Episode 200: 200. COVID 4th Vaccine, Vitamin D, Statin

Episode 200: 200. COVID 4th Vaccine, Vitamin D, Statin

Association of Receipt of the Fourth BNT162b2 Dose With Omicron Infection and COVID-19 Hospitalizations Among Residents of Long-term Care Facilities | Geriatrics | JAMA Internal Medicine | JAMA Network


careful what you believe and always question medicine- even if it is about covid vaccine

Use and Cost of Low-Value Health Services Delivered or Paid for by the Veterans Health Administration | Cancer Screening, Prevention, Control | JAMA Internal Medicine | JAMA Network

low value care exist in the VA but also in the community-- you need a comparative arm to figure out how bad you are doing or good you are doing.

Supplemental Vitamin D and Incident Fractures in Midlife and Older Adults | NEJM

You can also check a level if you are trying to make the diagnosis of rickets. ELSE no need to check anyone, if you really believe in it or your patient really believes in in then just start 2000IU and continue to take as long as they feel indicated because it likely is not doing any benefit but realistically it is not doing any harm at that dose either (there has been harm seen at super high doses 50,000IU)


listener question---- My question is what is the smallest doses statin I need to convince patient to take to benefit.

For me the answer is that yes high dose is better than moderate dose for those needing secondary prevention, but any dose is better than no dose for both primary and secondary prevention. If the patient isn’t taking the medication it doesn’t matter how good the drug is so ultimately if they are very serious about their risk reduction then go ahead and try and push higher dose statin else just take any dose the patient is willing to take and be happy they are you getting some sort of risk reduction that drastically beat ‘nothing’/placebo.


Jaksot(385)

74. Lots of articles and 2 that will change guidelines

74. Lots of articles and 2 that will change guidelines

Joe Namath is famous for guaranteeing victory in Super Bowl III. Mark your calendars for 7/24/2018 where I guarantee that two of the articles in this episode will change guidelines. This episode is fu...

25 Heinä 201826min

73. Compressing evidence on bones, colon cancer, pregnancy loss and listen questions

73. Compressing evidence on bones, colon cancer, pregnancy loss and listen questions

So much goodness in one podcast it would be a shame to list it all here. So stop reading and just hit play already.

12 Heinä 201835min

72. Swelling Over ACEI and Seizing On 3 Articles

72. Swelling Over ACEI and Seizing On 3 Articles

In this episode we cover what I think it game time ready about our beloved ACEI and then Joe and I talk about 3 articles that you need to know including the new seizure medication just approved by the...

27 Kesä 201828min

71. Breaking Bones and A1C Levels Should Put You into A.fib

71. Breaking Bones and A1C Levels Should Put You into A.fib

In this 'royal' episode I cover new papers on diabetes type 2, osteoporosis and A.fib. As always you can reach me on twitter @andrewbuelt or email me andrewbuelt@gmail.com

19 Touko 201823min

70. More Articles and a Vegan Study To Make a T-Rex Eat a Salad

70. More Articles and a Vegan Study To Make a T-Rex Eat a Salad

So many article so little time AND in this episode Joe stops in to talk about a study that would make ever T-Rex eat a salad

10 Touko 201819min

 69. NBA playoffs w/ Coronary Calcium, VEST, and Dialysis O, MY

69. NBA playoffs w/ Coronary Calcium, VEST, and Dialysis O, MY

It is NBA playoff season and this podcast starts with a fast break into coronary calcium testing, Slams into John Mandrola review https://www.medscape.com/viewarticle/893756 with transition into CKD +...

28 Huhti 201820min

68. Anti-biotics Still Have Harm and 2 Guidelines to Know About

68. Anti-biotics Still Have Harm and 2 Guidelines to Know About

If you were wondering antibiotics, yes, still have harm and should still be used with caution. Medical students are in a panic since there is a new answer to the c. diff board question and FINALLY a g...

14 Huhti 201818min

67. HPV, BPH, CTA and I'm ACB

67. HPV, BPH, CTA and I'm ACB

Yes! I am Andrew Christopher Buelt and in this all abbreviation and intial podcast I break down some recent studies that might are of interst. First, is HPV testing alone good enough? Should you do a ...

3 Huhti 201820min

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