TEC: Evidence Based Therapeutics
Therapeutics Education Collaboration
Medication Mythbusters – Home of the Best Science (BS) Medicine Podcast

The BS Medicine Podcast episodes are presented by James McCormack and Michael Allan. We try to promote healthy skepticism and critical thinking and most of the podcasts are presented in a case-based approach. We also try to inject some humour into the whole process to make the learning more interesting. Occasionally we have great guests like Mike Kolber, Tina Korownyk and Bruce Arroll help us out.

Most podcast episodes are available for free until they become archived after about 1-2 months. Every 4th episode or so is a “New Studies You Need to Know About” podcast and these will only be available to our Premium Podcast members. Premium members will also be able to listen to all archived episodes since episode #1.

Episode 519: Oh Baby – Combined oral contraceptives during breastfeeding

In episode 519, Mike and James ask Jen Potter back to the podcast to talk about a common primary care question around oral contraceptives and breast feeding. We review the best available evidence which unfortunately we find out is not the highest quality. Nonetheless, we go over the numbers and then come up with useful, hopefully, suggestions for what to do around this issue.

Show Notes
Tools for Practice
Oh Baby: Combined oral contraceptives during breastfeeding

Episode 518: Avoiding lactose-containing products during acute pediatric diarrhea

In episode 518, Mike and James get Samantha to go through all the evidence we have for restricting lactose-containing foods in children with acute diarrhea. While we find out that looking at this evidence is at best tricky, it seems like reducing or diluting formula may provide a reasonable benefit. Listen to the podcast for the numbers.

Show Notes
Tools for Practice
“Not Milk?”: Avoiding lactose-containing products during acute pediatric diarrhea

Episode 517: PREMIUM – A podcast that hopefully won’t leave you breathless

Episode 517: PREMIUM – A podcast that hopefully won’t leave you breathless

In episode 517, Mike and James talk PREMIUMLY (not a word but it should be) about two new trials that looked at using fixed dose combinations of salbutamol/albuterol and a steroid on a PRN basis in patients with moderate to severe asthma. It seems to have an effect and it may make asthma treatment simpler, but it may also increase the costs when it comes to inhalers.

Show Notes
1) Albuterol–Budesonide Fixed-Dose Combination Rescue Inhaler for Asthma
N Engl J Med 2022;386:2071-83.DOI: 10.1056/NEJMoa22031632
2) Reliever-Triggered Inhaled Glucocorticoid in Black and Latinx Adults with Asthma
N Engl J Med 2022;386:1505-18.DOI: 10.1056/NEJMoa2118813

Episode 516: The LARC (long-acting reversible contraception) Song: Is the etonogestrel implant a hit?

In episode 516, James and Mike invite Nicolas Dugré to the podcast yet again, and this time we talk about the evidence around the latest long-acting implantable reversible contraception. As always, we talk about the efficacy, the harm and all the rest of the issues around the use of these forms of contraception.

Show Notes

Tools For Practice
The LARC (long-acting reversible contraception) Song: Is the etonogestrel implant a hit?

Check out the Pharmascope Podcast – The French “version” of the BS Medicine Podcast

Episode 515: Weight to Go: Naltrexone/bupropion for weight loss

In episode 515, James and Mike invite Allison Paige to the podcast for the first time. Alli takes us through all the evidence around a combination product (naltrexone/bupropion) for weight loss. We talk about all the numbers we have for benefit, harm and cost and we put this agent into the context of the other medications we use for weight loss.

Show Notes

Tools For Practice

Weight to Go: Naltrexone/bupropion for weight loss

Episode 514: Antihistamines for allergic rhinosinusitis: ‘Achoo’sing the right treatment

In episode 514, James and Mike invite Betsy Thomas to the podcast for the first time. We look at a very common condition that many of us have at some point in our lives – allergic rhinosinusitis. We go over the best available evidence for the oral antihistamines and try to figure out which one is the “best”. In addition, we look at the evidence for intranasal corticosteroids and they are likely more effective than oral antihistamines.

Show Notes

Tools For Practice

Antihistamines for allergic rhinosinusitis: ‘Achoo’sing the right treatment

Episode 513: To Pee or Not to Pee: Combination agents for benign prostatic hypertrophy

In episode 513, James and Mike invite Emelie Braschi to the podcast for the first time. We go over the best available evidence around the treatment of BPH and focus on the combination therapy of alpha-blockers and 5-alpha reductase and find as for many things there is an improvement in symptoms but also an increase in side effects.

Show Notes

Tools For Practice

To Pee or Not to Pee: Combination agents for benign prostatic hypertrophy

Episode 512: Alcohol, the cause of, and solution to, all of life’s problems – PART II

In episode 512, James and Mike finish going over the best available evidence around drinking alcohol. We look at what evidence says about the “red-wine” theory and the French Paradox. We also look at the evidence around alcohol and surrogate markers, and atrial fibrillation. We also examine the effect of social drinking on emotion and alcohol-induced cirrhosis.

Show Notes

Check out the book “The Nutrition Proposition” for all the references discussed. The book is available on Amazon as a paperback and a Kindle Edition

Website

Amazon link

Episode 511: Alcohol, the cause of, and solution to, all of life’s problems

In episode 511, James and Mike go on a binge and dissect the best available evidence around alcohol – more specifically 0-3 drinks a day. We look at what is a “drink” and then dive into one of the largest reviews of alcohol ever done. We explore what that evidence suggests about the harms and the benefits, and as always we discuss what the numbers really say.

Show Notes

Check out the book “The Nutrition Proposition” for all the references discussed. The book is available on Amazon as a paperback and a Kindle Edition

  1. Website
    nutritionproposition.com
  2. Amazon link

See List of All Podcast Episodes

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11th Annual PEIP Conference October 21-22, 2022

Practical Evidence for Informed Practice Conference | October 21 & 22, 2022
Led by the team that brings you Tools for Practice, the Practical Evidence for
Informed Practice (PEIP) Conference brings together clinical leaders to speak on
the latest findings that can affect how you practice.

www.peipconference.ca

BIG ANNOUNCEMENTS

THE NUTRITION PROPOSITION BOOK HAS JUST BEEN RELEASED

Check it out at nutritionproposition.com and think about picking up a copy on Amazon. All the evidence you ever wanted about nutrition and the only nutrition book that won’t tell you what to eat.

 

BS Medicine Podcast

BedMed: The High Blood Pressure Study

This pragmatic trial is now recruiting in BC. Make a difference and get involved with pragmatic trials (www.pragmatictrials.ca)

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