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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: healthcare policy, evidence based medicine
Jul 24, 2017

The process of drug approval is long and expensive. To complicate matters, pharmaceutical companies, patients, an the FDA are all invested in the process, for different reasons – and they aren’t always the same.

Today we discuss the story of how a new drug came to market and the unusual circumstances around its approval. 

Resources:

FDA grants accelerated approval to first drug for Duchenne muscular dystrophy

CDC on Duchenne Muscular Dystrophy

Right to Try

Compassionate Use

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Jul 17, 2017

If there is a hot button issue in politics these days, it's abortion. But abortion is the result of a long line of issues that are being inadequately addressed in this country. Today we take a look at contraception - what it is, how it works, its history and its future. 

We also offer a look at an innovative program that has the potential to help both pro-choice and pro-life groups happy. 

 

Resources:

Details on various types of birth control

The Choice Project

Use of LARCs in Colorado

Slang for using a condom (adult humor - you've been warned)

 

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Jul 10, 2017

As we enter primary season for this election year, gun violence and control is a hot topic. However, much of the discussion lives in one of two extremes, and little of it is based on actual evidence. 

With over 30,000 gun deaths each year, and over 20,000 of those death from suicide, the reality is that gun violence is a public health issue. This means we need to treat this issue from the point of view of the medical evidence. 

Today we look at the scope of the problem, what has and hasn't worked, and some thougths about what lies ahead. 

Resources:

CDC All Injuries Statistics

CDC Accidental Death Statistics

CDC Homicide and Assault Statistics

CDC Suicide and Self-Inflicted Injury Statistics

CDC Depression Statistics

Discussion of Australia's Gun Laws in the New York Times

Discussion of Missouri's Gun Laws in the New York Times

Survey of Defensive Gun Use Cited Frequently by NRA 

Methodological issues with Defensive Gun Use Survey

Jun 26, 2017

As the the political winds shift in favor of legalizing medical marijuana, it's important to consider the evidence that supports it. 

But the 23 states that have legalized it and the FDA don't agree on when marijuana helps and when it doesn't. In this episode, we take a look at the evidence supporting the move toward legalizing the use of marijuana and cannabinoids for medical purposes.

 

References from the show:

Cannabinoids for Medical Use: A Systematic Review and Meta-Analysis

Jun 5, 2017

Sometimes there are news items that just need to be discussed, but they don't really generate enough material for a podcast of their own. Today we are talking about those headlines.

Resources:

Stroke Study: Diet Soda, Stroke, and Dementia

Association of Hormonal Contraception with Depression

Tom Price on Preventive Services Mandate

New York Times on the Contraception Mandate

CNN Report on Minnesota Measles Outbreak

Stat Review of Vaxxed

California Immunization Rates After SB277

Handgun Acquisition After Mass Shootings

Bystander CPR and Outcomes After Cardiac Arrest

Learn CPR

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Jan 16, 2017

We’ve got a lot of questions marks ahead of us this year when it comes to healthcare. What will happen with the Affordable Care Act, Medicare, Medicaid, Planned Parenthood, etc. etc.

The future of healthcare under the new administration is a big unknown. But one thing we do know - healthcare costs far too much.

One of the key contributors to these costs is the over $200 billion per year in unnecessary medical care. 

In today's episode, we dig in to the reasons for these costs, and more importantly, we talk about the things we can do as healthcare consumers to reduce unnecessary medical care in our own lives. 

Resources:

Unnecessary Medical Costs

Low Value Care in Medicine

Unnecessary Tests and Treatments

Freakonomics Radio: Bad Medicine

Choosing Wisely

 

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Dec 26, 2016

These days you can buy e-Books  for your e-Reader and participate in e-Commerce. You can send your friends Evites, e-file your taxes, and meet the love of your life on eHarmony.

So it’s really no surpise that e-Cigarettes have become as popular as they are. Hats off to whoever named them, since they are actually physical items that you can hold in your hands, unlike most e-products.

The question, of course, is if there are any health advantages to e-Cigarettes. Do they really help you stop smoking?

And, do they create their own set of health problems?

That’s what we’re talking about this week.

 

Resources:

E-Cigs and Poison Control

Southern California Children’s Health Study

USPSTF on Smoking Cessation

Aphthous Ulcers and Nicotine

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Dec 12, 2016

 

In this episode we take a look back at our first year of podcasting and some of the more interesting topics we've discussed. Remember medical marijuana? What about vaccines or telemedicine? There are new developments in these areas and more and we discuss these new developments and more. Also, if you hang on to the end, you'll hear one of the few times we disagree. We disagreed, we discussed, we still like eachother. Kendall didn't even tweet about what yuuuge loser Amy is.

Podcasts we discuss in this episode:

Vaccines

Pricing Transparency

Medical Marijuana

Planned Parenthood

Birth Control

Back Pain

Telemedicine

 

Resources

MMR and SSPE

California Drug Price Relief Act (It didn't pass)

Voting Habits by Medical Specialty

Reclassification of Marijuana

CMS on Post-partum Reimbursements for LARCs

Yoga for Back Pain

FDA Approves Manufacture of Digital Stethescopes for Telemedicine by Tytocare

 

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Nov 28, 2016

With the very stressful election we've all just been through, we thought it might be a good idea to lighten things up and have a little fun this week. So we are taking a look at the medical news this week to find teh fun and lightness we are all needing right about now. If you want to learn more about the items we talked about today, the links are listed below.

Why are we ticklish

http://www.latimes.com/science/sciencenow/la-sci-sn-tickling-rats-20161110-story.htm

Flu risk and birth year

http://www.cnn.com/2016/11/10/health/flu-risk-birth-year/

Cannabis gym

http://hoodline.com/2016/11/world-s-first-cannabis-gym-to-debut-in-the-mission-this-spring

Sugar-sweetened beverage tax passed in four cities

http://theincidentaleconomist.com/wordpress/misapplication-of-the-berkeley-soda-tax-to-diet-drinks/

FIT for colorectal screening

http://annals.org/aim/article/2571716/colorectal-cancer-screening-united-states-what-best-fit

Roller coaster kidney stones

http://jaoa.org/article.aspx?articleid=2557373

 

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Nov 21, 2016

If you live anywhere but under a rock, you know that Planned Parenthood has been the center of controversy in recent months. In this episode, we discuss the history of the organization and its founder Margaret Sanger. Then we dig into Planned Parenthood as it exists today and the controversy surrounding it.

The coverage of the controversy in the media is filled with innuendo and half-truths from both sides of the political spectrum. We wanted to know the facts, so we did a little searching. Since we recorded this episode, the courts in Houston did too, and found no evidence that they were profiting from the sale of fetal tissue or organs.

But, what role does Planned Parenthood play in healthcare today?

Do they provide needed services? What are those services? Is abortion their primary business? Should Medicaid funds cover their services? And finally, is there anything that can be done to curb the number of abortions performed today? (Hint: yes there is, and it has nothing to do with Roe v. Wade.)

Resources:

Where are Planned Parenthood Clinics Located?

Texas Tribune Articles on Planned Parenthood

Planned Parenthood Services by the Numbers

CDC Abortion Surveillance Report - 2012

New England Journal of Medicine on Planned Parenthood

Long Acting Reversible Contraception in Colorado

The Choice Project - LARCs in Colorado

 

Jun 27, 2016

 

 

Hepatitis C infection is on the rise in recent years. The growing opioid epidemic has multiplied the problem, as the primary means of spread is IV drug use. 

Surprisingly only 35 percent of those infected received treatment even though excellent treatment available is for this devastating disease. Not surprisingly, drug costs are a major factor in this issue.

Join us as we discuss the issue of Hep C and what can be done about it.

Resources:

American Journal of Managed Care Special Issue on Hepatitis C Virus

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Apr 11, 2016

One of the latest technological advances in food production is the introduction of GMOs, or genetically modified organisms, to the food supply. They have the potential to offer many benefits including increased productivity, pest and herbicide resistance, longer shelf life, and the list goes on.

But many are concerned that this relatively new technology isn't safe - for health, the environment or the economy. We dig into the evidence surrounding GMOs in this episode. We might even share an opinion or two.

Resources:

Primer on the retracted study that indicated GMOs caused tumors

How GMOs are tested for safety

 

Mar 25, 2016

As we've produced more episodes, we've continues to see our listening audience grow. We appreciate the listeners, the comments, the emails, and the sharing of our little show. Since new listeners are showing up each week, we thought we'd re-run our intro episode so everyone knows where we're coming from and what we're all about.

Dec 10, 2015

Hi and welcome to 2 Docs Talk, the podcast about healthcare, the science of medicine, and everything in between. We are your hosts, Kendall Britt, MD and Amy Rogers, MD and we look forward to sharing our thoughts on the best and worst of medical evidence and healthcare policy. Join us for a 15 minute appointment where the doctor is always in.

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