June 25th, 2014
Podcast 171: PTSD Treatment Effects Remain Largely Unmeasured By the Military and the VA
Running time: 10 minutes The Institute of Medicine’s report on treatment for post-traumatic stress disorder finds that active military and veterans with PTSD aren’t always getting evidence-based treatments. And when those treatments are used, they’re too often not used according to protocols and the results aren’t measured. The upshot? The agencies with responsibility for treating PTSD […]
November 12th, 2013
Podcast 169: New guidelines on cardiovascular disease prevention
Running time: 11 minutes The American Heart Association/American College of Cardiology have released four sets of guidelines — all aimed at the lowering of risk for atherosclerotic cardiovascular disease. For perspective, we’ve asked Harlan Krumholz, editor-in-chief of NEJM Journal Watch Cardiology and CardioExchange to chat. Links: Risk calculator (free) CardioExchange (free) Circulation homepage New York Times piece by Krumholz on […]
September 25th, 2013
Podcast 168: The Camden Coalition’s work on alleviating the discontinuity of medical care
Running time: 10 minutes The Camden Coalition of Healthcare Providers formed about 10 years ago as a quarterly breakfast club of primary-care providers who were frustrated in their attempts to bring care to comprehensive care to their patients in Camden, N.J. The Coalition’s found and executive director, Dr. Jeffrey Brenner (himself a family physician) has just been […]
September 14th, 2013
Podcast 167 — The polypill: adherence at last?
Running time: 7 min The recent JAMA article examining the effects of the “polypill” on adherence and clinical benefits in patients with (or at high risk for) cardiovascular disease, is our topic. The polypill in this trial contained fixed doses of four separate drugs: aspirin, a statin, lisinopril and one other blood-pressure-lowering drug — either atenolol […]
August 21st, 2013
Podcast 166: Delirium and intensive care
Running time: 19:45 This week’s guest is Yoanna Skrobik, a Montreal intensivist and author of an intriguing commentary on a Lancet Respiratory Medicine paper on the (non)effect of haloperidol in influencing the incidence or length of delirium/coma in critically ill patients. Physician’s First Watch coverage of the Lancet articles Nurse-facilitated family participation Early physical/occupational therapy in mechanically ventilated patients
August 15th, 2013
Podcast 165: The Mediterranean diet’s salutary interaction with risk-conferring genes
Running time: 14 minutes. A study in Diabetes Care shows that people at higher genetic risk for diabetes and cardiovascular complications had a relatively lower stroke risk when they adhered to a Mediterranean diet. Dr. Jose Ordovas, the study’s senior author, is our guest for this discussion about the interaction between genes and diet — and […]