Questioning Medicine

A rebroadcast as we start a three part series to destroy the speculum. No matter your field if you have a wife, daughter, or mother this applies to you! DONT FORGET TO WRITE A REVIEW!

Our Best Shot of the year. Joe continues to defrost from the frozen Rockies while Andrew is just getting warmed up on his dig into the newest reports on Tamiflu and the annual influenza vaccine. What do Chuck Norris, Pat Benatar, Joel Topf, and Jake Dodge and Detroit Auto Workers all have in common? Tune in and find out!

Another Hospital Medicine discussion: Joe continues to defrost from his month in the frozen west, He BLOWs Andrews mind with a nugget from medical school and Andrew turns his nose up to some of the original evidence surrounding avoidance of Beta Blockers in ACS. What is a discussion surrounding blow without mentioning Whitney Houston, Scarface and other memorable moments in research.

What do Questioning Medicine and Charlie Brown have in common? Neither one as ever made a field goal in a football game and neither one likes a hoax! In this episode Joe practices his french. Andrew is now clear of ebola. The discussion around prostate evidence is addressed. Some of the comments from the medpage post are answered. http://www.medpagetoday.com/HematologyOncology/ProstateCancer/47939...

With winter storms brewing up north it's hard to know if the 'ice ice baby' is due to your thyroid or the weather. In this episode Andrew is still being screened for Ebola but Joe manages to make it through the podcast in a hazmat suit. Part 2 of the thyroid discussion leads to guidelines, errors of the test, and treatment.

The Dr James McCormack from BS Medicine joins QMed and helps us enlighten listeners about some of the great and terrible evidence in DM. Revelations regarding symptom management and risks surrounding this disease spectrum. Lift your spirits and recharge your Evidence Based Medicine soul! COMMENT! EMAIL! TWEET!

Andrew and Joe snorkel into the data on TSH testing. Breaking down the test, the patient, the benefits and risks of treatment. Just enough to get you hungry for part 2.

Andrew is back from his 21 day isolation for r/o Ebola, turns out it was just subclinical Post Testing Stress Disorder. Andrew and Joe discuss the concept of "pre" disease and common lab testing errors and POC testing.

An overview of a few studies and information regarding inpatient and outpatient testing. "The first principle of solid wisdom is discretion.." --Norman MacDonald. A little discussion on understanding where we most commonly go awry in ordering tests. Joe admits to ordering a test that did not change practice (off air) and describes rounding from a computer.

Bottoms up on the last discussion on fluids and a review of a few of the trials that contribute to the current mindset in EBM. Andrew creates his own "Mike Tyson Theory of fluids" and Joe subscribes to Dr Joel Topf's (@kidney_boy) delivery service for home-made NaCl (IVF). Joe goes off the deep end...or rather ...into the deep end with his mind...and mouth wide open.

A quick discussion one the topic of which patient to give which fluid. Review of studies from the 90s to 2014 with demographics including pre/post Operative, Septic patient and even Rattus Rattus. (the sewer kind, not the courtroom kind)

Hard topic and difficult discussion continues about reasonable intervention and evaluation of therapy for osteoporosis. Andrew starts right off with his personal recommendation on the screening of low risk patients.

Hard hitting discussion on the evidence on soft bones and the best screening and treatment options. This episode was broken into two parts because Joe needed to run a full NIH Stroke Scale on Andrew mid episode. Turns out, that is his baseline.

Who and when to test. Dose and frequency along with route of administration of Vitamin D are discussed along with 12 studies of outcomes and complications/benefits of each. Joe discovers Andrew is below average....In Vitamin D but well above average in screening for Vitamin D deficiency! None of our discussions constitute medical advice. These are intended to promote Doctor / Patient discussions o...

You might be outside the guidelines soon. Joe and Andrew discuss the newest recommendations from ACP regarding bimanual/pelvic exams. Andrew can't hold it any longer and breaks into song for the first time. Joe doesn't.

Don't celebrate just yet, the confidence intervals aren't all the way over the line. Andrew gives yet another history lesson on the improvements in Diabetes and runs over some of the recent talk about Diabetes as he takes Joe to school in diabetes diagnosis and monitoring. Andrew and Joe continue to set a precedence of pew pew on over zealous abstracts and being negative nancys in general.

Joe and Andrew give a brief introduction into questioning medicine and what you can expect.