Healthcare Triage Podcast

Dec. 02, 2015 - LIVE by Healthcare Triage

Oct. 28, 2015 - LIVE by Healthcare Triage

Oct. 14, 2015 - LIVE by Healthcare Triage

TIMECODE 01:50 - we’re live! 3:30 - I'm curious as to know if any liver detoxification methods or ingredients have any statistically proven research behind them and if there is any conclusions from it? 4:55- Does sleep positions make a difference in quality of sleep? What does the research say? 7:33 - I exercise lightly for well over an hour each day (using an exercise bike while I youtube) is this too much? I rarely feel tired or sore after but should I schedule rest days anyway? 9:00 - I have been reading about Oxycise, an exercise program which you supposedly can lose weight by the way you breathe. Is there any evidence to show that the way you breathe has an effect on your weight? 9:50 - I was diagnosed with shingles at age 22, I haven't had an out break in 2 years. What are some ways I can help keep it that way? What causes out breaks? 12:12 - Is there a nutritional difference between cooked vs. uncooked food? Or the way our body absorbs it, etc? 13:02 - Are those dental X-rays safe for kids? They get more than 1x / year when being monitored for mouth expanders and braces. 14:36 - Any research/papers on whether or not cracking knuckles reduces grip strength with age? 15:53 - My Dr. told me that skipping the placebo week on The Pill (and starting the new pack) is bad because the body needs a chance to "clean itself out". Is this true? I'd heard in the past that it was safe. 17:25 - Although women of childbearing age who are expecting or attempting to become pregnant are often recommended to take prenatal vitamins, what does the evidence really say? 18:57 - What is your opinion on sharing clinical notes with patients? I know the studies say it improves patient satisfaction, but do you think it will actually improve patient outcomes? 21:52 - You've said that improving lab results isn't the same as improving health. What about the opposite? If my lipids and weight are perfect, can a bad diet give me heart disease? 24:43 - Do you have to be a doctor to lead medical research? Is there a shift toward nurses/nurse practitioners leading research? Was an RA and loved it but med school isn't for me. 26:28 - Are there any studies on the long-term (30+ years or more) side effects of statins? 26:49 - What areas of medical research do you believe don't get enough funding or attention? 27:45 - At what point during a diet cut does losing weight become detrimental to health? 28:11 - Do you believe we should invest in increasing the SOP of non-physician provides as a way to deal with physician shortage? 29:30 - I read somewhere that tube tying dangerous/causes symptoms resembling the menopause? What are some alternatives if I have hormonal problems and can't get an IUD?

Sept. 16, 2015 - LIVE by Healthcare Triage

Sep. 9, 2015 - LIVE by Healthcare Triage

We’re live! 1:14 - Could you guys cover some of the myths surrounding chiropractic 'benefits'? You've covered supplements a lot, and that's great, but I'd love to hear evidence for/against other commonly-touted "cures". 3:11 - Is there a significant risk of long-term damage from Raynaud's syndrome? 4:55 - I've had a lot of acne on my back and chest. Can you explain why some get acne and others don't? What sort of preventative measures could be taken to reduce the amount of acne I have? 7:05 - Your episode on artificial sweeteners reminded me of the demonization of MSG/Flavor enhancer 621. What does the research say about the health effects of frequent MSG consumption? 9:03 - Are there any health risks related to consuming moderate levels of diet soft drink beverages? I know aspartame doesn’t have long term effects on health but what about other ingredients in diet sodas. 12:38 - What is a good high fat substitute for whole milk for 1-2 year olds who are vegan or allergic to milk? 14:23 - In your opinion which country has the best healthcare system? 15:54 - What are the differences between a DO and an MD? Did you ever consider doing a DO instead? Is there any evidence for DO base practices? 18:48 - As a mildly underweight person trying to gain weight by eating more. Can eating too much be counter productive? Should I try eating as many calories as possible or focus on a bigger but balanced diet? 21:44 - Is there any credence to the claims that drinking alkaline or ionized water is better for you than tap? 22:38 - Why does my pediatrician insist on no egg whites for my 9-month-old? With studies proving allergen avoidance doesn't work, and an unremarkable family history, what's the point of avoiding egg whites? 24:39 - Is it harmful or beneficial to eat gold/silver leaf used in garnishing desserts? 25:26 - How bad is it to take expired medications? 25:37 - Why did you not talk about the antibiotics that go to livestock when talking about antibiotic resistance? 27:26 - What behaviors if any have been shown to reduce the risk of Alzheimer's? 27:56 - Is napping healthy? 28:16 - Depression and other mental disorders run in our family. What can be done to minimize the impacts of these disorders in children? 28:45 - Physicians I've talked to are strongly against using informatics tools in medicine such as decision support systems. Do you have insight into why they believe this and what do you believe about this? 29:55 - I've seen discussions about coritsol production during exercise. Is there a level of physical activity where there should be concerns about generating too much cortisol, thus stressing out the body? 32:03 - Byyyye

This is the audio version of the LIVE Show as found on youtube.com/healthcaretriage. Master question list: https://docs.google.com/document/d/1dk-KPVNfkzC1R4YDDF69Fn1Z4KcPxTl5Whis_VtNnDU Are red meats really more unhealthy than other meats? Why or why not? Are there studies that show negative effects of makeup on the skin eg. irritation, cancer etc.? Why does a broken bone still hurt even after it's set and immobilized? At what age should you worry about a baby/child's spine curvature(scoliosis) ? Does it correct itself from infant to toddler or toddler to adolescent? Are moderately or heavily processed vegetables (tomato juice or Harvest Snaps branded Snapea Crisps) an adequate source of daily vegetable intake or should they not be considered a (real) vegetable? Is there any evidence that different types of headphones/earbuds are better or worse for long-term hearing damage, or is volume the primary issue? What are some of the pro and cons of teaching toddlers sign language. my son is 27 months and still refuses to talk, only signs. Is it safe to eat slightly charred food? (I don't mean completely burned black, that's just unpalatable...) I've heard it could cause cancer. What percentage of women use birth control for noncontraceptive, medical reasons? I, personally, don't know anyone on the pill for contraception, so the debate about coverage of these medications really bothers me. Some of us actually do require these drugs to deal with medical issues. I eat significantly more than the daily recommended amounts of fruits and vegetables, but none is organic. Are there downsides to eating this many pesticides every day? What do studies show? I'm 28 and supper picky, No Italian and no seafood right off the bat and even beyond that I'm really picky about seasoning and like very few vegetables. How can the picky keep a balanced diet? Does vitamin D help with healing broken bones? I've read that OTC cough drops are only as effective as placebos (namely, hard candy). Is there any truth to that? Are there any health risks related to consuming moderate levels of diet soft drink beverages. I know aspartame doesn't have long term effects on health but what about other ingredients in diet sodas. I'm training for a triathlon but when I spend any useful amount of time on an exercise bike my penis falls asleep. Am I at risk of reduced sperm count/erectile dysfunction/anything falling off? A bunch of people I know (myself included) developed shingles in our 20s. Should those young people be concerned of their risk for shingles reoccurring moreso than older people who develop it? Could you say something about the importance of blood donations? I am doing a double red-cell donation today to the Red Cross. You said in your nutrition recommendation video that no guidelines are supported by RCTs. Why are RCT's difficult to do in nutrition? What do you think about the new American Psychological Association study saying video games cause violence in real life and do you think they cause violence? Thanks. Why do stomachs growl and should I go eat? I really like eating whole lemons. Is this bad to do 1-3 times a week if I brush my teeth immediately afterwards? Does it do bad things to parts of my body other than my teeth?

This is the audio version of the LIVE Show as found on youtube.com/healthcaretriage. Master question list: https://docs.google.com/document/d/1dk-KPVNfkzC1R4YDDF69Fn1Z4KcPxTl5Whis_VtNnDU 01:53 - 1. Previously you rejected quarterly testing (blood?) saying we don't have the context to make the results personally relevant. Wouldn't years of previous results give you the context you need? 4:00 - 2. I recently saw an article that robotic surgery has been connected to 144 deaths in the US since 2000 due to various "malfunctions". This equates

This is the audio version of the LIVE Show as found on youtube.com/healthcaretriage. Master question list: https://docs.google.com/document/d/1dk-KPVNfkzC1R4YDDF69Fn1Z4KcPxTl5Whis_VtNnDU TIMESTAMPS 00:08 - WE'RE LIVE! 01:25 - Are all infant formulas the same? Are the more expensive brands better or more nutritious than the store brands? 02:55 - What do you think on caloric restriction diets in humans. A paper was just released on a Low Protein High Carbohydrate diet the same benefits with less side effects. Are mice a good analog for humans? (Go watch our diet episode!) 05:09 - Does a higher protein diet increase the risk of kidney disease or damage? By "higher protein", I mean for a 160-180lb male, 120-180g of protein. 06:39 - Any Truth to: " high dose Vit C (over 1000mg) could cause miscarriage in early pregnancy (4-8 weeks)" (Go watch our episode on vitamins!) 08:14 - My brother rarely washes his hands after he uses the bathroom. It really grosses me out, but also makes me wonder - do we REALLY need to wash our hands EVERY time? Should I not worry about his habits? (Watch the entire month on parasites!) 09:44 - If I am aware of the placebo effect, does it still work? Example - If I take a drug thinking that it won't cure my headache because it only works as a placebo, will the drug be less effective? 10:49 - Is it safe to eat raw eggs? I've read that contrary to popular belief the risk of salmonella is actually really low nowadays. But is it low enough that it would be safe to eat regularly? 12:29 - do the potential benefits of coffee consumption apply to instant coffee consumption as well? (Check out our coffee episode for all of coffee's wonderful benefits) 14:24 - Some sources claim that sleeping on one's back provides more beneficial sleep, helps with waking up effectively, etc. Is there any good research on the health benefits of different sleeping positions? 15:44 - Is there any good evidence for massage therapy? Aside from it feeling nice. I'm considering it as a career option, but I'd have a hard time dedicating myself to something that isn't evidenced based. 17:04 - Is tonsillectomy an effective treatment for recurring tonsillitis? 18:19 - is there any research on the best way to clean minor cuts and scrapes such alcohol, peroxide, and betadin? 20:36 - Any research on teflon pans and their safety? Are there hazards when they are scratched? 21:26 - I eat a lot of peanut butter. About 2 kg/month. Is this amount of fat and peanuts bad for me? I'm a 29 year old male who is 180 cm and 89 kg 23:06 - As a pediatrician what are your views on sleep training babies? There is a ton of discussion about the proper age and technique. Any research behind the subject? Thanks. 24:31 - What does continuing education look like for healthcare providers? 25:31 - You should tell us about any health benefits of shaving vs. beard? 26:38 - Our day care has considered putting hand sanitizer outside of each classroom for parents to use before coming in. Have those been shown to impact disease transmission in practical applications? 28:23 - What advances are needed before you consider sequencing a patient's genome to be useful for primary care (if you don't think it useful already)? 29:37 - The end.

This is the audio version of the LIVE Show we host (almost) every Wednesday at 11:30a ET on youtube.com/healthcaretriage. You can directly support Healthcare Triage on Patreon: http://vid.io/xqXr If you can afford to pay a little every month, it really helps us to continue producing great content. When does a baby's eye color stop changing? Are plastics bad for you? These questions and more answered this week on Health Care Triage LIVE! Master question list: https://docs.google.com/document/d/1d... Visit our subreddit: http://www.reddit.com/r/HCTriage Support HCT at Patreon! http://www.patreon.com/healthcaretriage TIMESTAMPS 00:04 - WE'RE LIVE! 01:52 - 1.You said in your nutrition video that it better to eat 2 apples than to drink the same 27g (or whatever it was) of sugar in apple juice. Why? 27g of sugar is 27g of sugar. 03:40 - 2. Listerine. Wikipedia says 3/10 meta analyses found link to oral cancer. I'm a lazy brusher but doesn't mind using Listerine. Thoughts? 06:15 - 3. Is there any evidence that the body absorption rate for caffeine is higher when taken from a liquid like coffee or tea as compared to taken from a capsule or pill? 08:00 - 4. Is Rh factor and blood type linked at all? Or are these 2 completely different things? 09:05 - 5. Are devices that help babies to sit/stand before they are able to unassisted (bumbo, jumparoo, exersaucer) bad for development? 11:25 - 6. A French doctor told me that food allergies are very rare in France. He adds that it's possibly due to the very low amounts of GMO they eat there. Any research on that? 14:10 - 7. Would it be bad for non-smokers to use NRTs as psychostimulants? What are the risks? It seems like it can have some cognitive benefits, but I can't find any research on their use in non-smokers. 15:40 - 8. I have chronic yeast infections. I get one every month. Is it unsafe to take the over the counter anti-fungal medication for them every month? Home remedies have not worked. 16:42 - 9. What does the research show regarding the link between mood/mental health and gut bacteria? 18:43 - 10. With the Supreme Court's decision on allow same-sex couples to marry, lots of people have been posting misinfo of the effects of same-sex couples on kids. What does the science actually say about this? 21:03 - 11. At what age does a baby's eye color stay what it is? (ours is blue and I'm curious if they'll shift at 1 year or something as I've heard all kinds of stories). 21:48 - 12. Are sugar free gummy bears actually laxatives or is that just an internet joke? 23:18 - 13. What are your thoughts on statins and their use? Do you think they are overprescribed or as necessary as the health community purports them to be? 24:43 - 14. Are plastics bad for you? A lot of people refuse to eat out of plastic containers, especially after food has been reheated in the microwave. 25:38 - 15. Is hitting Snooze bad for my sleep habits? I struggle with waking up & want to be a morning person, but it's so nice to ignore the alarm for 5 minutes. Is this counterproductive to waking up early? 26:08 - 16. If teaching people about vaccinations makes them less likely to vaccinate, isn't the best thing for society to require everyone to be vaccinated? 27:18 - 17. Prisons are the biggest mental health providers in the US. Why do you think medical care, including psychotropic medication, doesn't usually play a bigger part in rehabilitation? 27:48 - 18. Does soy sauce affect hormones in any significant way? I love soy sauce 29:03 - 19. What's your method for selecting studies to cite in HCT? Do you ever feel like you'd like to do systematic reviews rather than narrative ones for the show? 30:30 - Byyyyyyye

This is the audio version of the LIVE Show we host every Wednesday at 11:30a ET on youtube.com/healthcaretriage.

This is the audio version of the LIVE Show we host every Wednesday at 11:30a ET on youtube.com/healthcaretriage.

The audio version of our LIVE Show as found on youtube.com/healthcaretriage.

This is the audio version of the LIVE Show we host every Wednesday at 11:30a ET on youtube.com/healthcaretriage.