Episode 80: Listener comments and questions with an attempt at answers - Part II

In episode 80, Mike and James continue getting back to listener questions. We discuss such topics as glucose monitoring, ezetimibe, niacin, nebulised salbutamol and niacin with uncanny intuitive insight coupled with a degree of emotional sensitivity rarely encountered in podcasts. We then wake up and get Peter Loewen to help answer a difficult question on oral anticoagulants.

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Comments

My dear old dad a country gp

My dear old dad a country gp for many years who died 10 years ago was pleased that he had a rule of not using new drugs for five or more years - non of his pregnant patients got thalidomide!!

How about a final word on Niacin and fibrates and when Mike uses them and why!

Some day a discussion on - Hi doc can you give me a general check up please. What would you like me to check. You are a doc you should know. Cochrane review on "healthy heart programmes" was not very encouraging!!

My dear old dad a country gp

My dear old dad a country gp for many years who died 10 years ago was pleased that he had a rule of not using new drugs for five or more years - non of his pregnant patients got thalidomide!!

How about a final word on Niacin and fibrates and when Mike uses them and why!

Some day a discussion on - Hi doc can you give me a general check up please. What would you like me to check. You are a doc you should know. Cochrane review on "healthy heart programmes" was not very encouraging!!

Looking forward to have a Speights with you two in NZ http://www.speights.co.nz/Home.aspx

Thanks for the great podcast.

Thanks for the great podcast. I really enjoyed all of it. I am not sure if this helps answer the last question on the podcast about a patient with a.fib and is post MI with PCI+- Stenting. Is OAC + ASA/Clop equal/better OAC alone.

This meta-analysis looked at OAC + ASA vs OAC alone and found the benefit mainly in patients with mechanical valves.

Arch Intern Med. 2007;167:117-124
http://archinte.ama-assn.org/cgi/content/full/167/2/117

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