Questioning Medicine

https://www.emrap.org/episode/rightonprime/introduction RIGHT ON PRIME IF YOU NEED CME 10% likely isn't high risk but it certainly deserves more than 0.6% of people on statins so don't forget your statinshttps://annals.org/aim/article-abstract/2725144/characteristics-high-cardiovascular-risk-1-7-million-chinese-adults Oxycodone "the best high of all" https://link.springer.com/article/10.1007/s11916-019-0751-7 Smart phones are actually being smarthttps://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)32993-3/fulltext You lose weight and want to keep it off you better keep movinghttps://onlinelibrary.wiley.com/doi/full/10.1002/oby.22373 Dont be that guy that gives 1.2million extra days of antibioticshttps://www.bmj.com/content/364/bmj.l440

https://www.emrap.org/episode/rightonprime/introduction RIGHT ON PRIME IF YOU NEED CME https://www.bmj.com/content/364/bmj.l240 hpv is still bosshttps://jamanetwork.com/journals/jamanetworkopen/fullarticle/2724778 push up to push good healthhttps://www.bmj.com/content/364/bmj.k4681 prepping for HIV education https://www.ncbi.nlm.nih.gov/pubmed/27149090?dopt=Abstract very effective if used Still effective in san fran https://www.ncbi.nlm.nih.gov/pubmed/26334052?dopt=Abstracthttps://www.ncbi.nlm.nih.gov/pubmed/30596290 the made up time that are expiration dates https://www.nejm.org/doi/full/10.1056/NEJMoa1808779 ecigs are great but meds are better when you look at the med trials as wellhttps://www.ncbi.nlm.nih.gov/pubmed/12171809 https://www.ncbi.nlm.nih.gov/pubmed/10053177

https://www.emrap.org/rop?episode-guide-publish-date=%5B568011600000%2C1552613520000%5Dhttps://www.nejm.org/doi/full/10.1056/NEJMoa1809983?query=featured_home parkinsons and symptoms- start levadopahttps://www.nejm.org/doi/full/10.1056/NEJMoa1812851 BNP is a terrible biomarker and I hate when studies look at worthless outcomeshttps://www.gastrojournal.org/article/S0016-5085(19)30103-9/pdf warfarin doesnt change the PPV of a FIT test but -- I'd still use a DOAC, regardlesshttps://bmjopen.bmj.com/content/9/1/e023637 accupunture works for menopause if you have a bad trial but not if you have a good trial or a cochrane review https://www.ncbi.nlm.nih.gov/pubmed/26784863https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007410.pub2/full

https://annals.org/aim/article-abstract/2719218/long-term-outcomes-among-patients-discharged-from-hospital-moderate-anemia#an_fo_ho Anemia is not being fixed 6months after hospitalization but that is okay because they are not going back to the hospital or dyinghttps://jamanetwork.com/journals/jama/fullarticle/2679928 Have the shared decision making conversation with your pt about mammograms! https://www.youtube.com/watch?v=UZlY6Q4m-MM MAMMOGRAM THEATERhttps://www.nejm.org/doi/full/10.1056/NEJMoa1710926 Oral antibiotics for osteo instead of IV-- yep it looks like times are a changing!https://jamanetwork.com/journals/jama/article-abstract/2721178Aspirin time of death 2/23/2019!

https://www.bmj.com/content/363/bmj.k4823 self swabs workhttps://onlinelibrary.wiley.com/doi/full/10.1002/oby.22345 intermittent fastinghttps://jamanetwork.com/journals/jama/article-abstract/2718066 Vit D for ESRDhttp://pediatrics.aappublications.org/content/143/2/e20181902 HPV vaccine works for herd immunitiyhttp://care.diabetesjournals.org/content/early/2019/01/03/dc18-1773 cardiovascular events by glucose level

My view of some of the top articles and medical headlines from 2018.

Mechanical thrombectomy, FDA and concussion. HPV vaccine and more on this episodes covering top articles from 2018.

1 of many in which I break down what I think are articles or titles of 2018 you need to know about (hint: my have been discussed on QM before)

This is a heated debate but the numbers tell the whole story. So let's dig into the numbers a little more and find the real benefit of the screening mammogram. 

It is time to tackle screening mammograms. I warn you, this is evidence, try not to listen with emotion. 

Heading to FMX and the bags are packed!! Here is a little something to hold you down till I return! If you are going to be there then tweet me @andrewbuelt

Another hard hitting Questioning Medicine packed with all sorts of articles and gems. Times are changing for those that have to sit in a chair 3 days a week and it is coming from those with hep. C

Two big articles in this episode that have already changed my practice and I tell you how. Plus, a bunch of other articles I think people should be talking about! What is the real risk for statins? Which DOAC can you use with ESRD? So many questions and so many answers!

Another episode with lots of articles- What is the UVB protection on SPF. Atrial fib screening, should we do it? What IUD makes you not gain weight? One article on Fake news on babies sleeping and a new guideline rec. on prostate screening for which I break down all the numbers.

Joe Namath is famous for guaranteeing victory in Super Bowl III. Mark your calendars for 7/24/2018 where I guarantee that two of the articles in this episode will change guidelines. This episode is full of articles and pearls that will help or change your practice...Like what is the error of the HA1C test?

So much goodness in one podcast it would be a shame to list it all here. So stop reading and just hit play already.

In this episode we cover what I think it game time ready about our beloved ACEI and then Joe and I talk about 3 articles that you need to know including the new seizure medication just approved by the FDA.

In this 'royal' episode I cover new papers on diabetes type 2, osteoporosis and A.fib. As always you can reach me on twitter @andrewbuelt or email me andrewbuelt@gmail.com

So many article so little time AND in this episode Joe stops in to talk about a study that would make ever T-Rex eat a salad

It is NBA playoff season and this podcast starts with a fast break into coronary calcium testing, Slams into John Mandrola review https://www.medscape.com/viewarticle/893756 with transition into CKD + ICD. Finally, finishes with a full court press on when should be start dialysis.