Episode 286: A premium-like podcast – find out what you’ve been missing

In episode 286, James and Mike let it all hang out, metaphorically speaking, and do a premium-like podcast without the premium price. We look at two recent publications and discuss whether or not we have to bridge when you stop anticoagulants in afib and if we should prescribe marijuana to ourselves and all our patients.  For some reason we laugh throughout the entire podcast. Read more »

Episode 285: Cyclobenzaprine – flexing the data around its use in acute back pain

In episode 285, James and Mike look at the evidence around the use of a very old drug, cyclobenzaprine (Flexeril), for acute back pain. We find it does have some effect but it also produces sedation etc as would be expected from a tricyclic antidepressant. We remind listeners to use low doses and not to give it three times a day.

Show notes

1) Tools for Practice Read more »

Episode 284: The FODMAP diet – the bottom line around the evidence

In episode 284, the Mikes and James discuss the evidence for the FODMAP diet and irritable bowel syndrome.  There is some evidence, but the gut feeling is that a low FODMAP diet may improve symptoms for patients with primarily diarrhea subtype irritable bowel syndrome. Read more »

Episode 283: PREMIUM – Glucose, blood pressure and statin studies to the max

In episode 283, Mike and James discuss the latest T2DM study showing that sitagliptin at least doesn’t cause much harm. We then veer off to discuss everything you need to know about diastolic and systolic blood pressure and how are they associated with CVD. Finally we discuss an n-of-1 study looking at statin-related myalgia. Bottom line – this was clearly a PREMIUM podcast. Read more »

Episode 282: Digging digoxin

In episode 282, James and the Mikes discuss the use of digoxin for systolic heart failure and atrial fibrillation. At the end we realize that if people would just use low doses and occasionally re-evaluate they would get into a lot less trouble with digoxin and maybe a few patients would benefit.

Show notes

1) Tools for Practice Read more »

Episode 281: Bedtime restriction instead of pills for primary insomnia

In episode 281, James and Mike welcome back our friend and colleague Bruce Arroll to talk about a great study he and his colleagues recently completed looking at simple bedtime restriction for the treatment of primary insomnia – and the results were pretty impressive. So much so that Bruce had to wake us both up at the end of the podcast.

Show notes Read more »

Episode 280: Working smarter not harder to answer clinical questions – PART II

In episode 280, James and Mike continue on with Jon Ference about information mastery. Jon talks about hunting and foraging tools and how you can access tools that will work best for your practice. And at the end we all go out and hunt and forage and have a delicious evidence-based meal.

Show notes Read more »

Episode 279: Working smarter not harder to answer clinical questions

In episode 279, James and Mike invite Jon Ference to talk all about how he works smarter and not harder to answer clinical questions. During the podcast Jon exposes Mike’s and James’ ignorance on a number of things but we tolerate it because based on the best available evidence he seems like a nice guy.

Show notes

Information mastery – the beginning Read more »