Welcome back Rounds Table Listeners!

We are back this week with a special podcast episode! Dr. John Fralick sits down with Dr. Marcus Povitz, a Respirologist and Sleep Medicine Specialist at the University of Calgary, to chat about all things OSA, exciting research in sleep medicine, and some high-yield clinical pearls!

Questions? Comments? Feedback? We’d love to hear from you! @roundstable

The post Episode 84 – Obstructive Sleep Apnea with Dr. Marcus Povitz appeared first on Healthy Debate.

Welcome back Rounds Table Listeners!

We are back today with our Classic Rapid Fire Podcast!

This week, Drs. Mike and John Fralick discuss two recent papers exploring clinical decision support for hypertension management in CKD and whether aspirin can be stopped within one month of stenting for ticagrelor monotherapy after ACS. Two papers, here we go!

1. Clinical Decision Support for Hypertension Management in Chronic Kidney Disease (0:00 – 10:20).

2. Stopping Aspirin Within 1 Month After Stenting for Ticagrelor Monotherapy in Acute Coronary Syndrome: The T-PASS Randomized Noninferiority Trial (10:20 – 16:58).

And for the Good Stuff:

• Four Tet – Three (16:58 – 17:22).

• Fahrenheit Coffee (17:22 – 18:59).

Questions? Comments? Feedback? We’d love to hear from you! @roundstable

The post Episode 83 – Hypertension in Chronic Kidney Disease and the T-PASS Trial appeared first on Healthy Debate.

Welcome back Rounds Table Listeners!

In this throwback episode, Drs. Mike and John Fralick discuss two papers exploring ablation in end-stage heart failure with atrial fibrillation and anticoagulation in frail older adults with atrial fibrillation. Check it out below!

1. Catheter Ablation in End-Stage Heart Failure with Atrial Fibrillation (0:00 – 8:48).

2. Switching VKA to NOAC in frail patients with AF: Results of the FRAIL-AF Randomized Controlled Trial (8:48 – 19:50).

And for the Good Stuff:

• With berth to 2024 Olympics, Canada erases decades of men’s basketball misery (19:50 – 20:32).

• Thrombo Trial Files (20:32– 22:00).

Questions? Comments? Feedback? We’d love to hear from you! @roundstable

The post TBT – Atrial Fibrillation appeared first on Healthy Debate.

Welcome back Rounds Table Listeners!

We are back today with our Classic Rapid Fire Podcast!

This week, Dr. Mike Fralick and special guest, Dr. Laiya Carayannopoulos from the Intern at Work Podcast, discuss two recent papers exploring the role of non-invasive ventilation in comatose patients after acute poisoning and the use of the PEN-FAST Score in the point-of-care risk assessment of penicillin allergy. Two papers, here we go!

1. Effect of Noninvasive Airway Management of Comatose Patients With Acute Poisoning (0:00 – 16:12).

2. Efficacy of a Clinical Decision Rule to Enable Direct Oral Challenge in Patients With Low-Risk Penicillin Allergy (16:12 – 24:05).

And for the Good Stuff:

• Celebrating Research Success! (24:05 – 24:52).

• Non-inferiority results: everything you need know in 5 minutes! and Is Noninferior Not Inferior? (24:52 – 26:33).

Questions? Comments? Feedback? We’d love to hear from you! @roundstable

The post Episode 82 – Airway Management in Acute Poisoning and the PALACE Trial appeared first on Healthy Debate.

Welcome back Rounds Table Listeners!

We are back today with our Classic Rapid Fire Podcast!

This week, Drs. Mike and John Fralick discuss two recent papers exploring patient outcomes after in-hospital cardiac arrest and the role of default Palliative Medicine consultation for seriously ill hospitalized patients. Two papers, here we go!

1. Default Palliative Care Consultation for Seriously Ill Hospitalized Patients (0:00 – 10:04).

2. Duration of cardiopulmonary resuscitation and outcomes for adults with in-hospital cardiac arrest: retrospective cohort study (10:04 – 16:25).

And for the Good Stuff:

• PWHL Toronto’s shutout of Montreal at Scotiabank Arena sets women’s hockey attendance record (16:25 – 17:30).

• You Expect Me To Believe That?!? (Ft. Tim Robinson) (17:30 – 18:53).

Questions? Comments? Feedback? We’d love to hear from you! @roundstable

The post Episode 81 – Outcomes Post-Cardiac Arrest and Palliative Medicine Consultation for Seriously Ill Patients appeared first on Healthy Debate.

Welcome back Rounds Table Listeners!

In this throwback episode, Drs. Mike Fralick and Justin Boyle discuss two papers – one exploring the use of acetazolamide in heart failure and the second investigating the use of EVT for basilar artery stroke.

1. Acetazolamide in Acute Decompensated Heart Failure with Volume Overload (0:00 – 12:28).

2. Trial of Endovascular Treatment of Acute Basilar-Artery Occlusion (12:28 – 22:08).

And for the Good Stuff:

• Loving the fall colours? Here’s why they’re especially stunning this year! (22:08 – 22:56).

• Subgroup Analyses: Subpar or Sublime? (22:56 – 24:12).

Questions? Comments? Feedback? We’d love to hear from you! @roundstable

The post TBT – EVT in Basilar Artery Stroke and the ADVOR Trial appeared first on Healthy Debate.

Welcome back Rounds Table Listeners!

We are back today with our Classic Rapid Fire Podcast!

This week, Drs. Mike and John Fralick discuss two recent papers exploring the utility of clarithromycin for early inflammatory responses in pneumonia and the role of probiotics as prophylaxis in recurrent UTIs. Two papers, here we go!

1. Effectiveness of Prophylactic Oral and/or Vaginal Probiotic Supplementation in the Prevention of Recurrent Urinary Tract Infections: A Randomized, Double-Blind, Placebo-Controlled Trial (0:00 – 09:40).

2. Clarithromycin for early anti-inflammatory responses in community-acquired pneumonia in Greece (ACCESS): a randomised, double-blind, placebo-controlled trial (09:40 – 16:40).

And for the Good Stuff:

• Extreme Alberta cold expected to shatter more temperature records (16:40 – 17:32).

• Left Field Brewery (17:32 – 18:39).

Questions? Comments? Feedback? We’d love to hear from you! @roundstable

The post Episode 80 – Clarithromycin for Inflammation and Probiotics for Recurrent UTIs appeared first on Healthy Debate.

Welcome back Rounds Table Listeners!

In this throwback episode, Drs. John and Mike Fralick discuss two papers – one, exploring the use of SGLT2 inhibitors in CKD, and the second investigating the effect of RAS inhibitor discontinuation on the progression of CKD.

1. Empagliflozin in Patients with Chronic Kidney Disease (0:00 – 9:00).

2. Renin-Angiotensin System Inhibition in Advanced Chronic Kidney Disease (9:00 – 14:40).

And for the Good Stuff:

• Oscar the cat keeps coming back to comfort patients at a Halifax hospice (14:40 – 15:48).

• Academic Publishing (18:48 – 17:08).

Questions? Comments? Feedback? We’d love to hear from you! @roundstable

The post TBT – Chronic Kidney Disease appeared first on Healthy Debate.

Welcome back Rounds Table Listeners!

We are back today with a solo episode with Dr. Mike Fralick!

This week, he will discuss a recent paper exploring the maintenance of weight reduction with tirzepatide in adults with obesity. Here we go!

1. Continued Treatment With Tirzepatide for Maintenance of Weight Reduction in Adults With Obesity

Questions? Comments? Feedback? We’d love to hear from you! @roundstable

The post Episode 79 – Tirzepatide and Maintenance of Weight Reduction appeared first on Healthy Debate.

Welcome back Rounds Table Listeners!

We are back today with our Classic Rapid Fire Podcast!

This week, Drs. Mike Fralick and Justin Boyle discuss two recent papers exploring the timing of antiplatelet therapy in acute stroke and the role of transfusion in myocardial infarction with anemia. Two papers, here we go!

1. Dual Antiplatelet Treatment up to 72 Hours after Ischemic Stroke (0:00 – 13:05).

2. Restrictive or Liberal Transfusion Strategyin Myocardial Infarction and Anemia (13:05 – 21:35).

And for the Good Stuff:

• Ant-ibiotics: How a species of ant identifies and treats infected wounds among other ants (21:35 – 22:12).

• ChatGPT Plus (22:12 – 23:52).

Questions? Comments? Feedback? We’d love to hear from you! @roundstable

The post Episode 78 – Timing of Antiplatelets after Acute Stroke and Transfusion in MI with Anemia appeared first on Healthy Debate.

Welcome back Rounds Table Listeners!

In this throwback episode, Dr. Justin Boyle sits down with Dr. Jennifer Flemming, a Clinician-Scientist and Gastroenterologist at Queen’s University, to chat about portal hypertension and the Baveno 7 Guidelines!

Questions? Comments? Feedback? We’d love to hear from you! @roundstable

The post TBT – Portal Hypertension for the Internist with Dr. Flemming appeared first on Healthy Debate.