Episode 191: Medical Update 191- Afib and coffee, elective ortho and PRP, Antibiotic overuse, low back pain

Episode 191: Medical Update 191- Afib and coffee, elective ortho and PRP, Antibiotic overuse, low back pain

https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2782015

coffee is ok with atrial fibrillation -- just don't go crazy is probably good advice

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2781351

Hearing loss sucks and can really change your whole physical function

https://www.bmj.com/content/374/bmj.n1511

elective orthopedic procedures with good evidence are limited

https://jamanetwork.com/journals/jama/fullarticle/2781859

PRP injections -- work about as well as vitamin D-- just stop

https://www.bmj.com/content/374/bmj.n1446

muscle relaxants for back pain improve pain at 2 weeks 8 points on 100 point scale

https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2781311

STOP GIVING LEVOTHYROXINE to a majority of normal or subclinical normal people

https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2781806

antibiotics will always be given if they are always given


Episoder(386)

Episode 376: 387. Methods Monday and an Example of Subgroup Analysis

Episode 376: 387. Methods Monday and an Example of Subgroup Analysis

https://www.nejm.org/doi/full/10.1056/NEJMoa2405923?query=clinical-medicine Mineralocorticoid receptor antagonists have been shown to reduce mortality in patients after myocardial infarction with cong...

17 Mar 20258min

Episode 375: 386. Could half dose anticoagulation be the answer?

Episode 375: 386. Could half dose anticoagulation be the answer?

Estimated 5-year incidence of recurrent VTE was similar in the reduced-dose and full-dose groups (2.2% and 1.8%). Estimated 5-year bleeding incidence was significantly lower with reduced-dose than wi...

14 Mar 20258min

Episode 374: 385. PRACTICE CHANGER! Male-Partner Treatment to Prevent Recurrence of Bacterial Vaginosis

Episode 374: 385. PRACTICE CHANGER! Male-Partner Treatment to Prevent Recurrence of Bacterial Vaginosis

https://www.nejm.org/doi/full/10.1056/NEJMoa2405404NNT of 4! systemic metronid and topical clinda bid for one week

12 Mar 20256min

Episode 373: 384. Chronic Kidney Disease and Empagliflozin Legacy Effect

Episode 373: 384. Chronic Kidney Disease and Empagliflozin Legacy Effect

What Was Studied?The EMPA-KIDNEY trial followed 6,609 CKD patients at risk of disease progression. Participants were randomly assigned to receive empagliflozin (10 mg daily) or a placebo for a median ...

11 Mar 20259min

Episode 372: 383. What is the GFR at which we stop metforin?

Episode 372: 383. What is the GFR at which we stop metforin?

Metformin while not necessarily first line therapy for diabetes depending on the patients co-morbid conditions it is certainly highly ranked on the list of medications! I know often metformin is stopp...

6 Mar 202510min

Episode 371: 382. Is it safe to give the flu and covid vaccine at the same time?

Episode 371: 382. Is it safe to give the flu and covid vaccine at the same time?

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2825813Conclusions and Relevance  In this randomized clinical trial assessing simultaneous vs sequential administration of mRNA COVID-19 an...

4 Mar 20257min

Episode 370: 381. Relative efficacy of prehabilitation interventions and their components

Episode 370: 381. Relative efficacy of prehabilitation interventions and their components

https://www.bmj.com/content/388/bmj-2024-081164systematic review and meta-analysis on prehabilitation before surgery, published in the BMJ in February 2025.Prehabilitation aims to prepare patients for...

27 Feb 20257min

Episode 369: 380. REPOST mammo part 2

Episode 369: 380. REPOST mammo part 2

Mammograms

24 Feb 202520min

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