The AFP podcast is brought to you by the American Academy of Family Physicians and by the Bucksbaum-Seagler Institute for Clinical Excellence at the University of Chicago.

Each year, the Bucksbaum-Seagler Institute recognizes extraordinary healthcare professionals through the National Clinical Excellence Award.

To learn more about the award and to nominate a deserving clinician, visit buxbom institute.uChicago.edu.

Welcome to the American Family Physician Podcast for part one of the December 2025 issue.

I'm Steve. I'm Cheson. And I'm Austin. We are residents and

faculty, mostly residents from the University of Arizona College of Medicine Phoenix, Family Medicine

Residency. Today on the podcast, we're going to talk about cancer screening and older adults,

an app for obstructive sleep apnea, insid-induced ulcers and dyspepsia,

hemorrhoids, late pregnancy bleeding, intensive glucose control in older patients, and everybody's

favorite holiday ICD-10 codes.

The opinions expressed in the podcast are our own and do not represent the opinions

of the American Academy of Family Physicians, the editor of American Family Physician, or Banner Health.

Do not use this podcast for medical advice. Instead, see your own family doctor for medical care.

We're on a mission to live in the best from American and the physician on a mission to deliver the best from American feminization. Automation.

Delivered the best from American chemistition.

Okay, let's start with cancer screening in older adults from doctors McClester Brown, Adams, and Halpert from the University of North Carolina.

Perfect. Let's look at breast,

prostate, cervical, colon, and lung cancer screening recommendations in older adults.

And remember that a screening's payoff doesn't come quickly. For many cancers, like colorectal breast cancer, mortality benefits from screening often only appear after 8 to 10 years.

That means if a patient's life expectancy is limited, like because of comorbidities or frailty,

then the patient may endure the immediate harms of screening, like false positives,

invasive follow-up, and risky medical interventions long before they could have any benefit.

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