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Blood & CancerBlood & CancerRTL 02 -- The latest news from MDedge Hematology/Oncology: MRI IDs significant prostate cancer, drug interactions to avoid in GI cancers, ctDNA clearance tracks with NSCLC survival, COVID symptoms persistThe latest news from MDedge Hematology/Oncology:  In this episode:  MRI reliably identifies significant prostate cancer * Original MDedge article (https://bit.ly/3hgKT1h) * PROMIS analysis (https://bit.ly/3fLOiEN) Drug-drug interactions to avoid in patients with GI cancer * Original MDedge article (https://bit.ly/39eHi0G) ctDNA clearance tracks with PFS in NSCLC subtype * Original MDedge article (https://bit.ly/3eJKm6o) * Abstract from AACR 2020 (https://bit.ly/30uQQ3R) * TATTON results in The Lancet Oncology (https://bit.ly/3jq1L7J) COVID-19 symptoms can linger for months * Or...2020-07-2112 minMDedge CardiocastMDedge CardiocastTop stories from the American Heart Association scientific sessions ISCHEMIA trial hailed as practice changing The largest-ever RCT of initial invasive versus conservative management of stable ischemic heart disease makes waves. DAPA-HF: Dapagliflozin’s HFrEF efficacy confirmed in nondiabetics Further analyses from the DAPA-HF trial showed dapagliflozin cut death and heart failure events in HFrEF patients with no diabetes. Colchicine cut post-MI CVD events Colchicine fulfilled the promise first seem in CANTOS that anti-inflammatory treatment can reduce cardiovascular disease events. Getting high heightens stroke, arrhythmia risks Cannabis use or abuse among the young was associated with adverse cardiovascular co...2019-12-2707 minMDedge CardiocastMDedge CardiocastVascepa gains event-reduction nod; diabetes ups ischemic risks. Vascepa approved for cardiovascular risk reduction The FDA’s decision on cutting events in high-risk patients was based primarily on the REDUCE-IT trial. ENGAGE AF-TIMI: Insulin linked to greater risk for stroke, CV death, bleeding Novel oral anticoagulants may be preferred over warfarin in patients with diabetes and AFib. HHS drug importation proposals aim to address high costs Trump administration drops key health care proposal on day of impeachment vote. End ‘therapeutic nihilism’ in care of older diabetic patients, says expert ‘It’s not hyperglycemia that’s killing people; it’s heart d...2019-12-2008 minMDedge CardiocastMDedge CardiocastPost-STEMI events less likely in women; bariatric surgery may lower stroke risk Women have fewer cardiovascular events after non–ST-segment elevation ACS But they also remain undertreated with guideline-directed therapies. *  *  *   Help us make this podcast better! Please take our short listener survey: https://www.surveymonkey.com/r/podcastsurveyOct2019 *  *  *   FDA panel rejects vernakalant bid for AFib cardioversion indication Eleven years after the first attempt of the antiarrhythmic agent, the FDA panel voted resoundingly against approval. Bariatric surgery tied to fewer cerebrovascular events The incidence of cerebrovascular events was 65% lower in obese people who underwent bariatric surgery compared with those without...2019-12-1307 minMDedge CardiocastMDedge CardiocastNew trick for old drug; Vascepa cost effective for CV reduction Icosapent ethyl cost effective in REDUCE-IT analysis Treatment with the fish-derived drug Vascepa for CV event reduction is more effective and less costly than placebo. *  *  *   Help us make this podcast better! Please take our short listener survey: https://www.surveymonkey.com/r/podcastsurveyOct2019 *  *  *   DAPA-HF: Dapagliflozin benefits regardless of age, HF severity The SGLT2 inhibitor had similar efficacy in the elderly and across the spectrum of baseline symptom status. Colchicine cut post-MI CVD events Colchicine fulfilled the promise first seem in CANTOS that anti-inflammatory treatment can reduce cardio...2019-12-0607 minMDedge CardiocastMDedge CardiocastCard Talk: TAVR and glass ceilingsThis week’s Cardiocast is devoted entirely to Card Talk with cardiologist brothers Jim and Jerry Dwyer. They welcome two structural interventionalists at the Structural Heart and Valve Center at Emory Healthcare, Kendra J. Grubb, MD, and Isida Byku, MD. Both followed a unique track, training in both cardiac surgery and interventional cardiology and practicing in the fast-moving field of structural heart disease. *  *  *   Help us make this podcast better! Please take our short listener survey: https://www.surveymonkey.com/r/podcastsurveyOct2019 *  *  *   From the “picture that went around the world” of an all-female t...2019-11-2943 minMDedge CardiocastMDedge CardiocastISCHEMIA trial, DAPA-HF, and valsartan recall: AHA SpecialIn this special meeting edition of the Cardiocast, MDedge Cardiology editor Catherine Hackett is joined by MDedge reporters Mitchel L. Zoler, Bruce Jancin, and Richard Mark Kirkner.  The MDedge cardiology team reviews three big stories from the 2019 annual scientific sessions of the American Heart Association in Philadelphia.  * * *  Help us make this podcast better! Please take this short listener survey: https://www.surveymonkey.com/r/podcastsurveyOct2019 * * * ISCHEMIA trial hailed as practice changing The results of the ISCHEMIA trial were emphatically declared practice changing by interventional cardiologists and noninterventionalists ali...2019-11-2632 minPostcall PodcastPostcall PodcastOn call workout, Thanksgiving codes, gifts for docsMedical Muggle Nick Andrews and Emi Okamoto, MD, talk about all things Thanksgiving in this special edition of the Postcall Podcast.  We recommend saving this episode for Thanksgiving or Black Friday if you can't be with your friends/family for this holiday season.  In the episode, we talk about how sharing with patients increases trust, the best gifts for doctors, what we're thankful for, a good in-hospital, on-call workout, and codes that you may need for your Thanksgiving shift.  *** Help us make this podcast better! Please take our short, anonymous listener sur...2019-11-2231 minMDedge CardiocastMDedge CardiocastLong-awaited ISCHEMIA results to change practice, DAPA-HF elevates dapagliflozin for HFrEF ISCHEMIA trial hailed as practice changing The largest-ever RCT of initial invasive versus conservative management of stable ischemic heart disease makes waves. *  *  *   Help us make this podcast better! Please take our short listener survey: https://www.surveymonkey.com/r/podcastsurveyOct2019 *  *  *   DAPA-HF: Dapagliflozin’s HFrEF efficacy confirmed in nondiabetics Further analyses from the DAPA-HF trial showed dapagliflozin cut death and heart failure events in HFrEF patients with no diabetes. The TWILIGHT of aspirin post-PCI for ACS? Patients do better post-PCI for non-ST-elevation ACS with ticagrelor...2019-11-2208 minPostcall PodcastPostcall PodcastDoctors on TV and the Warren health care planMedical Muggle Nick Andrews and Emi Okamoto, MD, discuss how docs feel about Elizabeth Warren's plan for Medicare-for-all. They also discuss how bingeing on your favorite show affects sleep and how TV and films get medical care so wrong.  The guest this week is Ashley Alker, MD, who is a medical consultant for various TV programs and films -- she helps them get it right. The interview starts at 20:20. *** Help make this podcast better! Please take our short listener survey here. *** Links: Warren's health care plan What it me...2019-11-1544 minPostcall PodcastPostcall PodcastWords matter: Calling psychiatry patients by their diseaseMedical Muggle Nick Andrews and Emi Okamoto, MD, discuss a new survey about using the appropriate language when referring to patients. They also get into how banning sugary drinks went over at one California institution and talk about what physicians need to know about CBD.  *** Help us improve this podcast! Please click here to take this short listener survey: https://www.surveymonkey.com/r/podcastsurveyOct2019 *** The interview this week is with Elisabeth Poorman, MD, MPH. Dr. Poorman is a clinical instructor of medicine at the University of Washington, Seattle. ...2019-11-0845 minMDedge CardiocastMDedge CardiocastHow risk factors in childhood translate to CV outcomes in adulthood Closing the missing link between childhood risk factors and adult cardiovascular outcomes Prescient childhood cohort studies launched in the 1970s are paying off.  * * * Help us make this podcast better! Please take our short listener survey: https://www.surveymonkey.com/r/podcastsurveyOct2019 * * * Metabolic signs of adult diabetes apparent in very young children Disturbed HDL cholesterol metabolism may be one of the earliest features of type 2 diabetes. Sacubitril/valsartan suggests HFpEF benefit in neutral PARAGON-HF The primary endpoint was neutral, but desperation for a HFpEF the...2019-11-0808 minPostcall PodcastPostcall PodcastPatients words can hurt; plus, harassment in surgical residencyMedical Muggle Nick Andrews and Emi Okamoto, MD, talk about the recent research in the New England Journal of Medicine about burnout and harassment in surgical residency. They also discuss the research in JAMA Internal Medicine about how patient behavior positively and negatively affects physicians, trainees, and medical students.  * * *  Help us make this podcast better! Please take our short listener survey: https://www.surveymonkey.com/r/podcastsurveyOct2019 * * *  The interview this week is with MDedge reporter Kari Oakes on her article about addressing female physicians by their appropriate title: Doctor.  2019-11-0137 minMDedge CardiocastMDedge CardiocastDriving while defibrillating; hypertension holds greater risk in black patients Patients frequently drive too soon after ICD implantation Many patients didn’t recall ever receiving instruction about when to drive again. * * * Help us make this podcast better! Please take our short listener survey: https://www.surveymonkey.com/r/podcastsurveyOct2019 * * * One-third of CVD disease in blacks linked to hypertension A large analysis suggests intervention throughout all ages could have substantial impact. Cancer overtakes CVD as cause of death in high-income countries The balance is shifting because cardiovascular deaths are way down in high-resource nations....2019-11-0107 minPostcall PodcastPostcall PodcastFootball, dogs save docs and preserve life, and a clown of a doctorMedical Muggle Nick Andrews and Emi Okamoto, MD, talk about football: the injuries, the NFL's Crucial Catch campaign, and what to tell patients and parents about football injuries and injuries from all sports.  * * *  Help us make this podcast better! Please take our short listener survey: https://www.surveymonkey.com/r/podcastsurveyOct2019 * * * The interview this week is with Jeff Pearson, DO, a family practice clinician practicing in Carlsbad, Calif. Dr. Pearson uses humor, magic, and general tomfoolery to forge a connection with his patients.  Timestamps: Learn about the survey (01:00) Dogs...2019-10-2548 minMDedge CardiocastMDedge CardiocastAFib hits Native Americans hard; TAVR shown durable, safe after 5 years Strong showing for TAVR after 5 years in PARTNER 2ATranscatheter and surgical aortic valve replacement had similar rates of death or disabling stroke. *   *   * Help us make this podcast better! Please take our short listener survey: https://www.surveymonkey.com/r/podcastsurveyOct2019 *   *   * Patiromer allows more CKD patients to continue on spironolactone After 12 weeks, 86% of the patiromer patients remained on spironolactone, vs. 66% of the placebo patients. Native Americans appear to be at increased risk for AFib Atrial fibrillation was significantly more common among Native Americans than in other racial an...2019-10-2507 minMDedge CardiocastMDedge CardiocastPractice changing data from ESC 2019 Part IIMDedge reporters discuss the latest in practice-changing data from the 2019 annual congress of the European Society of Cardiology in Paris. Join Mitchel L. Zoler, Bruce Jancin, Kari Oakes, and MDedge Cardiology editor Catherine Hackett as they discuss what they reported from the annual meeting.2019-10-2242 minPostcall PodcastPostcall PodcastNo free medical adviceNick Andrews and Emi Okamoto, MD, talk about how to decrease the number of phone calls to your office, how more and more people view mental illness as a threat, and how to handle it when your family and friends ask for medical advice.  The interview this week is Taylor Brana, DO, the founder, producer, and host of the Happy Doc Podcast.  Timestamps: Is mental illness threatening? (01:58) Preview gender empowerment conversation (06:08) How to decrease your office phone calls (06:58) Should you charge your friends for medical advice? (09:25) Meet the guest (14:15) Interview (18:50) Links: People vi...2019-10-1844 minMDedge CardiocastMDedge CardiocastStatins tied to skin, soft tissue infections; new Card Talk episode Statin use linked to risk of skin and soft tissue infections Use of statins was associated with increased risk of SSTIs at an average of 91, 182, and 365 days. Rivaroxaban trends toward higher thrombotic risk than vitamin K antagonists in APS Patients who took rivaroxaban experienced almost two times as many thrombotic events as patients who took dose-adjusted vitamin K antagonists. HHS floats Stark/anti-kickback revisions to support value-based care Health law attorneys say reforms should remove some of the risk in value-based care arrangements that exist under current law. 2019-10-1841 minPostcall PodcastPostcall PodcastDrinking before a shift and hard patient conversationsIn episode 51, Nick and Emi Okamoto, MD, discuss what makes a good doctor-patient relationship, how EMRs affect burnout, and when, if ever, it's okay to have had a drink before a clinical shift.  The interview portion of this episode comes from Ilana Yurkiewicz, MD, who hosts a discussion about difficult conversations that residents and fellows need to have with their patients. Dr. Yurkiewicz, along with Emily Bryer, DO, and Ronak Mistry, DO, address those times when a patient asks what you would do if the patient were your family member, and how much patients really want to k...2019-10-1132 minMDedge CardiocastMDedge CardiocastTroponin protocol rapidly rules out MI; hidden risk of moderate aortic stenosis Novel cardiac troponin protocol rapidly rules out MI Three-quarters of patients who presented with suspected acute coronary syndrome were safely discharged from ED without hospital admission. Study questions preemptive TEVAR for extended type A dissections Interim results from a single-center study show that preemptive TEVAR may not be necessary for type A aortic dissections. TAVR, SAVR share same infective endocarditis risk Be aware, be careful, and provide appropriate antibiotic prophylaxis, just as surgeons do in SAVR. Moderate aortic stenosis just as deadly as severe AS ...2019-10-1108 minPostcall PodcastPostcall PodcastYour EMR/EHR: What would you change?Nick and Emi Okamoto, MD, talk about the changes you'd like to see to electronic medical records systems as well as some issues with data and reporting in recent dietary studies. The interview this week is Luke S. Johnson, MD, a dermatologist with a focus on pediatric dermatology at the University of Utah. Dr. Johnson is the founder and co-host of the brand new Dermasphere podcast.  You can contact Postcall at podcasts@mdedge.com and you can follow Nick Andrews on Twitter at @nick_andrews__. Timestamps: Transplant surgeon gets Hep C-positive heart: 01:51 Pe...2019-10-0446 minMDedge CardiocastMDedge CardiocastSun sets on longer DAPT after PCI; inactivity boosts post-MI risk Smoking and inactivity are the most powerful lifestyle risk factors after an MI Insufficient activity beats out obesity or above-target LDL cholesterol. Ticagrelor monotherapy tops DAPT for high-risk PCI patients TWILIGHT findings support move to shorter dual-antiplatelet therapy. Panel releases guidelines for red meat, processed meat consumption "This assessment may be excessively pessimistic; indeed, we hope that is the case." Remember that preeclampsia has a ‘fourth trimester’ Delivering the baby doesn’t always cure the hypertension.   For more MDedge Podcasts, go to mded...2019-10-0408 minPostcall PodcastPostcall PodcastCreator of The Nocturnists podcast, IM subspecialty data, and free med school?The creator of The Nocturnists podcast, Emily Silverman, MD, talks inspiration, storytelling, time management, and being a doctor. Nick and Emi Okamoto, MD, discuss the latest medical school to make their tuition free, which internal medicine subspecialties women are and aren't choosing, and more.  Links: Weill Cornell free tuition Women residency/subspecialty choices Video games and your heart Emily Silverman, MD: Twitter (@ESilvermanMD) Website Professional Bio The Nocturnists: Website Upcoming events Episodes Contact the show at podcasts@mdedge.com or follow host Nick Andrews on Twitter: @Nick_Andrews__2019-09-2754 minMDedge CardiocastMDedge CardiocastCardiology dead last as women’s IM subspecialty choice Cardiology dead last as women’s IM subspecialty choice Women in internal medicine residencies were more likely than men to report that they had never considered cardiology as a career choice. Beta-blockers effective, safe for HFrEF with renal dysfunction Their role is solidified for essentially all such heart failure patients, regardless of their renal function. Heart failure score derived from machine learning predicts risk in diabetes patients Highest WATCH-DM scores linked to 5-year heart failure risk approaching 20%. Daily polypill lowers BP, cholesterol in underserved population Th...2019-09-2707 minMDedge CardiocastMDedge CardiocastAn antiplatelet surprise; Europeans go low in cholesterol guidelines Prasugrel bests ticagrelor in ACS in surprise findings ISAR-REACT 5 was the first-ever direct head-to-head look at two potent P2Y12 inhibitors in this setting. European cholesterol guidelines push LDL targets below 55 mg/dL PCSK-9 inhibitors are elevated to a top-tier recommendation in very-high-risk patients. Drug doses for heart failure could possibly be halved for women Women reached the highest level of drug efficacy at half the doses of ACE inhibitors or ARBs and beta-blockers. Post-MI angina in stable patients flags high risk The angina finding...2019-09-2009 minPostcall PodcastPostcall PodcastDoctors and their screens; plus, your patients can be hackedNick Andrews and Emi Okamoto, MD, break down the screens and devices doctors interact with in and out of the clinic. The interview guest this week is Sarah Mojarad (@Sarah_Mojarad), who is a medical and science educator and lecturer. Ms. Mojarad gives Tweetorials about social media and medicine.  Time Stamps: Are you still a doc with all this screen time? (01:54) How doctors get their media (06:16) Medical devices getting hacked (12:27) Interview with Sarah Mojarad (19:41) Relevant Links: Are patients the next cyberattack targets? If you spend more than 80% of your day staring at a screen, y...2019-09-1953 minMDedge CardiocastMDedge CardiocastSGLT-2 inhibitors and more practice changing data from ESC 2019MDedge reporters discuss the latest in practice-changing data from the 2019 annual congress of the European Society of Cardiology in Paris.  Join Mitchel L. Zoler, Bruce Jancin, Kari Oakes, and MDedge Cardiology editor Catherine Hackett as they discuss what they reported from the annual meeting.   2019-09-1622 minPostcall PodcastPostcall PodcastPhysician suicide awareness; plus, can Groupon fix healthcare?National Suicide Prevention Week interview with Janae Sharp of the Sharp Index, which is a resource for physician suicide awareness, prevention, and research.  Emi Okamoto, MD, and Nick have a mini journal club about the med student perspective on suicide and burnout and how Groupon can save you and/or your patients money on some medical procedures.  Time stamps:  Journal Club (01:51) Groupon saves money (02:22) Trump administration moves to ban non-tobacco flavored e-cigarettes (08:00) Med student perspective on suicide (09:47) Interview introduction (14:02) Interview with Janae Sharp (17:51) Relevant links: Journal club articles Groupon (Medscape) Med stu...2019-09-1347 minPostcall PodcastPostcall PodcastDr. Danielle Ofri, plus Emi returnsNew York Times contributor Danielle Ofri, MD, PhD, joins the show to talk about writing, the clinic, the system, and the Bellevue Literary Review. Emi Okamoto, MD, is back on the program.  Time Stamps: MDedge Quiz (01:18) Checking in with Emi (08:19) The WHO and Malaria (13:19) Interview with Dr. Ofri (19:00) Relevant links: Weekly Quiz The following links lead to the articles that are referenced in the answers to the MDedge MD-IQ weekly quiz. Question 1 Question 2 Question 3 Question 4 Question 5 The WHO and malaria Danielle Ofri, MD, PhD Website Biography (Wikipedia) Twitter TEDMED Buy her b...2019-08-3043 minMDedge CardiocastMDedge CardiocastCV cost of smoking lasts a quarter centuryThis week in cardiology: PCSK9 inhibition cuts events in very-high-risk groups ODYSSEY OUTCOMES analyses peg prior CABG and polyvascular disease as targets for alirocumab. Cardiovascular cost of smoking may last up to 25 years Past smokers face an elevated cardiovascular risk for up to 25 years after they quit. Impact of climate change on mortality underlined by global study This may be the largest study ever to assess the effects of inhalable particulate matter around the world. HCV coinfection adds to the cardiovascular risk in HIV-infected patients Hepatitis C virus and other injections were independently linked...2019-08-3007 minPostcall PodcastPostcall PodcastAdvice for new med students and Dr. Julie CroleyMedTwitter stars and clinicians give their best advice for medical students as medical school resumes and @dr.skinandsmiles (Julie Amthor Croley, MD) joins Nick Andrews to talk about doctors on social media, podcasting, long-distance doctor marriages, and more.  Links: Twitter advice for medical students thread Dr. Julie Amthor Croley Instagram Profile Resident Take Overs On social media in dermatology Being on-call as a derm resident Tips on patient communication Prescribing combined OCs Dr. Croley on MDedge MDedge Podcasts Blood & Cancer Cardiocast  Daily Medical News Derm Weekly Psychcast You can email the show at podcasts@mdedge.co...2019-08-2331 minMDedge CardiocastMDedge CardiocastTwo FDA approvals, smoking impacts CV health for 25 years TAVR valves now FDA approved for low-risk patients The FDA's decision will expand TAVR access to younger, healthier patients. FDA approves baroreflex activation for advanced HF A phase 4 trial will investigate impact on hospitalizations and mortality. Top line results: Dapagliflozin meets primary endpiont in DAPA-HF AstraZeneca announces preliminary results in first heart failure trial in an SGLT2 inhibitor. Cardiovascular cost of smoking may last up to 25 years Past smokers face an elevated cardiovascular risk for up to 25 years. You can contact the MDedge Cardiocast by emailing us at podcasts@mdedge.com or following us on...2019-08-2308 minMDedge CardiocastMDedge CardiocastNSAIDS mediate CV risk and hypertension linked to dementiaThe top news in cardiology:   Midlife hypertension linked to dementia risk Elevated blood pressure in midlife is associated with risk of subsequent dementia, but whether the risk is treatable is unclear. Ambulatory BP slightly better than in-office measures for predicting cardiovascular outcomes It’s probably best to save these techniques for specific patients.  NSAIDs a significant mediator of cardiovascular risk in osteoarthritis NSAID use could be responsible for a significant proportion of the increased risk of cardiovascular disease associated with osteoarthritis. Burnout gets personal for 68% of physicians Burden hits primary care more than spec...2019-08-1608 minDaily Medical NewsDaily Medical NewsToo few women oncology investigators; is a rigid HPV vaccination schedule needed? Is a rigid HPV vaccination schedule really necessary? Story by Bruce Jancin, reporting from the annual meeting of the European Society for Pediatric Infectious Diseases. Delayed administration of the second dose of an HPV vaccine had no negative impact on the magnitude of the immune response. Other top stories: Women are underrepresented as lead authors in oncology trials  The proportion has been increasing but still lags behind the proportion of female oncologists in the United States. Dupilumab found effective for adolescents with moderate to severe AD  Rates of skin infections were hi...2019-08-1408 minMDedge CardiocastMDedge CardiocastAI for AFib and acupuncture for anginaThe top stories in cardiology: Artificial intelligence technology meets AFib detection An AI-enabled ECG model suggests clinical implications for early identification of atrial fibrillation. Older patients who stop statins may be increasing their cardiovascular risk Discontinuation of statins was associated with an increased risk of hospital admission for a cardiovascular event. Psoriasis patients on biologics show improved heart health Novel imaging biomarker identifies reduced coronary inflammation in psoriasis patients on biologics. Acupuncture cuts attacks in chronic angina Chronic stable angina patients showed significant improvement with acupuncture over patients given shame or no acupuncture. ...2019-08-0909 minPostcall PodcastPostcall PodcastMara Antonoff, MD; PCPs unwilling to accept patients on opioidsMara Antonoff, MD, of the MD Anderson Cancer Center, joins Nick to talk about female physicians being referred to by their first names. Nick and Emi Okamoto, MD, discuss a study that shows 40% of PCPs do not accept into their practice new patients who are using opioids.   Time Stamps: Quiz (01:09) Acupuncture for chronic stable angina? (06:26) 40% of PCPs would not accept patients prescribed opioids (10:01) Introducing Mara Antonoff, MD (13:18) Interview with Dr. Antonoff (18:00) Relevant links: Quiz: Q1: Textured implant recall Q2: Advanced brain MRO in Havana Q3: Adults using aspirin for CVD Q4: Pregnancy/Birth stats Q5...2019-08-0253 minMDedge CardiocastMDedge CardiocastSeven simple rules of heart failure risk - you only need twoThe top news in cardiology: Meeting just 2 of 7 ‘simple’ goals lowers HF risk American Heart Association recommendations seem to lower risk even if only a couple of the 'Simple 7' are mastered. Increased cardiovascular risk seen early on with testosterone replacement therapy Testosterone replacement therapy for low testosterone is linked to an early increase in the risk of cardiovascular and cerebrovascular events. No increase in UTI risk with SGLT-2 inhibitors SGLT-2 inhibitors are not associated with an increased risk of severe urinary tract infections. As patients, physicians fare nearly the...2019-08-0207 minPostcall PodcastPostcall PodcastMark Shapiro, MD, of the podcast Explore the SpaceThe interview is with the host of the podcast Explore the Space, we find out where in the world Emi Okamoto, MD, is off to, and how purpose in life appears to be impacting mortality.  Time Stamps: Congrats on getting married (00:22) Quiz (02:01) Emi's announcement (05:30) Association Between Life Purpose and Mortality Among US Adults Older than 50 Years (11:24) Introducing Mark Shapiro, MD (12:52) Interview: (16:37) Links and References: Quiz Articles Question 1 Question 2 Question 3 Question 4 Question 5 Weekly Reading: Nick: Comic Relief Emi: Life Purpose and Mortality Explore the Space EPIC EHR Episode Dr. Shapiro on Twitter You can conta...2019-07-2649 minMDedge CardiocastMDedge CardiocastAir pollution correlated with cardio mortality; statins crush early seizure risk Statins crush early seizure risk poststroke Statin initiation upon hospitalization for acute ischemic stroke was linked to a major antiseizure benefit in a Japanese study. Atherosclerotic disease risk persists after smoking cessation Clinicians should reinforce smoking cessation with awareness that risk for several atherosclerotic diseases remains significant for decades. Air pollution levels correlated with cardiorespiratory mortality; reduced life expectancy Fine particulate matter pollution is associated with increased cardiorespiratory mortality, particularly in lower-income areas. Exercise counters astronauts' dizziness after space flight Two hours of daily activity during space flight eliminated hypotension after landing.  You can contact t...2019-07-2608 minPostcall PodcastPostcall PodcastInstagram Doc Shanny_DO joins the LoungeShannon Tosounian, DO, aka @Shanny_DO is an internal med and GI fellow. She also blogs and coordinates an Instagram account with more than 50,000 followers.  Postcall hosts Nick and Emi Okamoto, MD, pick Dr. Tosounian's brain about being an "influencer," blogging, and how to manage time.  Links: Shanny_DO on Instagram @shanny_do Dr. Tousonian's blog CBD blog Childbearing years blog   For more MDedge Podcasts, go to mdedge.com/podcasts You can contact the show by emailing us at podcasts@mdedge.com or by interacting with us on Twitter @mdedg...2019-07-1935 minMDedge CardiocastMDedge CardiocastHalf of sudden cardiac deaths linked to silent MI; Uncontrolled hypertension and dementiaThis week in cardiology: Systolic, diastolic BP each tied to adverse CV outcomes Diastolic hypertension can't be ignored, though systolic ultimately has a larger impact.  Almost half of sudden cardiac deaths linked to prior silent MI Prior silent MIs were detected in nearly half of sudden cardiac deaths in people with no coronary artery disease. How does uncontrolled hypertension play into dementia? Findings from a French cohort suggest that a vascular pathway, independent of amyloid, bears on cognitive decline. Vaping device marketers take aim at youth through social media More than a third of J...2019-07-1909 minPostcall PodcastPostcall PodcastDating advice for docs; Drug price tool, medical puns; Bounradies with Pooja Lakshmin, MDEp 37: Time Stamps: Quiz (00:59) Tech tool for drug prices (04:35) Dating Advice for Doctors (08:05) Meet Pooja Lakshmin, MD (10:04) Dr. Shadowgazer medical puns (10:55) Interview with Dr. Lakshmin (12:11) Links: Quiz articles Fireworks injuries Dairy products  and metabolic syndrome Cryptosporidiosis Transgender guidelines Vaccine legislation and vaccine rates Doctors slow to adopt tech tools that may save patients money on drugs Dr. Shadowgazer medical puns Pooja Lakshmin, MD, bio Dr. Lakshmin's website "We don't need self-care; we need boundaries"   For more MDedge podcasts, go to mdedge.com/podcasts Email the show: podcasts@mdedge.com2019-07-1235 minMDedge CardiocastMDedge CardiocastOmega-3s cut heart failure; Fat-but-fit theory takes a hitThe top stories in cardiology: New findings cast more doubt on fat-but-fit theory Patients who are obese and metabolically healthy face higher cardiac risk Higher omega-3 fatty acid levels cut heart failure risk A large multi-ethnic cohort study shows significantly higher levels of EPA in adults without heart failure.  Microvascular disease: An independent and exacerbating risk factor for amputation The presence of microvascular disease plus peripheral artery disease resulted in a more than 20-fold increased risk of amputation that MVD or PAD. Court halts rule requiring drug list pricing in advertising Judge n...2019-07-1208 minMDedge CardiocastMDedge CardiocastLipoprotein(a) levels and genes boost ischemic stroke riskThis week's top stories in cardiology: Lipoprotein(a) levels, genes boost ischemic stroke risk Could some elderly skip statins based on negative risk markers? Cardiac events jump after COPD exacerbation CAROLINA findings reaffirm linagliptin’s safety, free glimepiride of CV-risk stigma You can contact the MDedge Cardiocast by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.    2019-07-0508 minPostcall PodcastPostcall PodcastA sexist study? Plus credit card hacks, a hospital may close, and Kaz Nelson, MDThis week’s interview is with Kaz Nelson, MD, a psychiatrist and podcast host. Also, Nick and Emi Okamoto, MD, chat about a recent, controversial study in the American Journal of Emergency Medicine, the looming closure of a major hospital, and credit card hacks.  Dr. Okamoto is an internal medicine clinician in Philadelphia and a guest writer on The Curbsiders podcast. Feedback:  Nick Andrews on Twitter at @Tribnic Time Stamps: Weekly quiz (1:20) Advice for your first/new job (06:18) Credit card hacks (08:41) AJEM controversial study (12:41)  Hahnemann Hospital to close (17:38) Interview with Kaz N...2019-06-2839 minDaily Medical NewsDaily Medical NewsSPECIAL: ASCO Journal ClubSPECIAL Crossover with Blood & Cancer, the official podcast of MDedge HematologyOncology.  You can learn more about Blood & Cancer at http://www.mdedge.com/podcasts/blood-cancer   SHOW NOTES: Alan P. Lyss, MD, a medical oncologist in community practice at Missouri Baptist Medical Center in St. Louis, joins Blood & Cancer host David H. Henry, MD, of the University of Pennsylvania, Philadelphia, to break down the most interesting and practice-changing studies at the recent 2019 annual meeting of the American Society of Clinical Oncology. Complete show notes by Ronak H. Mistry, DO, resident in...2019-06-2339 minDaily Medical NewsDaily Medical NewsDo cannabis laws cut opioid deaths? Plus, residents swamped by debt, job offersToday's top stories in clinical medicine.  Medical cannabis laws appear no longer tied to drop in opioid overdose mortality EULAR revises its RA management recommendations Aggressive lowering of LDL cholesterol: Is it a good thing? Residents are drowning in job offers -- and debt You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets2019-06-2108 minMDedge CardiocastMDedge CardiocastCHD sped cognitive decline and other cardiology newsThis week's top stories in cardiology: Cognitive decline sped up after CHD Genetic analysis links PCSK9 inhibition and CV mortality Which antidiabetic for elderly patients? It depends on their CV risk Pivotal trial shows HFrEF benefits from baroreceptor stimulation You can contact the Cardiocast by emailing us at podcasts@mdedge.com or you can interact with us on Twitter @MDedgeCardio2019-06-2108 minDaily Medical NewsDaily Medical NewsTreat insomnia like a disorder; what's causing new psychiatric symptoms?Today's top stories in clinical medicine.  Treat insomnia as a full-fledged disorder. Illinois law expands abortion rights. Consider iatrogenesis in patients with new psychiatric symptoms. Foot osteoarthritis: forgotten no longer. You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.2019-06-1907 minDaily Medical NewsDaily Medical NewsSome cognitive changes 'normal' with aging; obesity declined among lower-income childrenToday's top stories in clinical medicine: Modest changes deemed inherent in 'normal' aging COPD exacerbations associated with poor sleep quality Genetic analysis links PCSK9 inhibition and CV mortality Obesity and overweight declined among lower-income kids You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.  2019-06-1806 minPostcall PodcastPostcall PodcastBurnout, Danielle Ofri, MD op-ed, and 5 things to think about with Ed DelSole, MDShow Notes: The first ever Postcall Lounge with Emi Okamoto, MD, and Ed DelSole, MD.  You can contact the show at podcasts@mdedge.com and you can find Nick on Twitter at @tribnic. Dr. DelSole is an orthopedic spine surgeon with the Rothman Institute in Philadelphia, PA soon to be in practice in Scranton, PA. He and Dr. Okamota know one another from their med school days. Topics this week include an op-ed by Danielle Ofri, MD, published in the New York Times in early June 2019 which addressed how business exploits heal...2019-06-1430 minDaily Medical NewsDaily Medical NewsChronic opioids and ankylosing spondylitis; 2/3 of gyn-oncs experienced sexual harassmentToday's top stories: Chronic opioid use may be common in patients with ankylosing spondylitis Reducing pediatric RSV burden is top priority Less reactogenic acellular pertusses vaccine has waning immunity Nearly two-thirds of gynecologic oncology respondents experienced sexual harassment You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.  2019-06-1208 minDaily Medical NewsDaily Medical NewsDoes aspirin prevent anything? And how to pick the right diabetes drugYou can find more of our podcasts at http://www.mdedge.com/podcasts. Today's top stories in clinical medicine: Updated systematic review of aspirin for primary prevention shows benefits, risks. Estimated prevalence of OSA in the Americas stands at 170 million. How to reverse type 2 diabetes with a crash diet the DiRECT approach. Zeroing in on a key issue: SGLT2s or GLP-1s for elderly T2D? You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.2019-06-1008 minPostcall PodcastPostcall PodcastMedical meeting tips and SoMeDocs with Dana Corriel, MDThis week in Postcall, does Emi Okamoto, MD, finally get a 100% on the weekly quiz? Plus, advice for attending your first medical meeting, or improving your experience at meetings, and Dana Corriel, MD, talks about SoMeDocs and the good and bad of Twitter.  Time Stamps: Weekly Quiz (1:27) Missions good/bad (08:57) Medical meetings: advice and ideas (15:30) Interview Intro: (22:50) Interview with Dr. Corriel (25:50) MDedge Fast Facts Friday story links: Violent storms impact on mental health Tick-borne disease has become a national issue Gender equality, sexual harassment in healthcare Statement on warning for women of childbearing age a...2019-06-0748 minMDedge CardiocastMDedge CardiocastFFR changes coronary management; doctors want FDA out of the weedsYou can find more of our podcasts at http://www.mdedge.com/podcasts This week in cardiology: FFR changes coronary management in one-third of patients MADIT-CHIC: CRT aids patients with chemotherapy-induced cardiomyopathy Lipoprotein(a) levels can guide CV risk assessment and treatment Cannabis: Doctors tell FDA to get out of the weeds Contact the show at podcasts@mdedge.com or interact with MDedge Cardiology on Twitter at @MDedgeCardio.  2019-06-0709 minPostcall PodcastPostcall PodcastSchedule problems: helping your family, friends to get it Nick and Emi Okamoto, MD, take the weekly quiz, Dr. Emi gives advice for talking to your friends and family about your crazy schedule, and can you tell if it's advice for residents or advice for newlyweds?   Time stamps: MDedge Quiz (02:09) Advice Game: Newlyweds or Residents? (06:45) This week in MedTwitter (09:46) How to participate in holidays when you're working/can't make it (10:58) "I feel, I think, I want," educating your family (11:55) Health equity (13:33) Interview Intro (15:27) Interview with Ilana Yurkiewicz, MD. 18:15) Meet Dr. Yurkiewicz: family, hobbies, etc. (31:06) What Dr. Yurkiewicz reads, Ted Cheng - Story of Y...2019-05-3150 minDaily Medical NewsDaily Medical NewsCoffee, tea, and soda increase GERD riskYou can find more of our podcasts on our website: http://www.mdedge.com/podcasts Today's top stories in clinical medicine: Coffee, tea, and soda all up GERD risk Warfarin boosts OS risk in Rotterdam Study mTORC1 inhibitor protects elderly asthmatics from viral respiratory infections NJ law, EMR alerts appear effective at reducing opioid prescriptions You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.2019-05-2707 minPostcall PodcastPostcall PodcastAdvice for interns/residents, and Better Words for Better DeathsEmi takes the MDedge weekly quiz, she gives some advice for all the new interns out there, Nick suggests movies that could help interns and residents identify with the struggle, and Nick and Emi discuss the commentary "Better Words for Better Deaths" by this week's guest, Anna DeForest, MD. Show Outline: MDedge Quiz Emi answers questions from the #SoMeDocs Twitter chat. Nick's intern survival movie list: Miracle Whiplash Somm Nick and Emi discuss "Better Words for Better Deaths".  Interview: Interview with Anna DeForest, MD about her work in the New England Journal of...2019-05-2441 minMDedge CardiocastMDedge CardiocastDefinition of carcinogenic shockYou can find more of our podcasts on our website: http://www.mdedge.com/podcasts This week in cardiology news: SCAI releases first definition of cardiogenic shock CABANA: Heart failure patients got biggest bang from AFib ablation Elderly concussion patients who used statins had lower dementia risk BMI in male teens predicts cardiomyopathy risk You can email the show at podcasts@mdedge.com and you can interact with us on Twitter at @MDedgeCardio. 2019-05-2407 minMDedge CardiocastMDedge CardiocastInfection risk for cardiac rhythm deviceFind more podcasts from MDedge on our website: https://www.mdedge.com/podcasts This week's top stories in cardiology: Risk score developed for cardiac-device infection AFib screening cuts hospitalizations and ED visits Arsenic exposure increases risk of left ventricular hypertrophy Ankylosing spondylitis patients taking COX-2 inhibitors may see fewer cardiovascular events You can contact the show be emailing us at podcasts@mdedge.com and you can interact with us on Twitter at @MDedgeCardio  2019-05-1708 minPostcall PodcastPostcall PodcastIntroducing our new co-host, Emi Okamoto, MDWelcome the new cohost of the MDedge Postcall Podcast, Emi Okamoto, MD.  In this episode, Dr. Okamoto and Nick take the MDedge Weekly Quiz, dive into the 2019 annual meeting of the American Academy of Neurology, and get to know Dr. Okamoto, or Emi, as she prefers.  Emi talks about what she does to unwind after a long day, what advice she'd give trainees as a new attending, and more.  You can email Emi and Nick at podcasts@mdedge.com, and you can follow Nick on Twitter at @Tribnic Time Stamps: MDe...2019-05-1725 minPostcall PodcastPostcall PodcastBeating Burnout Together: From IM2019Eileen Barrett, MD, wants to help doctors beat burnout. After her pre-course at Internal Medicine 2019, the annual meeting of the American College of Physicians, in Philadelphia, Dr. Barrett spoke with Postcall host Nick Andrews about the real problem of physician burnout and how it exacerbates other underlying issues. She uses a famous quote from Anna Karenina to illustrate the issue as she sees it (07:02). She also tells an anecdote about how a passing comment in her hospital turned into a new protocol for administering vaccines. She discusses how this simple interaction increased her gratitude for h...2019-05-0326 minDaily Medical NewsDaily Medical NewsGovernment pleas for measles vaccinationToday in clinical medicine: Most measles cases in 25 years prompts government pleas to vaccinate Positive psoriatic arthritis screens occur often in psoriasis patients Sleep apnea is linked with tau accumulation in the brain Patients say primary care video visits are convenient, high quality You can contact the MDedge Daily News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.  2019-05-0107 minMDedge CardiocastMDedge CardiocastACC 2019 Reporter's BreakdownMDedge Cardiology editor Catherine Hackett hosts a conversation with Bruce Jancin and Mitch Zoler to talk about some of the research from the meeting as well as their general impressions.  You can contact the show by emailing us at podcasts@mdedge.com. 2019-04-2837 minPostcall PodcastPostcall PodcastRVU medicine and physician lonelinessIn episode 25, Richard Wenzel, MD, joins nick to talk about his article in the New England Journal of Medicine on RVU medicine and physician loneliness  Nick would love to hear from you with your suggestions, ideas, feedback, or questions. You can email the show at podcasts@mdedge.com and you can follow him on Twitter at @Tribnic.  You can read Dr. Wenzel's article here. 2019-04-1923 minDaily Medical NewsDaily Medical NewsACP Internal Medicine Meeting 2019The 2019 annual Internal Medicine meeting of the American College of Physicians took place beginning April 10 in Philadelphia. MDedge Podcast host and producer Nick Andrews joined Internal Medicine News editor Katie Lennon to discuss a few of the biggest topics.  ACP 2019 highlights: Telemedicine update. Neuropathic pain update. Negotiating a strong contract. ACP launches quality improvement tools. You can contact the MDedge Daily news by emailing podcasts@mdedge.com or by following us on Twitter at @MDedgeTweets.  2019-04-1512 minMDedge CardiocastMDedge CardiocastAlirocumab reduces MIsThis week in clinical cardiology: Alirocumab reduces both type 1 and 2 MIs. Despite failed primary endpoint, MI alert device has predictive value. Look for alcohol septal ablation in the next HOCM guideline. FDA: Forty ARBs free of nitrosamines. You can contact the Cardiocast with ideas, suggestions, stories, or questions for Dr. Dwyer by emailing us at podcasts@mdedge.com and you can follow MDedge Cardiology on Twitter at @MDedgeCardio.2019-04-1208 minMDedge CardiocastMDedge CardiocastToo much hype for radial access PCI?This week's top stories in clinical cardiology: Has radial access PCI been overhyped? Hospital TAVR volume matters to patient survival. Studies link TMAO to microbiome, reveal new heart disease target. More chest compression–only CPR leads to increased survival rates. You can contact the show by emailing us at podcasts@mdedge.com or you can follow MDedge Cardiology on Twitter at @MDedgeCardio.2019-04-0509 minPostcall PodcastPostcall PodcastArt & Medicine: Colleen Farrell - Part II Colleen Farrell, MD, is back for part II of her conversation with Nick on her Medical Humanities Twitter chat group.   You can contact the show by emailing podcasts@mdedge.com or on Twitter @MDedgeTweets. You can follow Nick on Twitter @tribnic, and Dr. Farrell @colleenmfarrell. 2019-03-2925 minPostcall PodcastPostcall PodcastMedical Humanities: Colleen Farrell - Part I Colleen Farrell is a medical resident who started a twitter chat aimed at marrying humanities and medicine.   Contact us: podcasts@mdedge.com Nick Andrews Twitter: @Tribnic    2019-03-2233 minPostcall PodcastPostcall PodcastPiano and the Brain: Alex Leow - Part II Contact us: podcasts@mdedge.com Nick Andrews Twitter: @Tribnic2019-03-1522 minDaily Medical NewsDaily Medical NewsAAD 2019 meeting wrap-upToday, we’re bringing you a special episode featuring exclusive coverage from the annual meeting of the American Academy of Dermatology in Washington. 1. Food allergies and atopic dermatitis: What is the evidence? https://bit.ly/2CayGcp 2. Many common dermatologic drugs can be safely used during pregnancy. https://bit.ly/2HmZLfY 3. 31-GEP test predicts likelihood of metastasis for cutaneous melanoma. https://bit.ly/2NO3dkK 4. Bermekimab reduces lesions, cuts pain in patients with hidradenitis suppurativa. https://bit.ly/2H6NuNe Contact us: podcasts@mdedge.com2019-03-0911 minPostcall PodcastPostcall PodcastPiano, Music, and Science: Alex Leow - Part IContact us: podcasts@mdedge.com Nick on Twitter: @tribnic Alex Leow, MD, PhD, is both a psychiatrist and a classical pianist. She joins host Nick Andrews to discuss her work as a clinician, medical educator, and researcher, as well as how music is a refuge from the daily grind.  2019-03-0826 minDaily Medical NewsDaily Medical NewsHIV prevention progress slowsContact us: podcasts@mdedge.com 1. CDC: United States has hit a plateau with HIV. https://bit.ly/2TokV3E 2. Fauci, Messonnier testify on measles outbreaks. https://bit.ly/2XqP3KO 3. Big pharma says it can’t drop drug list prices alone. https://bit.ly/2Xs92Zy 4. Barrett’s esophagus uncommon in patients with uncomplicated GERD. https://bit.ly/2VqKRJd2019-03-0107 minPostcall PodcastPostcall PodcastBurnout and Parenting: Kirti Magudia and Thomas Ng - Part II Kirti Magudia, MD, and Thomas Ng, MD, continue their conversation with host Nick Andrews, sharing their experiences as parents of young children as well as early career physicians. Dr. Magudia and Dr. Ng, both diagnostic radiology fellows at Brigham and Women’s Hospital, Boston, discuss traditional ways of mitigating against burnout – practices such as exercise, meditation, and carving out self-care time – as well as finding meaning in researching and advocating for work-life integration for residents.   Contact us: podcasts@mdedge.com Nick Andrews Twitter: @Tribnic2019-03-0123 minPostcall PodcastPostcall PodcastParental leave in top med schools: Kirti Magudia, Thomas Ng - Part IKirti Magudia, MD, and Thomas Ng, MD, join Nick to talk about their research regarding family leave in the nation's top medical schools. The research was published in JAMA. Dr. Magudia talks about their experience doing this research, what they learned, and what the next steps are.  Contact us: podcasts@mdedge.comNick Andrews Twitter: @Tribnic2019-02-2227 minDaily Medical NewsDaily Medical NewsIntranasal esketamine for depressionContact us: podcasts@mdedge.com FDA panels back intranasal esketamine for refractory depression. http://bit.ly/2TOKrfp ONC aims to help doctors, patients with information sharing in proposed rule. http://bit.ly/2X3SVkP Survey: Health care costs unlikely to improve in 2019. http://bit.ly/2SwSIYJ Vaccination and antiviral treatment don't lower stroke risk after shingles. http://bit.ly/2tjYQVa 2019-02-1505 minPostcall PodcastPostcall Podcast500 Women in Medicine: Part IIContact us: podcasts@mdedge.com Contact 500 WIM: Medicine@500WomenScientists.org 500 WIM online: http://bit.ly/2DYqMEe 500 WIM Twitter: @500wim Kate Gerrul Twitter: @KateGerull Maren Loe Twitter: @maren_loe Nick Andrews Twitter: @tribnic Kate Gerrul and Maren Loe founded the non-profit 500 Women in Medicine. Ms. Gerull and Ms. Loe are third-year medical students at Washington University School of Medicine in St. Louis. According to Gerull and Loe, the aim is to create a network of support and advancement for women in medicine. 500 Women in...2019-02-1524 minDaily Medical NewsDaily Medical NewsTime to switch to automated BP readings?Contact us: podcasts@mdedge Automated office BP readings best routine measures https://www.mdedge.com/internalmedicinenews/article/193804/hypertension/automated-office-bp-readings-best-routine-measures   Positive FIT test should prompt colonoscopy https://www.mdedge.com/internalmedicinenews/article/193798/gastroenterology/positive-fit-test-should-prompt-colonoscopy   Mild aerobic exercise speeds sports concussion recovery https://www.mdedge.com/internalmedicinenews/article/193748/injuries/mild-aerobic-exercise-speeds-sports-concussion-recovery   Phase 3 studies of antiamyloid Alzheimer’s drug crenezumab stopped https://www.mdedge.com/psychiatry/article/193578/alzheimers-cognition/phase-3-studies-antiamyloid-alzheimers-drug  2019-02-0606 minPostcall PodcastPostcall PodcastBurnout, Podcasting, and Oncology PearlsContact us:  podcasts@mdedge.com Nick on Twitter: @tribnic David Henry, MD, is the host of Blood & Cancer, the official podcast of MDedge Hematology/Oncology. In this episode, Nick and Dr. Henry discuss advances and excitement in the oncology as well as the opportunities that podcast provides and tips for dealing with burnout.2019-02-0128 minPostcall PodcastPostcall PodcastGetting your book published: Monique Tello Part IIContact us: podcasts@mdedge.com Twitter: @mdedgetweets Monique Tello, MD, is back this week for part II of her conversation with Nick Andrews. Last week, Dr. Tello spoke about her experience being cyberbullied by anti-vaccination protesters. This week, Dr. Tello talks about how she got her new book published and how you can, too.     2019-01-2523 minPostcall PodcastPostcall PodcastBullied by antivaxxers: Monique Tello Part IDontact the show: podcasts@mdedge.com MDedge on Twitter: @MDedgeTweets Dr. Tello on Twitter: @drmoniquetello Anti-vaccination protesters targeted Monique A. Tello, MD, MPH (http://bit.ly/2QSYMoB), in late summer 2018 by leaving bad online ratings and writing false and defamatory comments in her online profiles. Dr. Tell wrote about her experience in a blog post (http://bit.ly/2FyR1Dd) where she opened up about how difficult the process has been, and how she has found support in a community of her colleagues.2019-01-1821 minDaily Medical NewsDaily Medical NewsSpecial Report: SABCSContact us: podcasts@mdedge.com Follow MDedge on Twitter: @MDedgeTweets In this special edition of the MDedge Daily News, Nick Andrews and Terry Rudd report the latest news from the 2018 annual San Antonio Breast Cancer Symposium. Stories include: using low-dose tamoxifen, the latest findings fro KATHERINE trial, results of a meta-analysis of neoadjuvant chemotherapy, and capecitabine in early stage triple negative breast cancer2019-01-1212 minPostcall PodcastPostcall PodcastRay Barfield Part II: Philosophy and MedicineContact us: podcasts@mdedge.com Ray Barfied, MD, is professor of pediatrics and of Christian philosophy at Duke University. In part I of the conversation, Dr. Barfield and MDedge host Nick Andrews discussed physician burnout and Dr. Barfield’s journey back to medicine. In this episode, Dr. Barfield and Nick discuss philosophy and science. You can listen to part I of this conversation here: http://bit.ly/2QxXAHh2019-01-1128 minDaily Medical NewsDaily Medical NewsAAP Guidance: How to ask about military serviceContact us: podcasts@mdedge.com The Postcall Podcast is available here: http://bit.ly/2QxXAHh Today's stories: Asking about a family's military service can improve pediatric care. http://bit.ly/2LYC91k Knee pathologies, including multiple meniscal tears, predict accelerated osteoarthritis. http://bit.ly/2TySGvt Poor-prognosis cancers linked to highest suicide risk in first year.  http://bit.ly/2CWavzh Nuedexta mainly prescribed for dementia, Parkinson's. http://bit.ly/2Rddrju  2019-01-0907 minPostcall PodcastPostcall PodcastICYMI: EP 01 - Lorenzo Norris Introducing the Postcall Podcast from MDedge. In the first edition, MDedge producer and host, Nick Andrews sits down with Lorenzo Norris, MD. Dr. Norris is the host of the MDedge Psychcast (http://bit.ly/2uWxaG6) as well as the editor-in-chief of MDedge Psychiatry and Dean at the George Washington University School of Medicine and Health Sciences.2018-12-2156 minDaily Medical NewsDaily Medical NewsTENS cuts fibromyalgia painThe MDedge Psychcast is new with Dr. John Rozel and a conversation on gun violence. ( TENS cuts fibromyalgia pain in large, randomized controlled trial.  Brisk walking may decrease total knee replacement risk in osteoarthritis.  Smoking neglected in patients with peripheral arterial disease. The American College of Physicians beefs up firearms policy. 2018-11-0108 minPostcall PodcastPostcall PodcastHeather Yeo: Surgical Residency AttritionIn this edition of the MDedge Postcall Podcast, Heather Yeo, MD, MHS (http://bit.ly/2qbGW5B), discusses how and why surgical residents are leaving their residency in favor of other specialties. When Dr. Yeo was a resident, one of her co-residents left surgery. Dr. Yeo says that this resident was highly talented technically and on-point clinically. After this resident left, Dr. Yeo began investigating this and looking into what can be done to keep surgical trainees in surgery. More on Dr. Yeo: Twitter: http://bit.ly/2SjGpLx or @heatheryoemd 2018-10-2646 minPostcall PodcastPostcall PodcastEpisode 01: Lorenzo NorrisIntroducing the Postcall Podcast from MDedge. In the first edition, MDedge producer and host, Nick Andrews sits down with Lorenzo Norris, MD. Dr. Norris is the host of the MDedge Psychcast (http://bit.ly/2uWxaG6) as well as the editor-in-chief of MDedge Psychiatry and Dean at the George Washington University School of Medicine and Health Sciences.2018-10-1255 minDaily Medical NewsDaily Medical NewsOutpatients antibiotics and disease codes Half of outpatient antibiotics prescribed with no infectious disease code.https://www.mdedge.com/internalmedicinenews/article/176602/practice-management/half-outpatient-antibiotics-prescribed-no How to vaccinate patients on biologics.https://www.mdedge.com/internalmedicinenews/article/176611/vaccines/how-vaccinate-patients-biologics Opiate use tied to hepatitis C risk in youth.https://www.mdedge.com/internalmedicinenews/article/176570/hepatitis/opiate-use-tied-hepatitis-c-risk-youth In rosacea, a single treatment may not be enough.https://www.mdedge.com/internalmedicinenews/article/176604/rosacea/rosacea-single-treatment-may-not-be-enough 2018-10-0907 minPostcall PodcastPostcall PodcastTrailer: Episode 101Lorenzo Norris, MD, is a dean at the George Washington University School of Medicine & Health Sciences. Dr. Norris is also the Editor-in-Cheif of MDedge Psychiatry (http://bit.ly/2zmIA9A) and the host of the MDedge Psychcast (http://bit.ly/2uWxaG6).  The Postcall Podcast comes out every Friday. 2018-09-2102 minMDedge CardiocastMDedge CardiocastESC 2018: Part IIThe MDedge cardiology team is back for the second edition of their debrief on the 2018 annual congress of the European Society of Cardiology. The team includes MDedge editor Catherine Hackett and MDedge reporters Bruce Jancin and Mitchel Zoler.2018-09-2155 minMDedge CardiocastMDedge CardiocastESC 2018The MDedge Cardiology team unpacks one of the world’s largest cardiology meetings from a Munich beer garden. Join MDedge reporters Bruce Jancin and Mitchel Zoler alongside MDedge Cardiology editor Catherine Hacket as they discuss practice-changing data as well as what the world’s leading cardiologists are talking about. Some of the stories discussed in this episode are: ASCEND: Aspirin, fish oil flop in diabetes Rivaroxaban no help for heart failure outcomes Rivaroxaban superior to aspirin for extended VTE treatment2018-08-3134 minDaily Medical NewsDaily Medical NewsRivaroxaban data abound at ESC 2018New results from the ASCEND trial snow that neither aspirin nor fish oil provide any net clinical benefit for primary cardiovascular prevention in patients with diabetes. Also today, rivaroxaban is no help for heart failure outcomes, VTE risk is unchanged by rivaroxaban taken after discharge, and the AAP cautions against marijuana use during pregnancy and breastfeeding. Subscribe to the MDedge Daily News wherever you get your podcasts.2018-08-2809 minDaily Medical NewsDaily Medical NewsLorcaserin shows cardiovascular safetyLorcaserin is the first weight-loss drug proven to have cardiovascular safety. Also today, live attenuated flu vaccine gets the nod for upcoming flu season, PCSK9 inhibition helps patients with metabolic syndrome, and breastfeeding may reduce the risk of stroke decades later. Subscribe to the MDedge Daily News wherever you get your podcasts.2018-08-2706 minDaily Medical NewsDaily Medical News5 digital HIPAA mythsTwo experts give five myths about HIPAA in the digital age. Also today, nighttime media use threatens sleep and may cause teen depression, breastfeeding starts slowly before dropping off in the U.S., and a new, simple aid for DVT diagnosis for under $20. Subscribe to the MDedge Daily News wherever you get your podcasts.2018-08-2208 minDaily Medical NewsDaily Medical NewsSleepio app tied to reducing insomnia, depressionA new app is tied to a reduction in insomnia and depression in adults, Also today, migraines take a toll on intimate relationships, two different approaches lowered opioid use after cesarean deliveries, and the AHA warns that Chagas disease and its heart effects have come to America. Subscribe to the MDedge Daily News wherever you get your podcasts.2018-08-2109 minDaily Medical NewsDaily Medical NewsCardiovascular risk management supported for type 2 diabetesTwo studies published in the New England Journal of Medicine support managing cardiovascular risk in patients with type 2 diabetes. Also today, spontaneous intracranial hypotension is a triple misnomer, prolonged antimalarial therapy is linked to elevated cardiac biomarkers and cardiomyopathy, and breast arterial calcification and low bone mass predict coronary artery disease in women. Subscribe to the MDedge Daily News wherever you get your podcasts.2018-08-1707 minDaily Medical NewsDaily Medical NewsInducing labor earlier reduced c-section rateInducing labor at 39 weeks receded the rate of c-section for first-time mothers who were at low-risk. Also today, religiosity of parents is tied to a reduced risk of suicide in their daughters, rising use of PrEP in the U.S. is linked with droping HIV infections, and CUBE-C initiative aims to educate about atopic dermatitis. Listen to the MDedge Daily News for today’s top news.2018-08-1006 min