Primary Viewpoints: A Patient Care Podcast

This week on the Weekly Dose Podcast from Patient Care Online®, we break down five major clinical updates shaping primary care practice—from advances in Alzheimer diagnostics to new treatment options for menopause-related symptoms.In this episode:• First blood test for Alzheimer disease cleared for primary care The Elecsys pTau181 assay offers a minimally invasive way to help rule out AD-related amyloid pathology, with a 97.9% negative predictive value in early-disease, low-prevalence settings.• How elinzanetant improves sleep—independent of vasomotor symptom relief A pooled analysis of more than 1,300 participants shows that over half of the therapy’s sleep benefit reflects direct effects on sleep pathways.• Multidisciplinary lung cancer screening program delivers major gains Screening rates more than doubled, disparities narrowed, and most cancers diagnosed were early stage—highlighting the power of coordinated population health infrastructure.• Nationwide survey reveals the full scope of menopause symptoms Fatigue, sleep disturbance, stress, brain fog, and weight gain were more prevalent than classic hot flushes, underscoring the need for holistic menopause care.• FDA approves elinzanetant for moderate-to-severe vasomotor symptoms The first dual NK-1/NK-3 receptor antagonist demonstrated rapid and sustained VMS reductions, plus improvements in sleep and quality of life.Listen for fast, evidence-based insights to support your daily primary care practice.For more clinical news and expert commentary, visit PatientCareOnline.com.

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Dementia cases are rising—but early detection can slow cognitive decline, improve quality of life, and reduce caregiver burden. In this special World Brain Day episode of Primary Viewpoints, geriatrician Anna Chodos, MD, joins us to discuss why routine cognitive screening should be standard in primary care settings.Dr Chodos outlines actionable steps primary care teams can take to incorporate brief cognitive and functional assessments during routine visits, including tools that fit seamlessly into clinic workflows and the role of electronic health record reminders.She also shares insights from more than a decade of dementia care, offering a practical "brain health plan" that physicians can implement immediately to support their older adult patients—starting with what they already do well.

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Welcome to the Patient Care Online® Primary Viewpoints podcast. Tune in to hear leaders in primary care sound off on topics that impact your clinical practice.In this episode, we spoke with Anila Chadha, MD, about the correlation between chronic pain and obesity, including the long-term effects of pain conditions for patients with obesity, common types of pain conditions associated with obesity, and how primary care clinicians should go about addressing pain with patients with obesity. Dr Chadha is a family physician and obesity medicine physician at Dignity Health Medical Group in Bakersfield, California.Thanks for listening to the Patient Care Online® Primary Viewpoints podcast. To support the show, be sure to rate, review, and subscribe wherever you listen to podcasts. For more primary care news and expert-driven content, visit patientcareonline.com.

It is common for physicians to mask their emotional distress in front of colleagues and patients, making it crucial for clinicians to be on the lookout for signs of distress among their peers, according to Rebekah Bernard, MD, family physician and national speaker on physician wellness and practice management. On today’s episode of Primary Viewpoints, Dr Bernard shares common signs of emotional distress to be aware of, discusses how to start a dialogue about mental health with a colleague, and offers 3 suggestions for physicians on connecting with peers and caring for their own wellbeing.

"Well, we're a little bit concerned about what might happen over the next 3 to 4 months," said Sterling Ransone, Jr, MD, referring to the 2022-23 respiratory virus season now in its very early weeks. Ransone, who is board chair of the American Academy of Family Physicians (AAFP), discusses what the AAFP and its members are most concerned about as the country prepares for a third season of cocirculating influenza, COVID-19, and respiratory syncytial virus—a season that will be largely void of the mitigation measures Ransone believes are the reason he has not seen "a single case of influenza come through his office" in 2 years. He also offers an AAFP refresher on the annual push-back from patients that is so familiar to family medicine practitioners.

Clinician burnout has undoubtedly been exacerbated by the COVID-19 pandemic. In this episode of Primary Viewpoints, Ernest R. Gelb, DO, the 126th president of the American Osteopathic Association discusses how clinicians are faring currently during the COVID-19 pandemic and why humor can be beneficial for clinician wellness.

Dr Henry Mahncke joins Primary Viewpoints to talk about the impact of cannabis on brain health. Dr Mahncke is a research neuroscientist, who serves as CEO of Posit Science Corporation, the leading provider of plasticity-based brain training and assessments. Dr. Mahncke is also principal investigator on several government grants and has been involved in numerous research studies on the impact of cognitive training on older adults.

What role do the newly approved oral migraine preventive medications play in treatment of migraine in primary care settings? We talked to headache specialist Dr Peter McAllister for answers.

Obesity expert Ted Kyle joins us to discuss the prevalence of weight bias in health care, how media portrayal of patients with obesity exacerbates the issue, strategies primary care clinicians can use to check their own weight bias, and the advocacy work he is currently spearheading to change the narrative of weight stigma in health care.