The Curbsiders Internal Medicine Podcast25 Touko 2020

#215 Medical Myths: Challenge Dogma with Dr. Douglas Paauw

Chase that metronidazole with a beer! Pop some 30 year old pills! Retrain your brain as our esteemed guest Dr. Douglas Paauw goes over his popular annual ACP presentation on Medical Myths. Learn about how some common medical myths originate and continue in our practice. We discuss why it’s okay to drink on metronidazole, take expired medications, inject epinephrine into extremities and why recurrent sinusitis may not really exist.

Credits

Written and Produced by: Justin Berk, MD MPH MBA
Infographic and Cover Art: Beth Garbitelli
Hosts: Justin Berk, MD, MPH, MBA; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com
Guest: Douglas Paauw, MD

Sponsor: VCU Health CE

Time Stamps

00:00 Intro, disclaimer, guest bio
02:22 Guest one-liner; Career Advice, Picks of the Week*: Being Mortal, book by Atul Gawande; The Band Played On, book by Randy Shilts; Lagunitas Hoppy Refresher: zero alcohol, zero calories!
06:15 Medical Myth Definitions
10:20 Dogma: Metronidazole and Alcohol; Healthy RCT Metronidazole and Alcohol
19:09 Expired Medications; Military Stockpiling Study
24:22 Aspirin and Nitroglycerin; Unopened eye drops; Epi-Pens; Expired Med Recap
31:13 Sinus Headaches; Trigeminal Nerve; Pearl: Recurrent headaches; Study showing Effectiveness of treatment (92%)
41:07 Epinephrine in extremity; RCT of Epi in Extremities
Study showing Experts use it; Podiatry journal
48:39 Take home points and Outro

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