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)

26. Bye Bye Pelvic

26. Bye Bye Pelvic

A rebroadcast as we start a three part series to destroy the speculum. No matter your field if you have a wife, daughter, or mother this applies to you! DONT FORGET TO WRITE A REVIEW!

24 Helmi 201535min

22. The Flu

22. The Flu

Our Best Shot of the year. Joe continues to defrost from the frozen Rockies while Andrew is just getting warmed up on his dig into the newest reports on Tamiflu and the annual influenza vaccine. What ...

24 Tammi 201532min

21. Cocaine and Beta Blockers

21. Cocaine and Beta Blockers

Another Hospital Medicine discussion: Joe continues to defrost from his month in the frozen west, He BLOWs Andrews mind with a nugget from medical school and Andrew turns his nose up to some of the or...

17 Tammi 201536min

20. Prostate Hoax

20. Prostate Hoax

What do Questioning Medicine and Charlie Brown have in common? Neither one as ever made a field goal in a football game and neither one likes a hoax!In this episode Joe practices his french. Andrew is...

25 Joulu 201424min

19. TSH and More Thyroid part 2

19. TSH and More Thyroid part 2

With winter storms brewing up north it's hard to know if the 'ice ice baby' is due to your thyroid or the weather. In this episode Andrew is still being screened for Ebola but Joe manages to make it t...

12 Joulu 201422min

18. Holy Grail of Diabetes Discussion

18. Holy Grail of Diabetes Discussion

The Dr James McCormack from BS Medicine joins QMed and helps us enlighten listeners about some of the great and terrible evidence in DM. Revelations regarding symptom management and risks surrounding ...

27 Marras 201459min

17. Outpatient Testing: TSH Part 1

17. Outpatient Testing: TSH Part 1

Andrew and Joe snorkel into the data on TSH testing. Breaking down the test, the patient, the benefits and risks of treatment. Just enough to get you hungry for part 2.

20 Marras 201423min

16. Outpatient Testing Part 2

16. Outpatient Testing Part 2

Andrew is back from his 21 day isolation for r/o Ebola, turns out it was just subclinical Post Testing Stress Disorder. Andrew and Joe discuss the concept of "pre" disease and common lab testing error...

1 Marras 201422min

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