PodMed – Week of October 30, 2017
This week’s topics include health and wealth, gun show sales and gun injury, management of epilepsy, and outcomes relative to robotic surgery.
0:34 Today is last PodMed
1:19 Epilepsy management
2:19 Not a single type of surgery
3:16 Identify the focus
3:30 Robotic surgery outcomes
4:30 Is it that much better?
5:31 Instruments going down in price?
6:05 Gun shows sales and adjacent states
7:05 About 86,000 gun related injuries annually
8:00 Health and wealth linked
9:00 Other factors associated
PodMed – Week of October 20, 2017
This week’s topics include Medicare spending on frail elderly, resorbable stents, men with HPV, and procalcitonin to assess antibiotic need.
0:41 Looking at procalcitonin to determine antibiotic use
1:42 Improve or worsen survival
2:40 Point of care testing
2:54 Stents that resorb
3:52 First approved in Europe in 2011
4:50 Post marketing surveillance helpful
5:16 Men infected with HPV
6:17 Infection rate 11.5% in men
7:17 Should men self-identify?
7:35 Preventable spending in the Medicare population
8:35 Account for 50% of preventable cost
9:34 Things can be managed as outpatient
PodMed – Week of October 16, 2017
This week’s topics include predicting mortality in those with congestive heart failure, bystander CPR impact, best management of stable COPD, and NOACs and bleeding risk.
0:50 NOACs and bleeding risk
1:51 Also taking other medicines increased risk
2:49 Physicians need to know
3:18 Managing people with COPD
4:21 So many more people with the condition
4:43 Bystander initiated CPR
5:43 2/3 at home, 1/3 in public setting
6:44 Increased survivorship
7:00 How can we predict mortality in patients with heart failure
8:01 Easily obtained variables
9:04 Admission afterward?
Related blog: https://podblog.blogs.hopkinsmedicine.org/2017/10/13/bystander-cpr/
PodMed – Week of October 9, 2017
This week’s topics include how the Zika virus changed, outcomes after surgery and health literacy, e-cigarettes and healthcare costs, and a reaction to tattooing.
0:36 Case report of an outcome after a tattoo
1:32 Reaction to the tattoo ink but not cancer
2:32 Not cancer just a reaction
2:46 Mutations in the Zika virus
3:44 More likely to have brain malformation
4:46 Lot of controversy over this study
5:00 Health literacy and outcomes after surgery
6:01 No correlation with readmission
7:02 Very few minority patients
7:15 E-cigarettes and cost savings
8:15 People still had exposure to nicotine
9:15 How to quantify e-cigarette safety
Related blog: https://podblog.blogs.hopkinsmedicine.org/2017/10/09/e-cigarette-benefits/
PodMed – Week of October 2, 2017
This week’s topics include aspirin discontinuation risks, HIV in those 50 and older, big data and chronic lung disease, and genetic testing and warfarin use.
0:34 Genetic testing and warfarin dosing
1:35 Looked at genetics to determine
2:33 Other agents for blood thinning
3:01 Use of big data and chronic lung disease
4:01 More women smoking
5:02 Not sure of significance of e-cigarettes
5:26 HIV infection in those 50 or older
6:30 Usually diagnosed later
7:30 Still at risk if you’ve over 50
7:43 Perils of discontinuing aspirin
8:43 Stopping increased risk by 30%
9:43 Stop as close to surgery as possible
PodMed – Week of September 25, 2017
This week’s topics include physician assisted suicide, preventing infection post-C-section in obese women, 12 year outcomes of bariatric surgery, and death among triathletes.
0:46 Triathlon events and death
1:43 Half with previously unknown cardiac problems
2:43 Trouble in water harder to resuscitate
3:36 Physician assisted suicide
4:36 In Oregon data gathered
5:36 Should be able to provide
6:40 No cancer excision if futile
7:15 12 year outcomes from bariatric surgery
8:15 3/4ths of diabetes remitted
9:07 Preventing infections in obese women with C-sections
Related blog: https://podblog.blogs.hopkinsmedicine.org/2017/09/23/should-doctors-assist-in-death/