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

Episode 543: The value of family medicine

In episode 543, James and Mike invite Tina Korowynk and Jennifer Young to discuss their recent paper where they talk about the evidence around comprehensive primary care that is led by a family physician. We find out family physician care improves patient outcomes such as mortality, decreased emergency department visits, hospitalizations, readmissions, and health care costs. At the end we discuss a few ideas for how to start to solve some of the issues that have created the present primary care crisis.

Show Notes
The value of family medicine: An impossible job, done impossibly well
Canadian Family Physician 2023;69:269-270

Episode 541: The Great Placebo Effect or the not-so-Great Placebo Effect

In episode 541, James and Mike get into a powerful discussion of placebo. We talk about the evidence around placebo, the placebo effect, the placebo group effect/response and we try to put it all into the context of clinical practice. The bottom line is the placebo effect is likely not what you think it is, however, it is very important you know what it is and what it is not.

Show Notes
Placebo handout

Episode 540: Clear, not cloudy: Antibiotic options for uncomplicated urinary tract infections

In episode 540, James and Mike invite Jennifer Young to go over all the evidence we have for what antibiotics to choose for bladder infections. The evidence clearly shows that the antibiotics we have been using for decades are still the drugs of choice. Tune in and find out which one you should choose and also what dose and duration.

Show Notes
1) Tools For Practice
Clear, not cloudy: Antibiotic options for uncomplicated urinary tract infections
MEME medical conference
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Episode 538: Egging you on to look at the evidence around eggs

In episode 538, James and Mike discuss the great (but pretty much silly) egg controversy. We go over the best available evidence for eggs which is at best not great. We talk about the cohorts, the effect of eggs on cholesterol and much more. At the end we conclude definitively that, and you heard it here first, eggs are not as bad for you as smoking. Tune in to find out why.

Show Notes

The Nutrition Proposition
Book website

Amazon Link

Episode 537: A Jab for Your CAD: Influenza vaccination for the prevention of cardiovascular events

In episode 537, Mike and James invite Ricky Turgeon back to the podcast to talk about the impact of the influenza vaccination on cardiovascular events in both primary and secondary prevention. The best evidence is in secondary prevention. Tune-in to hear the numbers.

Show Notes
1) Tools for Practice
A Jab for Your CAD: Influenza vaccination for the prevention of cardiovascular events

2) Annual MEME conference – Vancouver May 12/13, 2023
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3) CFPC Learn

Episode 536: Asymptomatic bacteriuria in the elderly – Don’t drug the bugs?

In episode 536, Mike and James talk about 4 questions – Is any bacteriuria associated with altered mental state? – Does treating ASB improve/prevent clinical outcomes? – Does treating ASB improve altered mental state? – Do antibiotic reduction interventions for ASB affect patient outcomes? Tune in to find out the answers.

Show Notes
1) Tools for Practice
Asymptomatic bacteriuria in the elderly: Don’t drug the bugs?

2) Annual MEME talk Vancouver May 12/13, 2023
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3) CFPC Learn

 

Episode 535: Wouldn’t Bet On it: What is the risk of muscle symptoms on statins?

In episode 535, Mike and James work through all the evidence and come up with the definitive (in our minds) answer as to whether or not statins cause muscle symptoms. They likely do in 1% of people, but if you have muscle symptoms when you are on a statin it is very unlikely it is because of the statin.

Show Notes
Tools for Practice
Wouldn’t Bet On it: What is the risk of muscle symptoms on statins?
https://gomainpro.ca/wp-content/uploads/tools-for-practice/1676944827_tfp334_statinmsk.pdf

Annual MEME talk Vancouver May 12/13, 2023
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CFPC Learn

Episode 534: Come Spy with Me: Continuous glucose monitoring in diabetes

In episode 534, Mike and James bring Jamie Falk to go through all the evidence for continuous glucose monitors that use subcutaneous sensors. There certainly seems to be evidence of benefit for T1DM but when it comes to T2DM the evidence for a benefit is not clear at all. Have a listen to get all the details.

Show Notes
Tools for Practice
Come Spy with Me: Continuous glucose monitoring in diabetes
Annual MEME talk Vancouver May 12/13, 2023
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The 2024 MEME Conference – May 24-25, 2024

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Making Evidence Matter For Everyone | May 24 & 25, 2024
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BIG ANNOUNCEMENT

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.

 

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