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Questioning Medicine

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  • Resumen

  • Join Andrew on a medical rollercoaster as we ask a medical question and answer it based on recent published papers.

    Copyright 2024 Questioning Medicine
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Episodios
  • Episode 321: 320. What is the Association of Blood Lipids, Lipoproteins, and Apolipoproteins With Risk of Coronary Heart Disease
    Jul 19 2024

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11179824/


    This study did something smart in that they broke it down by white black Chinese and then also had 36 lab test they were looking at and they then found look for a black male this one particular blood test apo2 or whatever had better predictive value but that is cherry picking data with lots of data points and we don’t have risk calculators just for black or just for white or just for Chinese population.

    Blood test are hot things – we want to be able to drill down someone risk to a factions of a nats rear end but that just isn’t life—all the test and decision tools give us a rough estimate—the goal is to know are we looking at an 8% risk, an 18% risk or a 28% risk. It doesn’t really matter if it is 8.2 or 8.3 or 8.4

    Botoom line—I get it we want to do more and be more precise but by getting extra blood test we are also costing the system more money and more energy so until you give me a study that shows it better with then a usuable risk calculator for that particular lab I think the use of these extra lipid labs should stay on the shelf or in the research only setting.

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    9 m
  • Episode 320: 319. President Biden has COVID, Should the First Lady Take Paxlovid?
    Jul 18 2024

    https://www.nejm.org/doi/full/10.1056/NEJMoa2309002
    In this placebo-controlled trial, postexposure prophylaxis with nirmatrelvir–ritonavir for 5 or 10 days did not significantly reduce the risk of symptomatic SARS-CoV-2 infection.


    https://www.nejm.org/doi/full/10.1056/NEJMoa2309003

    https://www.nejm.org/doi/full/10.1056/NEJMoa2118542


    Pfizer has some serious problems! #pfizer

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    9 m
  • Episode 319: 318. Risk of Nonarteritic Anterior Ischemic Optic Neuropathy in Patients Prescribed Semaglutide
    Jul 17 2024
    Risk of Nonarteritic Anterior Ischemic Optic Neuropathy in Patients Prescribed Semaglutide


    this paper out in JAMA makes you think this is an issue but likely just too much noise with only 17 patietns and didnt control for confounders




    https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2820255

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    10 m

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