Send us a text This week on The Rounds Table we’re covering important studies in palliative care: treatment of delirium at end-of-life, and examining populations who may be more likely than others to receive aggressive end-of-life care. Kieran and Chris Yarnell break it down for listeners. Sheliza and Emily round out the episode with a special segment on qualitative ... The post REPLAY: To Treat or Not To Treat? Immigrant Status and End-of-Life & Delirium Treatment in Palliative Care appeare...
Dec 29, 2017•32 min
Send us a text This week on The Rounds Table we are covering two important research articles: prevention of contrast induced nephropathy, and comparing post-operative outcomes between patients treated by male and female surgeons. Contrast induced nephropathy (CIN) is a potentially severe complication of angiographic procedures, especially for people with poor renal function at the outset. Prevention of CIN ... The post Urine Luck! Renal Outcomes After Angiography, and Effects of Surgeon Sex on P...
Dec 22, 2017•32 min
Send us a text This week on The Rounds Table we’re looking at the big picture: the effect of bedspacing on mortality and factors associated with increased healthcare spending. Laura and Kieran cover two new articles. Bedspacing is something that everyone in Internal Medicine encounters at some point. The concept is really this: when General Internal Medicine wards become ... The post Dollar Dreams: Bedspacing, Mortality, and Epic Healthcare Costs appeared first on Healthy Debate ....
Dec 15, 2017•31 min
Send us a text On this week’s episode of The Rounds Table we’re honing in on important advances in cardiovascular disease management. Kieran Quinn and Paxton Bach guide listeners through the ORBITA and INPRESS trials. It’s one of those deceptively simple sounding questions in cardiology: who should we stent? Although PCI has been around for 40 years, we are ... The post Get Pumped: Perioperative Blood Pressure Targets & When to Stent Coronary Artery Disease appeared first on Healthy Debate ....
Dec 08, 2017•33 min
Send us a text This week’s episode of The Rounds Table is all about anticoagulation. Kieran Quinn and Mike Fralick cover two important studies: the latest evidence on antithrombotic therapy after percutaneous coronary intervention (PCI) and de-escalation of antiplatelet treatment in patients with acute coronary syndrome undergoing PCI. In patients with acute coronary syndrome undergoing PCI, can platelet function ... The post Go with the (Blood) Flow: Antithrombotic Therapy After PCI and De-Esca...
Dec 01, 2017•31 min
Send us a text This week on The Rounds Table we are covering two important studies: diagnostic management of pulmonary embolism and safety of varying the frequency of whole blood donation. Kieran Quinn and Lauren Lacroix break it down for listeners. Pulmonary embolism represents a diagnostic challenge in the Emergency Department for patients presenting with a variety of symptoms ... The post Bloody Brilliant! Diagnostic Management of Pulmonary Embolism and Frequency of Blood Donation appeared fi...
Nov 24, 2017•29 min
Send us a text Each year, the Canadian Society for Internal Medicine (CSIM) Annual Meeting features a presentation of the “Top 5 Papers” in internal medicine. From the papers that had been discussed on The Rounds Table between November 2016 and October 2017, we selected 5 that we felt were particularly influential and presented them as the “Top 5 ... The post Top 5 Papers (Part 2): Challenging Asthma Diagnoses, Natriuretic Guided Therapy for Heart Failure, and Opioid Prescribing Patterns appeare...
Nov 17, 2017•28 min
Send us a text Each year, the Canadian Society for Internal Medicine (CSIM) Annual Meeting features a presentation of the “Top 5 Papers” in internal medicine. From the papers that had been discussed on The Rounds Table between November 2016 and October 2017, we selected 5 that we felt were particularly influential and presented them as the “Top 5 ... The post Top 5 Papers (Part 1): PFO Closure or Antiplatelet Therapy for Stroke and Quantifying PE in Syncope appeared first on Healthy Debate ....
Nov 10, 2017•29 min
Send us a text This week on The Rounds Table we’re covering important studies in palliative care: treatment of delirium at end-of-life, and examining populations who may be more likely than others to receive aggressive end-of-life care. Kieran and Chris Yarnell break it down for listeners. Sheliza and Emily round out the episode with a special segment on qualitative ... The post To Treat or Not To Treat? Immigrant Status and End-of-Life & Delirium Treatment in Palliative Care appeared first ...
Nov 03, 2017•32 min
Send us a text What if you could tell an adult with physician diagnosed asthma that they could safely stop their asthma medications? Or, tell an adult living with chronic obstructive pulmonary disease (COPD) that the addition of home non-invasive ventilation could significantly prolong their lifespan? This week on The Rounds Table Kieran and Ariel discuss two thought provoking ... The post Take My Breath Away: Challenging Asthma Diagnoses & Home Non-Invasive Ventilation in COPD appeared firs...
Oct 27, 2017•31 min
Send us a text This week on The Rounds Table we’re covering important studies on two very common diseases: osteoporosis and heart failure. Kieran and Laura break it down for listeners. Osteoporosis affects women worldwide, and will become more common because of our aging population. Although several pharmacologic treatments exist to treat the disease, few head to head studies ... The post Don’t Go Breaking My Heart: Romosozumab for Osteoporosis and Early Palliative Care in Heart Failure appeared...
Oct 20, 2017•30 min
Send us a text A stroke of insight this week on The Rounds Table; Kieran and Mike share the findings of two exciting new studies. Should a patent foramen ovale (PFO) be closed in the context of cryptogenic stroke? What is the impact of educational intervention surrounding anticoagulation in patients with atrial fibrillation? Listen as Kieran and Mike cover ... The post A Stroke of Insight: PFO Closure or Antiplatelet Therapy for Stroke and Anticoagulation Education in Atrial Fibrillation appeare...
Oct 13, 2017•31 min
Send us a text What’s healthier, a diet high in fat or high in carbohydrates? How can the HEART score be used to stratify patients who present to the Emergency Department with chest pain? Kieran Quinn and Ashley Minuk cover the answers from the findings of two exciting new articles. With the growing burden of cardiovascular and diet related ... The post PURE at HEART: Fats vs. Carbohydrates as Risk Factors for Mortality and Stratifying Chest Pain in the Emergency Department appeared first on Hea...
Oct 06, 2017•30 min
Send us a text This week on The Rounds Table Kieran Quinn and Fraser Pollard cover two new studies; the first investigates medical treatment to reduce the risk of preterm pre-eclampsia, and the second examines natriuretic peptide guided therapy for management of heart failure with reduced ejection fraction. Sheliza Halani and Emily Hughes round out the episode with a ... The post Close to My Heart: Aspirin for Preterm Preeclampsia and Natriuretic Guided Therapy for Heart Failure appeared first o...
Sep 29, 2017•31 min
Send us a text This week on The Rounds Table we’re deepening our understanding of cardiovascular disease management through covering two exciting new articles. Kieran and Paxton break it down for listeners. Last season we covered FOURIER/evolocumab and the reduction of cardiovascular events through aggressive lipid lowering with PCSK-9 inhibitors. Do treatments that target inflammation without affecting lipid levels ... The post CANVASsing for Healthy Hearts: Canakinumab for Atherosclerosis and ...
Sep 22, 2017•31 min
Send us a text Grab a cup of coffee and get ready to listen – we’re back with a brand new episode to kick off the fourth season of The Rounds Table. How do older adults prefer to discuss cancer screening cessation with their clinicians? Does regular coffee consumption impact mortality? Kieran Quinn and Emily Hughes cover two thought ... The post We’re off to an EPIC Start! Cancer Screening Cessation and Coffee Drinking & Mortality appeared first on Healthy Debate ....
Sep 15, 2017•29 min
Send us a text This week on The Rounds Table we are breaking the dogmas in clinical practice to find out if less is more. Does diverticulitis even require antibiotics in the age of antimicrobial stewardship? Next, how does casting compare to surgery for ankle fractures in older adults? Kieran and Lauren Lacroix discuss two thought-provoking new studies: Diverticulitis ... The post Summer Replay: Breaking the Status Quo – Antimicrobial Stewardship in Diverticulitis & Casting vs. Surgery for A...
Sep 08, 2017•26 min
Send us a text Steroids are important and ubiquitous medications, and the side effects of long term use are well known and often reviewed. But what should clinicians know about short term use: are these medications benign? Jay takes listeners through a retrospective cohort study examining adverse events (sepsis, venous thromboembolism, fractures) associated with short term use of oral ... The post Summer Replay: C the Difference – Adverse Events in Short Term Steroid Use & Prevention of Recu...
Sep 01, 2017•35 min
Send us a text This week on The Rounds Table we are focusing on papers that highlight talent at home – here in Toronto! Kieran hosts Dr. James Downar and Dr. Mike Fralick to discuss their recent publications, and Emily and Sheliza bring listeners the final special segment of the year. The surprise question – Would I be surprised ... The post Summer Replay: Calling Home – Accuracy of The Surprise Question, Medical Assistance in Dying, and SGLT2 Inhibitors & DKA appeared first on Healthy Debat...
Aug 25, 2017•33 min
Send us a text A recurring question: in the management of BP, how low should we go? This week, Paxton and Kieran discuss two studies that aim to refine the answer. The appropriate treatment target for systolic blood pressure in elderly patients with hypertension is uncertain, particularly for the frail elderly. Kieran leads the discussion on the SPRINT 75 ... The post Summer Replay: Aging Gracefully – SPRINTing to the right blood pressure target! appeared first on Healthy Debate ....
Aug 18, 2017•35 min
Send us a text Physician burnout is a work related syndrome involving emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment. The prevalence of burnout has reached a shocking 50% in both staff and resident physicians! Something needs to be done. Ariel Lefkowitz, Chief Medical Resident at Mount Sinai Hospital in Toronto, takes listeners through a systematic review ... The post Summer Replay: We Need to Talk About It – Physician Burnout and Sex Differences in Salar...
Aug 11, 2017•29 min
Send us a text It’s arrhythmia week on The Rounds Table! Should heart failure patients give up a caffeine jolt in the morning? How can we better identify appropriate patients for ICDs? Paxton Bach, fellow in General Internal Medicine at UBC, joins Kieran to discuss two exciting studies: Studies that inform practice toward the best medical treatments are of ... The post Summer Replay: DANISH with your Coffee? ICDs for Non-Ischemic Cardiomyopathy and Effects of High Dose Caffeine on Cardiac Arrhyt...
Aug 04, 2017•30 min
Send us a text It’s big data week on The Rounds Table! When initiating pharmacotherapy for atrial fibrillation, which drug is best? How does frailty influence surgical outcomes? Kieran and Michael Fralick, General Internist at St. Michael’s Hospital, take listeners through two noteworthy studies: When a new medication is developed it is generally compared against standard of care or ... The post Summer Replay: Big Data – Dabigatran vs. Rivaroxaban for Atrial Fibrillation and Association of Frail...
Jul 28, 2017•29 min
Send us a text Is quitting cold turkey the best way to stop smoking? When should you transfuse a patient? How effective are current models of palliative care? We’re answering relevant and thought-provoking questions this week on The Rounds Table! Ashley, like many family physicians, makes a point of advising and supporting smoking cessation at most visits she has ... The post Summer Replay: All Things Must End – Gradual Versus Abrupt Smoking Cessation and Palliative Care Effectiveness appeared f...
Jul 21, 2017•33 min
Send us a text What if you could tell a woman about to undergo chemotherapy for breast cancer that you had an intervention that would significantly reduce her risk of hair loss during therapy? Or, tell an adult patient with physician diagnosed asthma that they could safely stop their asthma medications? This week on The Rounds Table we welcome ... The post Summer Replay: Keeping a Cool Head – Reducing Hair Loss During Chemotherapy & Challenging Asthma Diagnoses appeared first on Healthy Deba...
Jul 14, 2017•29 min
Send us a text All good things must come to an end. As the final episode of the season, Kieran, Emily, and Emilio look back at their top ten favorite papers from The Rounds Table 2016-2017 year. It’s a rapid fire episode like you’ve never heard before! See the links to the papers below. We want to thank everyone ... The post Top Ten: Best Papers of the Year appeared first on Healthy Debate ....
Jun 30, 2017•21 min
Send us a text This week on The Rounds Table we are focusing on papers that highlight talent at home – here in Toronto! Kieran hosts Dr. James Downar and Dr. Mike Fralick to discuss their recent publications, and Emily and Sheliza bring listeners the final special segment of the year. The surprise question – Would I be surprised ... The post Calling Home: Accuracy of The Surprise Question, Medical Assistance in Dying, and SGLT2 Inhibitors & DKA appeared first on Healthy Debate ....
Jun 23, 2017•33 min
Send us a text Steroids are important and ubiquitous medications, and the side effects of long term use are well known and often reviewed. But what should clinicians know about short term use: are these medications benign? Jay takes listeners through a retrospective cohort study examining adverse events (sepsis, venous thromboembolism, fractures) associated with short term use of oral ... The post C the Difference: Adverse Events in Short Term Steroid Use & Prevention of Recurrence of C. dif...
Jun 16, 2017•35 min
Send us a text Contrast-induced nephropathy is cited as the third most common cause of iatrogenic acute kidney injury. In the Emergency Department, physicians must balance diagnosing life-threatening conditions using emergent imaging with the risk of potential harm caused by exposure to IV contrast. Recent studies, including the one discussed by Lauren in this episode, challenge the proposed causal ... The post REPLAY: Emergent Realizations – Contrast-Induced Nephropathy & Opioid Prescribing...
Jun 09, 2017•30 min
Send us a text It’s a special episode of The Rounds Table this week with guest hosts Dr. Fraser Pollard and Dr. Ashley Minuk. Fraser and Ashley are family physicians in Trenton, Ontario. Sore throat is a very common presentation in family practice. Many patients who seek care expect a prescription to offer some kind of relief. For adults, ... The post Sore Throats & Sore Legs! Dexamethasone for Adult Pharyngitis and the Benefits of an Active Commute appeared first on Healthy Debate ....
Jun 02, 2017•26 min
