Questioning Medicine

If you were wondering antibiotics, yes, still have harm and should still be used with caution. Medical students are in a panic since there is a new answer to the c. diff board question and FINALLY a guideline that really is UPTODATE was released earlier this year.

Yes! I am Andrew Christopher Buelt and in this all abbreviation and intial podcast I break down some recent studies that might are of interst. First, is HPV testing alone good enough? Should you do a stress test or a Computed tomography angiography for suspected coronary artery disease. In BPH can we stop any medications or must we continue alpha-blockers and 5a-reductase inhibitors for life?

Is Zika as scary as we really think, or is it scarier?! There is a new test for concussion, right? You might wait a day for a hip surgery but don't wait two! Finally, This podcast is sweet but the new guidelines are sweeter.

Andrew covers four articles that give a POOR PHYSICIAN PROGNOSIS for the rates of PE, the push for no-antibiotic-UTI, and smoking.

Guess who is back?! Joe joins me on QM and we talk about three recent trials give our thoughts and opinions while we both sip on a Diet Dr. Pepper. It is a quick 20 minutes of us talking out what we are reading about.

Turns out when people say, 'You couldn't pay me enough money to quit smoking!' What they meant was "Can you please give me $750?" Kay-x still isn't great. I give my two cents on the hypertension guidelines and holy smokes turns out tylenol and motrin might be about all you need for a majority of muscle pain, NOT opioids. If you like the new format- reach out on twitter @andrewbuelt or andrewbuelt@gmail.com

How good are you at the DNR conversation? It is a conversation we all need to have with our patients no matter the field or specialty of medicine. However, it's a conversation we all avoid like the plague. In this podcast Andrew talks how bad we really are and how to get better. The link below is how you can get the video I reference in the podcast...https://www.mmcgmeservices.org/codestat.html

Does insurance pay? Does the patient pay? What do you think? What do most Doctors think? Is it possible for me to write this entire description in only question form?

We need to thin out the blood. Afib then to PCI and boom triple therapy. However, I suspect times are changing. It is Halloween and I do my best to play future fortune teller and predict the future in medicine. Afib and triple therapy just might be a scary part of the past, or maybe it is more of a trick than a treat!

We have all heard of Goldilocks when the bed was too hard, too soft, and then just right. A metaphorical description for the J curve of all things in life. Well exercise is no different. Now let's take a deeper look at how much is too much and how much is too little, but most importantly how much is just right!

Is christmas in danger? What about Santa's Health? Is is the season of holiday joy and cheer and this podcast should have you tapping your toes while Andrew belly flops into an extensive literature dive regarding Santa's health.

In this episode Andrew is back on his motorcycle (riding solo). He covers antibiotics resistance and are people not taking a full course of antibiotics really the problem? This episode is full of sound effects which should keep you listening till the end if the educational piece of it doesn't interest you.

It is April Fools day and it only seemed right to do a little medical myth busting. In this episode and gulps down the evidence around how much water we should drink. He find out that more money does equal more problems. Looks at the evidence behind strep throat. Finally, and maybe most importantly ask that you let him know if you are going to be in P.R. the first weekend in April!

This episode Andrew is working out the evidence on depression. He addresses the 500lb elephant around the future of Questioning Medicine, but luckily he doesn't try to lift it. He also makes everyone in the world hate him when he complains of the 70 degree winter he is currently experiencing.

Andrew is by himself and trying to struggle through the harsh Florida winter. The question today is should steroids, more specifically prednisolone, be given to those with alcoholic hepatitis? A quick look at the evidence and even go back to some original research from the 70's! Before you hit play can you guess what the music for this alcoholic podcast is going to be?

Andrew is back to being by himself. When you get out questioned in questioning medicine its time for a podcast update. This episode briefly touches on the granulocyte colony stimulating factor and is this $5000 dollar drug worth the price tag or just an expensive Tylenol?

Boy bands from the 80's might have helped you survive childhood, but now they escort in a new era of non-contact HPV testing. Andrew discusses the potential option for women to do their own testing privately, while Joe ponders the trade off between time spent doing the exam vs a patient-centered discussion on health goals. The music video featuring Andrew has been delayed by "BigPharma".

Andrew and Joe discuss the new guidelines or guidance on using the pap smear with HPV for cervical cancer screening in low risk women. Andrew learns 80's rock trivia and Joe gives level C- evidence. More to come on the final episode of our quest to limit the use of a speculum to evidence based medicine.

A rebroadcast as we start a three part series to destroy the speculum. No matter your field if you have a wife, daughter, or mother this applies to you! DONT FORGET TO WRITE A REVIEW!

Our Best Shot of the year. Joe continues to defrost from the frozen Rockies while Andrew is just getting warmed up on his dig into the newest reports on Tamiflu and the annual influenza vaccine. What do Chuck Norris, Pat Benatar, Joel Topf, and Jake Dodge and Detroit Auto Workers all have in common? Tune in and find out!