In episode 533, Mike and James go PREMIUM yet again with new information on not so new primary care questions. We talk about FODMAP diets, intra-articular steroids, cannabis and time taken in family practice to do everything.

Show Notes
1) Diet or medication in primary care patients with IBS: the DOMINO study – a randomised trial supported by the Belgian Health Care Knowledge Centre (KCE Trials Programme) and the Rome Foundation Research Institute
Gut. 2022 Nov;71(11):2226-2232
2) Clinical effectiveness of one ultrasound guided intra-articular corticosteroid and local anaesthetic injection in addition to advice and education for hip osteoarthritis (HIT trial): single blind, parallel group, three arm, randomised controlled trial
BMJ. 2022 Apr 6;377:e068446
3) Revisiting the Time Needed to Provide Adult Primary Care
J Gen Intern Med. 2022 Jul 1 . DOI: 10.1007/s11606-022-07707-x

In episode 532, Mike and James bring Mike Kolber in to chat about potential treatments for anal fissures. We discuss the evidence for topical nitroglycerin, topical calcium channel blockers and topical Vitamin E. At the end we provide guidance that will blow your head off – or maybe we were all using too high a dose of topical nitroglycerin.

Show Notes
Tools for Practice
Topical Anal Fissure Treatments – getting to the bottom of it

In episode 531, Mike and James chat with Samantha Moe yet again. In this podcast we go over all the best evidence for whether or not inhalers help with post-infectious cough in adults without asthma. The evidence is miles/kilometres from being overwhelming but we do our best give you numbers you can use in your practice.

Show Notes
Tools for Practice
Coughing up the evidence: Bronchodilators or inhaled steroids for post-infectious cough