2018 Podcast Archive - PodMed

PodMed TT – Friday, March 22, 2019

This week’s topics include best medicines for atrial fibrillation when a stent is used, the an envelope for cardiac devices to reduce infection risk, psychosis and ADHD medicines, and eggs and cardiovascular disease.

0:54 Eggs and cardiovascular outcomes and death
1:53 Linear relationship with consumption
2:50 Egg consumption associated with other unhealthy behaviors in past
3:56 Tied more to cholesterol
4:34 Cardiac device envelope
5:35 Mesh material with antibiotics
6:36 ADHD medicines and psychosis
7:36 Twice as high in the amphetamine group
8:40 0.1 to 0.2% of patients
9:20 One in five people with a-fib need a stent
10:27 Safest anticlotting was apixiban
11:58 End

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PodMed TT – Friday, March 15, 2019

This week’s topics include vaccines and autism, the effects of low-dose aspirin after prostate cancer diagnosis, wearable technologies and surgery recovery, and a report of a patient cured of HIV infection.

0:47 Report of HIV remission in man who tested positive
1:49 After bone marrow transplant, no reported HIV infection
2:45 Autism spectrum disorders and vaccines
3:40 Relationship between vaccines and autism a resounding “no!”
4:20 Two-decade old controversial paper retracted
5:36 Unvaccinated individuals have caused measles outbreaks
6:41 Low-dose aspirin not associated with improvement in mortality
7:40 Wearable devices
8:30 Technology might result in benefit
9:17 Physicians not good at predicting ambulation
10:42 End

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PodMed TT – Friday, March 08, 2019

This week’s topics include testing for breast cancer mutations, peanut allergy treatment, aspirin use for prevention, and FIT testing for colorectal cancer screening.

0:45 Easily treat children for peanut allergy?
1:46 Was able to reduce the response by 21 percent
2:44 Didn’t appear as good as other methods
3:12 Fecal immunochemical test in colorectal cancer
4:15 If you’re not going to use colonoscopy do it annually
5:20 USPSTF recommendations for BRCA mutations
6:20 Autosomal dominant
7:20 Worry and anxiety increase with positive results
8:22 Bleeding risk with aspirin
9:22 Over 4,400 major bleeding events
10:22 Engage patient in decision
11:20 Use EHR to employ
12:19 End

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PodMed TT – Friday, March 01, 2019

This week’s topics include complications of shoulder surgery, induction of labor, sepsis and death and bag ventilation at intubation.

0:37 Induction of labor at 41 weeks
1:39 May be better to induce than to wait
2:40 Studies in pregnant women
3:16 Complications of shoulder surgery
4:16 Serious adverse events
5:21 Sepsis and death
6:24 Hospice qualifying condition on admission
7:24 Less than 5 percent preventable
8:03 Making intubation safer
9:15 Bag mask ventilation
10:10 1.5 million patients ventilated each year
11:15 End

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PodMed TT – Friday, February 22, 2019

This week’s topics include push-ups and mortality, primary care physicians and mortality, osteoporosis in men and early initiation of MS therapy.

0:41 Early use of treatments for MS
1:43 Disease modifying therapy complex
2:43 Several studies relative to MS
3:00 Primary care physician supply and outcomes
4:01 Change in population distribution
5:00 Address risk factors
5:35 Push-ups and mortality
6:35 Mean age almost 40 years
7:36 Cardio fitness was predictive
8:37 Any measure of cardiovascular fitness good
9:00 Osteoporosis in older men and women
10:00 Risk factors, DEXA scans and treatment
11:00 Oral steroids and other factors still didn’t predict screening
11:47 End

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PodMed TT – Friday, February 15, 2019

This week’s topics include decolonizing people with MRSA, perinatal depression guidelines, active surveillance for prostate cancer and reducing opioid use after hip surgery.

0:41 Active surveillance for low-risk prostate cancer
1:42 SEER database for prostate cancer
2:45 Personalized approach
3:13 Perinatal depression guidelines
4:14 CBT or interpersonal therapy helpful
5:17 Psychotherapy via telemedicine
5:50 Effect of acetaminophen and ibuprofen on morphine use
6:50 Combination reduced morphine use
7:51 Doesn’t increase adverse side effects
8:21 Reducing MRSA among carriers
9:23 Use cleansing techniques after discharge
10:24 All done at home
11:39 End

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PodMed TT – Friday, February 08, 2019

This week’s topics include a new tetracycline class antibiotic, a look at topical pain creams and gels, attempts to reduce delirium postoperatively and are you ever too old for statins?

0:36 Are you ever too old for statins?
1:37 Lowering risk of vascular events
2:32 Absolute benefit about the same
3:20 Topical compounded pain creams and gels
4:20 Avoid oral medications
5:23 A new antibiotic
6:23 Just as effective as older antibiotics
7:22 Part of the tetracycline class
7:44 Trying to reduce delirium postop
8:44 Titrate to minimize EEG disruption
9:43 National guidelines recommend and should reevaluate
10:44 Other strategies known to help
11:13 End

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PodMed TT – Friday, February 01, 2019

This week’s topics include antibiotic treatment for bone and joint infection, the benefits of breakfast, a heart failure prediction score and computer-aided decision-making for surrogates in the ICU.

0:41 Assisting surrogate decision-makers with a web-based tool
1:43 Explore options relative to decision-making
2:43 Beliefs more important that facts
3:43 A lot of experience
4:47 Make sure advance directives are in place
5:17 Antibiotic treatment for bone and joint infection
6:17 Treatment failures the same for IV or oral
7:13 Should you eat breakfast?
8:13 Ate more calories in a day
9:13 No support that breakfast helps weight loss
9:42 Acute heart failure risk score
10:41 Risk score very good at predicting 30-day mortality
11:43 Overall mortality about 8 percent
12:55 End

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PodMed TT – Friday, January 25, 2019

This week’s topics include harms related to medical treatment, when to start a common Parkinson’s disease drug, overprescription of antibiotics, and a diabetes drug and prevention of heart disease.

0:38 Using a diabetes drug to prevent heart disease
1:36 Midway change in the trial
2:26 Which diabetes drug is best?
3:20 Harms of medical treatment
4:20 Rate decreased over 21 percent
5:20 Help focus in on places to intervene
6:27 When to start medicine for Parkinson’s disease
7:27 No difference in when levodopa is started
8:25 Viral component?
9:00 Factors related to aging to 90
10:10 Men had a linear association with physical activity
11:54 End

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PodMed TT – Friday, January 18, 2019

This week’s topics include treatment of multiple sclerosis, malaria treatment, overprescription of antibiotics and fecal transplant for ulcerative colitis.

0:43 Overprescribing of antibiotics
1:45 13 percent appropriately prescribed
2:45 Antibiotic stewardship
3:32 Malaria treatment
4:30 Tafenoquine about 67 percent effective
5:30 Fecal transplant for ulcerative colitis
6:30 Primary outcome achieved in about a third
7:33 Better identify patients who would benefit
8:26 Treatments for multiple sclerosis
9:26 Stem cell therapy
10:30 From experienced centers
11:31 End

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PodMed TT – Friday, January 11, 2019

This week’s topics include paying people to take heart medicines, resecting the esophagus, economic impact of cardiovascular events and medical advertising.

0:41 Economic impact of cardiovascular events
1:43 Has societal consequences
2:45 Economic burden on people with cancer
3:40 Incentivizing people to take heart medicines
4:40 Gave half a copay voucher
5:42 Cost wasn’t the entire issue
6:05 Esophagus resection
7:02 Lower incidence of complications with less invasive procedure
8:02 Didn’t compromise survival
8:36 Medical advertising
9:35 $2.1 billion to $9.6 billion increase
10:36 This is a trust issue with patients
11:29 End

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PodMed TT – Friday, January 04, 2019

This week’s topics include incentivizing healthy behaviors, bundling hip and knee replacements, the cost of a new cholesterol med, and compliance with cancer screening and mortality.

0:48 Incentivizing healthy behaviors
1:48 May provide money to lower premiums
2:46 Patients didn’t understand well
3:36 Adherence to cancer screening and mortality
4:35 Mortality among nonadherents
5:32 Nonadherence identifies them at higher risk
6:35 In observational studies we pick healthier people
7:21 Antibody for cholesterol lowering PCSK9 inhibitor
8:21 Are they cost effective?
9:22 Price has to drop to $1,100 per year
10:00 Bundled knee and hip replacements and impact on cost
11:00 Didn’t discharge to post-procedure care facilities
12:00 Didn’t measure patient factors
13:23 End

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