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2 Docs Talk: The podcast about healthcare, the science of medicine and everything in between.

Welcome to 2 Docs Talk. Join cohosts Kendall Britt, MD and Amy Rogers, MD for a 15 minute check-up on current issues in health, healthcare policy, and evidence- based medicine.
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2 Docs Talk: The podcast about healthcare, the science of medicine and everything in between.
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Now displaying: 2018
Nov 6, 2018

Kratom doesn't sound like your typical herbal supplement, but it does come with all the issues common to the supplement industry. Namely, it hasn't withstood the test of clinical trials to demonstrate safety and efficacy. 

And that causes problems. 

Problems like not knowing how much of the ingredient is in the supplement, or how much of other ingredients for that matter. Or wht kind of side effects might be evident if it were subjected to randomized placebo-controlled trials. 

But another problem is that it might actually offer a solution to a very big problem—opioid addiction But we don't know if it does because guess what? It hasn't been studied. 

This week, 2 Docs Talk about Kratom and why the regulatory requirements (or absence thereof) on the supplement industry might be causing us to miss out on some real benefits.

Oct 30, 2018

With our apologies to and appreciation of Frances McDormand.

The opioid crisis is showing no signs of tapering off any time soon, so today, 2 Docs Talk about the cornerstone of opioid addiction treatment - medication assisted therapy or MAT.

We also (because we can't resist) talk about the irony of the very company who triggered the epidemic with their deceitful marketing practices now profiting from selling the treatment for that very problem.

Resources:

Previously, we disucssed the opioid epidemic in episode 12 - you can find it right here.

Oct 23, 2018

After a hiatus that lasted much longer than planned, we are back with our fall 2018 season of 2 Docs Talk, with look back on previous topic and an update on what's been going on since we first discussed them. We'll talk about the following episodes:


Hormone Supplementation and Menopause

Right to Try Legislation

The Flu, the Flu Shot and the Future

Cervical Cancer and the HPV Vaccine

Medicaid Expansion

The Mumps

 

Other resources for this episode can be found here:

JAMA article on racial differences in vasomotor symptoms 

Info on HPV vaccine expanded recommendations

Mumps booster information

Mar 19, 2018

If you've had many conversations about healthcare reform, it is likely you've heard some variation on this theme: 

"Hospitals have to provide care for people who show up. So everyone can get healthcare when they need it. So when people say that can't get healthcare, that isn't true."

Is there any merit to that argument? Spoiler: NO. But if you want to hear more about where that idea comes from, take a listen. 

Resources:

https://www.cms.gov/Regulations-and-Guidance/Legislation/EMTALA/

http://www.kff.org/medicaid/state-indicator/medicaid-income-eligibility-limits-for-parents/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D

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Mar 12, 2018

If you aren't taking an SSRI yourself, there it's almost certain you know someone who does. Selective Serotoning Reuptake Inhibitors are one of the most commonly prescribed classes of drugs out there.

Is their widespread use earned on the basis of good evidence? It's not clear - let's take a look.

References:

Genetic and clinical predictors of sexual dysfunction in citalopram-treated depressed patients.

Perlis RH, Laje G, Smoller JW, Fava M, Rush AJ, McMahon FJ

Neuropsychopharmacology. 2009;34(7):1819. Epub 2009 Mar 18. 

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Mar 5, 2018

Right to Try laws have come about as a response to cumbersome paperwork required to access the FDA's compassionate use program. However, the FDA has lessened the paperwork required for terminally ill patients to access investigational drugs. 

So is Right to Try a meaningful movement, or is it simply one piece of an overaraching ideology.

Today, 2 Docs Talk about Right to Try laws and who they help.

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Feb 26, 2018

For decades, much has been made of the healthvbenefits of drinking alcohol. And those benefits are real. But, what exactly are the benefits, and how do they stack up against the risks associated with alcohol? 

Today, 2 Docs Talk about the ways alcohol and help and harm your health, and we offer some of our opinions, too. 

Resources:

https://www.hsph.harvard.edu/nutritionsource/alcohol-full-story/

https://www.cdc.gov/features/costsofdrinking/index.html

https://pubs.niaaa.nih.gov/publications/dsmfactsheet/dsmfact.pdf

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Feb 19, 2018

If you are of a certain age, you remember a time when pretty much every kid got chicken pox. But those days are behind us as most of our children are vaccinated agains varicella, the virus that causes chicken pox. But for us old folks, shingles is the still around to remind of the old days when we still got chicken pox. 

Today 2 docs talk about the effect of the varicella vaccine, the problem with shingles, and what you can do about it.

 

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Feb 12, 2018

Senator McCain has a malignant brain tumor called a Glioblastoma Multiforme, orglioblastoma or GBM for short.

He’s not the first person politically connected to get one of these things. I think this is what Senator Ted Kennedy had back in 2008 and also Beau Biden, Joe Biden’s son died of a glioblastoma.

Glioblastomas are one of a class of brain tumors called Gliomas. Gliomas can be low grade which are considered pre-malginant or pre-cancerous or they can be high grade malignancies such as GBMs.  

Today 2 Docs Talk about Glioblastoma Multiforme, and the difficulties associated with treating - or not treating - the tumor. 

Resources:

Don't Tell John McCain to Fight His Cancer

FDA approval of Optune device for Glioblastoma

2 Docs Talk episode on hospice

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Feb 5, 2018

We all know that exercise is beneficial for our health. But how much  - how long - what type? Understanding what offers the best outcomes is tricky because it's difficult to conduct rigorous research with long term endpoints such as reduction of disease and death. 

Today 2 Docs Talk about some interesting studies on exercise and what they reveal about the benefits of physical activity. 

Resources:

https://www.ncbi.nlm.nih.gov/pubmed/25844730

https://www.ncbi.nlm.nih.gov/pubmed/25844882

https://www.hsph.harvard.edu/nutritionsource/mets-activity-table/

http://www.amjmed.com/article/S0002-9343%2814%2900138-7/abstract

https://ijbnpa.biomedcentral.com/articles/10.1186/1479-5868-9-89

https://www.ncbi.nlm.nih.gov/pubmed/18332184

http://www.sciencedirect.com/science/article/pii/S0277953612003565

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2852580/#R12

http://www.aacr.org/Newsroom/Pages/News-Release-Detail.aspx?ItemID=580#.Wlt9eSOZM_W

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Jan 29, 2018

The normally staid world of hypertension was a bit controversial in 2017, so this week 2 Docs Talk about the recent recommendations — and their accompanying controversies — for treating high blood pressure. 

Resources:

Systolic Hypertension in the Elderly (SHEP) Study

Action to Control Cardiovascular Risk in Diabetes (ACCORD) blood pressure trial.

Systolic Blood Pressure Intervention Trial (SPRINT)

JNC 8 blood pressure treatment guidelines

Jan 22, 2018

Does your doctor sell dietary supplements? Have you considered the ethics of such an arrangement? The American Medical Association has, and they think it's a bad idea. 2 Docs Talk about the ethics of physicians profiting from supplement sales.

Resources:

About DSHEA 1994

ER visits due to supplements

Study showing supplement reduces LDL

AMA Ethics Statements on Supplement Sales

Pharmceutical marketing and prescribing habits

 

Jan 15, 2018

This has been a particularly bad year for the flu. More people are getting sicker than in most years. And the vaccine is not working well. 

In this episode, 2 Docs Talk about why the influenza virus circulating this year is causing so many problems. Beware there is a little bit of basic science involved. But not too much.

Resources: 

Our information is from the Centers for Disease Control: https://www.cdc.gov/flu/about/season/current.htm

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Jan 8, 2018

If you’ve paid any attention to the news over the past year or so, you’ve likely seen stories of greedy capitalists gouging the vulnerable by hiking up the prices of their life-saving drugs.

But are the prices hikes all that bad?

Yes. Yes, they are. And we talk about that to day on 2 Docs Talk.

Resources:

JAMA on Drug Pricing

Our episode on Hep C

Our episode on Alzheimers

Our episode on Pricing Transparency

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Jan 1, 2018

If you’ve paid any attention to the news over the past year or so, you’ve likely seen stories of greedy capitalists gouging the vulnerable by hiking up the prices of their life-saving drugs.

But are the prices hikes all that bad?

Yes. Yes, they are. And we talk about that to day on 2 Docs Talk.

Resources:

JAMA on Drug Pricing

Our episode on Hep C

Our episode on Alzheimers

Our episode on Pricing Transparency

Be sure and subscribe in iTunes or Stitcher if you haven’t already.  And you know we’d appreciate it so much if you would tell your friends about 2 Docs Talk!

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