Episodes
Tuesday May 07, 2024
USPSTF 2024 Breast Cancer Screening Guideline Update!
Tuesday May 07, 2024
Tuesday May 07, 2024
We're back!
Friday Jul 07, 2023
A New Pandemic? PICKLEBALL INJURIES ON THE RISE!
Friday Jul 07, 2023
Friday Jul 07, 2023
Fun, quick episode this week.
https://pubmed.ncbi.nlm.nih.gov/33934725/
Non-fatal senior pickleball and tennis-related injuries treated in United States emergency departments, 2010-2019
Tuesday Jul 04, 2023
First Unprovoked VTE, Cause for Lifelong Blood Thinners?
Tuesday Jul 04, 2023
Tuesday Jul 04, 2023
Today's episode is a very complicated topic without clear cut benefits. Expert opinions and modeling data to address a dangerous and serious topic. Let's look at 2 sources: a new study from the Annals of Internal Medicine and an expert opinion from Uptodate.
vs.
https://pubmed.ncbi.nlm.nih.gov/37364263/
Indefinite Anticoagulant Therapy for First Unprovoked Venous Thromboembolism : A Cost-Effectiveness Study
Faizan Khan 1, Doug Coyle 2, Kednapa Thavorn 3, Sasha van Katwyk 4, Tobias Tritschler 5, Brian Hutton 6, Grégoire Le Gal 7, Marc A Rodger 8, Dean A Fergusson 9
Wednesday Jun 28, 2023
Intermittent Fasting vs. Caloric Restriction, Head to Head!
Wednesday Jun 28, 2023
Wednesday Jun 28, 2023
Time restricted eating vs. caloric restriction. Is there a winner in this 1:1:1 12-month trial from Chicago?
https://pubmed.ncbi.nlm.nih.gov/37364268/
Time-Restricted Eating Without Calorie Counting for Weight Loss in a Racially Diverse Population : A Randomized Controlled Trial
Wednesday May 24, 2023
New RSV Vaccine Studies!
Wednesday May 24, 2023
Wednesday May 24, 2023
Talking about 2 studies released last month:
1. Giving it to 3rd trimester moms and seeing what happens in newborns:
https://pubmed.ncbi.nlm.nih.gov/37018474/
2. Giving it to 60+ yo adults and seeing what happens:
https://pubmed.ncbi.nlm.nih.gov/37018468/
What happens when I review these? Listen to find out!
Helpful table (Not sure if this will reproduce well or not):
NNT | Vaccine Efficacy | |
Severe LRI | ||
first 90 d | 142 | 81% |
In 6 mo | 75 | 69% |
ADULTS | 1428 | 85% |
non-severe LRI | ||
first 90 d | 111 | 57 |
6mo | 55 | 51% |
ADULTS | 769 | 66% |
Any URI | ||
ADULTS | 500 | 62% |
Tuesday Apr 25, 2023
Personalization - A New Treatment Algorithm for Blood Pressure Management
Tuesday Apr 25, 2023
Tuesday Apr 25, 2023
Hey everyone, on today's episode we are talking about a recent JAMA article on Heterogeneity in Blood Pressure Response to various blood pressure medicines and the idea of individualizing antihypertensive algorithms.
https://jamanetwork.com/journals/jama/article-abstract/2803518
Tuesday Mar 21, 2023
Treating Resistant Depression in Elders - Add or Switch Meds?
Tuesday Mar 21, 2023
Tuesday Mar 21, 2023
Today's episode we look at a study of 60+ year olds who have poorly controlled depression. Is it better to add on medications? Switch medications? Does it matter?
Study link:
https://pubmed.ncbi.nlm.nih.gov/36867173/
Sunday Mar 05, 2023
New(ish) Drug for MACE Prevention
Sunday Mar 05, 2023
Sunday Mar 05, 2023
Bempedoic Acid aka Nexletol has a new trial in NEJM that shows MACE reduction in very high risk patients (mostly secondary but some primary prevention). NNT? NNH? Other trials on Bempedoic acid? Tune in and find out.
Sunday Mar 05, 2023
Asthma Management: Less is More?
Sunday Mar 05, 2023
Sunday Mar 05, 2023
Interesting study today that looks at High dose ICS inhalers possibly have worse outcomes in patients than medium dose ICS inhalers, leading to more exacerbations and need for antibiotics. Plausible? Let's discuss!
Friday Feb 17, 2023
Low Serum Creatinine Can Be Dangerous
Friday Feb 17, 2023
Friday Feb 17, 2023
We take a Pre-operative study from the Annals of Surgery and talk about perioperative risk management for patients with low serum creatinine.
Friday Feb 10, 2023
Guideline Update: COPD - GOLD 2023
Friday Feb 10, 2023
Friday Feb 10, 2023
Minor changes, but enough that it's probably useful for an update!
Monday Feb 06, 2023
AI is Coming for Your Job: ChatGPT Passes Board Exams
Monday Feb 06, 2023
Monday Feb 06, 2023
Fun episode today!
Friday Jan 27, 2023
Thursday Jan 19, 2023
Can Medical Cannabis Actually Reduce Opioid Use in Chronic Pain Patients?
Thursday Jan 19, 2023
Thursday Jan 19, 2023
Let's review a clinical trial of medical cannabis use in chronic pain patients with the goal of reducing daily MME dose.
Friday Jan 13, 2023
Documentation Efficiency: Typing Speeds and Digital Disparities
Friday Jan 13, 2023
Friday Jan 13, 2023
Interesting Study out of the Netherlands on different typing speeds in clinical practice by age, gender, medical role, and specialty.
Take home - You aren't as fast as a typer as you think!
Thursday Jan 05, 2023
No Zero Days: Motivational Interviews for 2023
Thursday Jan 05, 2023
Thursday Jan 05, 2023
Kicking 2023 year off with a topic on Motivational Interviewing, and what I'm focusing on to help patients make healthy choices and beneficial lifestyle changes for this year.
Friday Dec 09, 2022
Osteoporosis for Dummies
Friday Dec 09, 2022
Friday Dec 09, 2022
Thanks to Dr. Leah Prestbo, you the MVP.
Monday Nov 28, 2022
IM Steroids for Knee Arthritis? Really?
Monday Nov 28, 2022
Monday Nov 28, 2022
Today we discuss a recent study looking at intra-articular steroid injections for knee arthritis vs. IM steroid injections in the glute. Non-inferior???
Tuesday Nov 22, 2022
HDL is Racist
Tuesday Nov 22, 2022
Tuesday Nov 22, 2022
Apparently, the relationship between HDL and coronary artery disease is much more complicated than previously thought. Low HDL doesn't matter if you are black? Let's read about a November 2022 study from JACC.
Friday Nov 11, 2022
Always Rx BP Meds at Night? Not so fast!
Friday Nov 11, 2022
Friday Nov 11, 2022
Last decade, data has pointed us to prescribe BP meds at night, new study says, maybe it doesn't matter?
Friday Nov 04, 2022
Tuesday Oct 25, 2022
Colonoscopy Fails an RCT??!?
Tuesday Oct 25, 2022
Tuesday Oct 25, 2022
SHOCKING! DRAMA! Not really, so let's dig into the details from NEJM October article on colonoscopy RCT in Europe.
Friday Oct 21, 2022
Practice Efficiency: For Clinic Visits, Less is More
Friday Oct 21, 2022
Friday Oct 21, 2022
I HAVE NOTHING TO PUT IN HERE, JUST LISTEN OK.
Friday Oct 14, 2022
Semaglutide for Weight Loss, How Good is it in Real Life?
Friday Oct 14, 2022
Friday Oct 14, 2022
Works! How Well? Well, pretty good. Let's get more details!
Friday Oct 07, 2022
Guideline Update! Heart Failure Management
Friday Oct 07, 2022
Friday Oct 07, 2022
1. New classifications for your documentation - HFrEF, HFmrEF, HFpEf, HFiEF
2. Medications for HFrEF, HFmrEF
3. Medications for HFpEF.
4. MEMORIZE ALL THE ACRONYMS