The Rounds Table

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Amol, general internal resident at the University of Toronto, and Raed Joundi, neurology resident at the University of Toronto, discuss 2 recent studies: Is early mobilization helpful for stroke patients? A randomized control trial showed that early aggressive rehabilitation for acute stroke patients resulted in worse outcomes. Amol and Raed speculate reasons behind this counter-intuitive ...

The post Brain Week: Early Rehab for Stroke and Drug Interaction Increases Bleeding in Brain appeared first on Healthy Debate.

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Amol, general internal resident at the University of Toronto, and Janice, general internist at the Mount Sinai Hospital in Toronto, discuss 2 recent studies: Dying with dignity is not easy, especially in a highly charged environment like the Intensive Care Unit. Janice talks about a mixed methods study that examined the impact of soliciting and fulfilling ...

The post Wishes and Pills: Fulfilling Wishes for Dying Patients and Medications for Back Pain appeared first on Healthy Debate.

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This week we are replaying one of our favourite old episodes, due to many of our team members being away at the Canadian Society of Internal Medicine Conference. Originally aired on April 17, 2015, Nathan and Amol want you to understand the following: 1. There was no significant difference between three different call schedules in ...

The post Replay: Resident Call Schedules in the ICU and Thyroid Nodules appeared first on Healthy Debate.

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Amol and Janice, general internal medicine residents at the University of Toronto, discuss 2 recent studies that challenge 2 widely accepted medical practices. Does using acetaminophen to treat fever improve outcomes? A randomized control trial found that giving acetaminophen to critically ill patients did lower their fever, but did not affect the number of ICU ...

The post Questioning Convention: Acetaminophen for Fever and Calcium for Fractures appeared first on Healthy Debate.

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The “broken heart syndrome” – not always caused by a broken heart? A multi-national, multi-centered observational study on takotsubo cardiomyopathy found that physical triggers are more common than emotional triggers, patients present predominantly with chest pain, ECG changes, and troponin elevation. The study also generated surprising hypotheses about what medications have long-term benefit for these ...

The post What the Heart Wants: Takotsubo Cardiomyopathy and Cardiovascular Benefits of Empagliflozen appeared first on Healthy Debate.

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It’s phototherapy without the need for electricity. Fahad discusses how filtered sunlight is found to be equivalent to conventional phototherapy in treating infants with elevated bilirubin levels. The film that filters the sunlight is low cost and low-tech, yet has the potential for global impact. Amol discusses using text messages to battle cardiovascular disease. Semi-personalized motivational ...

The post Brave New World: Filtered Sunlight for Jaundice and Text Messages for Healthy Lifestyle appeared first on Healthy Debate.

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Nathan discusses a randomized trial about breast cancer screening that found that sending women information about both the risks and the benefits of breast cancer screening resulted in more women making an “informed choice” and fewer wanting to undergo screening mammography. Amol discusses the BRIDGE trial, which found that not bridging patients’ anticoagulation around the ...

The post Arithmetic Operations: Breast Cancer Screening Choices and Anticoagulation Bridging appeared first on Healthy Debate.

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Amol and Fahad discuss: 1. A randomized controlled trial shows that a new approach to vagal maneuvers for supraventricular tachyarrhythmia was shown to be significantly more effective than traditional maneuvers. 2. A survey in California adolescents shows that there is an association between eCigarette use and subsequent tobacco use, raising concerns about a ‘gateway’ effect. The ...

The post New Beginnings: Better Vagal Maneuvers for Arrhythmias and eCigarettes in Adolescents appeared first on Healthy Debate.

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Season 2 of The Rounds Table kicks off next week. To get things started, here’s a short episode with ‘good stuff’ recommendations from our excellent new team: Jennifer Peng, Anthony Maher, and Annie Wang. Good Stuff Jennifer: http://www.theatlantic.com/health/archive/2014/11/the-dutch-village-where-everyone-has-dementia/382195/  Anthony: http://blogs.plos.org/globalhealth/2013/11/jojewell2/?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+plos%2Fblogs%2Fblogosphere+%28Blogs+-+Blogosphere%29 Annie: http://freakonomics.com/2015/08/27/are-you-ready-for-a-glorious-sunset-a-new-freakonomics-radio-episode/  Music Credits (Creative Commons): In your Robotic Heart – Nicolai Heidlas https://soundcloud.com/nicolai-heidlas/in-your-robotic-heart Drive – Nicolai Heidlas https://soundcloud.com/nicolai-heidlas/drive-fresh-upbeat-pop-background-music Piano ...

The post Season 2 Promo: “Good Stuff” from our great new team appeared first on Healthy Debate.

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Amol and Reena want you to understand the following: 1. When added to moderate dose statin, the IMPROVE-IT randomized trial showed that ezetimibe improved clinical outcomes in patients after acute coronary syndrome. 2. A network meta-analysis showed that no blood pressure lowering therapy improved mortality in patients with diabetes and chronic kidney disease. The combination of ACE-inhibitors and ...

The post Summer Replay 4: Ezetimibe and clinical outcomes, BP lowering in diabetes and kidney disease appeared first on Healthy Debate.