamin E supplementation increases risk of prostate cancer"

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Episode 179: False positive mammograms

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Screening for breast cancer: False-positive rates 60% over 10 years"

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Episode 178: Barrett's esophagus

Dr. Ebell and Dr. Wilkes discuss two POEMs relating to Barrett's esophagus

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Episode 177: Alcohol consumption during pregnancy

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Dose-response relationship of alcohol in adverse pregnancy outcomes"

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Episode 176: Steroid or saline for lumbar radiculopathy

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Steroid or saline injection ineffective for lumbar radiculopathy"

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Episode 175: Does adenoidectomy decrease infection?

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Adenoidectomy does not decrease respiratory tract infections in children"

Download Episode 175 (mp3, 3.9MB)

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Episode 174: High dose saw palmetto

Dr. Ebell and Dr. Wilkes discuss the POEM titled "High-dose saw palmetto no better than placebo for BPH symptoms"

Download Episode 174 (mp3, 2.5MB)

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Episode 173: Cytisine to help patients quit smoking

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Cytisine is inexpensive, safe, and modestly effective for smoking cessation"

Download Episode 173 (mp3, 3.3MB)

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Episode 172: Dabigatran vs warfarin in AF

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Dabigatran cost-effective for AF prophylaxis in some patients, not others"

Download Episode 172 (mp3, 5.3MB)

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Episode 171: Massage and lower back pain

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Massage improves function in patients with chronic low back pain"

Download Episode 171 (mp3, 3.2MB)

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Episode 170: Neseritide and acute heart failure

Dr. Ebell and Dr. Wilkes discuss the POEM titled "No benefit of nesiritide for acute heart failure (ASCEND-HF)"

Download Episode 170 (mp3, 3.8MB)

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Episode 169: Placebo and albuterol

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Placebo or sham interventions strongly affect subjective outcome measures"

Download Episode 169 (mp3, 3.1MB)

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Episode 168: Identifying children with serious respiratory

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Symptoms poorly predict kids with serious respiratory illness"

Download Episode 168 (mp3, 3.4MB)

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Episode 167: Symptom detected early prostate cancer

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Treatment for symptom-detected early prostate CA effective in pts younger than 65"

Download Episode 167 (mp3, 3.7MB)

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Episode 166: Leukotriene inhibitors first line or add on

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Pragmatic primary care trial finds LTI similarly effective as inhaled steroid, LABA"

Download Episode 166 (mp3, 3.9MB)

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Episode 165: Vitamin D supplements for mental health

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Annual Vitamin D supplementation does not improve mental well-being"

Download Episode 165 (mp3, 3.5MB)

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Episode 164: Autism medications

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Autistic disorder symptom treatments have limited evidence"

Download Episode 164 (mp3, 4.8MB)

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Episode 163: Ultrasound and wound abscesses

Dr. Ebell and Dr. Wilkes discuss the POEM titled "US-guided needle aspiration ineffective for treatment of skin abscesses"

Download Episode 163 (mp3, 3.7MB)

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Episode 162: Fatty liver disease in children

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Vitamin E and metformin do not reduce liver enzyme levels in pediatric nonalcoholic fatty liver disease"

Download Episode 162 (mp3, 3.1MB)

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Episode 161: DVT - dalteparin vs. heparin

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Dalteparin = unfractionated heparin for ICU DVT prophylaxis"

Download Episode 161 (mp3, 2.4MB)

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Episode 160: Antidepressants in elderly with dementia

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Antidepressants of uncertain effectiveness in patients with depression + dementia"

Download Episode 160 (mp3, 3.4MB)

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Episode 159: Optimal use of loop diuretics in heart failure

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Bolus loop diuretics = continuous infusion in treatment of CHF (DOSE trial)"

Download Episode 159 (mp3, 2.6MB)

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Episode 158: Acyclovir plus hydrocortisone for herpes

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Topical acyclovir plus hydrocortisone superior to acyclovir alone for recurrent herpes labialis"

Download Episode 158 (mp3, 3.4MB)

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Episode 157: Knuckle cracking, high calorie suppl. in demented

Dr. Ebell and Dr. Wilkes discuss two POEMs related to knuckle cracking and elderly patients with dementia

Download Episode 157 (mp3, 3.0MB)

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Episode 156: Anti hypertensives for secondary prevention of CVD

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Antihypertensive therapy beneficial for patients with BP < 140/90 and history of CVD"

Download Episode 156 (mp3, 3.1MB)

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Episode 155: Echinacea and colds

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Echinacea is ineffective for reducing cold symptoms"

Download Episode 155 (mp3, 3.5MB)

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Episode 154: Signs and symptoms of spinal stenosis

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Useful signs and symptoms of lumbar spinal stenosis"

Download Episode 154 (mp3, 3.4MB)

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Episode 153: Treatment for nocturia

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Oral desmopressin effective for nocturnal polyuria in men with BPH"

Download Episode 153 (mp3, 3.9MB)

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Episode 152: Preventing bedsores

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Skin protection wheelchair cushions better than standard foam cushions in preventing pressure ulcers"

Download Episode 152 (mp3, 2.4MB)

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Episode 151: Enuresis alarm

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Enuresis alarm and desmopressin initially equal, but better long-term success with alarm"

Download Episode 151 (mp3, 3.2MB)

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Episode 150: Vitamin D's dubious benefits

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Limited evidence of benefits of vitamin D supplementation"

Download Episode 150 (mp3, 4.9MB)

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Episode 149: Prostate cancer screening

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Ask-tell-ask approach to discussing prostate cancer screening"

Download Episode 149 (mp3, 2.8MB)

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Episode 148: Statins and cardiac events

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Statin therapy decreases cardiac events"

Download Episode 148 (mp3, 4.1MB)

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Episode 147: Acupuncture and shoulder pain

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Acupuncture effective for chronic shoulder pain"

Download Episode 147 (mp3, 4.5MB)

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Episode 146: Pneumococcal urine testing

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Urinary antigen test useful for diagnosis of pneumococcal pneumonia"

Download Episode 146 (mp3, 3.0MB)

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Episode 145: Prevention of atrial fib

Dr. Ebell and Dr. Wilkes discuss the POEM titled "ARBs & ACE inhibitors prevent A fib"

Download Episode 145 (mp3, 3.7MB)

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Episode 144: Poorly controlled asthma

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Tiotropium added to steroids is effective in poorly controlled adult asthmatics"

Download Episode 144 (mp3, 3.0MB)

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Episode 143: Nosocomial pneumonia

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Linezolid no better than vancomycin for treatment of nosocomial pneumonia"

Download Episode 143 (mp3, 3.6MB)

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Episode 142: Lipid lowering in those 80

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Limited data to guide lipid lowering in octogenarians"

Download Episode 142 (mp3, 3.7MB)

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Episode 141: Superficial vein thrombosis

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Fondaparinux effective for superficial thrombosis but at very high cost"

Download Episode 141 (mp3, 3.9MB)

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Episode 140: Prediction rules for CAD

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Clinical prediction rule accurate for primary care chest pain"

Download Episode 140 (mp3, 3.8MB)

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Episode 139: Probiotics and gut flora

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Probiotic decreases colicky crying"

Download Episode 139 (mp3, 4.3MB)

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Episode 138: Osteoarthritis

Dr. Ebell and Dr. Wilkes discuss the POEM titled "NSAID = glucosamine = chondroitin = placebo for knee OA"

Download Episode 138 (mp3, 3.9MB)

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Episode 137: PSA screening

Dr. Ebell and Dr. Wilkes discuss the POEM titled "PSA screening does not decrease mortality"

Download Episode 137 (mp3, 4.5MB)

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Episode 136: Tight glucose control in the ICU

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Tight glycemic control in ICU is harmful"

Download Episode 136 (mp3, 2.6MB)

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Episode 135: Prochlorperazine vs sumatriptan for migraines

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Acute migraine: prochlorperazine better than sumatriptan"

Download Episode 135 (mp3, 3.8MB)

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Episode 134: Use of antibiotics for abcesses

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Placebo = antibiotics for skin abscesses in children"

Download Episode 134 (mp3, 4.2MB)

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Episode 133: Steroid use in COPD

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Low-dose oral = high-dose IV steroids for initial treatment of acute COPD exacerbation"

Download Episode 133 (mp3, 4.3MB)

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Episode 132: Clopidogrel 12 mos beyond stent placement

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Clopidogrel beyond 12 months after stent implantation doesn't improve outcomes"

Download Episode 132 (mp3, 3.5MB)

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Episode 131: Acute neck-back pain: heat pad vs cold pack

Dr. Ebell and Dr. Wilkes discuss the POEM titled "No difference between heating pad or cold pack for acute neck/back strain"

Download Episode 131 (mp3, 4.2MB)

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Episode 130: Male infertility - clomiphene + vit E

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Clomiphene + vitamin E for male infertility"

Download Episode 130 (mp3, 3.1MB)

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Episode 129: Low dose colchicine

Dr. Ebell and Dr. Wilkes discuss the POEM titled "In acute gout, low-dose colchicine = high dose, but with fewer side effects (AGREE)"

Download Episode 129 (mp3, 4.1MB)

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Episode 128: Vitamin B and diabetic nephropathy

Dr. Ebell and Dr. Wilkes discuss the POEM titled "High-dose B-vitamins harmful to patients with diabetic nephropathy"

Download Episode 128 (mp3, 3.0MB)

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Episode 127: BP reduction in type 2 DM

Dr. Ebell and Dr. Wilkes discuss the POEM titled "BP target of 120 no better than 140 in T2DM (ACCORD)"

Download Episode 127 (mp3, 3.7MB)

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Episode 126: Cholesterol reduction in type 2 DM

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Statin + fenofibrate no better than statin alone in T2DM (ACCORD)"

Download Episode 126 (mp3, 3.6MB)

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Episode 125: Serious infections in kids

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Clinical diagnosis of serious infection in children is difficult"

Download Episode 125 (mp3, 3.9MB)

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Episode 124: Pneumonia vaccine in nursing homes

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Pneumonia vaccine effective in nursing homes"

Download Episode 124 (mp3, 2.9MB)

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Episode 123: BNP monitoring to improve survival

Dr. Ebell and Dr. Wilkes discuss the POEM titled "BNP monitoring + protocol improves HF outcomes"

Download Episode 123 (mp3, 3.5MB)

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Episode 122: Adhesive capsulitis treatment

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Intra-articular more effective than oral steroids for adhesive capsulitis"

Download Episode 122 (mp3, 3.1MB)

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Episode 121: Balance training to prevent sports injuries

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Balance/neuromuscular training decreases sports injuries"

Download Episode 121 (mp3, 2.6MB)

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Episode 120: Management options for UTI

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Poor research quality for newborn hearing testing, screening, and treatment"

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Episode 119: J-shaped curve for glycemic control

Dr. Ebell and Dr. Wilkes discuss the POEM titled "J-shaped survival curve for glycemic control in patients with type 2 DM"

Download Episode 119 (mp3, 3.4MB)

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Episode 118: Blood glucose self-monitoring

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Blood glucose self-monitoring not cost-effective in T2DM patients not taking insulin"

Download Episode 118 (mp3, 3.0MB)

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Episode 117: ACE vs ARB in patients with ischemic heart disease

Dr. Ebell and Dr. Wilkes discuss the POEM titled "ACE inhibitor preferred over ARB in patients with ischemic heart disease"

Download Episode 117 (mp3, 3.1MB)

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Episode 116: BNP guided therapy

Dr. Ebell and Dr. Wilkes discuss the POEM titled "BNP-guided therapy decreases heart failure mortality (BATTLESCARRED)"

Download Episode 116 (mp3, 2.9MB)

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Episode 115: ASA benefits in people with diabetes

Dr. Ebell and Dr. Wilkes discuss the POEM titled "ASA of limited benefit in patients with diabetes"

Download Episode 115 (mp3, 2.9MB)

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Episode 114: BMI and mortality risk in elderly

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Elderly with higher BMI have lower mortality risk"

Download Episode 114 (mp3, 3.1MB)

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Episode 113: Metformin vs lifestyle for IGT

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Lifestyle better than metformin for delaying DM in patients with IGT (DPPOS)"

Download Episode 113 (mp3, 3.4MB)

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Episode 112: Chemo prevention for high risk breast cancer

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Preventing breast cancer effective in postmenopausal women"

Download Episode 112 (mp3, 2.7MB)

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Episode 111: Screening with mammograms

Dr. Ebell and Dr. Wilkes discuss the POEM titled "Small benefit to breast cancer screening for most women"

Download Episode 111 (mp3, 4.0MB)

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Episode 110: Self breast exam

Dr. Ebell and Dr. Wilkes discuss the POEM titled "USPSTF: No routine mammography for women younger than 50 years"

Download Episode 110 (mp3, 3.7MB)

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Episode 109: Longevity in nursing homes

Dr. Ebell and Dr. Wilkes discuss two POEMs addressing longevity in nursing homes

Download Episode 109 (mp3, 4.7MB)

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Episode 108: Vitamin D and falls in elderly

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

Download Episode 108 (mp3, 3.3MB)

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Episode 107: Minimally invasive radical prostate surgery

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

Download Episode 107 (mp3, 4.3MB)

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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"

Download Episode 104 (mp3, 3.2MB)

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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"

Download Episode 96 (mp3, 3.9MB)

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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"

Download Episode 95 (mp3, 4.4MB)

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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"

Download Episode 94 (mp3, 2.3MB)

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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"

Download Episode 93 (mp3, 3.4MB)

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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"

Download Episode 92 (mp3, 3.4MB)

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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"

Download Episode 89 (mp3, 4.3MB)

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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"

Download Episode 88 (mp3, 3.8MB)

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Episode 87: Diabetic analogues

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

Download Episode 87 (mp3, 3.0MB)

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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"

Download Episode 83 (mp3, 3.8MB)

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Episode 82: Endometrial polyps

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

Download Episode 82 (mp3, 2.8MB)

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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"

Download Episode 81 (mp3, 2.5MB)

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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)"

Download Episode 80 (mp3, 3.3MB)

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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"

Download Episode 79 (mp3, 3.7MB)

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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"

Download Episode 78 (mp3, 4.3MB)

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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)"

Download Episode 76 (mp3, 3.1MB)

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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"

Download Episode 74 (mp3, 3.2MB)

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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"

Download Episode 73 (mp3, 3.3MB)

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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"

Download Episode 72 (mp3, 2.9MB)

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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"

Download Episode 70 (mp3, 3.1MB)

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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 ""

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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".

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