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Frankly Speaking About Family Medicine

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A weekly Podcast series covering newsworthy topics in primary care medicine.

A weekly Podcast series covering newsworthy topics in primary care medicine.
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A weekly Podcast series covering newsworthy topics in primary care medicine.




Why Get A Flu Shot? - Frankly Speaking EP 94

As fall arrives, many patients question the need for an influenza vaccine while clinicians urge patients to get it. 2017-18 flu season data shows high influenza mortality. Learn how to help motivate patients to accept the vaccine. Guest: Susan Feeney, DNP, FNP-BC Landing Page:


Penicillin Allergy: Danger Is in the Diagnosis - Frankly Speaking 93

8% of patients believe they have a penicillin allergy, yet the actual number is far less. Listen to this episode to learn about the incidence of penicillin allergy, the risks associated with reporting a believed allergy, and how you can better manage these patients. Guest: Susan Feeney, DNP, FNP-BC Landing Page:


Eliminating the Unnecessary: Updates on Screening for Cervical Cancer - Frankly Speaking 92

Listen to this episode to learn about the update to the 2012 United States Preventive Services Task Force (USPSTF) recommendation on screening for cervical cancer.


Lose Weight While Eating Whatever You Like; Maybe? - Frankly Speaking EP 91

Listen to this episode to learn about a small study which found that adding 35 grams of fiber and 0.8 grams of protein/kg/day to the diets of obese patients—without making any other diet changes—led to weight loss at 12 weeks. Guest: Susan Feeney, DNP, FNP-BC


A Good Night’s Sleep: The Possible Association Between the Early Introduction of Food and Infant Sleep - Frankly Sleeping EP 90

Both the WHO and AAP recommend exclusive breastfeeding until 6 months of age then solids and breast milk until 12 months of age. The well-established benefits of breastfeeding include support of infant growth and development of immunity. Recently, a clinical trial from the UK found an association between the early introduction of foods and infant sleep. Join us while we discuss the findings of this study and possible implications to your care of moms and their infants.


Preventing Opioid Dependence While Effectively Treating Pain - Frankly Speaking EP 89

Best practices in treating acute and chronic pain have been clouded by years of misinformation. Listen to this podcast episode to learn an evidence-based recommendations that dispels these myths and encourages a new and better approach to pain management.


Depression and Medication Side Effects: Is Your Depression Due to Something You Are Taking? - Frankly Speaking EP 88

The number of adults in the US on prescription medications is rising, with approximately 15% taking five or more daily medications. A recent study found that depression is a common side effect—37.2% prevalence among American adults taking prescription medications—and is associated with an increased risk of concurrent depression. Guest: Susan Feeney, DNP, FNP-BC


Chronic Non-Cancer Pain in Older Adults: Can We Teach Our Patients to “Unlearn” it? - Frankly Speaking EP 87

Chronic non-cancer pain in adults over 60 years old is common. The consequences are a decreased quality of life, disability and increased healthcare costs which can be due to the cost of therapies or from adverse pharmacologic effects to name a few. This episode discusses the results of a systematic review and meta-analysis by Niknejad et al (2018) that looked at pain outcomes in this population using psychological modalities. Guest: Jill Terrien PhD, ANP-BC


Shoulder Surgery Usually Not Beneficial For Most - Frankly Speaking EP 86

Adults often present with atraumatic shoulder pain around age 50 and are diagnosed with impingement syndrome (rotator cuff tendonitis). However, as this recent study demonstrates, the standard of care for treatment should not be surgery. Guest: Susan Feeney, DNP, FNP-BC


Digital Media Use and ADHD Symptoms in Teenagers – Is There an Association? - Frankly Speaking EP 85

A recent longitudinal study of high school students in the LA area found a modest but significant association between high-frequency digital media use (phones, tablets) and subsequent ADHD symptoms. Join us as we discuss these findings and the possible impact on adolescent primary care. Guest: Susan Feeney, DNP, FNP-BC


Physician Burnout: What Degree Have We Reached? - Frankly Speaking EP 84

This episode is an introductory discussion of the very real problem of physician burnout. It affects you and those around you. What do we know about burnout and how can we move beyond it? Guest: Jill Terrien PhD, ANP-BC


Should You Use Budesonide-Formoterol as Needed for Mild Asthma? - Frankly Speaking EP 83

In this episode, we will discuss using an inhaled steroid twice a day to control mild asthma symptoms, versus using the combination budesonide and formoterol. Guest: Jill Terrien PhD, ANP-BC


More Than Beauty: Length and Quality of Sleep and Its Impact on CV Risk Factors in Teens - Frankly Speaking EP 82

It has been fairly established that short duration of sleep is associated with obesity in teens and adults; however, the impact of quantity and quality of sleep has not been as well established. A cross-sectional study by Feliciano et al. found that longer and better sleep was associated with better cardiometabolic profiles in early adolescence – independent of other factors. Guest: Susan Feeney, DNP, FNP-BC


Goals of Care Discussions in Patients with Serious Illness: Is It a Downer? - Frankly Speaking EP 81

Discussing goals of care with patients that have a serious, life-limiting illness does not affect the patient’s anxiety or depression—but can increase the quality of the communication. Listen to this podcast episode for tips that are easily adaptable to any outpatient or specialty practice. Guest: Jill Terrien PhD, ANP-BC


Breastfeeding Supplemented with Formula; When Is It the Right Thing to Do? - Frankly Speaking EP 80

Breastfeeding exclusively in the first six months of life is widely recommended. However, in this study of newborns who were losing weight because their mother’s milk had not yet come in, post-breastfeeding supplementation improved weight and did not alter breastfeeding rates at one month. Guest: Susan Feeney, DNP, FNP-BC


Mangia: What Is the Truth about the Mediterranean Diet and CVD Health? - Frankly Speaking EP 79

In 2013, a groundbreaking clinical trial from Spain touted the benefits of the Mediterranean Diet to reduce CVD risk. A recent review of the study found some irregularities in the randomization procedure that cast concern on the validity of the findings. After reanalysis of the data, however, the results were essentially the same. Guest: Susan Feeney, DNP, FNP-BC


Binge Drinking in Adolescents: A Sober Subject That Begs for Attention - Frankly Speaking EP 78

For adolescents who binge drink, when they begin and how often they do it affects academic performance. This episode discusses the findings of a longitudinal analysis of secondary school students in Canada: The COMPASS study. Guest: Jill Terrien PhD, ANP-BC


Treatment of Post-Op Pain Following Spine and Joint Surgery - Frankly Speaking EP 77

This study looked at how pain was treated following spine and joint surgery and found the majority of patients were not encouraged to use non-opioid analgesia and that most had a supply of unused opioids at home. Guest: Jill Terrien PhD, ANP-BC


Assessing Blood Pressure: How Accurate Are the Blood Pressure Measurements You Use to Care for Your Patients? - Frankly Speaking EP 76

Hypertension affects an estimated 80 million Americans. We diagnose, determine the need for medication therapy, and monitor treatment efficacy based on a simple office blood pressure measurement – but how accurate is that measurement, and what is the most valid method to obtain it? Guest: Susan Feeney, DNP, FNP-BC


Moving Fast, Moving Slow - Frankly Speaking EP 75

Fibromyalgia can be difficult to treat and often requires a multifaceted approach combining exercise, medications, cognitive behavioral therapy, and health education. For many patients, pain hinders participation in a vigorous exercise regimen. Listen to this review of a randomized trial comparing aerobic exercise to tai chi in a patient population with fibromyalgia. Guest: Alan Ehrlich, MD