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Stay informed of the most relevant medical developments by subscribing to Clinical Conversations (http://podcasts.jwatch.org), from Journal Watch. This podcast features a round-up of the week's top medical stories, clinically-oriented interviews and listeners’ comments…in 30 minutes or less. Produced by the publishers of the New England Journal of Medicine, Journal Watch (jwatch.org) delivers independent, practical, and concise information you can trust.
||Podcast 169: New guidelines on cardiovascular disease prevention||Running time: 11 minutes The American Heart Association/American College of Cardiology have released four sets of guidelines — all aimed at the lowering of risk for atherosclerotic cardiovascular disease. For perspective, we’ve asked H[...]||11/12/13||Free||View In iTunes|
||Podcast 168: The Camden Coalition’s work on alleviating the discontinuity of medical care||Running time: 10 minutes The Camden Coalition of Healthcare Providers formed about 10 years ago as a quarterly breakfast club of primary-care providers who were frustrated in their attempts to bring care to comprehensive care to their patients in C[...]||9/25/13||Free||View In iTunes|
||Podcast 167 — The polypill: adherence at last?||Running time: 7 min The recent JAMA article examining the effects of the “polypill” on adherence and clinical benefits in patients with (or at high risk for) cardiovascular disease, is our topic. The polypill in this trial contained fix[...]||9/14/13||Free||View In iTunes|
||Podcast 166: Delirium and intensive care||Running time: 19:45 This week’s guest is Yoanna Skrobik, a Montreal intensivist and author of an intriguing commentary on a Lancet Respiratory Medicine paper on the (non)effect of haloperidol in influencing the incidence or length of delirium[...]||8/21/13||Free||View In iTunes|
||Podcast 165: The Mediterranean diet’s salutary interaction with risk-conferring genes||Running time: 14 minutes. A study in Diabetes Care shows that people at higher genetic risk for diabetes and cardiovascular complications had a relatively lower stroke risk when they adhered to a Mediterranean diet. Dr. Jose Ordovas, the study[...]||8/15/13||Free||View In iTunes|
||Podcast 164: Talking about death||Running time: 11 minutes Last month John You and his colleagues published a guide to discussing advance care planning with patients at high risk of dying in the Canadian Medical Association Journal. It’s full of practical advice, and I though[...]||8/1/13||Free||View In iTunes|
||Podcast 163: Boston bombings – 4||Dr. Brien Barnewolt of Tufts Medical Center shares his thoughts on the aftermath of the April 15 bombings at the Boston Marathon. Simple things matter in these circumstances, like wearing your ID badge. Length: 9 minutes||6/14/13||Free||View In iTunes|
||Podcast 162: Boston bombings lessons part 3||Andrew Ulrich, executive vice chair of Boston Medical Center’s emergency department and an associate professor of emergency medicine at Boston University School of Medicine talks about the day and its lessons. He was just starting his shift w[...]||5/21/13||Free||View In iTunes|
||Podcast 161: Boston bombings’ lessons part two||Alasdair Conn, chief of emergency services at Massachusetts General Hospital and an associate professor of surgery at Harvard Medical School continues our series on the aftermath of the Boston Marathon bombings. Thank you for listening. Do let us k[...]||5/14/13||Free||View In iTunes|
||Podcast 160: The Marathon bombing — lessons learned||Thank you for your questions about the status of Clinical Conversations. We’re edging our way back toward a normal schedule with this, the first of a planned multipart series on the lessons learned in the aftermath of the Boston Marathon bomb[...]||5/9/13||Free||View In iTunes|
||Podcast 159: Making the Clinical Diagnosis, But Blowing the Patient’s Treatment Preference||Running time: 20 min. In some diseases there are two diagnoses to make: the clinical diagnosis and the diagnosis of what the patient’s treatment preference is. The first is hard enough to make, and the widening choice of treatment choices com[...]||11/10/12||Free||View In iTunes|
||Podcast 158: Physician-assisted dying — a conversation with Dr. Marcia Angell about the Massachusetts ‘Death with Dignity||Our conversation explores the question that Dr. Marcia Angell poses in a recent essay in the New York Review of Books: May doctors help you to die? Angell’s is the first name to appear as the sponsor of a November 6 ballot initiative here in [...]||10/18/12||Free||View In iTunes|
||Podcast 157: Of parking lots, low back pain, the Yankees, writing, and — oh yes — clinical medicine||A chat with clinician-essayist Cameron Page, whose essay “They Paved Paradise and Put Up a Parking Lot” appears in this month’s Health Affairs. Our conversation explores the connections in medicine that link outside the clinic wal[...]||6/26/12||Free||View In iTunes|
||Podcast 156: Using low-dose CT screening for lung cancer in defined populations — a conversation with Peter Bach||Dr. Peter Bach is the first author on a new JAMA analysis of the benefits and harms of using low-dose CT screening for lung cancer. The American College of Chest Physicians and the American Society of Clinical Oncology requested the systematic rev[...]||5/20/12||Free||View In iTunes|
||Podcast 155: What’s wrong with U.S. healthcare and what will save it?||Dr. Arnold Relman, longtime observer of the U.S. healthcare system and editor emeritus of the New England Journal of Medicine, proposes two major reforms: First, private insurance companies should leave the healthcare field, and second, physicians [...]||5/14/12||Free||View In iTunes|
||Podcast 154: Treating heart failure’s hypercoagulable state — warfarin or aspirin?||Heart failure brings problems associated with hypercoagulation, such as stroke and sudden death. An international study followed some 2300 patients with heart failure (ejection fractions of 35% or less) and in stable sinus rhythm for a mean of 3.5 [...]||5/2/12||Free||View In iTunes|
||Podcast 153: Type 2 diabetes in young people — tough going on the treatment front||About half of adolescents with type 2 diabetes fail treatment with metformin alone within a few years. Things go somewhat better with metformin plus an intensive lifestyle intervention, and better still with the addition of rosiglitazone to metform[...]||4/30/12||Free||View In iTunes|
||Podcast 152: Gum disease and atherosclerosis — evidence for an association, but not for a cause-and-effect||The American Heart Association’s scientific statement on “Periodontal Disease and Atherosclerotic Vascular Disease” is likely to raise hackles among those offering treatments for gum disease as a way to lower risk for heart diseas[...]||4/18/12||Free||View In iTunes|
||Podcast 151: Most people above age 10 have at least some cross-reactive antibodies to variant influenza||Influenza A (H3N2)v — a novel flu virus that emerged last summer and shows signs of being able to transmit itself from person to person — is our topic this week. The virus carries genes from swine and avian flu viruses, and the few case[...]||4/14/12||Free||View In iTunes|
||Podcast 150: Depression (and antidepressant use) after stroke or TIA||After stroke or transient ischemic attack, depression is more common than among the general population, and the risk for depression extends beyond the early time period after the event. More alarmingly, less than a third of those with persistent de[...]||3/29/12||Free||View In iTunes|
||Podcast 149: High levels of white rice consumption seem linked to higher risks for type 2 diabetes||A BMJ meta-analysis suggests that people with the highest levels of white rice consumption are at increased risk for type 2 diabetes. The authors examined four studies, together comprising some 350,000 subjects. Two were done in Asian populations a[...]||3/15/12||Free||View In iTunes|
||Podcast 148: Smoking cessation during pregnancy is probably more effective with behavioral approaches than with relying on nico||In the largest study of its kind, UK researchers find that helping pregnant women to quit smoking until at least delivery isn’t helped much by nicotine replacement therapy. The primary outcome, self-reported cessation lasting between the star[...]||2/29/12||Free||View In iTunes|
||Podcast 147: Proof that colonoscopy with polypectomy saves lives||Everyone “knows” that colonoscopy reduces risks of death from colorectal cancer, but it’s good to have your knowledge actually verified, and a new bit of research seems to do that in this case. Long-term follow-up of a group of pa[...]||2/24/12||Free||View In iTunes|
||Podcast 146: Cognitive impairment in primary care — screen or not?||Current guidelines find no compelling therapeutic benefit to screening for cognitive impairment and dementia in primary care. The Journal of the American Geriatrics Society has published some research that, if not compelling, certainly suggests tha[...]||2/17/12||Free||View In iTunes|
||Podcast 145: The Y chromosome and the possible role of a common variant in coronary disease in men.||Haplogroups — who knew? Ancient variations in the Y chromosome form what’s known as haplogroups, and haplogroup I is common in Europe, particularly so in northern Europe. Researchers find that “I” is an independent risk fact[...]||2/13/12||Free||View In iTunes|
||Podcast 144: Hip fractures, PPIs, and smoking history in postmenopausal women — increased risks||PPIs are back on our radar, and this time it’s their regular use among postmenopausal women. A BMJ article examines data from the Nurses’ Health Study to show a significantly increased risk for hip fracture among postmenopausal women wi[...]||2/3/12||Free||View In iTunes|
||Podcast 143: PPIs and asthma control — it doesn’t work in kids, either||Controlling asthma by the use of proton pump inhibitors apparently doesn’t work any better in children than it does in adults. Yet the practice is widely used. A study in JAMA and an accompanying fiery editorial seem to put the notion to rest[...]||1/27/12||Free||View In iTunes|
||Podcast 142: Really, why are you ordering that test?||The American College of Physicians wants to encourage high-value, cost-conscious care. And so they convened a consensus panel of physicians to list tests that they considered overused or inappropriately used in certain circumstances. One example wo[...]||1/20/12||Free||View In iTunes|
||Podcast 141: Clinically apparent atrial fibrillation increases stroke risk; does subclinical afib do the same?||Yes, it apparently does. An international study in the New England Journal of Medicine monitored subclinical atrial fibrillation among some 2600 patients who’d just received an implanted pacemaker or cardioverter-defibrillator. After 3 months[...]||1/13/12||Free||View In iTunes|
||Podcast 140: A new edition of the ACP’s manual on ethics for clinicians is available online||The new edition of the American College of Physicians Ethics Manual has just been released, and at 30 pages, it’s well worth the reading time. It’s available free online as a supplement to the Annals of Internal Medicine. New or updated[...]||1/6/12||Free||View In iTunes|
Great information! Personally I prefer the original title to "Clinical Conversations" but I can count on high quality review and information in this podcast on a weekly basis. I highly recommend it to any clinician interested in keeping abreast of the current literature.
Is it coming back?
This is an awesome podcast, is it coming back for 2013?