The Rounds Table

Send us Fan Mail

Migraine is a common presentation to primary care clinics. Current pharmacologic treatments offered by physicians have notable side effects and may be a financial burden. Understandably, patients are looking to alternative therapies. However, primary care providers may not be able to provide an educated opinion about whether these therapies are reasonable to pursue. Fraser provides ...

The post Keep Calm and Get Your Analgesic On: Acupuncture for Migraine Prophylaxis and Pregabalin for Sciatica appeared first on Healthy Debate.

Send us Fan Mail

Foreign medical graduates are an important resource, and data on their proficiency is important to the public. Jay guides listeners through a study that answers the following: do patient outcomes differ between general internists who graduated from a medical school outside of the United States and those who graduated from a US medical school? Each ...

The post Great Expectations: International Medical Graduates & MD Estimates of Benefits and Harms appeared first on Healthy Debate.

Send us Fan Mail

Contrast-induced nephropathy is cited as the third most common cause of iatrogenic acute kidney injury. In the Emergency Department, physicians must balance diagnosing life-threatening conditions using emergent imaging with the risk of potential harm caused by exposure to IV contrast. Recent studies, including the one discussed by Lauren in this episode, challenge the proposed causal ...

The post Emergent Realizations: Contrast-Induced Nephropathy & Opioid Prescribing Patterns appeared first on Healthy Debate.

Send us Fan Mail

Kieran has officially finished half of his Royal College Exam to qualify as a General Internist; which means, we are back to new episodes every week to keep listeners up to date with the most recent and important medical research. This week, Kieran and Ashley Minuk delve into two studies examining therapies in people with ...

The post Double Down: Liraglutide for the Prevention of Diabetes and Bariatric Surgery for the Treatment of Diabetes appeared first on Healthy Debate.

Send us Fan Mail

What if you could tell a woman about to undergo chemotherapy for breast cancer that you had an intervention that would significantly reduce her risk of hair loss during therapy? Or, tell an adult patient with physician diagnosed asthma that they could safely stop their asthma medications? This week on The Rounds Table we welcome ...

The post Keeping a Cool Head – Reducing Hair Loss During Chemotherapy & Challenging Asthma Diagnoses appeared first on Healthy Debate.

Send us Fan Mail

This week on The Rounds Table we are trying something a little different: just the salient points from FOUR articles instead of two! Same time spent listening, twice the take-away! Dr. Michael Fralick, general internist at St. Michael’s Hospital, takes the lead on this rapid fire approach. Even in the post-SPRINT era optimal BP targets ...

The post Rapid Fire to Keep the Blood Pumping – BP Management, Lung Cancer Screening, and Intubation During Cardiac Arrest appeared first on Healthy Debate.

Send us Fan Mail

It’s palliative care week on The Rounds Table! Kieran and Ariel guide listeners through two noteworthy new studies: interventions to clarify goals of care for individuals with advanced dementia; and a randomized trial of treatment for delirium in palliative care. Goals of care discussions are critical in ensuring treatments are aligned with patients expressed wishes. ...

The post REPLAY – Clearing Confusion in Palliative Care: Goals of Care Interventions for Dementia and Antipsychotics for Delirium appeared first on Healthy Debate.

Send us Fan Mail

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

Send us Fan Mail

“There is no comparable healthcare system in the world that does not ensure universal coverage of [at least] essential medicines.” – Dr. Steve Morgan on the need for Pharmacare in Canada What would a Canadian National Pharmacare Program look like? We break it down for you this week on a special episode of The Rounds ...

The post REPLAY – Is Canada Ready for National Pharmacare? appeared first on Healthy Debate.

Send us Fan Mail

Here at The Rounds Table we aren’t quite over Valentine’s Day; it’s cardiac week! Kieran and Paxton take listeners through two exciting studies on the influence of genetic and lifestyle factors in coronary disease and “Triple Therapy” in patients with atrial fibrillation and recent percutaneous coronary intervention. It’s easy to feel helpless as a physician ...

The post Mending a Broken Heart: Genetics & Lifestyle in Coronary Disease and Anticoagulation in Afib & Recent PCI appeared first on Healthy Debate.