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The Rounds Table

Dr. John Fralick and Dr. Michael Fralickwww.medicinepods.com

The Rounds Table is a free recurring medical podcast covering the latest and most important research from major medical journals. It is intended for all practicing healthcare professionals and aims to to help them keep up to date in the care of their patients.

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Episodes

Episode 14 – Rapid Fire SARS-CoV-2 Vaccines

Send us a text Welcome back Rounds Table Listeners! This week we are going back to our Rapid Fire Format to review two papers looking at potential SARS-CoV-2 vaccines. What is the safety profile and immune system response for a novel SARS-CoV-2 specific vaccine? https://www.nejm.org/doi/full/10.1056/NEJMoa2022483 (1:05-8:44) What is the safety, reactogenicity, and immunogenicity of a viral vectored coronavirus vaccine ... The post Episode 14 – Rapid Fire SARS-CoV-2 Vaccines appeared first on Hea...

Jul 31, 202021 min

Episode 13 – Interview with the Real Dr. Fralick: Reflections on HIV/AIDS in the 1980s and now COVID-19

Send us a text Welcome back Rounds Table Listeners! This week we interview Dr. Richard Fralick, a hospitalist at Sunnybrook and public health specialist.He chats with us about the evolution of public health from the 1980s to today through comparing and contrasting the unique challenges of the HIV/AIDS epidemic and COVID-19 pandemic. For more, a seminal paper from NEJM published in ... The post Episode 13 – Interview with the Real Dr. Fralick: Reflections on HIV/AIDS in the 1980s and now COVID-19...

Jul 17, 202039 min

Episode 12 – Rapid Fire Treatment Options for COVID-19

Send us a text Welcome back Rounds Table Listeners! This week we are going back to our Rapid Fire Format to review two papers looking at new data on treatment options for patients with COVID-19. Is Remdesivir effective in the treatment of COVID-19? https://www.nejm.org/doi/full/10.1056/NEJMoa2007764 Is Lopinavir-ritonavir effective in the treatment of COVID-19? https://www.nejm.org/doi/full/10.1056/NEJMoa2001282 And for The Good Stuff…. ... The post Episode 12 – Rapid Fire Treatment Options for ...

Jun 18, 202027 min

Episode 11 – Interview with Dr. Donald Arnold, lead for the CONCOR-1 trial

Send us a text Welcome back Rounds Table Listeners! This week we interview Dr. Donald Arnold, a McMaster University professor and hematologist who is leading the CONCOR-1 trial. The CONvalescent Plasma for COVID-19 Research Trial (CONCOR-1), is a North American clinical trial designed to evaluate the efficacy and safety of COVID-19 convalescent plasma as a therapy for patients with COVID-19 respiratory illness. It involves collecting plasma containing neutralizing antibodies from individuals who...

May 26, 202021 min

Episode 10 – Interview with Dr. Sholzberg on COVID coagulopathy

Send us a text Welcome back Rounds Table Listeners! This week we interviewed Dr. Michelle Sholzberg to discuss coagulopathy associated with COVID-19. Dr. Sholzberg is a clinical hematologist with a focus on bleeding and is the Medical Director of the Coagulation Laboratory at St. Michael’s Hospital in Toronto, Ontario, Canada. She is also the Co-Director of the Hematology-Oncology Clinical ... The post Episode 10 – Interview with Dr. Sholzberg on COVID coagulopathy appeared first on Healthy Deba...

May 01, 202022 min

Episode 9 – COVID-19: Interview with Dr. Robbie Goldstein

Send us a text Welcome back Rounds Table listeners! This week we interview Dr. Robbie Goldstein to find out how Mass General Hospital (MGH) in Boston has prepared, and adapted, to a massive influx of patients with COVID-19. Dr. Goldstein is an Instructor in Medicine at Harvard Medical School and an Infectious Disease physician at MGH. He is also ... The post Episode 9 – COVID-19: Interview with Dr. Robbie Goldstein appeared first on Healthy Debate ....

Apr 06, 202026 min

Episode 8 – Rapid Fire: COVID-19 Part 2

Send us a text Welcome back Rounds Table Listeners! This episode we discuss two recently published papers related to COVID-19. 1. What is the incidence and significance of cardiac injury in patients with COVID-19 https://jamanetwork.com/journals/jamacardiology/fullarticle/2763524 2. The clinical course and risk factors for mortality in a multi-centre cohort of inpatients with COVID-19 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30566-3/fulltext And for the good stuff: 1. C...

Mar 31, 202018 min

Episode 7 – Rapid Fire COVID-19

Send us a text Welcome back Rounds Table Listeners! This episode, we’re focusing on 2 papers recently released related to COVID-19. 1. Our first paper provides an overview of the clinical characteristics of a sample of patients admitted to hospital with COVID-19. https://www.nejm.org/doi/full/10.1056/NEJMoa2002032 2. The second paper provides timely data to identify factors associated with ARDS among adults diagnosed with COVID-19. ... The post Episode 7 – Rapid Fire COVID-19 appeared first on H...

Mar 16, 202025 min

Episode 6 – Rapid Fire Cardiovascular

Send us a text Welcome back for another episode of The Rounds Table! This episode Mike and John review 4 papers related to the latest and greatest in cardiovascular medicine. Check it out here: What is the efficacy and safety for using colchicine in myocardial infarction? (00:00 – 04:15) https://www.nejm.org/doi/full/10.1056/NEJMoa1912388 Do lower LDL targets improve outcomes for TIA or stroke? (04:15 ... The post Episode 6 – Rapid Fire Cardiovascular appeared first on Healthy Debate ....

Feb 28, 202027 min

Rapid Fire: Respirology (And welcome back Drs. Kieran Quinn and Emily Hughes!)

Send us a text Welcome back Rounds Table Listeners! For episode 5 we have two very special guests co-hosting. Welcome back to Drs. Kieran Quinn and Emily Hughes. This episode they discuss 4 articles on all things Respirology. Classic rapid fire format, let’s dive right in. Can the β-blocker, metoprolol, be used to prevent COPD exacerbations? (00:00 to 06:48) ... The post Rapid Fire: Respirology (And welcome back Drs. Kieran Quinn and Emily Hughes!) appeared first on Healthy Debate ....

Feb 07, 202026 min

Rapid Fire: Infectious Disease

Send us a text Happy New Year Rounds Table Listeners! We’re kicking off 2020 with an episode dedicated to all things Infectious Disease. Classic Rapid Fire format…4 papers…here we go! Can patients be with gram negative bacteremia be treated safely with shorter courses of antibiotics? (https://academic.oup.com/cid/article/69/7/1091/5237874) (00:20 – 05:22) What is the impact of RSV infections on older adults? ... The post Rapid Fire: Infectious Disease appeared first on Healthy Debate ....

Jan 10, 202022 min

Rapid fire: High Value Care

Send us a text Welcome back Rounds Table Listeners! For episode 3, we have two very special guests co-hosting. Welcome back to Drs. Amol Verma and Kieran Quinn. This episode, they discuss 4 articles that peaked their interest related to high value care. Classic Rapid Fire format…4 papers…here we go! Can care guided by patient priorities by associated with ... The post Rapid fire: High Value Care appeared first on Healthy Debate ....

Dec 06, 201936 min

Rapid fire: Geriatric Medicine

Send us a text Episode 2 is all about geriatric medicine. Rapid fire format, 4 key papers….enjoy! The post Rapid fire: Geriatric Medicine appeared first on Healthy Debate .

Nov 07, 201921 min

Surprise! We’re back…and talking all things cardiovascular…

Send us a text Rounds Table Listeners, we’ve got some good news for you… the Rounds Table is back! John and I have decided to pick up where Kieran and his excellent team left off; to continue to bring you regular podcasts on the latest and greatest internal medicine research. This reboot wouldn’t be possible without the continued ... The post Surprise! We’re back…and talking all things cardiovascular… appeared first on Healthy Debate ....

Oct 11, 201923 min

The Grand Finale of The Rounds Table

Send us a text This week we bring you a very special episode, the final episode of The Rounds Table podcast. This episode is dedicated to honouring the show and its development over the past five seasons. The show has had an incredibly successful past five years – the podcast has reached an international audience and has been downloaded ... The post The Grand Finale of The Rounds Table appeared first on Healthy Debate ....

Jun 28, 201933 min

REPLAY: Sugar and Spice – Canagliflozin and Renal Outcomes and Quality of Life in Atrial Fibrillation

Send us a text Kieran Quinn, general internist and palliative care physician in Toronto, is joined by Emily Hughes, the producer of the show and soon-to-be Internal Medicine resident at the University of Toronto on this week’s episode of The Rounds Table! Together they are covering canagliflozin and renal outcomes, and quality of life among patients with atrial fibrillation receiving ... The post REPLAY: Sugar and Spice – Canagliflozin and Renal Outcomes and Quality of Life in Atrial Fibrillatio...

Jun 21, 201927 min

Fire It Up: Delayed tPA, Lipids and Cardiovascular Outcomes, Stroke Prevention, and Fournier’s Gangrene with SGLT2 Inhibitors

Send us a text Michael Fralick and John Fralick, general internists in Toronto, are back on The Rounds Table and they are covering four articles in a rapid-fire style. They discuss the use of tissue plasminogen activator (tPA) up to 9 hours after stroke onset, nonfasting versus fasting lipids and cardiovascular outcomes, the use of dabigatran for stroke prevention, ... The post Fire It Up: Delayed tPA, Lipids and Cardiovascular Outcomes, Stroke Prevention, and Fournier’s Gangrene with SGLT2 Inhi...

Jun 14, 201932 min

Slow Motion: Magnesium in Afib and Fall-Related Injuries with Sleep Aids

Send us a text Christopher Giuliano, clinical pharmacist, is hosting this week’s episode of The Rounds Table alongside Insaf Mohamad, ambulatory care clinical pharmacist in Internal Medicine. Together they are covering treatment of atrial fibrillation with rapid ventricular response with magnesium and falls risk with trazadone and benzodiazepines in patients with insomnia. Atrial fibrillation is the most common cardiac ... The post Slow Motion: Magnesium in Afib and Fall-Related Injuries with Sl...

Jun 07, 201931 min

A Shock to The Heart: Risk Factors and Cardiovascular Events in T2DM and Cardioversion in AFib

Send us a text Andre Maddison, General Internal Medicine (GIM) fellow at Western University, is hosting this week’s episode on The Rounds Table alongside his wife, Emily Wilson, family physician in London and adjunct professor at Western University. Together they are covering risk factors, death, and cardiovascular events in patients with type 2 diabetes mellitus (T2DM) and early or delayed ... The post A Shock to The Heart: Risk Factors and Cardiovascular Events in T2DM and Cardioversion in AFi...

May 31, 201921 min

A Total Eclipse: Treatment of Status Epilepticus and Aclidinium Bromide in COPD

Send us a text Freddy Frost, research fellow in cystic fibrosis in Liverpool, and Alex Pickard, trainee in acute and emergency medicine in South London, are back on The Rounds Table this week. They are covering treatment of paediatric convulsive status epilepticus and the effect of aclidinium bromide on cardiovascular events and exacerbations in patients with chronic obstructive pulmonary disease ... The post A Total Eclipse: Treatment of Status Epilepticus and Aclidinium Bromide in COPD appeare...

May 24, 201931 min

Infectious Love: Coronary Angiography in Out-of-Hospital Cardiac Arrest and Risk of HIV Transmission in Serodifferent Gay Couples

Send us a text Jonathan Gravel, family medicine resident at the University of Toronto and soon-to-be emergency medicine resident, is joined by Max Deschner, a resident in Internal Medicine at Western University. Together they are covering coronary angiography after cardiac arrest without ST-elevation (COACT trial) and the risk of HIV transmission through condomless sex in serodifferent gay couples. Ischemic ... The post Infectious Love: Coronary Angiography in Out-of-Hospital Cardiac Arrest and ...

May 17, 201937 min

Sugar and Spice: Canagliflozin and Renal Outcomes and Quality of Life in Atrial Fibrillation

Send us a text Kieran Quinn, general internist and palliative care physician in Toronto, is joined by Emily Hughes, the producer of the show and soon-to-be Internal Medicine resident at the University of Toronto on this week’s episode of The Rounds Table! Together they are covering canagliflozin and renal outcomes, and quality of life among patients with atrial fibrillation receiving ... The post Sugar and Spice: Canagliflozin and Renal Outcomes and Quality of Life in Atrial Fibrillation appeare...

May 10, 201927 min

REPLAY: Are Your Vitamins Vital? Cardiorespiratory Fitness on Mortality and Vitamin Supplementation for Prevention of Cancer and Cardiovascular Disease

Send us a text Katie Wiskar, fellow in General Internal Medicine at the University of British Columbia, and Kate Shoults, general internist in the Greater Vancouver Area, are joining us on The Rounds Table this week! They are covering the association between cardiorespiratory fitness and long-term mortality, and vitamin D and omega-3 fatty acids and the prevention of cancer ... The post REPLAY: Are Your Vitamins Vital? Cardiorespiratory Fitness on Mortality and Vitamin Supplementation for Preven...

May 03, 201931 min

Left my Heart in CABANA: TAVRs, Atrial Fibrillation, and Acute Coronary Syndrome

Send us a text Michael Fralick and John Fralick, both general internists in Toronto, are on The Rounds Table this week. In classic fashion, they are covering four articles in a rapid-fire style. They discuss transcatheter aortic valve replacement (TAVR) in low surgical risk patients, antiplatelet and anticoagulants in atrial fibrillation (AF) and acute coronary syndrome (ACS) with percutaneous ... The post Left my Heart in CABANA: TAVRs, Atrial Fibrillation, and Acute Coronary Syndrome appeared ...

Apr 26, 201926 min

Catch Your Breath: Bag-Mask Ventilation During Intubation & Liberal Oxygen Therapy in Acute Illness

Send us a text Paxton Bach and Katie Wiskar, general internists in Vancouver, are back this week on The Rounds Table. Together they cover bag-mask ventilation during intubation of adults in intensive care units, and liberal versus conservative oxygen therapy in acutely ill adult patients. In the non-operating room setting, some recommendations regarding rapid-sequence intubation suggest avoiding bag-mask ventilation ... The post Catch Your Breath: Bag-Mask Ventilation During Intubation & Lib...

Apr 19, 20192 min

There Is No Comparison: Peri-Procedural Bridging in VTE and Reversal of Factor Xa Inhibitors with Andexanet Alfa

Send us a text Christopher Giuliano and Sean McConachie, both Internal Medicine clinical pharmacists, host this week’s episode on The Rounds Table. This week they share articles on peri-procedural bridging in patients with venous thromboembolism and the reversal of factor Xa inhibitors with andexanet alfa. Bridging is commonly performed for interruption of vitamin K antagonists in the peri-procedural setting. ... The post There Is No Comparison: Peri-Procedural Bridging in VTE and Reversal of Fa...

Apr 12, 201930 min

Get Up & Go: Exercise Interventions for Functional Decline and Nephrology Referrals for CKD

Send us a text Andre Maddison, fellow in general internal medicine at Western University, is hosting this week’s episode on The Rounds Table alongside Erin Spicer, general internist also at Western University. Together they are covering the effect of an exercise intervention on functional decline in very elderly patients and the mortality benefit associated with outpatient nephrology referrals in ... The post Get Up & Go: Exercise Interventions for Functional Decline and Nephrology Referrals...

Apr 05, 201924 min

Sugar Crash: Oral Basal Insulin Versus Subcutaneous Glargine in T2DM & The Effect of Tranexamic Acid on Functional Outcomes

Send us a text Jonathan Gravel, epidemiologist and family medicine resident at the University of Toronto, is hosting this week’s episode of The Rounds Table alongside Bradley Kaplansky, academic primary care physician in Toronto and host of podcast Primary Care Spiel. This week they are covering the efficacy and safety of oral basal insulin versus subcutaneous insulin glargine in ... The post Sugar Crash: Oral Basal Insulin Versus Subcutaneous Glargine in T2DM & The Effect of Tranexamic Acid...

Mar 29, 201945 min

Bad to the Bone: Oral Antibiotics for Orthopedic Infections and Lung Ultrasound for Decompensated Heart Failure

Send us a text Katie Wiskar, GIM fellow at the University of British Columbia, and Paxton Bach, general internist in Vancouver are back on The Rounds Table. This week they are covering oral versus intravenous antibiotics for bone and joint infections (OVIVA trial) and lung ultrasound integrated with clinical assessment for diagnosing acute decompensated heart failure (ADHF). Complex orthopedic ... The post Bad to the Bone: Oral Antibiotics for Orthopedic Infections and Lung Ultrasound for Decomp...

Mar 22, 201940 min

Contamination & Communication: Postdischarge MRSA Decolonization and Web-Based Decision Aids in the ICU

Send us a text Kieran Quinn and Emily Hughes host this week’s episode of The Rounds Table. They discuss decolonization to reduce postdischarge infection risk among methicillin-resistant Staphylococcus aureus (MRSA) carriers and the effects of a web-based decision aid for surrogate decision makers of patients with prolonged mechanical ventilation. MRSA is the most common cause of skin, soft-tissue and ... The post Contamination & Communication: Postdischarge MRSA Decolonization and Web-Based ...

Mar 15, 20195 min
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