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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

7:36

Friday Reflection 27: The Poor Historian

Sensible Medicine ·

2023/08/11

BW was a 66-year-old woman who presented for an urgent visit to the general medicine clinic. She reported that she had been having dizziness for the last four days. When pressed, she said it occurred intermittently, being present more than absent. She could not identify any palliative or provocative features, and when asked about associated symptoms she said that she felt “bad and scared” when it was present. The doctor encouraged her, many times, to characterize the dizziness, and she could only

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12:56

Friday Reflection #26: General Internal Medicine in...

Sensible Medicine ·

2023/07/28

There is something valuable about learning to adapt old skills to novel situations. 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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35:47

Podcast discussion on Nutrition Science, HFpEF and...

Sensible Medicine ·

2023/07/27

Adam and I discuss three topics I) The MIND Trial published in NEJM. Does a special diet reduce the future risk of cognitive decline?II) HFpEF — I am speaking at a congress on heart failure with preserved ejection fraction this week, and Adam helps me out with some pointers. III) NYT published a Sunday front page story on potential overuse of procedures for peripheral artery disease. JMM This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes,

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11:27

Friday Reflection 25: The Advice I’d Like to Give a...

Sensible Medicine ·

2023/07/14

Four pieces of advice nobody asked for. 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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10:43

Friday Reflection 24: I Would Rather Go Back in Time

Sensible Medicine ·

2023/06/30

KW was a 58-year-old man with long standing type 1 diabetes mellitus and hypertension. He came to an appointment one Friday afternoon with chest pain. The pain had been present intermittently for 10 days. It was on the left side of his chest and beneath his sternum. It did not radiate anywhere, it was not related to exertion, nor was it associated with diaphoresis or shortness of breath. It was also not positional and there were no areas of tenderness.Sensible Medicine is a reader-supported

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59:19

Sensible medicine

Sensible Medicine ·

2023/06/28

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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6:42

Friday Reflection 23: The Ghost Patient Panel

Sensible Medicine ·

2023/06/16

This ghost panel is made up of people who used to be my patients but no longer are — people who left my practice without telling me. 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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58:13

Medical Conservatism, the ELAN Trial, and Residents...

Sensible Medicine ·

2023/06/13

Links The Case for Being a Medical Conservative https://www.amjmed.com/article/S0002-9343(19)30167-6/fulltextELAN Trial https://www.nejm.org/doi/full/10.1056/NEJMoa2303048Mandrola on NYC Residents’ Strike https://www.medscape.com/viewarticle/992607 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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52:37

Medical Evidence, Hype, Cancer Drugs, Conflict

Sensible Medicine ·

2023/06/05

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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7:44

Friday Reflection 22: The Memory Binder

Sensible Medicine ·

2023/06/02

I visit the binder to pay my respects, to learn, to reminisce, and to trace the arc of my career. 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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8:40

A Heartfelt Plea to Become A Primary Care General...

Sensible Medicine ·

2023/05/26

Medicine in America will be better, more humane, and more affordable with more good, smart, dedicated primary care physicians. Be part of the solution. 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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54:48

Seeding trials/ Choosing Students

Sensible Medicine ·

2023/05/22

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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8:54

Friday Reflection #21: Revealing Ignorance

Sensible Medicine ·

2023/05/19

Why did it take years for me to reach a time in my career when I am comfortable admitting knowledge gaps? 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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64:08

Mandrola gives VP Health Advice

Sensible Medicine ·

2023/05/08

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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10:29

Friday Reflection 20: The Clinical Set Point

Sensible Medicine ·

2023/05/05

When patients meet a new doctor, both patient and doctor should be aware of each other’s philosophy. 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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61:38

The Great Chat GPT debate

Sensible Medicine ·

2023/05/02

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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58:46

Medical uncertainty, 7th dose, ABIM and Modules

Sensible Medicine ·

2023/04/24

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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8:02

Friday Reflection 19: A Pledge That Can Be Hard to Honor

Sensible Medicine ·

2023/04/14

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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54:35

RSV vaccines/ Mifepristone/ Overtreatment/ Long COVID

Sensible Medicine ·

2023/04/10

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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56:33

Chat GPT - Medical Journals - Treating early disease...

Sensible Medicine ·

2023/04/03

Chat GPT - Medical Journals - Preventive 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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114 results

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