Info

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.
RSS Feed Subscribe in Apple Podcasts
2 Docs Talk: Medicine | Health | Healthcare Policy | Evidence Based Medicine
2017
November
October
September
August
July
June
May
April
March
February
January


2016
December
November
October
September
August
July
June
May
April
March
February
January


2015
December


Categories

All Episodes
Archives
Categories
Now displaying: Page 4
Jun 13, 2016

 

Lice are an issue that many parents of elementary students have to deal with, often more than once.

In this episode we discuss the three different types of lice - body lice, pubic lice, and head lice - how to get them, the health threats associated with them, and what works to get rid of them. 

Resources:

The CDC on head lice treatment

An Interesting Paper if You Want to Get Totally Geeky on Lice

Dr. Pearlman's Site on the Cetaphil Treatment and Lice

 

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!

Listen on iTunes

Listen on Stitcher

Now Available on Google Play Music!

Jun 6, 2016

Back pain is second only to cancer as a cause of long term disability. This health problem is damaging to individuals and costly to society. And we don't have much in our arsenal that is effective at treating it.

This week, we discuss the difference between acute and chronic back pain with regard to treatment and outcomes. We also discuss the role of surgery, medications, alternative therapies, and some interesting new research on what helps resolve chronic back pain.

Resources:

Research on efficacy of epidural steroid injections for back pain

Trends in spinal fusion surgery

American College of Physicians Guidelines for the Treatment of Chronic Low Back Pain

May 30, 2016

 

Our understanding of what sleep is and why it is important grows daily. It's clear that poor sleep plays a role in all sorts of disease states. Sadly, more and more people report sleep disturbances to their doctors. 

Is this a new epidemic we are facing, or is it just our awareness of the issue that makes it seem so?

In this episode, we take a look at the role sleep plays in our health, what happens when sleep is disturbed, and how insomnia can be treated. Take a listen and see what you think. We try not to put you to sleep, but you might want to grab a cup of coffee whiel you listen anyway.

Resources:

Arianna Huffington's story

Sleep and Chronic Disease

Sleep loss and inflammation

Sleep, ghrelin, leptin and weight gain

Meta analyis of melatoning and sleep duration

Cognitive Behavioral Therapy for insomnia

May 23, 2016

In a world when concerns about healthcare costs, access to care, and medical complications create significant barriers to medical care, telemedicine has an obvious role to fill. 

But what are the potential downsides of a technology that is being adopted faster than we can track? Is it effective? Is it safe? Is it a door for the unscrupulous ot take advantage of the unsuspecting?

We discuss these and other issues of the growing field of telemedicine. 

Resources:

AMA policy on telemedicine

AAFP debate on telemedicine policy

AAP on telemedicine and the "medical home"

Hospital at Home

Use of telemedicine to prevent preterm labor

May 16, 2016

Both of us, Kendall and Amy, have dogs named Goose. This was purely coincidental, and we are as surprised by that fact as anyone. It's a little uncanny how much they resemble one another, too. If you'd like to see the Geese, we've added their pictures over at 2DocsTalk.com. These two certainly live the life of Riley, but they aren't the only canines who have it so good.

We are a country of pet lovers. We spend over $60 billion annually on food, vet bills, toys, and silly extravagances for our animal companions. We love them, and can't imagine life without them. But did you know your pet can make you sick - and the other way around? 

Today we discuss zoonotic infections - those infections that are spread from animal to human. Rabies, toxoplasmosis, and leptospirosis are a few diseases that fall into this category. We'll talk about how they are spread and treated, and give some tips on how to prevent the.

We'll also talk about how we can make our pets sick, too. It's a fun show!

Resources:

The Thanksgiving Effect

The CDC on pets and salmonella

CDC info on rabies 

May 9, 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

May 2, 2016

Because individuals with high cholesterol levels often develop heart disease, we've come to accept that high cholesterol - especially "bad" cholesterol, or LDL - causes heart disease.

But it can't be said often enough that correlation does not equal causation, and it is beginning to look more and more like a causal realtionship between cholesterol and heart disease just isn't there. 

In this episode we talk about the status of treating cholesterol to prevent heart disease and about a drug trial that punctuates the whole process with a giant question mark. 

Take a listen and see what you think.

Resources:

Number Needed to Treat with Statins for Primary Prevention

Number Needed to Treat with Statins for Secondary Prevention

Evacitrapib Study Stopped Because of Clinical Futility

American Heart Association Guidelines for Prevention with Statins

Apr 25, 2016

For decades we've been told that our high fat diet is making us obese and killing us with heart disease. But here's the deal. The concept of a lowfat diet, exemplified in the Mediterranean Diet, is based on faulty science. 

In this episode, we discuss how the high fat hypothesis became accepted science and public policy, without any good research to back it up. We also talk about the various kinds of fats that are out there and what we think is the biggest culprit in our obesity problems.

Resources:

The Big Fat Surprise

PREDIMED Study

Meta-analysis of prospective cohort studies evaluating the association of saturated fat with cardiovascular disease

Evidence from randomised controlled trials did not support the introduction of dietary fat guidelines in 1977 and 1983: a systematic review and meta-analysis

Profiling Food Consumption in America

Apr 18, 2016

Stem cell research, regenerative medicine, or whatever you want to call it, was a real hot button issue for a while. The policitics around it have cooled somewhat, but controversy remains even if the media isn't reporting on it.

What have we learned from stem cell research, what advances have been made, and can we really trust it? 

We get in to all this and more on this week's episode.

Resources:

 ISCCR Draft Guidelines for Stem Cell Science Translation

A nice summary of where the FDA got involved with Stem Cell therapy and who many of the players are

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

 

Apr 4, 2016

All you have to do is take a quick drive around town to see that low testosterone clinics are all the rage. A little math will tell you why. Males make up around 50 percent of the population, and their testosterone declines, naturally, at a rate of 1 percent per year after age 30. If that decline merits treatment, it's no wonder those clinics are everywhere.

But, does it merit treatment?

Is testosterone replacement safe?

Is it even effective?

We dig into those questions on this episode of 2 Docs Talk.

Resources

JAMA: Effects of Testosterone on Subclinical Atherosclerosis

Testosterone Reduces Cardiovascular Risk

Testosterone Increases Cardiovascular Risk

FDA Drug Safety Communication on Testosterone

Mar 28, 2016

In this episode, we dig into the terms being bandied about by politicians this year. Medicare for all, single-payer, socialized medicine. What do they all mean? Are they all the same or are there differences between these systems. 

And what would we do, today, to start making healthcare work a little better?

Resources:

Per Capita Health Spending by Country

Gallup Poll on Healthcare Satisfaction by Country

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.

Mar 21, 2016

If you've paid any attention to the news in the last year you've heard about the trials of businesses such as Blue Bell Ice Cream and Chipotle. The outbreaks of food borne illnesses from these and other establishments have cause disease, death, and no small amount of economic hardship. 

Why is it that these issues feel like they are happening more frequently? And more importantly, what can we do to keep ourselves healthy, if anything?

On this episode of 2 Docs Talk, we dig into the facts about food borne illness.

Resources:

A great list of facts about raw vs. pasteurized milk, with an excellent list of references at the end.

States that permit the sale of raw milk in retail stores include:

Arizona,California, Connecticut, Idaho, Maine, New Mexico, Nevada, Pennsylvania. South Carolina, Utah, Washington, New Hampshire

States that allow the sale of raw milk on the farm include:

Arkansas, Illinois, Kansas, Kentucky, Massachusetts, Minnesota, Nebraska, New York, Oklahoma, Rhode Island, Texas, Wisconsin, Mississippi

**Arkansas, Kentucky, Mississippi and Rhode Island restrict sales to goat milk, with Kentucky and Rhode Island requiring a prescription from a physician.

Five states allow for the sale of raw milk at farmers’ markets or through other avenues:

Colorado, South Dakota, Missouri, Vermont, Oregon

We referred to a couple of previous podcasts in this episode. If you haven't already listened to these, there is some good info in them:

Is Gluten Free the Answer?

Bugs and Drugs

Mar 14, 2016

One of the big scary pieces of growing old is the possiblity of developing Alzheimer Dementia. This progressive neurological disease is poorly understood, meaning the options for prevention and treatment have a long way to go.

In this episode, we talk about what the disease is, current options for treatment, the reality of prevention, and an approach to choosing long term care.

 

Resources:

Systematic review of studies on cholinesterase inhibitors

JAMA Neurology meta analysis of memantine

Risk reducing effect of education on in Alzheimer's disease

Lumosity fined $2 million for deceptive advertising

Non-profit vs. for profit nursing homes

CMS Five Star Rating

Mar 7, 2016

One of the foundational values of this show is emphasizing the importance of using the best available evidence when making decisions about medical care. 

Unfortunately the drive to publish has driven some to game the scientific publishing system. From circumventing the peer-review process to outright fraud, scientific literature is plagued with misinformation.

The scientific community is responding, though. With tools like retraction databases, research reproducibility efforts and post-publication peer review, scientists are working to maintain the highest level of inegrity in the scientific literature.

Be sure to listen all the way to the end, we get a littel personal.

Nature Magazine on the Peer Review Scam

Retraction Watch Leaderboard

Retraction Watch Timeline of Events Regarding Dr. Macchiarini

PubPeer

The Reproducibility Initiative

Why Asparagus Makes Your Pee Stink

Feb 29, 2016

With Zika in the news, it seemed like a good time to examine the vector borne diseases making headway here in the U.S.

In addition to Zika, we need to pay attention to Dengue Fever. Like the West Nile virus and yellow fever, these viruses are spread by the Aedes mosquito - most often Aedes aegypti. 

But don't think mosquitoes are the only issue. The Kissing Bug, which isn't nearly as sweet as it sounds, is responsible for the increasing burden of Chagas disease in the southern states. Without giving away their secret, let me just say you might not want to listen to this episode right before bedtime.

Note: This episode was recorded in mid-February. Our understanding of Zika, and its impact on the U.S. is rapidly evolving. Please keep an eye on the CDC pages linked below for the most current information.

Resources:

CDC map of areas affected by Zika

Sexual Transmission of Zika

Zika Virus

Dengue Virus

Chagas Disease

61% of Kissing Bugs Carrying Trypansoma Cruzii

Feb 22, 2016

This week we started talking about bugs and drugs, or infections and their treatments and we got into Clostridium difficile infection and fecal transplants. Because when it comes to this topic, we are all middle school boys. We can't not talk about it. 

In all seriousness, C. diff can be a devastating disease and the success of this treatment is beyond exciting. As Kendall likes to remind us, though, we have to watch out for the law of unintended consequences.

 

World Health Organization Survey on Antibiotic Use

Great Explainer Video About C. Difficile and Fecal Transplant

Freeze-dried poop for weight loss (I told you so)

Everything You Don't Want to Have to Know About Norovirus from the CDC

Feb 19, 2016

After a few of our previous episodes we got some great questions from a few of our listeners. In this brief update, we answer questions about our episodes on medical marijuana, breast cancer screening and concussions.

Feb 15, 2016

Opioid abuse is at an ever increasing high in the U.S. with overdose being a significant cause of death. 

What role do physicians, pharmaceutical companies, and the drug users themselves play in this epidemic. We examine these questions and more in this episode on the opioid problem in the United States.

Resources:

Drug Overdose Deaths by State

Draft CDC Guidelines for Prescribing Opioids for Chronic Pain

Specific Populations and Prescription Drug Misuse and Abuse

Feb 8, 2016

Colorectal screening is an effective tool in the prevention of deaths from colon cancer. The question is if the screening tools we use now are the most effective and safe available to us. Technological advances are making less invasive, safer tests a possibility - and sooner rather than later if we're lucky.

But today, what tests do we have, which ones work, and what should you as a patient choose when it comes to your own screening.

Resources:

Current USPSTF Guidelines for Colorectal Screening

USPSTF Draft Update Status for Colorectal Screening

Pillcam Accuracy and Safety

Cologard and FIT (Fecal Immunochemical Testing)

We can use your help! Please pop on over to iTunes if you are an Apple user, or Stitcher for Android, and leave a rating and review for 2 Docs Talk. It will only take two minutes and you will have our undying gratitude!

2 Docs Talk on iTunes

2 Docs Talk on Stitcher

Feb 1, 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

Jan 25, 2016

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

Jan 18, 2016

The supplement industry is a big one - estimates place it anywhere from $12 billion to $37 billion. 

However, if you put that number in the context of healthcare spending overall, it's not too crazy...if supplements are effective and safe.

But issues with the approval and regulations of dietary supplements make leave us with many unanswered questions about the so-called "natural" products on the market.

In this episode we examine supplements, homeopathic remedies, the placebo effect and much more. So take a listen, and leave a comment if you have thoughts on the topic.

References:

Dietary Supplement Health and Education Act of 1994

National Center for Complementary and Integrative Health

Placebos Without Deception

Perception of Drug Cost Influences Placebo Effect

Be sure and leave a comment if you have any thoughts on the show. And you know we'd appreciate it so much if you would leave us a review in iTunes!

Listen on iTunes

Listen on Stitcher

Jan 11, 2016

The gluten-free phenomenon has grown into a $2.5 billion industry in the U.S. The question we have to ask is if the medical concern from gluten is enough to justify such a huge national expenditure. In this episode, we look at the disorders behind gluten and wheat allergies, gluten sensitivities and the science that supports these diagnoses.

« Previous 1 2 3 4 5 Next »