{"podcast":{"title":"Primary Care Update","slug":"primary-care-update-1000928","podcast_index_feed_id":1000928,"rss_url":"https://anchor.fm/s/5693a5c/podcast/rss","website_url":"https://podcasters.spotify.com/pod/show/primary-care-update","image_url":"https://d3t3ozftmdmh3i.cloudfront.net/production/podcast_uploaded_nologo/807823/807823-1535146710716-0fbae5650ccb6.jpg","author":"Mark Ebell","episode_count":207,"summary":"Four healthily skeptical primary care physicians discuss the latest in primary care medicine. Join Essential Evidence Editor Mark Ebell MD, Rush University's Kate Rowland MD, MSU Professor of Medicine Gary Ferenchick MD, and POEMs co-founder Henry Barry MD, MS for this fast-paced weekly update on evidence-based primary care.","last_synced_at":null,"page_url":"https://stenobird.com/podcast/primary-care-update-1000928"},"episode":{"title":"Episode 191: acetaminophen, leucovorin, MMR and autism; the value of primary care","slug":"episode-191-acetaminophen-leucovorin-mmr-and-autism-the-value-of-primary-care","published_at":"2025-10-19T20:10:27+00:00","page_url":"https://stenobird.com/podcast/primary-care-update-1000928/episode-191-acetaminophen-leucovorin-mmr-and-autism-the-value-of-primary-care","show_page_url":"https://stenobird.com/podcast/primary-care-update-1000928","url":"https://podcasters.spotify.com/pod/show/primary-care-update/episodes/Episode-191-acetaminophen--leucovorin--MMR-and-autism-the-value-of-primary-care-e39o9gf","audio_url":"https://anchor.fm/s/5693a5c/podcast/play/109896655/https%3A%2F%2Fd3ctxlq1ktw2nl.cloudfront.net%2Fstaging%2F2025-9-19%2F2c29afd8-81a2-4f84-71fe-737c0e06ae7c.mp3","summary":"This week, primary care physicians Kate Rowland, Mark Ebell, and Henry Barry want to arm our primary care colleagues with the best evidence on whether acetaminophen causes autism, whether MMR causes autism, and whether leucovorin can treat autism. Gary then turns to a study of the value of continuity in primary care, and its association with better health outcomes. Links: Henry's essay on Ignaz Semelweis, handwashing, and postage stamps: https://thestampforum.boards.net/thread/13044/current-issue-volume-jul-2025 Essential Evidence Plus and POEMs: www.essentialevidenceplus.com Acetaminophen in pregnancy and autism: https://www.ncbi.nlm.nih.gov/pubmed/38592388 Leucovorin to treat autism: https://www.ncbi.nlm.nih.gov/pubmed/15781839, https://www.ncbi.nlm.nih.gov/pubmed/34834493 MMR and autism, Wakefield investigation: https://www.bmj.com/content/342/bmj.c5347 MMR and autism, Madsen's Danish study: https://pubmed.ncbi.nlm.nih.gov/12421889/ Value of primary care continuity: https://www.ncbi.nlm.nih.gov/pubmed/40355250 And do NOT eat roadkill. Definitely.","meta_description":"This week, primary care physicians Kate Rowland, Mark Ebell, and Henry Barry want to arm our primary care colleagues with the best evidence on whether ace…","key_points":[],"chapters":[],"topics":[],"duration_seconds":1844,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/primary-care-update-1000928/episodes/episode-191-acetaminophen-leucovorin-mmr-and-autism-the-value-of-primary-care/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/primary-care-update-1000928/episode-191-acetaminophen-leucovorin-mmr-and-autism-the-value-of-primary-care.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}