In episode 391, Mike and James have yet again a PREMIUM moment that will leave you short of breath. We go over 2 new studies that looked at asthma action plans and does increasing doses of inhaled corticosteroids work. In the last study we go over a comparison of vaginal estradiol, vaginal moisturizer or placebo for perimenopausal vulvovaginal symptoms, and placebo ends up working as well as anything else.

Show notes

1) Quintupling Inhaled Glucocorticoids to Prevent Childhood Asthma Exacerbations

N Engl J Med 2018;378:891-901

2) Quadrupling Inhaled Glucocorticoid Dose to Abort Asthma Exacerbations

N Engl J Med 2018;378:902-910

3) Efficacy of Vaginal Estradiol or Vaginal Moisturizer vs Placebo for Treating Postmenopausal Vulvovaginal Symptoms

JAMA Intern Med. doi:10.1001/jamainternmed.2018.0116

In episode 390, James and Mike have a discussion about how a shared-decision may be the only real outcome to measure if one is doing, or evaluating, evidence-based practice. Do our arguments convince you? Have we missed something important? Is this the best podcast ever on shared-decision making? Do you think we should be locked up? We would love feedback.

Show notes

Shared decision is the only outcome that matters when it comes to evaluating evidence-based practice

BMJ Evid Based Med 2018 Jul 12

In episode 389, Mike and James go over with Adrienne Lindblad the evidence for a simple treatment for beast engorgement. Who knew that cabbage leaves worked for breast engorgement? At the end of the podcast we decide to attach cabbage leaves to all our microphones all the time, just in case – see last podcast description for context.

Show notes

Tools for Practice

Is that cabbage in your bra? Cabbage leaves for breast engorgement