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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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Jan 23, 2017

The 21st Century Cures Act was passed by both bodies of Congress and signed into law by President Obama on December 7, 2016. The bill received overwhelming bipartisan support, with only a small number (of notable) exceptions.

On the surface, the law sounds like a triumph for healthcare and medical research. But a closer look at funding for the act brings its staying power into question. The only provisions of the law that don't require further action to maintain funding benefit one lucky group. 

Here's a hint: it's not patients. 

So today, 2 Docs Talk about what the 21st Century Cures Act accomplishes and what it doesn't accomplish. Buckle up. 

Resources:

Legislative history and text of 21st Century Cures Act

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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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Jan 9, 2017

In a country (the U.S.) where people drink, on average, 44.7 gallons of soda per person, it's smart to think about what we are putting into our bodies. 

Most of us have figured out that all that sugar is a bad idea, but what about sugar substitutes? Diet sodas make up a big portion of that 44.7 gallons. But is it really any better than plain old sugar?

Resources:

Generally Recognized as Safe

San Antonio Heart Study

Fueling the obesity epidemic: Artificially sweetened beverage use and long term weight gain

Artificial Sweeteners and Gut Microbiota in Rats

 

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Jan 2, 2017

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 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 19, 2016

Over the last couple of decades, the conversation surrounding hormone replacement therapy and menopause has been confusing. Does it work? Is it safe? What about alternative therapies? it’s hard to sort out conflicting information coming from various sources. In this episode we discuss:

  • The recent history of hormone replacement therapy (HRT)
  • HRT for symptom relief
  • HRT, endometrial hyperplasia, and uterine cancer
  • HRT and cardiovascular disease
  • HRT and breast cancer
  • Bioidentical hormones
  • And more.

Resources

The Bitch is Back

Study of Women’s Health Across the Naiton (SWAN)

The Women’s Health Initiative

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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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Dec 5, 2016

The media serves us a lot of news about some very flashy diseases. Sometimes is skews our perception of what the most serious threats to our health really are. But no matter what new danger the latest headlines proclaim, heart disease remains the number one cause of death in the United States. Often, those deaths are caused by heart attacks. 

In today's episode, 2 Docs Talk about heart attacks, what they are, how they are treated, and how you should respond if you think you or someone near you is having one. 

Resources:

Prognosis after out of hospital cardiac arrest with and without automatic external defibrillation.

A stem cell treatment for heart disease currently being pursued.

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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

 

Nov 14, 2016

November 8, 2016 has come and gone and no matter what box you checked you are probably a little surprised by the outcome. Donald Trump will be the 45th POTUS. 

This has the potential to shake things up in a lot of areas of American life, but we want to focus today on the healcare ramifications of a  Donald Trump presidency. What did he say he would do? Will he do it? And what will it look like if he does.

We refer to a couple of our previous podcasts in this show and they are worth a listen as you evaluate the plans Donald Trump is offering up:

Episode 10: What Does Planned Parenthood Actually Do?

Episode 6: Pricing Transparents in Medicine and Healthcare

Nov 7, 2016

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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Oct 31, 2016

It's one of those things that doesn't feel so big and important compared to other medical problems, but in reality, acne can be a difficult problem to deal with.

For teens it can be a huge blow to already fragile self-confidence. It isn't a walk in the park for adults who find themselves with a break-out, either.

So today, we are talking about what causes acne, what the science says about dietary approaches to reducing it, and what the most current treatments are. 

Resources:

Acne: A Disease of Western Civilization

Prevalence, severity, and severity risk factors of acne in high school pupils: a community-based study.

Our podcast on supplements

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Oct 24, 2016

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

Oct 17, 2016

You'd think that something like screening for prostate cancer would be free of controversy, but that just isn't the case. The benefits and risks of screening have been hotly debated by different medical organizations over the years.

Today, 2 Docs Talk about how prostate screening and the various issues surrounding it. This is a topic every man should discuss with his physicians, and we hope this hepls you know what questions to ask when you do.

Resources:

Weiner AB, Matulewicz RS, Eggener SE, Schaeffer EM. Increasing incidence of metastatic prostate cancer in the United States (2004-2013). Prostate Cancer Prostatic Dis. 2016 Jul 19.]

AU Tacklind J, Macdonald R, Rutks I, Stanke JU, Wilt TJ. TI Serenoa repens for benign prostatic hyperplasia. SO Cochrane Database Syst Rev. 2012;12:CD001423.

https://www.cancer.gov/types/prostate/hp/prostate-screening-pdq

Oct 10, 2016

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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Oct 3, 2016

If you've ever felt like you had a handle on the evidence about a certain medical topic only to read a headline telling you science now says the opposite, you aren't alone. 

But science isn't about headlines. It's about evaluating the evidence to decide what's real, and it doesn't always conform to what we want. But that doesn't stop the media, (and maybe some journals), from selectively reporting the research that will generate the most buzz.

Today we talk about this issue and ideas that are being discussed to help be sure all the evidence, including the unremarkable evidence, is adequately reported.

Resources:

Nurse's Health Study

Women's Health Initiative

Calcium and Heart Disease Risk

Results-Blind Study

PLOS on Data

2 Docs Talk about Hormone Replacement Therapy

2 Docs Talk about Supplements

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Sep 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

 

Sep 19, 2016

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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Sep 12, 2016

In a country (the U.S.) where people drink, on average, 44.7 gallons of soda per person, it's smart to think about what we are putting into our bodies. 

Most of us have figured out that all that sugar is a bad idea, but what about sugar substitutes? Diet sodas make up a big portion of that 44.7 gallons. But is it really any better than plain old sugar?

Resources:

Generally Recognized as Safe

San Antonio Heart Study

Fueling the obesity epidemic: Artificially sweetened beverage use and long term weight gain

Artificial Sweeteners and Gut Microbiota in Rats

 

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Sep 5, 2016

Thousands of people die each year from influenza. The CDC recommends that almost all people (with a few rare exceptions) receive the flu vaccine every year. But the disease and the vaccine are poorly understood. In this episode, we discuss the flu, its treatment and its prevention.

Resources:

Influenza vaccine effectiveness in preventing outpatient, inpatient, and severe cases of laboratory-confirmed influenza

Oseltamivir treatment for influenza in adults: a meta-analysis of randomised controlled trials.

 

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Aug 29, 2016

Urinary tract infections are one of the most common infections we humans get. In fact, estimates suggest 60-70% of women will have at least one in their lifetime. And many women suffer from them repeatedly.

So what causes these infections and how can you treat them? Is there any way to prevent them? And what does diet have to do with it? 

We discuss these issues and more in this episode. 

Resources:

CDC article on E. coli in our food supply and its role in UTIs

 

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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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Aug 15, 2016

Everyone thinks of the sun in a different way. Some people crave it and some avoid it. And it turns out there are good health reasons for both.

Today on 2 Docs Talk, we'll be covering how the sun affects your health and how to maximize its benefits while minimizing its damage. We'll talk about:

  • UVA vs. UVB rays
  • The UV Index
  • Sunscreen
  • Skin cancer
  • Vitamin D 
  • and more.

 

Take a listen and get a little info to help you stay sun healthy.

 

EPA UV Index Database

Swedish Studyon Sun Exposure and Smoking

American Academy of Dermatology Sunscreen FAQ

 

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