Episode 207: Please stop measuring all those blood pressures – PART II

In episode 207, Mike and James keep up the pressure on blood pressure measurements. We talk about the magnitude of the benefit, the variability of all these measurements and get into the whole starting and stopping approach. At the end of the podcast we decide the bottom line is to not panic, sit back, put up your feet and relax and try to get your patients to do the same thing. Read more »

Episode 206: Please stop measuring all those blood pressures

In episode 206, James and Mike start to tackle the holy gospel of blood pressure measurements and interestingly feel under pressure the entire way due to the trickiness of the evidence. Read more »

Episode 205: Please stop measuring all those A1c levels – PART II

In episode 205, Mike and James continue with their discussion on the use of A1c levels in type-2 diabetes. We discuss the variability in the measurement of A1c and given this, how tricky it is to use the A1c once therapy has been started. Read more »

Episode 204: Please stop measuring all those A1c levels

In episode 204, James and Mike get into a discussion about the use of A1c levels for diagnosing and treating type-2 diabetes. We discuss screening recommendations and the impact an elevated A1c has on cardiovascular disease and other outcomes. At the end we realize the key message is that we have to let patients know that having an elevated A1c does not indicate impending doom. Read more »

Episode 203: PREMIUM – Vitamin D, chelation therapy, and obesity studies you need to know about

In episode 203, James and Mike go all PREMIUM and discuss three new studies. Vitamin D for the common cold, chelation therapy post-MI and the link between obesity and mortality. If you are reading this and you are a non-PREMIUM member, boy are you missing something.

 Show notes

1) Vitamin D for the cold Read more »

Episode 202: Please stop measuring all those bone densities

In episode 202, Mike and James continue their testing deconstruction process. This week they take on bone mineral densities and discuss when (almost never) and when not to get these measurements. The podcast clocks in at a dense 44 minutes but the result is a real gem (mineral).

Show notes

1) OST – Osteoporosis Self-assessment Tool Read more »

Episode 201: Please stop measuring all those cholesterol levels – Part II

In episode 201, James and Mike continue on with deconstructing the concept of cholesterol measuring and lowering. Read more »

Episode 200: Please stop measuring all those cholesterol levels

In episode 200, James and Mike unveil the new BS Medicine Podcast. For their first topic they rant on and on about why most cholesterol measurements are pretty much a waste of time. We talk about how the breakpoints are arbitrary and lack any specific logic and that given the within-person variation, annual measurements really don’t have any value. Read more »