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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

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All Episodes

5:35

Friday Reflection 31: Senses, Memories, and Medicine

Sensible Medicine ·

2023/10/20

Friday Reflection 31: Senses, Memories, and MedicineMedical training introduced me to a whole menu of smells -- both diagnostic tools and reminders of times in 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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54:17

Sudden cardiac death and arrhythmias in athletes

Sensible Medicine ·

2023/10/18

Sudden cardiac death due to ventricular rhythm disturbances are rare but highly public. It’s strange and curious because you don’t expect healthy athletes to suffer serious cardiac issues. Recently three prominent athletes have survived sudden cardiac death. Christian Erikson, a Danish soccer player, Damar Hamlin, an American football player and Bronny James, son of Lebron James. These high-profile cases have highlighted the issue of sudden cardiac death of athletes. Dr. Dorian has published

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54:55

Prasad's lecture gets cancelled/ Cifu Gets COVID

Sensible Medicine ·

2023/10/16

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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35:12

New Podcast -- Discussion with Rita Redberg and...

Sensible Medicine ·

2023/10/05

Angela Lu is training to be a physician. She’s interested in public policy. As a third year medical student, she teamed up with established leaders to ask a unique question regarding public disclosure of financial relationships. When the Centers for Medicare & Medicaid Services (CMS) issues National Coverage Determinations (NCDs) for services or products, they mean business. Such decisions have huge implications. You cannot go against them. Think #HighConsequences.CMS studies the evidence and

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64:50

Foy and Mandrola Talk Coronary Calcium and a New...

Sensible Medicine ·

2023/09/27

Andrew Foy rejoins the Sensible Medicine podcast. We talk first about coronary artery calcium. Andrew is an expert in this area. We have co-written our case against CAC scoring for any cause in the American Family Physician. It’s had little effect as CAC scoring is running rampant. Sensible Medicine is a reader-supported publication. To receive new posts and support our work, consider becoming a free or paid subscriber.The second part of our conversation centers on a big med-ed project Andrew is

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40:03

Foy and Mandrola Discuss AF, AF-Ablation,...

Sensible Medicine ·

2023/09/19

This week, I talk with Andrew Foy, who is an academic cardiologist at Penn State University in Hershey, PA. Andrew is one of the smartest voices in medicine today. We start with the REMEDIAL trial, published recently in JAMA. Ablation vs Meds. Primary endpoint—depression and anxiety. One of the main issues was the control arm—namely that there was no sham control. We referenced this useful review paper on placebo and nocebo effects in cardiology, from Brian Olshansky. Our second topic was the FRAIL

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48:39

Coumadin beats DOAC, ECMO fails, When RCTs needed,...

Sensible Medicine ·

2023/09/11

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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9:17

Friday Reflection 29: The Totally Predictable Doctor...

Sensible Medicine ·

2023/09/08

AC is a 56-year-old man brought to the emergency room by ambulance for a trauma evaluation after a bicycle crash.Sensible Medicine is a reader-supported publication. If you appreciate our work, consider becoming a free or paid subscriber.I’ve tried to stay away from the reflections that end up being part of the “doctor-as-patient” genre.[i] Books, TV shows, and movies are filled with these stories.[ii] A doctor gets sick or injured, spends time as a patient, and then authors a piece with a

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51:59

Sensible Medicine x Vaccine Curious: Tracy Beth Høeg...

Sensible Medicine ·

2023/08/29

Sensible MedicineSensible Medicine x Vaccine Curious Cross Podcast on the USA vs Denmark, vaccines, etc:Show notes by Dovid Y Rimmer, Tracy Beth Høeg and Christine Stabell Benn* Benn, Høeg. Regarding becoming a medical skeptic. Hoeg: anonymous blog - exercise during pregnancy. Benn: Vitamins, sex differences, and vaccines.* Differences in pandemic response between Denmark v. California - school reopening, masks.* USA recommends boosters (yearly) for Children, Denmark does not recommend vaccinating

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11:17

Friday Reflection 28: Four of the Things Patients...

Sensible Medicine ·

2023/08/25

Although it is unoriginal to point out that doctors learn from our patients, here are a few lessons so powerful, so extrapolatable, that I forever associate them with an individual. 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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42:44

Mandrola & Prasad on Republicans and COVID outcomes,...

Sensible Medicine ·

2023/08/23

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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46:39

A Conversation with Professor Robert Yeh

Sensible Medicine ·

2023/08/20

Here is the profile for Harvard Professor Robert (Bobby) Yeh. His most recent Circulation paper: Bringing the Credibility Revolution to Observational Research in Cardiology. We referenced a paper by Professor Miguel Hernan: The C-Word: Scientific Euphemisms Do Not Improve Causal Inference From Observational DataPaper referenced on left ventricular assist devices: Comparative Effectiveness of Percutaneous Microaxial Left Ventricular Assist Device vs Intra-Aortic Balloon Pump or No Mechanical

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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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