Healthy Dialogue

State Flexibility for Medicaid: How Much and Who Decides?

01 Aug 2017

Contributed by Lukas

Interview with Stuart M. Butler, PhD, MA, BSc, author of State Flexibility for Medicaid: How Much?

Evaluation of Chronic Traumatic Encephalopathy in Football Players

25 Jul 2017

Contributed by Lukas

Interview with Ann C. McKee, M.D., author of Clinicopathological Evaluation of Chronic Traumatic Encephalopathy in Players of American Football

USPSTF Recommendation: Behavioral Counseling for CVD Prevention

11 Jul 2017

Contributed by Lukas

Interview with Susan J. Curry, PhD, author of Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prev...

USPSTF Recommendation: Screening for Obesity in Children and Adolescents

20 Jun 2017

Contributed by Lukas

Interview with David C. Grossman, MD, MPH, author of Screening for Obesity in Children and Adolescents: US Preventive Services Task Force Recommendat...

Comparison of Intra-articular Triamcinolone vs Saline for Knee Osteoarthritis

16 May 2017

Contributed by Lukas

Interview with Timothy E. McAlindon, MD,MPH, author of Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patient...

Genomics and Precision Health

09 May 2017

Contributed by Lukas

Whole-genome sequencing is now easily done for very little cost. It is not known how to interpret the results of this testing. Healthy individuals sho...

Screening for Thyroid Cancer

09 May 2017

Contributed by Lukas

Interview with Charles Landefeld, MD, author of Screening for Thyroid Cancer: US Preventive Services Task Force Recommendation Statement

Screening for Preeclampsia

25 Apr 2017

Contributed by Lukas

Interview with Maureen G. Phipps, MD, MPH, Task Force member and co-author of Screening for Preeclampsia: US Preventive Services Task Force Recommend...

Dexamethasone Without Antibiotics vs Placebo on Acute Sore Throat

18 Apr 2017

Contributed by Lukas

Interview with Gail Hayward, MA (Oxon) D.Phil MRCP MRCGP, author of Effect of Oral Dexamethasone Without Immediate Antibiotics vs Placebo on Acute So...

JAMA Medical News: The Nature of Lung Microbiome Research

12 Apr 2017

Contributed by Lukas

This podcast discusses the latest research into the workings of the lung microbiome and how it will affect future diagnosis and treatment of respirato...

Barry Marshall, MD: H pylori 35 Years Later

11 Apr 2017

Contributed by Lukas

This Medical News podcast features an interview with Barry Marshall, MD, who codiscovered the stomach bug H pylori in 1982.

Screening for Celiac Disease

28 Mar 2017

Contributed by Lukas

Interview with Alex H Krist, MD, MPH, Task Force member and co-author of Screening for Celiac Disease: US Preventive Services Task Force Recommendati...

Patient-Reported Outcomes Following Treatment for Localized Prostate Cancer

21 Mar 2017

Contributed by Lukas

Interview with Freddie C. Hamdy, MD, FRCSEd(Urol), and Jenny L Donovan, PhD, FMedSci, authors of Patient-Reported Outcomes Following Treatment for Lo...

Why the New Sepsis Guideline Changed

07 Mar 2017

Contributed by Lukas

Recent guidelines for how to best manage septic shock have changed. Gone are recommendations for central venous oxygen saturation monitoring and goal-...

USPSTF Recommendation: The Screening Pelvic Examination

07 Mar 2017

Contributed by Lukas

Interview with Maureen G. Phipps, MD, MPH, Task Force member and co-author of Screening for Gynecologic Conditions With Pelvic Examination: US Preven...

Updated Guidelines for Sepsis Management

28 Feb 2017

Contributed by Lukas

In 2017 the Society for Critical Care Medicine updated its guidelines for sepsis management. These new guidelines differ significantly from ones in t...

The Effects of Testosterone Gel on Health Outcomes

21 Feb 2017

Contributed by Lukas

Can testosterone gel improve memory, correct anemia, increase bone density or prevent the growth of coronary artery plaque in older men with low testo...

Alzheimer Outlook Far From Bleak

15 Feb 2017

Contributed by Lukas

Rudolph Tanzi, PhD, of Harvard University, and Berislav Zlokovic, MD, PhD, of the University of Southern California, discuss what the future holds for...

Effect of Scalp Cooling for Chemotherapy-Induced Alopecia in Women With Breast Cancer

14 Feb 2017

Contributed by Lukas

Interview with Julie Rani Nangia, BA, MD, author of Effect of a Scalp Cooling Device on Alopecia in Women Undergoing Chemotherapy for Breast Cancer: ...

Managing Violent Patients in Health Care Settings

30 Jan 2017

Contributed by Lukas

Workplace violence–related injuries occur disproportionately in health care settings. In this podcast, we discuss how individual clinicians should m...

Screening for Obstructive Sleep Apnea in Adults

24 Jan 2017

Contributed by Lukas

Interview with Alex H. Krist, MD, MPH, Task Force member and co-author of Screening for Obstructive Sleep Apnea in Adults: US Preventive Services Tas...

USPSTF Recommendation: Folic Acid to Prevent Neural Tube Defects

10 Jan 2017

Contributed by Lukas

Interview with Alex R. Kemper, MD, MPH, MS, Task Force member and co-author of Folic Acid Supplementation for the Prevention of Neural Tube Defects: ...

JAMA Performance Improvement: Do No Harm — Ensuring Staff Safety Against Violent Patients

27 Dec 2016

Contributed by Lukas

Violence against health care workers is increasing. With fewer mental health services available, health care workers have disproportionate exposure to...

Systematic Approach to a New Onset Seizure

27 Dec 2016

Contributed by Lukas

Between 8% and 10% of the population will have a seizure at one point in life. It's important to distinguish seizures from other entities that can loo...

Serologic Screening for Genital Herpes Infection

20 Dec 2016

Contributed by Lukas

Interview with Ann E. Kurth, PhD, RN, MSN, MPH, author of Serologic Screening for Genital Herpes Infection: US Preventive Services Task Force Recomme...

Early Physical Activity and Persistent and Postconcussive symptoms in Children and Adolescents

20 Dec 2016

Contributed by Lukas

Interview with Roger L. Zemek, MD, author of Association Between Early Participation in Physical Activity Following Acute Concussion and Persistent P...

NIH Charts a Path for Nutrition Science

14 Dec 2016

Contributed by Lukas

Interview with Jennifer Abbasi, author of NIH Charts a Path for Nutrition Science

US County-Level Trends in Mortality Rates for Major Causes of Death

13 Dec 2016

Contributed by Lukas

Interview with Christopher JL. Murray, MD, DPhil, author of US County-Level Trends in Mortality Rates for Major Causes of Death, 1980-2014

What Should Students or Residents Do When Abused by Faculty

06 Dec 2016

Contributed by Lukas

Approximately one-third of all medical school graduates report having been abused as students. Medical student and resident abuse has long been consid...

Statin Use for Primary Prevention of Cardiovascular Disease in Adults

13 Nov 2016

Contributed by Lukas

Interview with Douglas K. Owens, MD, MS, USPSTF Task Force member and coauthor of Statin Use for the Primary Prevention of Cardiovascular Disease in ...

Using Medicare Star Ratings to Select Hospitals

01 Nov 2016

Contributed by Lukas

Medicare recently developed a star rating system to help consumers determine the quality of care delivered at various hospitals. This rating system wa...

Pioneering Geneticist Explains Ambitious Plan to "Write" the Human Genome

26 Oct 2016

Contributed by Lukas

This Medical News podcast discusses the Human Genome Project-write with Harvard geneticist, George Church, PhD.

USPSTF Recommendation: Interventions to Support Breastfeeding

25 Oct 2016

Contributed by Lukas

Interview with Ann E. Kurth, PhD, RN, MSN, MPH, Task Force member and co-author of Primary Care Interventions to Support Breastfeeding: US Preventive...

Professional Boundaries: What to Do When Clinicians Ask Other Clinicians to Prescribe Medications for Them

25 Oct 2016

Contributed by Lukas

In this episode of JAMA Professionalism: Best Practice, Edward H. Livingston, MD looks at the case of a physician requesting prescription medication f...

On CDC's 70th Anniversary, Director Tom Frieden, MD, Looks Ahead

13 Oct 2016

Contributed by Lukas

This Medical News podcast features a Q&A with CDC Director Tom Frieden, MD, commemorating the agency's historic 70th anniversary. The interview was re...

The Supplement Paradox

11 Oct 2016

Contributed by Lukas

Interview with Pieter A. Cohen, MD, author of The Supplement Paradox: Negligible Benefits, Robust Consumption

Treatments for Hyperemesis and Nausea and Vomiting in Pregnancy

04 Oct 2016

Contributed by Lukas

Nearly all women experience some element of nausea and vomiting during their pregnancies. In this podcast we review the entire spectrum of disease all...

Fluid Resuscitation for Patients in Septic Shock

27 Sep 2016

Contributed by Lukas

When managing septic shock, passive leg raising is the best test to determine if a patient is likely to respond to a fluid bolus, better than CVP line...

Endovascular Thrombectomy and Outcomes in Ischemic Stroke

27 Sep 2016

Contributed by Lukas

Interview with Jeffrey L Saver, M.D., author of Time to Treatment With Endovascular Thrombectomy and Outcomes From Ischemic Stroke: A Meta-analysis

JAMA Performance Improvement: Do No Harm — Performing the Wrong Procedure

20 Sep 2016

Contributed by Lukas

What to do when the wrong procedure is performed? In this first installment of JAMA Performance Improvement: Do No Harm we explore the options for de...

Monitoring and Feedback for Long-term Weight Loss

20 Sep 2016

Contributed by Lukas

Interview with John M. Jakicic, PhD, author of Effect of Wearable Technology Combined With a Lifestyle Intervention on Long-term Weight Loss: The IDE...

Value-Driven Outcomes Program and Health Care Cost and Quality

13 Sep 2016

Contributed by Lukas

Interview with Vivian S. Lee, MD, PhD, MBA;, author of Implementation of a Value-Driven Outcomes Program to Identify High Variability in Clinical Cost...

A Surgeon-scientist and Entrepreneur Fights Against Cancer

07 Sep 2016

Contributed by Lukas

Patrick Soon-Shiong, MD, physician-scientist and entrepreneur, talks about the National MoonShot Initiative, his MoonShot 2020 Program, as well as pro...

MRI Exposure During Pregnancy and Offspring Outcomes

06 Sep 2016

Contributed by Lukas

Interview with Joel G. Ray, MD, MSc, FRCPC, author of Association Between MRI Exposure During Pregnancy and Fetal and Childhood Outcomes

USPSTF Recommendation: Screening for Latent Tuberculosis in Adults

06 Sep 2016

Contributed by Lukas

Interview with Francisco A.R. García, MD, MPH, author of Screening for Latent Tuberculosis Infection in Adults: US Preventive Services Task Force Re...

The High Cost of Pharmaceuticals in the United States

26 Aug 2016

Contributed by Lukas

Drug prices continue to rise in the US. Many solutions have been proposed but few have been implemented. Drs. Janet Woodcock from the FDA and Aaron Ke...

JAMA Professionalism: Best Practice--Disclosure of Medical Error

16 Aug 2016

Contributed by Lukas

Introducing a new series of JAMA articles on professionalism, discussed from the perspective of how clinicians should address challenging clinical sit...

Cost-effectiveness of PCSK9 Inhibitors for Heterozygous FH or ASCVD

16 Aug 2016

Contributed by Lukas

Interview with Dhruv S. Kazi, MD, MSc, MS, author of Cost-effectiveness of PCSK9 Inhibitor Therapy in Patients With Heterozygous Familial Hypercholes...

Opioid Use Disorder

11 Aug 2016

Contributed by Lukas

Edward H. Livingston, MD, discusses the British Columbia Ministry of Health's 2015 guidelines on clinical management of opioid use disorder in adults ...

USPSTF Recommendation: Screening for Lipid Disorders in Youth

09 Aug 2016

Contributed by Lukas

Interview with David Grossman, MD, author of Screening for Lipid Disorders in Children and Adolescents: US Preventive Services Task Force Recommendat...

Cerebral Protection Device Effects on Brain Lesions After TAVI

09 Aug 2016

Contributed by Lukas

Interview with Axel Linke, MD, author of Effect of a Cerebral Protection Device on Brain Lesions Following Transcatheter Aortic Valve Implantation in...

Threat From Colistin-Resistant Superbug

27 Jul 2016

Contributed by Lukas

Interview with Barbara E. Murray, MD, author of Infectious Disease Expert Sees Threat From Colistin-Resistant Superbug

Screening for Skin Cancer

26 Jul 2016

Contributed by Lukas

Interview with Michael P. Pignone, MD, MPH, author of Screening for Skin Cancer: US Preventive Services Task Force Recommendation Statement

Treating Opioid Use Disorder Using Buprenorphine Implants

19 Jul 2016

Contributed by Lukas

Richard N. Rosenthal, MD discusses a randomized clinical trial demonstrating the efficacy of an implantable buprenorphine-releasing device for treati...

Review of Lyme Disease

12 Jul 2016

Contributed by Lukas

Lyme disease is very common in certain regions of the country and is caused by the spirochete Borrelia bergdorferi. Lyme disease is transmitted by tic...

HIV and Transplantation: New Reasons for HOPE

12 Jul 2016

Contributed by Lukas

Interview with Dorry Segev, MD, PhD, author of HIV and Transplantation: New Reasons for HOPE

Attitudes and Practices of Euthanasia and Physician-Assisted Suicide

05 Jul 2016

Contributed by Lukas

Interview with Ezekiel J. Emanuel, MD, PhD, author of Attitudes and Practices of Euthanasia and Physician-Assisted Suicide in the United States, Cana...

Managing Persistent Diarrhea

28 Jun 2016

Contributed by Lukas

Persistent diarrhea is a poorly recognized syndrome in all populations that requires proper assessment and diagnosis to ensure that affected individua...

Intensive Blood Pressure Control in Adults Aged 75 Years or Older

28 Jun 2016

Contributed by Lukas

Interview with Jeff D. Williamson, MD, MHS, author of Intensive vs Standard Blood Pressure Control and Cardiovascular Disease Outcomes in Adults Aged...

Gun Law Reforms and Firearm Deaths in Australia

22 Jun 2016

Contributed by Lukas

Howard Bauchner, MD, Editor in Chief of JAMA, interviews Simon Chapman, MD, author of Association Between Gun Law Reforms and Intentional Firearm Dea...

Screening for Colorectal Cancer

15 Jun 2016

Contributed by Lukas

Interview with Douglas K. Owens, MD, MS, author of Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement

The Discovery of Lyme Disease with Dr Allen Steere

14 Jun 2016

Contributed by Lukas

Dr Allen Steere discovered Lyme disease and discusses what he saw and did when confronted early in his career with a previously undescribed disease. L...

USPSTF Recommendation: Screening for Syphilis Infection

07 Jun 2016

Contributed by Lukas

Interview with Ann E. Kurth, PhD, RN, MSN, MPH, author of Screening for Syphilis Infection in Nonpregnant Adults and Adolescents: US Preventive Servi...

Trends in Obesity Among Adults in the United States, 2005 to 2014

07 Jun 2016

Contributed by Lukas

Interview with Cynthia L. Ogden, PhD, author of Trends in Obesity Among Adults in the United States, 2005 to 2014

Neighborhood Walkability, Weight, and Diabetes

24 May 2016

Contributed by Lukas

Interview with Gillian L. Booth, MD, author of Association of Neighborhood Walkability With Change in Overweight, Obesity, and Diabetes

Histologic Changes in the Esophagus in Patients With GERD

17 May 2016

Contributed by Lukas

Drs Stuart Spechler and Peter Kahrilis discuss GERD and esophagitis--how they occur and how they are treated. Dr Spechler also discusses a new hypothe...

Physician-Surrogate Discordance in Prognosis of Critically Ill Patients

17 May 2016

Contributed by Lukas

Interview with Douglas B. White, MD, MAS, author of Prevalence of and Factors Related to Discordance About Prognosis Between Physicians and Surrogate...

Treating ADHD in Adolescents

10 May 2016

Contributed by Lukas

Attention-Deficit/Hyperactivity Disorder, or ADHD is a very common problem affecting about 10% of all adolescents. Children with ADHD have short atten...

Chemoradiotherapy vs Chemotherapy for Pancreatic Cancer

03 May 2016

Contributed by Lukas

Interview with Pascal Hammel, MD, author of Effect of Chemoradiotherapy vs Chemotherapy on Survival in Patients With Locally Advanced Pancreatic Canc...

Quelling Zika Fears With Evidence

27 Apr 2016

Contributed by Lukas

Christine Curry, MD, PhD, assistant professor of obstetrics and gynecology at the University of Miami, discusses the challenges of keeping pregnant pa...

Review of Lyme Disease, Human Granulocytic Anaplasmosis, and Babesiosis

26 Apr 2016

Contributed by Lukas

Interview with Linden Hu, MD, author of Diagnosis, Treatment, and Prevention of Lyme Disease, Human Granulocytic Anaplasmosis, and Babesiosis: A Revi...

Rotating Night Shift Work and Risk of CHD Among Women

26 Apr 2016

Contributed by Lukas

Interview with Céline Vetter, PhD, author of Association Between Rotating Night Shift Work and Risk of Coronary Heart Disease Among Women

Pembrolizumab, Tumor Response, and Survival in Advanced Melanoma

19 Apr 2016

Contributed by Lukas

Interview with Antoni Ribas, MD, PhD, author of Association of Pembrolizumab With Tumor Response and Survival Among Patients With Advanced Melanoma

Diagnosing Infectious Mononucleosis

12 Apr 2016

Contributed by Lukas

Mononucleosis is a common disease of young adults manifested by lethargy, fever, pharyngitis, lymphadenopathy and splenomegaly. In this podcast, we re...

Air Quality and Bronchitic Symptoms in Children

12 Apr 2016

Contributed by Lukas

Interview with Kiros Berhane, PhD, author of Association of Changes in Air Quality With Bronchitic Symptoms in Children in California, 1993-2012

Association Between Income and Life Expectancy in the United States

11 Apr 2016

Contributed by Lukas

Interview with Raj Chetty, PhD, author of The Association Between Income and Life Expectancy in the United States, 2001-2014, and Angus Deaton, PhD, ...

Screening for Chronic Obstructive Pulmonary Disease

05 Apr 2016

Contributed by Lukas

Interview with William R. Phillips, MD, MPH, author of Screening for Chronic Obstructive Pulmonary Disease: US Preventive Services Task Force Recomme...

Pain and Physical Function After Bariatric Surgery

05 Apr 2016

Contributed by Lukas

Interview with Wendy C. King, PhD, author of Change in Pain and Physical Function Following Bariatric Surgery for Severe Obesity

Mindfulness-Based Stress Reduction vs Cognitive Behavioral Therapy for Chronic Low Back Pain

22 Mar 2016

Contributed by Lukas

Interview with Daniel C. Cherkin, PhD, author of Effect of Mindfulness-Based Stress Reduction vs Cognitive Behavioral Therapy or Usual Care on Back Pa...

Opioid Prescribing: Rising to the Challenge

15 Mar 2016

Contributed by Lukas

An opioid abuse epidemic now plagues US healthcare. It was caused, in part, by overzealous advocacy for controlling chronic pain resulting in overuse ...

Causes of Outbreaks of Vaccine-Preventable Diseases in the United States

15 Mar 2016

Contributed by Lukas

Interview with Saad B. Omer, MBBS, MPH, PhD, author of Association Between Vaccine Refusal and Vaccine-Preventable Diseases in the United States A Rev...

Treating Geriatric Polypharmacy by Deintensifying Unnecessary Diabetes Treatment

08 Mar 2016

Contributed by Lukas

Polypharmacy is a rapidly worsening problem that hits elderly patients particularly hard.  As patients grow older, they need more medications but at ...

Children With Acute Concussion Presenting to the Emergency Department

08 Mar 2016

Contributed by Lukas

Interview with Lynn Babcock, MD, MS, author of Identifying Children and Adolescents at Risk for Persistent Postconcussion Symptoms

Screening for Impaired Visual Acuity in Older Adults

01 Mar 2016

Contributed by Lukas

Interview with Michael P. Pignone, MD, MPH, author of Screening for Impaired Visual Acuity in Older Adults: US Preventive Services Task Force Recomme...

Interview with Robert O. Bonow, MD, MS

01 Mar 2016

Contributed by Lukas

Robert O. Bonow, MD, the editor-in-chief of JAMA Cardiology, the JAMA Network’s newest addition, discusses his editorial vision for the journal, as ...

Consensus Definitions for Sepsis and Septic Shock

22 Feb 2016

Contributed by Lukas

Interview with Clifford Deutschman, MD, MS, Mervyn Singer, MD and Derek Angus, MD, MPH, authors of The Third International Consensus Definitions for S...

Trends in Acute Respiratory Distress Syndrome in 50 Countries

22 Feb 2016

Contributed by Lukas

Interview with John G. Laffey, MD, MA, author of Epidemiology, Patterns of Care, and Mortality for Patients With Acute Respiratory Distress Syndrome i...

Screening for Autism Spectrum Disorder in Young Children

16 Feb 2016

Contributed by Lukas

Interview with David C. Grossman, MD, MPH, author of Screening for Autism Spectrum Disorder in Young Children: US Preventive Services Task Force Recom...

Antibiotic Therapy for Community-Acquired Pneumonia in Adults

09 Feb 2016

Contributed by Lukas

Community acquired pneumonia accounts for 600,000 hospital admissions a year. Many patients with this disease are quite ill and have a very high morta...

New Dietary Guidelines

02 Feb 2016

Contributed by Lukas

The 2015-2020 US Dietary Guidelines for Americans were recently released. They are intended to provide guidance for health policy officials and clinic...

Seafood Consumption, Mercury, and Brain Neuropathology in Older Adults

02 Feb 2016

Contributed by Lukas

Interview with Martha Clare Morris, ScD, author of Association of Seafood Consumption, Brain Mercury Level, and APOE ε4 Status With Brain Neuropathol...

Screening for Depression in Adults

26 Jan 2016

Contributed by Lukas

Interview with Michael P. Pignone, MD, MPH, author of Screening for Depression in Adults: US Preventive Services Task Force Recommendation Statement

Peripheral Neuropathy

19 Jan 2016

Contributed by Lukas

Peripheral neuropathy is a highly prevalent and morbid condition affecting 2% to 7% of the population. Patients frequently experience pain and are at ...

Health Care and Costs Related to Cancer Deaths in 7 Countries

19 Jan 2016

Contributed by Lukas

Interview with Justin E. Bekelman, MD, author of Comparison of Site of Death, Health Care Utilization, and Hospital Expenditures for Patients Dying Wi...

Advances in Diagnosis and Treatment of Constipation

12 Jan 2016

Contributed by Lukas

Constipation is one of the most frequent problems clinicians are asked to deal with. Despite how common it is, constipation is frequently not treated ...

Lung Volume Reduction Coil Treatment for Patients With Severe Emphysema

12 Jan 2016

Contributed by Lukas

Interview with Gaëtan Deslée, MD, PhD, author of Lung Volume Reduction Coil Treatment vs Usual Care in Patients With Severe Emphysema: The REVOLENS ...

New Dietary Guidelines

07 Jan 2016

Contributed by Lukas

Interview with Karen DeSalvo, MD, MPH, MSc, author of Dietary Guidelines for Americans

Diet vs Exercise in Obese Older Patients With HFPEF

05 Jan 2016

Contributed by Lukas

Interview with Dalane W. Kitzman, MD, author of Effect of Caloric Restriction or Aerobic Exercise Training on Peak Oxygen Consumption and Quality of L...

Head Trauma

22 Dec 2015

Contributed by Lukas

Minor head trauma usually does not cause significant brain injury. To be safe, clinicians often obtain head CT scans to ensure no major injury is pres...

Live-Birth Rate and Repeat In Vitro Fertilization Treatment

22 Dec 2015

Contributed by Lukas

Interview with Debbie A. Lawlor, PhD, author of Live-Birth Rate Associated With Repeat In Vitro Fertilization Treatment Cycles