May 1st, 2020
Podcast 265: COVID-19 in skilled nursing facilities
We (Dr. Danielle Bowen Scheurer and Joe Elia) talk with Dr. John Jernigan of the CDC COVID-19 Investigation Team, which recently published its findings on the spread of COVID-19 in a Seattle-area skilled nursing facility. Most intriguingly, over half the patients who tested positive were asymptomatic at the time of their first testing, and a few […]
August 8th, 2019
Podcast 228: Hematuria — should the workup include imaging?
Matthew Nielsen and colleagues found almost 80 diagnostic algorithms for working up a finding of hematuria. From these, they chose five representative approaches, ranging from those based on the patients’ risk factors to more aggressive ones that stress CT imaging for all. Using a 100,000-patient simulated cohort, Nielsen’s group found that more intensive imaging found more […]
January 13th, 2017
Podcast 205: Listen to the patient!
Danielle Ofri has written a new book, “What Patients Say, What Doctors Hear,” that’s full of advice on how best to listen to your patients. She also recounts her own adventures (and misadventures) in patient communication. The book is published by Beacon Press, which offers a free first chapter available for immediate electronic reading. Details are […]
September 22nd, 2015
Podcast 184: Ruling out pulmonary embolism in primary care
Pulmonary embolism is a vexing problem in primary care: Does this patient have it? Can I send them home with reassurance? Should I refer them for further testing? A Dutch group has evaluated the tests most likely to be available in the primary care setting — the various flavors of the Wells rules and the Geneva […]
July 30th, 2014
Podcast 172: Listening for the Diagnosis, a Conversation with Danielle Ofri
Running time: 15 minutes Dr. Danielle Ofri, author and internist (as well as an aspiring cellist), is writing a book about how patients and clinicians hear each other. Our discussion centers on that, and on her request that you contact her if you can put her in touch with great diagnosticians (and maybe even their patients). If […]
November 10th, 2012
Podcast 159: Making the Clinical Diagnosis, But Blowing the Patient’s Treatment Preference
Running time: 20 min. In some diseases there are two diagnoses to make: the clinical diagnosis and the diagnosis of what the patient’s treatment preference is. The first is hard enough to make, and the widening choice of treatment choices complicates the second. Welcome to the task of “preference diagnosis,” which can lead to disappointment and worse […]
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