In episode 521, James and Mike invite Caitlin Finley to the podcast for the first time to talk about a very common primary care topic – recurrent UTIs. We discuss the frequency of recurrence and look at the evidence for many of the different strategies used to reduce the chance of recurrence.
Show Notes
1) Tools for practice
A dose a day keeps the UTI away?
2) PRACTICAL EVIDENCE FOR INFORMED PRACTICE (PEIP) CONFERENCE 2022
REGISTER
In episode 520, James and Mike delve into the delicious area of ultra-processed food. We review all the best available evidence and try to put it into a digestible format. At the end we put a cherry on top to make it even more appetizing/interesting.
Show Notes
The Nutrition Proposition
1) Book website
nutritionproposition.com
2)Amazon Link for The Nutrition Proposition
In episode 519, Mike and James ask Jen Potter back to the podcast to talk about a common primary care question around oral contraceptives and breast feeding. We review the best available evidence which unfortunately we find out is not the highest quality. Nonetheless, we go over the numbers and then come up with useful, hopefully, suggestions for what to do around this issue.
Show Notes
Tools for Practice
Oh Baby: Combined oral contraceptives during breastfeeding
In episode 518, Mike and James get Samantha to go through all the evidence we have for restricting lactose-containing foods in children with acute diarrhea. While we find out that looking at this evidence is at best tricky, it seems like reducing or diluting formula may provide a reasonable benefit. Listen to the podcast for the numbers.
Show Notes
Tools for Practice
“Not Milk?”: Avoiding lactose-containing products during acute pediatric diarrhea
Episode 517: PREMIUM – A podcast that hopefully won’t leave you breathless
In episode 517, Mike and James talk PREMIUMLY (not a word but it should be) about two new trials that looked at using fixed dose combinations of salbutamol/albuterol and a steroid on a PRN basis in patients with moderate to severe asthma. It seems to have an effect and it may make asthma treatment simpler, but it may also increase the costs when it comes to inhalers.
Show Notes
1) Albuterol–Budesonide Fixed-Dose Combination Rescue Inhaler for Asthma
N Engl J Med 2022;386:2071-83.DOI: 10.1056/NEJMoa22031632
2) Reliever-Triggered Inhaled Glucocorticoid in Black and Latinx Adults with Asthma
N Engl J Med 2022;386:1505-18.DOI: 10.1056/NEJMoa2118813
In episode 516, James and Mike invite Nicolas Dugré to the podcast yet again, and this time we talk about the evidence around the latest long-acting implantable reversible contraception. As always, we talk about the efficacy, the harm and all the rest of the issues around the use of these forms of contraception.
Show Notes
Tools For Practice
The LARC (long-acting reversible contraception) Song: Is the etonogestrel implant a hit?
Check out the Pharmascope Podcast – The French “version” of the BS Medicine Podcast
In episode 515, James and Mike invite Allison Paige to the podcast for the first time. Alli takes us through all the evidence around a combination product (naltrexone/bupropion) for weight loss. We talk about all the numbers we have for benefit, harm and cost and we put this agent into the context of the other medications we use for weight loss.
Show Notes
Tools For Practice
In episode 514, James and Mike invite Betsy Thomas to the podcast for the first time. We look at a very common condition that many of us have at some point in our lives – allergic rhinosinusitis. We go over the best available evidence for the oral antihistamines and try to figure out which one is the “best”. In addition, we look at the evidence for intranasal corticosteroids and they are likely more effective than oral antihistamines.
Show Notes
Tools For Practice
Antihistamines for allergic rhinosinusitis: ‘Achoo’sing the right treatment
In episode 513, James and Mike invite Emelie Braschi to the podcast for the first time. We go over the best available evidence around the treatment of BPH and focus on the combination therapy of alpha-blockers and 5-alpha reductase and find as for many things there is an improvement in symptoms but also an increase in side effects.
Show Notes
Tools For Practice
To Pee or Not to Pee: Combination agents for benign prostatic hypertrophy
In episode 512, James and Mike finish going over the best available evidence around drinking alcohol. We look at what evidence says about the “red-wine” theory and the French Paradox. We also look at the evidence around alcohol and surrogate markers, and atrial fibrillation. We also examine the effect of social drinking on emotion and alcohol-induced cirrhosis.
Show Notes
Check out the book “The Nutrition Proposition” for all the references discussed. The book is available on Amazon as a paperback and a Kindle Edition
THE NUTRITION PROPOSITION BOOK
Check it out at nutritionproposition.com and think about picking up a copy on Amazon. All the evidence you ever wanted about nutrition and the only nutrition book that won’t tell you what to eat.
This pragmatic trial is now recruiting in BC. Make a difference and get involved with pragmatic trials (www.pragmatictrials.ca)
