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)

52. Should You Question Santa's Health?

52. Should You Question Santa's Health?

Is christmas in danger? What about Santa's Health? Is is the season of holiday joy and cheer and this podcast should have you tapping your toes while Andrew belly flops into an extensive literature di...

20 Joulu 20160s

51. An Irresistible Podcast on Antibiotic Resistance

51. An Irresistible Podcast on Antibiotic Resistance

In this episode Andrew is back on his motorcycle (riding solo). He covers antibiotics resistance and are people not taking a full course of antibiotics really the problem? This episode is full of soun...

17 Marras 201617min

46. Medical Myths for April Fools

46. Medical Myths for April Fools

It is April Fools day and it only seemed right to do a little medical myth busting. In this episode and gulps down the evidence around how much water we should drink. He find out that more money does ...

1 Huhti 201614min

43. Working Out Evidence on Treatment for Depression

43. Working Out Evidence on Treatment for Depression

This episode Andrew is working out the evidence on depression. He addresses the 500lb elephant around the future of Questioning Medicine, but luckily he doesn't try to lift it. He also makes everyone ...

22 Tammi 201621min

41. Getting Maddrey About Alcoholic Hepatitis

41. Getting Maddrey About Alcoholic Hepatitis

Andrew is by himself and trying to struggle through the harsh Florida winter. The question today is should steroids, more specifically prednisolone, be given to those with alcoholic hepatitis? A quick...

30 Marras 201517min

36. Granulocyte Colony Stimulating Factor -- Is It Worth a Stimulating Conversation?

36. Granulocyte Colony Stimulating Factor -- Is It Worth a Stimulating Conversation?

Andrew is back to being by himself. When you get out questioned in questioning medicine its time for a podcast update. This episode briefly touches on the granulocyte colony stimulating factor and is ...

14 Elo 201513min

28. HPV: A Non-Contact Encounter

28. HPV: A Non-Contact Encounter

Boy bands from the 80's might have helped you survive childhood, but now they escort in a new era of non-contact HPV testing. Andrew discusses the potential option for women to do their own testing pr...

4 Huhti 201527min

27. Cervical Cancer Screening and HPV part 2

27. Cervical Cancer Screening and HPV part 2

Andrew and Joe discuss the new guidelines or guidance on using the pap smear with HPV for cervical cancer screening in low risk women. Andrew learns 80's rock trivia and Joe gives level C- evidence. M...

20 Maalis 201527min

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