In episode 562, Mike and James continue to discuss our recently revised 2023 simplified lipid guidelines with Adrienne and Mike. We talk about all the medications used for cardiovascular risk reduction. We go over all the evidence and all the numbers for the benefits (and sometimes lack of benefit) and the harms. We also specifically talk about how to deal with statin intolerance. Show notes 1) PEER simplified lipid guideline 2023 update 2) Lipid-lowering therapies for cardiovascular disease prevention and management in primary care – PEER umbrella systematic review of systematic reviews 3) Simplified Cardiovascular Decision Aid

In episode 561, Mike and James invite Adrienne Lindblad and Mike Kolber to discuss our recently revised 2023 simplified lipid guidelines. We talk about the guideline process, the best available evidence, and discuss some of the rationale we used to recommend the simpler approaches outlined in our guideline. As always, the focus was on shared decision-making and the time needed to treat. Have a listen and see what you think. Show notes 1) PEER simplified lipid guideline 2023 update 2) Lipid-lowering therapies for cardiovascular disease prevention and management in primary care – PEER umbrella systematic review of systematic reviews 3) Simplified Cardiovascular Decision Aid

In this episode, Dr. Michael Allan and Dr. Jess Kirkwood discuss Maxwell, a one-year old with an ear infection.  To claim your Mainpro+ credit, click on the link below: https://cfpclearn.ca/podcast/in-the-clinic-episode-9-ear-infection/ The ‘In the Clinic’ podcast series discusses a new patient case in each episode. Join family physicians Dr. Mike Allan, Dr. Jess Kirkwood and the gang to resolve the patient’s chief complaint. With practical tips and best available evidence, each podcast highlights the challenges that arise from diagnosis to management. Don’t miss this engaging podcast series brought to you by the College of Family Physicians of Canada!

In this episode, Dr. Mike Allan and Dr. Jessica Kirkwood discuss a case of a pregnant patient presenting with nausea.  To claim your Mainpro+ credits, click on the link below: https://cfpclearn.ca/podcast/in-the-clinic-episode-8-nausea/  The ‘In the Clinic’ podcast series discusses a new patient case in each episode. Join family physicians Dr. Mike Allan, Dr. Jess Kirkwood and the gang to resolve the patient’s chief complaint. With practical tips and best available evidence, each podcast highlights the challenges that arise from diagnosis to management. Don’t miss this engaging podcast series brought to you by the College of Family Physicians of Canada!  

Older adults can often present with moderate-severe intensity general symptoms and a broad workup may need to be supplemented with a detailed history. In this case, we explore one such case of an older adult with cryptic abdominal pain.  1.       Understand the importance of a detailed and organized history in accurately diagnosing acute medical issues.   2.       Acknowledging age-related biases and their role in medical care.   3.       Highlight the central role of family discussions with geriatric patients.       

In episode 560, Mike and James finish their discussion around the use of hallucinogens/psychedelics by going over the psilocybin evidence. As with ketamine we cover the many limitations of the evidence around psilocybin and also talk about the side effects, costs and inconvenience. So now you know all we know for what that is worth. Show notes HANDOUT From Hallucinations to Healing: The Rise of Novel Mental Health Therapies

In episode 559, Mike and James continue to discuss the best available evidence around ketamine and severe depression. We go over the many limitations of the evidence and at the end we wrap it all up by going over the side effects, costs and inconvenience. Show notes HANDOUT Psychodelics Podcast From Hallucinations to Healing?

In episode 558, Mike and James decide to start to tackle the ketamine for depression story. Mike talks about what the media says about ketamine and then he delves into what the guidelines say. Then as always, we discuss the best available evidence. Have a listen so that you can be in the know about ketamine. Show notes HANDOUT Psychodelics Podcast From Hallucinations to Healing?

Episode 557: Fancy Creams for Scaly Skin: Topical calcineurin inhibitors for atopic dermatitis In episode 557, Mike and James invite Emelie Braschi back to the podcast to talk about how effective topical calcineurin inhibitors are for atopic dermatitis. We’ll give you all the numbers so have a listen and learn what they are. Show notes Tools for Practice Fancy Creams for Scaly Skin: Topical calcineurin inhibitors for atopic dermatitis

In episode 556, Mike and James have Betsy Thomas back to podcast to talk about how effective are artificial tears for people with dry eyes. Both of us cry halfway through the podcast because of the craziness and inconsistency of the evidence. Have a listen and see what we found. Show notes Tools for Practice Not a Dry Eye in the House – Looking into Artificial Tears