THE CASE
You have just seen James aged 37 about an ankle sprain. He says he also wants to ask about an exercise test. He has just got a new job and the company have offered him a cut price “Private medical well man appointment which includes tests that your own GP doesn’t do including an Exercise ECG”. James says “It costs £75 Do I need an exercise ECG and why don’t GPs offer this?”

Show Notes

1) Screening: Evidence and Practice 2nd edition
2) UK National Screening Committee
3) Canadian Task Force on Preventive health care
Breast cancer tools

Prostate cancer tools

In episode 606, Jamie and James go over the best available evidence we have for the medications used in overactive bladder, with a focus on a newer agent mirabegron. We end up having to discuss the exciting topics of number of voids and dry mouth and at the end we give you all the numbers you need to have an evidence-based conversation with your patients.

Show Notes
1) Tools For Practice
Avoiding the void? Mirabegron for overactive bladder

2) PEIP Conference Edmonton October 17-18, 2025

In episode 605, James and Jamie get Emelie Braschi to answer a simple and common clinical question. ASA versus direct oral anticoagulants – which one is safer with regard to bleeding? As always it comes down to the numbers and we go over all those numbers and put them into the overall benefit and harm ratio for Afib.

Show Notes
1) Tools For Practice
An ASA a day keeps the Afib at bay?

2) SparcTool – Stroke Prevention in Atrial Fibrillation Risk Tool

3) PEIP Conference Edmonton October 17-18, 2025