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Archive for September, 2010

Podcast 102: Short compression stockings would seem to have no further role clinically.

Joe Elia • September 26th, 2010

Categories: Audio, compression stockings, stroke, Uncategorized

(1 votes, average: 2.00 out of 5)

Prof. Martin Dennis chats with us about his latest trial, comparing the utility of thigh- versus below-knee-length stockings for patients immobilized after stroke. The latest results show the superiority of thigh-length stockings, but at the further risk of skin breaks in these vulnerable patients. Taken together with the results of his earlier work, at [...]

Podcast 101: Osteoarthritis, chondroitin, and glucosamine — one of these things doesn’t belong.

Joe Elia • September 17th, 2010

Categories: Audio, Chondroitin, glucosamine, Osteoarthritis, pain, Uncategorized

(2 votes, average: 2.00 out of 5)

Answer: Osteoarthritis. Two are nostrums and the other is a disease, but the nostrums have no appreciable effect — on osteoarthritis at least. We discuss a BMJ meta-analysis that uses novel methods to prove the point. The good news is that neither chondroitin nor glucosamine is dangerous, but the bad news is that we [...]

Podcast 100: Practical informed consent

Joe Elia • September 10th, 2010

Categories: Audio, Informed consent, Uncategorized

(5 votes, average: 4.40 out of 5)

We’re not talking about philosophy here, but practical clinical approaches to making sure your patients understand what they’re agreeing to, and have the information to ask the right questions before they sign that form. It’s podcast 100. I’m always looking for ways to make this useful, and if you have any reactions, please drop [...]

Podcast 99: Blacks’ higher rate of stent thrombosis apparently has a genetic basis.

Joe Elia • September 3rd, 2010

Categories: Audio, clopidogrel, race, stent thrombosis, Stenting, Uncategorized

(2 votes, average: 3.00 out of 5)

It was thought that the increased risk among blacks undergoing stenting had to do with factors such as comorbid conditions and socioeconomics. But in a study in Circulation, their rate of stent thrombosis was higher than non-blacks, even after adjusting for those factors (and despite the fact that as a group, black were more [...]