By: Dr. Geoffrey Modest The American Academy of Neurology published a position paper on the use of opioids for chronic noncancer pain, or CNCP, lasting more than 3 months (see doi: 10.1212/WNL.0000000000000839). Their basic argument is that there are no data showing that longer term opioids are effective (though they do acknowledge that none of the randomized controlled […]
Category: Archive
Primary Care Corner with Geoffrey Modest MD: ADVANCE trial follow-up and goal A1C
ADVANCE trial follow-up and goal A1C […]
Primary Care Corner with Geoffrey Modest MD: EKG screening in young people/athletes
EKG screening in young people/athletes […]
Primary Care Corner with Geoffrey Modest MD: Community-wide rural cardiac health program
Community-wide rural cardiac health program […]
Primary Care Corner with Geoffrey Modest MD: USPSTF Recs on Ambulatory Blood Pressure Monitoring
USPSTF Recs on Ambulatory Blood Pressure Monitoring […]
Primary Care Corner with Geoffrey Modest MD: Hepatitis C Reinfection
By: Dr. Geoffrey Modest A recent article from the Netherlands looking at hepatitis C (HCV) infection and reinfection in HIV positive MSM (men who have sex with men) sheds some light on the murky subject of HCV virology (See Clinical Infectious Diseases 2014;59(12):1678–85). It has been known that anti-HCV antibody titers can decline in both acute and chronic HCV […]
Primary Care Corner with Geoffrey Modest MD: Knee Osteoarthritis Therapies
Knee Osteoarthritis Therapies […]
Primary Care Corner with Geoffrey Modest MD: Travelers Diarrhea Review
By: Dr. Geoffrey Modest JAMA had an excellent review (I think) of traveler’s diarrhea (see JAMA. 2015;313(1):71-80). Some of their major points for those traveling to high-risk countries: –eating food from street vendors certainly increases the risk, though one can get it in a 5-star hotels (esp if food served buffet-style and food exposed to warm environmental […]
Primary Care Corner with Geoffrey Modest MD: Diabetes Recommendations 2015
By: Dr. Geoffrey Modest The American Diabetes Association just updated their clinical care recommendations, as they do annually. I will highlight the significant changes over last year, though I did repeat a few items of importance which did not change. –They lowered the BMI cutpoint for overweight in Asian Americans from 25 to 23 kg/m2, reflecting […]
Primary Care Corner with Geoffrey Modest MD: Diabetes and cognitive decline
Diabetes and cognitive decline […]