#57: Polypharmacy and deprescribing Part 2: More thinking and thoughts

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 15 September 2017

⏱️ 24 minutes

🔗️ Recording | iTunes | RSS

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Summary

Improve your prescribing practices with tips from The Curbsiders as Matt, Stuart and Paul “Pwilliams” discuss safe prescribing in frail, older adults with diabetes, chronic kidney disease, hypertension, and/or dementia in this part two episode on polypharmacy and deprescribing.

Full show notes available at http://thecurbsiders.com/podcast

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Transcript

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0:00.0	Hi everyone, this is Matt from the Curbsiders, recording live from the beautiful Pocono Mountains
0:22.4	in what is a very rare weekend away from the children with my wife.
0:27.4	I wanted to take this time to introduce this episode, this is part two to our Polly Pharmacy episode.
0:34.4	After we spoke with Dr. Jeffrey Paul and Stuart and I, we're talking a bit more on Polly Pharmacy,
0:41.4	we talked for about 20 minutes or so. The topics we cover here are Polly Pharmacy in the underserved population,
0:48.4	prescribing in CKD a little bit more on that, also diabetes management and hypertension management
0:55.4	towards the end of life or in the elderly or frail. I think it's an interesting discussion and I just couldn't bring myself to throw it all in the cutting room floor, so hopefully you enjoy it.
1:06.4	And finally I wanted to thank everyone who applied to our Curbsiders Correspondent program today is the final day for applications.
1:14.4	We have received what I would call an overwhelming amount of applications, which I was pleasantly surprised at.
1:21.4	We've had some amazing applicants from a very diverse range of backgrounds.
1:26.4	I can't possibly use everybody right now, but we are going to select a small number of correspondence to appear on air,
1:35.4	and we will probably be doing this again in the future if things go well.
1:39.4	So please give us your feedback on our correspondence and please apply again in the future, even if you weren't selected this time around.
1:47.4	And thank you so much for listening and all of your support.
1:52.4	So without further ado, here is another discussion on Polly Pharmacy with my co-hosts, Dr. Stewart Kent Brigham and Dr. Paul Williams.
2:04.4	And we're back.
2:06.4	Well, hello.
2:07.4	Hello.
2:08.4	You know, Paul, a question that I had kind of as I was preparing for the show here that we didn't get into with Dr. Jeffrey,
2:16.4	you work in largely underserved population under insured or uninsured.
2:21.4	Is Polly Pharmacy, do you think it's the same kind of problem it is where when I was recently working in a single-payer system where patients had no copays,
2:31.4	and Polly Pharmacy was a huge problem because patients essentially had no skin in the game.
	...

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