Clinical Conversations

April 25th, 2009

Podcast 40: Tight control in type 2 diabetes — time to loosen up? A conversation with Mayo’s Victor Montori.

The Annals of Internal Medicine published an intriguing essay online last week about tight glycemic control in type 2 diabetes. Its authors argue that we’ve got it all wrong: imposing tight controls is only subjecting patients to stresses — related to the complexities and costs of treatment — that make control less likely to succeed. […]

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April 20th, 2009

Podcast 39: A conversation with Kimford Meador about a new paper assessing the later cognitive effects of fetal exposure to antiepileptic drugs.

Neurologists have talked about these effects for a while, but now they’ve got evidence showing that valproate lowers IQ at age 3 by almost 10 points. Since only half the antiepileptics are used in epilepsy, the results will affect everyone caring for women of reproductive age. Kimford Meador of Emory University is here to talk […]

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April 11th, 2009

Podcast 38: A conversation about using PPIs in poorly controlled asthma — rather, not using them — with Robert A. Wise of Johns Hopkins.

There are lots of people with poorly controlled asthma who are on PPIs, but don’t need to be. That’s the clear implication of research just published in the New England Journal of Medicine. We’ll talk with a member of the writing committee, Dr. Robert A. Wise. If you like what you hear, call 1-617-440-4374, and […]

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April 3rd, 2009

Podcast 37: A conversation with Vancouver General Hospital and the University of British Columbia’s Donald Griesdale about a meta-analysis on tight glucose control in the ICU.

This week we talk with Don Griesdale about his meta-analysis on glucose control during intensive care. The evidence is complex, but we hope the presentation is straightforward and useful. You’ll let us know if it isn’t, right? Just call us at 1-617-440-4374 and leave a message. This week’s links: Medicare Rehospitalization Data Highlight Importance of […]

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