Episode 1: Philosophy, guidelines and the truth
In this first session we offer a slightly long introduction (but not long enough to reach REM sleep). We present Mr. Guy Lines, a 45 year old male with a number of risks for cardiovascular, who we will consider over the next number of sessions on primary prevention. We lay the rocky groundwork of future podcasts; touching on patient values, the arbitrary nature of guidelines, discussing risks, the asymptomatic ‘sick’ patient, and the art (or enigma) of applying the evidence.
Hippocrates would be proud?
Mr G. Lines is a 45 year old male in for his “periodic” health exam. He describes himself as happy and healthy Aside from reminding him to wear a seatbelt, floss regularly, etc, you find…
- He is relieved to hear routine rectal exams don’t start until age 50
- His BP is 146/85 today (you took it twice hoping it would be below 140)
- His BMI=29 and his WC=98 cm
- His Lipids: Total Cholesterol = 6.8/265, HDL = 1.0/39, LDL = 4.9/191, Trig = 2/312
- His Blood Sugar = 6.4/115
- He is not a smoker