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PodMed
PodMed is a weekly podcast looking at the top medical stories of the week for people who want to become informed participants in their own health care. With Elizabeth Tracey, director of electronic media for Johns Hopkins Medicine, and Rick Lange M.D., professor of medicine at Johns Hopkins and vice chairman of medicine at the University of Texas Health Science Center at San Antonio.
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All podcasts from 2011- 2005 have been moved to there archived pages. 2012 podcasts can be found below.
| 2012 | 2011 | 2010 | 2009 | 2008 | 2007 | 2006 | 2005 |
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| This week’s topics include stress testing after heart procedures, coffee and mortality, air pollution and markers of inflammation, and laxative-free colonoscopy. Program notes: 0:32 Laxative-free colonoscopy 1:30 Using CT scanning but laxative-free 2:30 What about polyp removal? 3:25 Coffee and mortality 4:26 More coffee decreased mortality 5:28 Lower LDL? 6:02 Role of stress testing after heart procedures 7:02 Repeat procedure did not improve outcomes 8:06 Air pollution and inflammation 9:07 Pollutants decreased and markers improved 10:32 End | ||
| This week’s topics include the benefits of probiotics, Millennium villages in Africa, fruits for fruit juice, and infections related cancers worldwide. Program notes: 0:31 Benefits of probiotics 1:31 Small studies previously 2:20 Largely lactobacillus 3:08 Burden of infection related cancers worldwide 4:02 Higher burden in developing countries 5:02 Dissemination of vaccines 5:40 Millennium villages and child mortality 6:40 Annual projected cost $120 per person 7:35 Largest reduction in child mortality to date 7:48 Substituting fruit for fruit juice 8:41 Decreased calories by 233 kcal 9:39 Could decrease weight by 5 lbs per year 10:22 End | ||
| This week’s topics include aspirin versus Coumadin in people with congestive heart failure, the problem of babies born to women who use drugs while pregnant, managing type 2 diabetes in adolescents, and mammography indications. Program notes: 0:39 Mammography indications 1:33 Woman at increased risk may benefit from earlier screening 2:32 Focus attention on those most likely to benefit 3:30 Low risk of having cancer a false positive is harmful 4:10 Management of type 2 diabetes in youth 5:13 Failure rate extremely high 6:12 Need societal intervention 6:26 Neonatal abstinence syndrome 7:25 Cost of hospitalization $53,000 8:08 Coumadin versus aspirin 9:08 Very similar in most respects 10:03 Risk of clot versus bleeding 10:47 End | ||
| This week’s topics include use of Botox for migraine headaches, infections in cardiac devices, CT in diagnosing appendicitis, and stem cells for a damaged heart. Program notes: 0:40 Infections in cardiac devices 1:38 About one infection in 1000 per year 2:35 Almost everyone over 70 years of age 3:07 Stem cells for heart repair 4:07 Phase II study of stem cell infusion 5:05 Do heart biopsy and use those cells 5:47 Botox and migraines 6:47 Botox, placebo, or medication 7:43 CT to diagnose acute appendicitis 8:43 Low dose versus regular CT 9:50 Must accurately diagnose 10:29 En | ||
| Program notes: 0:21 Antibiotics instead of surgery in appendicitis 1:17 Appendectomy well tolerated 2:14 Might have big implications where surgical care isn’t available 2:33 Emergence of resistant malaria 3:36 Looked at clearance rates for parasite 4:31 Government focused on malaria 5:31 Health disparities in New Zealand 6:31 20% of admissions due to infections 7:31 Determinants of health outside the medical model 8:33 Early treatment of infections helps 9:21 Must be developed in concert with community 10:02 End | ||
| This week’s topics include the best treatment for sciatica, helicopters versus ambulances, types of radiation for prostate cancer, and the cost of preventive medicines for HIV infection. Program notes: 0:32 Treatment of sciatica 1:31 Randomized to two injections of steroids, TNF inhibitor, and placebo 2:32 Most back pain not due to herniated disk 3:12 Treatment of prostate cancer with radiation 4:14 Comparison of three different types 5:16 Helicopters versus ambulances and survival 6:19 Overall survival better in helicopters 7:13 Per patient $3000 to $5000 8:12 Cost of preventive medicine for HIV infection 9:13 High risk $600,000 per infection prevented 10:44 End | ||
| This week’s topics include comparative effectiveness of urinary incontinence treatments, EKG abnormalities and what they predict, red meat and mortality, and improving colorectal screening compliance. Program notes: 0:27 EKG abnormalities and their value 1:36 Increased risk with both minor and major abnormalities 2:26 How much treatment reduction results? 2:41 How to improve routine use of colorectal cancer screening 3:42 Fecal occult blood over 60% adhered 4:44 Red meat consumption and mortality 5:44 One serving per day increased by 13% 6:44 Urinary incontinence management 7:46 Meta-analysis of drugs and exercise 8:47 Exercise preferable 10:04 End | ||
| This week’s topics include the effectiveness of video to enlist organ donors, intensive screening in women at risk for breast cancer, overdiagnosis of breast cancer, and retinal detachment due to antibiotic use. Program notes: 0:25 Use of video to increase organ donation 1:27 Video showing ethnic minorities discussing issue 2:27 Low cost, effective, point of action delivery 3:06 Intensive screening for women at risk for breast cancer 4:10 More cancers detected 5:11 Study from Norway on overdiagnosis of breast cancer 6:11 Population based screening study 7:10 Similar to prostate cancer 8:10 Tough issue to resolve 8:24 Common antibiotic and retinal detachment 9:20 Increased risk five fold 10:22 End | ||
| This week’s topics include antibodies for psoriasis, where it’s safe to get a stent placed, bypass surgery versus stents, and bariatric surgery for diabetes. Program notes: 0:27 Two studies on antibody treatments for psoriasis 1:30 Twelve weeks of study 90% responded 2:17 Where you have your stent placed 3:20 When stenting done at hospitals without surgical backup it’s okay 4:01 Bypass surgery versus stent placement 5:02 Lower mortality over time with CABG 6:02 For less extensive disease equivalent 6:29 Obesity and diabetes treatment 7:29 Bariatric surgery and subsequent resolution of diabetes 8:25 Results occur very early on 9:23 Obesity prevention 10:07 End | ||
| Program notes: 0:14 Hepatitis C overtaken HIV as cause of death in US 1:15 Worldwide the burden is immense 2:15 Treatment difficult 3:06 Eradication of polio in India 4:10 How devices are approved in US and Europe 5:11 Leach chromium and cobalt 6:08 How to balance efficacy and safety 7:05 People who get cancer may be delayed in diagnosis 8:05 In UK cancer mortality higher 9:05 How we build new information tools will help 10:04 End | ||
| This week’s topics include the power of peer mentoring, endoscopic versus open repair of hernias, seven factors related to cardiovascular health and death, and antioxidants for Alzheimer’s disease. Program notes: 0:37 Peer help in controlling diabetes 1:39 Matched with like peers 2:38 Makes sense for others to help 3:17 Improving cardiovascular health 4:15 Percentage who accomplish all seven 1.2% 5:15 How to engage more people? 6:06 Hernia repair endoscopically or open 7:02 Endoscopic repair overall better 8:02 Surgeons with 30 or more procedures done 8:18 Antioxidants and Alzheimer’s 9:13 Intensive antioxidants didn’t help and might harm 10:16 End | ||
| This week’s topics include fixing holes in the heart, the role of inflammation in heart disease, metal on metal hip implant, and whether more money spent equals better health outcomes. Program notes: 0:24 Metal on metal hip implants 1:22 Looked at over 400,000 implants 2:24 Challenging oversight 3:11 Inflammation and heart disease 4:11 Genetic abnormality confers resistance to atherosclerosis 5:04 Cryptogenic stroke 6:03 900 patients randomized to device or medication 7:04 80,000 patients had treatment off label 7:44 Cost versus quality in healthcare 8:43 When they spent more it did help 9:36 Lowering what hospitals get won’t get better outcomes 10:06 End | ||
This week’s topics include drugs used in Alzheimer’s disease, opioids in returning veterans, variation in tumors, and the increase in a hospital-acquired infection. Program notes: 0:35 Tumor heterogeneity 1:31 Two-thirds of mutations not found in all sites 2:33 Can result in therapeutic failure 3:12 Clostridium difficile infection 4:15 75% had onset not while in the hospital 5:15 Employ strategies to prevent infection 5:32 Returning veterans, mental illness and opioids 6:30 PTSD and opioids 7:31 Not providing care really needed by veterans 8:00 Two commonly prescribed medications for Alzheimer’s 9:01 Randomized, placebo-controlled, telling results 10:10 End | ||
This week’s topics include flu diagnosis and treatment, stents versus optimal medical therapy for coronary artery disease, and a walking test for hospitalized elderly persons. Program notes: 0:39 Stents versus medical therapy for coronary artery disease 1:36 Outcomes of death, heart attack 2:31 Either physicians or patients seem convinced stents help 3:15 Speed of walking to predict outcomes in elderly 4:20 Faster speed 99% went home 5:18 Flu diagnosis 6:16 Sensitivity and specificity of rapid tests 7:17 Helps determine treatment 8:17 Reduced mortality 9:26 Limit treatment to high risk groups 10:29 End | ||
| This week’s topics include the benefits of colonoscopy, two types of testing for colon cancer, vaccination risk in kids, and heart attack fatality risk factors. Program notes: 0:31 Whether polyp removal prevents colon cancer 1:28 53% reduction in mortality 2:29 How best to screen? 3:29 If people won’t have colonoscopy 4:29 Need longer term follow up 5:12 Age, sex and risk of heart attack death 6:12 Atypical symptoms in younger women 7:18 Higher mortality in women 8:13 Vaccines in children and seizures 9:12 No increased risk of seizures or epilepsy 10:40 End | ||
| This week’s topics include air pollution and heart attacks, oral human papilloma virus infection, use of blood thinners in those with cancer, and antibiotics and sinus infections. Program notes: 0:39 Blood thinners and cancer therapy 1:35 Only 1% had a clot versus 3% with placebo 2:30 Human papilloma virus infection of oral cavity 3:31 About 7% of people infected 4:30 Authors suggest need for study of vaccine 5:10 Use of amoxicillin in sinusitis 6:10 Compared to placebo doesn’t help 7:10 Not a lot of data on other therapies 7:35 Air pollutants in heart attacks 8:32 Could be as much as 1 in 20 heart attacks 9:25 Developing nations more troublesome 10:15 End | ||
| This week’s topics include possible prevention of prostate cancer, the new flu virus controversy, when is it safe to have sex, and the lifetime risk of heart disease. Program notes: 0:50 If you have heart disease, when is it safe to have sex? 1:50 Events are actually rare 2:41 Sudden death occurs in less than 1% 3:08 Factors related to lifetime risk of heart disease 4:08 Substantial risk increase as factors accrue 5:04 Dutasteride and prostate cancer prevention 6:05 In use for some time so side effects known 6:32 Engineered flu virus and publication 7:26 60% mortality 8:25 Not too easy to grow 9:23 Devastation of 1918 flu 10:34 End | ||
| This week’s topics include re-excision for breast cancer, a new drug for uterine fibroids, blood pressure readings in both arms, and surviving burns in kids. Program notes: 0:40 Blood pressure measurement in both arms 1:45 Very low tech assessment 2:19 Burn size in children and survival 3:17 Critical burn size now 62% 4:18 Doesn’t inform us about adult survival 4:50 A new drug for uterine fibroids 5:49 Luprolide exists but many side effects 6:47 Re-excision for breast cancer 7:47 If the margin was less than 1mm, re-excision more common 8:50 Need to standardize 10:15 End | ||
| This week’s topics include heart risk from fried foods, Avastin and breast cancer, proton pump inhibitors in childhood asthma, and PFCs and immune compromise. Program notes: 0:23 Fried foods and heart risk 1:24 Took over 40,000 people and followed them 2:26 Three of four studies failed to establish risk 2:44 PPIs in children with asthma 3:43 Use of PPI didn’t help asthma 4:58 PFCs and compromised immunity 5:58 Measured PFCs and antibody response to vaccines 6:56 No cause and effect relationship 7:15 Avastin and breast cancer 8:12 5 or 6% reduction in pathologic evidence of disease 9:13 Very expensive therapy and not much evidence of efficacy 10:13 End | ||
| This week’s topics include a plateau in our national obesity epidemic, overdone medical testing, appropriate intervals for osteoporosis screening, and the dangers of sleep apnea in women. Program notes: 0:32 Obesity trends 1:30 No increase since 2007-2008 2:30 Multiple factors involved 2:40 Screening tests and appropriate use 3:40 Physicians need to ask themselves why they’re ordering 4:37 People come in with ideas of what they want 5:17 Appropriate interval for osteoporosis screening 6:15 Those with low or nonexistent bone thinning 6:48 Cardiovascular mortality in women with sleep apnea 7:42 Increased risk by 350% over baseline 8:42 Work through treatment if possible 9:42 End | ||
| Program notes: 0:18 Special issue of the Lancet on illicit drug use 1:07 Heroin, cocaine, and marijuana use 2:01 Geographic distribution of drugs 3:01 Cultural variations, supply 4:10 Disability adjusted years of life lost 5:13 Screening and prevention programs have small effects 6:23 Publication of research on flu virus 7:18 Help physicians and public health officials 8:10 I would err on the side of making information known 9:10 Would be possible to manipulate the virus 10:25 End | ||
| This week’s topics include long distance running and cardiac death, marijuana smoking and lung function, dangers of a new blood thinning agent, and dementia and hospitalizations. Program notes: 0:32 Sudden cardiac death and long distance running 1:30 71% of heart attacks were fatal 2:27 Those who survived had bystander CPR largely 2:55 Marijuana smoking and lung function 3:53 Most commonly used drug in US 4:52 There is a clinical use 5:17 Dementia and hospitalization 6:17 78% more likely to be hospitalized 7:16 Looking for them in demented people much harder 7:39 Dabigatran for blood thinning 8:30 One in 400-500 patients at heart risk 9:30 Post-marketing surveillance needed 10:30 End | ||
| This week’s topics include what to do about neck pain, cardiovascular risk reduction with obesity surgery, a study looking at studies, and the global problem of drug abuse. Program notes: 0:24 Benefits of bariatric surgery 1:21 Was associated with a reduction in mortality and strokes and heart attacks 2:21 Neck pain 3:21 12 weeks of spinal manipulation, home exercise, or medication 4:22 May prefer one of these three options 4:38 Global problem of drug abuse 5:35 Only data on major drugs of abuse 6:35 Health consequences of dependence 7:36 A study on studies 8:31 At end of 51 months a third unpublished 9:31 The expectation is results will be available 10:11 End | ||
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| 2012 | 2011 | 2010 | 2009 | 2008 | 2007 | 2006 | 2005 |
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