Welcome to the American Family Physician Podcast for the July 15th, 2015 issue.

I'm Steve. I'm Luke. I'm Megan. I'm Kelsey. We are residents and faculty, mostly residents,

of the Banner University Medical Center, Phoenix Family Medicine Residency. This week, we're going to talk about

depression, fungal toenails, red eyelid, health literacy, and transgender medicine. We're also

have an interview with Wanda Filer, and we'll make sure to talk about Barry Manilow.

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

Academy of Family Physicians, the editors 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 delivering the best from American family physician on a mission.

Delivering the best from American family physician.

Let's start with one of the feature articles this month.

Common questions about the pharmacologic management of depression in adults.

This is from Dr. Kovic and Dr. De Jong out of Northern Navajo Medical Center in Shiprock, New Mexico.

What did you think were the most important parts of this article, Luke?

So certainly depression is very common.

And one of the biggest things that I got out of this was what

to anticipate when we're actually treating patients with antidepressant medication. For instance,

there's a lot of publication bias of positive results in the current literature of how effective

of antidepressant medications actually are. I found that really surprising how skewed the data is on the SSRIs.

For instance, a recent Cochran-Bent analysis has shown that in the primary care setting,

we really only get a modest improvement in depression when patients are treated with an SSRI.

I mean, the number needed to treat with an SSRI is around 7 to 8.

...