The Curbsiders Internal Medicine Podcast

#102: Hotcakes: Asthma, Smoking Cessation, PCP Prophylaxis, Procalcitonin

Jul 2, 2018

The podcast discusses topics such as asthma inhaler use, smoking cessation, procalcitonin in respiratory infections, new colorectal cancer screening guidelines, cannabis use and cognitive impairment, and the association between LDL cholesterol and cardiovascular mortality.

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ADVICE

As-Needed Inhalers for Mild Asthma

Consider as-needed budesonide-formoterol for mild asthma.
Ensure you understand formoterol's rapid onset, unlike salmeterol.

INSIGHT

Formoterol vs. Salmeterol

Formoterol has a rapid onset of action (around 3 minutes), unlike salmeterol's 30-45 minutes.
This makes formoterol suitable for as-needed use in mild asthma.

ADVICE

Smoking Cessation Incentives

Financial incentives can improve smoking cessation rates.
Free cessation aids and e-cigarettes alone are less effective.

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Curbsiders’ Journal Club features rapid summary and critical appraisal of recent articles and news stories in internal medicine by The Curbsiders. This month’s topics include: asthma, maintenance versus as needed inhaler use, procalcitonin, Pneumocystis pneumonia prophylaxis, colon cancer screening, smoking cessation, cannabis and cognitive impairment, LDL cholesterol and mortality, plus some medical podcast recommendations.

Over the last month, we have developed a list of more than 40 interesting articles and news stories that we have been feeding our own brain holes. From this list we have plucked a select few that we really wanted to highlight and share with you.

Join our mailing list to receive a PDF copy of our show notes every Monday! And hey, while you’re here, consider rating us on iTunes and leaving a review. The Curbsiders thank you! We are also on Facebook, Instagram, and Twitter: @thecurbsiders.

Credits:

Written by: Christopher J Chiu MD, Sarah Phoebe Roberts MPH
Producers: Christopher J Chiu MD, Sarah Phoebe Roberts MPH
Hosts: Christopher J Chiu MD, Stuart Brigham MD, Paul Williams MD, and Matthew Watto MD
Editor: Matthew Watto MD

Time Stamps:

00:00 Announcements
00:20 Disclaimer
01:00 Intro to Curbsiders Journal Club
03:07 Mild asthma and as needed versus maintenance inhaler use
09:50 Smoking cessation, e-cigarettes, and financial incentives
17:23 Pneumocystis pneumonia prophylaxis
22:18 Cannabis and cognitive impairment
26:15 Colorectal cancer screening update by American Cancer Society
30:37 Procalcitonin for lower respiratory tract infections in the ED
37:29 Cholesterol, baseline LDL-C, mortality and cardiovascular events
41:01 Incorrect symbology and some podcast recommendations
46:22 Outro

Tags: asthma, maintenance, inhaler, procalcitonin, Pneumocystis, pcp, pneumonia, prophylaxis, colon, cancer, screening, crc, smoking, cessation, marijuana, cannabis, cognitive impairment, LDL, cholesterol, mortality, cardiovascular, podcast, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed