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Sensible Medicine

Sensible Medicine Authors and Editors

Common sense and original thinking in bio-medicine A platform for diverse views and debate www.sensible-med.com

science medicine

All Episodes

5:56

Friday Reflection 43: The Absence of Reassuring...

Sensible Medicine ·

2024/08/30

Even when a decision is clear, and things turn out badly, the lack of a counterfactual allows endless second guessing. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit www.sensible-med.com/subscribe

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29:20

What Medical School Looks For and What Medical School...

Sensible Medicine ·

2024/08/29

I discuss how medical students are selected, and perhaps how they should be selected. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit www.sensible-med.com/subscribe

en

5:04

The Retirement of Dr. Mark Siegler

Sensible Medicine ·

2024/07/26

Remarks about a model clinician. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit www.sensible-med.com/subscribe

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7:20

Friday Reflection 42: Patient Approaches to a...

Sensible Medicine ·

2024/07/19

It would be foolish to argue that doctors are unaffected by how they are treated by patients. Their treatment may not affect the care they deliver and only affect how they feel at the end of the day. It is probably impossible to know. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit www.sensible-med.com/subscribe

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26:17

A Discussion with Professor Venk Murthy on Coronary...

Sensible Medicine ·

2024/06/26

When I type the words coronary artery disease I bet that you picture angiograms with stenotic lesions—blockages in colloquial language. Indeed a high grade plaque from atherosclerosis in the inside of a coronary artery can limit flow to the heart muscle. But. But. Not as much as you think. You know why? Because there is something called the coronary microcirculation. Before blood gets to the beating heart muscle it has to go through small blood vessels. So small that you can’t see them. A study in

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44:57

Impella, Mammograms and Med School Fails Students

Sensible Medicine ·

2024/06/26

VP fixed the audio This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit www.sensible-med.com/subscribe

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7:34

Fear and Opioids in Academic Medicine

Sensible Medicine ·

2024/06/21

Regard for power implies disregard for those without power; part 3 This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit www.sensible-med.com/subscribe

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42:42

A discussion with interventional cardiologist Dr...

Sensible Medicine ·

2024/06/16

David Cohen is one of the smartest docs on Twitter. I learned a bunch talking with him. The procedure called transcatheter aortic valve implantation or TAVR is a damn miracle. In days of old, a heart surgeon would have to saw open the chest and cut out the heavily calcified immobile aortic valve and sew in a new one. I watched a case as a young doctor and came away shocked that patients survive this surgery. TAVR is even more stunning. Doctors place a valve up the aorta, across the diseased valve,

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38:35

Adam and I discuss the week's medical news

Sensible Medicine ·

2024/05/30

This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit www.sensible-med.com/subscribe

en

45:27

Cifu, Prasad, Mandrola

Sensible Medicine ·

2024/05/27

A spirited discussion of craziness in medicine This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit www.sensible-med.com/subscribe

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6:19

Friday Reflection #39: What to Expect When You Are Aging

Sensible Medicine ·

2024/05/17

MM is 94 years old. Her only active medical issues are hypertension and vitamin D deficiency. She takes only 20 mg of lisinopril and 1000 units of vitamin D3 each day. She has no cognitive decline and gardens every day if the Chicago weather allows. Her Friday afternoon appointment is the doctor’s last of the week.Sensible Medicine is a reader-supported publication. If you appreciate our work, consider becoming a free or paid subscriber.I’ve already written a reflection on four things patients have

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39:31

A Novel Approach to AF Ablation

Sensible Medicine ·

2024/05/16

A few short words about our conversation: Two decades have passed and electrophysiologists have learned little about how to ablate atrial fibrillation. Now, and then, we simply ablate circles around the orifices of the pulmonary veins. This works reasonably well. But we don’t—exactly—know why it works. For instance, some patients have total elimination of AF, but when they are restudied, they have reconnection of PV activity. Observations like these suggest there is something else happening with our

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41:51

Video version of our podcast

Sensible Medicine ·

2024/05/11

We discuss the state of medical education, Harvard music video, causal language at JAMA and more This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit www.sensible-med.com/subscribe

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41:51

Cifu, Mandrola, Prasad

Sensible Medicine ·

2024/05/10

Video will be available to paid subscribers This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit www.sensible-med.com/subscribe

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22:48

A Discussion with Dr. Dena Zeraatkar regarding...

Sensible Medicine ·

2024/04/30

Gosh was this a great conversation about her recent paper on specification curve analysis of nutritional observational studies. Here is Dr. Zeraatkar’s bio:Dena Zeraatkar, PhD is an Assistant Professor in the Departments of Anesthesia and Health Research Methods, Evidence, and Impact (HEI) at McMaster University. She earned her doctoral degree at McMaster University in the Health Research Methodology graduate program. Following her doctoral training, she pursued postdoctoral training at Harvard

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10:03

Friday Reflection 38: Yesterday’s Solutions; Today’s...

Sensible Medicine ·

2024/04/12

The Thomas Sowell quote, “On closer scrutiny, it turns out that many of today's problems are a result of yesterday's solutions” has been ringing in my head a lot lately. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit www.sensible-med.com/subscribe

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44:05

Yet Another Excellent Explainer About P-Values in...

Sensible Medicine ·

2024/04/04

Gosh was I lucky to speak with Professor Erik Van Zwet from Leiden University in the Netherlands. He is the first author on a recent NEJM Evidence paper looking at more than 23,000 trials in the Cochrane Database. (I linked to an URL that should get by the paywall.) There are technical aspects of this paper. We hit on some (not a lot) of them. The gist of it though is really important when we look at evidence. Erik did an excellent job of explaining P-values, trial power, and, at the end, we discuss

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8:08

Friday Reflection 37: Why I Teach (acceptable and...

Sensible Medicine ·

2024/03/08

Why have I been committed to medical education? Some of the reasons are admirable but not terribly novel. Others are a bit hard to admit, but just as true. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit www.sensible-med.com/subscribe

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7:55

Friday Reflection 36: Why Don’t Doctors Want to See...

Sensible Medicine ·

2024/02/02

Friday Reflection 35: Why Don’t Doctors Want to See Patients?I was asked “Why is it that doctors don’t want to see patients?” and I could not answer the question. Fourteen months later, here is my response. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit www.sensible-med.com/subscribe

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7:40

New Austrian Study Shows Boosters do NOT reduce...

Sensible Medicine ·

2024/01/25

This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit www.sensible-med.com/subscribe

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