Questioning Medicine
Episodes
125. Remdesivir, Covid19, Corona Virus, NEJM Treatment
14 Apr 2020
Contributed by Lukas
Remdesivir for compassionate use?? Recently published in the New England Journal of Medicine- Is this the COVID19 treatment we have all be hoping for....
124. COVID19, Corona Virus and TREATMENT (that works)
10 Apr 2020
Contributed by Lukas
Treatment that works-- MASK!https://annals.org/aim/fullarticle/2764367/effectiveness-surgical-cotton-masks-blocking-sars-cov-2-controlled-comparisonHi...
123. COVID19, ACE inhibitors, Corona Virus, Testing
09 Apr 2020
Contributed by Lukas
Id be happy to send you links to any of the articles talked about in this podcast but I cover the new test on the corona virus that claims to be great...
122. Hydroxychloroquine, COVID19, Coronavirus, research
03 Apr 2020
Contributed by Lukas
https://www.medrxiv.org/content/10.1101/2020.03.22.20040758v1.full.pdf https://www.sciencedirect.com/science/article/pii/S0399077X20300858 https://fir...
121. COVID19, Hydroxychloroquine, Azithromycin, Coronavirus, TREATMENT
26 Mar 2020
Contributed by Lukas
https://www.clinicaltrialsregister.eu/ctr-search/trial/2020-000890-25/FRhttps://www.sciencedirect.com/science/article/pii/S0924857920300996?via%3Dihub
120. Question Everything- Stop Hear-Say medicine
24 Mar 2020
Contributed by Lukas
Question Everything-- EBM not hear-say medicine
119. Aimovig or Erenumab Prescription Description
13 Mar 2020
Contributed by Lukas
A listener wrote in with a question about a drug, this is my response. Let me know your thoughts? Would you prescribe this drug? [email protected]...
118. Choosing Wisely, Statins for Stroke, and Physical Therapy first
08 Mar 2020
Contributed by Lukas
There was a paper to start the year that got a lot of hype saying that just maybe we should target an LDL but that is not what the study actually show...
117. The Benefits on Healthy lifestyle and Nutrition
01 Mar 2020
Contributed by Lukas
https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2757311?widget=personalizedcontent&previousarticle=2757307 Prior authorization ...
116. Conflicts of Vaccine, Understanding Sunscreen, and UPTODATE
25 Feb 2020
Contributed by Lukas
https://annals.org/aim/fullarticle/2760034/disclosure-form-work-submitted-medical-journals-proposal-from-international-committee. disclose everything ...
115. Part 3 of the Top Articles of 2019
11 Feb 2020
Contributed by Lukas
Try not to read these all at once!!https://www.ncbi.nlm.nih.gov/pubmed/30715088 https://www.bmj.com/content/365/bmj.l2006 https://www.ncbi.nlm.nih.gov...
114. Top Articles of 2019 Part 2
04 Feb 2020
Contributed by Lukas
No summary YET! I promise it is coming, but here are a few more articles I think were pretty impressive from 2019.
113. Top articles of 2019 part 1
24 Jan 2020
Contributed by Lukas
It is that time of year again-- Top articles of 2019 part 1. This is my opinion, but I think it is a pretty good opinion.
112. Grade B, COPD, and Facebook for HIV
17 Jan 2020
Contributed by Lukas
https://jamanetwork.com/journals/jama/fullarticle/2751726 uspstf now grade B for asymptomatic urine in preggohttps://pediatrics.aappublications.org/c...
111. Dulaglutide, IVC Filter, Polypoll for Primary Prevention, and Afib Antithrombotic Therapy
12 Dec 2019
Contributed by Lukas
https://www.nejm.org/doi/full/10.1056/NEJMoa1806515-- IVC filter after a severe injury = it is ok to wait 7 dayshttps://www.nejm.org/doi/full/10.1056/...
110. 3 Papers The Authors Got Wrong
06 Dec 2019
Contributed by Lukas
https://www.ncbi.nlm.nih.gov/pubmed/31550435 mono and athletes -- stick with 21 dayshttps://onlinelibrary.wiley.com/doi/abs/10.1002/ijc.32738 Hair D...
109. Be Thankful One Article Will Change Your Practice
28 Nov 2019
Contributed by Lukas
https://jamanetwork.com/journals/jama/article-abstract/2753909?guestAccessKey=03d877eb-6d48-476f-9487-aa6fbbd8a8d5&utm_source=silverchair&utm_...
108. Blood Cultures, Patiromer, and Pregnancy
21 Nov 2019
Contributed by Lukas
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2753986?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&u...
107. Placebo, Opioid Prescribing, Cancer Screening
13 Nov 2019
Contributed by Lukas
https://insights.ovid.com/crossref?an=00006396-900000000-98602https://jamanetwork.com/journals/jama/article-abstract/2751887?guestAccessKey=8fa2f772-1...
106. Kidney disease, Renal outcomes, Hepatitis C, HPV
06 Nov 2019
Contributed by Lukas
https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2748452 -- come one come all unless you are a kidney https://www.ncbi.nlm.nih.g...
105. Diabetes, Boxer Fracture, ACOG and contraception
11 Oct 2019
Contributed by Lukas
https://www.ncbi.nlm.nih.gov/pubmed/30347032 Terbinafine adverse effects are rarehttps://www.ncbi.nlm.nih.gov/pubmed/31189511 Dulaglutide prevents ...
104. Coronary Artery Calcium Score (CAC) - Should You Count On it?
18 Sep 2019
Contributed by Lukas
Let's look at the numbers behind CAC! The best evidence is found here https://jamanetwork.com/journals/jama/fullarticle/2687224 but the largest study ...
103. Evidence Based Guidelines? When Do You Test Cholesterol?
06 Sep 2019
Contributed by Lukas
https://www.ncbi.nlm.nih.gov/pubmed/30874755 - ACC/AHA and ESC are still not evidence basedhttp://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.93...
102. DOAC and hematuria plus a listener question
02 Sep 2019
Contributed by Lukas
https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2739056 not all guidelines are equal, think for yourself. Some guidelines even...
101. 3A- Aspirin, Asthma, AntiPlatelet
13 Aug 2019
Contributed by Lukas
https://www.nejm.org/doi/full/10.1056/NEJMoa1813959 even when we dont know where the stroke is coming from- aspirin is still king all these years lat...
100. 3H episode= Hakuna Matata, HIV, and HPV
02 Aug 2019
Contributed by Lukas
https://www.cdc.gov/mmwr/volumes/68/wr/mm6825a2.htm we are not testing people for HIV even though guidelines https://www.uspreventiveservicestaskf...
Got 99 (episodes) and an IMPORTANT Article Before It's Done
24 Jul 2019
Contributed by Lukas
https://www.ncbi.nlm.nih.gov/pubmed/30608562 A1C level low is not good and high is not good cause both seem to wind up have you the pt. in the hospit...
98. A New Drug, Sugar Legacy, Statin in the Elderly
12 Jul 2019
Contributed by Lukas
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)31942-1/fulltext If you are over 70 or 75 and primary prevention then likely no b...
97. Old Women Walking, Energy Drinks, and Antibiotics
27 Jun 2019
Contributed by Lukas
https://www.ahajournals.org/doi/10.1161/JAHA.118.011318 energy drinks prolong the QT just ever so slightly in healthy 22yr olds so if you are thinki...
96. Sprinting to Induction of Clopidogrel
14 Jun 2019
Contributed by Lukas
vitamin d- if you cant give up on it then give up on checking the lab value- fire and forget. https://www.nejm.org/doi/full/10.1056/NEJMoa1800566 in...
94. New Afib Guidelines, New standard for SK, and Foley cath + UTI
21 May 2019
Contributed by Lukas
afib- new guidelines! https://www.google.com/search?q=2019+American+Heart+Association%2C+American+College+of+Cardiology+and+the+American+Rhythm+Soc...
93. Breakfast, Tramadol, and Knee Osteoarthritis
09 May 2019
Contributed by Lukas
https://www.bmj.com/content/364/bmj.l42 skip breakfast- it doesn't help you 'lose weight' https://jamanetwork.com/journals/jamainternalmedicine/ar...
92. Sports Medicine, Vitamin D, Shared Decision making and Chronic Pain
23 Apr 2019
Contributed by Lukas
shared decision making for lung cancer rarely happens in the community and when it does happen 2/5 said no thanks to cancer screeninghttps://jamanetwo...
91. Statins, Oxycodone, Smart Phones, Weight Loss, and Antibiotics
17 Apr 2019
Contributed by Lukas
https://www.emrap.org/episode/rightonprime/introduction RIGHT ON PRIME IF YOU NEED CME 10% likely isn't high risk but it certainly deserves more than ...
90. HPV, Push-ups, HIV, E-Cigarettes, Expiration Dates
30 Mar 2019
Contributed by Lukas
https://www.emrap.org/episode/rightonprime/introduction RIGHT ON PRIME IF YOU NEED CME https://www.bmj.com/content/364/bmj.l240 hpv is still bosshttp...
89. Parkinson's, BNP, RIGHT ON PRIME!!
15 Mar 2019
Contributed by Lukas
https://www.emrap.org/rop?episode-guide-publish-date=%5B568011600000%2C1552613520000%5Dhttps://www.nejm.org/doi/full/10.1056/NEJMoa1809983?query=featu...
88. 3A's = Antibiotics, Aspirin, Anemia
24 Feb 2019
Contributed by Lukas
https://annals.org/aim/article-abstract/2719218/long-term-outcomes-among-patients-discharged-from-hospital-moderate-anemia#an_fo_ho Anemia is not...
87. HPV, Self Swab, Intermittent Fasting and More
17 Feb 2019
Contributed by Lukas
https://www.bmj.com/content/363/bmj.k4823 self swabs workhttps://onlinelibrary.wiley.com/doi/full/10.1002/oby.22345 intermittent fastinghttps://jamane...
86. Top Articles of 2018 part 3
10 Feb 2019
Contributed by Lukas
My view of some of the top articles and medical headlines from 2018.
85. Part 2- More Articles From 2018
03 Feb 2019
Contributed by Lukas
Mechanical thrombectomy, FDA and concussion. HPV vaccine and more on this episodes covering top articles from 2018.
84. Top Articles of 2018
24 Jan 2019
Contributed by Lukas
1 of many in which I break down what I think are articles or titles of 2018 you need to know about (hint: my have been discussed on QM before)
Repost 82. Mammograms and Breast Cancer Screening Part 2
06 Nov 2018
Contributed by Lukas
This is a heated debate but the numbers tell the whole story. So let's dig into the numbers a little more and find the real benefit of the screening m...
81. Mammograms, Pink Ribbons, and Screening part 1
24 Oct 2018
Contributed by Lukas
It is time to tackle screening mammograms. I warn you, this is evidence, try not to listen with emotion.
80. Articles and What to do with Statins, CRP, and Calcium Score
08 Oct 2018
Contributed by Lukas
Heading to FMX and the bags are packed!! Here is a little something to hold you down till I return! If you are going to be there then tweet me @andrew...
78. Hep C and ESRD along with so much more
15 Sep 2018
Contributed by Lukas
Another hard hitting Questioning Medicine packed with all sorts of articles and gems. Times are changing for those that have to sit in a chair 3 days ...
76. Alcohol sniffer with my Aspirin, please!
23 Aug 2018
Contributed by Lukas
Two big articles in this episode that have already changed my practice and I tell you how. Plus, a bunch of other articles I think people should be ta...
75. Sun Protection, Prostate and Atrial Fib Screening?
12 Aug 2018
Contributed by Lukas
Another episode with lots of articles- What is the UVB protection on SPF. Atrial fib screening, should we do it? What IUD makes you not gain weight? O...
74. Lots of articles and 2 that will change guidelines
25 Jul 2018
Contributed by Lukas
Joe Namath is famous for guaranteeing victory in Super Bowl III. Mark your calendars for 7/24/2018 where I guarantee that two of the articles in this ...
73. Compressing evidence on bones, colon cancer, pregnancy loss and listen questions
12 Jul 2018
Contributed by Lukas
So much goodness in one podcast it would be a shame to list it all here. So stop reading and just hit play already.
72. Swelling Over ACEI and Seizing On 3 Articles
27 Jun 2018
Contributed by Lukas
In this episode we cover what I think it game time ready about our beloved ACEI and then Joe and I talk about 3 articles that you need to know includi...
71. Breaking Bones and A1C Levels Should Put You into A.fib
19 May 2018
Contributed by Lukas
In this 'royal' episode I cover new papers on diabetes type 2, osteoporosis and A.fib. As always you can reach me on twitter @andrewbuelt or email me ...
70. More Articles and a Vegan Study To Make a T-Rex Eat a Salad
10 May 2018
Contributed by Lukas
So many article so little time AND in this episode Joe stops in to talk about a study that would make ever T-Rex eat a salad
69. NBA playoffs w/ Coronary Calcium, VEST, and Dialysis O, MY
28 Apr 2018
Contributed by Lukas
It is NBA playoff season and this podcast starts with a fast break into coronary calcium testing, Slams into John Mandrola review https://www.medscape...
68. Anti-biotics Still Have Harm and 2 Guidelines to Know About
14 Apr 2018
Contributed by Lukas
If you were wondering antibiotics, yes, still have harm and should still be used with caution. Medical students are in a panic since there is a new an...
67. HPV, BPH, CTA and I'm ACB
03 Apr 2018
Contributed by Lukas
Yes! I am Andrew Christopher Buelt and in this all abbreviation and intial podcast I break down some recent studies that might are of interst. First, ...
66. Zika, Concussion, Hip Surgery, New Guidelines
21 Mar 2018
Contributed by Lukas
Is Zika as scary as we really think, or is it scarier?! There is a new test for concussion, right? You might wait a day for a hip surgery but don't wa...
65. A Poor Prognosis of PE, UTI, Smoking
10 Mar 2018
Contributed by Lukas
Andrew covers four articles that give a POOR PHYSICIAN PROGNOSIS for the rates of PE, the push for no-antibiotic-UTI, and smoking.
61. Joe Is Back To Discuss Three Articles
04 Feb 2018
Contributed by Lukas
Guess who is back?! Joe joins me on QM and we talk about three recent trials give our thoughts and opinions while we both sip on a Diet Dr. Pepper. It...
60. New Format for Questioning Medicine
01 Feb 2018
Contributed by Lukas
Turns out when people say, 'You couldn't pay me enough money to quit smoking!' What they meant was "Can you please give me $750?" Kay-x still isn't gr...
59. DNR Listening to What You Should Watch
08 Dec 2017
Contributed by Lukas
How good are you at the DNR conversation? It is a conversation we all need to have with our patients no matter the field or specialty of medicine. How...
58. Who pays when they leave AMA?
01 Dec 2017
Contributed by Lukas
Does insurance pay? Does the patient pay? What do you think? What do most Doctors think? Is it possible for me to write this entire description in onl...
57. Triple Therapy for AFIB After PCI, Trick or Treat?
01 Nov 2017
Contributed by Lukas
We need to thin out the blood. Afib then to PCI and boom triple therapy. However, I suspect times are changing. It is Halloween and I do my best to pl...
53. How Much Exercise is Just Right?
21 Apr 2017
Contributed by Lukas
We have all heard of Goldilocks when the bed was too hard, too soft, and then just right. A metaphorical description for the J curve of all things in...
52. Should You Question Santa's Health?
20 Dec 2016
Contributed by Lukas
Is christmas in danger? What about Santa's Health? Is is the season of holiday joy and cheer and this podcast should have you tapping your toes while ...
51. An Irresistible Podcast on Antibiotic Resistance
17 Nov 2016
Contributed by Lukas
In this episode Andrew is back on his motorcycle (riding solo). He covers antibiotics resistance and are people not taking a full course of antibiotic...
46. Medical Myths for April Fools
01 Apr 2016
Contributed by Lukas
It is April Fools day and it only seemed right to do a little medical myth busting. In this episode and gulps down the evidence around how much water ...
43. Working Out Evidence on Treatment for Depression
22 Jan 2016
Contributed by Lukas
This episode Andrew is working out the evidence on depression. He addresses the 500lb elephant around the future of Questioning Medicine, but luckily ...
41. Getting Maddrey About Alcoholic Hepatitis
30 Nov 2015
Contributed by Lukas
Andrew is by himself and trying to struggle through the harsh Florida winter. The question today is should steroids, more specifically prednisolone, b...
36. Granulocyte Colony Stimulating Factor -- Is It Worth a Stimulating Conversation?
14 Aug 2015
Contributed by Lukas
Andrew is back to being by himself. When you get out questioned in questioning medicine its time for a podcast update. This episode briefly touches on...
28. HPV: A Non-Contact Encounter
04 Apr 2015
Contributed by Lukas
Boy bands from the 80's might have helped you survive childhood, but now they escort in a new era of non-contact HPV testing. Andrew discusses the pot...
27. Cervical Cancer Screening and HPV part 2
20 Mar 2015
Contributed by Lukas
Andrew and Joe discuss the new guidelines or guidance on using the pap smear with HPV for cervical cancer screening in low risk women. Andrew learns 8...
26. Bye Bye Pelvic
24 Feb 2015
Contributed by Lukas
A rebroadcast as we start a three part series to destroy the speculum. No matter your field if you have a wife, daughter, or mother this applies to yo...
22. The Flu
24 Jan 2015
Contributed by Lukas
Our Best Shot of the year. Joe continues to defrost from the frozen Rockies while Andrew is just getting warmed up on his dig into the newest reports ...
21. Cocaine and Beta Blockers
17 Jan 2015
Contributed by Lukas
Another Hospital Medicine discussion: Joe continues to defrost from his month in the frozen west, He BLOWs Andrews mind with a nugget from medical sch...
20. Prostate Hoax
25 Dec 2014
Contributed by Lukas
What do Questioning Medicine and Charlie Brown have in common? Neither one as ever made a field goal in a football game and neither one likes a hoax!I...
19. TSH and More Thyroid part 2
12 Dec 2014
Contributed by Lukas
With winter storms brewing up north it's hard to know if the 'ice ice baby' is due to your thyroid or the weather. In this episode Andrew is still bei...
18. Holy Grail of Diabetes Discussion
27 Nov 2014
Contributed by Lukas
The Dr James McCormack from BS Medicine joins QMed and helps us enlighten listeners about some of the great and terrible evidence in DM. Revelations r...
17. Outpatient Testing: TSH Part 1
20 Nov 2014
Contributed by Lukas
Andrew and Joe snorkel into the data on TSH testing. Breaking down the test, the patient, the benefits and risks of treatment. Just enough to get you ...
16. Outpatient Testing Part 2
01 Nov 2014
Contributed by Lukas
Andrew is back from his 21 day isolation for r/o Ebola, turns out it was just subclinical Post Testing Stress Disorder. Andrew and Joe discuss the con...
15. Clinical Testing
21 Oct 2014
Contributed by Lukas
An overview of a few studies and information regarding inpatient and outpatient testing. "The first principle of solid wisdom is discretion.." --Norma...
14. IV Fluids part 2
03 Oct 2014
Contributed by Lukas
Bottoms up on the last discussion on fluids and a review of a few of the trials that contribute to the current mindset in EBM. Andrew creates his own ...
13. IV Fluids part 1
25 Sep 2014
Contributed by Lukas
A quick discussion one the topic of which patient to give which fluid. Review of studies from the 90s to 2014 with demographics including pre/post Ope...
12. Dexa Scan Part 2
10 Sep 2014
Contributed by Lukas
Hard topic and difficult discussion continues about reasonable intervention and evaluation of therapy for osteoporosis. Andrew starts right off with h...
11. The Dexa Scam
01 Sep 2014
Contributed by Lukas
Hard hitting discussion on the evidence on soft bones and the best screening and treatment options. This episode was broken into two parts because Joe...
10. Vitamin D Part 2
13 Aug 2014
Contributed by Lukas
Who and when to test. Dose and frequency along with route of administration of Vitamin D are discussed along with 12 studies of outcomes and complicat...
8. Watch Were You Are Putting Your Hands...
06 Jul 2014
Contributed by Lukas
You might be outside the guidelines soon. Joe and Andrew discuss the newest recommendations from ACP regarding bimanual/pelvic exams. Andrew can't hol...
7. Diabetes. It's Not Over Until the Intervals Are Over.
23 Jun 2014
Contributed by Lukas
Don't celebrate just yet, the confidence intervals aren't all the way over the line. Andrew gives yet another history lesson on the improvements in D...
1. Intro Questioning Medicine
14 Apr 2014
Contributed by Lukas
Joe and Andrew give a brief introduction into questioning medicine and what you can expect.