Skip Navigation
 
 
 
 
 
Print This Page
Share this page: More
 

Johns Hopkins Medicine PodMed Archives - 2009

subscribe to podcastSubscribe to this Podcast - Subscribe with iTunes
What are Podcasts and RSS?  Learn more about how to subscribe

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.

20122011 201020092008200720062005
JanFebMarAprMayJunJulAugSepOctNovDec
Back To Top
podcast

Week of December 25, 2009

Related Blog

This week’s topic is "Santa: A Public Health Pariah?”

Program notes:

0:27   Talk about Santa Claus and holiday traditions
1:22   Carrots and celery should be dietary mainstays
2:25   Accidents in holiday season
3:18   Fruitcakes as fuel for Santa
4:25   Fruitcake made in Texas
5:02   Seasonally affective disorder
6:05   Santa has jet lag
7:02   Don’t worry and the holidays won’t bother you
8:02   End

podcast

Week of December 18, 2009

Related Blog

This week’s topics include leptin, a new medication and Alzheimer’s, MMP and lung problems, stratifying tight blood sugar control based on health, and CT and cancer.

Program notes:

0:29     Matrix metalloproteinases (MMP) and lung problems
1:22    People with abnormalities in MMP are more likely to develop both asthma and COPD
2:24    Provides prognostic possibilities
2:49    A disappointing trial of a new Alzheimer’s medication
3:49   Didn’t decrease amyloid sufficiently
4:38   CT scans and cancer risk
5:35   Disproportionately affects young women
6:25   Make sure the study is indicated
7:07   Tight glucose control in diabetes
8:05   Moderate or high additional diseases don’t benefit
9:05   Best way to modify your sugar is with lifestyle modification
9:51   End

podcast

Week of December 11, 2009

Related Blog

This week’s topics include oxygen and headaches, SIDS and sleeping position, a new blood thinner, and soy consumption and breast cancer.

Program notes:

0:29   Oxygen therapy and cluster headaches
1:16   Activation of nerves in that area
2:19   80% were relieved with oxygen therapy
3:22   May lead to a trial in migraines
3:38   Breast cancer and soy consumption
4:23   Thirty percent less likely to die or recur
5:27   SIDS and sleeping position
6:27   SIDS rate in African Americans higher
7:30   Address myths and intervene in high risk populations
7:52   A new blood thinner in deep vein thrombosis
8:50   Multiple advantages to dabigatran
9:57   End

podcast

Week of December 4, 2009

Related Blog

This week’s topics include left ventricular assist devices, an AIDS vaccine, aspirin and bleeding ulcers, and a new bug that causes sore throats.

Program notes:

0:21   Fusobacteria and sore throats
1:16   Expand considerations and consider this bug in young adults
2:13   Change antibiotic therapy
2:36   Low dose aspirin use and stomach ulcers
3:22   Aspirin stoppage increased risk for fatal events
4:08   Left ventricular assist devices
5:04   Those considered to be transplant candidates
5:48   Potential for a vaccine against HIV
6:48   Didn’t affect antibody or helper T response
7:44   These were individuals considered to be at risk for HIV infection
8:44   Other vaccines reduce viral load, this one didn’t
9:28   End

Back To Top
podcast

Week of November 27, 2009

Related Blog

This week’s topics include changing guidelines for cervical cancer screening, drugs administered by EMTs, angioplasty volume isn’t a concern, and impact of pain on falls in elderly

Program notes:

0:24    EMTs giving drugs to manage cardiac arrest
1:22    Those who received standard IV medications didn’t do better
2:13    Takes time away from what we should be doing
3:00    Angioplasty volume doesn’t impact
4:04    Procedure is so much safer now
5:01    Expand primary angioplasty
5:28    Impact of pain on falls in older folks
6:30    Identify the risk factors
7:30    Change in cervical cancer screening guidelines
8:30    Three negative smears go to every three years
9:30    Should do HPV as well?
10:25  End

podcast

Week of November 20, 2009

Related Blog

This week’s topics include new breast cancer screening guidelines, anemia medication and kidney disease, vitamin B12 and cancer, and cholesterol lowering medications or niacin in heart disease.

Program notes:

0:36   Anemia and chronic kidney disease
1:43   Additional information on deleterious impact of these agents
2:46   Zetia vs. niacin
3:50   People calling and asking about niacin
4:56   B12, folate and mortality from cancer
5:48   Assume supplements are safe
6:08   Change in breast cancer screening guidelines
7:05   National Cancer Institute data suggested
8:10   Fifty to seventy four early detection useful
9:10   Other screening guidelines modified
10:21 End

podcastWeek of November 13, 2009This week’s topics include statin use and gallstones, simpler assessment of blood lipids, mood on low-fat or low-carb diets, and kidney artery blockage treatment.

Program notes:

0:20   Food and mood
1:17   Studied 106 patients
2:10   More favorable effect with low fat diet
2:52   No need to fast before blood draws for lipid measurement
3:44   Just measure total cholesterol and HDL
4:43   Very confusing measurements
5:01   Kidney or renal artery blockage
6:01   Placement of stent didn’t help
7:10   Blood supply may predispose
7:22   Statins and decreased development of gallstones
8:15   Followed patients who used statins
9:06   We know that people who have gallbladder disease don’t die of it
10:15  End

podcast

Week of November 6, 2009

Related Blog

This week’s topics include overuse of Pap smears, masks for preventing flu, off pump bypass surgery, and masks for flu transmission prevention.

0:27    Bypass surgery controversy
1:27    2200 patients in VA system
2:06    Tried and true probably best
2:29    Masks and H1N1 transmission
3:24    Both masks equally effective
4:24    N95 mask no better
4:47    Overuse of Pap smears
5:45    Stop screening in certain women
6:44    Don’t have good systems to incorporate guidelines
7:41    Women are reluctant to forgo screening
7:55    Best way to quit smoking
8:30    Compare six different treatment regimens
9:00    Fifty to sixty percent effective patch plus lozenge
10:15   End

Back To Top
podcastWeek of October 30, 2009

Related Blog
This week’s topics include risks of antipsychotic medications in kids, aging and cardiovascular fitness, staving off type 2 diabetes and insulin regimens in those who already have type 2 diabetes.

Program notes:

0:22   Aging and cardiovascular fitness
1:25   Avoid certain lifestyles and preserve cardiovascular fitness
2:19   Benefits of lifestyle interventions and metformin in delaying type 2 diabetes
3:18    Fifty percent reduction with lifestyle intervention initially
4:15    Lifestyle group lost 15 pounds but kept only 5 off
5:15    Most important is some lifestyle change
5:28   Insulin regimens
6:28   Long acting at night and then short acting before meals
7:18   Atypical antipsychotic medications in kids
8:21   Four medications were examined
9:21    More effective? Maybe not
10:06  End

podcast

Week of October 23, 2009

Related Blog

This week’s topics include a new agent for the treatment of obesity, fish oil and depression treatment in patients with heart disease, managing kidney disease in kids, and management of erectile dysfunction in men.

Program notes:

0:24    New agent for the treatment of obesity
1:20   Twice the weight loss of another agent
2:25    Major side effects are gastrointestinal
3:22   Management of erectile dysfunction in men
4:30   Are there differences in medications?
5:34   Summary of American College of Physicians
6:16   Use of fish oil and antidepressants in people with heart disease
7:33   Fish oil known to be useful in other conditions
8:07   Blood pressure control in kids with kidney disease
9:10   Really lowering blood pressure helps
10:11 End

podcast

Week of October 16, 2009

Related Blog

This week’s topics include cause of chronic fatigue syndrome, how best to have your prostate removed, H1N1 update, and neighborhoods and type 2 diabetes.

Program notes:

0:28   Chronic fatigue syndrome
1:23   Certainly people with psychological issues or depression
2:20   Antibodies to this virus
3:22   H1N1 update
4:28   Need ventilation and ICU care
5:27   Comorbidity contributes
6:01   Impact of neighborhoods on type 2 diabetes
7:02   People who live in healthy neighborhoods 40% less likely to develop
7:42   How should you have your prostate removed?
8:42   Risk of impotence and incontinence
9:40    Most are related to volume surgeon does
10:47 End

podcast

Week of October 9, 2009


Related Blog



This week’s topics include best practices for flu immunization, when to implant a defibrillator after a heart attack, benefit lack in using nontraditional factors to predict coronary artery disease, and which foods cause the majority of food borne illness.

Program notes:

0:27   Food borne illnesses
1:28   Over 1500 separate outbreaks
2:25   Goes for foods with a peel as well
3:11   Lack of impact with nontraditional risk factors
4:11   Don’t have data to show their benefit
5:11   Early implantation of defibrillators isn’t helpful
6:10   Defibrillators improve survival late after event
6:59   Two studies related to flu vaccination
7:59   Earlier we can immunize the more effective
9:00   Who should get vaccinated?
9:45   End

podcast

Week of October 2, 2009

Related Blog

This week’s topics include cardiac resynchronization in patients with congestive heart failure, in hospital mortality following major surgery, assessing whether PSA should be tested, and weight loss in sleep apnea.

Program notes:

0:28 Resynchronization of the heart in congestive heart failure
1:35 Half with defibrillation or also with a pacemaker
2:23 Prevented progression of heart failure symptoms
3:12 PSA testing?
4:14 Did you talk with your physician about the pros and cons
5:15 Need to redouble efforts to inform
6:02 Weight loss and sleep apnea
7:02 Weight loss resulted in significant reduction in symptoms
8:03 Doesn’t have side effects
8:20 Variations in hospital mortality
9:22 Some hospitals do a better job of addressing complications
10:08 End

Back To Top
podcastWeek of September 21, 2009This week’s topics include mortality related to celiac disease, a new blood thinner, a lack of benefit related to implanted heart devices in women, and the hedgehog pathway and cancer.

Program notes:

0:36   Hedgehog pathway and cancer
1:30   Hedgehog inhibitor reduced cancer
2:32   Bench to bedside translation
3:02   Replacing coumidin
4:04   New blood thinner was effective and fewer side effects
4:30   Implantable defibrillators in women
5:30   Cardiovascular disease is very different in men and women
6:32   Association between celiac disease and death
7:30    Frequently undiagnosed due to vague symptoms
8:30   Would reducing inflammation help?
9:27   Mortality increase is modest
10:02 End

podcast

Week of September 11, 2009

Related Blog

This week’s topics include combination medications for high cholesterol, typhoid fever in the US, the benefits of the Mediterranean diet in those with type 2 diabetes, and how good is care at freestanding retail medical clinics?

Program notes:

0:47 Mediterranean diet and type 2 diabetes
1:47 One more reason to switch to these type of diet
2:47 Employ lifestyle modifications
3:05 Combination medications for treating high cholesterol
4:07 Combination therapy no better than high dose statins
5:11 Cost and quality of care at retail clinics
6:11 Surprised that cost and quality were superior
7:11 No change in preventive care
8:07 Let’s get people out of emergency department
8:22 Typhoid fever in US
9:20 Develop overseas and bring it home
10:21 End

podcast

Week of September 4, 2009

Related Blog

This week's topics include lack of benefit with nerve ablation in pelvic pain, treatment of Bell palsy, statins before surgery, and common contracture treatment.

Program notes:

0:39  Bell palsy treatment
1:28  Steroids are effective at speeding recovery
2:31  Duputyren's contracture
3:32  Collagenase used to treat
4:30  Unknown regarding wider application
5:05  Use of statins prior to surgery
6:06  Marked effect soon after surgery
7:14   Wouldn't wait on surgery for statins
7:29  Chronic pelvic pain and nerve ablation
8:26  Ablation did not improve symptoms
9:29  End

Back To Top
podcast

Week of August 28, 2009

Related Blog


This week’s topics include a new diagnostic test for heart attack, radiation exposure due to CT and other imaging studies, dangers of hormonal therapy in some men with prostate cancer, and responses to clopidogrel.

Program notes:

0:25    Sensitive troponin for early detection of heart attacks
1:27    Major advantage is can detect early
2:22    Genetic testing for response to blood thinner ‘clopidogrel’
3:29    May be able to use some genetic testing in future
4:27    Hormone therapy in men with heart disease
5:25    Avoid this therapy for some men
6:10    Radiation exposure with imaging studies
7:10    Relatively young and healthy population
8:10   Use of ionizing radiation more frequent than we thought
9:12    More state of the art doesn’t always benefit
10:09  End

podcast

Week of August 21, 2009

Related Blog

This week’s topics include induction of labor, palliative care, melanoma detection, and safety of HPV vaccine.

Program notes:

0:29   How safe is HPV vaccine?
1:18   Higher incidence of fainting and blood clots
2:25   These subtypes of virus and oral and pharyngeal cancers
2:55   Palliative care
3:53   Cancer patients given palliative care by a nurse
4:46   Not most effective way to deliver such care
5:34   Labor induction safety
6:43   There are reasons for induction to be performed
7:21   Melanoma detection
8:20   Routine full body skin examination detects better
9:20   Exam carries no risk
10:00 End

podcast

Week of August 14, 2009

Related Blog

This week’s topics include benefits of lifestyle choices in avoiding Alzheimer’s, bringing MRSA home from the hospital, aspirin and colon cancer recurrence, and weight lifting and breast cancer.

Program notes:

0:23   Weight lifting and breast cancer
1:20   Symptoms got better and fewer complications
2:20   Lifestyle changes important in recurrence as well
2:54   Reduced rate of Alzheimer’s and diet and exercise
3:54   Another compelling reason to adopt these changes
4:17   Aspirin and colon cancer recurrence prevention
5:07   Decrease cancer related mortality over 20%
6:11   Not a randomized trial so not completely answered
7:11   MRSA in patients discharged
8:09   Of individuals who went home with infection half cleared
9:01   Very good routine hygiene may help prevent infection
9:59   End

podcast

Week of August 7, 2009

Related Blog

This week’s topics include H1N1 in pregnant women, lack of benefit of domestic partner violence screening, induction of labor in preelampsia, and tumor necrosis factor.

Program notes:

0:38   Pregnancy and H1N1
1:21    About a third admitted to the hospital
2:01    About half of those infected died
3:03    Preeclampsia in pregnancy and labor induction
4:05    Labor induction better
4:33    Lack of benefit seen in screening for intimate partner violence
5:31    Did not alter outcomes
6:31   Need to train doctors as well
6:39   Tumor necrosis factor
7:40   Methotrexate and tumor necrosis factor
8:36   Used methotrexate for three months to see if it’s effective
9:23   Dampen enthusiasm for widespread use
10:12 End

Back To Top
podcast

Week of July 31, 2009

Related Blog

This week’s topics include H1N1 update, treatment of atrial fibrillation, osteoporosis related fractures and impact on doctor's pay for performance.

:35   Impact of pay doctors for performance
1:20 Supplemented physician incomes by 30-40%
1:28 Pay for performance did improve performance measures in asthma and diabetes care, not heart disease
1:50 Continuity of care interrupted
3:02 Lancet- N1N1 flu update, influenza in immune-suppressed
3:47 Types of people that are immune suppressed
4:05 School closures and social considerations
4:34 School closings, maybe months
5:04 Instituted early be effective, before first 1% of population
6:15 Atrial fibrillation: Very little data on long term benefits of radio frequency ablation as the primary therapy
6:40 Most cardiologist will recommend medical therapy as the initial therapy and reserve radio frequency ablation for those who don't respond
7:05  Large increase in fractures related to osteoporosis
7:15 $2.4 billion in hospital costs
9:30 10% of hospitalization for osteoporosis is men
9:55   End

podcast

Week of July 24, 2009

Related Blog

This week’s topics include modifiable risk factors and heart failure and high blood pressure, treatment of hepatitis C, and early markers of Alzheimer’s disease.

0:24   Treatment of hepatitis C
1:20   Over 100 million infected worldwide
2:10   African Americans response not as robust
3:10   More likely to respond early in infection
3:42   Early markers of Alzheimer’s disease
4:14   Abnormal brain proteins
5:13   No effective treatment right now
5:48   Modification of diet and lifestyle and high blood pressure in women
6:40   Six risk factors assessed
7:24   Much of aging associated high blood pressure due to choices
7:56   Physicians Health Study and heart failure
8:52   Decrease doing very simple things
9:19   These are not only individual choices but societal as well
10:14  End

podcast

Week of July 17, 2009

Related Blog

This week’s topics include radiation risk and coronary calcium scanning, capsule endoscopy, genetic markers for Alzheimer’s, and active commuting.

Program notes:

0:30    Capsule endoscopy
1:12    Identified about 60%
2:04    Aren’t as good as traditional colonscopy
2:28    ApoE and Alzheimer’s disease
3:20    More likely to develop memory decline earlier
4:04    No increased risk of depression or anxiety
5:08    Until this results in a change in treatment it isn’t worth it
5:31    Benefits of active commuting
6:16    Within five miles of work
7:02    Will require some changes in infrastructure
7:27    How much radiation due to coronary calcium scan
8:11   10 fold difference in amount of radiation
9:01    How much does it add to your ability to assess risk?
10:01  End

podcast

Week of July 10, 2009

Related Blog

This week’s topics include adiponectin, treatment for compulsive hair pulling, satisfaction of primary care physicians, and blood clots related to traveling

Program notes:

0:23   Treatment of trichotillomania
1:20   N-acetylcysteine may help
2:12   Some data to show it may help other disorders
2:34   Adiponectin, a fat related molecule
3:23   The more fat cells the less adiponectin
4:16   May predict who will develop diabetes
4:26   Travel increases risk of blood clots in lungs and elsewhere
5:25   Risk factors are known
6:20   Doing muscle calf contractions make sense
7:10   Primary care doctor satisfaction
8:10   Does not translate into poor patient care
9:05   No control over organization or care delivery
9:55   End

podcast

Week of July 3, 2009

Related blog

This week’s topics include H1N1 flu update, no prevention benefit in type I diabetes, dangers of walking aids for elderly, and no help with testing for C-reactive protein.

Program notes:

0:26   Renin-angiotensin system and high blood pressure
1:14   Use drugs to slow down development of kidney and eye disease
2:02   Are effective once someone has kidney disease but doesn’t prevent
2:27   C-reactive protein and coronary artery disease
3:30   Does C-reactive protein assessment change course of management
4:24   Falls in the elderly when they use canes and walkers
5:28   Physicians should instruct in how to use them
6:25   H1N1 flu update
7:25   Analysis of air traffic patterns estimate risk
8:25   Genetic drift and genetic shift
9:25   Three issues we need to address
10:15   End

Back To Top
podcast

Week of June 26, 2009

Related Blog

This week’s topics include why the Mediterranean diet is good, best practice for treating many heart attacks, headaches and brain lesions, and failing to inform patients of medical test results.

Program notes:

0:36    Mediterranean diet benefits
1:40    Most but not all components contributed to mortality decrease
2:20    Seafood contributed relatively little as well
3:04    Association between migraine headaches with brain lesions
4:05    Abnormal scans in cerebellum
5:01    Clot busting and heart attack
6:03    Angioplasty helps within 24 hours
7:01    Patients often not informed of test results
8:02    Patients need to ask about all results
9:05    End

podcast

Week of June 19, 2009

Related Blog

This week’s topics include HPV testing and liquid based cytology for cervical cancer screening, self test for dementia, Bell’s palsy treatment, and update on swine flu.

Program notes:

0:21   Cervical cancer screening
1:23   Use of HPV testing didn’t add anything
2:27   Choice of technique for cervical cancer screening
2:55   A self test for dementia in BMJ
3:50   Examined 11 tasks
4:40   Are some agents that slow the progression
5:21   Treatment of Bell’s palsy
6:20   Easy to recognize
6:36   Update on swine flu
7:27   Comes in multiple waves
8:35   Time to prepare
9:20   Be infectious for longer before symptoms develop
10:21 End

podcast

Week of June 12, 2009

Related Blog

This week’s topics include diagnosing diabetes, treatment of heart disease in people with diabetes, managing nausea in pregnancy, and lipoprotein A.

Program notes:

0:25  Hemoglobin A1c for diagnosing diabetes
1:20  Measure over a long period of time
2:20 Patients should expect to have this test done
2:36 Treatment of blood flow to heart in diabetes
3:20 Angiogram demonstrated a blockage
4:15 Those with most extensive disease did better
5:12 Lipoprotein A
6:15 Measurement really isn’t necessary
7:02 Management of nausea in pregnancy
8:10 Probably more effective
9:05 End

podcast

Week of June 5, 2009

Related Blog 

This week’s topics include computer-based smoking cessation programs, lack of benefit in stopping HRT prior to mammography, a risk score for type 2 diabetes, and a swine flu update.

Program notes:

0:42    Computer-based interventions for smoking cessation
1:40    In adolescents it wasn’t very effective
2:23    Compared to controls increased by 50%
3:01    Stopping HRT previous to mammography
4:05    Even though it decreased breast density it didn’t decrease recall
5:05    Physicians made them aware of risks and benefits
5:17    Risk score system for diabetes
6:12    Fat cells secrete something that increases risk
7:04    Swine flu risk
8:04    Globalization so infection travels fast
9:10    St. Louis isolated flu cases
10:15  End

Back To Top
podcastWeek of May 29, 2009


Related Blog 
This week’s topics include cardiovascular disease risk factors in NFL players, a treatment for complications of heartburn, people who can forgo compression stockings, and balance disorders.

Program notes:

0:44   Cardiovascular risk factors in NFL players
1:36   High blood pressure three times that of the general population
2:30   Risk factors may include weight training
3:24   Prevalence of balance disorders
4:22   Adjust body position without cues
5:20   Remove objects, vestibular retraining
5:38   Compression stockings don’t help post-stroke
6:40   Surgical patients do benefit
7:06   Treatment for lesions related to chronic heartburn
8:06   Screen for Barrett’s esophagitis
9:06   Prevention of GERD
10:06  End

podcast

Week of May 22, 2009

Related Blog

This week’s topics include base of thumb splinting, quantity versus quality for bypass surgery, how quickly interventions need to be done when heart problems appear, and a common prostate medicine and cataract surgery.

Program notes:

0:40   Thumb splinting
1:49   Osteoarthritis of base of the thumb
2:23   About 90% of individuals wore them
3:06   Quality vs. quantity in bypass surgery
4:06   Even in low volume centers high quality brought results
5:03   Treatment of acute coronary syndromes
6:05   Can have procedure done when convenient instead
7:07   Go to the emergency department
7:54   Cataract surgery and Flomax
8:57   Both common conditions
10:21 End

podcastWeek of May 15, 2009This week’s topics include treatment of wheezing in infants, acupuncture for low back pain, aspirin and clopidogrel use for atrial fibrillation, and treatment of breast cancer in older women.

Program notes:

0:30   Infants 6 weeks to 12 months and wheezing
1:38   Avoiding hospitalization
2:15   Often due to respiratory syncytial virus
3:10   Aspirin and clopidogrel in people with atrial fibrillation
4:00   Can’t tolerate coumidin
5:00   Risk of bleeding still fairly low
5:30   Adjuvant chemotherapy for breast cancer in older women
6:22   Combination chemo preferable
7:06   Overall tolerated well
7:31   Acupuncture in low back pain
8:22   All the acupuncture did better
9:22   A year out maintained the benefits
10:05 End

podcastWeek of May 8, 2009This week’s topics include Botox warnings, refusal to immunize children, bare metal or drug-eluting stents, and folate supplements

0:21    Botox warnings
1:18    Because of all these indications
2:10    Our third preparation is available
2:57    Parents who refuse to have children vaccinated
3:51    What is so dangerous about not vaccinating?
4:39    Transmit disease to vulnerable others
5:40    Benefits of folate
6:38    Defects early in pregnancy
7:31    Bare metal and drug-eluting stents
8:34    Two reasons for different results
9:54    End

podcastWeek of May 1, 2009This week’s topics include swine flu (A/H1N1), lifestyle changes and diabetes in older folks, managing hepatitis C infection, and when should we initiate antiviral therapy in HIV infection?

Program notes:

0:30   Swine flu
1:22   We’ve not seen this type of virus
2:02   Symptoms of flu
3:01   Limit exposure
3:53   When people infected with HIV should start treatment
4:53   This study would suggest that the immune system isn’t reconstituted
5:55   Management of hepatitis C
6:51   Chronic hepatitis C leads to problems
7:57   Lifestyle and diabetes prevention in elderly
8:43   About fifty percent of the risk reduction
10:02 End

Back To Top
podcastWeek of April 24, 2009This week’s topics include knee arthroplasty, screening for Chlamydia, screening teenagers for depression, and tight blood sugar control.

Program notes:

0:40    Glycemic control
1:38    Prolonged low blood sugar causes problems
2:25    Requires constant glucose monitoring
3:24    Hemoglobin A1c
4:15    Chlamydia screening
5:12    Ectopic pregnancy
5:31    Screening adolescents for depression
6:33    Increased risk of suicidal ideation
6:56    Knee arthroplasty
7:58    Knee replacement is a good strategy
8:45    Equipment and surgery are better
10:12  End

podcastWeek of April 17, 2009This week’s topics include low blood sugar and dementia, coronary artery disease screening in diabetics, management of women with epilepsy during pregnancy, and stem cells for type one 1 diabetes.

Program notes:

0:30    Heart screening for people with type 2 diabetes
1:25     Low incidence of major cardiac event
2:24    Association between low blood sugar and potential for dementia
3:20    Why folks with type 2 diabetes have low blood sugar
4:20     Regular eating habits important
5:10     Stem cell transplants in type 1 diabetes
6:04     One of many different approaches to cure diabetes
7:11     Type one occurs early in life
7:29     Women with epilepsy during pregnancy
8:35     Women who have seizures must be aware
9:14     Don’t change medication during pregnancy
10:03   End

podcastWeek of April 10, 2009 
This week’s topics include brown fat, sugar-sweetened beverages, school-based obesity interventions, and exercise in people with congestive heart failure.

Program notes:

0:34 Brown fat is present in babies, and burns energy
1:29 To reduce obesity increase caloric expenditure
2:29 School based interventions for obesity
3:42 Didn’t assess blood pressure or type 2 diabetes
4:21 More than just education is needed
4:53 Sugar sweetened beverage consumption
5:45 10-15% of average consumption of children beverages
6:46 May actually increase food intake
7:27 Exercise in patients with heart failure
8:35 Medications are very good at improving symptoms
9:42 End

podcastWeek of April 3, 2009This week’s topics include bed bugs, homes for people with alcoholism, patients in whom statins don’t help, and
cervical cancer assessment.

Program notes:

0:30 Bed bugs
1:13 Transmitted by contact
2:10 Itching and redness
3:08 Cervical cancer assessment
4:08 Great virtue is a one time test
4:41 Statins don’t help in patients undergoing hemodialysis
5:41 You would predict a benefit but its not seen
6:27 Can’t just draw broad conclusions
6:46 Study looking at housing for homeless people
7:46 These individuals ran up at bill of 8 million dollars
8:46 Housing that doesn’t require abstention
9:54 End

Back To Top
podcastWeek of March 27, 2009This week’s topics include vitamin D deficiency, hazards of fat, reducing red meat consumption, and electronic patient records.

Program notes:

0:20   Red meat consumption and risks
1:15   Persuasive since it’s so large
2:11   How do we account for deleterious effects of red meat?
2:52   BMI and impact on mortality
3:44   Increase weight ten to fifteen pounds increases mortality 30%
4:42   Most weight gained in middle years
4:55   Vitamin D deficiency
5:48   Two different sources for vitamin D
6:47   One piece of data that’s persuasive
7:37   Electronic patient records
8:40   Commercial interests
9:40   Patients can get copies of their records and compile
10:11 End

podcastWeek of March 20, 2009This week’s topics include dangers in some baby products, life space mobility, PSA screening, and new aspirin guidelines.

Program notes:

0:20   Life space mobility and its reduction
1:30   After hospitalization contracts markedly
2:15   Could be deconditioning
3:22   Utility of PSA screening
4:26   Didn’t decrease deaths from prostate cancer
5:18   I’m in my early fifties
5:42   US Preventive Services Task Force on aspirin
6:33   Women reduces risk of stroke
7:32   Based upon very good studies
7:41   Concern about chemicals in baby products
8:30   Formaldehyde is a preservative
9:25   None of these products reported them as ingredients
10:14   End

podcastWeek of March 13, 2009This week’s topics include screening for ovarian cancer, not much benefit seen with some coronary artery disease treatments, breast cancer prevention, and prevention isn’t working for people with heart disease.

Program notes:

0:27   Two topics regarding prevention
1:04   Postmenopausal women and their breast cancer risk
2:03   Fatty tissue appears dark
3:01   Medications for chemoprevention
3:23   Two techniques for ovarian cancer detection
4:16   CA-125 as a cancer marker
5:20   The authors suggest this as routine screening
5:34   Lack of benefit from some treatments to coronary arteries
6:28   When we restore blood flow why doesn’t death risk decline?
7:21   For stable coronary artery disease medical therapy just as good
8:12   Physicians prescribing more medications but not much impact
9:10   Three out of five people don’t have blood pressure controlled
10:35  End

podcastWeek of March 6, 2009This week’s topics include radiation overdose due to medical tests, use of PPIs and Plavix, physician-patient connectedness, and flu updates.

Program notes:

0:39 Patient-physician connectedness and quality of primary care
1:59 Flu vaccine effectiveness
2:44 Inactivated vaccine
3:36 Those who’ve had injections in the past should continue
4:06 Emergence of drug resistant flu this year
5:08 Report of radiation overexposure
6:08 Ask physicians about their financial interest
7:07 Proton pump inhibitors and a heart medication
8:18 Increased risk of heart attack or hospitalizations
9:17 Can change to H2 blocker
10:07 End

Back To Top
podcastWeek of February 27, 2009This week’s topics include the benefits of calcium supplements, which weight loss diet is most effective, preventing age-related macular degeneration, and a new pathway in Alzheimer’s disease.

Program notes:

0:40   Weight loss diet comparison
1:40   Year long weight loss the same
2:26   Behavioral factors very important
3:30   Some group aspect is important
3:45   Use of folic acid in preventing age-related macular degeneration
4:30   Due to decrease in homocysteine levels
5:21   Calcium and cancer development
6:22   Benefit seen at recommended level
7:00   Precursor in Alzheimer’s disease
8:00   Pathway in important in amyloid development
9:00   Targets for intervention
10:21 End

podcastWeek of February 20, 2009This week’s topics include how best to treat blocked arteries in the heart, use of statins, phone calls for assisting weight loss efforts, and secondhand smoke and cognitive impairment.

Program notes:

0:30   Best way to improve blood flow in hearts with blocked arteries
1:25   Risk of death or MI similar but those with stents may need additional intervention
2:32   About 90% of stents are drug eluting
3:30   At risk for cardiovascular disease and how high is cholesterol?
4:48   In high risk patients we do know it helps
5:42   Current recommendations are 20% risk over the next 10 years
6:40   Dangers of secondhand smoke and cognition
7:37   Those with highest level of cotinine 40% more likely than others to have cognitive impairment
8:38   Doesn’t assess long term exposure
9:00   Assess delivering behavioral therapy for weight loss
10:34  End

podcastWeek of February 13, 2009This week’s topics include artificial arms, mental benefits of exercise, lack of benefit to coordinated care, and bone marrow transplantation for HIV infection.

Program notes:

0:27   Targeted muscle innervation and artificial arms
1:28   Provides electrical signals
2:28   Potential for stroke or other conditions?
2:45   HIV control via stem cell transplantation
3:27   Lack a receptor for the virus
4:21   1 to 3% of the population lacks receptor
5:19   Exercise and quality of life
6:10   The more exercise the better the mental quality of life
7:07   Lack of benefit from coordinated care
8:10   One hospital did see a benefit
9:07   Where Medicare is headed now
9:51   End

podcastWeek of February 6, 2009This week’s topics include breast cancer and HRT, resting heart rate, respiratory syncytial virus, and variable radiation with heart CT.

Program notes:

0:27   Respiratory syncytial virus
1:20   Requires special lab tests
2:16   Hormone replacement therapy and breast cancer
3:15   When it stops the risk decreases
4:04   CT imaging of heart’s blood vessels
5:10   Specific ways of imaging
6:10   Different methods available
6:52   Resting heart rate
7:52   63% increased risk
8:52   Women over the age of 50
9:49   End

Back To Top
podcastWeek of January 30, 2009This week’s topics include weight loss for urinary incontinence, an overview of alcohol use and abuse, long term consequences of kidney donation, and breast cancer after childhood cancer

Program notes:

0:21   Alcohol overview in The Lancet
1:20   Clear relationship between alcohol overuse and accidents
2:21   Questionnaire to assess problem
3:35   Intervention takes time
4:13   Women who don’t get mammography after surviving cancer
5:20   Once you’ve survived one cancer aren’t concerned about another?
6:18   Need to be dedicated to long term follow-up
6:30   No negative consequences to kidney donation
7:23   Followed 3700 kidney donors
8:00   Weight loss for urinary incontinence
9:00   Modest weight loss only
10:21 End

podcastWeek of January 23, 2008This week’s topics include management of wheezing in children, fine particulate matter in the air, increase in MRSA in head and neck infections in kids, and a trend toward less severe heart attacks.

Program notes:

0: 30  Wheezing in children
1:34   Oral administration of steroids didn’t help
2:26   Use of steroids in children with asthma
3:31   Most over the counter inhalers not as effective
4:32   Most of the MRSA in ear infections
5:30   Need to be more effective at diagnosis and treatment
6:01   Heart attacks becoming less severe
7:02   Amount of muscle dying is smaller
8:15   Fine particulate pollution declining
9:15   Transportation produces
10:21   End

podcastWeek of January 16, 2009This week’s topics include dangers of Vick’s Vapor Rub, sleep and cold susceptibility, Salmonella outbreak, and treadmill exercise for blood vessel disease in the legs.

Program notes:

0:30 Relationship of sleep habits and susceptibility to colds
1:27 Gave them nasal droplets with cold virus
2:22 We know that sleep quality and duration are important
2:50 Vick’s Vapor Rub dangers
3:34 Number of children with what looked like acute asthma
4:35 Decrease airway clearance
4:51 Salmonella outbreak
5:46 One in five hospitalized
6:51 Change serving platter from preparation
7:56 Can avoid or treat or manage
8:08 Blood vessel disease in legs responds to exercise
9:07 Affects about one in sixteen people over 40
10:12 End

Back To Top
JanFebMarAprMayJunJulAugSepOctNovDec
20122011 201020092008200720062005

Sign Up for e-News

Subscribe to the JHM Update for the latest news from Johns Hopkins Medicine.

 

Traveling for care?

blue suitcase

Whether crossing the country or the globe, we make it easy to access world-class care at Johns Hopkins.

U.S. 1-410-464-6713 (toll free)
International +1-410-614-6424

 

 
 
 
 
 

© The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System. All rights reserved.

Privacy Policy and Disclaimer