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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 103 - Antiplatelets in the Perioperative Period and Semaglutide in Knee Osteoarthritis

Send us a text Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike and John Fralick discuss two recent papers - whether aspirin should be held in patients with stable coronary artery disease and drug-eluting stents and the role of semaglutide in patients with obesity and knee osteoarthritis. Two papers, here we go! Aspirin Monotherapy vs. No Antiplatelet Therapy in Stable Patients With Coronary Stents Undergoing Low-to-Intermediate Ris...

Jan 31, 202525 min

Episode 102 - Oxygenation in Acute Respiratory Failure and Treatment of Ventricular Tachycardia

Send us a text Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Dr. Mike Fralick and special guest, Dr. Laiya Carayannopoulos from the Intern at Work Podcast and our Medicine Pods collaboration, discuss two recent papers exploring oxygenation in acute respiratory failure and the use of ablation versus anti-arrhythmic medication for ventricular tachycardia. Two papers, here we go! High-Flow Nasal Oxygen vs Noninvasive Ventilation in Patients w...

Jan 23, 202524 min

CSIM Special Episode - The GI Bleed You Can't (Un)See

Send us a text Dr. Laiya Carayannopoulos sits down with Nick Sanchez (MD student) to discuss his second place winning clinical vignette from the Canadian Society of Internal Medicine Annual Meeting 2024. Questions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Jan 15, 202536 min

Episode 101 - The Stop or Not Trial

Send us a text Welcome back Rounds Table Listeners! We are back today with a solo episode with Dr. John Fralick! This week, he will discuss a paper exploring whether Renin-Angiotensin System Inhibitors should be held before major non-cardiac surgery. Here we go! Continuation versus Discontinuation of Renin-Angiotensin System Inhibitors Before Major Non-Cardiac Surgery: The Stop-or-Not Randomized Clinical Trial (0:00 – 6:16). And for the Good Stuff: "Tweetorials" by Tony Breu (6:16 – 7:11). Quest...

Jan 11, 20257 min

CSIM Special Episode - When the Brain Gets the Jitters: A Curious Case of Hemichorea

Send us a text Dr. Zahra Merali (Host) sits down with Dr. Shaima Kaka (Internal Medicine resident) to discuss her first place winning clinical vignette (oral case report) from the Canadian Conference of Medicine Annual Meeting 2024 . Resources: Diabetic Striatopathy: An Updated Overview Questions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods...

Jan 06, 202515 min

Episode 100 - Conflicts of Interest in Peer Reviewing

Send us a text Welcome back Rounds Table Listeners! We are back this week with a special podcast episode! Dr. Mike Fralick sits down with Dr. David-Dan Nguyen, a Urology Resident at the University of Toronto, to chat about his recent study, " Payments by Drug and Medical Device Manufacturers to US Peer Reviewers of Major Medical Journals ", that has been recently published in JAMA. Questions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods...

Jan 03, 202519 min

Episode 99 - The Top Five Papers of 2024

Send us a text Happy Holidays Rounds Table Listeners! For our penultimate episode of 2024, we are back with a special treat! This week, Drs. Mike and John Fralick chat about the top five RCTs published over the past year: Finerenone in Heart Failure with Mildly Reduced or Preserved Ejection Fraction (0:00 – 3:40). Tirzepatide for the Treatment of Obstructive Sleep Apnea and Obesity (3:40 – 9:00). Effects of Semaglutide on Chronic Kidney Disease in Patients with Type 2 Diabetes (9:00 – 13:55). Ti...

Dec 19, 202425 min

Episode 98 - Perioperative Medicine with Dr. Kevin Venus

Send us a text Welcome back Rounds Table Listeners! We are back this week with a special podcast episode! Dr. Mike Fralick sits down with Dr. Kevin Venus, a General Internist at Toronto Western Hospital, to chat about perioperative medicine! Questions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Dec 13, 202430 min

Episode 97 - Sodium in Hypertension and Decolonization in Nursing Homes

Send us a text Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Justin Boyle and Emily Hughes discuss two recent papers - the effect of dietary sodium on blood pressure and the role of decolonization in nursing homes to prevent infection. Two papers, here we go! Effect of Dietary Sodium on Blood Pressure (0:00 – 10:05). Decolonization in Nursing Homes to Prevent Infection and Hospitalization (10:05 – 20:45). And for the Good Stuff: What ...

Dec 06, 202425 min

Episode 96 - The Balance Trial and Inhaled Amikacin to Prevent VAP

Send us a text Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike and John Fralick discuss two recent papers - the Balance Trial and the role of inhaled amikacin in preventing VAP. Two papers, here we go! Inhaled Amikacin to Prevent Ventilator-Associated Pneumonia (0:00 – 8:24). Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections (the Balance Trial) (8:24 – 17:24). And for the Good Stuff: The Tragically H...

Nov 28, 202420 min

Episode 95 - Hypertension

Send us a text Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike Fralick and Justin Boyle discuss two recent papers exploring the effect of sitting time reduction on blood pressure and the discontinuation of RAAS inhibition perioperatively. Two papers, here we go! Sitting Time Reduction and Blood Pressure in Older Adults (0:00 – 11:35). Discontinuation versus continuation of renin-angiotensin system inhibition before non-cardiac surg...

Nov 15, 202424 min

Episode 94 - Top Papers from the 2024 European Society of Cardiology Congress

Send us a text Welcome back Rounds Table Listeners! We are back today with a special Rapid Fire Podcast! This week, Drs. Mike Fralick and Justin Boyle discuss top papers from the 2024 European of Society of Cardiology Congress. Here we go! Edoxaban Antithrombotic Therapy for Atrial Fibrillation and Stable Coronary Artery Disease (0:00 – 9:25). Beta-Blocker Interruption or Continuation after Myocardial Infarction (9:25 – 13:52). Finerenone in Heart Failure with Mildly Reduced or Preserved Ejectio...

Oct 31, 202429 min

CSIM - Top Papers of the Year 2024 Live Episode

Send us a text Take a listen to our live recording of The Canadian Conference of Internal Medicine Top papers of the year 2024 session! We talk about recent studies involving alzheimer's dementia, community acquired pneumonia, atrial fibrillation, MASLD and long covid. Host: Dr. Zahra Merali, Expert: Dr. Rajender Hanmiah. Check out www.medicinepods.com for a live video recording. You can also see a link to each paper there. Questions? Comments? Feedback? We’d love to hear from you! @roundstable ...

Oct 25, 202455 min

CSIM Special Episode - Internists Can Help the Planet (Part Two)

Send us a text Up to 30% of all healthcare offers no clinical value to patients. Reducing this care has the co-benefit of decreasing healthcare's carbon footprint. In this special CSIM episode, host Dr. Zahra Merali sits down with guests Dr. Billy Silverstein @WKSilverstein (General Internist, University of Toronto) and Dr. Owen Luv @OwenLuo5 (Internal Medicine Resident, McGill University) to discuss 4 of the Choosing Wisely Canada’s climate-conscious recommendations ( https://choosingwiselycana...

Oct 15, 202443 min

CSIM Special Episode - Top Papers Runners Up (Part 3)

Send us a text Welcome to Part 3 of a special series Medicine Pods has created in collaboration with the Canadian Society of Internal Medicine (CSIM)! In the lead up to the CSIM Conference, we will be discussing the runners up for the ever popular 'Top Papers' session. This year's session will be chaired by Dr. Raj Hanmiah, who has kindly joined us as a special guest for this series. If you want to find out which papers made the final cut, make sure to join us at the 'Top Papers' session on Octo...

Oct 09, 202430 min

CSIM Special Episode - Internists Can Help the Planet (Part One)

Send us a text There are everyday practices we can stop or reduce that don’t add value to patient care and harm the environment. In this special CSIM episode, host Dr. Zahra Merali sits down with guests Dr. Mathilde Gaudreau @MathildeGSimard (General Internist, University of Ottawa), Dr. Nabha Shetty (General Internist, Dalhousie University) and Dr. Valeria Stoynova (General Internist, Island Health/UBC Island Medical Program) to discuss 4 of the Choosing Wisely Canada’s climate-conscious recomm...

Oct 07, 202455 min

CSIM Special Episode - Top Papers Runners Up (Part 2)

Send us a text Welcome to Part 2 of a special series Medicine Pods has created in collaboration with the Canadian Society of Internal Medicine (CSIM)! In the lead up to the CSIM Conference, we will be discussing the runners up for the ever popular 'Top Papers' session. This year's session will be chaired by Dr. Raj Hanmiah, who has kindly joined us as a special guest for this series. If you want to find out which papers made the final cut, make sure to join us at the 'Top Papers' session on Octo...

Oct 03, 202425 min

CSIM Special Episode - Top Papers Runners Up (Part 1)

Send us a text Welcome to a special series Medicine Pods has created in collaboration with the Canadian Society of Internal Medicine (CSIM)! In the lead up to the CSIM Conference, we will be discussing the runners up for the ever popular 'Top Papers' session. This year's session will be chaired by Dr. Raj Hanmiah, who has kindly joined us as a special guest for this series. If you want to find out which papers made the final cut, make sure to join us at the 'Top Papers' session on October 17th, ...

Sep 26, 202427 min

Episode 93 - Rare Diseases

Send us a text Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Dr. Mike Fralick and special guest, Dr. Laiya Carayannopoulos from the Intern at Work Podcast and our new Medicine Pods collaboration, discuss two recent papers exploring the novel management of two rare diseases - ATTR Amyloidosis and Hereditary Angioedema. Two papers, here we go! Patisiran Treatment in Patients with Transthyretin Cardiac Amyloidosis (0:00 – 14:15). Efficacy and...

Sep 13, 202426 min

Welcome to Medicine Pods!

Send us a text Welcome to Medicine Pods! Your one stop shop for everything internal medicine, prn. Find us at www.medicinepods.com to find everything from The Intern at Work, The Rounds Table, Everything You Need To Know and Trial Files all in one place.

Sep 09, 20246 min

Episode 92 - The ERASe Trial with Dr. Dirk von Lewinski

Send us a text Welcome back Rounds Table Listeners! We are back this week with a special podcast episode! Dr. Mike Fralick sits down with Dr. Dirk von Lewinski, an Interventional Cardiologist, Intensivist, and Scientist from the Medical University of Graz, to chat about his practicing changing trial! Questions? Comments? Feedback? We’d love to hear from you! @roundstable

Sep 01, 202416 min

Episode 91 - Acupressure in OA and AI for ECG Reading

Send us a text Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike and John Fralick discuss two recent papers exploring the role of acupressure in pain management for knee osteroarthritis and the utility of AI-enabled electrocardiography. Two papers, here we go! Self-Administered Acupressure for Probable Knee Osteoarthritis in Middle-Aged and Older Adults (0:00 – 09:02). AI-enabled electrocardiography alert intervention and all-cause m...

Aug 20, 202425 min

Episode 90 - GLP1 Agonists Galore

Send us a text Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. John Fralick and Justin Boyle discuss two recent papers exploring the role of semaglutide in CKD in patients with Type II Diabetes and the utility of tirzepatide in metabolic dysfunction-associated steatohepatitis with liver fibrosis. Two papers, here we go! Effects of Semaglutide on Chronic Kidney Disease in Patients with Type 2 Diabetes (0:00 – 09:32). Tirzepatide for Meta...

Aug 09, 202419 min

TBT - Stroke

Send us a text Welcome back Rounds Table Listeners! In this throwback episode, Drs. John Fralick and Justin Boyle discuss early versus late anticoagulation after stroke with atrial fibrillation and dual antiplatelet therapy versus alteplase in minor ischemic stroke. Early versus Later Anticoagulation for Stroke with Atrial Fibrillation (0:00 – 8:48). Dual Antiplatelet Therapy vs Alteplase for PatientsWith Minor Nondisabling Acute Ischemic Stroke: The ARAMIS Randomized Clinical Trial (8:48 – 16:2...

Aug 02, 202418 min

TBT - Cardiovascular Disease

Send us a text Welcome back Rounds Table Listeners! In this throwback episode, Drs. Mike and John Fralick discuss the use of semaglutide in patients with obesity without diabetes and changes in renal function after starting dapagliflozin in patients with heart failure. Check it out below! Decline in Estimated Glomerular Filtration Rate After Dapagliflozin in Heart Failure With Mildly Reduced or Preserved Ejection Fraction: A Prespecified Secondary Analysis of the DELIVER Randomized Clinical Tria...

Jul 19, 202424 min

Episode 89 - Tirzepatide, OSA, and Obesity

Send us a text Welcome back Rounds Table Listeners! We are back today with a solo episode with Dr. Mike Fralick! This week, he will discuss a recent paper exploring the efficacy of tirzepatide in treating obstructive sleep apnea and obesity. Here we go! Tirzepatide for the Treatment of Obstructive Sleep Apnea and Obesity Check out the New Motto ! Questions? Comments? Feedback? We’d love to hear from you! @roundstable...

Jul 12, 20249 min

Episode 88 - The REVERT Trial

Send us a text Welcome back Rounds Table Listeners! We are back today with a solo episode with Dr. John Fralick! This week, he will discuss a paper exploring a modification of the Valsalva manoeuvre for the treatment of supraventricular tachycardias. Here we go! Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT) (0:00 – 7:00). And for the Good Stuff: Live Transcribe (7:00 – 8:16). Questions? Comments? Feedback? We’d love to ...

Jun 28, 20248 min

TBT - Intravenous Iron

Send us a text Welcome back Rounds Table Listeners! In this throwback episode, Drs. Mike Fralick and Justin Boyle discuss two papers exploring intravenous iron infusions in heart failure with iron deficiency and in reducing blood transfusion requirements in patients with hip fracture. Check it out below! Ferric Carboxymaltose in Heart Failure with Iron Deficiency (0:00 – 8:12). Ferric derisomaltose and tranexamic acid, combined or alone, for reducing blood transfusion in patients with hip fractu...

Jun 21, 202421 min

Episode 87 - The ULTIMATE-DAPT Trial and Empagliflozin after Acute Myocardial Infarction

Send us a text Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike and John Fralick discuss two recent papers exploring the role of ticagrelor with aspirin versus ticagrelor alone after percutaneous coronary intervention in acute MI and the efficacy of empagliflozin after acute MI. Two papers, here we go! Ticagrelor alone versus ticagrelor plus aspirin from month 1 to month 12 after percutaneous coronary intervention in patients with a...

Jun 06, 202420 min
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