September 26th, 2010
Podcast 102: Short compression stockings would seem to have no further role clinically.
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 the […]
September 17th, 2010
Podcast 101: Osteoarthritis, chondroitin, and glucosamine — one of these things doesn’t belong.
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 spend so […]
September 10th, 2010
Podcast 100: Practical informed consent
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 a line […]
September 3rd, 2010
Podcast 99: Blacks’ higher rate of stent thrombosis apparently has a genetic basis.
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 adherent […]
August 20th, 2010
Podcast 98: Leafy green vegetables apparently lower one’s risks for type 2 diabetes
Our interview this week is with a research nutritionist whose BMJ meta-analysis found a 14% reduction in risk for type 2 diabetes among those with the highest intake (versus those with the lowest) of leafy green vegetables. It’s a meta-analysis, and not a randomized controlled trial, and it’s interesting. Listen in. We’re off next week, so […]
August 14th, 2010
Podcast 97: What happens when vena cava filters break?
Vena cava filters, often meant to be permanent, can actually lose a strut or two. And it’s not as rare an occurrence as you might think. Our conversationalist found it happens about 15% of the time with a certain brand of filter. The FDA has announced that it’s starting its own studies of the problem. […]