# Episode 186: wound care, migraine tx, breast CA screening, and metformin for OA Page: https://stenobird.com/podcast/primary-care-update-1000928/episode-186-wound-care-migraine-tx-breast-ca-screening-and-metformin-for-oa Text version: https://stenobird.com/podcast/primary-care-update-1000928/episode-186-wound-care-migraine-tx-breast-ca-screening-and-metformin-for-oa.md Podcast: [Primary Care Update](https://stenobird.com/podcast/primary-care-update-1000928) Published: 2025-07-31T03:42:12+00:00 Episode link: https://podcasters.spotify.com/pod/show/primary-care-update/episodes/Episode-186-wound-care--migraine-tx--breast-CA-screening--and-metformin-for-OA-e368rnn Audio file: https://anchor.fm/s/5693a5c/podcast/play/106245303/https%3A%2F%2Fd3ctxlq1ktw2nl.cloudfront.net%2Fstaging%2F2025-6-31%2Fbaba1c3a-c096-a20f-bc97-5d717ab14003.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/primary-care-update-1000928/episodes/episode-186-wound-care-migraine-tx-breast-ca-screening-and-metformin-for-oa Duration seconds: 1914 ## Resource Kate, Mark, Gary and Henry discuss 4 important new studies relevant to primary care clinicians: negative pressure wound therapy for wounds healing by secondary intention, comparative effectiveness of acute migraine treatments, contrast enhanced mammography, US, or MRI for women with dense breasts, and metformin for knee pain in patients without diabetes. Negative pressure wound therapy: https://pubmed.ncbi.nlm.nih.gov/40250455/ Acute migraine treatments: https://pubmed.ncbi.nlm.nih.gov/40096693/ Best enhanced screening for women with dense breasts: https://pubmed.ncbi.nlm.nih.gov/40412427/ Metformin for knee pain in patients without DM: https://pubmed.ncbi.nlm.nih.gov/40274279/ ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/primary-care-update-1000928/episodes/episode-186-wound-care-migraine-tx-breast-ca-screening-and-metformin-for-oa/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/primary-care-update-1000928/episode-186-wound-care-migraine-tx-breast-ca-screening-and-metformin-for-oa.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.