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2 Docs Talk: Medicine | Health | Healthcare Policy | Evidence Based Medicine

Welcome to 2 Docs Talk, the podcast about healthcare, the science of medicine and everything in between. Join cohosts Kendall Britt, MD and Amy Rogers, MD for a 15 minute check-up on current issues in medicine and health policy. The doctor is always in.
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2 Docs Talk: Medicine | Health | Healthcare Policy | Evidence Based Medicine
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Now displaying: Category: general
Oct 2, 2017

Historically, cervical cancer has been one of the major killers of young women. But since the advent of the pap smear, death from the disease has dropped dramatically. However, treatment of lesions identified on pap smear can lead to significant issues including infertility. And in other parts of the world where screenign is not easily accessed, cervical cancer remains a significant cause of death for women in the prime of life.

As with any disease, prevention is better than treatment, and this is where the HPV vaccine comes into play. Known mainly by its trade name, Gardasil, the vaccine has been on the market for over a decade. That’s long enough to provide data to draw reasonable conclusions about its safety and efficacy.

Resources:

Prevalence of HPV after introduction of vaccine

Population-Based Incidence Rates of Cervical Intraepithelial Neoplasia in the Human Papillomavirus Vaccine Era

 

Safety Resources:

https://www.ncbi.nlm.nih.gov/pubmed/21907257

https://www.ncbi.nlm.nih.gov/pubmed/23027469

https://www.ncbi.nlm.nih.gov/pubmed/24108159

http://jamanetwork.com/journals/jama/fullarticle/1886177

https://www.cdc.gov/vaccinesafety/pdf/data-summary-hpv-gardasil-vaccine-is-safe.pdf

 

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Sep 25, 2017

A BMJ report earlier this year declared that 1 in 3 hospital deaths were the result of medical errors. A flurry of headlines about the dangers of hospitals soon followed.

Just what is a medical error? What are the dangers of being in a hospital? And what can we do about it? We talk about these questions in today's episode. 

Resources:

BMJ on medical error

KATZ scale

To Err is Human: Building a Safer Health System

Hospital at Home

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Sep 11, 2017

Kendall and Amy are in agreement that hospice care is an important, compassionate aspect of healthcare that humanizes what can be a very clinical, impersonal process. We've both experience with hospice - personally and professionally. 

Sadly, like most aspects of healthcare, the potential for profit has introduced some ugly practices into what should be focused solely on the needs of dying patients and their families.

Today, Kendall and Amy talk about the good and the bad of hospice as it exists in 2017.

Resources:

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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May 1, 2017

Each year, under Obamacare rules, the USPSTF is required to issue a report on evidence gaps. These are areas of preventive medicine that they decide we are lacking sufficient evidence to determine if the harms outweight the risk.

This week, we take a look at the primary areas of evidence shortfall. If you are wondering about a screening test, take a listen to see if it made the list.

 

Resources:

Sixth Annual Report to Congress on High Priority Evidence Gaps

2 Docs Talk about Smoking Cessation

2 Docs Talk about dietary supplements

2 Docs Talk about skin cancer prevention

Aug 22, 2016

America has a weight problem. A full one third of us are classified as obese, and other third are obese. This has implications for individuals, families and society that cut across social and economic factors. 

We take a look at a handful of studies that take a look at the weight problem from a variety of angles. 

Metabolic rate, BMI, whole grain intake,physical inactivity, and more. 

 

Resources:

CDC Info on Obesity

"The Biggest Loser" Study

BMI study

Whole Grain Study

Exercise to Offset Sitting

Cost of Physical Inactivity

 

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Dec 28, 2015

Vaccines are both one of the most widely used and most widely misunderstood preventive medical treatments available. People have concerns about autism, efficacy, the promotion of unhealthy behaviors. We dig into the evidence on some of those topics, as well as take a look at the effectiveness of vaccines against some of the scariest disease of our time - including cancer.

 

NEJM study on vaccines and autism

Lancet study on vaccines and autism

Adverse Effects of Vaccines: Evidence and Causality an ebook by the Institute of Medicine that states, "The evidence favors rejection of a causal relationship between MMR vaccine and autism."

About Cancer vaccines

2014-2015 Flu vaccine info - why it was less effective, but did reduce disease severity

Information on current research into an ebola vaccine

 

 

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