PODCAST

The Rounds Table

Dr. John Fralick and Dr. Michael Fralick

The Rounds Table is a free recurring medical podcast covering the latest and most important research from major medical journals. It is intended for all practicing healthcare professionals and aims to to help them keep up to date in the care of their patients.

science life sciences

All Episodes

Together Again: Aromatase Inhibitor for DCIS and New...

The Rounds Table ·

2016/04/01

This week, Amol and Nathan discuss breast cancer and colorectal cancer: Two randomized control trials compared the aromatase inhibitor anastrozole to tamoxifen as adjuvant hormone therapy for postmenopausal women with ductal carcinoma in situ. Both trials were double blind and multi-centred, with one trial (NSABP B-35) enrolling North American patients and the other (IBIS-II DCIS) ... The post Together Again: Aromatase Inhibitor for DCIS and New Colorectal Cancer Screening Recommendations appeared

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Headlines and Highlights: A Review of the Latest...

The Rounds Table ·

2016/03/25

This week, we debut a new format at the Rounds Table. Amol reviews articles published from the latest edition of four journals: Journal of the American Medical Association (JAMA), the Lancet, Annals of Internal Medicine and the New England Journal of Medicine (NEJM). Tune in to hear the latest medical findings, including mindfulness for back ... The post Headlines and Highlights: A Review of the Latest Edition of Four Journals appeared first on Healthy Debate.

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An Exercise in Contrasts: Contrast Induced...

The Rounds Table ·

2016/03/18

This week, Amol discusses contrast induced nephropathy. At an overall reported incidence of 10%, contrast induced nephropathy leads to worse clinical outcomes and double the rate of mortality. A systematic review and meta-analysis on the effectiveness of prevention strategies found that there is no strong evidence for any intervention beyond volume expansion with saline. N-acetyl ... The post An Exercise in Contrasts: Contrast Induced Nephropathy and Exercise in Cancer appeared first on Healthy

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Replay: Amol’s 10 Favourite Papers of 2015

The Rounds Table ·

2016/03/11

This week we are replaying our first episode of the season. Originally aired on January 11, 2016, Amol, general internal medicine resident at the University of Toronto, talk about his 10 favourite papers of 2015. Rate us on iTunes! Follow us on Twitter @roundstable. The Papers 1. Teixobactin, a new antibiotic: http://www.nature.com/nature/journal/v517/n7535/full/nature14098.html 2. Modified Valsalva ... The post Replay: Amol’s 10 Favourite Papers of 2015 appeared first on Healthy Debate.

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Sepsis, Pepsis, and Happiness: New Sepsis Definition...

The Rounds Table ·

2016/03/04

This week, Amol, general internal medicine resident at University of Toronto, and Reena, general internist at St. Michael’s hospital in Toronto, discuss two recent papers: What exactly defines sepsis and how should sepsis be assessed? The Third International Consensus Definitions Task Force worked to define sepsis as “life-threatening organ dysfunction due to a dysregulated host ... The post Sepsis, Pepsis, and Happiness: New Sepsis Definition and Effect of Happiness on Mortality appeared first on

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Proud to be Here: Declining Rates of Dementia and...

The Rounds Table ·

2016/02/26

This week, Amol, general internal medicine resident at the University of Toronto, and Fahad, staff internist at St. Michael’s Hospital in Toronto, discuss 2 recent papers: Is dementia in decline? A study using the well-characterized Framingham cohort found that dementia rates in the last four decades have declined by 20%. Fahad evaluate the quality of ... The post Proud to be Here: Declining Rates of Dementia and EPO-Agents for Anemia in Kidney Disease appeared first on Healthy Debate.

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At the Crack of Dawn: Resident Working Hours and...

The Rounds Table ·

2016/02/19

This week, Amol, general internal medicine resident at the University of Toronto, and Nathan, general surgery resident also at the University of Toronto, discuss two recent papers: Resident duty hours have been a hotly debated topic for some time. A randomized control trial of United States residency programs compared conventional American duty hour regulations that ... The post At the Crack of Dawn: Resident Working Hours and Improving Antibiotic Prescribing appeared first on Healthy Debate.

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Changing Gears Completely: How Physicians Die and...

The Rounds Table ·

2016/02/12

This week, Amol, general internal medicine resident at the University of Toronto, and Fahad, staff internist at St. Michael’s hospital in Toronto, discuss 3 papers: Where do physicians die? What is the intensity of the care they receive at the end of life? Fahad discusses 2 papers that attempted to answer these questions. The first ... The post Changing Gears Completely: How Physicians Die and Frozen Fecal Transplant for C. difficile appeared first on Healthy Debate.

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Pure GOLD: Updated 2016 COPD Management Guidelines

The Rounds Table ·

2016/02/05

This week, Amol, general internal medicine resident at the University of Toronto, discusses the GOLD 2016 COPD management guidelines, and compares it to the new Star Wars movie! While many clinicians will have a well-practiced approach to managing COPD exacerbations, Amol examines the evidence for why we do what we do. He talks about the ... The post Pure GOLD: Updated 2016 COPD Management Guidelines appeared first on Healthy Debate.

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Cognition Edition: Post-Operative Delirium and...

The Rounds Table ·

2016/01/29

January is Alzheimer Awareness Month in Canada! To bring this to light, Amol and Nathan discuss three recent papers: The first is a systematic review and meta-analysis of risk factors for post-operative delirium. Among other findings, the study identified two nutritional-related variables, low BMI and low albumin, as delirium risk factors. Nathan relates this study to a ... The post Cognition Edition: Post-Operative Delirium and Healthcare Costs in Dementia appeared first on Healthy Debate.

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Old Questions, New Options: Spironolactone for...

The Rounds Table ·

2016/01/22

This week, we debut our new “Two Truths, One Lie” segment! Join us and put your knowledge to the test. As always, Amol, general internal medicine resident at the University of Toronto, and Reena, staff physician at St. Michael’s hospital, discuss 2 recent papers: A multi-centred cross over trial conducted in the UK tried to ... The post Old Questions, New Options: Spironolactone for Resistant Hypertension and Polymer-Free Stents appeared first on Healthy Debate.

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The Upbeat Episode: Opioid Prescription and High...

The Rounds Table ·

2016/01/15

Amol, general internal medicine resident at the University of Toronto, and Reena, staff physician in internal medicine at St. Michael’s hospital, discuss 2 recent papers: Opioid prescription is an increasing public health crisis. A retrospective cohort study found that patients who experience non-fatal opioid overdose almost always get re-prescribed opioids at large doses a month ... The post The Upbeat Episode: Opioid Prescription and High Sensitivity Troponin Assay appeared first on Healthy

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Amol’s 10 Favourite Papers of 2015

The Rounds Table ·

2016/01/11

Happy new year! In our first episode of 2016, Amol, general internal medicine resident at the University of Toronto, talk about his 10 favourite papers of 2015. Rate us on iTunes! Follow us on Twitter @roundstable. The Papers 1. Teixobactin, a new antibiotic: http://www.nature.com/nature/journal/v517/n7535/full/nature14098.html 2. Modified Valsalva manoeuvre: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2815%2961485-4/abstract 3. Prednisolone or pentoxifylline for alcoholic

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Fahad’s Work and Fahad Gets Worked Up: Prevalence of...

The Rounds Table ·

2015/12/18

This week, Amol, general internal medicine resident at the University of Toronto, and Fahad, general internist at St. Michael’s hospital in Toronto, discuss two recent papers: Fahad and colleagues recently published a study in JAMA that looks at severe adult undernutrition in low and middle income countries. Using 20-year health survey data collected by USAID, ... The post Fahad’s Work and Fahad Gets Worked Up: Prevalence of severely underweight women and peripheral arterial disease appeared

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Replay: Better Vagal Maneuvers for Arrhythmias and...

The Rounds Table ·

2015/12/11

This week we are replaying our first episode of the season. Originally aired on September 18, 2015, 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 ... The post Replay: Better Vagal Maneuvers for Arrhythmias and eCigarettes in Adolescents appeared first on Healthy Debate.

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The SPRINT to lower blood pressure

The Rounds Table ·

2015/12/04

This week, Amol, resident in General Internal Medicine at University of Toronto, and Mike Fralick, chief medical resident at St. Michael’s Hospital in Toronto, talk about 2 blood pressure studies: A meta-analysis and systematic review found that more intensive blood pressure lowering was associated with improved cardiovascular outcomes and albuminuria. Amol discusses the trade-offs of ... The post The SPRINT to lower blood pressure appeared first on Healthy Debate.

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Changing the Tune: Post-operative Readmission and...

The Rounds Table ·

2015/11/27

Amol, general internal medicine resident at the University of Toronto, and Nathan, general surgery resident at the University of Toronto, discuss 2 recent studies: Does it matter which hospital patients return to after surgery? A large retrospective cohort study showed that when post-operative patients are re-admitted to the same hospital where they had their surgery, ... The post Changing the Tune: Post-operative Readmission and Music as Perioperative Therapy appeared first on Healthy Debate.

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Diabetes Week: Mortality in Diabetes and DPP-4...

The Rounds Table ·

2015/11/20

This week, Amol, general internal resident at the University of Toronto, and Reena, General Internist at St. Michael’s Hospital in Toronto, discuss two papers: Reena shares a large registry-based study that found adult patients with Type 2 Diabetes in Sweden had a 15% higher mortality rate than the general population. Amol and Reena wonder why this ... The post Diabetes Week: Mortality in Diabetes and DPP-4 Inhibitors Compared to Sulfonylureas appeared first on Healthy Debate.

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Replay: Filtered Sunlight for Jaundice and Text...

The Rounds Table ·

2015/11/12

This week we are replaying one of our favourite episodes from earlier this season: Originally aired on October 3, 2015, Amol, general internal resident at the University of Toronto, and Fahad, Staff Internist at St. Michael’s Hospital in Toronto, discuss two papers. It’s phototherapy without the need for electricity. Fahad discusses how filtered sunlight is found to ... The post Replay: Filtered Sunlight for Jaundice and Text Messages for Healthy Lifestyle appeared first on Healthy

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Brain Week: Early Rehab for Stroke and Drug...

The Rounds Table ·

2015/11/06

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

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The Rounds Table

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