AFP: American Family Physician Podcast Episode 243 -- December 2025 -- Part 1 AFP: American Family Physician
Dec 15, 2025
Discover the intricacies of cancer screening tailored for older adults, focusing on personalized decision-making. Explore a new Samsung app designed for diagnosing obstructive sleep apnea. Learn about the use of PPIs to combat NSAID-induced ulcers and delve into practical management strategies for hemorrhoids. Get insights on handling late pregnancy bleeding emergencies and the latest on glycemic control in older patients. Finally, enjoy a lighthearted rundown of new holiday-themed ICD-10 codes for seasonal mishaps.
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Time To Benefit Trumps Age
- Screening benefits for many cancers typically appear after 8–10 years, so life expectancy matters more than chronological age.
- Individualize screening decisions and use shared decision-making about tradeoffs and prior screening history.
Check Past Screens First
- Before ordering more cancer screening, review prior screening history to avoid redundant tests.
- Discuss benefits, risks, and patient values to decide whether to continue screening.
Smartwatches Can Triage OSA
- The Samsung Health Monitor app is FDA-authorized to detect signs of moderate–severe OSA in adults 22+.
- Smartwatch AHI estimates improve when combined with validated questionnaires but do not replace polysomnography.
