AFP: American Family Physician Podcast Episode 247 -- February 2026 -- Part 1 AFP: American Family Physician
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Feb 16, 2026 Guideline-based hormone therapy timing and safety in menopause are discussed. A practical approach to wheezing in children with case vignettes and red flag recognition is covered. Evidence for PPIs to prevent NSAID-related ulcers is summarized. Diagnostic steps and management strategies for infective endocarditis are reviewed. Acute migraine treatment timing and strategies are outlined. Colchicine for secondary cardiovascular prevention is examined.
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Individualize Menopause Hormone Therapy
- Screen menopausal patients for contraindications before starting systemic hormone therapy.
- Reassess risks and benefits annually and consider tapering starting at age 60.
Protect The Uterus When Prescribing Estrogen
- For patients with an intact uterus, always add a progestogen when prescribing systemic estrogen.
- Screen for absolute contraindications like breast cancer, VTE, stroke, and active liver disease first.
Wheezing ≠ Asthma In Young Kids
- Wheeze in a child is not synonymous with asthma; only about 30% of preschool recurrent wheezers are diagnosed with asthma by age six.
- History (family atopy, timing, persistence) narrows causes from viral to congenital or cardiac.