


This week’s topics include advance directive impact, approval of high risk medical devices by FDA, maintenance of certification for physicians, and cardiovascular disease impact of a new agent for type 2 diabetes.


Program notes:

0:37 Positive impact of advance directives
1:34 78% died in their chosen location
2:34 Achieving what the patient wants with regard to care
3:02 Maintenance of certification for physicians
4:02 Randomly assigned to open book and time periods
5:03 Evidence based medicine changes
5:22 New agent for type 2 diabetes and outcomes
6:22 Lowered risk by 14%
7:22 Two times higher risk of amputation
7:40 What about FDA approval of devices
8:40 Premarket approval for new devices
9:40 Hold for months or years and deprive patients?
10:38 End

PodMed – Week of August 28, 2017

Medicine

Science & Medicine

Health & Fitness


This week’s topics include health and wealth, gun show sales and gun injury, management of epilepsy, and outcomes relative to robotic surgery.

Program notes:

0:34 Today is last PodMed
1:19 Epilepsy management
2:19 Not a single type of surgery
3:16 Identify the focus
3:30 Robotic surgery outcomes
4:30 Is it that much better?
5:31 Instruments going down in price?
6:05 Gun shows sales and adjacent states
7:05 About 86,000 gun related injuries annually
8:00 Health and wealth linked
9:00 Other factors associated
10:22 End

PodMed – Week of October 30, 2017


This week’s topics include Medicare spending on frail elderly, resorbable stents, men with HPV, and procalcitonin to assess antibiotic need.

Program notes:

0:41 Looking at procalcitonin to determine antibiotic use
1:42 Improve or worsen survival
2:40 Point of care testing
2:54 Stents that resorb
3:52 First approved in Europe in 2011
4:50 Post marketing surveillance helpful
5:16 Men infected with HPV
6:17 Infection rate 11.5% in men
7:17 Should men self-identify?
7:35 Preventable spending in the Medicare population
8:35 Account for 50% of preventable cost
9:34 Things can be managed as outpatient
10:51 End

Related blog:

PodMed – Week of October 20, 2017



This week’s topics include predicting mortality in those with congestive heart failure, bystander CPR impact, best management of stable COPD, and NOACs and bleeding risk.
Program notes:
0:50 NOACs and bleeding risk
1:51 Also taking other medicines increased risk
2:49 Physicians need to know
3:18 Managing people with COPD
4:21 So many more people with the condition
4:43 Bystander initiated CPR
5:43 2/3 at home, 1/3 in public setting
6:44 Increased survivorship
7:00 How can we predict mortality in patients with heart failure
8:01 Easily obtained variables
9:04 Admission afterward?
10:26 End
Related blog: https://podblog.blogs.hopkinsmedicine.org/2017/10/13/bystander-cpr/
 

PodMed – Week of October 16, 2017




This week’s topics include how the Zika virus changed, outcomes after surgery and health literacy, e-cigarettes and healthcare costs, and a reaction to tattooing.

Program notes:

0:36 Case report of an outcome after a tattoo
1:32 Reaction to the tattoo ink but not cancer
2:32 Not cancer just a reaction
2:46 Mutations in the Zika virus
3:44 More likely to have brain malformation
4:46 Lot of controversy over this study
5:00 Health literacy and outcomes after surgery
6:01 No correlation with readmission
7:02 Very few minority patients
7:15 E-cigarettes and cost savings
8:15 People still had exposure to nicotine
9:15 How to quantify e-cigarette safety
10:39 End

Related blog: https://podblog.blogs.hopkinsmedicine.org/2017/10/09/e-cigarette-benefits/

PodMed – Week of October 9, 2017


This week’s topics include aspirin discontinuation risks, HIV in those 50 and older, big data and chronic lung disease, and genetic testing and warfarin use.

Program notes:

0:34 Genetic testing and warfarin dosing
1:35 Looked at genetics to determine
2:33 Other agents for blood thinning
3:01 Use of big data and chronic lung disease
4:01 More women smoking
5:02 Not sure of significance of e-cigarettes
5:26 HIV infection in those 50 or older
6:30 Usually diagnosed later
7:30 Still at risk if you’ve over 50
7:43 Perils of discontinuing aspirin
8:43 Stopping increased risk by 30%
9:43 Stop as close to surgery as possible
10:27 End

Related blog:https://podblog.blogs.hopkinsmedicine.org/2017/10/03/hiv-in-the-50-crowd/

PodMed – Week of August 28, 2017

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