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Stay informed of the most relevant medical developments by subscribing to Clinical Conversations (http://podcasts.jwatch.org), from NEJM 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, NEJM Journal Watch (jwatch.org) delivers independent, practical, and concise information you can trust.
||CleanPodcast 209: “The guidelines need to be rewritten” to encourage antibiotic use after incision and drainage of small skin abscesses||The senior author of a paper examining the role of systemic antibiotics after incision-and-drainage in treating small skin abscesses says the results should prompt a rewriting of current guidelines. Henry Chambers of UCSF found a 15-percentage[...]||7/9/2017||Free||View in iTunes|
||CleanPodcast 208: How inequality kills — David Ansell talks with us about his new book||Dr. David Ansell, a professor of medicine at Rush University Medical Center in Chicago, discusses his new book, “The Death Gap: How inequality kills.” What’s the death gap? Look at it this way: you’re getting on the Chi[...]||6/10/2017||Free||View in iTunes|
||CleanPodcast 207: Fecal transplants, the gut microbiome and future medical care||All previous editions are available at podcasts.jwatch.org. I overheard this week’s guest, Zain Kassam, discussing his work at OpenBiome a few weeks ago. All those microbes in our intestines seem destined to play an important role in the futu[...]||5/12/2017||Free||View in iTunes|
||CleanPodcast 206: Gluten avoidance and cardiac risks||All previous editions are available at podcasts.jwatch.org. Have you prepared a dinner party recently and not heard the word “gluten” come up? Using food-frequency questionnaires, researchers followed the dietary habits of two very larg[...]||5/7/2017||Free||View in iTunes|
||CleanPodcast 205: Listen to the patient!||Danielle Ofri has written a new book, “What Patients Say, What Doctors Hear,” that’s full of advice on how best to listen to your patients. She also recounts her own adventures (and misadventures) in patient communication. Th[...]||1/13/2017||Free||View in iTunes|
||CleanPodcast 204: Medical marijuana’s effect on Medicare prescriptions||[Note: a transcript of this interview will be added in a few days’ time.] Our guest has strong indirect evidence that medical marijuana has been replacing “standard” drugs in states where it is legal. In doing so, the substit[...]||7/10/2016||Free||View in iTunes|
||CleanPodcast 203: What’s wrong with guidelines||Download the TRANSCRIPTION_JWPodcast203 We talk with Dr. Margaret McCartney of Glasgow about her essay in The BMJ. She and her three co-authors titled it “Making Evidence-Based Medicine Work for Individual Patients.” Note: We’re going to[...]||6/9/2016||Free||View in iTunes|
||CleanPodcast 202: Disaster Medicine — a New Edition||Drs. Kristi Koenig and Carl Schultz have just published a second edition of their textbook Disaster Medicine: Comprehensive principles and practices. And they do mean comprehensive. The book runs some 750 pages, covering everything from ethics[...]||5/12/2016||Free||View in iTunes|
||CleanPodcast 201: The NFL’s concussion-research flaws||A conversation with Dr. Ira Casson (who served on the National Football League’s committee on mild traumatic brain injury and co-authored several of its studies on MTBI) reveals that it may be impossible to assess the value of its six-season [...]||4/8/2016||Free||View in iTunes|
||CleanPodcast 200: Sorting out the results of breast biopsy||Most of the time, pathologists agree with each other about breast biopsy results — especially when the biopsy is negative or indicates invasive cancer. However, the biopsies that fall between those two extremes — that is, atypia and duc[...]||3/25/2016||Free||View in iTunes|
||CleanPodcast 199: Rethinking what medical journals do||There’s change in the air about science publishing, and Harlan Krumholz, the founding editor of the journal Circulation: Cardiovascular Quality and Outcomes, thinks it’s time to reimagine the whole concept of what a journal is and what [...]||3/15/2016||Free||View in iTunes|
||CleanPodcast 198: Three laws that could reduce U.S. firearm mortality||M-16 and candle, 1968 Implementing universal background checks for gun purchases, for ammunition purchases, and mandating firearm identification could dramatically lower U.S. mortality attributable to firearms, our guest says. In the Lancet,[...]||3/10/2016||Free||View in iTunes|
||CleanPodcast 197: A dissent on sepsis||The authors of the new sepsis definitions encouraged “debate and discussion,” and an editorial in Chest was quick to provide it. The editorialist, Dr. Steven Simpson, is worried about missing some cases if consideration of SIRS (th[...]||3/4/2016||Free||View in iTunes|
||CleanPodcast 196: Sepsis redefined||We have Edward Abraham, Dean of Wake Forest School of Medicine, with us to talk about the new definitions of sepsis and septic shock. He wrote an editorial in JAMA that puts the changed definitions into perspective for clinicians. Listen in. E[...]||2/27/2016||Free||View in iTunes|
||CleanPodcast 195: Pioglitazone for secondary prevention?||Pioglitazone, long known to increase insulin sensitivity, has been “mostly relegated to use in unusual conditions such as lipodystrophies” after its drug class, the thiazolidinediones, “fell from grace” in the words of our g[...]||2/18/2016||Free||View in iTunes|
||CleanPodcast 194: Rising middle-age mortality rates are worrying||Ever since Anne Case and Angus Deaton published a paper in the Proceedings of the National Academy of Sciences last November there has been a spate of commentary over their major finding: mortality rates among middle-aged whites in the U.S. are ris[...]||2/3/2016||Free||View in iTunes|
||CleanPodcast 193: Glioma survival lengthened||We usually don’t venture into oncology here, but the approach taken to glioma treatment in a JAMA paper — maintenance therapy with chemotherapy plus alternating electrical fields delivered transdermally via transducers — seems wor[...]||12/20/2015||Free||View in iTunes|
||CleanPodcast 192: Are we too sweet on HbA1c testing?||Over half the patients with Type 2 diabetes have their HbA1c measured too frequently — i.e., at least three times a year. Why is that a bad thing? Dr. Rozalina McCoy, the lead author of a paper in The BMJ explains. Using claims data, her[...]||12/10/2015||Free||View in iTunes|
||CleanPodcast 191: The prostate screening conundrum||[Running time: 13 minutes] The 2008 and 2012 recommendations from the USPSTF regarding PSA-based prostate screening have been accompanied by drops in both the screening and detection rates of prostate cancer, two studies in JAMA find. Our[...]||11/21/2015||Free||View in iTunes|
||CleanPodcast 190: Last line of antibiotic defense breached||The Lancet Infectious Diseases has just published a worrying account from China about a dangerous antibiotic resistance factor carried on plasmids. The factor, called MCR-1, confers resistance to colistin — a last line of defense against mult[...]||11/19/2015||Free||View in iTunes|
||CleanPodcast 189: Blood Pressure Target Should Be 120, SPRINT Data Show||The SPRINT study, suggesting that we aim for a systolic BP target of 120 mm Hg in high-risk hypertensive patients, has been published with much fanfare. Dr. Paul Whelton — one of the SPRINT investigators — is our guest. He warns ag[...]||11/9/2015||Free||View in iTunes|
||CleanPodcast 188: Should “deintensification” be a quality-of-care measure?||The ACCORD trial found dangers in too-strict control of blood pressure and glucose in diabetes. Our guest has just published a study in JAMA Internal Medicine measuring the scope of the problem. Using Veterans Affairs data, his group found that [...]||11/1/2015||Free||View in iTunes|
||CleanPodcast 187: Colorectal adenomas not prevented by calcium and/or vitamin D||We interview John Baron about his recent New England Journal of Medicine study testing the ability of calcium or vitamin D (or both) to prevent recurrences of colorectal adenomas in a population who had lesions found during colonoscopy. On follow-u[...]||10/25/2015||Free||View in iTunes|
||CleanPodcast 186: Stop supplementing calcium!||Two analyses in the BMJ show little or no benefit from loading up older patients with calcium — indeed, the bad side effects of doing so (kidney stones and cardiovascular problems, to name two) outweigh the benefits. Our conversation wit[...]||10/6/2015||Free||View in iTunes|
||CleanPodcast 185: A Spirited Discussion on Medicare’s ‘Doc Fix’ Fix for Reimbursement||A group of physicians, economists, and medical students gathered on Medstro to talk about Medicare’s solution to the decades-old “doc fix” problem — it’s how you get paid for caring for Medicare patients. The chat[...]||9/27/2015||Free||View in iTunes|
||CleanPodcast 184: Ruling out pulmonary embolism in primary care||Pulmonary embolism is a vexing problem in primary care: Does this patient have it? Can I send them home with reassurance? Should I refer them for further testing? A Dutch group has evaluated the tests most likely to be available in the primary[...]||9/22/2015||Free||View in iTunes|
||CleanPodcast 183: An Obesity ‘Switch’ in the Genome Described||There’s a kind of “wall switch” in the human genome that’s been newly described. It seems to be able to turn on and off genes controlling the efficiency with which we burn fat. The study describing the finding in the Ne[...]||8/21/2015||Free||View in iTunes|
||CleanPodcast 182: Dietary fat studies meta-analyzed — trans fat still a bad bet||The BMJ’s meta-analysis of several large cohorts finds no association of saturated fat with all-cause and cardiovascular mortality or total coronary disease. Trans fat, on the other hand, increased risk in all those categories. The first[...]||8/16/2015||Free||View in iTunes|
||CleanPodcast 181: Oral Contraceptives’ Role in Reducing Endometrial Cancers||(Running time: 15 minutes) A study in the Lancet Oncology gathered information from dozens of epidemiological studies to estimate that over 200,000 cases of endometrial cancer have been prevented in the past 10 years as a result of oral contra[...]||8/7/2015||Free||View in iTunes|
||CleanPodcast 180: A sketch of community-acquired pneumonia||How Webster defined it 90 years ago. The CDC’s Seema Jain is our guest, talking about a study she did with her team to characterize the causes of community-acquired pneumonia in U.S. adults. (They don’t mention finding Webster’s[...]||7/18/2015||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.
I really enjoy Joe's voice
Why does he not do the Audio summaries; since the nature of the material is abstruse physicians might not accept him as legit, I like him, but
I tried to figure out why you removed him from the audio summaries and I realize maybe it was because he isn't a physician. Joe Ilea (Ileo's) voice is very nice.; his voice is so pleasant.
Is it coming back?
This is an awesome podcast, is it coming back for 2013?