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Synopsis

Stay informed of the most relevant medical developments by subscribing to Clinical Conversations (http://podcasts.jwatch.org), from NEJM Journal Watch. This podcast features a round-up of the week's top medical stories, clinically-oriented interviews and listeners commentsin 30 minutes or less. Produced by the publishers of the New England Journal of Medicine, NEJM Journal Watch (jwatch.org) delivers independent, practical, and concise information you can trust.

Episodes

  • Podcast 274: Preliminary Thoughts on the 2021 ASCO Gastrointestinal Cancer Conference

    Podcast 274: Preliminary Thoughts on the 2021 ASCO Gastrointestinal Cancer Conference

    18/01/2021 Duration: 18min

    Apologies for the long silence. We have been off doing other things — one of which has been figuring out how to cover conferences. Last month, after much preparation, we covered the American Society of Hematology (ASH) annual conference; our second foray consists of brief coverage of the American Society of Clinical Oncology (ASCO) gastrointestinal […] The post Podcast 274: Preliminary Thoughts on the 2021 ASCO Gastrointestinal Cancer Conference first appeared on Clinical Conversations.

  • Podcast 273: The journals and the pandemic — NEJM

    Podcast 273: The journals and the pandemic — NEJM

    29/08/2020 Duration: 18min

    Eric Rubin is editor-in-chief of the New England Journal of Medicine. I asked him how COVID-19 has affected that journal, which has been around since the War of 1812 and seen its share of pandemics. Listen in — it’s the first in a planned series of interviews with the editors of the principal clinical journals. Running time: 19 minutes […]

  • Podcast 272: And now for something completely different… almost

    Podcast 272: And now for something completely different… almost

    08/08/2020 Duration: 09min

    [display_podcast} Dr. Paul Sax writes the closest thing that the NEJM Group has to humor. He’s serious, of course, since his blog “HIV and ID Observations” concerns all things infectious . But he sprinkles in the odd cartoon or links to … dog videos, fer cryin’ out loud. He scours the ID literature (and we must […]

  • Podcast 271: Checking back in with Florida — 4 months later

    Podcast 271: Checking back in with Florida — 4 months later

    05/08/2020 Duration: 16min

    Back in late March (people often tell me that, these days, 4 months ago might as well be 4 years ago) we talked with emergency physician Julian Flores, who was working out of Broward County. Covid-19 cases were modest in number but threatening to get worse, and indeed they did. The county’s cases jumped 100-fold, from […]

  • Podcast 270: Is healthcare privacy possible if “all data are health data”?

    Podcast 270: Is healthcare privacy possible if “all data are health data”?

    14/07/2020 Duration: 20min

    Don’t expect HIPAA regulations to protect your “digital health footprint” from prying eyes. Every time you swipe your card to buy goodies at the supermarket (are you risking diabetes with all that ice cream?), or binge-watch that kinky series (how’s your mental health these days, really?), or let your step-tracker show you’ve fallen off the pace […]

  • Podcast 269: The pandemic in Texas is like a “slow-rolling level 6 hurricane”

    Podcast 269: The pandemic in Texas is like a “slow-rolling level 6 hurricane”

    06/07/2020 Duration: 25min

    We interview Dr. Michael Gonzalez, a Houston-based emergency physician, who describes the situation there as “an ongoing, slow-rolling, level 6 hurricane that just isn’t gonna go away and, more importantly, isn’t gonna tell us when landfall is coming and when it’s gonna be over.” How are his patients reacting to this surge? What does he do […]

  • Podcast 268: Cannabis and road accidents — is there an association?

    Podcast 268: Cannabis and road accidents — is there an association?

    29/06/2020 Duration: 19min

    This time Dr. Ali Raja and Joe Elia talk with two authors of a study that found disparate effects on traffic deaths from the legalization of recreational cannabis. The two states under study, Colorado and Washington, were compared, not with each other, but with a composite of states that most closely resembled what Colorado and […]

  • Podcast 267: Acute kidney injury in COVID-19 — how one New York system dealt with it

    Podcast 267: Acute kidney injury in COVID-19 — how one New York system dealt with it

    19/05/2020 Duration: 21min

    The novel coronavirus obviously has devastating effects on the lungs, but other, less immediately visible attacks occur — notably to the kidneys. Dr. Steven Fishbane (a nephrologist) and his colleagues have just published their findings based on a survey of some 5500 patients with COVID-19 admitted to a metropolitan New York health system. Acute kidney injury […]

  • Podcast 266: Interferon and early treatment in COVID-19 bring good outcomes

    Podcast 266: Interferon and early treatment in COVID-19 bring good outcomes

    10/05/2020 Duration: 13min

    A combination of three antivirals — Kaletra (which is lopinavir plus ritonavir) and ribavirin — when given early and with interferon significantly reduces viral shedding, disease symptoms, and hospital stay in  patients with COVID-19 when compared with a control regimen of Kaletra alone. The drugs are active against other coronaviruses, but the key factors seem […]

  • Podcast 265: COVID-19 in skilled nursing facilities

    Podcast 265: COVID-19 in skilled nursing facilities

    01/05/2020 Duration: 16min

    We (Dr. Danielle Bowen Scheurer and Joe Elia) talk with Dr. John Jernigan of the CDC COVID-19 Investigation Team, which recently published its findings on the spread of COVID-19 in a Seattle-area skilled nursing facility. Most intriguingly, over half the patients who tested positive were asymptomatic at the time of their first testing, and a few […]

  • Podcast 264: Is COVID-19 pushing MIs out of emergency departments?

    Podcast 264: Is COVID-19 pushing MIs out of emergency departments?

    20/04/2020 Duration: 14min

    Cardiovascular consults are way down. Is the threat of COVID-19 infection scaring people away from EDs? We caught up with Dr. Comilla Sasson, the American Heart Association’s VP for science and innovation. She’s an emergency physician who teaches at the University of Colorado. She’d traveled to New York City to “help with the response,” and she […]

  • Podcast 263: Checking in with Connecticut and Michigan on medicine after COVID-19

    Podcast 263: Checking in with Connecticut and Michigan on medicine after COVID-19

    15/04/2020 Duration: 20min

    This week’s guests, Dr. Andre Sofair and Dr. William (“Rusty”) Chavey are physician-editors on the daily clinical news alert called Physician’s First Watch. I went back through the recent issues and found this January 10 entry, which began “The CDC is requesting that clinicians ask their patients with severe respiratory disease about any travel to Wuhan […]

  • Podcast 257: Here comes the summer after COVID-19

    Podcast 257: Here comes the summer after COVID-19

    06/04/2020 Duration: 17min

    Four weeks ago — in early March — I interviewed Dr. Renee Salas about climate change and clinical medicine. Back in those halcyon days, COVID-19 was very much a gathering storm, but it had not yet slammed into the United States. Here we are, over 10,000 U.S. deaths later in early April, not having heard of much […]

  • Podcast 262: COVID-19’s larger lessons

    Podcast 262: COVID-19’s larger lessons

    01/04/2020 Duration: 12min

    We talk with Colleen Farrell who’s doing her third year of an internal medicine residency in New York City. Fortunately, we caught her during a one-week vacation (she was supposed to be taking two), and she chatted with us about how she and her colleagues are coping. We asked her what she thought COVID-19’s larger lessons would […]

  • Podcast 261: COVID-19 as a medical disaster

    Podcast 261: COVID-19 as a medical disaster

    29/03/2020 Duration: 18min

    San Diego County has Dr. Kristi Koenig as medical director of its emergency medical services. That’s fortunate for the county, because she’s co-edited a definitive textbook, “Koenig and Schultz’s Disaster Medicine: Comprehensive principles and practices.” We’re fortunate to have her as our guest. She’s full of sound advice on organizing a community’s response (for example, setting […]

  • Podcast 260: Interview with a Broward County, Florida, emergency room physician

    Podcast 260: Interview with a Broward County, Florida, emergency room physician

    27/03/2020 Duration: 13min

    This time we talk with Dr. Julian Flores, who works in a Broward County, Florida, emergency room. When he was interviewed, the count of Covid-19 cases stood at 412, less than 12 hours later, the new number was 505, as of this posting — on Friday near noon Eastern — it’s at 614. Flores is expecting […]

  • Podcast 259: A first-year resident tells us what he sees in the Covid-19 pandemic

    Podcast 259: A first-year resident tells us what he sees in the Covid-19 pandemic

    25/03/2020 Duration: 12min

    Dr. Matt Young is a first-year resident in obstetrics and gynecology in suburban Delaware. Between the day I invited him to be interviewed and the interview itself (a 36-hour span) things had changed a lot for him. Anxiety levels are up among his colleagues, and everyone in his hospital must wear a mask all the time. […]

  • Podcast 258 — One clinician’s experience of the early days of the COVID-19 epidemic in the U.S.

    Podcast 258 — One clinician’s experience of the early days of the COVID-19 epidemic in the U.S.

    19/03/2020 Duration: 18min

    We talk with Susan Sadoughi, an internist at Brigham & Women’s Hospital in Boston, about how quickly things have changed over the past week. Last week, I introduced the Fauci interview by saying that I’d heard a clinician complain that she’d spent half her time answering questions about COVID-19. This week, she’s our guest, and she’s […]

  • Podcast 256 — Anthony Fauci: Talking with patients about COVID-19

    Podcast 256 — Anthony Fauci: Talking with patients about COVID-19

    10/03/2020 Duration: 13min

    We have Dr. Anthony Fauci of NIAID to talk with us about COVID-19, the disease caused by the 2019 novel coronavirus (also known as SARS-CoV-2). He’s full of sound advice in the midst of a rapidly changing epidemic. We wanted to know, How do you talk with patients about this rapidly spreading infection? How do you […]

  • Podcast 255: Salt talks — transcript included

    Podcast 255: Salt talks — transcript included

    06/03/2020 Duration: 28min

    Here we have an interview with Prof. Feng He, whose English is much better than my Mandarin. Thus, I’ve attached a transcript to make her ideas on salt intake (no level is too low) and blood pressure (there’s a dose-response relation with salt) more immediately available than it might be to your ears alone. She’s coauthor […]

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