Clinical Conversations

Latest Episodes:

Podcast 41: A repeat of an interview with Dr. Anne Schuchat of the CDC on childhood immunization levels. May 04, 2009

Show notes

Your host is struggling with an overload of pollen and its attendant insults to his immune system. Or maybe it’s the dreaded swine flu. In any event, Dr. Anne Schuchat gave an interesting interview on childhood immunization levels in those halcyon pre-porcine-obsessed days of September 2008, and I’m repeating it for you this week.

This week’s links:

Resources mentioned in the interview with Dr. Schuchat:

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Podcast 40: Tight control in type 2 diabetes — time to loosen up? A conversation with Mayo’s Victor Montori. Apr 25, 2009

Show notes

The Annals of Internal Medicine published an intriguing essay online last week about tight glycemic control in type 2 diabetes. Its authors argue that we’ve got it all wrong: imposing tight controls is only subjecting patients to stresses — related to the complexities and costs of treatment — that make control less likely to succeed. In addition, the supposed benefits of that control haven’t been confirmed by the available evidence. They advocate a backing-off of the current stern limits, which might make visits to clinicians feel less like a visit to the principal’s office. Listen in on a conversation with Dr. Victor Montori, one of the essay’s coauthors. As always, you are invited to weigh in with your own thoughts. Leave us a piece of your mind at 1-617-440-4374. This week’s links:

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Podcast 39: A conversation with Kimford Meador about a new paper assessing the later cognitive effects of fetal exposure to antiepileptic drugs. Apr 20, 2009

Show notes

Neurologists have talked about these effects for a while, but now they’ve got evidence showing that valproate lowers IQ at age 3 by almost 10 points. Since only half the antiepileptics are used in epilepsy, the results will affect everyone caring for women of reproductive age. Kimford Meador of Emory University is here to talk with us about it.

Let me have your reactions at 1-617-440-4370. I do like hearing from listeners, if only to guide me to better content.

This week’s news and interview links:

Valproate Use During Pregnancy Associated with Impaired Cognitive Function in Offspring

The post Podcast 39: A conversation with Kimford Meador about a new paper assessing the later cognitive effects of fetal exposure to antiepileptic drugs. first appeared on Clinical Conversations.

Podcast 38: A conversation about using PPIs in poorly controlled asthma — rather, not using them — with Robert A. Wise of Johns Hopkins. Apr 11, 2009

Show notes

There are lots of people with poorly controlled asthma who are on PPIs, but don’t need to be. That’s the clear implication of research just published in the New England Journal of Medicine. We’ll talk with a member of the writing committee, Dr. Robert A. Wise. If you like what you hear, call 1-617-440-4374, and if you don’t, the number’s the same — call anyway. Here are the principal links for this week’s podcast:

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Podcast 37: A conversation with Vancouver General Hospital and the University of British Columbia’s Donald Griesdale about a meta-analysis on tight gl... Apr 03, 2009

Show notes

This week we talk with Don Griesdale about his meta-analysis on glucose control during intensive care. The evidence is complex, but we hope the presentation is straightforward and useful. You’ll let us know if it isn’t, right? Just call us at 1-617-440-4374 and leave a message. This week’s links:

The post Podcast 37: A conversation with Vancouver General Hospital and the University of British Columbia’s Donald Griesdale about a meta-analysis on tight glucose control in the ICU. first appeared on Clinical Conversations.

Podcast 36: Michael K. Kearney is our guest. He talks about the self-care of clinicians engaged in end-of-life care. Mar 30, 2009

Show notes

We’ve got an interview with the first author of JAMA‘s final installment in its series on end-of-life care. The last paper focuses on the (necessary) self-care of clinicians who care for the dying. It’s an interesting discussion. Please call 1-617-440-4374 if you have any comments. I’ll toss them into the mix. This week’s links:

The post Podcast 36: Michael K. Kearney is our guest. He talks about the self-care of clinicians engaged in end-of-life care. first appeared on Clinical Conversations.

Podcast 35: Clinical Conversations reprises an interview with Mary Tinetti about falls in the elderly. Mar 20, 2009

Show notes

Clinical Conversations, the podcast formerly known as Admitting Diagnosis, offers this week a reprise interview from last summer: Mary Tinetti talks about preventing falls in the elderly. Call 1-617-440-4374 to leave a suggestion. Let’s hear from you.

Links:

Dr. Tinetti interview

The post Podcast 35: Clinical Conversations reprises an interview with Mary Tinetti about falls in the elderly. first appeared on Clinical Conversations.

Podcast 34: An interview with Cheryl Bushnell of Wake Forest about her paper in BMJ concerning migraines during pregnancy and the possibility of their... Mar 13, 2009

Show notes

BMJ‘s paper on the possible association of migraine during pregnancy and stroke (and other vascular problems) is the focus of this week’s interview. We speak with first-author Dr. Cheryl Bushnell. And then there’s the week’s news, plus a message from a listener! It could have been you, if only you’d called 1-617-440-4374 and made a comment. Maybe you could get yourself to a phone and give it a shot this week? Relevant links:

The post Podcast 34: An interview with Cheryl Bushnell of Wake Forest about her paper in BMJ concerning migraines during pregnancy and the possibility of their relation to strokes and other vascular problems. first appeared on Clinical Conversations.

Podcast 33: We repeat, after the principal news of the week, an interview with Stephen Hetz, co-editor of “War Surgery in Afghanistan and Iraq” Mar 08, 2009

Show notes

This week’s podcast includes an interview from September 2008 with Stephen Hetz, co-editor of “War Surgery in Afghanistan and Iraq,” published last summer by the Surgeon General. We’re going to change our name to “Clinical Conversations.” which, come to think of it, makes more sense than “Admitting Diagnosis,” but doesn’t have the mystery and the possibilities. We heard that the old name smacked too much of the classroom, etc. So, let me know how you feel about the series so far. Call 1 617 440 4374 and leave me a message. Thanks! Links:

The post Podcast 33: We repeat, after the principal news of the week, an interview with Stephen Hetz, co-editor of “War Surgery in Afghanistan and Iraq” first appeared on Clinical Conversations.

Podcast 32: Reprise of a June 2008 interview with Larry Allen from Duke, in which he talks about patients’ estimates of their life expectancy, compare... Feb 28, 2009

Show notes

We’ve run into a scheduling problem with the person we wanted to talk with. We’ll try again next week, because his views are intriguing and I’m guessing you’d rather have intriguing than ho-hum. However, so that you won’t have wasted your time downloading the podcast, I’ve reprised an interview from last June, when few of you were listening. It deals with the problem of patients’ false sense of optimism about their life expectancy. Intriguing for sure. Let me know what you think. Call 1 617 440 4374 and leave a message. NEWS LINKS:

INTERVIEW LINKS

The post Podcast 32: Reprise of a June 2008 interview with Larry Allen from Duke, in which he talks about patients’ estimates of their life expectancy, compared with what disease models predict. first appeared on Clinical Conversations.

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