Episode 300: The Top 20 Medications

In episode 300, James, Mike, Tina and Mike have survived an apocalyptic event and they have been left with clean water, a proper sewer system, lots of good food but NO MEDICATIONS. Their task is to choose only 20 medications they can use for the foreseeable future.  Tune in to find out what they are - you may be shocked, amazed and astounded.

Episode 299: Nasal irrigations for rhinosinusitis – take the evidence with a pinch of salt

In episode 299, James and Mike get back to the podcast business with the scintillating topic of nasal saline irrigation for rhinosinusitis. We find that for acute symptoms, the evidence doesn’t support a benefit but there may be some value for chronic rhinosinusitis. Read more »

Episode 298: Anti-CCP: A truly helpful Rheumatoid Arthritis lab test?

In episode 298, Mike, James and Tina discuss the evidence and use of Anti-CCP as a test for adult rheumatoid arthritis. We find that this test may be more useful than rheumatoid factor when it comes to figuring out if a patient has rheumatoid arthritis.

Show notes

1) Tools for Practice Read more »

Episode 297: Spinning the evidence around the Epley maneuver

In episode 297, Mike, James and Tina chat about a treatment that takes 2-5 minutes and has an NNT of 2-3 – it doesn’t get much better than that. While there isn’t a lot of evidence around the Epley maneuver for benign paroxysmal vertigo, what there is is fairly impressive – in fact it made our heads spin.

Show notes

Evaluating the Epley maneuver Read more »

Episode 296: MedStopper – a deprescribing resource for healthcare professionals

In episode 296, Mike and James invite Alan Cassels to help us discuss a deprescribing resource we created called MedStopper which you can find at medstopper.com. We talk about where the idea came from and how we created the database for MedStopper. We would love it if you would check out the site and let us know what you think.

Show notes

1) The MedStopper Site Read more »

Episode 295: PREMIUM - Taking a run at the SPRINT trial

In episode 295, Mike and James discuss the latest blood pressure target trial in an impressive PREMIUM way. We also discuss the most recent meta-analysis that looked at all of the studies (except SPRINT) that have evaluated intensive blood pressure lowering. Read more »

Episode 294: COPD – Continually Offering Puffer Devices – PART III

In episode 294, Mike and James put the nail in the coffin on the evidence around inhalers for COPD. We discuss the evidence and studies around combination inhalers and the treatment of acute exacerbations of COPD. The bottom line is never, ever, ever, smoke.

Show notes

FOR COPD

See episode #292

Episode 293: COPD – Continually Offering Puffer Devices – PART II

In episode 293, Mike and James continue to discuss the evidence behind the evidence for inhalers for COPD. We discuss the evidence and studies that look at the important outcomes behind the multitude of different puffers. At the end we discuss how we would use about these agents in practice.

Show notes

FOR COPD

See episode #292

OTHER Read more »