The Rounds Table

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This week on The Rounds Table we’re deepening our understanding of cardiovascular disease management through covering two exciting new articles. Kieran and Paxton break it down for listeners. Last season we covered FOURIER/evolocumab and the reduction of cardiovascular events through aggressive lipid lowering with PCSK-9 inhibitors. Do treatments that target inflammation without affecting lipid levels ...

The post CANVASsing for Healthy Hearts: Canakinumab for Atherosclerosis and Canaglifozin for Cardiovascular Risk Reduction appeared first on Healthy Debate.

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Grab a cup of coffee and get ready to listen – we’re back with a brand new episode to kick off the fourth season of The Rounds Table. How do older adults prefer to discuss cancer screening cessation with their clinicians? Does regular coffee consumption impact mortality? Kieran Quinn and Emily Hughes cover two thought ...

The post We’re off to an EPIC Start! Cancer Screening Cessation and Coffee Drinking & Mortality appeared first on Healthy Debate.

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This week on The Rounds Table we are breaking the dogmas in clinical practice to find out if less is more. Does diverticulitis even require antibiotics in the age of antimicrobial stewardship? Next, how does casting compare to surgery for ankle fractures in older adults? Kieran and Lauren Lacroix discuss two thought-provoking new studies: Diverticulitis ...

The post Summer Replay: Breaking the Status Quo – Antimicrobial Stewardship in Diverticulitis & Casting vs. Surgery for Ankle Fractures appeared first on Healthy Debate.

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Steroids are important and ubiquitous medications, and the side effects of long term use are well known and often reviewed. But what should clinicians know about short term use: are these medications benign? Jay takes listeners through a retrospective cohort study examining adverse events (sepsis, venous thromboembolism, fractures) associated with short term use of oral ...

The post Summer Replay: C the Difference – Adverse Events in Short Term Steroid Use & Prevention of Recurrence of C. difficile appeared first on Healthy Debate.

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This week on The Rounds Table we are focusing on papers that highlight talent at home – here in Toronto! Kieran hosts Dr. James Downar and Dr. Mike Fralick to discuss their recent publications, and Emily and Sheliza bring listeners the final special segment of the year. The surprise question – Would I be surprised ...

The post Summer Replay: Calling Home – Accuracy of The Surprise Question, Medical Assistance in Dying, and SGLT2 Inhibitors & DKA appeared first on Healthy Debate.

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A recurring question: in the management of BP, how low should we go? This week, Paxton and Kieran discuss two studies that aim to refine the answer. The appropriate treatment target for systolic blood pressure in elderly patients with hypertension is uncertain, particularly for the frail elderly. Kieran leads the discussion on the SPRINT 75 ...

The post Summer Replay: Aging Gracefully – SPRINTing to the right blood pressure target! appeared first on Healthy Debate.

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Physician burnout is a work related syndrome involving emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment. The prevalence of burnout has reached a shocking 50% in both staff and resident physicians! Something needs to be done. Ariel Lefkowitz, Chief Medical Resident at Mount Sinai Hospital in Toronto, takes listeners through a systematic review ...

The post Summer Replay: We Need to Talk About It – Physician Burnout and Sex Differences in Salary appeared first on Healthy Debate.

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It’s arrhythmia week on The Rounds Table! Should heart failure patients give up a caffeine jolt in the morning? How can we better identify appropriate patients for ICDs? Paxton Bach, fellow in General Internal Medicine at UBC, joins Kieran to discuss two exciting studies: Studies that inform practice toward the best medical treatments are of ...

The post Summer Replay: DANISH with your Coffee? ICDs for Non-Ischemic Cardiomyopathy and Effects of High Dose Caffeine on Cardiac Arrhythmias appeared first on Healthy Debate.

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It’s big data week on The Rounds Table! When initiating pharmacotherapy for atrial fibrillation, which drug is best? How does frailty influence surgical outcomes? Kieran and Michael Fralick, General Internist at St. Michael’s Hospital, take listeners through two noteworthy studies: When a new medication is developed it is generally compared against standard of care or ...

The post Summer Replay: Big Data – Dabigatran vs. Rivaroxaban for Atrial Fibrillation and Association of Frailty with Post-Operative Mortality appeared first on Healthy Debate.

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Is quitting cold turkey the best way to stop smoking? When should you transfuse a patient? How effective are current models of palliative care? We’re answering relevant and thought-provoking questions this week on The Rounds Table! Ashley, like many family physicians, makes a point of advising and supporting smoking cessation at most visits she has ...

The post Summer Replay: All Things Must End – Gradual Versus Abrupt Smoking Cessation and Palliative Care Effectiveness appeared first on Healthy Debate.