Questioning Medicine

Questioning Medicine

Join Andrew on a medical rollercoaster as we ask a medical question and answer it based on recent published papers.

Episoder(388)

Episode 225: 225. Is Nonoperative Management of Appendicitis Worth It?

Episode 225: 225. Is Nonoperative Management of Appendicitis Worth It?

At 25yrs the odds of still having your appendix if you were initially managed nonoperatively was 60%.https://jamanetwork.com/journals/jamasurgery/article-abstract/2808133

24 Jan 20244min

Episode 224: 224. Lactated Ringers or Normal Saline for Acute Pancreatitis

Episode 224: 224. Lactated Ringers or Normal Saline for Acute Pancreatitis

Although an observational trial, it appears lactated ringers is better than normal saline for those individuals with acute pancreatitis to prevent organ failure or local complications. https://journal...

23 Jan 20246min

Episode 223: 223. Every Step You Take...Decreases Mortality

Episode 223: 223. Every Step You Take...Decreases Mortality

2300 steps daily was needed to decrease cardiovascular-related mortality. 4000 steps daily decreased all-cause mortality. Each additional step seem to lower mortality risk. https://pubmed.ncbi.nlm.nih...

22 Jan 20245min

Episode 222: 222. Ablation for AFIB in patients with HFrEF

Episode 222: 222. Ablation for AFIB in patients with HFrEF

Consider ablation in patients who have an EF < 35% and atrial fibrillation the NNT for all cause mortality was 7 at 18 months https://www.nejm.org/doi/full/10.1056/NEJMoa2306037

19 Jan 20244min

Episode 221: 221. Nurse Led Sleep Restriction IMPROVES Insomnia

Episode 221: 221. Nurse Led Sleep Restriction IMPROVES Insomnia

Sleep restriction therapy led by nurses with only 4 hours of education significantly improved patients insomnia at 6 months. More info HERE ___>https://thrive.kaiserpermanente.org/care-near-you/northe...

18 Jan 20246min

Episode 220: 220. Semaglutide at 1yr Gives Small Improvement in Questionnaire for those with HFpEF

Episode 220: 220. Semaglutide at 1yr Gives Small Improvement in Questionnaire for those with HFpEF

Kansas City Cardiomyopathy Questionnaire clinical summary score was improved by 7.8 in those individuals with HFpEF that took semaglutide for one year compared to those that took placebo. This is a sm...

17 Jan 20245min

Episode 219: 219. Oral Iron better with vitamin C  on an empty stomach

Episode 219: 219. Oral Iron better with vitamin C on an empty stomach

When taking Ferrous Fumarate a little bit of vitamin C or an 8 ounce glass of orange juice with an otherwise empty stomach will improve the absorption- this absorption is decreased with food and coffe...

16 Jan 20245min

Episode 218: 218. Semaglutide and CAD But No Diabetes - Decrease Event$$$$$$

Episode 218: 218. Semaglutide and CAD But No Diabetes - Decrease Event$$$$$$

https://www.nejm.org/doi/full/10.1056/NEJMoa2307563Semaglutide and CAD but no diabetes decreases events NNT of 66 at 40 months but a predicted price tag of 3.5 million dollars.

12 Jan 20247min

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