In episode 498, James and Mike invite Tina back yet again to talk about all the evidence we have for using compression stockings in patients with chronic lower limb edema. The NNT for recurrent cellulitis is pretty good (listen to find out the actual number) on the “NNT scale”.
Show Notes
Tools for Practice
Under Pressure: Compression stockings for recurrent cellulitis?
In episode 497, James and Mike decide to go all in on the evidence around nutrition. We start out by going over how we try to actually figure out if a food is beneficial or harmful for you. And for nutrition is it ever tricky.
Show Notes
The Nutrition Proposition – Coming Soon – I hope
In episode 496, Mike and James continue the discussion with Ricky around the best available evidence we have for heart failure patients with preserved ejection fraction. Unfortunately, not much works but at least you’ll know the evidence.
Show Notes
In episode 495, Mike and James invite Ricky back again to talk about the options (not a lot) we have for heart failure patients with preserved ejection fraction. Ricky goes over all the trials and helps put them into context.
Show Notes
In episode 494, Mike and James invite Ricky Turgeon to talk about a potential new use for an old drug – colchicine. Ricky explains all the evidence we have for low-dose colchicine in people with a history of cardiovascular disease. We find out that colchicine reduces the risk of a cardiovascular event in a similar magnitude to statins – but will they be used as much as statins.? Find out what we think.
Show Notes
Tools for Practice
Cardiovascular prevention trials: Now calling colchicine to the stand
In episode 493, Mike and James review all the Long COVID data. We talk about how many people get it, what the symptoms are and how long it can persist – and it can be a long time. COVID long-term is different than what we see with the regular flu.
Show Notes
Tools for Practice
Long COVID: A (somewhat) short summary of risks, symptoms, and natural course
In episode 491, Mike and James invite Mike Kolber to talk about Pink Ladies and White Knights. In medical terms we are referring to whether or not it makes sense to add lidocaine and antispasmodics to antacids in patients who present to an emergency room with dyspepsia. Please ignore the parts when both Mikes battle it out for a place at King Arthur’s Round Table and when one of them wears a pink dress for effect.
Show Notes
Tools for Practice
In episode 490, Mike and James invite Tony and Mike to go over the best available evidence for ivermectin. Overall the evidence shows that ivermectin does not improve clinically important outcomes. Unfortunately, much of the evidence for ivermectin is unpublished and some has even been retracted.
Show Notes
Tools for Practice
In episode 489, Mike and James invite Adrienne to go over the evidence for weight loss with semaglutide. We find the evidence shows that weight loss is on average roughly 10 kg over the effect of placebo, however this comes at the expense and inconvenience (injection) of the medication and roughly 25% of people (over placebo) will have GI adverse effects.
Show Notes
Tools for Practice
In episode 488, Mike and James invite Mike Kolber back again to chat about what the best evidence says around COVID vaccine adverse effects. We discuss all the numbers around common post-dose side effects, anaphylaxis, thrombotic thrombocytopenia and myocarditis.
Show Notes
Tools for Practice
THE NUTRITION PROPOSITION BOOK
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.
This pragmatic trial is now recruiting in BC. Make a difference and get involved with pragmatic trials (www.pragmatictrials.ca)
