The Paradocs Podcast with Eric Larson

Latest Episodes:

Episode 096: From Pandemic to Endemic - How COVID-19 Will Get There. Aug 21, 2020

Show notes

Following our discussion last week where we discussed the probable lower herd immunity rate threshold for COVID-19, today we are going to discuss the transition from a global pandemic to endemic state for the virus. This makes one fundamental assumption - that COVID-19 isn't going to go away, ie, it won't get eradicated. The reasons to suspect this are all around us in that almost no viruses have been eradicated.

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Episode 095: Is Herd Immunity Here for COVID? Aug 12, 2020

Show notes

One commonly used expression regarding the current COVID pandemic is herd immunity. People are obsessed with reaching herd immunity as soon as possible so that we can put this pandemic to bed. It is hoped that the development of a vaccine will get us the herd immunity of 60-80% far quicker than waiting to reach it through natural infections. But my guest today is convinced her modeling puts the actual immunity threshold at only 10-20% meaning we may already be there in some cities and countries.

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Episode 094: The End of Safe Harbor for PBMs? Aug 05, 2020

Show notes

Pharmacy benefit managers (PBMs) are one of the 'middle men' in health care that have recently come under fire for the added expense they bring in the prescription drug market. What was once a relatively unknown player in the health care delivery process, PBMs are now finding themselves with a target on their back for the first time.

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Episode 093: Cutting Generic Drug Prices for Everyone with Zach Zeller of Scriptco Jul 29, 2020

Show notes

One driver of health care inflation in the United States are pharmaceuticals. Although we usually associate rising drug prices with prescription medicines, that is not always the case. In fact, the purchase of generics through insurance plans can be surprisingly expensive. This is because the 'discount' provided by your insurance carrier may not really be much of a discount and your copay could be many times more expensive than the wholesale price of the drug.

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Episode 092: The MOC Shakedown with Dr. Torie Sepah Jul 23, 2020

Show notes

Maintenance of Certification (or MOC) is a requirement by all the specialty boards in the United States that is above and beyond what the original certification is to become board certified. In the 90's specialty boards put time limits on the original certification and began to require MOC and its outrageous fees and busywork. Dr. Torie Sepah is a board certified psychiatrist in Pasadena, CA and feels that the MOC process has become nothing more than a new shakedown.

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Episode 091: COVID, Immunity, and Back to School Jul 11, 2020

Show notes

Now that we're approaching the half way point of summer it's time to start thinking about what we're going to do with school for K-12 (and college) kids. States and communities are starting to finalize their plans with how they expect to conduct elementary and secondary education in the face of the COVID pandemic. The only certainty is that there is a lot of uncertainty in what will happen.

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Episode 090: The History Behind Hydroxychloroquine with Dr. Adam Rodman Jul 02, 2020

Show notes

Hydroxychloroquine is an old medicine and treatment for conditions causing cyclical fevers like malaria. But hydroxychloroquine has been used in the treatment of infections like SARS, influenza and others. Why did this happen? Where did it start? And what is its place today in the treatment regimen for COVID-19? My guest today is Dr. Adam Rodman of Bedside Rounds Podcast. He is an internist and amateur medical historian who has studied in depth on the origins of hydroxychloroquine.

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Episode 089: Primary Care by Text Message with Dr. Brad Younggren Jun 24, 2020

Show notes

What does it mean to have a virtual telehealth doctor's visit? Can artificial intelligence (AI) and telehealth actually work in a medical setting in a way that doesn't frustrate doctors or patients? Well, my guest today is the chief medical officer of 98Point6 which is a text based primary care service for patients. That's right, patients use their phone or tablet with texts to receive their primary care.

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Episode 088: Hand Surgery without Anesthesia with Dr. Randy Lovell Jun 18, 2020

Show notes

Today I'm joined by my friend and colleague Dr. Randy Lovell who has opened his own innovative practice in Grand Rapids where he looks to become fully transparent. Dr. Lovell has implemented and perfected the technique of WALANT or Wide Awake Local Anesthesia No Tourniquet. He describes in great detail the advantages of this practice technique not just for the patient and physician experience - but also for the way it allows him to build a private practice that simplifies the billing too.

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Episode 087: The Deception on Coronavirus from our Leaders May 08, 2020

Show notes

We're back at it again discussing the Coronavirus pandemic. The shutdowns/lockdowns continue in the United States and the tenor of the debate or discussion had changed within the media and culture. At the beginning of the pandemic the focus was on flattening the curve. Today, it is about stopping people from 'catching' the coronavirus. This is a mistake.

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