The Rounds Table

Send us Fan Mail This week on The Rounds Table Kieran Quinn and Fraser Pollard cover two new studies; the first investigates medical treatment to reduce the risk of preterm pre-eclampsia, and the second examines natriuretic peptide guided therapy for management of heart failure with reduced ejection fraction. Sheliza Halani and Emily Hughes round out the episode with a ... The post Close to My Hea...

Send us Fan Mail This week on The Rounds Table we’re deepening our understanding of cardiovascular disease management through covering two exciting new articles. Kieran and Paxton break it down for listeners. Last season we covered FOURIER/evolocumab and the reduction of cardiovascular events through aggressive lipid lowering with PCSK-9 inhibitors. Do treatments that target inflammation without a...

Send us Fan Mail Grab a cup of coffee and get ready to listen – we’re back with a brand new episode to kick off the fourth season of The Rounds Table. How do older adults prefer to discuss cancer screening cessation with their clinicians? Does regular coffee consumption impact mortality? Kieran Quinn and Emily Hughes cover two thought ... The post We’re off to an EPIC Start! Cancer Screening Cessa...

Send us Fan Mail This week on The Rounds Table we are breaking the dogmas in clinical practice to find out if less is more. Does diverticulitis even require antibiotics in the age of antimicrobial stewardship? Next, how does casting compare to surgery for ankle fractures in older adults? Kieran and Lauren Lacroix discuss two thought-provoking new studies: Diverticulitis ... The post Summer Replay:...

Send us Fan Mail Steroids are important and ubiquitous medications, and the side effects of long term use are well known and often reviewed. But what should clinicians know about short term use: are these medications benign? Jay takes listeners through a retrospective cohort study examining adverse events (sepsis, venous thromboembolism, fractures) associated with short term use of oral ... The po...

Send us Fan Mail This week on The Rounds Table we are focusing on papers that highlight talent at home – here in Toronto! Kieran hosts Dr. James Downar and Dr. Mike Fralick to discuss their recent publications, and Emily and Sheliza bring listeners the final special segment of the year. The surprise question – Would I be surprised ... The post Summer Replay: Calling Home – Accuracy of The Surprise...

Send us Fan Mail A recurring question: in the management of BP, how low should we go? This week, Paxton and Kieran discuss two studies that aim to refine the answer. The appropriate treatment target for systolic blood pressure in elderly patients with hypertension is uncertain, particularly for the frail elderly. Kieran leads the discussion on the SPRINT 75 ... The post Summer Replay: Aging Gracef...

Send us Fan Mail Physician burnout is a work related syndrome involving emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment. The prevalence of burnout has reached a shocking 50% in both staff and resident physicians! Something needs to be done. Ariel Lefkowitz, Chief Medical Resident at Mount Sinai Hospital in Toronto, takes listeners through a systematic review...

Send us Fan Mail It’s arrhythmia week on The Rounds Table! Should heart failure patients give up a caffeine jolt in the morning? How can we better identify appropriate patients for ICDs? Paxton Bach, fellow in General Internal Medicine at UBC, joins Kieran to discuss two exciting studies: Studies that inform practice toward the best medical treatments are of ... The post Summer Replay: DANISH with...

Send us Fan Mail It’s big data week on The Rounds Table! When initiating pharmacotherapy for atrial fibrillation, which drug is best? How does frailty influence surgical outcomes? Kieran and Michael Fralick, General Internist at St. Michael’s Hospital, take listeners through two noteworthy studies: When a new medication is developed it is generally compared against standard of care or ... The post...

Send us Fan Mail Is quitting cold turkey the best way to stop smoking? When should you transfuse a patient? How effective are current models of palliative care? We’re answering relevant and thought-provoking questions this week on The Rounds Table! Ashley, like many family physicians, makes a point of advising and supporting smoking cessation at most visits she has ... The post Summer Replay: All...

Send us Fan Mail What if you could tell a woman about to undergo chemotherapy for breast cancer that you had an intervention that would significantly reduce her risk of hair loss during therapy? Or, tell an adult patient with physician diagnosed asthma that they could safely stop their asthma medications? This week on The Rounds Table we welcome ... The post Summer Replay: Keeping a Cool Head – Re...

Send us Fan Mail All good things must come to an end. As the final episode of the season, Kieran, Emily, and Emilio look back at their top ten favorite papers from The Rounds Table 2016-2017 year. It’s a rapid fire episode like you’ve never heard before! See the links to the papers below. We want to thank everyone ... The post Top Ten: Best Papers of the Year appeared first on Healthy Debate .

Send us Fan Mail This week on The Rounds Table we are focusing on papers that highlight talent at home – here in Toronto! Kieran hosts Dr. James Downar and Dr. Mike Fralick to discuss their recent publications, and Emily and Sheliza bring listeners the final special segment of the year. The surprise question – Would I be surprised ... The post Calling Home: Accuracy of The Surprise Question, Medic...

Send us Fan Mail Steroids are important and ubiquitous medications, and the side effects of long term use are well known and often reviewed. But what should clinicians know about short term use: are these medications benign? Jay takes listeners through a retrospective cohort study examining adverse events (sepsis, venous thromboembolism, fractures) associated with short term use of oral ... The po...

Send us Fan Mail Contrast-induced nephropathy is cited as the third most common cause of iatrogenic acute kidney injury. In the Emergency Department, physicians must balance diagnosing life-threatening conditions using emergent imaging with the risk of potential harm caused by exposure to IV contrast. Recent studies, including the one discussed by Lauren in this episode, challenge the proposed cau...

Send us Fan Mail It’s a special episode of The Rounds Table this week with guest hosts Dr. Fraser Pollard and Dr. Ashley Minuk. Fraser and Ashley are family physicians in Trenton, Ontario. Sore throat is a very common presentation in family practice. Many patients who seek care expect a prescription to offer some kind of relief. For adults, ... The post Sore Throats & Sore Legs! Dexamethasone...

Send us Fan Mail Kieran has officially finished his Royal College Exam to qualify as a General Internist; which means, this week is the first of two weeks of replay episodes while he takes a much deserved break! This replay episode features Kieran and Ashley Minuk in discussion on two studies examining therapies in people with diabetes. Diabetes research is ... The post REPLAY: Double Down – Lirag...

Send us Fan Mail This week on The Rounds Table we’re back by popular demand with another rapid fire episode: just the salient points from FOUR articles instead of two. Same time spent listening, twice the take-home! Kieran Quinn and Mike Fralick tease out the bottom line for listeners. Both hyperglycemia and hypoglycemia are prevalent, real, concerns for patients ... The post Firing on All Cylinde...

Send us Fan Mail Overweight and obese patients are routinely counselled about weight loss since it is thought to improve numerous outcomes. However, as many of us know, achieving stable weight loss is easier said than done! In patients with existing coronary disease, is the weight fluctuation that is often associated with weight loss attempts harmful? Fahad takes listeners ... The post A VISION of...

Send us Fan Mail It is widely accepted that statin drugs reduce cardiovascular risk. However, how much of this risk reduction is attributable to LDL cholesterol reduction as opposed to something intrinsic in the statin drug has been a matter of debate. Paxton takes listeners through a randomized controlled trial that evaluated the efficacy of evolocumab (a biologic PCSK9 ... The post The Hurry for...

Send us Fan Mail Migraine is a common presentation to primary care clinics. Current pharmacologic treatments offered by physicians have notable side effects and may be a financial burden. Understandably, patients are looking to alternative therapies. However, primary care providers may not be able to provide an educated opinion about whether these therapies are reasonable to pursue. Fraser provide...

Send us Fan Mail Foreign medical graduates are an important resource, and data on their proficiency is important to the public. Jay guides listeners through a study that answers the following: do patient outcomes differ between general internists who graduated from a medical school outside of the United States and those who graduated from a US medical school? Each ... The post Great Expectations:...

Send us Fan Mail Contrast-induced nephropathy is cited as the third most common cause of iatrogenic acute kidney injury. In the Emergency Department, physicians must balance diagnosing life-threatening conditions using emergent imaging with the risk of potential harm caused by exposure to IV contrast. Recent studies, including the one discussed by Lauren in this episode, challenge the proposed cau...

Send us Fan Mail Kieran has officially finished half of his Royal College Exam to qualify as a General Internist; which means, we are back to new episodes every week to keep listeners up to date with the most recent and important medical research. This week, Kieran and Ashley Minuk delve into two studies examining therapies in people with ... The post Double Down: Liraglutide for the Prevention of...