2 Docs Talk:  Medicine | Health | Healthcare Policy | Evidence Based Medicine-logo

2 Docs Talk: Medicine | Health | Healthcare Policy | Evidence Based Medicine

Medical >

Join cohosts Kendall Britt, MD and Amy Rogers, MD for a 15 minute check-up on current issues in medicine and health policy. The doctors examine current medical concerns in light of the best available medical evidence and the policy issues of the day with a focus on their impact on the doctor patient relationship.

Join cohosts Kendall Britt, MD and Amy Rogers, MD for a 15 minute check-up on current issues in medicine and health policy. The doctors examine current medical concerns in light of the best available medical evidence and the policy issues of the day with a focus on their impact on the doctor patient relationship.
More Information

Location:

United States

Description:

Join cohosts Kendall Britt, MD and Amy Rogers, MD for a 15 minute check-up on current issues in medicine and health policy. The doctors examine current medical concerns in light of the best available medical evidence and the policy issues of the day with a focus on their impact on the doctor patient relationship.

Language:

English


Episodes

Episode 125: Kratomic Explosion

11/6/2018
More
Kratom doesn't sound like your typical herbal supplement, but it does come with all the issues common to the supplement industry. Namely, it hasn't withstood the test of clinical trials to demonstrate safety and efficacy. And that causes problems. Problems like not knowing how much of the ingredient is in the supplement, or how much of other ingredients for that matter. Or wht kind of side effects might be evident if it were subjected to randomized placebo-controlled trials. But...

Duration:00:08:32

Episode 124: Treating Opioid Addiction

10/30/2018
More
With our apologies to and appreciation of Frances McDormand. The opioid crisis is showing no signs of tapering off any time soon, so today, 2 Docs Talk about the cornerstone of opioid addiction treatment - medication assisted therapy or MAT. We also (because we can't resist) talk about the irony of the very company who triggered the epidemic with their deceitful marketing practices now profiting from selling the treatment for that very problem. Resources: Previously, we...

Duration:00:14:59

Episode 123: Fall 2018 Updates

10/23/2018
More
After a hiatus that lasted much longer than planned, we are back with our fall 2018 season of 2 Docs Talk, with look back on previous topic and an update on what's been going on since we first discussed them. We'll talk about the following episodes: Hormone Supplementation and Menopause Right to Try Legislation The Flu, the Flu Shot and the Future Cervical Cancer and the HPV Vaccine Medicaid Expansion The Mumps Other resources for this episode can be found here: JAMA article...

Duration:00:13:04

Episode 122: Does everyone get healthcare in the U.S. when they really need it? (Rebroadcast)

3/19/2018
More
If you've had many conversations about healthcare reform, it is likely you've heard some variation on this theme: "Hospitals have to provide care for people who show up. So everyone can get healthcare when they need it. So when people say that can't get healthcare, that isn't true." Is there any merit to that argument? Spoiler: NO. But if you want to hear more about where that idea comes from, take a...

Duration:00:10:43

Episode 121: Is There a Bright Side to SSRIs?

3/12/2018
More
If you aren't taking an SSRI yourself, there it's almost certain you know someone who does. Selective Serotoning Reuptake Inhibitors are one of the most commonly prescribed classes of drugs out there. Is their widespread use earned on the basis of good evidence? It's not clear - let's take a look. References: Genetic and clinical predictors of sexual dysfunction in citalopram-treated depressed patients. Perlis RH, Laje G, Smoller JW, Fava M, Rush AJ, McMahon...

Duration:00:13:04

Episode 120: Who do Right to Try Laws Really Help?

3/5/2018
More
Right to Try laws have come about as a response to cumbersome paperwork required to access the FDA's compassionate use program. However, the FDA has lessened the paperwork required for terminally ill patients to access investigational drugs. So is Right to Try a meaningful movement, or is it simply one piece of an overaraching ideology. Today, 2 Docs Talk about Right to Try laws and who they help. Be sure and subscribe in iTunes or Stitcher if you haven’t already. And you know we’d...

Duration:00:10:53

Episode 119: Is Alchohol Good for Your Health

2/26/2018
More
For decades, much has been made of the healthvbenefits of drinking alcohol. And those benefits are real. But, what exactly are the benefits, and how do they stack up against the risks associated with alcohol? Today, 2 Docs Talk about the ways alcohol and help and harm your health, and we offer some of our opinions,...

Duration:00:13:51

Episode 118: Scratching the Surface of Varicella

2/19/2018
More
If you are of a certain age, you remember a time when pretty much every kid got chicken pox. But those days are behind us as most of our children are vaccinated agains varicella, the virus that causes chicken pox. But for us old folks, shingles is the still around to remind of the old days when we still got chicken pox. Today 2 docs talk about the effect of the varicella vaccine, the problem with shingles, and what you can do about it. Be sure and subscribe in iTunes or Stitcher if you...

Duration:00:09:18

Episode 117: Glioblastoma Multiforme - What would Jimmy V Do?

2/12/2018
More
Senator McCain has a malignant brain tumor called a Glioblastoma Multiforme, orglioblastoma or GBM for short. He’s not the first person politically connected to get one of these things. I think this is what Senator Ted Kennedy had back in 2008 and also Beau Biden, Joe Biden’s son died of a glioblastoma. Glioblastomas are one of a class of brain tumors called Gliomas. Gliomas can be low grade which are considered pre-malginant or pre-cancerous or they can be high grade malignancies such...

Duration:00:11:47

Episode 116: The Where, What and Why of Exercise

2/5/2018
More
We all know that exercise is beneficial for our health. But how much - how long - what type? Understanding what offers the best outcomes is tricky because it's difficult to conduct rigorous research with long term endpoints such as reduction of disease and death. Today 2 Docs Talk about some interesting studies on exercise and what they reveal about the benefits of physical...

Duration:00:19:34

Episode 115: Pressure to Treat Hypertension

1/29/2018
More
The normally staid world of hypertension was a bit controversial in 2017, so this week 2 Docs Talk about the recent recommendations — and their accompanying controversies — for treating high blood pressure. Resources: Systolic Hypertension in the Elderly (SHEP) Study Action to Control Cardiovascular Risk in Diabetes (ACCORD) blood pressure trial. Systolic Blood Pressure Intervention Trial (SPRINT) JNC 8 blood pressure treatment guidelines

Duration:00:14:08

Episode 114: Supplemental Ethics?

1/22/2018
More
Does your doctor sell dietary supplements? Have you considered the ethics of such an arrangement? The American Medical Association has, and they think it's a bad idea. 2 Docs Talk about the ethics of physicians profiting from supplement sales. Resources: About DSHEA 1994 ER visits due to supplements Study showing supplement reduces LDL AMA Ethics Statements on Supplement Sales Pharmceutical marketing and prescribing habits

Duration:00:12:31

Episode 113: Influenza 2017-18 Update

1/15/2018
More
This has been a particularly bad year for the flu. More people are getting sicker than in most years. And the vaccine is not working well. In this episode, 2 Docs Talk about why the influenza virus circulating this year is causing so many problems. Beware there is a little bit of basic science involved. But not too much. Resources: Our information is from the Centers for Disease Control: https://www.cdc.gov/flu/about/season/current.htm Be sure and subscribe in iTunes or Stitcher if you...

Duration:00:11:17

Episode 112: Drug Pricing (Rebroadcast)

1/8/2018
More
If you’ve paid any attention to the news over the past year or so, you’ve likely seen stories of greedy capitalists gouging the vulnerable by hiking up the prices of their life-saving drugs. But are the prices hikes all that bad? Yes. Yes, they are. And we talk about that to day on 2 Docs Talk. Resources: JAMA on Drug Pricing Our episode on Hep C Our episode on Alzheimers Our episode on Pricing Transparency Be sure and subscribe in iTunes or Stitcher if you haven’t already. And you...

Duration:00:15:15

Episode 111: Drug Pricing (Rebroadcast)

1/1/2018
More
If you’ve paid any attention to the news over the past year or so, you’ve likely seen stories of greedy capitalists gouging the vulnerable by hiking up the prices of their life-saving drugs. But are the prices hikes all that bad? Yes. Yes, they are. And we talk about that to day on 2 Docs Talk. Resources: JAMA on Drug Pricing Our episode on Hep C Our episode on Alzheimers Our episode on Pricing Transparency Be sure and subscribe in iTunes or Stitcher if you haven’t already. And you...

Duration:00:15:15

Episode 110: The Prostate (Rebroadcast)

12/25/2017
More
You’d think that something like screening for prostate cancer would be free of controversy, but that just isn’t the case. The benefits and risks of screening have been hotly debated by different medical organizations over the years. Today, 2 Docs Talk about how prostate screening and the various issues surrounding it. This is a topic every man should discuss with his physicians, and we hope this hepls you know what questions to ask when you do. Resources: Weiner AB, Matulewicz RS, Eggener...

Duration:00:17:18

Episode 109: Healthcare Pricing Transparency (Rebroadcast)

12/18/2017
More
If you’ve ever tried to figure out the price of a medical procedure, you know it’s not that easy. In fact, research shows that complete pricing for medical procedures is unavailable when requested over one-third of the time. As healthcare deductibles rise and indidviduals are affected more and directly by these costs, the issue of pricing transparency is growing. In this episode we talk about the problem posed by opaque medical pricing practices. We also dig into two innovative practice...

Duration:00:12:57

Episode 108: Vaccines (Rebroadcast)

12/11/2017
More
Vaccines are both one of the most widely used and most widely misunderstood preventive medical treatments available. People have concerns about autism, efficacy, the promotion of unhealthy behaviors. We dig into the evidence on some of those topics, as well as take a look at the effectiveness of vaccines against some of the scariest disease of our time – including cancer. NEJM study on vaccines and autism Lancet study on vaccines and autism Adverse Effects of Vaccines: Evidence and...

Duration:00:16:34

Episode 107: Testosterone Trending (Rebroadcast)

11/27/2017
More
All you have to do is take a quick drive around town to see that low testosterone clinics are all the rage. A little math will tell you why. Males make up around 50 percent of the population, and their testosterone declines, naturally, at a rate of 1 percent per year after age 30. If that decline merits treatment, it’s no wonder those clinics are everywhere. But, does it merit treatment? Is testosterone replacement safe? Is it even effective? We dig into those questions on this episode...

Duration:00:09:05

Episode 106: Longevity (Rebroadcast)

11/20/2017
More
In healthcare, the holy graille seems to be longevity. We look at whether a treatment increases lifespan and use that as a barometer for it's value. But should that be the yardstick we use? Or would we be better off with a more subjective measure of improving quality of life, even if that means sacrificing some of the quantity. Today, 2 Docs Talk about this question propose some things to consider as you consider your approach to aging and healthcare. Resources: Colonoscopy study in...

Duration:00:11:16