Up to 30% of all healthcare offers no clinical value to patients. Reducing this care has the co-benefit of decreasing healthcare's carbon footprint. In this special CSIM episode, host Dr. Zahra Merali sits down with guests Dr. Billy Silverstein @WKSilverstein (General Internist, University of Toronto) and Dr. Owen Luv @OwenLuo5 (Internal Medicine Resident, McGill University) to discuss 4 of the Choosing Wisely Canada’s climate-conscious recommendations (https://choosingwiselycanada.org/climate/).  They were integral in creating these recommendations, and have a wealth of practical tips about how we can implement them into our own practice! Infographic by Julia Simone (medical student). If you have not heard Part 1 - make sure to go back and listen to other Canada-wide experts in this area.Questions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Welcome to Part 3 of a special series Medicine Pods has created in collaboration with the Canadian Society of Internal Medicine (CSIM)!In the lead up to the CSIM Conference, we will be discussing the runners up for the ever popular 'Top Papers' session. This year's session will be chaired by Dr. Raj Hanmiah, who has kindly joined us as a special guest for this series. If you want to find out which papers made the final cut, make sure to join us at the 'Top Papers' session on October 17th, where we will be recording live! Questions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

There are everyday practices we can stop or reduce that don’t add value to patient care and harm the environment. In this special CSIM episode, host Dr. Zahra Merali sits down with guests Dr. Mathilde Gaudreau @MathildeGSimard (General Internist, University of Ottawa), Dr. Nabha Shetty (General Internist, Dalhousie University) and Dr. Valeria Stoynova (General Internist, Island Health/UBC Island Medical Program) to discuss 4 of the Choosing Wisely Canada’s climate-conscious recommendations (https://choosingwiselycanada.org/climate/).  They were integral in creating these recommendations, and have a wealth of practical tips about how we can implement them into our own practice! Infographic by Julia Simone (medical student). Questions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Welcome to Part 2 of a special series Medicine Pods has created in collaboration with the Canadian Society of Internal Medicine (CSIM)!In the lead up to the CSIM Conference, we will be discussing the runners up for the ever popular 'Top Papers' session. This year's session will be chaired by Dr. Raj Hanmiah, who has kindly joined us as a special guest for this series. If you want to find out which papers made the final cut, make sure to join us at the 'Top Papers' session on October 17th, where we will be recording live! Questions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Welcome to a special series Medicine Pods has created in collaboration with the Canadian Society of Internal Medicine (CSIM)!In the lead up to the CSIM Conference, we will be discussing the runners up for the ever popular 'Top Papers' session. This year's session will be chaired by Dr. Raj Hanmiah, who has kindly joined us as a special guest for this series. If you want to find out which papers made the final cut, make sure to join us at the 'Top Papers' session on October 17th, where we will be there recording live! Questions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Welcome back Rounds Table Listeners!We are back today with our Classic Rapid Fire Podcast!This week, Dr. Mike Fralick and special guest, Dr. Laiya Carayannopoulos from the Intern at Work Podcast and our new Medicine Pods collaboration, discuss two recent papers exploring the novel management of two rare diseases - ATTR Amyloidosis and Hereditary Angioedema. Two papers, here we go!Patisiran Treatment in Patients with Transthyretin Cardiac Amyloidosis (0:00 – 14:15).Efficacy and Safety of Donidalorsen for Hereditary Angioedema (14:15 – 25:14).And for the Good Stuff:Medicine Pods! (25:14 – 26:23).Questions? Comments? Feedback? We’d love to hear from you! @roundstable

Welcome to Medicine Pods! Your one stop shop for everything internal medicine, prn. Find us at www.medicinepods.com to find everything from The Intern at Work, The Rounds Table, Everything You Need To Know and Trial Files all in one place.

Welcome back Rounds Table Listeners!We are back this week with a special podcast episode! Dr. Mike Fralick sits down with Dr. Dirk von Lewinski, an Interventional Cardiologist, Intensivist, and Scientist from the Medical University of Graz, to chat about his practicing changing trial!Questions? Comments? Feedback? We’d love to hear from you! @roundstable

Welcome back Rounds Table Listeners!We are back today with our Classic Rapid Fire Podcast!This week, Drs. Mike and John Fralick discuss two recent papers exploring the role of acupressure in pain management for knee osteroarthritis and the utility of AI-enabled electrocardiography. Two papers, here we go!Self-Administered Acupressure for Probable Knee Osteoarthritis in Middle-Aged and Older Adults (0:00 – 09:02).AI-enabled electrocardiography alert intervention and all-cause mortality: a pragmatic randomized clinical trial (09:02 – 23:16).And for the Good Stuff:100-year-old veteran parachutes out of a plane, raising over $100K for SickKids hospital (23:16 – 23:50).One-Pagers for the Wards (23:50 – 25:15).Questions? Comments? Feedback? We’d love to hear from you! @roundstable

Welcome back Rounds Table Listeners!We are back today with our Classic Rapid Fire Podcast!This week, Drs. John Fralick and Justin Boyle discuss two recent papers exploring the role of semaglutide in CKD in patients with Type II Diabetes and the utility of tirzepatide in metabolic dysfunction-associated steatohepatitis with liver fibrosis. Two papers, here we go!Effects of Semaglutide on Chronic Kidney Disease in Patients with Type 2 Diabetes (0:00 – 09:32).Tirzepatide for Metabolic Dysfunction-Associated Steatohepatitis with Liver Fibrosis (09:32 – 17:06).And for the Good Stuff:Congratulations to everyone starting/progressing through residency/finishing their training! (17:06 – 17:43).Calgary officials aiming for 'low end' of repair timeline after pipes arrive from San Diego (17:43 – 19:06).Questions? Comments? Feedback? We’d love to hear from you! @roundstable

Welcome back Rounds Table Listeners!In this throwback episode, Drs. John Fralick and Justin Boyle discuss early versus late anticoagulation after stroke with atrial fibrillation and dual antiplatelet therapy versus alteplase in minor ischemic stroke.Early versus Later Anticoagulation for Stroke with Atrial Fibrillation (0:00 – 8:48).Dual Antiplatelet Therapy vs Alteplase for PatientsWith Minor Nondisabling Acute Ischemic Stroke: The ARAMIS Randomized Clinical Trial (8:48 – 16:20).And for the Good Stuff:Taylor Swift makes history with more No. 1 albums than any female artist (16:20 – 17:03).‘I finally did it’: Ottawa’s Michael Woods wins 9th stage of Tour de France (17:03 – 18:00).Questions? Comments? Feedback? We’d love to hear from you! @roundstable

Welcome back Rounds Table Listeners!In this throwback episode, Drs. Mike and John Fralick discuss the use of semaglutide in patients with obesity without diabetes and changes in renal function after starting dapagliflozin in patients with heart failure. Check it out below!Decline in Estimated Glomerular Filtration Rate After Dapagliflozin in Heart Failure With Mildly Reduced or Preserved Ejection Fraction: A Prespecified Secondary Analysis of the DELIVER Randomized Clinical Trial (0:00 – 09:40).Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes (09:40 – 19:24).And for the Good Stuff:How Ozempic and Weight Loss Drugs Are Reshaping Denmark’s Economy (19:24 – 19:58).How a Canadian scientist and a venomous lizard helped pave the way for Ozempic (19:58 – 23:36).Questions? Comments? Feedback? We’d love to hear from you! @roundstable

Welcome back Rounds Table Listeners!We are back today with a solo episode with Dr. Mike Fralick!This week, he will discuss a recent paper exploring the efficacy of tirzepatide in treating obstructive sleep apnea and obesity. Here we go!Tirzepatide for the Treatment of Obstructive Sleep Apnea and ObesityCheck out the New Motto!Questions? Comments? Feedback? We’d love to hear from you! @roundstable

Welcome back Rounds Table Listeners!We are back today with a solo episode with Dr. John Fralick!This week, he will discuss a paper exploring a modification of the Valsalva manoeuvre for the treatment of supraventricular tachycardias. Here we go!Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT) (0:00 – 7:00).And for the Good Stuff: Live Transcribe (7:00 – 8:16).Questions? Comments? Feedback? We’d love to hear from you! @roundstable

Welcome back Rounds Table Listeners!In this throwback episode, Drs. Mike Fralick and Justin Boyle discuss two papers exploring intravenous iron infusions in heart failure with iron deficiency and in reducing blood transfusion requirements in patients with hip fracture. Check it out below!Ferric Carboxymaltose in Heart Failure with Iron Deficiency (0:00 – 8:12).Ferric derisomaltose and tranexamic acid, combined or alone, for reducing blood transfusion in patients with hip fracture (the HiFIT trial) (8:12 – 19:00).And for the Good Stuff:Pop Culture Nostalgia (19:00 – 19:33).Thrombo Trial Files (19:33 – 20:48).Questions? Comments? Feedback? We’d love to hear from you! @roundstable

Welcome back Rounds Table Listeners!We are back today with our Classic Rapid Fire Podcast!This week, Drs. Mike and John Fralick discuss two recent papers exploring the role of ticagrelor with aspirin versus ticagrelor alone after percutaneous coronary intervention in acute MI and the efficacy of empagliflozin after acute MI. Two papers, here we go!Ticagrelor alone versus ticagrelor plus aspirin from month 1 to month 12 after percutaneous coronary intervention in patients with acute coronary syndromes (ULTIMATE-DAPT) (0:00 – 9:22). Empagliflozin after Acute Myocardial Infarction (9:22 – 16:00).And for the Good Stuff:Impact of presentation at conference with timed release of academic publication (16:00 – 17:32).Top spot in the PWHL and attendance record at stake in latest Montreal-Toronto showdown (17:32 – 19:59).Questions? Comments? Feedback? We’d love to hear from you! @roundstable

Welcome back Rounds Table Listeners!In this throwback episode, Drs. John and Mike Fralick discuss two papers – one, exploring IVIG in the treatment of dermatomyositis, and the second investigating the effect of tranexamic acid in patients with acute gastrointestinal bleeding.Trial of Intravenous Immune Globulin in Dermatomyositis (0:00 – 8:38).Effects of a high-dose 24-h infusion of tranexamic acid on death and thromboembolic events in patients with acute gastrointestinal bleeding (HALT-IT): an international, randomised, double-blind, placebo-controlled trial (8:38 – 18:04).And for the Good Stuff:Alberta using humour to attract workers (18:04 – 18:50).CBME in Residency Education (18:50 – 21:02).Questions? Comments? Feedback? We’d love to hear from you! @roundstable

Welcome back Rounds Table Listeners!We are back today with our Classic Rapid Fire Podcast!This week, Drs. Mike Fralick and Emily Hughes discuss two recent papers exploring the role of beta blockers after myocardial infarction when there is preserved ejection fraction and the utility of Paxlovid in vaccinated versus unvaccinated adult outpatients with symptomatic COVID-19. Two papers, here we go!Nirmatrelvir for Vaccinated or Unvaccinated Adult Outpatients with COVID-19 (0:00 – 14:02). Beta-Blockers after Myocardial Infarction and Preserved Ejection Fraction (14:02 – 27:24).And for the Good Stuff: A 65-Year-Old Woman with an Incorrect Operation on the Left Hand (27:24 – 31:04).Bradycardia associated with remdesivir therapy for COVID-19 in a 59-year-old manQuestions? Comments? Feedback? We’d love to hear from you! @roundstable

Welcome back Rounds Table Listeners!We are back today with our Classic Rapid Fire Podcast!This week, Dr. Mike Fralick and special guest, Dr. Laiya Carayannopoulos from the Intern at Work Podcast, discuss two recent papers exploring the role tenecteplase between 4.5 and 24 hours in ischemic stroke and comparing fidaxomicin with vancomycin in treating C. difficile when patients are receiving concurrent antibiotics. Two papers, here we go!Tenecteplase for Stroke at 4.5 to 24 Hours with Perfusion-Imaging Selection (0:00 – 15:20).Comparing Fidaxomicin with Oral Vancomycin for the Treatment of C. difficile Infection in Hospitalized Patients Receiving Concomitant Antibiotics for Concurrent Infections (15:20 – 28:58).Questions? Comments? Feedback? We’d love to hear from you! @roundstable

Welcome back Rounds Table Listeners!In this throwback episode, Drs. Mike and John Fralick discuss two papers exploring  early metformin in Gestational Diabetes and tirzepatide versus short-acting insulin when added to basal insulin regimens in patients with Type II Diabetes. Early Metformin in Gestational Diabetes: A Randomized Clinical Trial (0:00 – 9:28).Tirzepatide vs Insulin Lispro Added to Basal Insulin in Type 2 Diabetes: The SURPASS-6 Randomized Clinical Trial (9:28 – 19:00).And for the Good Stuff:N.B. woman meets her Mississippi bone marrow donor a decade after donation (19:00 – 19:45).The Intern at Work Podcast (19:45 – 21:10).Questions? Comments? Feedback? We’d love to hear from you! @roundstable

Welcome back Rounds Table Listeners! We are back this week with a special podcast episode! Dr. John Fralick sits down with Dr. Marcus Povitz, a Respirologist and Sleep Medicine Specialist at the University of Calgary, to chat about all things OSA, exciting research in sleep medicine, and some high-yield clinical pearls! Questions? Comments? Feedback? We’d ... The post Episode 84 – Obstructive Sleep Apnea with Dr. Marcus Povitz appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike and John Fralick discuss two recent papers exploring clinical decision support for hypertension management in CKD and whether aspirin can be stopped within one month of stenting for ticagrelor monotherapy after ACS. Two papers, here we ... The post Episode 83 – Hypertension in Chronic Kidney Disease and the T-PASS Trial appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! In this throwback episode, Drs. Mike and John Fralick discuss two papers exploring ablation in end-stage heart failure with atrial fibrillation and anticoagulation in frail older adults with atrial fibrillation. Check it out below! Catheter Ablation in End-Stage Heart Failure with Atrial Fibrillation (0:00 – 8:48). Switching VKA to NOAC in ... The post TBT – Atrial Fibrillation appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Dr. Mike Fralick and special guest, Dr. Laiya Carayannopoulos from the Intern at Work Podcast, discuss two recent papers exploring the role of non-invasive ventilation in comatose patients after acute poisoning and the use of the PEN-FAST Score in the ... The post Episode 82 – Airway Management in Acute Poisoning and the PALACE Trial appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike and John Fralick discuss two recent papers exploring patient outcomes after in-hospital cardiac arrest and the role of default Palliative Medicine consultation for seriously ill hospitalized patients. Two papers, here we go! Default Palliative Care Consultation ... The post Episode 81 – Outcomes Post-Cardiac Arrest and Palliative Medicine Consultation for Seriously Ill Patients appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! In this throwback episode, Drs. Mike Fralick and Justin Boyle discuss two papers – one exploring the use of acetazolamide in heart failure and the second investigating the use of EVT for basilar artery stroke. Acetazolamide in Acute Decompensated Heart Failure with Volume Overload (0:00 – 12:28). Trial of Endovascular Treatment ... The post TBT – EVT in Basilar Artery Stroke and the ADVOR Trial appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike and John Fralick discuss two recent papers exploring the utility of clarithromycin for early inflammatory responses in pneumonia and the role of probiotics as prophylaxis in recurrent UTIs. Two papers, here we go! Effectiveness of Prophylactic ... The post Episode 80 – Clarithromycin for Inflammation and Probiotics for Recurrent UTIs first appeared on Healthy Debate. The post Episode 80 – Clarithromycin for Inflammation and Probiotics for Recurrent UTIs appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! In this throwback episode, Drs. John and Mike Fralick discuss two papers – one, exploring the use of SGLT2 inhibitors in CKD, and the second investigating the effect of RAS inhibitor discontinuation on the progression of CKD. Empagliflozin in Patients with Chronic Kidney Disease (0:00 – 9:00). Renin-Angiotensin System Inhibition in ... The post TBT – Chronic Kidney Disease first appeared on Healthy Debate. The post TBT – Chronic Kidney Disease appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with a solo episode with Dr. Mike Fralick! This week, he will discuss a recent paper exploring the maintenance of weight reduction with tirzepatide in adults with obesity. Here we go! Continued Treatment With Tirzepatide for Maintenance of Weight Reduction in Adults With Obesity Questions? Comments? ... The post Episode 79 – Tirzepatide and Maintenance of Weight Reduction first appeared on Healthy Debate. The post Episode 79 – Tirzepatide and Maintenance of Weight Reduction appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike Fralick and Justin Boyle discuss two recent papers exploring the timing of antiplatelet therapy in acute stroke and the role of transfusion in myocardial infarction with anemia. Two papers, here we go! Dual Antiplatelet Treatment up ... The post Episode 78 – Timing of Antiplatelets after Acute Stroke and Transfusion in MI with Anemia first appeared on Healthy Debate. The post Episode 78 – Timing of Antiplatelets after Acute Stroke and Transfusion in MI with Anemia appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! In this throwback episode, Dr. Justin Boyle sits down with Dr. Jennifer Flemming, a Clinician-Scientist and Gastroenterologist at Queen’s University, to chat about portal hypertension and the Baveno 7 Guidelines! Questions? Comments? Feedback? We’d love to hear from you! @roundstable The post TBT – Portal Hypertension for the Internist with Dr. Flemming first appeared on Healthy Debate. The post TBT – Portal Hypertension for the Internist with Dr. Flemming appeared first on Healthy Debate.

Happy Holidays Rounds Table Listeners! For our final episode of 2023, we are back with a special treat! This week, Drs. Mike and John Fralick chat about five important research studies published over the past year: Hydrocortisone in Severe Community-Acquired Pneumonia (0:00 – 5:22). Tirzepatide vs Insulin Lispro Added to Basal Insulin in Type 2 ... The post Episode 77 – The Top 5 Papers of 2023 first appeared on Healthy Debate. The post Episode 77 – The Top 5 Papers of 2023 appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! As we approach the end of 2023, let’s revisit five important research studies from 2022: The SGLT2 inhibitor empagliflozin in patients hospitalized for acute heart failure: a multinational randomized trial (0:00 – 2:56) Tirzepatide Once Weekly for the Treatment of Obesity (2:56 – 6:00) Empagliflozin in Patients with Chronic Kidney Disease (6:00 – ... The post TBT – The Top Papers of 2022 first appeared on Healthy Debate. The post TBT – The Top Papers of 2022 appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. John Fralick and Justin Boyle discuss two recent papers exploring the role of ceftobiprole in the treatment of complicated S. aureus bacteremia and the use of the PEN-FAST Score in the point-of-care risk assessment of penicillin allergy. ... The post Episode 76 – Ceftobiprole for S. aureus Bacteremia and PEN-FAST first appeared on Healthy Debate. The post Episode 76 – Ceftobiprole for S. aureus Bacteremia and PEN-FAST appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike and John Fralick discuss two recent papers exploring the role of semaglutide in patients with obesity without diabetes and the clinical implications of the decline in glomerular filtration rate after starting dapagliflozin in patients with heart ... The post Episode 75 – Semaglutide in Obesity without Diabetes and Dapagliflozin in Heart Failure first appeared on Healthy Debate. The post Episode 75 – Semaglutide in Obesity without Diabetes and Dapagliflozin in Heart Failure appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! In this throwback episode, Drs. Mike and John Fralick discuss the use of CT in the management of stable angina and the efficacy of tirzepatide in attaining glycemic control in T2DM. Check it out below! CT or Invasive Coronary Angiography in Stable Chest Pain (0:00 – 8:58). Effect of Subcutaneous Tirzepatide ... The post TBT – Chest Pain and Diabetes first appeared on Healthy Debate. The post TBT – Chest Pain and Diabetes appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Dr. Mike Fralick and special guest, Dr. Laiya Carayannopoulos from the Intern at Work Podcast, discuss two recent papers exploring the role of video versus direct laryngoscopy for tracheal intubation and blood pressure management post-endovascular thrombectomy after acute ... The post Episode 74 – Video Laryngoscopy for Intubation and Blood Pressure Management post-Endovascular Thrombectomy first appeared on Healthy Debate. The post Episode 74 – Video Laryngoscopy for Intubation and Blood Pressure Management post-Endovascular Thrombectomy appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike and John Fralick discuss two recent papers exploring the role of oral semaglutide in patients with obesity and the efficacy of enoxaparin in preventing symptomatic venous thromboembolism in hospitalized older adults. Two papers, here we go! ... The post Episode 73 – Oral Semaglutide in Obesity and Enoxaparin for Prevention of Deep Vein Thrombosis first appeared on Healthy Debate. The post Episode 73 – Oral Semaglutide in Obesity and Enoxaparin for Prevention of Deep Vein Thrombosis appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! In this throwback episode, Mike and John discuss two papers exploring pharmacotherapy-based interventions for agitation experienced by individuals with dementia and when to start or restart antiplatelet therapy after stroke caused by intracerebral hemorrhage. Check it out below! Effects of Antiplatelet Therapy After Stroke Caused by Intracerebral Hemorrhage (0:00 – 7:14). ... The post TBT – Agitation in Dementia and Antiplatelet Therapy after Intracerebral Hemorrhage first appeared on Healthy Debate. The post TBT – Agitation in Dementia and Antiplatelet Therapy after Intracerebral Hemorrhage appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike and John Fralick discuss two recent papers exploring the role of early metformin in Gestational Diabetes and the efficacy of tirzepatide versus short-acting insulin when added to basal insulin regimens in patients with Type II Diabetes. ... The post Episode 72 – Early Metformin for Gestational Diabetes and Tirzepatide versus Insulin in Type II Diabetes first appeared on Healthy Debate. The post Episode 72 – Early Metformin for Gestational Diabetes and Tirzepatide versus Insulin in Type II Diabetes appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike Fralick and Justin Boyle discuss two recent papers exploring the role of intravenous iron infusions in heart failure with iron deficiency and preventing blood transfusion requirements in patients with hip fracture. Two papers, here we go! ... The post Episode 71 – Intravenous Iron first appeared on Healthy Debate. The post Episode 71 – Intravenous Iron appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike and John Fralick discuss two recent papers exploring ablation in end-stage heart failure with atrial fibrillation and anticoagulation in frail older adults with atrial fibrillation. Two papers, here we go! Catheter Ablation in End-Stage Heart Failure ... The post Episode 70 – Atrial Fibrillation first appeared on Healthy Debate. The post Episode 70 – Atrial Fibrillation appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Emily Hughes and Justin Boyle discuss two recent papers exploring a novel agent, Zilebesiran, in the management of hypertension and the use of Semaglutide in patients that have obesity and heart failure with preserved ejection fraction. Two ... The post Episode 69 – Hypertension and Heart Failure first appeared on Healthy Debate. The post Episode 69 – Hypertension and Heart Failure appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! In this throwback episode, Mike and John discuss recent papers exploring interventions for metabolic syndrome. Check it out below: Does semaglutide help patients with non-alcoholic steatohepatitis (NASH)? (0:00 – 8:53) Can semaglutide achieve weight loss in people who are overweight or obese? (8:53 – 18:02) And for the Good Stuff: An Ottawa ... The post Flashback Friday – Rapid Fire Metabolic Syndrome! first appeared on Healthy Debate. The post Flashback Friday – Rapid Fire Metabolic Syndrome! appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike and John Fralick discuss two recent papers exploring once-weekly insulin in diabetes management and the effect of dapagliflozin on the on the prevention and correction of anemia in chronic kidney disease. Two papers, here we go! ... The post Episode 68 – CKD and Diabetes first appeared on Healthy Debate. The post Episode 68 – CKD and Diabetes appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. John Fralick and Justin Boyle discuss two recent papers exploring early versus late anticoagulation after stroke with atrial fibrillation and the role of dual antiplatelet therapy versus alteplase in minor ischemic stroke. Two papers, here we go! ... The post Episode 67 – Stroke first appeared on Healthy Debate. The post Episode 67 – Stroke appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! In this throwback episode, Mike and John explore two papers exploring the use of SGLT-2 Inhibitors in heart failure. Check it out below! Efficacy and Safety of Dapagliflozin According to Frailty in Heart Failure With Reduced Ejection Fraction (0:00 – 7:20). SGLT-2 inhibitors in patients with heart failure: a comprehensive meta-analysis ... The post TBT – SGLT-2 Inhibitors in Heart Failure first appeared on Healthy Debate. The post TBT – SGLT-2 Inhibitors in Heart Failure appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike Fralick and Justin Boyle discuss two recent papers about the use of dupulimab in the treatment of COPD and the role of transcatheter repair in tricuspid regurgitation. Two papers, here we go! Dupilumab for COPD with ... The post Episode 66 – Biologics in COPD and Repairing Tricuspid Regurgitation first appeared on Healthy Debate. The post Episode 66 – Biologics in COPD and Repairing Tricuspid Regurgitation appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike Fralick and Justin Boyle discuss two recent papers about the use of hydrocortisone for severe pneumonia and interventions to improve communication in goals of care conversations. Two papers, here we go! Hydrocortisone in Severe Community-Acquired Pneumonia ... The post Episode 65 – Hydrocortisone for Pneumonia and Goals of Care Conversations first appeared on Healthy Debate. The post Episode 65 – Hydrocortisone for Pneumonia and Goals of Care Conversations appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! In this throwback episode, Mike and John discuss recent papers exploring cardiovascular disease risk. Check it out below: Should a lower systolic blood pressure be targeted in patients at risk for cardiovascular disease? (0:00 – 10:00) Can a polypill consisting of statins, multiple blood-pressure lowering drugs, and aspirin potentially reduce the ... The post TBT – Cardiovascular Disease Rapid Fire! appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Emily Hughes and Justin Boyle discuss two recent papers about strategies to improve acute heart failure outcomes and use of psilocybin for treatment resistant depression. Two papers, here we go! Trial of an Intervention to Improve Acute ... The post Episode 64 – Improving Heart Failure Outcomes and Psilocybin for Depression appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back this week with the second episode in a special two part series. Dr. Mike Fralick sits down with Dr. Yatin Chadha, a Radiologist at North York General Hospital and founder of the “beyond MD” podcast, to chat about physician financial literacy! Questions? Comments? Feedback? We’d love to ... The post Episode 63 – Finances 101 (Part Two) appeared first on Healthy Debate.

Welcome back Rounds Table listeners! In this throwback episode, John is joined by a special guest, Dr. Jason Zou – an Internal Medicine resident from the University of Calgary to do a rapid fire episode on 4 ID papers. Check it out below: Is CRP helpful in guiding duration of antibiotics for uncomplicated gram negative ... The post TBT – Infectious Disease Rapid Fire! appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back this week with the first episode in a special two part series. Dr. Mike Fralick sits down with Dr. Yatin Chadha, a Radiologist at North York General Hospital and founder of the “beyond MD” podcast, to chat about physician financial literacy! Questions? Comments? Feedback? We’d love to ... The post Episode 62 – Finances 101 (Part One) appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. John and Mike Fralick discuss two recent papers about RSV vaccination in the elderly and utilizing electronic nudges to increase influenza vaccination uptake. Two papers, here we go! Respiratory Syncytial Virus Prefusion F Protein Vaccine in Older ... The post Episode 61 – Vaccination appeared first on Healthy Debate.

Welcome back Rounds Table listeners! We are returning with a throwback! In this repeat episode, Mike and John do a Rapid Fire session on recent papers exploring the addition of LAMAs in asthma management and treatment durations for UTIs in men. Here we go! Does adding a long-acting muscarinic antagonist to inhaled corticosteroids and long-acting ... The post TBT – Asthma and Urinary Tract Infections appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back this week with a special podcast episode! Dr. Justin Boyle sits down with Dr. Tony Bai, an Infectious Disease physician at Queen’s University, to chat about high-yield tips in treating S. aureus bacteremia and some exciting upcoming research in this area! Questions? Comments? Feedback? We’d love to ... The post Episode 60 – Staphylococcus aureus bacteremia with Dr. Tony Bai appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with a special episode! This week, Dr. John Fralick sits down with Dr. Mike Fralick to chat about a project he recently published in NEJM Evidence entitled, “Detection of Covid-19 Outbreaks Using Built Environment Testing for SARS-CoV-2” – a study designed to explore how to best ... The post Episode 59 – The Floor is COVID-19 appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are returning with an oldie but a goodie! In this repeat episode, Mike and John do a Rapid Fire session to discuss recent papers on various topics relating to hematology. Here we go! Is an incidental lymphopenia associated with increased mortality? (00:00 – 07:40)  Does tranexamic acid increase risk ... The post TBT – Hematology Rapid Fire! appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. John and Mike Fralick discuss two recent papers – one, exploring the use of haloperidol for the treatment of delirium in the ICU, and the second investigating the the use of lecanemab to prevent the progression of ... The post Episode 58 – Agitation and Dementia appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. John and Mike Fralick discuss two recent papers – one, exploring the use of molnupiravir for the treatment of COVID-19 in adults at increased risk of adverse outcomes, and the second investigating the the use of apixaban ... The post Episode 57 – Molnupiravir for COVID-19 and Apixaban for Atrial Fibrillation in Hemodialysis appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back this week with a special podcast episode! Dr. Mike Fralick sits down with Dr. Alison Lai, the creator and co-executive producer of the Intern at Work Podcast, to discuss their respective podcasts and the role of podcasts in medical education more generally! Questions? Comments? Feedback? We’d love ... The post Episode 56 – The Rounds Table x The Intern at Work appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back this week with a special podcast episode! Dr. Justin Boyle sits down with Dr. Jennifer Flemming, a Clinician-Scientist and Gastroenterologist at Queen’s University, to chat about portal hypertension and the Baveno 7 Guidelines! Questions? Comments? Feedback? We’d love to hear from you! @roundstable The post Episode 55 – Portal Hypertension for the Internist with Dr. Flemming appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with an oldie but a goodie! In this repeat episode, Mike and John do a Rapid Fire session to discuss two recent papers exploring the cardiovascular and renal benefits of two medications used in the management of diabetes. Two papers, here we go!  Effect of dapagliflozin ... The post Episode 30 – SGLT2 inhibitors and GLP-1 agonists in Diabetes (Repeat) appeared first on Healthy Debate.

Happy New Year Rounds Table Listeners! We are back this week with a special podcast episode! This week, Dr. Mike Fralick and guest, Dr. Justin Boyle chat about five important research studies published over the past year: The SGLT2 inhibitor empagliflozin in patients hospitalized for acute heart failure: a multinational randomized trial (0:00 – 2:56) ... The post Episode 54 – The Top 5 Papers of 2022 appeared first on Healthy Debate.

Happy Holidays Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. John and Mike Fralick discuss two recent papers – one, exploring the use of SGLT2 inhibitors in CKD, and the second investigating the effect of discontinuing RAS inhibitors on the progression of CKD. Two papers, here we ... The post Episode 53 – Chronic Kidney Disease appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with a re-release of one of our favourite episodes! In this repeat episode, Drs. Mike and John Fralick do a Rapid Fire session to discuss two papers exploring clotting – specifically, which diagnostic strategies best assess risk for pulmonary embolism and what the risk of VTE ... The post Episode 37 – Bloody Clots (Repeat) appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. John and Mike Fralick discuss two recent papers – one, exploring the use of IVIG in the treatment of dermatomyositis, and the second investigating the effect of a tranexamic acid infusion in patients with acute gastrointestinal bleeding. ... The post Episode 52 – IVIG in Dermatomyositis and Tranexamic Acid in GI Bleeding appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. John and Mike Fralick discuss two recent papers – one, exploring the effect of colonoscopy on colorectal cancer screening, and the second investigating mortality prevention in the context of cardiovascular disease screening. Two papers, here we go! ... The post Episode 51 – Cardiovascular Disease and Colorectal Cancer Screening appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back with an oldie but a goodie! In this repeat episode, Drs. Mike and John Fralick do a Rapid Fire session to discuss two papers exploring heart failure – specifically, if intravenous iron or the initiation of SGLT2 inhibitors in hospital for patients with heart failure improves clinical ... The post Episode 38 – IV Iron and SGLT2 Inhibitors in Heart Failure (Repeat) appeared first on Healthy Debate.

We are back today with our Classic Rapid Fire Podcast! This week, Dr. Mike Fralick and guest, Dr. Justin Boyle, discuss two recent papers – one, a trial exploring the use of acetazolamide in heart failure, and the second investigating the use of EVT for basilar artery stroke. Two papers, here we go! Acetazolamide in ... The post Episode 50 – EVT in Basilar Artery Stroke and the ADVOR Trial appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. John and Mike Fralick discuss two recent papers – one, a comparative analysis of glucose-lowering medications when used with metformin, and the second investigating the use of bronchodilators in tobacco-exposed persons with respiratory symptoms and preserved lung ... The post Episode 49 – Glycemic Outcomes in T2DM and Bronchodilators in Tobacco-Exposed Persons appeared first on Healthy Debate.

We are back today with our Classic Rapid Fire Podcast! This week, Dr. Mike Fralick and guest, Dr. Justin Boyle, discuss two recent papers – one, a trial exploring fluid resuscitation in pancreatitis, and the second, an epidemiology on the monkeypox virus in humans. Two papers, here we go! Aggressive or Moderate Fluid Resuscitation in ... The post Episode 48 – Monkeypox Virus and the Waterfall Trial appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. John and Mike Fralick discuss two recent papers – one, a meta-analysis exploring the use of SGLT-2 inhibitors in heart failure, and the second investigating the efficacy of dapagliflozin according to frailty in heart failure. Two papers, ... The post Episode 47 – SGLT-2 Inhibitors in Heart Failure appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. John and Mike Fralick discuss two recent papers – one, exploring the use of rivaroxaban in rheumatic heart-disease associated atrial fibrillation, and the second investigating the effect of reduced-dose edoxaban on clinical outcomes in elderly individuals with ... The post Episode 46 – Anticoagulation in Atrial Fibrillation appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, podcast guests Dr. Emily Hughes and Dr. Justin Boyle discuss two recent papers – one, exploring the benefits of the Mediterranean Diet, and the second investigating the relationship between the progression of alcohol-associated liver disease after medical therapy ... The post Episode 45 – Preventative Medicine: the Mediterranean Diet and the Treatment of Alcohol Use Disorder appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, podcast guests Dr. Emily Hughes and Dr. Justin Boyle discuss two recent papers – one, exploring the use of tranexamic acid in preventing perioperative bleeding in non-cardiac surgery, and the second investigating the relationship between socioeconomic status and ... The post Episode 44 – Tranexamic Acid in Non-Cardiac Surgery and Post-ICU Syndrome appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back this week with a special podcast episode! Dr. John Fralick sits down with Dr. Brandon Tang, a fourth year subspecialty resident in General Internal Medicine at the University of Toronto, to chat about a project he recently published in the CMAJ entitled, “A systematic review of evidence-based ... The post Episode 43 – Clinical Education and Healthcare Delivery in the CTU with Dr. Brandon Tang appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike and John Fralick discuss two recent papers – one, exploring the use of CT in the management of stable angina, and the second investigating the efficacy of tirzepatide in attaining glycemic control in T2DM. Two papers, ... The post Episode 42 – Chest Pain and Diabetes appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back this week with a special podcast episode! Dr. Emily Hughes, incoming Chief Medical Resident at Women’s College Hospital and regular Rounds Table contributor, sits down with Bena Hodzic-Santor, a third year medical student at the University of Toronto, to chat about the study she is leading with ... The post Episode 41 – Module Madness appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with a variation on our Classic Rapid Fire Podcast! This week, Drs. Mike and John Fralick discuss two recent papers – one, exploring a novel method of vaccinating against RSV during pregnancy and the other, a review on the diagnosis and management of Pulmonary Arterial Hypertension. ... The post Episode 40 – RSV Immunization in Pregnancy and Pulmonary Arterial Hypertension appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike and John Fralick do a Rapid Fire session to discuss two recent papers exploring if an oral microbiome replacement therapy reduces risk of recurrent C. difficile infection and if treating mild chronic hypertension in pregnancy improves ... The post Episode 39 – Hypertension in Pregnancy and Oral Mircrobiome Therapy in Recurrent C. difficile Infection appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike and John Fralick do a Rapid Fire session to discuss two recent papers exploring heart failure – specifically, if intravenous iron or the initiation of SGLT2 inhibitors in hospital for patients with heart failure improves clinical ... The post Episode 38 – IV Iron and SGLT2 Inhibitors in Heart Failure appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike and John Fralick do a Rapid Fire session to discuss two recent papers exploring clotting – specifically, which diagnostic strategies best assess risk for pulmonary embolism and what the risk of VTE is in patients not ... The post Episode 37 – Bloody Clots appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike and John Fralick do a Rapid Fire session to discuss two recent papers exploring hospital safety – specifically, which opioid is best to use after fractures requiring orthopedic surgery and how we can minimize sleep interruption ... The post Episode 36 – Making Hospitals Safer appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Dr. John Fralick and guest Dr. Justin Boyle, Rounds Table Podcast Manager and Internal Medicine Resident, do a Rapid Fire session to discuss two recent papers exploring if smoking cessation can be promoted through a mobile app and ... The post Episode 35 – Preventative Health: Smoking Cessation and Olive Oil appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back this week with a special podcast episode! Former hosts, Drs. Amol Verma and Kieran Quinn, return to chat about five important research studies published over the past year: EMPEROR-Preserved Trial (2:28 – 12:20) Discontinuing β-lactam treatment after 3 days for patients with community-acquired pneumonia in non-critical care ... The post Episode 34 – 5 need-to-know studies from over the past year with Drs. Amol Verma and Kieran Quinn appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back this week with a special podcast episode! Dr. Michael Fralick sits down with Dr. Chana Sacks, a General Internist from Massachusetts General Hospital, to chat about her role as Executive Editor of NEJM Evidence, a new digital journal dedicated to showcasing innovative research and bold ideas in ... The post Episode 33 – Dr. Chana Sacks on NEJM Evidence, a new digital journal appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Mike and John do a Rapid Fire session to discuss two recent papers exploring pharmacotherapy-based interventions for agitation experienced by individuals with dementia and when to start/restart antiplatelet therapy after stroke caused by intracerebral hemorrhage. Two papers, here ... The post Episode 32 – Agitation in Dementia and Antiplatelet Therapy after Intracerebral Hemorrhage appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Mike and John do a Rapid Fire session to discuss two recent papers exploring the cardiovascular benefits of a novel diabetes medication and bariatric surgery. Two papers, here we go! Association of Bariatric Surgery With Major Adverse Liver ... The post Episode 31 – Tirzepatide and Bariatric Surgery on Cardiovascular Health appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Mike and John do a Rapid Fire session to discuss two recent papers exploring the cardiovascular and renal benefits of two medications used in the management of diabetes. Two papers, here we go!  Effect of dapagliflozin on ventricular ... The post Episode 30 – SGLT2 inhibitors and GLP-1 agonists in Diabetes appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Mike and John do a Rapid Fire session to discuss two recent papers exploring different strategies in managing COVID-19. Two papers, here we go! Awake prone positioning for COVID-19 acute hypoxemic respiratory failure: a randomized, controlled, multinational, open-label ... The post Episode 29 – Proning and heparin for COVID-19 appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire format! This week, Mike and John do a Rapid Fire session to discuss two recent papers exploring cardiovascular disease risk. 2 papers…here we go! Should a lower systolic blood pressure be targeted in patients at risk for cardiovascular disease? (0:00 – ... The post In Case You Missed It: Episode 27 – Rapid Fire Cardiovascular Disease! appeared first on Healthy Debate.

Welcome back Rounds Table listeners, This week we review two papers recently published in JAMA: Does adding a long-acting muscarinic antagonist to inhaled corticosteroids and long-acting β2-agonists improve outcomes among individuals with moderate to severe persistent asthma? https://jamanetwork.com/journals/jama/fullarticle/2780374 Is 7 days vs 14 days non-inferior to treat urinary tract infections in afebrile men? https://jamanetwork.com/journals/jama/fullarticle/2782300   And ... The post Episode 28 – Asthma and Urinary Tract Infections appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire format! This week, Mike and John do a Rapid Fire session to discuss two recent papers exploring cardiovascular disease risk. 2 papers…here we go! Should a lower systolic blood pressure be targeted in patients at risk for cardiovascular disease? (0:00 – ... The post Episode 27 – Rapid Fire Cardiovascular Disease! appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire format! This week, Mike and John do a Rapid Fire session to discuss two recent papers involving GLP1 agonists; looking to see if they are beneficial in non-alcoholic steatohepatitis (NASH) and in weight loss. 2 papers…here we go! Does semaglutide help patients with ... The post Episode 26 – Rapid Fire Metabolic Syndrome! appeared first on Healthy Debate.

Welcome back Rounds Table listeners! This week we have a very special episode on Women’s Heme Health. We are joined by some very special guests this week, including – Dr. Jennifer Teichman, Dr. Heather VanderMeulen, Dr. Ying Ling, Dr. Jameel Abdulrehman, Dr. Sumedha Arya, Dr. Gillian Hawker and Dr. Michelle Sholzberg. Dr. Jennifer Teichman: How frequently ... The post Episode 25 – Women’s Heme Health appeared first on Healthy Debate.

Welcome back Rounds Table listeners! This week John is joined by a special guest, Dr. Jason Zou – an Internal Medicine resident from the University of Calgary to do a rapid fire episode on 4 ID papers, all non-COVID related. Check it out below: Is CRP helpful in guiding duration of antibiotics for uncomplicated gram ... The post Episode 24 – Rapid Fire ID! appeared first on Healthy Debate.

Welcome back Rounds Table listeners! We are back today with our Classic Rapid Fire format! Four papers … here we go! What is the optimal anticoagulation in patients with atrial fibrillation and a bioprosthetic mitral valve? (0:30 – 7:10) The development and validation of a penicillin allergy clinical decision tool (7:10 – 13:20) What is ... The post Episode 23 – Rapid Fire! appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! Dr. Emily Hughes and Dr. Kieran Quinn are back today with our Classic Rapid Fire format! 4 papers…here we go! 1. Does the use of a remote monitoring system lower the risk of dying within 30 days in patients at high risk of clinical deterioration? (0:40 – 7:40) 2. Does ... The post Episode 22 – Rapid Fire with Dr. Hughes and Dr. Quinn appeared first on Healthy Debate.

Welcome back Rounds Table listeners! To kick off the new year we have a very special episode, discussing what is known and what is not known about COVID-19 and pregnancy. Our guest is Dr. Verena (Vreni) Kuret She is the section head of the Maternal Fetal Medicine program in the Department of Obstetrics and Gynecology ... The post Episode 21 – COVID-19 and Pregnancy with Dr. Kuret appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! Today we are back with a throwback to our interview with Dr. Robbie Goldstein early in the COVID-19 pandemic. Back in April, we interviewed Dr. Robbie Goldstein to find out how Mass General Hospital (MGH) in Boston has prepared, and adapted, to a massive influx of patients with COVID-19. Dr. ... The post TBT – Dr. Robbie Goldstein on COVID-19 appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire format! 4 papers…here we go! 1.  Can early rhythm control therapy reduce risk of cardiovascular complications in atrial fibrillation? (0:33 – 7:02) 2.  Can SGLT2 inhibitors improve risk of heart failure or CV death among patients with reduced ejection fraction and ... The post Episode 20 – Rapid Fire Cardiology! appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! Today we are back with a very special new series – Throwback Thursdays! Here, we revisit a conversation with Dr. Richard Fralick, a hospitalist at Sunnybrook and public health specialist during the HIV/AIDS pandemic in the 1980s. How have our public health policies changed since then? What role do public ... The post TBT – Dr. Richard Fralick’s Reflections: From HIV/AIDs to COVID-19 appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! This week Mike and John review clinical aspects of COVID-19 management and review the latest data on treatment options. We hadn’t come up with a Good Stuff item at the time of recording, but since then this incredible video came out of a boy singing the #youcanbeABCs — it is ... The post Episode 19 – COVID19 management overview appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! This week we sit down with Dr. Shannon Ruzycki, an Internal Medicine Specialist at the Foothills Medical Centre and Clinical Assistant Professor at the Cumming School of Medicine at the University of Calgary. She joins us to share her research and experience in equity, diversity, and inclusion in medicine. You ... The post Episode 18 – Equity, diversity and inclusion in medicine: Interview w Dr. Ruzycki appeared first on Healthy Debate.

Welcome back Rounds Table listeners! This week, we are joined by Dr. Alain Tremblay. Dr. Tremblay is a respirologist at the Foothills Medical Centre and a Professor at the Cumming School of Medicine at the University of Calgary. He’s also the local site lead for the CATCO COVID19 treatment trial, which is the Canadian arm of ... The post Episode 17 – Interview with Dr. Tremblay: CATCO & COVID19 appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! This week on the Rounds Table Mike interviews Dr. Peter Jüni, who is the executive lead of the Ontario COVID-19 Science Advisory Table. They discuss the most recent report from the Advisory Table on the role that children play in SARS-CoV2 transmission.     Questions? Comments? Feedback? We’d love to hear ... The post Episode 16 – Kids and COVID-19 appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! Just before COVID was starting to take off we had recorded a non-COVID episode on four hematology papers, but we never got around to releasing the episode. Well, better late than never…Four rapid fire papers on hematology topics that have nothing to do with COVID-19! Is an incidental lymphopenia associated ... The post Episode 15 – Hematology Rapid Fire! appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! This week we are going back to our Rapid Fire Format to review two papers looking at potential SARS-CoV-2 vaccines. What is the safety profile and immune system response for a novel SARS-CoV-2 specific vaccine? https://www.nejm.org/doi/full/10.1056/NEJMoa2022483 (1:05-8:44) What is the safety, reactogenicity, and immunogenicity of a viral vectored coronavirus vaccine ... The post Episode 14 – Rapid Fire SARS-CoV-2 Vaccines appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! This week we interview Dr. Richard Fralick, a hospitalist at Sunnybrook and public health specialist.He chats with us about the evolution of public health from the 1980s to today through comparing and contrasting the unique challenges of the HIV/AIDS epidemic and COVID-19 pandemic. For more, a seminal paper from NEJM published in ... The post Episode 13 – Interview with the Real Dr. Fralick: Reflections on HIV/AIDS in the 1980s and now COVID-19 appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! This week we are going back to our Rapid Fire Format to review two papers looking at new data on treatment options for patients with COVID-19. Is Remdesivir effective in the treatment of COVID-19? https://www.nejm.org/doi/full/10.1056/NEJMoa2007764 Is Lopinavir-ritonavir effective in the treatment of COVID-19? https://www.nejm.org/doi/full/10.1056/NEJMoa2001282   And for The Good Stuff…. ... The post Episode 12 – Rapid Fire Treatment Options for COVID-19 appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! This week we interview Dr. Donald Arnold, a McMaster University professor and hematologist who is leading the CONCOR-1 trial. The CONvalescent Plasma for COVID-19 Research Trial (CONCOR-1), is a North American clinical trial designed to evaluate the efficacy and safety of COVID-19 convalescent plasma as a therapy for patients with COVID-19 respiratory illness. It involves collecting plasma containing neutralizing antibodies from individuals who ... The post Episode 11 – Interview with Dr. Donald Arnold, lead for the CONCOR-1 trial appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! This week we interviewed Dr. Michelle Sholzberg to discuss coagulopathy associated with COVID-19. Dr. Sholzberg is a clinical hematologist with a focus on bleeding and is the Medical Director of the Coagulation Laboratory at St. Michael’s Hospital in Toronto, Ontario, Canada. She is also the Co-Director of the Hematology-Oncology Clinical ... The post Episode 10 – Interview with Dr. Sholzberg on COVID coagulopathy appeared first on Healthy Debate.

Welcome back Rounds Table listeners! This week we interview Dr. Robbie Goldstein to find out how Mass General Hospital (MGH) in Boston has prepared, and adapted, to a massive influx of patients with COVID-19. Dr. Goldstein is an Instructor in Medicine at Harvard Medical School and an Infectious Disease physician at MGH. He is also ... The post Episode 9 – COVID-19: Interview with Dr. Robbie Goldstein appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! This episode we discuss two recently published papers related to COVID-19. 1.       What is the incidence and significance of cardiac injury in patients with COVID-19 https://jamanetwork.com/journals/jamacardiology/fullarticle/2763524 2.      The clinical course and risk factors for mortality in a multi-centre cohort of inpatients with COVID-19 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30566-3/fulltext And for the good stuff: 1.       Calgary distillers and ... The post Episode 8 – Rapid Fire: COVID-19 Part 2 appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! This episode, we’re focusing on 2 papers recently released related to COVID-19. 1.       Our first paper provides an overview of the clinical characteristics of a sample of patients admitted to hospital with COVID-19. https://www.nejm.org/doi/full/10.1056/NEJMoa2002032 2.       The second paper provides timely data to identify factors associated with ARDS among adults diagnosed with COVID-19. ... The post Episode 7 – Rapid Fire COVID-19 appeared first on Healthy Debate.

Welcome back for another episode of The Rounds Table! This episode Mike and John review 4 papers related to the latest and greatest in cardiovascular medicine. Check it out here: What is the efficacy and safety for using colchicine in myocardial infarction? (00:00 – 04:15) https://www.nejm.org/doi/full/10.1056/NEJMoa1912388 Do lower LDL targets improve outcomes for TIA or stroke? (04:15 ... The post Episode 6 – Rapid Fire Cardiovascular appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! For episode 5 we have two very special guests co-hosting. Welcome back to Drs. Kieran Quinn and Emily Hughes. This episode they discuss 4 articles on all things Respirology. Classic rapid fire format, let’s dive right in. Can the β-blocker, metoprolol, be used to prevent COPD exacerbations? (00:00 to 06:48) ... The post Rapid Fire: Respirology (And welcome back Drs. Kieran Quinn and Emily Hughes!) appeared first on Healthy Debate.

Happy New Year Rounds Table Listeners! We’re kicking off 2020 with an episode dedicated to all things Infectious Disease.  Classic Rapid Fire format…4 papers…here we go! Can patients be with gram negative bacteremia be treated safely with shorter courses of antibiotics? (https://academic.oup.com/cid/article/69/7/1091/5237874) (00:20 – 05:22) What is the impact of RSV infections on older adults? ... The post Rapid Fire: Infectious Disease appeared first on Healthy Debate.

Welcome back Rounds Table Listeners!   For episode 3, we have two very special guests co-hosting. Welcome back to Drs. Amol Verma and Kieran Quinn. This episode, they discuss 4 articles that peaked their interest related to high value care.   Classic Rapid Fire format…4 papers…here we go! Can care guided by patient priorities by associated with ... The post Rapid fire: High Value Care appeared first on Healthy Debate.

Episode 2 is all about geriatric medicine. Rapid fire format, 4 key papers….enjoy! The post Rapid fire: Geriatric Medicine appeared first on Healthy Debate.

  Rounds Table Listeners, we’ve got some good news for you… the Rounds Table is back! John and I have decided to pick up where Kieran and his excellent team left off; to continue to bring you regular podcasts on the latest and greatest internal medicine research. This reboot wouldn’t be possible without the continued ... The post Surprise! We’re back…and talking all things cardiovascular… appeared first on Healthy Debate.

This week we bring you a very special episode, the final episode of The Rounds Table podcast. This episode is dedicated to honouring the show and its development over the past five seasons. The show has had an incredibly successful past five years – the podcast has reached an international audience and has been downloaded ... The post The Grand Finale of The Rounds Table appeared first on Healthy Debate.

Kieran Quinn, general internist and palliative care physician in Toronto, is joined by Emily Hughes, the producer of the show and soon-to-be Internal Medicine resident at the University of Toronto on this week’s episode of The Rounds Table! Together they are covering canagliflozin and renal outcomes, and quality of life among patients with atrial fibrillation receiving ... The post REPLAY: Sugar and Spice – Canagliflozin and Renal Outcomes and Quality of Life in Atrial Fibrillation appeared first on Healthy Debate.

Michael Fralick and John Fralick, general internists in Toronto, are back on The Rounds Table and they are covering four articles in a rapid-fire style.  They discuss the use of tissue plasminogen activator (tPA) up to 9 hours after stroke onset, nonfasting versus fasting lipids and cardiovascular outcomes, the use of dabigatran for stroke prevention, ... The post Fire It Up: Delayed tPA, Lipids and Cardiovascular Outcomes, Stroke Prevention, and Fournier’s Gangrene with SGLT2 Inhibitors appeared first on Healthy Debate.

Christopher Giuliano, clinical pharmacist, is hosting this week’s episode of The Rounds Table alongside Insaf Mohamad, ambulatory care clinical pharmacist in Internal Medicine.  Together they are covering treatment of atrial fibrillation with rapid ventricular response with magnesium and falls risk with trazadone and benzodiazepines in patients with insomnia. Atrial fibrillation is the most common cardiac ... The post Slow Motion: Magnesium in Afib and Fall-Related Injuries with Sleep Aids appeared first on Healthy Debate.

Andre Maddison, General Internal Medicine (GIM) fellow at Western University, is hosting this week’s episode on The Rounds Table alongside his wife, Emily Wilson, family physician in London and adjunct professor at Western University. Together they are covering risk factors, death, and cardiovascular events in patients with type 2 diabetes mellitus (T2DM) and early or delayed ... The post A Shock to The Heart: Risk Factors and Cardiovascular Events in T2DM and Cardioversion in AFib appeared first on Healthy Debate.

Freddy Frost, research fellow in cystic fibrosis in Liverpool, and Alex Pickard, trainee in acute and emergency medicine in South London, are back on The Rounds Table this week. They are covering treatment of paediatric convulsive status epilepticus and the effect of aclidinium bromide on cardiovascular events and exacerbations in patients with chronic obstructive pulmonary disease ... The post A Total Eclipse: Treatment of Status Epilepticus and Aclidinium Bromide in COPD appeared first on Healthy Debate.

Jonathan Gravel, family medicine resident at the University of Toronto and soon-to-be emergency medicine resident, is joined by Max Deschner, a resident in Internal Medicine at Western University.  Together they are covering coronary angiography after cardiac arrest without ST-elevation (COACT trial) and the risk of HIV transmission through condomless sex in serodifferent gay couples. Ischemic ... The post Infectious Love: Coronary Angiography in Out-of-Hospital Cardiac Arrest and Risk of HIV Transmission in Serodifferent Gay Couples appeared first on Healthy Debate.

Kieran Quinn, general internist and palliative care physician in Toronto, is joined by Emily Hughes, the producer of the show and soon-to-be Internal Medicine resident at the University of Toronto on this week’s episode of The Rounds Table! Together they are covering canagliflozin and renal outcomes, and quality of life among patients with atrial fibrillation receiving ... The post Sugar and Spice: Canagliflozin and Renal Outcomes and Quality of Life in Atrial Fibrillation appeared first on Healthy Debate.

Katie Wiskar, fellow in General Internal Medicine at the University of British Columbia, and Kate Shoults, general internist in the Greater Vancouver Area, are joining us on The Rounds Table this week!  They are covering the association between cardiorespiratory fitness and long-term mortality, and vitamin D and omega-3 fatty acids and the prevention of cancer ... The post REPLAY: Are Your Vitamins Vital? Cardiorespiratory Fitness on Mortality and Vitamin Supplementation for Prevention of Cancer and Cardiovascular Disease appeared first on Healthy Debate.

Michael Fralick and John Fralick, both general internists in Toronto, are on The Rounds Table this week. In classic fashion, they are covering four articles in a rapid-fire style. They discuss transcatheter aortic valve replacement (TAVR) in low surgical risk patients, antiplatelet and anticoagulants in atrial fibrillation (AF) and acute coronary syndrome (ACS) with percutaneous ... The post Left my Heart in CABANA: TAVRs, Atrial Fibrillation, and Acute Coronary Syndrome appeared first on Healthy Debate.

Paxton Bach and Katie Wiskar, general internists in Vancouver, are back this week on The Rounds Table. Together they cover bag-mask ventilation during intubation of adults in intensive care units, and liberal versus conservative oxygen therapy in acutely ill adult patients. In the non-operating room setting, some recommendations regarding rapid-sequence intubation suggest avoiding bag-mask ventilation ... The post Catch Your Breath: Bag-Mask Ventilation During Intubation & Liberal Oxygen Therapy in Acute Illness appeared first on Healthy Debate.

Christopher Giuliano and Sean McConachie, both Internal Medicine clinical pharmacists, host this week’s episode on The Rounds Table.  This week they share articles on peri-procedural bridging in patients with venous thromboembolism and the reversal of factor Xa inhibitors with andexanet alfa. Bridging is commonly performed for interruption of vitamin K antagonists in the peri-procedural setting.  ... The post There Is No Comparison: Peri-Procedural Bridging in VTE and Reversal of Factor Xa Inhibitors with Andexanet Alfa appeared first on Healthy Debate.

Andre Maddison, fellow in general internal medicine at Western University, is hosting this week’s episode on The Rounds Table alongside Erin Spicer, general internist also at Western University. Together they are covering the effect of an exercise intervention on functional decline in very elderly patients and the mortality benefit associated with outpatient nephrology referrals in ... The post Get Up & Go: Exercise Interventions for Functional Decline and Nephrology Referrals for CKD appeared first on Healthy Debate.

Jonathan Gravel, epidemiologist and family medicine resident at the University of Toronto, is hosting this week’s episode of The Rounds Table alongside Bradley Kaplansky, academic primary care physician in Toronto and host of podcast Primary Care Spiel.  This week they are covering the efficacy and safety of oral basal insulin versus subcutaneous insulin glargine in ... The post Sugar Crash: Oral Basal Insulin Versus Subcutaneous Glargine in T2DM & The Effect of Tranexamic Acid on Functional Outcomes appeared first on Healthy Debate.

Katie Wiskar, GIM fellow at the University of British Columbia, and Paxton Bach, general internist in Vancouver are back on The Rounds Table.  This week they are covering oral versus intravenous antibiotics for bone and joint infections (OVIVA trial) and lung ultrasound integrated with clinical assessment for diagnosing acute decompensated heart failure (ADHF). Complex orthopedic ... The post Bad to the Bone: Oral Antibiotics for Orthopedic Infections and Lung Ultrasound for Decompensated Heart Failure appeared first on Healthy Debate.

Kieran Quinn and Emily Hughes host this week’s episode of The Rounds Table. They discuss decolonization to reduce postdischarge infection risk among methicillin-resistant Staphylococcus aureus (MRSA) carriers and the effects of a web-based decision aid for surrogate decision makers of patients with prolonged mechanical ventilation. MRSA is the most common cause of skin, soft-tissue and ... The post Contamination & Communication: Postdischarge MRSA Decolonization and Web-Based Decision Aids in the ICU appeared first on Healthy Debate.

Freddy Frost, research fellow in cystic fibrosis in Liverpool, and Alex Pickard, trainee in acute and emergency medicine in South London, return to The Rounds Table this week.  Together they cover apixaban therapy to prevent venous thromboembolism (VTE) in patients with cancer, and omadacycline for treatment of community-acquired bacterial pneumonia (the OPTIC trial). Patients with ... The post OPTICal Illusions: Apixaban for Prevention of VTE and Omadacycline for Community-Acquired Bacterial Pneumonia appeared first on Healthy Debate.

Paxton Bach, general internist in Vancouver, is hosting this week’s episode of The Rounds Table alongside Kate Colizza generalist internist in Calgary.  This week they are covering studies related to addiction medicine that are relevant to all areas of practice – the use of e-cigarettes for smoking cessation and initiation of medication for opioid use ... The post Cracking Down: E-Cigarettes for Smoking Cessation and Medication for Opioid Use Disorders after Nonfatal Opioid Overdose appeared first on Healthy Debate.

Kieran Quinn is back on the Rounds Table this week with Michael Fralick, general internist at the University of Toronto. This week they are covering four articles in rapid-fire style on maternal first trimester ondansetron and fetal outcomes, assessment of outpatient antibiotic prescribing patterns, creatinine in the peri-partum period, and a pharmacist-led intervention for deprescribing. The ... The post Pregnancy & Prescription Pads: Maternal Ondansetron Use, Renal Function in Pregnancy and Assessing Prescribing and Deprescribing Patterns appeared first on Healthy Debate.

Andre Madison, General Internal Medicine (GIM) fellow at Western University, is back on The Rounds Table with Michael Juba, clinical pharmacist at London Health Sciences Centre in Infectious Disease and Anti-Microbial Stewardship.  Together they are covering the efficacy of ceftazidime-avibactam salvage therapy for Klebsialla pneumoniae carbapenemase (KPC)-producing Klebsiella pneumoniae and transcatheter mitral-valve repair in heart ... The post Superbugs Going Superbad: Ceftazidime-Avibactam Salvage Therapy for Klebsiella pneumoniae and Transcatheter Mitral-Valve Repair in Heart Failure appeared first on Healthy Debate.

Christopher Giuliano, clinical pharmacist, is hosting this week’s episode of The Rounds Table with Claudia Hanni, an Internal Medicine clinical pharmacist.  Together they are covering pantoprazole for gastrointestinal bleeding in the intensive care unit and aspirin for primary prevention in patients with diabetes. In the intensive care unit, many patients receive pantoprazole for prevention of ... The post An Ounce of Prevention: Pantoprazole in the Intensive Care Unit and Aspirin for Primary Prevention in Diabetes appeared first on Healthy Debate.

Jonathan Gravel, family medicine resident at the University of Toronto, is joined by Matthew Jefkins, internal medicine resident at Queen’s University, on this week’s episode of The Rounds Table. Together they are covering the use of haloperidol and ziprasidone for delirium in critical illness and fluoxetine on functional outcomes after acute stroke (FOCUS trial). Delirium affects ... The post Mind Over Matter: Antipsychotics for Intensive Care Unit-Associated Delirium and Fluoxetine after Acute Stroke appeared first on Healthy Debate.

Andre Maddison, General Internal Medicine (GIM) fellow at Western University, is hosting this week’s episode on The Rounds Table alongside Mike Nicholson, clinical fellow in cystic fibrosis at the University of Toronto. Together they are covering antibiotic prophylaxis and incidence of infective endocarditis and baloxavir marboxil for uncomplicated influenza. Influenza viruses are emerging resistance to ... The post Quit Buggin’ Me: Antibiotic Prophylaxis for Infective Endocarditis and Baloxavir Marboxil for Uncomplicated Influenza appeared first on Healthy Debate.

Paxton Bach and Samantha Young, both general internists in Vancouver are back on The Rounds Table!  Together they are covering the withdrawal of heart failure treatments in patients with recovered dilated cardiomyopathy and icosapent ethyl for cardiovascular risk reduction in patients with hypertriglyceridemia. There is good evidence behind our guidelines for the management of heart ... The post TRED-ing on Thin Ice: Withdrawal of Therapy in Recovered Cardiomyopathy and Icosapent Ethyl for Hypertriglyceridemia appeared first on Healthy Debate.

Katie Wiskar, fellow in General Internal Medicine at the University of British Columbia, and Kate Shoults, general internist in the Greater Vancouver Area, are joining us on The Rounds Table this week!  They are covering the association between cardiorespiratory fitness and long-term mortality, and vitamin D and omega-3 fatty acids and the prevention of cancer ... The post Are Your Vitamins Vital? Cardiorespiratory Fitness on Mortality and Vitamin Supplementation for Prevention of Cancer and Cardiovascular Disease appeared first on Healthy Debate.

Michael Fralick and John Fralick, both general internists in Toronto, kick off The Rounds Table for the New Year.  They cover four articles in a rapid-fire style, including: angiotensin receptor-neprilysin inhibitors (ARNIs) in decompensated heart failure (HF), linagliptin and major cardiovascular events, reduced dietary salt intake in heart failure, and dapagliflozin and cardiovascular outcomes. Sacubitril/valsartan ... The post Salty or Sweet: ARNIs, Reduced Salt Intake in HF, and Cardiovascular Safety of Diabetes Medications appeared first on Healthy Debate.

Katie Wiskar, GIM fellow at the University of British Columbia, is back this week on The Rounds Table. She is joined by Stephane Voyer, practicing general internist at the University of British Columbia. Today they review medication application reminders and aspirin for primary prevention. Forty percent of patients or more are non-adherent to medications that ... The post REPLAY: Apps & Aspirin – Medication Reminder Applications & Aspirin for Primary Prevention appeared first on Healthy Debate.

Kieran Quinn is joined by Kevin Venus, fellow in General Internal Medicine at the University of Toronto, on this week’s episode of The Rounds Table.  Together they cover the use of a carbapenem versus a carbapenem-sparing agent in resistant bacteremias and the efficacy of proton-pump inhibitors (PPIs) in preventing gastrointestinal bleeding when using anti-thrombotic therapy ... The post REPLAY: Bugs & Guts – Carbapenem-Sparing Agents in Resistant Infections and Omeprazole in Coronary Artery Disease appeared first on Healthy Debate.

Jonathan Gravel and Peter Reardon host this week’s episode of The Rounds Table. Together they cover outpatient management of Emergency Department (ED) patients with pulmonary embolism and combining NSAIDs and oral anticoagulants in patients with atrial fibrillation. Peter shares a post-hoc analysis of NSAIDs in the RE-LY (Randomized Evaluation of Long Term Anticoagulant Therapy) trial ... The post The Clot Thickens: Outpatient Management of ED Patients with Pulmonary Embolism & NSAIDs and OACs in Atrial Fibrillation appeared first on Healthy Debate.

Freddy Frost and Alex Pickard return to The Rounds Table this week. Together they cover the use of sustained prophylactic hypothermia in the management of traumatic brain injury (TBI) and the effectiveness of adding low-dose theophylline to inhaled corticosteroids in chronic obstructive pulmonary disease (COPD). TBI is a leading cause of death and disability, especially ... The post The Polar Express: Sustained Hypothermia for Severe TBI & Low-Dose Theophylline for COPD appeared first on Healthy Debate.

Paxton Bach is back on The Rounds Table with Tristen Gilchrist, general internist in Vancouver.  Together they cover statins for primary prevention of cardiovascular events and the prevalence of hospital-acquired infections in the United States. Most elderly patients have a high Framingham coronary heart disease risk score on the basis of age.  However, there are ... The post This Stat In: Statins in the Elderly and Prevalence of Nosocomial Infections in the U.S. appeared first on Healthy Debate.

Kieran Quinn is joined by Kevin Venus, fellow in General Internal Medicine at the University of Toronto, on this week’s episode of The Rounds Table.  Together they cover the use of a carbapenem versus a carbapenem-sparing agent in resistant bacteremias and the efficacy of proton-pump inhibitors (PPIs) in preventing gastrointestinal bleeding when using anti-thrombotic therapy ... The post Bugs & Guts: Carbapenem-Sparing Agents in Resistant Infections and Omeprazole in Coronary Artery Disease appeared first on Healthy Debate.

Christopher Guiliano, clinical pharmacist, is back on The Rounds Table with Carrie Hartner, clinical pharmacist in the medical intensive care unit.  Together they cover rivaroxaban in preventing thrombosis in patients with Anti-phospholipid syndrome (APS) and in patients with cancer. The prevalence of APS is 50 in 100,000 patients and it is associated with arterial and ... The post Believe It or Clot: Rivaroxaban in Preventing Thrombosis in Anti-Phospholipid Syndrome and in Cancer appeared first on Healthy Debate.

Kieran Quinn is back with Daniel Marinescu, fellow in Respirology at the University of Toronto.  Together they cover the SUNSET trial on long-term triple therapy de-escalation in patients with chronic obstructive pulmonary disease (COPD) and the risk of thromboembolism associated with post-operative atrial fibrillation. The new Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines ... The post Sunsets & Heartbeats: Therapy De-Escalation in COPD and Post-Operative Atrial Fibrillation appeared first on Healthy Debate.

Freddy Frost, research fellow in cystic fibrosis in Liverpool, hosts this week’s episode of The Rounds Table with Alex Pickard, trainee in acute and emergency medicine in South London.  Together they cover new research on draining malignant pleural effusions and tranexamic acid in intracerebral haemorrhage. To start, Freddy walks listeners through a multicenter study looking ... The post REPLAY: Cut & Dried – Malignant Pleural Effusions and Tranexamic Acid in Intracerebral Haemorrhage appeared first on Healthy Debate.

Katie Wiskar, GIM fellow at the University of British Columbia, is back this week on The Rounds Table. She is joined by Stephane Voyer, practicing general internist at the University of British Columbia. Today they review medication application reminders and aspirin for primary prevention. Forty percent of patients or more are non-adherent to medications that ... The post Apps & Aspirin: Medication Reminder Applications & Aspirin for Primary Prevention appeared first on Healthy Debate.

Jonathan Gravel, family medicine resident at the University of Toronto, and Maaike deVries, PhD candidate in health services research at the University of Toronto, host this week’s episode of The Rounds Table.  They review two articles: the first on coronary computed tomography angiography (CTA) and the 5-year risk of myocardial infarction, and the second on ... The post Living the Bougie Life: Coronary CT Angiography and Risk of MI & First-Attempt Intubation Success appeared first on Healthy Debate.

Christopher Giuliano, Internal Medicine clinical pharmacist, hosts this week’s episode of The Rounds Table alongside Amber Lanae Martirosov, clinical pharmacist in ambulatory care with a focus on pulmonology. Both guests join us from Wayne State University. In this episode they cover the use of apixaban in patients with atrial fibrillation and end-stage renal disease (ESRD) ... The post Bleeding Heart: Apixaban for Atrial Fibrillation in ESRD & Safety of Smoking Cessation Medications appeared first on Healthy Debate.

Andre Maddison, General Internal Medicine (GIM) fellow at Western University, is hosting this week’s episode on The Rounds Table alongside Erin Spicer, faculty member in GIM also at Western University.  This week they cover partial oral versus intravenous antibiotic treatment of infective endocarditis (POIATE trial) and microvascular outcomes in patients with type 2 diabetes mellitus ... The post POIATEic Insight: Oral versus Intravenous Treatment for Infective Endocarditis & Bariatric Surgery in Diabetes appeared first on Healthy Debate.

Freddy Frost, research fellow in cystic fibrosis in Liverpool, hosts this week’s episode of The Rounds Table with Alex Pickard, trainee in acute and emergency medicine in South London.  Together they cover new research on draining malignant pleural effusions and tranexamic acid in intracerebral haemorrhage. To start, Freddy walks listeners through a multicenter study looking ... The post Cut & Dried: Malignant Pleural Effusions and Tranexamic Acid in Intracerebral Haemorrhage appeared first on Healthy Debate.

Paxton Bach and Kieran Quinn are back this week on The Rounds Table covering two articles: changes in end-of-life care in the United States over the past 15 years and energy restricted diets for type 2 diabetes mellitus management. Modern end-of-life care has dramatically changed the number of patients that pass away in an acute ... The post Do or Diet: End-of-Life Care Among US Medicare Beneficiaries and Energy Restricted Diets in Diabetes appeared first on Healthy Debate.

Katie Wiskar and Samanatha Young, both GIM fellows at the University of British Columbia, host this week’s episode of The Rounds Table!  Together they review survival among patients with curable cancers receiving complementary medicine and epinephrine in out-of-hospital cardiac arrest. Complementary and alternative medicine are frequently used by patients in conjunction or as an alternative ... The post Primum Non Nocere: Complementary Medicine for Curable Cancers and Epinephrine in Out-of-Hospital Cardiac Arrest appeared first on Healthy Debate.

Kieran Quinn and Paxton Bach kick off Season 5 of The Rounds Table with two articles surrounding peri-operative medicine – both relevant to a wide variety of health care practitioners.  The first addresses the use of dabigatran in myocardial injury after non-cardiac surgery (MINS) and the second covers assessment of functional capacity before major non-cardiac ... The post Peri-Operative Dilemmas: Dabigatran for Myocardial Injury Post-Op and Functional Capacity Assessments appeared first on Healthy Debate.

This week The Rounds Table is packed with the latest on bugs and drugs as well as a special segment on the editorial process. Dr. Paul Bunce, Infectious Diseases physician, and Kieran Quinn cover antibiotics in aspiration pneumonia and choosing wisely in cellulitis evaluation. Emily Hughes and Sheliza Halani speak with Dr. Matt Stanbrook, Deputy ... The post Summer Replay – Bugs & Drugs: Antibiotics in Aspiration Pneumonia, Choosing Wisely in Cellulitis Evaluation, and Demystifying the Editorial Process appeared first on Healthy Debate.

This week on The Rounds Table Kieran is joined by Dr. Dan Aronov, a new voice on The Rounds Table from Melbourne, Australia. Kieran and Dan guide listeners through recent advances in cardiovascular care. Dan steers listeners through the COMPASS trial examining rivaroxaban with or without aspirin in patients with stable atherosclerotic vascular disease to ... The post Summer Replay – Navigating Cardiovascular Care: a COMPASS for Cardiovascular Events and Managing Blood Pressure in Barbershops appeared first on Healthy Debate.

This week The Rounds Table is packed with new content. Kieran Quinn co-hosts the episode with Jonathan Gravel. Jon covers new evidence on treatment for opioid use disorder. Kieran covers an article on the effect of provider affiliation with a primary care network on acute healthcare utilization. The episode also features special guests David Juurlink ... The post Summer Replay – Seeking a High: Opioid Relapse Prevention & Primary Care Networks and Acute Healthcare Utilization appeared first on Healthy Debate.

This week on the Rounds Table Kieran Quinn and Katie Whiskar cover two important studies: low fat versus low carb diets for weight loss and the role of opioids vs non-opioids in the management of chronic pain. Diet modification is key to weight loss. Yet, no one dietary strategy is consistently superior to others for ... The post Summer Replay: If the Diet Fits! A SPACE for Opioids in Chronic Pain & Low Fat vs Low Carb Diets for Weight Loss appeared first on Healthy Debate.

This week on The Rounds Table Kieran Quinn and Mike Fralick are back with another rapid fire episode: just the salient points from four articles instead of two, this time examining important cardiovascular studies. The risk of subsequent stroke after minor stroke or TIA is as high as 15% within 90 days. Mike covers the ... The post Summer Replay – Cardiovascular Rapid Fire: MRI-Guided Thrombolysis, Recurrent Stroke Prevention, and E-Cigs & Smoking Cessation appeared first on Healthy Debate.

This week on the Rounds Table Kieran Quinn and Andrew Smaggus bring listeners up to date with the evidence on education outcomes in a duty-hour flexibility trial and the relationship between physician years of experience and mortality in hospitalized patients. The duty hour question is one important branch of the overall question of how to ... The post Summer Replay: Call Me Maybe? Education Outcomes and Duty Hours & Physician Experience and Mortality appeared first on Healthy Debate.

All good things must come to an end. As the final episode of the season, Kieran looks back at his top 5 favorite papers from The Rounds Table 2017-2018 year and shares updates for next season. It’s a rapid fire episode like you’ve never heard before! See the links to the papers below. We want ... The post Top Five – The Best of the Year appeared first on Healthy Debate.

This week on The Rounds Table Andrew Smaggus and Paul Bunce are back with new evidence on the association between home care visits and same day emergency department use as well as antibiotics for pneumocystis pneumonia. The extent to which home care visits contribute to the delay or avoidance of ED visits has not been ... The post An Ounce of Prevention: Home Visits and ED Use & Septra Prophylaxis for Pneumocystis Pneumonia appeared first on Healthy Debate.

Paxton Bach and Kieran Quinn are back this week with new updates on diabetes medications and emerging evidence on the effect of renal denervation on blood pressure. Diabetes randomized controlled trials have moved away from surrogate endpoints in recent years and towards the endpoint of mortality. Paxton shares a meta-analysis comparing all-cause mortality associated with ... The post Hit a Nerve? Comparing Mortality with Oral Antihypoglycemics & Renal Denervation for BP Control appeared first on Healthy Debate.

This week on The Rounds Table Kieran Quinn and Katie Wiskar are back with two important studies; the first on visiting hours in the ICU and the second on NT-proBNP guided therapy in heart failure. Katie takes listeners through a systematic review and meta-analysis which showed that flexible ICU visiting policies were associated with reduced ... The post Take a Closer Look: Flexible ICU Visiting Policies & BNP-Guided Inpatient Heart Failure Management appeared first on Healthy Debate.

This week on The Rounds Table Kieran Quinn and Mike Fralick are back with another rapid fire episode: just the salient points from four articles instead of two, this time examining important cardiovascular studies. The risk of subsequent stroke after minor stroke or TIA is as high as 15% within 90 days. Mike covers the ... The post Cardiovascular Rapid Fire: MRI-Guided Thrombolysis, Recurrent Stroke Prevention, and E-Cigs & Smoking Cessation appeared first on Healthy Debate.

This week on The Rounds Table Kieran is joined by Dr. Dan Aronov, a new voice on The Rounds Table from Melbourne, Australia. Kieran and Dan guide listeners through recent advances in cardiovascular care. Dan steers listeners through the COMPASS trial examining rivaroxaban with or without aspirin in patients with stable atherosclerotic vascular disease to ... The post Navigating Cardiovascular Care: a COMPASS for Cardiovascular Events and Managing Blood Pressure in Barbershops appeared first on Healthy Debate.

This week The Rounds Table is packed with new content. Kieran Quinn co-hosts the episode with Jonathan Gravel. Jon covers new evidence on treatment for opioid use disorder. Kieran covers an article on the effect of provider affiliation with a primary care network on acute healthcare utilization. The episode also features special guests David Juurlink ... The post Seeking a High: Opioid Relapse Prevention & Primary Care Networks and Acute Healthcare Utilization appeared first on Healthy Debate.

This week The Rounds Table is packed with the latest on bugs and drugs as well as a special segment on the editorial process. Dr. Paul Bunce, Infectious Diseases physician, and Kieran Quinn cover antibiotics in aspiration pneumonia and choosing wisely in cellulitis evaluation. Emily Hughes and Sheliza Halani speak with Dr. Matt Stanbrook, Deputy ... The post Bugs & Drugs: Antibiotics in Aspiration Pneumonia, Choosing Wisely in Cellulitis Evaluation, and Demystifying the Editorial Process appeared first on Healthy Debate.

This week The Rounds Table features another new host: Christopher Guiliano, clinical pharmacist at Wayne State University. Kieran and Chris cover acute kidney injury with combination antibiotics and managing migraines with prochlorperazine and diphenhydramine versus hydromorphone. Understanding the nephrotoxic consequences of prescribing antibiotics is critical for physicians. Chris takes listeners through a prospective evaluation of ... The post Potion Commotion: Acute Kidney Injury with Combination Antibiotics and Comparing Pharmacotherapy for Migraine Management appeared first on Healthy Debate.

This week The Rounds Table bridges the Atlantic. Kieran Quinn is joined by Freddy Frost from the University of Liverpool to cover talc administration by indwelling pleural catheter for pleurodesis and comparing cardiovascular risk scores in the Emergency Department. It’s not often that we see an interventional randomized controlled trial performed in a population with ... The post Drain or Retain? Talc Administration in Pleurodesis & Cardiovascular Risk Scores in the ED appeared first on Healthy Debate.

This week on the Rounds Table Kieran Quinn and Katie Whiskar cover two important studies: low fat versus low carb diets for weight loss and the role of opioids vs non-opioids in the management of chronic pain. Diet modification is key to weight loss. Yet, no one dietary strategy is consistently superior to others for ... The post If the Diet Fits! A SPACE for Opioids in Chronic Pain & Low Fat vs Low Carb Diets for Weight Loss appeared first on Healthy Debate.

This week on the Rounds Table Kieran Quinn and Andrew Smaggus bring listeners up to date with the evidence on education outcomes in a duty-hour flexibility trial and the relationship between physician years of experience and mortality in hospitalized patients. The duty hour question is one important branch of the overall question of how to ... The post Call Me Maybe? Education Outcomes and Duty Hours & Physician Experience and Mortality appeared first on Healthy Debate.

This week on The Rounds Table features a special guest! Deputy Editor for CMAJ, Matthew Stanbrook, Emily Hughes, and Kieran Quinn take listeners through two articles. Kieran and Emily start with a clinical trial of solanezumab for the treatment of Alzheimer’s. Matt and Emily then cover repeated influenza vaccination to prevent severe and fatal influenza. ... The post History Repeats Itself! Solanezumab for Alzheimer’s & Repeat Vaccination to Prevent Influenza appeared first on Healthy Debate.

This week on The Rounds Table Kieran Quinn and Paxton Bach take listeners through articles covering new evidence on prescribing fluids to critically and non-critically ill patients as well as new evidence on increasing the dose of inhaled corticosteroids for asthma exacerbations. IV fluids are a staple of hospital medicine, almost all patients will receive ... The post Feeling Salty? Normal Saline vs. Balanced Crystalloids & Quadrupling Asthma Medications appeared first on Healthy Debate.

This week on The Rounds Table Kieran Quinn and Ashley Minuk are back with two articles with a bend toward primary care and hospitalist physicians. Ashley covers aspirin versus rivaroxaban for VTE prophylaxis after hip or knee arthroplasty. Kieran shares an article on the use of ridesharing apps to decrease missed appointments. After hip or ... The post Need a Lyft? VTE Prophylaxis After Arthroplasty & Ridesharing to Decrease Missed Appointments appeared first on Healthy Debate.

It’s diabetes week on The Rounds Table. Mike Fralick and Kieran Quinn are back with the latest evidence in another Rapid Fire episode: four articles covered instead of the usual two. Canagliflozin has an impressive cardiovascular benefit profile for patients with a high burden of cardiovascular disease, based on data from randomized control trials. Mike ... The post Sugar Coating Diabetes Meds? Oral Antiglycemics and Diabetes Management, Rapid Fire appeared first on Healthy Debate.

This week on The Rounds Table we are covering new evidence on two important topics: migraine and risk of cardiovascular disease, and a clinical decision rule for Emergency Department transfer of older individuals who have sustained a fall. Laura Walker and Kieran Quinn highlight the key points for listeners. Migraines are a very common primary ... The post Clear Mind, Clear Body: Cardiovascular Disease in Migraine and Decision to Transfer to the ED After a Fall appeared first on Healthy Debate.

This week on The Rounds Table we are following up on the prevalence of PE in syncope and reviewing the evidence on corticosteroids for pneumonia. Ariel Lefkowitz and Kieran Quinn break down these two important articles for listeners. Do you routinely prescribe steroids in pneumonia? Ariel shares a Cochrane review which covers the literature to ... The post Just Breathe: Prevalence of PE in Syncope & Corticosteroids for Pneumonia appeared first on Healthy Debate.

This week on The Rounds Table Kieran Quinn and Paxton Bach are covering two important articles: catheter ablation for atrial fibrillation with heart failure and the association between myocardial infarction (MI) and influenza. It is common for atrial fibrillation and CHF to co-exist in patients. Yet, optimal management of these co-existing conditions has yet to ... The post King of the CASTLE: Catheter Ablation for Afib with Heart Failure and Myocardial Infarction in Influenza appeared first on Healthy Debate.

This week on The Rounds Table we are covering two important studies: diagnostic management of pulmonary embolism and safety of varying the frequency of whole blood donation. Kieran Quinn and Lauren Lacroix break it down for listeners. Pulmonary embolism represents a diagnostic challenge in the Emergency Department for patients presenting with a variety of symptoms ... The post REPLAY: Bloody Brilliant! Diagnostic Management of Pulmonary Embolism and Frequency of Blood Donation appeared first on Healthy Debate.

This week on The Rounds Table we are covering two important research articles: prevention of contrast induced nephropathy, and comparing post-operative outcomes between patients treated by male and female surgeons. Contrast induced nephropathy (CIN) is a potentially severe complication of angiographic procedures, especially for people with poor renal function at the outset. Prevention of CIN ... The post REPLAY: Urine Luck! Renal Outcomes After Angiography, and Effects of Surgeon Sex on Post-Operative Outcomes appeared first on Healthy Debate.

This week on The Rounds Table Kieran and Mike are back with another rapid fire episode: just the salient points from four articles instead of two. Guidelines recommend the use of hydrocortisone in patients with septic shock if adequate fluid resuscitation and treatment with vasopressors does not restore hemodynamic stability; however, current guidelines classify this ... The post More or Less: Sepsis, Shock, Stroke, and Staying Dry in Heart Failure appeared first on Healthy Debate.

This week on The Rounds Table we are examining two important studies: the first looking at an association between wait times for hip fracture surgery and mortality, and the second examining clinician denials of patient requests. Hip fractures are a relatively common injury among our aging population. As our elderly population increases, hip fractures are ... The post Too Much to Ask? Wait Times for Hip Fracture Surgery and Clinician Denials of Patient Requests appeared first on Healthy Debate.

This week on The Rounds Table we are covering two important articles: the first examining combination opioids versus non-opiods for acute pain, and the second examining the use of edoxaban to treat cancer-associated venous thromboembolism (VTE). Kieran Quinn and Paxton Bach break it down for listeners. Opioid addiction is arguably the biggest epidemic of our ... The post Choosing the Right Drug: Non-Opioids for Acute Pain & Edoxaban for Venous Thromboembolism appeared first on Healthy Debate.

This week on The Rounds Table we are trying something different as our first new episode of 2018: just the salient points from FOUR articles instead of two! Same time spent listening, twice the take-away! Mike and Kieran break it down for listeners. Novel oral anticoagulants (NOACs) are everywhere, and they can put patients at ... The post Fire Away! Choosing the Right NOAC & How Physician Training Affects Patient Outcomes appeared first on Healthy Debate.

What’s healthier, a diet high in fat or high in carbohydrates? How can the HEART score be used to stratify patients who present to the Emergency Department with chest pain? Kieran Quinn and Ashley Minuk cover the answers from the findings of two exciting new articles. With the growing burden of cardiovascular and diet related ... The post REPLAY: PURE at HEART – Fats vs. Carbohydrates as Risk Factors for Mortality and Stratifying Chest Pain in the Emergency Department appeared first on Healthy Debate.

This week on The Rounds Table we’re covering important studies on two very common diseases: osteoporosis and heart failure. Kieran and Laura break it down for listeners. Osteoporosis affects women worldwide, and will become more common because of our aging population. Although several pharmacologic treatments exist to treat the disease, few head to head studies ... The post REPLAY: Don’t Go Breaking My Heart – Romosozumab for Osteoporosis and Early Palliative Care in Heart Failure appeared first on Healthy Debate.

This week on The Rounds Table we’re covering important studies in palliative care: treatment of delirium at end-of-life, and examining populations who may be more likely than others to receive aggressive end-of-life care. Kieran and Chris Yarnell break it down for listeners. Sheliza and Emily round out the episode with a special segment on qualitative ... The post REPLAY: To Treat or Not To Treat? Immigrant Status and End-of-Life & Delirium Treatment in Palliative Care appeared first on Healthy Debate.

This week on The Rounds Table we are covering two important research articles: prevention of contrast induced nephropathy, and comparing post-operative outcomes between patients treated by male and female surgeons. Contrast induced nephropathy (CIN) is a potentially severe complication of angiographic procedures, especially for people with poor renal function at the outset. Prevention of CIN ... The post Urine Luck! Renal Outcomes After Angiography, and Effects of Surgeon Sex on Post-Operative Outcomes appeared first on Healthy Debate.

This week on The Rounds Table we’re looking at the big picture: the effect of bedspacing on mortality and factors associated with increased healthcare spending. Laura and Kieran cover two new articles. Bedspacing is something that everyone in Internal Medicine encounters at some point. The concept is really this: when General Internal Medicine wards become ... The post Dollar Dreams: Bedspacing, Mortality, and Epic Healthcare Costs appeared first on Healthy Debate.

On this week’s episode of The Rounds Table we’re honing in on important advances in cardiovascular disease management. Kieran Quinn and Paxton Bach guide listeners through the ORBITA and INPRESS trials. It’s one of those deceptively simple sounding questions in cardiology: who should we stent? Although PCI has been around for 40 years, we are ... The post Get Pumped: Perioperative Blood Pressure Targets & When to Stent Coronary Artery Disease appeared first on Healthy Debate.

This week’s episode of The Rounds Table is all about anticoagulation. Kieran Quinn and Mike Fralick cover two important studies: the latest evidence on antithrombotic therapy after percutaneous coronary intervention (PCI) and de-escalation of antiplatelet treatment in patients with acute coronary syndrome undergoing PCI. In patients with acute coronary syndrome undergoing PCI, can platelet function ... The post Go with the (Blood) Flow: Antithrombotic Therapy After PCI and De-Escalation of Antiplatelet Therapy After PCI appeared first on Healthy Debate.

This week on The Rounds Table we are covering two important studies: diagnostic management of pulmonary embolism and safety of varying the frequency of whole blood donation. Kieran Quinn and Lauren Lacroix break it down for listeners. Pulmonary embolism represents a diagnostic challenge in the Emergency Department for patients presenting with a variety of symptoms ... The post Bloody Brilliant! Diagnostic Management of Pulmonary Embolism and Frequency of Blood Donation appeared first on Healthy Debate.

Each year, the Canadian Society for Internal Medicine (CSIM) Annual Meeting features a presentation of the “Top 5 Papers” in internal medicine. From the papers that had been discussed on The Rounds Table between November 2016 and October 2017, we selected 5 that we felt were particularly influential and presented them as the “Top 5 ... The post Top 5 Papers (Part 2): Challenging Asthma Diagnoses, Natriuretic Guided Therapy for Heart Failure, and Opioid Prescribing Patterns appeared first on Healthy Debate.

Each year, the Canadian Society for Internal Medicine (CSIM) Annual Meeting features a presentation of the “Top 5 Papers” in internal medicine. From the papers that had been discussed on The Rounds Table between November 2016 and October 2017, we selected 5 that we felt were particularly influential and presented them as the “Top 5 ... The post Top 5 Papers (Part 1): PFO Closure or Antiplatelet Therapy for Stroke and Quantifying PE in Syncope appeared first on Healthy Debate.

This week on The Rounds Table we’re covering important studies in palliative care: treatment of delirium at end-of-life, and examining populations who may be more likely than others to receive aggressive end-of-life care. Kieran and Chris Yarnell break it down for listeners. Sheliza and Emily round out the episode with a special segment on qualitative ... The post To Treat or Not To Treat? Immigrant Status and End-of-Life & Delirium Treatment in Palliative Care appeared first on Healthy Debate.

What if you could tell an adult with physician diagnosed asthma that they could safely stop their asthma medications? Or, tell an adult living with chronic obstructive pulmonary disease (COPD) that the addition of home non-invasive ventilation could significantly prolong their lifespan? This week on The Rounds Table Kieran and Ariel discuss two thought provoking ... The post Take My Breath Away: Challenging Asthma Diagnoses & Home Non-Invasive Ventilation in COPD appeared first on Healthy Debate.

This week on The Rounds Table we’re covering important studies on two very common diseases: osteoporosis and heart failure. Kieran and Laura break it down for listeners. Osteoporosis affects women worldwide, and will become more common because of our aging population. Although several pharmacologic treatments exist to treat the disease, few head to head studies ... The post Don’t Go Breaking My Heart: Romosozumab for Osteoporosis and Early Palliative Care in Heart Failure appeared first on Healthy Debate.

A stroke of insight this week on The Rounds Table; Kieran and Mike share the findings of two exciting new studies. Should a patent foramen ovale (PFO) be closed in the context of cryptogenic stroke? What is the impact of educational intervention surrounding anticoagulation in patients with atrial fibrillation? Listen as Kieran and Mike cover ... The post A Stroke of Insight: PFO Closure or Antiplatelet Therapy for Stroke and Anticoagulation Education in Atrial Fibrillation appeared first on Healthy Debate.

What’s healthier, a diet high in fat or high in carbohydrates? How can the HEART score be used to stratify patients who present to the Emergency Department with chest pain? Kieran Quinn and Ashley Minuk cover the answers from the findings of two exciting new articles. With the growing burden of cardiovascular and diet related ... The post PURE at HEART: Fats vs. Carbohydrates as Risk Factors for Mortality and Stratifying Chest Pain in the Emergency Department appeared first on Healthy Debate.

This week on The Rounds Table Kieran Quinn and Fraser Pollard cover two new studies; the first investigates medical treatment to reduce the risk of preterm pre-eclampsia, and the second examines natriuretic peptide guided therapy for management of heart failure with reduced ejection fraction. Sheliza Halani and Emily Hughes round out the episode with a ... The post Close to My Heart: Aspirin for Preterm Preeclampsia and Natriuretic Guided Therapy for Heart Failure appeared first on Healthy Debate.

This week on The Rounds Table we’re deepening our understanding of cardiovascular disease management through covering two exciting new articles. Kieran and Paxton break it down for listeners. Last season we covered FOURIER/evolocumab and the reduction of cardiovascular events through aggressive lipid lowering with PCSK-9 inhibitors. Do treatments that target inflammation without affecting lipid levels ... The post CANVASsing for Healthy Hearts: Canakinumab for Atherosclerosis and Canaglifozin for Cardiovascular Risk Reduction appeared first on Healthy Debate.

Grab a cup of coffee and get ready to listen – we’re back with a brand new episode to kick off the fourth season of The Rounds Table. How do older adults prefer to discuss cancer screening cessation with their clinicians? Does regular coffee consumption impact mortality? Kieran Quinn and Emily Hughes cover two thought ... The post We’re off to an EPIC Start! Cancer Screening Cessation and Coffee Drinking & Mortality appeared first on Healthy Debate.

This week on The Rounds Table we are breaking the dogmas in clinical practice to find out if less is more. Does diverticulitis even require antibiotics in the age of antimicrobial stewardship? Next, how does casting compare to surgery for ankle fractures in older adults? Kieran and Lauren Lacroix discuss two thought-provoking new studies: Diverticulitis ... The post Summer Replay: Breaking the Status Quo – Antimicrobial Stewardship in Diverticulitis & Casting vs. Surgery for Ankle Fractures appeared first on Healthy Debate.

Steroids are important and ubiquitous medications, and the side effects of long term use are well known and often reviewed. But what should clinicians know about short term use: are these medications benign? Jay takes listeners through a retrospective cohort study examining adverse events (sepsis, venous thromboembolism, fractures) associated with short term use of oral ... The post Summer Replay: C the Difference – Adverse Events in Short Term Steroid Use & Prevention of Recurrence of C. difficile appeared first on Healthy Debate.

This week on The Rounds Table we are focusing on papers that highlight talent at home – here in Toronto! Kieran hosts Dr. James Downar and Dr. Mike Fralick to discuss their recent publications, and Emily and Sheliza bring listeners the final special segment of the year. The surprise question – Would I be surprised ... The post Summer Replay: Calling Home – Accuracy of The Surprise Question, Medical Assistance in Dying, and SGLT2 Inhibitors & DKA appeared first on Healthy Debate.

A recurring question: in the management of BP, how low should we go? This week, Paxton and Kieran discuss two studies that aim to refine the answer. The appropriate treatment target for systolic blood pressure in elderly patients with hypertension is uncertain, particularly for the frail elderly. Kieran leads the discussion on the SPRINT 75 ... The post Summer Replay: Aging Gracefully – SPRINTing to the right blood pressure target! appeared first on Healthy Debate.

Physician burnout is a work related syndrome involving emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment. The prevalence of burnout has reached a shocking 50% in both staff and resident physicians! Something needs to be done. Ariel Lefkowitz, Chief Medical Resident at Mount Sinai Hospital in Toronto, takes listeners through a systematic review ... The post Summer Replay: We Need to Talk About It – Physician Burnout and Sex Differences in Salary appeared first on Healthy Debate.

It’s arrhythmia week on The Rounds Table! Should heart failure patients give up a caffeine jolt in the morning? How can we better identify appropriate patients for ICDs? Paxton Bach, fellow in General Internal Medicine at UBC, joins Kieran to discuss two exciting studies: Studies that inform practice toward the best medical treatments are of ... The post Summer Replay: DANISH with your Coffee? ICDs for Non-Ischemic Cardiomyopathy and Effects of High Dose Caffeine on Cardiac Arrhythmias appeared first on Healthy Debate.

It’s big data week on The Rounds Table! When initiating pharmacotherapy for atrial fibrillation, which drug is best? How does frailty influence surgical outcomes? Kieran and Michael Fralick, General Internist at St. Michael’s Hospital, take listeners through two noteworthy studies: When a new medication is developed it is generally compared against standard of care or ... The post Summer Replay: Big Data – Dabigatran vs. Rivaroxaban for Atrial Fibrillation and Association of Frailty with Post-Operative Mortality appeared first on Healthy Debate.

Is quitting cold turkey the best way to stop smoking? When should you transfuse a patient? How effective are current models of palliative care? We’re answering relevant and thought-provoking questions this week on The Rounds Table! Ashley, like many family physicians, makes a point of advising and supporting smoking cessation at most visits she has ... The post Summer Replay: All Things Must End – Gradual Versus Abrupt Smoking Cessation and Palliative Care Effectiveness appeared first on Healthy Debate.

What if you could tell a woman about to undergo chemotherapy for breast cancer that you had an intervention that would significantly reduce her risk of hair loss during therapy? Or, tell an adult patient with physician diagnosed asthma that they could safely stop their asthma medications? This week on The Rounds Table we welcome ... The post Summer Replay: Keeping a Cool Head – Reducing Hair Loss During Chemotherapy & Challenging Asthma Diagnoses appeared first on Healthy Debate.

All good things must come to an end. As the final episode of the season, Kieran, Emily, and Emilio look back at their top ten favorite papers from The Rounds Table 2016-2017 year. It’s a rapid fire episode like you’ve never heard before! See the links to the papers below. We want to thank everyone ... The post Top Ten: Best Papers of the Year appeared first on Healthy Debate.

This week on The Rounds Table we are focusing on papers that highlight talent at home – here in Toronto! Kieran hosts Dr. James Downar and Dr. Mike Fralick to discuss their recent publications, and Emily and Sheliza bring listeners the final special segment of the year. The surprise question – Would I be surprised ... The post Calling Home: Accuracy of The Surprise Question, Medical Assistance in Dying, and SGLT2 Inhibitors & DKA appeared first on Healthy Debate.

Steroids are important and ubiquitous medications, and the side effects of long term use are well known and often reviewed. But what should clinicians know about short term use: are these medications benign? Jay takes listeners through a retrospective cohort study examining adverse events (sepsis, venous thromboembolism, fractures) associated with short term use of oral ... The post C the Difference: Adverse Events in Short Term Steroid Use & Prevention of Recurrence of C. difficile appeared first on Healthy Debate.

Contrast-induced nephropathy is cited as the third most common cause of iatrogenic acute kidney injury. In the Emergency Department, physicians must balance diagnosing life-threatening conditions using emergent imaging with the risk of potential harm caused by exposure to IV contrast. Recent studies, including the one discussed by Lauren in this episode, challenge the proposed causal ... The post REPLAY: Emergent Realizations – Contrast-Induced Nephropathy & Opioid Prescribing Patterns appeared first on Healthy Debate.

It’s a special episode of The Rounds Table this week with guest hosts Dr. Fraser Pollard and Dr. Ashley Minuk. Fraser and Ashley are family physicians in Trenton, Ontario. Sore throat is a very common presentation in family practice. Many patients who seek care expect a prescription to offer some kind of relief. For adults, ... The post Sore Throats & Sore Legs! Dexamethasone for Adult Pharyngitis and the Benefits of an Active Commute appeared first on Healthy Debate.

Kieran has officially finished his Royal College Exam to qualify as a General Internist; which means, this week is the first of two weeks of replay episodes while he takes a much deserved break! This replay episode features Kieran and Ashley Minuk in discussion on two studies examining therapies in people with diabetes. Diabetes research is ... The post REPLAY: Double Down – Liraglutide for the Prevention of Diabetes and Bariatric Surgery for the Treatment of Diabetes appeared first on Healthy Debate.

This week on The Rounds Table we’re back by popular demand with another rapid fire episode: just the salient points from FOUR articles instead of two. Same time spent listening, twice the take-home! Kieran Quinn and Mike Fralick tease out the bottom line for listeners. Both hyperglycemia and hypoglycemia are prevalent, real, concerns for patients ... The post Firing on All Cylinders! Hypothyroidism in Pregnancy, (Virtually) Managing Diabetes, and Anticoagulation Post Stroke appeared first on Healthy Debate.

Overweight and obese patients are routinely counselled about weight loss since it is thought to improve numerous outcomes. However, as many of us know, achieving stable weight loss is easier said than done! In patients with existing coronary disease, is the weight fluctuation that is often associated with weight loss attempts harmful? Fahad takes listeners ... The post A VISION of Stability: Effects of Body Weight Fluctuation on Coronary Outcomes and Post-Operative Troponins on Mortality appeared first on Healthy Debate.

It is widely accepted that statin drugs reduce cardiovascular risk. However, how much of this risk reduction is attributable to LDL cholesterol reduction as opposed to something intrinsic in the statin drug has been a matter of debate. Paxton takes listeners through a randomized controlled trial that evaluated the efficacy of evolocumab (a biologic PCSK9 ... The post The Hurry for FOURIER & What’s New From HERDOO2 – Decision Making in VTE and Evolocumab for CVD Risk Reduction appeared first on Healthy Debate.

Migraine is a common presentation to primary care clinics. Current pharmacologic treatments offered by physicians have notable side effects and may be a financial burden. Understandably, patients are looking to alternative therapies. However, primary care providers may not be able to provide an educated opinion about whether these therapies are reasonable to pursue. Fraser provides ... The post Keep Calm and Get Your Analgesic On: Acupuncture for Migraine Prophylaxis and Pregabalin for Sciatica appeared first on Healthy Debate.

Foreign medical graduates are an important resource, and data on their proficiency is important to the public. Jay guides listeners through a study that answers the following: do patient outcomes differ between general internists who graduated from a medical school outside of the United States and those who graduated from a US medical school? Each ... The post Great Expectations: International Medical Graduates & MD Estimates of Benefits and Harms appeared first on Healthy Debate.

Contrast-induced nephropathy is cited as the third most common cause of iatrogenic acute kidney injury. In the Emergency Department, physicians must balance diagnosing life-threatening conditions using emergent imaging with the risk of potential harm caused by exposure to IV contrast. Recent studies, including the one discussed by Lauren in this episode, challenge the proposed causal ... The post Emergent Realizations: Contrast-Induced Nephropathy & Opioid Prescribing Patterns appeared first on Healthy Debate.

Kieran has officially finished half of his Royal College Exam to qualify as a General Internist; which means, we are back to new episodes every week to keep listeners up to date with the most recent and important medical research. This week, Kieran and Ashley Minuk delve into two studies examining therapies in people with ... The post Double Down: Liraglutide for the Prevention of Diabetes and Bariatric Surgery for the Treatment of Diabetes appeared first on Healthy Debate.

What if you could tell a woman about to undergo chemotherapy for breast cancer that you had an intervention that would significantly reduce her risk of hair loss during therapy? Or, tell an adult patient with physician diagnosed asthma that they could safely stop their asthma medications? This week on The Rounds Table we welcome ... The post Keeping a Cool Head – Reducing Hair Loss During Chemotherapy & Challenging Asthma Diagnoses appeared first on Healthy Debate.

This week on The Rounds Table we are trying something a little different: just the salient points from FOUR articles instead of two! Same time spent listening, twice the take-away! Dr. Michael Fralick, general internist at St. Michael’s Hospital, takes the lead on this rapid fire approach. Even in the post-SPRINT era optimal BP targets ... The post Rapid Fire to Keep the Blood Pumping – BP Management, Lung Cancer Screening, and Intubation During Cardiac Arrest appeared first on Healthy Debate.

It’s palliative care week on The Rounds Table! Kieran and Ariel guide listeners through two noteworthy new studies: interventions to clarify goals of care for individuals with advanced dementia; and a randomized trial of treatment for delirium in palliative care. Goals of care discussions are critical in ensuring treatments are aligned with patients expressed wishes. ... The post REPLAY – Clearing Confusion in Palliative Care: Goals of Care Interventions for Dementia and Antipsychotics for Delirium appeared first on Healthy Debate.

This week on The Rounds Table we are breaking the dogmas in clinical practice to find out if less is more. Does diverticulitis even require antibiotics in the age of antimicrobial stewardship? Next, how does casting compare to surgery for ankle fractures in older adults? Kieran and Lauren Lacroix discuss two thought-provoking new studies: Diverticulitis ... The post Breaking the Status Quo: Antimicrobial Stewardship in Diverticulitis & Casting vs. Surgery for Ankle Fractures appeared first on Healthy Debate.

“There is no comparable healthcare system in the world that does not ensure universal coverage of [at least] essential medicines.” – Dr. Steve Morgan on the need for Pharmacare in Canada What would a Canadian National Pharmacare Program look like? We break it down for you this week on a special episode of The Rounds ... The post REPLAY – Is Canada Ready for National Pharmacare? appeared first on Healthy Debate.

Here at The Rounds Table we aren’t quite over Valentine’s Day; it’s cardiac week! Kieran and Paxton take listeners through two exciting studies on the influence of genetic and lifestyle factors in coronary disease and “Triple Therapy” in patients with atrial fibrillation and recent percutaneous coronary intervention. It’s easy to feel helpless as a physician ... The post Mending a Broken Heart: Genetics & Lifestyle in Coronary Disease and Anticoagulation in Afib & Recent PCI appeared first on Healthy Debate.

Kieran and Fraser are back this week to take listeners through two exciting new studies. What percentage of people that present to the Emergency Department have an adverse drug event (ADE)? How big does an abdominal aortic aneurysm (AAA) have to be to warrant surgical repair? Listen to find out! Emergency Department visits for ADEs ... The post REPLAY – Keeping a Pulse on Drug Reactions: Emergency Visits for Adverse Drug Events and Thresholds for AAA Repair appeared first on Healthy Debate.

“There is no comparable healthcare system in the world that does not ensure universal coverage of [at least] essential medicines.” – Dr. Steve Morgan on the need for Pharmacare in Canada What would a Canadian National Pharmacare Program look like? We break it down for you this week on a special episode of The Rounds ... The post Is Canada Ready for National Pharmacare? appeared first on Healthy Debate.

It’s a new year, which means new theme music for The Rounds Table! This week, Kieran and Jay take listeners through alternatives to inpatient hospitalization and the effects of PPIs on community acquired pneumonia. Hospitals often operate at over 100% capacity, and inpatient care is expensive – it accounts for 32% of US healthcare dollars! ... The post REPLAY – New Year, New Medicine: Alternatives to Hospitalization & Association of PPIs with Pneumonia appeared first on Healthy Debate.

It’s palliative care week on The Rounds Table! Kieran and Ariel guide listeners through two noteworthy new studies: interventions to clarify goals of care for individuals with advanced dementia; and a randomized trial of treatment for delirium in palliative care. Goals of care discussions are critical in ensuring treatments are aligned with patients expressed wishes. ... The post Clearing Confusion in Palliative Care: Antipsychotics for Delirium and Goals of Care Interventions appeared first on Healthy Debate.

Kieran and Fraser are back this week to take listeners through two exciting new studies. What percentage of people that present to the Emergency Department have an adverse drug event (ADE)? How big does an abdominal aortic aneurysm (AAA) have to be to warrant surgical repair? Listen to find out! Emergency Department visits for ADEs ... The post Keeping a Pulse on Drug Reactions: Emergency Visits for Adverse Drug Events and Thresholds for AAA Repair appeared first on Healthy Debate.

Is quitting cold turkey the best way to stop smoking? When should you transfuse a patient? How effective are current models of palliative care? We’re answering relevant and thought-provoking questions this week on The Rounds Table! Ashley, like many family physicians, makes a point of advising and supporting smoking cessation at most visits she has ... The post All Things Must End (Including Life and Smoking!): Gradual Versus Abrupt Smoking Cessation and Palliative Care Effectiveness appeared first on Healthy Debate.

It’s a new year, which means new theme music for The Rounds Table! This week, Kieran and Jay take listeners through alternatives to inpatient hospitalization and the effects of PPIs on community acquired pneumonia. Hospitals often operate at over 100% capacity, and inpatient care is expensive – it accounts for 32% of US healthcare dollars! ... The post New Year, New Medicine: Alternatives to Hospitalization & Association of PPIs with Pneumonia appeared first on Healthy Debate.

Bugs, drugs, and optimal duration for antibiotic therapy? New frontiers in HIV treatment? Listen this week as Kieran and Jay Spiegel, a resident in General Internal Medicine in Toronto, discuss two studies: It’s hard to remember what the right drug is to treat a certain bug, let alone the correct duration of therapy. Further, for ... The post REPLAY: Bugs & Drugs – Duration of Antibiotic Therapy in Community-Acquired Pneumonia and Early Antiretroviral Treatment for HIV appeared first on Healthy Debate.

We’re back this week with Kieran and Ashley to take another look at diabetes and sweet treats. Should current practice guidelines be taken with a grain of salt – or should I say – sugar? Listen to find out! New drugs have popped up on the market for diabetes management, necessitating an update to practice ... The post REPLAY: Testing and Treatment in Diabetes – Taken with a Grain of Sugar! appeared first on Healthy Debate.

It’s big data week on The Rounds Table! When initiating pharmacotherapy for atrial fibrillation, which drug is best? How does frailty influence surgical outcomes? Kieran and Michael Fralick, General Internist at St. Michael’s Hospital, take listeners through two noteworthy studies: When a new medication is developed it is generally compared against standard of care or ... The post Big Data: Dabigatran vs. Rivaroxaban for Atrial Fibrillation and Association of Frailty with Post-Operative Mortality appeared first on Healthy Debate.

This week’s episode is jam-packed with critical care medicine. What is the effect of conservative versus conventional oxygen therapy on mortality in patients in the ICU? Hydrocortisone on development of septic shock? Kieran and Laura take listeners through two important studies examining these questions. Prior research suggested excessive oxygenation in patients admitted to the ICU ... The post When Care is Critical: Conservative vs Conventional Oxygen Treatment in the ICU and the Effect of Hydrocortisone on the Development of Septic Shock appeared first on Healthy Debate.

It’s arrhythmia week on The Rounds Table! Should heart failure patients give up a caffeine jolt in the morning? How can we better identify appropriate patients for ICDs? Paxton Bach, fellow in General Internal Medicine at UBC, joins Kieran to discuss two exciting studies: Studies that inform practice toward the best medical treatments are of ... The post DANISH with your Coffee? ICDs for Non-Ischemic Cardiomyopathy and Effects of High Dose Caffeine on Cardiac Arrhythmias appeared first on Healthy Debate.

Dr. Fraser Pollard, Family Physician in Trenton ON, discusses his frustration with the lack of effective treatments for osteoarthritis for long-term pain and disability in his patients. But there is hope! Fraser dips his toes into critically examining alternative medicine in leading listeners through a single blinded comparative effectiveness trial of Tai Chi versus physiotherapy ... The post Smoke & Mirrors? Tai Chi vs. Physiotherapy for Knee Osteoarthritis & Symptoms in Smokers with Preserved Pulmonary Function appeared first on Healthy Debate.

It’s so hot you can barely touch it – the PESIT study! So what’s the buzz all about? Pulmonary embolism is one of those dreaded diagnoses – it can be life-threatening, but often elusive in its diagnosis since so many other conditions cause similar symptoms. Kieran takes listeners through the multi-centre cross sectional PESIT study ... The post PESIT and PATCH it! – Plugging ICH with platelets and quantifying the prevalence of PE in syncope appeared first on Healthy Debate.

Physician burnout is a work related syndrome involving emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment. The prevalence of burnout has reached a shocking 50% in both staff and resident physicians! Something needs to be done. Ariel Lefkowitz, Chief Medical Resident at Mount Sinai Hospital in Toronto, takes listeners through a systematic review ... The post We Need to Talk About It: Physician Burnout and Sex Differences in Salary appeared first on Healthy Debate.

Ever wondered about when to mechanically ventilate patients with dementia in the ICU? Or how hospital quality predicts survival post MI? Tune in this week as Dr. Laura Walker, Chief Medical Resident at St. Michael’s Hospital, and Kieran discuss two intriguing studies!  The prevalence of dementia is steadily rising across North America. Among hospitalized nursing ... The post If you build it, they will come! – ICU beds, dementia and quality of care in MI outcomes appeared first on Healthy Debate.

We’re back this week with Kieran and Ashley to take another look at diabetes and sweet treats. Should current practice guidelines be taken with a grain of salt – or should I say – sugar? Listen to find out! New drugs have popped up on the market for diabetes management, necessitating an update to practice ... The post Testing and Treatment in Diabetes – Taken with a Grain of Sugar! appeared first on Healthy Debate.

  A recurring question: in the management of BP, how low should we go? This week, Paxton and Kieran discuss two studies that aim to refine the answer. The appropriate treatment target for systolic blood pressure in elderly patients with hypertension is uncertain, particularly for the frail elderly. Kieran leads the discussion on the SPRINT ... The post Aging gracefully – SPRINTing to the right blood pressure target! appeared first on Healthy Debate.

  This week’s Rounds Table is all about studying studies, emphasizing the importance of understanding a body of evidence within the context of existing literature. A refreshing reminder that the “big picture” in medical research can be easy to lose sight of when keeping up to date with individual trials! Dr. Ashley Minuk, Family Physician ... The post The Bigger Picture: Industry Sponsored Research and Negative Trials appeared first on Healthy Debate.

  Is October making you overtired and moody? Tune in this week as Dr. Paxton Bach, resident in General Internal Medicine at UBC, and Kieran discuss two tantalizing studies! The SAVE Clinical Trial is the largest ever to study the effect of CPAP on prevention of cardiovascular outcomes and death in patients with obstructive sleep ... The post Moody & unSAVEd – CPAP for Prevention of Cardiovascular Endpoints in OSA and SSRI Treatment of Depression in Heart Failure appeared first on Healthy Debate.

We’re back and better than ever with a NEW host! This season, Kieran Quinn takes the reigns and is excited to bring you the latest and greatest in the world of emerging clinical evidence. Along outgoing host Amol Verma, the two hosts discuss two studies: Just how dangerous are opioids in the treatment of chronic pain ... The post REPLAY – Drugs on the Brain: Opining on Opioid-Induced Death and Ticagrelor for TIA or Stroke appeared first on Healthy Debate.

  Bugs, drugs, and optimal duration for antibiotic therapy? New frontiers in HIV treatment? Listen this week as Kieran and Jay Spiegel, a resident in General Internal Medicine in Toronto, discuss two studies: It’s hard to remember what the right drug is to treat a certain bug, let alone the correct duration of therapy. Further, ... The post Bugs & Drugs – Duration of Antibiotic Therapy in Community-Acquired Pneumonia and Early Antiretroviral Treatment for HIV appeared first on Healthy Debate.

This week Kieran and Dr. Fraser Pollard, a Family Physician in Trenton, Ontario, discuss two studies: Using long acting beta agonists (LABAs) safely and appropriately in the management of asthma is widely debated, with evidence suggesting a potential risk of serious asthma-related events associated with the use of LABAs. But is the potential risk warranted? ... The post Dazed and Confused – Dexmedetomidine for the Prevention of Delirium and the Safety of LABAs in Asthma appeared first on Healthy Debate.

We’re back and better than ever with a NEW host! This season, Kieran Quinn takes the reigns and is excited to bring you the latest and greatest in the world of emerging clinical evidence. Along outgoing host Amol Verma, the two hosts discuss two studies: Just how dangerous are opioids in the treatment of chronic pain ... The post Drugs on the Brain: Opining on Opioid-Induced Death and Ticagrelor for TIA or Stroke appeared first on Healthy Debate.

This week, Amol and Dr. Kieran Quinn, both general internal medicine residents at the University of Toronto, discuss two studies: Where do people die? What types of care do they utilize at the end of life? A retrospective cohort study of people who died with cancer in seven developed countries evaluated the number of deaths ... The post Summer Replay – Valued Care: End of Life Care and Early Trends from “Choosing Wisely” appeared first on Healthy Debate.

This week, Amol, resident in General Internal Medicine at University of Toronto, and Mike Fralick, chief medical resident at St. Michael’s Hospital in Toronto, talk about 2 blood pressure studies: A meta-analysis and systematic review found that more intensive blood pressure lowering was associated with improved cardiovascular outcomes and albuminuria. Amol discusses the trade-offs of ... The post Summer Replay – The SPRINT to lower blood pressure appeared first on Healthy Debate.

This week Amol and Nathan discuss two studies: A multi-centre, prospective study evaluated the physical and mental health status of caregivers for patients discharged from the intensive care unit (ICU). Using hospital data and self-administered questionnaires, the study found most caregivers of critically ill patients are at high risk for depression, anxiety and poor mental health. ... The post Summer Replay – Caregivers in the ICU and Symptoms in Smokers appeared first on Healthy Debate.

This week, Amol and Kieran discuss two studies: How can we prevent readmission? An observational study of 1000 general internal medicine patients from 12 United States academic medical centres found that 26.9% of readmissions were potentially preventable. Key factors associated with potential preventability included decision making in the emergency department, lack of information to outpatient ... The post Summer Replay – Pondering Preventability: Readmissions and Catheter-Associated UTI appeared first on Healthy Debate.

This week, Amol talks about new antithrombotic therapy guidelines and using low calorie diet for diabetes remission. The American College of Chest Physicians issued new antithrombotic guidelines for the treatment of venous thromboembolism in February 2016. Amol highlights five updates in the guidelines, and discusses the evidence behind each recommendation. Diabetes has long been described ... The post Summer Replay: New Antithrombotic Therapy Guidelines and Low Calorie Diet for Diabetes Remission appeared first on Healthy Debate.

This is our final episode of the year! We want to thank everyone who has hosted or contributed to the podcast, and of course you – our dear listeners – for tuning in every week. We will be re-playing some of our favourite past episodes, and bringing you brand new content in the fall. Good ... The post Season Finale: All ‘Good Stuff’ Must Come to an End appeared first on Healthy Debate.

This week, Amol and Rebecca discuss a recent study and an updated recommendation: A multi-centre, randomized control trial (the LEADER trial) examined the cardiovascular effect of liraglutide, a glucagon-like peptide-1 (GLP-1) analogue. Patients with type 2 diabetes and high cardiovascular risk were randomly assigned to receive either standard of care plus liraglutide or standard of ... The post Motherhood Statements: Cardiovascular Effect of Liraglutide and Syphilis Screening appeared first on Healthy Debate.

This week, Amol and Kieran discuss two studies: How can we prevent readmission? An observational study of 1000 general internal medicine patients from 12 United States academic medical centres found that 26.9% of readmissions were potentially preventable. Key factors associated with potential preventability included decision making in the emergency department, lack of information to outpatient ... The post Pondering Preventability: Readmissions and Catheter-Associated UTI appeared first on Healthy Debate.

This week Amol and Nathan discuss two studies: A multi-centre, prospective study evaluated the physical and mental health status of caregivers for patients discharged from the intensive care unit (ICU). Using hospital data and self-administered questionnaires, the study found most caregivers of critically ill patients are at high risk for depression, anxiety and poor mental health. ... The post Exam Prep: Caregivers in the ICU and Symptoms in Smokers appeared first on Healthy Debate.

This week, Amol talks about new antithrombotic therapy guidelines and using low calorie diet for diabetes remission. The American College of Chest Physicians issued new antithrombotic guidelines for the treatment of venous thromboembolism in February 2016. Amol highlights five updates in the guidelines, and discusses the evidence behind each recommendation. Diabetes has long been described ... The post Spousal Input: New Antithrombotic Therapy Guidelines and Low Calorie Diet for Diabetes Remission appeared first on Healthy Debate.

This week, Amol and Janice, staff internist at Mount Sinai Hospital, discuss two studies: A randomized trial asked whether diluted apple juice works just as well as oral rehydration therapy in treating minimal dehydration in children with gastroenteritis. Children 6 to 60 months presenting to the emergency department were randomized to half-strength apple juice or ... The post New Territories: Apple Juice for Gastroenteritis in Children and Rheumatoid Arthritis Long Term Outcomes appeared first on Healthy Debate.

This week, Amol and Dr. Kieran Quinn, both general internal medicine residents at the University of Toronto, discuss two studies: Where do people die? What types of care do they utilize at the end of life? A retrospective cohort study of people who died with cancer in seven developed countries evaluated the number of deaths ... The post Valued Care: End of Life Care and Early Trends from “Choosing Wisely” appeared first on Healthy Debate.

This week, we are replaying one of our favourite past episodes. Originally aired on February 12, 2016, Amol, general internal medicine resident at the University of Toronto, and Fahad, staff internist at St. Michael’s hospital in Toronto, discuss 3 papers: Where do physicians die? What is the intensity of the care they receive at the ... The post Replay: How Physicians Die and Frozen Fecal Transplant for C. difficile appeared first on Healthy Debate.

What is the risk of adverse events after a transient ischemic attack (TIA)? While older studies tell us that the risk of stroke or acute coronary syndrome after a TIA is high in the first 3 months, does this hold true today? An international TIA Registry tried to answer this question by characterizing TIA and ... The post Talking TIAs: Physician Assisted Death in Canada and a Transient Ischemic Attack Registry appeared first on Healthy Debate.

This week, Amol and Nathan discuss two high profile papers: Authors from the Centres for Disease Control and Prevention (CDC) recently published a report concluding that there is a causal relationship between Zika virus infection and a syndrome of birth defects, notably microcephaly. Nathan and Amol review the evidence the authors presented for this causality, ... The post Blockbusters: Zika virus on birth defects and income on life expectancy appeared first on Healthy Debate.

This week, Amol and Reena, internist at St. Michael’s hospital in Toronto, discuss the HOPE-3 trial. HOPE-3 is a 2-by-2 double blind randomized placebo controlled trial, which found that statins were effective in preventing cardiovascular events in intermediate risk patients but anti-hypertensives were not. While candesartan and hydrochlorothiazide were not superior to placebo, rosuvastatin resulted ... The post A New HOPE: Statins and Anti-hypertensives in intermediate cardiovascular risk appeared first on Healthy Debate.

This week, Amol and his co-host Reena, general internist at St. Michael’s Hospital in Toronto, discuss two recent papers on depression: What is the risk of cardiovascular outcomes in patients using antidepressants? A cohort study of patients age 20 to 64 found no evidence that selective serotonin reuptake inhibitors (SSRIs) are associated with increased cardiovascular ... The post Depression Session: Cardiovascular Outcomes with Antidepressants and Preventing Depression in Primary Care appeared first on Healthy Debate.

This week, Amol and Nathan discuss breast cancer and colorectal cancer: Two randomized control trials compared the aromatase inhibitor anastrozole to tamoxifen as adjuvant hormone therapy for postmenopausal women with ductal carcinoma in situ. Both trials were double blind and multi-centred, with one trial (NSABP B-35) enrolling North American patients and the other (IBIS-II DCIS) ... The post Together Again: Aromatase Inhibitor for DCIS and New Colorectal Cancer Screening Recommendations appeared first on Healthy Debate.

This week, we debut a new format at the Rounds Table. Amol reviews articles published from the latest edition of four journals: Journal of the American Medical Association (JAMA), the Lancet, Annals of Internal Medicine and the New England Journal of Medicine (NEJM). Tune in to hear the latest medical findings, including mindfulness for back ... The post Headlines and Highlights: A Review of the Latest Edition of Four Journals appeared first on Healthy Debate.

This week, Amol discusses contrast induced nephropathy. At an overall reported incidence of 10%, contrast induced nephropathy leads to worse clinical outcomes and double the rate of mortality. A systematic review and meta-analysis on the effectiveness of prevention strategies found that there is no strong evidence for any intervention beyond volume expansion with saline. N-acetyl ... The post An Exercise in Contrasts: Contrast Induced Nephropathy and Exercise in Cancer appeared first on Healthy Debate.

This week we are replaying our first episode of the season. Originally aired on January 11, 2016, Amol, general internal medicine resident at the University of Toronto, talk about his 10 favourite papers of 2015. Rate us on iTunes! Follow us on Twitter @roundstable. The Papers 1. Teixobactin, a new antibiotic:  http://www.nature.com/nature/journal/v517/n7535/full/nature14098.html 2. Modified Valsalva ... The post Replay: Amol’s 10 Favourite Papers of 2015 appeared first on Healthy Debate.

This week, Amol, general internal medicine resident at University of Toronto, and Reena, general internist at St. Michael’s hospital in Toronto, discuss two recent papers: What exactly defines sepsis and how should sepsis be assessed? The Third International Consensus Definitions Task Force worked to define sepsis as “life-threatening organ dysfunction due to a dysregulated host ... The post Sepsis, Pepsis, and Happiness: New Sepsis Definition and Effect of Happiness on Mortality appeared first on Healthy Debate.

This week, Amol, general internal medicine resident at the University of Toronto, and Fahad, staff internist at St. Michael’s Hospital in Toronto, discuss 2 recent papers: Is dementia in decline? A study using the well-characterized Framingham cohort found that dementia rates in the last four decades have declined by 20%. Fahad evaluate the quality of ... The post Proud to be Here: Declining Rates of Dementia and EPO-Agents for Anemia in Kidney Disease appeared first on Healthy Debate.

This week, Amol, general internal medicine resident at the University of Toronto, and Nathan, general surgery resident also at the University of Toronto, discuss two recent papers: Resident duty hours have been a hotly debated topic for some time. A randomized control trial of United States residency programs compared conventional American duty hour regulations that ... The post At the Crack of Dawn: Resident Working Hours and Improving Antibiotic Prescribing appeared first on Healthy Debate.

This week, Amol, general internal medicine resident at the University of Toronto, and Fahad, staff internist at St. Michael’s hospital in Toronto, discuss 3 papers: Where do physicians die? What is the intensity of the care they receive at the end of life? Fahad discusses 2 papers that attempted to answer these questions. The first ... The post Changing Gears Completely: How Physicians Die and Frozen Fecal Transplant for C. difficile appeared first on Healthy Debate.

This week, Amol, general internal medicine resident at the University of Toronto, discusses the GOLD 2016 COPD management guidelines, and compares it to the new Star Wars movie! While many clinicians will have a well-practiced approach to managing COPD exacerbations, Amol examines the evidence for why we do what we do. He talks about the ... The post Pure GOLD: Updated 2016 COPD Management Guidelines appeared first on Healthy Debate.

January is Alzheimer Awareness Month in Canada! To bring this to light, Amol and Nathan discuss three recent papers: The first is a systematic review and meta-analysis of risk factors for post-operative delirium. Among other findings, the study identified two nutritional-related variables, low BMI and low albumin, as delirium risk factors. Nathan relates this study to a ... The post Cognition Edition: Post-Operative Delirium and Healthcare Costs in Dementia appeared first on Healthy Debate.

This week, we debut our new “Two Truths, One Lie” segment! Join us and put your knowledge to the test. As always, Amol, general internal medicine resident at the University of Toronto, and Reena, staff physician at St. Michael’s hospital, discuss 2 recent papers: A multi-centred cross over trial conducted in the UK tried to ... The post Old Questions, New Options: Spironolactone for Resistant Hypertension and Polymer-Free Stents appeared first on Healthy Debate.

Amol, general internal medicine resident at the University of Toronto, and Reena, staff physician in internal medicine at St. Michael’s hospital, discuss 2 recent papers: Opioid prescription is an increasing public health crisis. A retrospective cohort study found that patients who experience non-fatal opioid overdose almost always get re-prescribed opioids at large doses a month ... The post The Upbeat Episode: Opioid Prescription and High Sensitivity Troponin Assay appeared first on Healthy Debate.

Happy new year! In our first episode of 2016, Amol, general internal medicine resident at the University of Toronto, talk about his 10 favourite papers of 2015. Rate us on iTunes! Follow us on Twitter @roundstable. The Papers 1. Teixobactin, a new antibiotic:  http://www.nature.com/nature/journal/v517/n7535/full/nature14098.html 2. Modified Valsalva manoeuvre: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2815%2961485-4/abstract 3. Prednisolone or pentoxifylline for alcoholic ... The post Amol’s 10 Favourite Papers of 2015 appeared first on Healthy Debate.

This week, Amol, general internal medicine resident at the University of Toronto, and Fahad, general internist at St. Michael’s hospital in Toronto, discuss two recent papers: Fahad and colleagues recently published a study in JAMA that looks at severe adult undernutrition in low and middle income countries. Using 20-year health survey data collected by USAID, ... The post Fahad’s Work and Fahad Gets Worked Up: Prevalence of severely underweight women and peripheral arterial disease appeared first on Healthy Debate.

This week we are replaying our first episode of the season. Originally aired on September 18, 2015, Amol and Fahad discuss: 1. A randomized controlled trial shows that a new approach to vagal maneuvers for supraventricular tachyarrhythmia was shown to be significantly more effective than traditional maneuvers. 2. A survey in California adolescents shows that there is ... The post Replay: Better Vagal Maneuvers for Arrhythmias and eCigarettes in Adolescents appeared first on Healthy Debate.

This week, Amol, resident in General Internal Medicine at University of Toronto, and Mike Fralick, chief medical resident at St. Michael’s Hospital in Toronto, talk about 2 blood pressure studies: A meta-analysis and systematic review found that more intensive blood pressure lowering was associated with improved cardiovascular outcomes and albuminuria. Amol discusses the trade-offs of ... The post The SPRINT to lower blood pressure appeared first on Healthy Debate.

Amol, general internal medicine resident at the University of Toronto, and Nathan, general surgery resident at the University of Toronto, discuss 2 recent studies: Does it matter which hospital patients return to after surgery? A large retrospective cohort study showed that when post-operative patients are re-admitted to the same hospital where they had their surgery, ... The post Changing the Tune: Post-operative Readmission and Music as Perioperative Therapy appeared first on Healthy Debate.

This week, Amol, general internal resident at the University of Toronto, and Reena, General Internist at St. Michael’s Hospital in Toronto, discuss two papers: Reena shares a large registry-based study that found adult patients with Type 2 Diabetes in Sweden had a 15% higher mortality rate than the general population. Amol and Reena wonder why this ... The post Diabetes Week: Mortality in Diabetes and DPP-4 Inhibitors Compared to Sulfonylureas appeared first on Healthy Debate.

This week we are replaying one of our favourite episodes from earlier this season: Originally aired on October 3, 2015, Amol, general internal resident at the University of Toronto, and Fahad, Staff Internist at St. Michael’s Hospital in Toronto, discuss two papers. It’s phototherapy without the need for electricity. Fahad discusses how filtered sunlight is found to ... The post Replay: Filtered Sunlight for Jaundice and Text Messages for Healthy Lifestyle appeared first on Healthy Debate.

Amol, general internal resident at the University of Toronto, and Raed Joundi, neurology resident at the University of Toronto, discuss 2 recent studies: Is early mobilization helpful for stroke patients? A randomized control trial showed that early aggressive rehabilitation for acute stroke patients resulted in worse outcomes. Amol and Raed speculate reasons behind this counter-intuitive ... The post Brain Week: Early Rehab for Stroke and Drug Interaction Increases Bleeding in Brain appeared first on Healthy Debate.

Amol, general internal resident at the University of Toronto, and Janice, general internist at the Mount Sinai Hospital in Toronto, discuss 2 recent studies: Dying with dignity is not easy, especially in a highly charged environment like the Intensive Care Unit. Janice talks about a mixed methods study that examined the impact of soliciting and fulfilling ... The post Wishes and Pills: Fulfilling Wishes for Dying Patients and Medications for Back Pain appeared first on Healthy Debate.

This week we are replaying one of our favourite old episodes, due to many of our team members being away at the Canadian Society of Internal Medicine Conference. Originally aired on April 17, 2015, Nathan and Amol want you to understand the following: 1. There was no significant difference between three different call schedules in ... The post Replay: Resident Call Schedules in the ICU and Thyroid Nodules appeared first on Healthy Debate.

Amol and Janice, general internal medicine residents at the University of Toronto, discuss 2 recent studies that challenge 2 widely accepted medical practices. Does using acetaminophen to treat fever improve outcomes? A randomized control trial found that giving acetaminophen to critically ill patients did lower their fever, but did not affect the number of ICU ... The post Questioning Convention: Acetaminophen for Fever and Calcium for Fractures appeared first on Healthy Debate.

The “broken heart syndrome” – not always caused by a broken heart? A multi-national, multi-centered observational study on takotsubo cardiomyopathy found that physical triggers are more common than emotional triggers, patients present predominantly with chest pain, ECG changes, and troponin elevation. The study also generated surprising hypotheses about what medications have long-term benefit for these ... The post What the Heart Wants: Takotsubo Cardiomyopathy and Cardiovascular Benefits of Empagliflozen appeared first on Healthy Debate.

It’s phototherapy without the need for electricity. Fahad discusses how filtered sunlight is found to be equivalent to conventional phototherapy in treating infants with elevated bilirubin levels. The film that filters the sunlight is low cost and low-tech, yet has the potential for global impact. Amol discusses using text messages to battle cardiovascular disease. Semi-personalized motivational ... The post Brave New World: Filtered Sunlight for Jaundice and Text Messages for Healthy Lifestyle appeared first on Healthy Debate.

Nathan discusses a randomized trial about breast cancer screening that found that sending women information about both the risks and the benefits of breast cancer screening resulted in more women making an “informed choice” and fewer wanting to undergo screening mammography. Amol discusses the BRIDGE trial, which found that not bridging patients’ anticoagulation around the ... The post Arithmetic Operations: Breast Cancer Screening Choices and Anticoagulation Bridging appeared first on Healthy Debate.

Amol and Fahad discuss: 1. A randomized controlled trial shows that a new approach to vagal maneuvers for supraventricular tachyarrhythmia was shown to be significantly more effective than traditional maneuvers. 2. A survey in California adolescents shows that there is an association between eCigarette use and subsequent tobacco use, raising concerns about a ‘gateway’ effect. The ... The post New Beginnings: Better Vagal Maneuvers for Arrhythmias and eCigarettes in Adolescents appeared first on Healthy Debate.

Season 2 of The Rounds Table kicks off next week. To get things started, here’s a short episode with ‘good stuff’ recommendations from our excellent new team: Jennifer Peng, Anthony Maher, and Annie Wang. Good Stuff Jennifer: http://www.theatlantic.com/health/archive/2014/11/the-dutch-village-where-everyone-has-dementia/382195/  Anthony: http://blogs.plos.org/globalhealth/2013/11/jojewell2/?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+plos%2Fblogs%2Fblogosphere+%28Blogs+-+Blogosphere%29 Annie: http://freakonomics.com/2015/08/27/are-you-ready-for-a-glorious-sunset-a-new-freakonomics-radio-episode/  Music Credits (Creative Commons): In your Robotic Heart – Nicolai Heidlas https://soundcloud.com/nicolai-heidlas/in-your-robotic-heart Drive – Nicolai Heidlas https://soundcloud.com/nicolai-heidlas/drive-fresh-upbeat-pop-background-music Piano ... The post Season 2 Promo: “Good Stuff” from our great new team appeared first on Healthy Debate.

Amol and Reena want you to understand the following: 1. When added to moderate dose statin, the IMPROVE-IT randomized trial showed that ezetimibe improved clinical outcomes in patients after acute coronary syndrome. 2. A network meta-analysis showed that no blood pressure lowering therapy improved mortality in patients with diabetes and chronic kidney disease. The combination of ACE-inhibitors and ... The post Summer Replay 4: Ezetimibe and clinical outcomes, BP lowering in diabetes and kidney disease appeared first on Healthy Debate.

Originally aired May 22, 2015. Amol and Janice want you to understand the following: 1. Several RCTs and observational studies suggest that Transcatheter Aortic Valve Replacement reduces mortality and improves symptoms in frail, elderly patients. 2. A historical analysis demonstrates that the sugar industry had heavy influence in setting national dental research priorities in the 1970s, which ... The post Summer Replay 3: Transcatheter Aortic Valve Replacements and Sugar Industry Influence on Research Priorities appeared first on Healthy Debate.

Amol and Nathan want you to understand the following: 1. A large randomized evaulation of a quality improvement intervention demonstrated a modest but significant reduction in rates of cesarean-section in Quebec. 2. A large double-blind randomized-controlled-trial of over 1100 patients showed that pentoxifylline is not beneficial in the treatment of alcoholic hepatitis and prednisolone may have mild ... The post Summer Replay 2: Reducing c-sections and prednisolone vs. pentoxifylline for alcoholic hepatitis appeared first on Healthy Debate.

Aired April 23: Empiric antibiotic choices for community acquired pnuemonia and clindamycin versus trimethoprim-sulfamethoxazole for skin and soft tissue infections. Fahad and Amol want you to understand the following: 1. A large, high quality RCT showed that there was no significant difference between an empiric treatment strategy of beta-lactam vs beta-lactam plus macrolide vs respiratory fluoroquinolone for ... The post Summer Replay: Community Acquired Pneumonia and Skin Infections appeared first on Healthy Debate.

Fahad and Amol want you to recognize that: 1. Idarucizumab as an agent that specifically reverses the hemostatic effects of dabigatran.  2. A post-hoc analysis of the ROCKET-AF study showed that digoxin is associated with increased mortality in patients with atrial fibrillation. The papers Idaracizumab for Dabigatran reversal. Digoxin use and mortality in ROCKET-AF. Good stuff http://www.smacc.net.au/about-us/welcome/ http://emupdates.com/wp-content/uploads/2015/06/Strayer-Opioid-Misuse-SMACC-Slideset.pdf ... The post Season Finale: Dabigatran Reversal and Digoxin Mortality appeared first on Healthy Debate.

Amol wants you to: 1. Consider how the evidence helps us decide whether to prescribe a patient warfarin or a novel oral anticoagulant for stroke prevention in atrial fibrillation. Continuing Medical Education Internists can receive 0.5 hours of Continuing Medical Education credit for each podcast they listen to through the Canadian Society of Internal Medicine (MOC Category 1) ... The post Flying Solo: Warfarin vs. New Oral Anticoagulants, what does the evidence say? appeared first on Healthy Debate.

Originally Published December 5, 2014: Travis and Amol want you to recognize that: 1. Recognize whole exome sequencing is an important new method of identifying genetic mutations associated with disease. 2. Understand that the 4-year follow-up of the PROTECT AF study showed that left atrial appendage closure devices may be superior to warfarin in preventing strokes in patients ... The post Repeat: Value Judgments – Whole exome sequencing and left atrial appendage closure devices appeared first on Healthy Debate.

Amol and Reena want you to understand the following: 1. When added to moderate dose statin, the IMPROVE-IT randomized trial showed that ezetimibe improved clinical outcomes in patients after acute coronary syndrome. 2. A network meta-analysis showed that no blood pressure lowering therapy improved mortality in patients with diabetes and chronic kidney disease. The combination of ACE-inhibitors and ... The post Debatable Landmarks: Ezetimibe and clinical outcomes, BP lowering in diabetes and kidney disease appeared first on Healthy Debate.

Amol and Nathan want you to understand the following: 1. A short duration (4 days) of antibiotics for intra-abdominal sepsis was equivalent to a longer duration (approx. 8 days) of antibiotics for intra-abdominal sepsis after an appropriate source control procedure. 2. A population-based cohort study of elderly patients showed that lipid lowering therapy for primary prevention was ... The post On Our Soapbox: Antibiotics in intraabdominal sepsis and lipid therapy in the elderly appeared first on Healthy Debate.

Amol and Fahad want you to understand the following: 1. There are dramatic hospital-level variations in the care of extremely pre-term infants. 2. A randomized trial showed that an electronic alert to identify hospital patients with acute kidney injury was not effective in improving patient outcomes. Continuing Medical Education Internists can receive 0.5 hours of Continuing Medical ... The post Lifelong Learning: Variations in Care of Pre-term Infants and Electronic Alerts for Acute Kidney Injury appeared first on Healthy Debate.

Amol and Janice want you to understand the following: 1. Several RCTs and observational studies suggest that Transcatheter Aortic Valve Replacement reduces mortality and improves symptoms in frail, elderly patients. 2. A historical analysis demonstrates that the sugar industry had heavy influence in setting national dental research priorities in the 1970s, which is relevant for industry relations ... The post The Sweet Truth: Transcatheter Aortic Valve Replacements and Sugar Industry Influence on Research Priorities appeared first on Healthy Debate.

Originally Aired Jan 30: Eosinophilic esophagitis, outbreaks associated with duodenoscopy, and the rise of private endoscopy clinics Samir and Amol want you to understand the following: 1. Eosinophilic esophagitis is an important and under-recognized clinical condition that causes significant symptoms and is very treatable. 2. Endoscopy, and particularly duodenoscopy, is an important potential source of infection transmission. ... The post Re-Play: Gastroenterology Edition with Dr. Samir Grover, Gastro-naut appeared first on Healthy Debate.

Amol and Nathan want you to understand the following: 1. A large randomized evaulation of a quality improvement intervention demonstrated a modest but significant reduction in rates of cesarean-section in Quebec. 2. A large double-blind randomized-controlled-trial of over 1100 patients showed that pentoxifylline is not beneficial in the treatment of alcoholic hepatitis and prednisolone may have mild ... The post A Hippocratic Dilemma: Reducing rates of c-sections and prednisolone vs. pentoxifylline for alcoholic hepatitis. appeared first on Healthy Debate.

This week: The MARQUIS study of interventions to reduce medication errors in hospital, super-utilizer patients, and the potential of community health workers for population health and medical education. Amol and Shail want you to understand the following: 1. Medication errors are an important problem in hospital and a multi-faceted intervention can be effective in addressing this issue. 2. ... The post What we loved at SGIM 2015: Medication Safety, Super-Utilizers, and Community Health Workers appeared first on Healthy Debate.

Effects of participation in the National Surgical Quality Improvement Program and Prednisone in Community Acquired Pneumonia Nathan and Amol want you to understand the following: 1. Participation in the National Surgical Quality Improvement Program has not appeared to improve overall patient outcomes or cost. 2. Adjunct prednisone treatment in community acquired pneumonia reduces time to clinical ... The post Replay-The Royal We: Effects of Participation in NSQIP, Steroids for Pneumonia appeared first on Healthy Debate.

This week: Empiric antibiotic choices for community acquired pnuemonia and clindamycin versus trimethoprim-sulfamethoxazole for skin and soft tissue infections. Fahad and Amol want you to understand the following: 1. A large, high quality RCT showed that there was no significant difference between an empiric treatment strategy of beta-lactam vs beta-lactam plus macrolide vs respiratory fluoroquinolone for the ... The post The Antibiotics Jam: Community Acquired Pneumonia and Skin Infections appeared first on Healthy Debate.

This week: A Randomized Controlled Trial of Resident Call Schedules in the ICU and The Natural History of Benign Thyroid Nodules. Nathan and Amol want you to understand the following: 1. There was no significant difference between three different call schedules in the ICU in terms of resident sleepiness or patient outcomes. 2. Benign thyroid nodules are ... The post Take me to the Bank: Resident call schedules in the ICU and Thyroid Nodules appeared first on Healthy Debate.

Originally aired September 3, 2014: Perioperative AFib and Long-Term Risk of Ischemic Stroke; Paracetamol not more effective than placebo in acute low back pain Nathan and Amol want you to: 1. Understand that perioperative atrial fibrillation is associated with increased long-term risk of ischemic stroke. 2. Recognize that a high quality Randomized Controlled Trial demonstrates that paracetamol is ... The post Replay: We’re Back (pain)! Perioperative Atrial Fibrillation, Paracetamol and back pain appeared first on Healthy Debate.

This week: The TITRE2 trial about hemoglobin transfusion strategies after cardiac surgery and the RETRACE study about intracranial bleeding in patients on warfarin. Nathan and Amol want you to understand the following: 1. In cardiac surgery patients, a restrictive transfusion strategy was no different than liberal transfusion in terms of combined clinical outcomes of infectious and vascular events ... The post All About Bleeding: Transfusion targets after cardiac surgery and intracranial bleeding on warfarin appeared first on Healthy Debate.

This week: New studies of PCSK9 inhibitors for lipid lowering and a randomized controlled trial of early peanut exposure to prevent allergy Fahad and Amol want you to understand the following: 1. PCSK9 inhibitors are new cholesterol-lowering monoclonal antibodies that have been shown to reduce LDL beyond standard therapy with statins and have been associated with reduced ... The post Peanut Placebo, Nocebo, PCSK9: Lipid lowering and peanut allergy appeared first on Healthy Debate.

Originally aired March 11, 2014: obesity, palliative care, hepatitis c Amol, Fahad, and Travis want you to: 1. Understand trends in obesity prevalence in adults and children. 2. Appreciate the effect of early palliative care on quality of life in patients with advanced cancer. 3. Recognize new therapeutic options in chronic Hepatitis C infection and their associated cost ... The post We turned one! “Too rich for my blood: Obesity, palliative care, hepatitis c” appeared first on Healthy Debate.

VOICE: Tenofovir and Emtricitabine for HIV pre-exposure prophylaxis in African women and SARAH: Hand exercises in Rheumatoid Arthritis Fahad and Amol want you to understand the following: 1. Pre-exposure prophylaxis was not effective in a population of African women. Medication adherence was apparently excellent based on self-report and pill counting, however serum drug levels demonstrated that it ... The post SARAH’s VOICE: Pre-exposure prophylaxis in HIV and exercise for the rheumatoid hand appeared first on Healthy Debate.

The CHIPS trial of Hypertension in Pregnancy and TIPPS trial of Thrombophilia in Pregnancy Janice and Amol want you to understand the following: 1. Tight blood pressure control in pregnancy does not affect fetal outcomes in pregnancy compared with loose blood pressure control. The only difference in maternal outcomes is a reduced risk of severe hypertension ... The post Obstetrical Medicine Special: Hypertension and Thrombophilia in Pregnancy appeared first on Healthy Debate.

Effects of participation in the National Surgical Quality Improvement Program and Prednisone in Community Acquired Pneumonia Nathan and Amol want you to understand the following: 1. Participation in the National Surgical Quality Improvement Program has not appeared to improve overall patient outcomes or cost. 2. Adjunct prednisone treatment in community acquired pneumonia reduces time to clinical ... The post The Royal We: Effects of Participation in NSQIP, Steroids for Pneumonia appeared first on Healthy Debate.

Originally aired July 2, 2014: Cryptogenic Stroke and Atrial Fibrillation, Naloxegol for Opioid-Induced Constipation Fahad and Amol want you to: 1. Appreciate the importance of subclinical atrial fibrillation in cryptogenic stroke and consider longer monitoring to detect it. 2. Recognize Naloxegol as a targeted therapy for opioid-induced constipation that is more effective than placebo but its effectiveness has not been compared directly ... The post Getting “Travis-y”: Stroke and AFib, Naloxegol for Opioid Constipation appeared first on Healthy Debate.

Factor XI Antisense Oligonucleotides for Post-operative VTE and Intra-arterial Treatment for Stroke Nathan and Amol want you to understand the following: 1. Factor XI is a promising treatment target for preventing VTE, with a recent study showing that an antisense oligonucleotide was more effective in reducing VTE and had less associated bleeding than enoxaparin. 2. Intra-arterial ... The post These are not real stock tips: Post-op DVT Prophylaxis and Intra-arterial Treatment of Stroke appeared first on Healthy Debate.

Eosinophilic esophagitis Samir and Amol want you to understand the following: 1. Eosinophilic esophagitis is an important and under-recognized clinical condition that causes significant symptoms and is very treatable. 2. Endoscopy, and particularly duodenoscopy, is an important potential source of infection transmission. 3. The rise of outpatient endoscopy clinics requires the development of an appropriate remuneration, regulatory, ... The post Special Gastroenterology Edition with Dr. Samir Grover, Gastro-naut appeared first on Healthy Debate.

Neighbourhood Disadvantage and 30-day Rehospitalization; Teixobactin – a Novel Antibiotic Reena and Amol want you to understand the following: 1. Neighbourhood disadvantage was associated with an increased risk of readmission similar to the presence of chronic diseases like COPD. 2. Teixobactin is a new antibiotic with activity against gram positive organisms that was discovered using ... The post From SES to Soil: Neighbourhood Disadvantage and A Groundbreaking New Antibiotic appeared first on Healthy Debate.

Originally Aired October 1, 2014: Blood Transfusions in Upper GI Bleeding, Aspirin in DVT prophylaxis, Vasopression and Steroids in Cardiac Arrest, MRSA Decolonization, Fluid and Sodium Restriction in Heart Failure Fahad and Amol want you to gain familiarity with a number of major new studies in hospital medicine published in 2013. Continuing Medical Education Internists can ... The post Best of Hospital Medicine 2013 Part II appeared first on Healthy Debate.

Originally Aired September 24, 2014: Fecal Transplantation & Probiotics for C. difficile; Prone Positioning in ARDS; Steroids in COPD; Hospital Management of Diabetes. Fahad and Amol want you to gain familiarity with a number of major studies in hospital medicine published in 2013. 1. Fecal transplantation is effective for recurrent C. difficile infection. 2. Probiotics are ... The post Best of Hospital Medicine 2013 Part I appeared first on Healthy Debate.

This week, Travis and Amol want you to recognize that: 1. Recognize whole exome sequencing is an important new method of identifying genetic mutations associated with disease. 2. Understand that the 4-year follow-up of the PROTECT AF study showed that left atrial appendage closure devices may be superior to warfarin in preventing strokes in patients with atrial ... The post Value Judgments: Whole exome sequencing and left atrial appendage closure devices appeared first on Healthy Debate.

This Week: Baseline cardiovascular risk calculators and hypertension treatment, and dual antiplatelet treatment after coronary stenting This week, Fahad and Amol want you to understand that: 1. A cardiovascular risk calculator can predict the degree of treatment benefit that patients may derive  from blood pressure treatment. 2. There is limited evidence to recommend continuing dual antiplatelet therapy beyond ... The post Getting Cardiovascular: Baseline Risk and Hypertension Treatment and Dual Antiplatelet Therapy in Coronary Stents appeared first on Healthy Debate.

Implementation of a Handoff Program in Pediatric Hospitals and Treating Depression in Cancer Patients Nathan and Amol want you to: 1.Recognize that a standardized handoff program reduced medical errors in academic pediatric hospitals. 2. Appreciate that a targeted program to treat depression in cancer patients was more effective than usual care. Continuing Medical Education Internists can ... The post Dubious Acronyms: Handoff Quality and Treating Depression in Cancer Patients appeared first on Healthy Debate.

Originally Aired September 10, 2014: Simvastatin in Secondary Progressive Multiple Sclerosis and Communicating With Patients About Risk Rebecca and Amol want you to: 1. Recognize that simvastatin reduces the rate of whole brain atrophy in secondary progressive MS, which may be a promising new use for statins. 2. Understand that effective strategies to communicate risk include: Using ... The post 100% Bullish: Simvastatin in MS, Communicating Risk appeared first on Healthy Debate.

This Week: Travis and Amol want you to: 1. Recognize IL-25 levels are good predictors of steroid-responsiveness in asthma. 2. Understand that the majority of patients who undergo elective percutaneous coronary intervention for stable angina are misinformed about its benefits. Continuing Medical Education Internists can receive 0.5 hours of Continuing Medical Education credit for each podcast ... The post Unintended Puns: Predicting Steroid Response in Asthma and Patient Perceptions of PCI appeared first on Healthy Debate.

This Week: Reena and Amol want you to: 1. Appreciate the challenges in reducing unplanned readmissions to hospital and concerns about that metric as a quality indicator. 2. Recognize that malpractice reform in three US states did not reduce the intensity of physician practice or resource utilization, suggesting that “defensive medicine” may not be a large ... The post Health Systems Failures 2: Unplanned Readmissions and Malpractice Reform appeared first on Healthy Debate.

This Week: Reena and Amol want you to: 1. Understand the basics of the Ebola outbreak in West Africa. Continuing Medical Education Internists can receive 0.5 hours of Continuing Medical Education credit for each podcast they listen to through the Canadian Society of Internal Medicine (MOC Category 1) and the American Medical Association (PRA Category 1). To receive CME credit for listening ... The post Health System Failures 1: Ebola Basics appeared first on Healthy Debate.

This Week: Vagal nerve blockade for weight loss; stopping inhaled steroids in COPD Nathan and Amol want you to: 1. Learn about vagal nerve blockade as a potential new weight loss intervention 2. Understand that we may be able to safely taper and stop inhaled glucocorticoids in patients with stable severe COPD who are already on two inhaled bronchodilators. Continuing ... The post Just look at us now: Vagal nerve block for weight loss and stopping inhaled steroids in COPD appeared first on Healthy Debate.

Originally aired April 30, 2014: Cardiovascular risk and testosterone supplementation, reducing time to treatment in acute ischemic stroke. Fahad and Amol want you to: 1. Recognize that observational evidence suggests that testosterone supplementation is significantly associated with cardiovascular events and mortality. 2. Understand that a national quality improvement initiative was associated with reduced treatment times for stroke and improved ... The post To a T: Testosterone Supplementation and Reducing Treatment Time in Stroke appeared first on Healthy Debate.

This week: Blood Transfusions in Upper GI Bleeding, Aspirin in DVT prophylaxis, Vasopression and Steroids in Cardiac Arrest, MRSA Decolonization, Fluid and Sodium Restriction in Heart Failure Fahad and Amol want you to gain familiarity with a number of major new studies in hospital medicine published in 2013. Continuing Medical Education Internists can receive 0.5 hours ... The post Best of Hospital Medicine 2013 Part II appeared first on Healthy Debate.

This week: Fecal Transplantation & Probiotics for C. difficile; Prone Positioning in ARDS; Steroids in COPD; Hospital Management of Diabetes. Fahad and Amol want you to Gain familiarity with a number of major new studies in hospital medicine published in 2013. 1. Fecal transplantation is effective for recurrent C. difficile infection. 2. Probiotics are not effective in ... The post Best of Hospital Medicine 2013 Part 1 appeared first on Healthy Debate.

This week: Changes in incidence and mortality associated with bilateral mastectomy for breast cancer and Neprilysin-inhibition for heart failure Nathan and Amol want you to: 1. Recognize that bilateral mastectomies for breast cancer are increasing in incidence, perhaps because of increased use of MRI, and they are not associated with a reduction in mortality. 2. Understand that ... The post Heart Success! Bilateral mastectomies in breast cancer, the PARADIGM-HF Heart Failure Trial appeared first on Healthy Debate.

This week: Simvastatin in Secondary Progressive Multiple Sclerosis and Communicating With Patients About Risk Rebecca and Amol want you to: 1. Recognize that simvastatin reduces the rate of whole brain atrophy in secondary progressive MS, which may be a promising new use for statins. 2. Understand that effective strategies to communicate risk include: Using visual aids, speaking ... The post 100% Bullish: Simvastatin in MS, Communicating Risk appeared first on Healthy Debate.

Perioperative AFib and Long-Term Risk of Ischemic Stroke; Paracetamol not more effective than placebo in acute low back pain Nathan and Amol want you to: 1. Understand that perioperative atrial fibrillation is associated with increased long-term risk of ischemic stroke. 2. Recognize that a high quality Randomized Controlled Trial demonstrates that paracetamol is not more effective than placebo ... The post We’re Back (pain)!: Perioperative Atrial Fibrillation, Paracetamol and back pain appeared first on Healthy Debate.

Originally aired May 28, 2014: A Randomized Trial of Bariatric Surgery vs. Medical Management; Physical Activity and the Risk of Type II Diabetes in patients with Gestational Diabetes Nathan and Amol want you to: 1. Recognize that bariatric surgery led to superior diabetes control compared to intensive medical management in a single centre randomized controlled trial over a 3 ... The post All About Diabetes: Bariatric Surgery and Physical Activity appeared first on Healthy Debate.

Originally aired July 9, 2014: Statins for COPD, ARDS and human-bovine Rotavirus vaccine Fahad and Amol want you to: 1. Understand that 2 high quality RCTs demonstrate that statins are not effective in improving clinical outcomes in either COPD or Acute Respiratory Distress Syndrome (ARDS). 2. Recognize that a novel Rotavirus vaccine was developed through an international public-private ... The post Sorry Sports Analogies: Statins in ARDS and COPD, Rotavirus Vaccine appeared first on Healthy Debate.

Originally aired June 20, 2014: Bionic Pancreas in Type 1 Diabetes and Weekly Dalbavancin for Skin Infections Travis and Amol want you to: 1. Understand the potential role of a novel bionic pancreas in glycemic control in type 1 diabetes. 2. Recognize that dalbavancin is non-inferior to vancomycin/linezolid in treating skin infections and represents a potentially revolutionary once ... The post Super Cool Stuff: A Bionic Pancreas and Weekly Antibiotics appeared first on Healthy Debate.

Originally aired April 9, 2014: Surgical skill in bariatric surgery and new oral anticoagulants for atrial fibrillation Nathan and Amol want you to: 1. Understand how peer assessed technical skill was found to be associated with complication rates at the individual surgeon level. 2. Recognize that peer rating of technical skill may provide opportunities for ... The post Like A Surgeon: Surgical skill variation, new oral anticoagulants appeared first on Healthy Debate.

Originally aired April 25, 2014: Air pollution and heart failure, renal denervation for hypertension. Fahad and Amol want you to: 1. Understand the relationship between air pollution and cardiovascular health, and its broader policy implications. 2. Recognize that renal denervation was not an effective treatment for hypertension when studied in a randomized, blinded, sham-controlled trial. ... The post They’re coming for Fahad: Air pollution and heart failure, renal denervation appeared first on Healthy Debate.

This week: Economic Incentives for Voluntary Medical Male Circumcision, and Lifestyle Counselling for Ischaemic Heart Disease Reena and Amol want you to: 1. Understand that medical male circumcision is effective in reducing transmission of HIV and other sexually-transmitted infections. 2. Recognize that an economic incentive designed to compensate people for ancillary costs and lost wages is modestly ... The post A Tale of Two Studies: Medical Male Circumcision, Ischaemic Heart Disease appeared first on Healthy Debate.

This week: Physiotherapy in Chronic Hip Osteoarthritis and Whiplash Sara Guilcher and Amol want you to: 1. Recognize that 2 high quality randomized controlled trials showed that a comprehensive physiotherapy intervention did not reduce pain or improve function in chronic hip osteoarthritis or whiplash. 2. Appreciate that although the role of physiotherapy in acute pain ... The post Physi-Oh My! Physiotherapy for Hip Osteoarthritis and Whiplash appeared first on Healthy Debate.

This week: Statins for COPD, ARDS and human-bovine Rotavirus vaccine Fahad and Amol want you to: 1. Understand that 2 high quality RCTs demonstrate that statins are not effective in improving clinical outcomes in either COPD or Acute Respiratory Distress Syndrome (ARDS). 2. Recognize that a novel Rotavirus vaccine was developed through an international public-private partnership that is ... The post Sorry Sports Analogies: Statins in ARDS and COPD, Rotavirus Vaccine appeared first on Healthy Debate.

This week: Cryptogenic Stroke and Atrial Fibrillation, Naloxegol for Opioid-Induced Constipation Fahad and Amol want you to: 1. Appreciate the importance of subclinical atrial fibrillation in cryptogenic stroke and consider longer monitoring to detect it. 2. Recognize Naloxegol as a targeted therapy for opioid-induced constipation that is more effective than placebo but its effectiveness has not been compared directly with existing laxative therapies. ... The post Getting “Travis-y”: Stroke and AFib, Naloxegol for Opioid Constipation appeared first on Healthy Debate.

This week: Vitamin D Levels and All-Cause Mortality, Vitamin C and Infant Lung Outcomes in Pregnant Smokers Reena and Amol want you to: 1. Recognize the potential association between Vitamin D levels and overall mortality. 2. Recognize that Vitamin C supplementation in pregnant women who smoke can improve infant lung outcomes (though it has not been shown to improve ... The post Vitamania: Vitamin D and Mortality, Vitamin C and Smoking in Pregnancy appeared first on Healthy Debate.

This week: Bionic Pancreas in Type 1 Diabetes and Weekly Dalbavancin for Skin Infections Travis and Amol want you to: 1. Understand the potential role of a novel bionic pancreas in glycemic control in type 1 diabetes. 2. Recognize that dalbavancin is non-inferior to vancomycin/linezolid in treating skin infections and represents a potentially revolutionary once weekly approach to ... The post Super Cool Stuff: A Bionic Pancreas and Weekly Antibiotics appeared first on Healthy Debate.

This week: Perioperative Aspirin and Blood Transfusions and Hospital-acquired Infections Nathan and Amol want you to: 1. Understand that the use of perioperative ASA did not reduce the rate of postoperative MI or death, but was found to increase the rate of major bleeding. 2. Recognize that it may be difficult to generalize the findings of the POISE-2 ... The post Yin and Yang 2.0: Revisiting Aspirin and Blood Transfusions appeared first on Healthy Debate.

This week: Protocol-based care for septic shock and a new treatment for allergen-induced asthma Janice and Amol want you to: 1. Recognize the role of protocol-based care in the early recognition and management of septic shock. 2. Recognize that TSLP is a promising new treatment target in allergy-induced asthma. Continuing Medical Education Internists can receive 0.5 hours of Continuing ... The post Filling Buckets: Septic Shock and Asthma appeared first on Healthy Debate.

This week: A Randomized Trial of Bariatric Surgery vs. Medical Management; Physical Activity and the Risk of Type II Diabetes in patients with Gestational Diabetes Nathan and Amol want you to: 1. Recognize that bariatric surgery led to superior diabetes control compared to intensive medical management in a single centre randomized controlled trial over a 3 year follow up ... The post All About Diabetes: Bariatric Surgery and Physical Activity appeared first on Healthy Debate.

This week: Nurse Staffing and Education and Hospital Mortality; Appropriate Use of Coronary Angiography   Nathan and Amol want you to: 1. Understand that this study demonstrated relationships between nurse to patient ratio and average nurse education level to post-operative mortality among a large cohort of European patients. 2. Recognize different approaches to studying appropriateness and that variability in ... The post Great Minds Think Alike: Nurse Staffing and Appropriateness of Coronary Angiography appeared first on Healthy Debate.

This week: Perioperative Aspirin and Blood Transfusions and Hospital-acquired Infections Nathan and Amol want you to: 1. Understand that the use of perioperative ASA did not reduce the rate of postoperative MI or death, but was found to increase the rate of major bleeding. 2. Recognize that it may be difficult to generalize the findings of the POISE-2 ... The post Yin and Yang: Aspirin and Surgical Risk and Blood Transfusions and Risk of Infection appeared first on Healthy Debate.

This week: Cardiovascular Disease and Population Health Fahad and Amol want you to: 1. Understand that high quality evidence now demonstrates that obesity does not confer a survival benefit in Type 2 Diabetes, and patients should aim to achieve a normal body weight. 2. Recognize that the new cholesterol guidelines move away from specific lipid targets and recommend statin therapy ... The post Dropping Names and Dropping Weight: The obesity paradox and new cholesterol guidelines appeared first on Healthy Debate.

This week: Cardiovascular risk and testosterone supplementation, reducing time to treatment in acute ischemic stroke. Fahad and Amol want you to: 1. Recognize that observational evidence suggests that testosterone supplementation is significantly associated with cardiovascular events and mortality. 2. Understand that a national quality improvement initiative was associated with reduced treatment times for stroke and improved clinical outcomes. Continuing ... The post To a T: Testosterone Supplementation and Reducing Treatment Time in Stroke appeared first on Healthy Debate.

This week: Air pollution and heart failure, renal denervation for hypertension. Fahad and Amol want you to: 1. Understand the relationship between air pollution and cardiovascular health, and its broader policy implications. 2. Recognize that renal denervation was not an effective treatment for hypertension when studied in a randomized, blinded, sham-controlled trial. Continuing Medical Education ... The post They’re coming for Fahad: Air pollution and heart failure, renal denervation appeared first on Healthy Debate.

This week: Oregon Medicaid Expansion and a systematic review of anti-influenza medications. Janice and Amol want you to: 1. Understand the effect of health care coverage expansion on health care utilization. 2. Understand the utility of randomized control trials in the formulation of causal inferences. 3. Recognize that anti-influenza antiviral medications appear to cause only ... The post Too Much Tamiflu! Medicaid Expansion and Anti-influenza Medications appeared first on Healthy Debate.

  This week: Surgical skill in bariatric surgery and new oral anticoagulants for atrial fibrillation Nathan and Amol want you to: 1. Understand how peer assessed technical skill was found to be associated with complication rates at the individual surgeon level. 2. Recognize that peer rating of technical skill may provide opportunities for targeted coaching, ... The post Like A Surgeon: Surgical skill variation, new oral anticoagulants appeared first on Healthy Debate.

  This week: Weight loss in colorectal cancer screening, D-dimers in Pulmonary Embolism, and Gene Editing in HIV Nathan, Amol and Travis want you to: 1. Recognize that modifiable lifestyle factors such as inactivity, weight, diet, and alcohol consumption are under-appreciated risk factors for colorectal cancer. 2. Understand how a weight loss and lifestyle improvement ... The post How I Met Your D-dimer: Weight loss, pulmonary embolism, and HIV appeared first on Healthy Debate.

This week: surgical checklists, statin myalgia and breast cancer radiotherapy Janice, Nathan, and Amol want you to: 1. Understand the effect of surgical safety checklist implementation on surgical complication rates. 2. Understand the use of n-of-1 trials in evaluating the association between statin use and myalgia. 3. Recognize that intraoperative radiotherapy for breast cancer may be ... The post Fathers and grandfathers of science: checklists, statin myalgia and breast cancer appeared first on Healthy Debate.

This week: prostatectomy, prescription drug costs, exome sequencing for rare mutations Learning objectives – Amol, Nathan, and Travis discuss: 1. Understand that radical prostatectomy improved overall and disease free survival and decreased metastasis compared with watchful waiting in men with localized prostate cancer of intermediate grade. 2. Understand how the cost of prescription drugs is regulated ... The post Prostatectomy, pharmacare, and protein mutations appeared first on Healthy Debate.

This week: obesity, palliative care, hepatitis c Learning objectives – Amol, Fahad, and Travis discuss: 1. Understand trends in obesity prevalence in adults and children. 2. Appreciate the effect of early palliative care on quality of life in patients with advanced cancer. 3. Recognize new therapeutic options in chronic Hepatitis C infection and their associated cost implications. Continuing ... The post Too rich for my blood: obesity, palliative care, hepatitis c appeared first on Healthy Debate.