Last Week in Medicine

Seems like a lot has happened in just one week!  The whole world is different. Today we talk about some of the most recent articles published about the ongoing COVID-19 pandemic.  We also discuss whether gabapentin can be used to treat people with alcohol use disorder, and whether apixaban is better than rivaroxaban for preventing strokes in people with atrial fibrillation.

Incubation Period for COVID-19
Risk Factors for Mortality in COVID-19
Risk Factors for ARDS and Death in COVID-19
Caring for Critically Ill Patients with COVID-19
Detection of COVID-19 in Children

Gabapentin for Alcohol Use Disorder

Apixaban versus Rivaroxaban for Atrial Fibrillation










Music from https://filmmusic.io
"Sneaky Snitch" by Kevin MacLeod (https://incompetech.com)
License: CC BY (http://creativecommons.org/licenses/by/4.0/)

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Austin finally returns to the podcast with harrowing tales of almost being eaten by a wolf.  Today we discuss a new NEJM paper about long acting injectable therapy for HIV and a new JAMA paper about pregnenolone, a neurosteroid that may help treat the scourge of primary care: chronic low back pain.

Long Acting Cabotegravir and Rilpivirine for HIV-1

Pregnenolone vs Placebo for Chronic Low Back Pain in Veterans











Music from https://filmmusic.io
"Sneaky Snitch" by Kevin MacLeod (https://incompetech.com)
License: CC BY (http://creativecommons.org/licenses/by/4.0/)

Music from Uppbeat (free for Creators!):

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Today we had Dr. Dani Babbel back on the show to talk about the latest COVID-19 updates, whether gastric acid suppression increases your risk of MDRO colonization, and how to improve care to patients boarding in the emergency department.  Check it out!

Characteristics of Covid-19 in China

Covid-19 Report from CDC of China

Gastric Acid Suppression and MDRO Colonization

Hospitalist Care of ED Boarders and Length of Stay










Music from https://filmmusic.io
"Sneaky Snitch" by Kevin MacLeod (https://incompetech.com)
License: CC BY (http://creativecommons.org/licenses/by/4.0/)

Music from Uppbeat (free for Creators!):

https://uppbeat.io/t/soundroll/dope

License code: NP8HLP5WKGKXFW2R

Today we had the pleasure of talking to Dr. Barbara Jones, first author on a new paper in JAMA IM about the outcomes in veterans treated with empirical anti-MRSA therapy vs standard therapy.  She gives us a master class in propensity weighted analysis and instrumental variable analysis.  We also look at whether outcomes are different in patients who are cared for by hospitalists who call more consults than their colleagues, and how much money we could save with a single payer system in the United States.

Empirical Anti-MRSA vs Standard Antibiotic Therapy in Pneumonia

High Consulting Hospitalists and Patient Outcomes

Medicare for All in the US








Music from https://filmmusic.io
"Sneaky Snitch" by Kevin MacLeod (https://incompetech.com)
License: CC BY (http://creativecommons.org/licenses/by/4.0/)

Music from Uppbeat (free for Creators!):

https://uppbeat.io/t/soundroll/dope

License code: NP8HLP5WKGKXFW2R

Today we have the venerable EBM guru Dr. Brian Locke on the show to talk PLEX and DEX.  Does plasma exchange for ANCA-vasculitis really work?  Do steroids make any difference in patients with ARDS?  Also, have you ever wondered which Hogwarts house your medical specialty belongs to?

Plasma Exchange and Glucocorticoids for ANCA-Vasculitis

Dexamethasone for Acute Respiratory Distress Syndrome

The Sorting Hat of Medicine: Why Hufflepuffs Wear Stethoscopes and Slytherins Carry Scalpels




Music from https://filmmusic.io
"Sneaky Snitch" by Kevin MacLeod (https://incompetech.com)
License: CC BY (http://creativecommons.org/licenses/by/4.0/)

Music from Uppbeat (free for Creators!):

https://uppbeat.io/t/soundroll/dope

License code: NP8HLP5WKGKXFW2R

Today we are joined by the man, the myth, and the legend, Dr. Stacy Johnson, to talk about a new meta-analysis of using aspirin for DVT prophylaxis after a total hip or knee replacement.  We also review a new retrospective cohort study from Cleveland Clinic on whether it's safe to give the recommended 30 ml/kg fluid bolus to patients with sepsis who also have CHF, cirrhosis or ESRD.  Check it out!

Aspirin for VTE Prophylaxis after THA or TKA

Fluid Management for Sepsis in Patients with ESRD, Cirrhosis and CHF

 





Music from https://filmmusic.io
"Sneaky Snitch" by Kevin MacLeod (https://incompetech.com)
License: CC BY (http://creativecommons.org/licenses/by/4.0/)

Music from Uppbeat (free for Creators!):

https://uppbeat.io/t/soundroll/dope

License code: NP8HLP5WKGKXFW2R

Today we are joined by the very smart Dr. Jason Carr, a pulmonary/critical care fellow, to talk about two big papers from the wonderful world of lungs.  Does CT screening for lung cancer save lives?  Do you have to put a chest tube in every patient with a spontaneous pneumothorax?  Check it out!

CT Screening for Lung Cancer, AKA NELSON

Conservative vs Interventional Treatment for Spontaneous Pneumothorax






Music from https://filmmusic.io
"Sneaky Snitch" by Kevin MacLeod (https://incompetech.com)
License: CC BY (http://creativecommons.org/licenses/by/4.0/)

Music from Uppbeat (free for Creators!):

https://uppbeat.io/t/soundroll/dope

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It's our tenth episode!  Thanks for getting us this far.  Today we discuss the new coronavirus outbreak, what to do with high sensitivity troponins, whether hydroxyethyl starch should be used in abdominal surgery (spoiler alert: it shouldn't) and the appropriate use of testosterone therapy.

Novel Coronavirus in China

High Sensitivity Troponins and the Fourth Universal Definition of MI

Hydroxyethyl Starch versus Saline in Major Abdominal Surgery

Efficacy and Safety of Testosterone Treatment in Men 






Music from https://filmmusic.io
"Sneaky Snitch" by Kevin MacLeod (https://incompetech.com)
License: CC BY (http://creativecommons.org/licenses/by/4.0/)

Music from Uppbeat (free for Creators!):

https://uppbeat.io/t/soundroll/dope

License code: NP8HLP5WKGKXFW2R

Today we are joined by the wonderful Dr. Emily Signor to talk about new therapeutic approaches to DVT prophylaxis, how much time physicians spend using the EHR in clinic, and whether that Vitamin C cocktail works for septic shock.  Check it out!

Effect of Osocimab in Preventing VTE in Patients Undergoing TKA 

Physician Time Spent Using the EHR During Outpatient Encounters

Vitamin C, Thiamine and Hydrocortisone for Septic Shock







Music from https://filmmusic.io
"Sneaky Snitch" by Kevin MacLeod (https://incompetech.com)
License: CC BY (http://creativecommons.org/licenses/by/4.0/)

Music from Uppbeat (free for Creators!):

https://uppbeat.io/t/soundroll/dope

License code: NP8HLP5WKGKXFW2R

Today we try something a little different -- three co-hosts!  Dr. Dani Babbel joins Jenkins and Rupp for some lively discussion about hotspotting, very severe aortic stenosis and whether adherence improves when medications are free.  Check it out!

Health Care Hotspotting

Early Surgery for Asymptomatic Aortic Stenosis

Effect on Treatment Adherence of Distributing Essential Medicines at No Charge

Music from https://filmmusic.io
"Sneaky Snitch" by Kevin MacLeod (https://incompetech.com)
License: CC BY (http://creativecommons.org/licenses/by/4.0/)

Music from Uppbeat (free for Creators!):

https://uppbeat.io/t/soundroll/dope

License code: NP8HLP5WKGKXFW2R