• Arthroscopic surgery for knee osteoarthritis? Just say no 

    Mounsey, Anne L.; Ewigman, Bernard; Hickner, John (Family Physicians Inquiries Network, 2009-03)
    Do not recommend arthroscopic surgery to adults with osteoarthritis of the knee. Treat knee pain with medical and physical therapy instead. Strength of recommendation A: Based on 2 high-quality randomized controlled trials.
  • Colicky baby? Here's a surprising remedy 

    Koonce, Thomas; Mounsey, Anne L.; Rowland, Kate (Family Physicians Inquiries Network, 2011-01)
    This article suggests that parents of colicky breastfed infants try probiotics (Lactobacillus reuteri), which can significantly reduce daily crying time with no adverse effects. Strength of recommendation: A: A good-quality ...
  • Consider these medications to help patients stay sober 

    Hendry, Sydney; Mounsey, Anne L. (Family Physicians Inquiries Network, 2015-04)
    Naltrexone can help prevent relapse in recently detoxified patients with alcohol use disorder. The evidence for acamprosate is not quite as strong. Practice changer: Consider prescribing oral naltrexone (50 mg/d) for ...
  • Finally, a way to relieve cancer-related fatigue 

    Thomas, Gayle B.; Asher, Gary N.; Mounsey, Anne L. (Family Physicians Inquiries Network, 2014-05)
    A 4-week course of American ginseng, taken while patients are undergoing radiation or chemotherapy, can reduce cancer-related fatigue. PRACTICE CHANGER: Recommend American ginseng 1000 mg twice daily for 4 weeks to improve ...
  • Injection may be the best bet for young athletes' knee pain 

    Sakr, Mark; Mounsey, Anne L. (Family Physicians Inquiries Network, 2012-08)
    Consider giving dextrose/lidocaine injections to adolescents with Osgood-Schlatter disease (OSD) that persists despite physical therapy. Strength of recommendation A: Based on one well-designed, randomized controlled trial (RCT).
  • Is self-swabbing for STIs a good idea? 

    Page, Cristy; Mounsey, Anne L.; Rowland, Kate (Family Physicians Inquiries Network, 2013-11)
    Ask women who are at risk for sexually transmitted infections (STIs) to self-swab for chlamydia and gonorrhea testing; self-collection of vulvovaginal swabs with nucleic acid amplification testing (NAAT) has excellent ...
  • Mediterranean diet: Higher fat but lower risk 

    Gwynne, Mark; Mounsey, Anne L. (Family Physicians Inquiries Network, 2013-12)
    Counsel patients at high risk for cardiovascular disease and stroke to follow a Mediterranean diet, which is associated with a 30% risk reduction.
  • More help for patients with less severe heart failure 

    Bossenbroek, Kelly; Mounsey, Anne L. (Family Physicians Inquiries Network, 2011-08)
    Prescribe a mineralocorticoid-receptor antagonist for patients with New York Heart Association (NYHA) Class II systolic heart failure and an ejection fraction (EF) ≤30%. Eplerenone has been found to decrease hospitalizations ...
  • An obesity remedy for diabetes 

    Neutze, Dana; Egan, Mari E.; Mounsey, Anne L. (Family Physicians Inquiries Network, 2013-01)
    Consider bariatric surgery for patients with diabetes who are obese; surgery is associated with higher remission rates than medical therapy, regardless of the amount of weight lost. Strength of recommendation B: Based ...
  • Prescribing an antibiotic? Pair it with probiotics 

    Rodgers, Blake; Kirley, Kate; Mounsey, Anne L. (Family Physicians Inquiries Network, 2013-03)
    Recommend that patients taking antibiotics also take probiotics, which have been found to be effective both for the prevention and treatment of antibiotic-associated diarrhea (AAD). Strength of recommendation: A: Based ...
  • PSA testing: When it's useful, when it's not 

    Slatkoff, Susan; Gamboa, Stephen; Zolotor, Adam J.; Mounsey, Anne L.; Jones, Kohar (Family Physicians Inquiries Network, 2011-06)
    Do not routinely screen all men over the age of 50 for prostate cancer with the prostate-specific antigen (PSA) test. Consider screening men younger than 75 with no cardiovascular or cancer risk factors -- the only patient ...
  • Should you still recommend omega-3 supplements? 

    Monaco, Julie; Mounsey, Anne L.; Kottenstette, Jennifer Bello (Family Physicians Inquiries Network, 2013-08)
    Stop recommending omega-3 fatty acid supplements for cardiovascular protection. They have no significant impact on all-cause mortality, acute myocardial infarction, sudden death, or stroke. Strength of recommendation ...
  • A spoonful of honey helps a coughing child sleep 

    Ashkin, Evan; Mounsey, Anne L. (Family Physicians Inquiries Network, 2013-03)
    When a parent brings in a child (ages 1-5 years) with cough, runny nose, and other symptoms of a viral upper respiratory infection (URI), recommend that honey be given at bedtime. Strength of recommendation: A: Based ...
  • Steroids for acute COPD - but for how long? 

    Asher, Gary N.; Mounsey, Anne L. (Family Physicians Inquiries Network, 2014-01)
    Prescribe a 5-day regimen of glucocorticoid therapy for acute chronic obstructive pulmonary disease (COPD) exacerbations; the shorter course of treatment appears to be as effective as a 14-day regimen.
  • Suctioning neonates at birth: time to change our approach 

    Neumann, Iliana; Mounsey, Anne L.; Das, Niladri (Family Physicians Inquiries Network, 2014-08)
    There's a better way to clear secretions from a neonate's mouth and nose, and it's less likely to cause adverse effects. Practice Changer: Stop suctioning neonates at birth. There is no benefit to this practice, and it ...
  • Surgery for persistent knee pain 

    Brown, Mallory McClester; Mounsey, Anne L. (Family Physicians Inquiries Network, 2014-09)
    Surgery for persistent knee pain? Not so fast. Practice changer: Do not refer patients with a degenerative medial meniscus tear for arthroscopic partial meniscectomy because outcomes are no better than those of conservative ...
  • Treating migrane : the case for aspirin 

    Ingledue, Vickie F.; Mounsey, Anne L. (Family Physicians Inquiries Network, 2014-02)
    Recommend aspirin 975 mg (3 adult tablets) as a viable first-line treatment for acute migraine. Consider prescribing metoclopramide 10 mg to be taken with aspirin to markedly decrease associated nausea and help achieve ...
  • Would this long-acting bronchodilator be better for your patient? 

    Gwynne, Mark; Mounsey, Anne L. (Family Physicians Inquiries Network, 2012-02)
    Consider adding tiotropium to the medication regimen of patients with moderate to very severe chronic obstructive pulmonary disease (COPD), as a multinational study found it to be more effective than salmeterol in preventing ...