Podcast

2 Docs Talk: The podcast about healthcare, the science of medicine and everything in between.

Welcome to 2 Docs Talk. Join cohosts Kendall Britt, MD and Amy Rogers, MD for a 15 minute check-up on current issues in health, healthcare policy, and evidence- based medicine.

Episodes

  • Episode 125: Kratomic Explosion

    Nov 06 2018

    Kratom doesn't sound like your typical herbal supplement, but it does come with all the issues common to the supplement industry. Namely, it hasn't withstood the test of clinical trials to demonstrate safety and efficacy.  And that causes problems.  Problems like not knowing how much of the ingredient is in the supplement, or how much of other ingredients for that matter. Or wht kind of side effects might be evident if it were subjected to randomized placebo-controlled trials.  But another pro...more

  • Episode 124: Treating Opioid Addiction

    Oct 30 2018

    With our apologies to and appreciation of Frances McDormand. The opioid crisis is showing no signs of tapering off any time soon, so today, 2 Docs Talk about the cornerstone of opioid addiction treatment - medication assisted therapy or MAT. We also (because we can't resist) talk about the irony of the very company who triggered the epidemic with their deceitful marketing practices now profiting from selling the treatment for that very problem. Resources: Previously, we disucssed the opioid ...more

  • Episode 123: Fall 2018 Updates

    Oct 23 2018

    After a hiatus that lasted much longer than planned, we are back with our fall 2018 season of 2 Docs Talk, with look back on previous topic and an update on what's been going on since we first discussed them. We'll talk about the following episodes: Hormone Supplementation and Menopause Right to Try Legislation The Flu, the Flu Shot and the Future Cervical Cancer and the HPV Vaccine Medicaid Expansion The Mumps   Other resources for this episode can be found here: JAMA article on racial dif...more

  • Episode 122: Does everyone get healthcare in the U.S. when they really need it? (Rebroadcast)

    Mar 19 2018

    If you've had many conversations about healthcare reform, it is likely you've heard some variation on this theme:  "Hospitals have to provide care for people who show up. So everyone can get healthcare when they need it. So when people say that can't get healthcare, that isn't true." Is there any merit to that argument? Spoiler: NO. But if you want to hear more about where that idea comes from, take a listen.  Resources: https://www.cms.gov/Regulations-and-Guidance/Legislation/EMTALA/ http://...more

  • Episode 121: Is There a Bright Side to SSRIs?

    Mar 12 2018

    If you aren't taking an SSRI yourself, there it's almost certain you know someone who does. Selective Serotoning Reuptake Inhibitors are one of the most commonly prescribed classes of drugs out there. Is their widespread use earned on the basis of good evidence? It's not clear - let's take a look. References: Genetic and clinical predictors of sexual dysfunction in citalopram-treated depressed patients. Perlis RH, Laje G, Smoller JW, Fava M, Rush AJ, McMahon FJ Neuropsychopharmacology. 2009;34(...more

  • Episode 120: Who do Right to Try Laws Really Help?

    Mar 05 2018

    Right to Try laws have come about as a response to cumbersome paperwork required to access the FDA's compassionate use program. However, the FDA has lessened the paperwork required for terminally ill patients to access investigational drugs.  So is Right to Try a meaningful movement, or is it simply one piece of an overaraching ideology. Today, 2 Docs Talk about Right to Try laws and who they help. Be sure and subscribe in iTunes or Stitcher if you haven’t already.  And you know we’d appreciate ...more

  • Episode 119: Is Alchohol Good for Your Health

    Feb 26 2018

    For decades, much has been made of the healthvbenefits of drinking alcohol. And those benefits are real. But, what exactly are the benefits, and how do they stack up against the risks associated with alcohol?  Today, 2 Docs Talk about the ways alcohol and help and harm your health, and we offer some of our opinions, too.  Resources: https://www.hsph.harvard.edu/nutritionsource/alcohol-full-story/ https://www.cdc.gov/features/costsofdrinking/index.html https://pubs.niaaa.nih.gov/publications/dsmf...more

  • Episode 118: Scratching the Surface of Varicella

    Feb 19 2018

    If you are of a certain age, you remember a time when pretty much every kid got chicken pox. But those days are behind us as most of our children are vaccinated agains varicella, the virus that causes chicken pox. But for us old folks, shingles is the still around to remind of the old days when we still got chicken pox.  Today 2 docs talk about the effect of the varicella vaccine, the problem with shingles, and what you can do about it.   Be sure and subscribe in iTunes or Stitcher if you haven’...more

  • Episode 117: Glioblastoma Multiforme - What would Jimmy V Do?

    Feb 12 2018

    Senator McCain has a malignant brain tumor called a Glioblastoma Multiforme, orglioblastoma or GBM for short. He’s not the first person politically connected to get one of these things. I think this is what Senator Ted Kennedy had back in 2008 and also Beau Biden, Joe Biden’s son died of a glioblastoma. Glioblastomas are one of a class of brain tumors called Gliomas. Gliomas can be low grade which are considered pre-malginant or pre-cancerous or they can be high grade malignancies such as GBMs. ...more

  • Episode 116: The Where, What and Why of Exercise

    Feb 05 2018

    We all know that exercise is beneficial for our health. But how much  - how long - what type? Understanding what offers the best outcomes is tricky because it's difficult to conduct rigorous research with long term endpoints such as reduction of disease and death.  Today 2 Docs Talk about some interesting studies on exercise and what they reveal about the benefits of physical activity.  Resources: https://www.ncbi.nlm.nih.gov/pubmed/25844730 https://www.ncbi.nlm.nih.gov/pubmed/25844882 https://...more

  • Episode 115: Pressure to Treat Hypertension

    Jan 29 2018

    The normally staid world of hypertension was a bit controversial in 2017, so this week 2 Docs Talk about the recent recommendations — and their accompanying controversies — for treating high blood pressure.  Resources: Systolic Hypertension in the Elderly (SHEP) Study Action to Control Cardiovascular Risk in Diabetes (ACCORD) blood pressure trial. Systolic Blood Pressure Intervention Trial (SPRINT) JNC 8 blood pressure treatment guidelines

  • Episode 114: Supplemental Ethics?

    Jan 22 2018

    Does your doctor sell dietary supplements? Have you considered the ethics of such an arrangement? The American Medical Association has, and they think it's a bad idea. 2 Docs Talk about the ethics of physicians profiting from supplement sales. Resources: About DSHEA 1994 ER visits due to supplements Study showing supplement reduces LDL AMA Ethics Statements on Supplement Sales Pharmceutical marketing and prescribing habits  

  • Episode 113: Influenza 2017-18 Update

    Jan 15 2018

    This has been a particularly bad year for the flu. More people are getting sicker than in most years. And the vaccine is not working well.  In this episode, 2 Docs Talk about why the influenza virus circulating this year is causing so many problems. Beware there is a little bit of basic science involved. But not too much. Resources:  Our information is from the Centers for Disease Control: https://www.cdc.gov/flu/about/season/current.htm Be sure and subscribe in iTunes or Stitcher if you haven’t...more

  • Episode 112: Drug Pricing (Rebroadcast)

    Jan 08 2018

    If you’ve paid any attention to the news over the past year or so, you’ve likely seen stories of greedy capitalists gouging the vulnerable by hiking up the prices of their life-saving drugs. But are the prices hikes all that bad? Yes. Yes, they are. And we talk about that to day on 2 Docs Talk. Resources: JAMA on Drug Pricing Our episode on Hep C Our episode on Alzheimers Our episode on Pricing Transparency Be sure and subscribe in iTunes or Stitcher if you haven’t already.  And you know we’d ...more

  • Episode 111: Drug Pricing (Rebroadcast)

    Jan 01 2018

    If you’ve paid any attention to the news over the past year or so, you’ve likely seen stories of greedy capitalists gouging the vulnerable by hiking up the prices of their life-saving drugs. But are the prices hikes all that bad? Yes. Yes, they are. And we talk about that to day on 2 Docs Talk. Resources: JAMA on Drug Pricing Our episode on Hep C Our episode on Alzheimers Our episode on Pricing Transparency Be sure and subscribe in iTunes or Stitcher if you haven’t already.  And you know we’d ...more

  • Episode 110: The Prostate (Rebroadcast)

    Dec 25 2017

    You’d think that something like screening for prostate cancer would be free of controversy, but that just isn’t the case. The benefits and risks of screening have been hotly debated by different medical organizations over the years. Today, 2 Docs Talk about how prostate screening and the various issues surrounding it. This is a topic every man should discuss with his physicians, and we hope this hepls you know what questions to ask when you do. Resources: Weiner AB, Matulewicz RS, Eggener SE, Sc...more

  • Episode 109: Healthcare Pricing Transparency (Rebroadcast)

    Dec 18 2017

    If you’ve ever tried to figure out the price of a medical procedure, you know it’s not that easy. In fact, research shows that complete pricing for medical procedures is unavailable when requested over one-third of the time. As healthcare deductibles rise and indidviduals are affected more and directly by these costs, the issue of pricing transparency is growing. In this episode we talk about the problem posed by opaque medical pricing practices. We also dig into two innovative practice models t...more

  • Episode 108: Vaccines (Rebroadcast)

    Dec 11 2017

    Vaccines are both one of the most widely used and most widely misunderstood preventive medical treatments available. People have concerns about autism, efficacy, the promotion of unhealthy behaviors. We dig into the evidence on some of those topics, as well as take a look at the effectiveness of vaccines against some of the scariest disease of our time – including cancer.   NEJM study on vaccines and autism Lancet study on vaccines and autism Adverse Effects of Vaccines: Evidence and Causality...more

  • Episode 107: Testosterone Trending (Rebroadcast)

    Nov 27 2017

    All you have to do is take a quick drive around town to see that low testosterone clinics are all the rage. A little math will tell you why. Males make up around 50 percent of the population, and their testosterone declines, naturally, at a rate of 1 percent per year after age 30. If that decline merits treatment, it’s no wonder those clinics are everywhere. But, does it merit treatment? Is testosterone replacement safe? Is it even effective? We dig into those questions on this episode of 2 Docs...more

  • Episode 106: Longevity (Rebroadcast)

    Nov 20 2017

    In healthcare, the holy graille seems to be longevity. We look at whether a treatment increases lifespan and use that as a barometer for it's value.  But should that be the yardstick we use? Or would we be better off with a more subjective measure of improving quality of life, even if that means sacrificing some of the quantity. Today, 2 Docs Talk about this question propose some things to consider as you consider your approach to aging and healthcare.   Resources: Colonoscopy study in the Annal...more

  • Episode 105: Are GMO's or Frankenfood? (Rebroadcast)

    Nov 13 2017

    One of the latest technological advances in food production is the introduction of GMOs, or genetically modified organisms, to the food supply. They have the potential to offer many benefits including increased productivity, pest and herbicide resistance, longer shelf life, and the list goes on. But many are concerned that this relatively new technology isn’t safe – for health, the environment or the economy. We dig into the evidence surrounding GMOs in this episode. We might even share an opini...more

  • Episode 104: What to do About Chronic Back Pain (Rebroadcast)

    Nov 06 2017

    Back pain is second only to cancer as a cause of long term disability. This health problem is damaging to individuals and costly to society. And we don’t have much in our arsenal that is effective at treating it. This week, we discuss the difference between acute and chronic back pain with regard to treatment and outcomes. We also discuss the role of surgery, medications, alternative therapies, and some interesting new research on what helps resolve chronic back pain. Resources: Research on effi...more

  • Episode 103: Screening Mammography (Rebroadcast)

    Oct 30 2017

    Screening mammography is widely used throughout the U.S. and is thought of as a great success in the prevention of breast cancer deaths. But what does the evidence say? Are we getting what we are paying for with mammography, or simply shouldering the extra cost of false positives and overdiagnosis? We examine these issues and more on this episode of 2 Docs Talk. References: What does the U.S. Preventive Services Task Force (USPSTF) do? USPSTF current (2009) breast cancer screening recs  USPSTF p...more

  • Episode 102: Physician Burnout (Rebroadcast)

    Oct 23 2017

    Physician burnout is a big issue in the medical community. According the the Medscape Lifestyle Report 2017, over half of physicians report burnout. But physician burnout isn’t just a problem for physicians. It is a problem for patients, for other medical staff, and for the health care economy. Today we dig into the causes of physician burnout and how it can be addressed. Here’s a hint: It doesn’t involve meditation or counseling. Resources: Medscape Lifestyle Report 2017 2 Docs Talk About Pri...more

  • Episode 101: Direct to Consumer Marketing (Rebroadcast)

    Oct 16 2017

    If you watch any tv at all, it’s likely you’ve seen a drug ad. These ads generally show seemingly healthy people living normal lives, the message being the drug did this for them. But are the drug ads telling the whole story? And should they even be advertising directly to consumers to begin with? We discuss this issue on today’s episode.   Resources: Nivolumab Research from New England Journal of Medicine What the FDA has to say about drug ads Be sure and subscribe in iTunes or Stitcher if you...more

  • Episode 100: Depression and Suicide (Rebroadcast)

    Oct 09 2017

    With the recent release of the Netflix series, 13 Reasons Why, depression and suicide have been getting a lot of press time. In this episode, we talk about depression, what it is, how it is treated and what’s on the horizon for this far too common disorder. We also talk a bit about the Netflix series and the problem of suicide. Take a listen and see what you think. If you think you may be depressed please seek help from a trusted healthcare provider. And if you are contemplating suicide, there i...more

  • Episode 99: Cervical Cancer and the HPV Vaccine

    Oct 02 2017

    Historically, cervical cancer has been one of the major killers of young women. But since the advent of the pap smear, death from the disease has dropped dramatically. However, treatment of lesions identified on pap smear can lead to significant issues including infertility. And in other parts of the world where screenign is not easily accessed, cervical cancer remains a significant cause of death for women in the prime of life. As with any disease, prevention is better than treatment, and this ...more

  • Episode 98: Medical Errors (Rebroadcast)

    Sep 25 2017

    A BMJ report earlier this year declared that 1 in 3 hospital deaths were the result of medical errors. A flurry of headlines about the dangers of hospitals soon followed. Just what is a medical error? What are the dangers of being in a hospital? And what can we do about it? We talk about these questions in today's episode.  Resources: BMJ on medical error KATZ scale To Err is Human: Building a Safer Health System Hospital at Home Be sure and subscribe in iTunes or Stitcher if you haven’t alrea...more

  • Episode 97: The Flu, the Flu Shot, and the Future

    Sep 18 2017

    Thousands of people die each year from influenza. The CDC recommends that almost all people (with a few rare exceptions) receive the flu vaccine every year. But the disease and the vaccine are poorly understood. In this episode, we discuss the flu, its treatment and its prevention. Resources: Influenza vaccine effectiveness in preventing outpatient, inpatient, and severe cases of laboratory-confirmed influenza Oseltamivir treatment for influenza in adults: a meta-analysis of randomised controll...more

  • Episode 96: Hospice Care (Rebroadcast)

    Sep 11 2017

    Kendall and Amy are in agreement that hospice care is an important, compassionate aspect of healthcare that humanizes what can be a very clinical, impersonal process. We've both experience with hospice - personally and professionally.  Sadly, like most aspects of healthcare, the potential for profit has introduced some ugly practices into what should be focused solely on the needs of dying patients and their families. Today, Kendall and Amy talk about the good and the bad of hospice as it exists...more

  • Episode 95: Are We Overscreening for Thyroid Disease

    Sep 04 2017

    Most people probably know someone who has had thyroid disease of some sort, most commonly hypothyroidism - the term low thyroid hormone. But there has been a significant rise in diagnosed thyroid disease in the past couple of decades due to screening. These diagnoses include problems with thyroid hormone as well as thyroid cancers. It's easy to get excited about diagnosing more disease - you catch it earlier and help people prevent the consequences of the disease. Or do you? Today we are going t...more

  • Episode 94: Medicaid, Medicaid Expansion and the Uninsured

    Aug 28 2017

    Medicaid is the subject of a lot of talk in today's political environment. Sadly much of what is said isn't based in fact, or it focuses on parts of the program that represent a tiny portion of its cost.  Today, 2 Docs Talk about Medicaid, who it serves, and how it was affected (or, rather, supposed to be affected) by the Affordable Care Act.

  • Episode 93: Ovarian Cysts

    Aug 21 2017

  • Episode 92: End Stage Renal Disease

    Aug 14 2017

    End stage renal disease, ESRD, is a growing problem in the U.S. When Medicare began covering renal dialysis, there were on 16,000 patient who required that type of care. Today that number exceeds 650,000 and continues to grow. Today, 2 Docs Talk about what causes end stage renal disease, how can it be treated, and, most importantly, how can it be prevented.    Be sure and subscribe in iTunes or Stitcher if you haven’t already.  And you know we’d appreciate it so much if you would tell your frien...more

  • Episode 91: EMTALA

    Aug 07 2017

    If you've had many conversations about healthcare reform, it is likely you've heard some variation on this theme:  "Hospitals have to provide care for people who show up. So everyone can get healthcare when they need it. So when people say that can't get healthcare, that isn't true." Is there any merit to that argument? Spoiler: NO. But if you want to hear more about where that idea comes from, take a listen.  Resources: https://www.cms.gov/Regulations-and-Guidance/Legislation/EMTALA/ http://...more

  • Episode 90: Cervical Cancer Screening

    Jul 31 2017

    The pap smear has been one of the greatest public health wins of the past century. Deaths from cervical cancer in the U.S. have dropped from 37.5 per 100,000 women to 7.5 per 100,000 women as a result of the simple screening test. But with our increasing understanding of the role of human papillomavirus (HPV) in the development of cervical cancer, the pap test may end up being pushed aside by HPV screening. Today, 2 Docs Talk about Pap smears, HPV screening, the current recommendations for cervi...more

  • Episode 89: The Ethics of New Drug Approvals (Rebroadcast)

    Jul 24 2017

    The process of drug approval is long and expensive. To complicate matters, pharmaceutical companies, patients, an the FDA are all invested in the process, for different reasons – and they aren’t always the same. Today we discuss the story of how a new drug came to market and the unusual circumstances around its approval.  Resources: FDA grants accelerated approval to first drug for Duchenne muscular dystrophy CDC on Duchenne Muscular Dystrophy Right to Try Compassionate Use Be sure and subscri...more

  • Episode 88: The Past, Present and Future (we hope) of Contraception (Rebroadcast)

    Jul 17 2017

    If there is a hot button issue in politics these days, it's abortion. But abortion is the result of a long line of issues that are being inadequately addressed in this country. Today we take a look at contraception - what it is, how it works, its history and its future.  We also offer a look at an innovative program that has the potential to help both pro-choice and pro-life groups happy.    Resources: Details on various types of birth control The Choice Project Use of LARCs in Colorado Slang f...more

  • Episode 87: Gun Violence is a Public Health Issue (Rebroadcast)

    Jul 10 2017

    As we enter primary season for this election year, gun violence and control is a hot topic. However, much of the discussion lives in one of two extremes, and little of it is based on actual evidence.  With over 30,000 gun deaths each year, and over 20,000 of those death from suicide, the reality is that gun violence is a public health issue. This means we need to treat this issue from the point of view of the medical evidence.  Today we look at the scope of the problem, what has and hasn't worke...more

  • Episode 86: Concussions (Rebroadcast)

    Jul 03 2017

    Concussions are not uncommon in contact sports such as football, soccer and basketball.  But we aren't trying to scare or shock anyone. On today's podcast we'd like to educate and inform so that parents and players can make decisions that aren't based on fear and misinformation. We'll cover concussions return-to-play policies second impact syndrome post-concussive syndrome chronic traumatic encephalopathy Take a listen and let us know what you think. Article referenced in podcast: McKinney IS...more

  • Episode 85: Medical Marijuana (Rebroadcast)

    Jun 26 2017

    As the the political winds shift in favor of legalizing medical marijuana, it's important to consider the evidence that supports it.  But the 23 states that have legalized it and the FDA don't agree on when marijuana helps and when it doesn't. In this episode, we take a look at the evidence supporting the move toward legalizing the use of marijuana and cannabinoids for medical purposes.   References from the show: Cannabinoids for Medical Use: A Systematic Review and Meta-Analysis

  • Episode 84: Choosing Wisely (Rebroadcast)

    Jun 19 2017

    We’ve got a lot of questions marks ahead of us this year when it comes to healthcare. What will happen with the Affordable Care Act, Medicare, Medicaid, Planned Parenthood, etc. etc. The future of healthcare under the new administration is a big unknown. But one thing we do know - healthcare costs far too much. One of the key contributors to these costs is the over $200 billion per year in unnecessary medical care.  In today's episode, we dig in to the reasons for these costs, and more important...more

  • Episode 83: Parkinson Disease

    Jun 12 2017

    Parkinson Disease is the second most common neurodegenerative disease in the U.S. and it appears to be increasing in prevalence. So what is Parkinson Disease, what causes it and what can we do about it? 2 Docs Talk about it today. Resources: JAMA Neurology Increasing Incidence of Parkinson Disease Metformin and Parkinson Disease Braak Hypothesis Be sure and subscribe in iTunes or Stitcher if you haven’t already.  And you know we’d appreciate it so much if you would tell your friends about 2 Doc...more

  • Episode 82: Headline Round Up

    Jun 05 2017

    Sometimes there are news items that just need to be discussed, but they don't really generate enough material for a podcast of their own. Today we are talking about those headlines. Resources: Stroke Study: Diet Soda, Stroke, and Dementia Association of Hormonal Contraception with Depression Tom Price on Preventive Services Mandate New York Times on the Contraception Mandate CNN Report on Minnesota Measles Outbreak Stat Review of Vaxxed California Immunization Rates After SB277 Handgun Ac...more

  • Episode 81: Lyme Disease

    May 29 2017

    Lyme Disease has been a known tickborne infectious disease since the early 80s. Treatment for Lyme Disease is surprisingly straightforward, but you would never guess that from the controversy surrouding the infection. Part of the problem stems from "Chronic Lyme Disease," which is now more appropriately knwon as Post-Treatment Lyme Disease Syndrome, to indicate that the infection is no longer present in these patients. There is some explanation for their symtoms other than persisttent bacteremia...more

  • Episode 80: Depression

    May 22 2017

    With the recent release of the Netflix series, 13 Reasons Why, depression and suicide have been getting a lot of press time. In this episode, we talk about depression, what it is, how it is treated and what's on the horizon for this far too common disorder.  We also talk a bit about the Netflix series and the problem of suicide. Take a listen and see what you think. If you think you may be depressed please seek help from a trusted healthcare provider. And if you are contemplating suicide, there ...more

  • Episode 79: The Mumps

    May 15 2017

    So spring breakers on South Padre Island in Texas are coming down with the mumps. Since the MMR (measles, mumps, rubella) vaccine was introduced in 1967, we've stopped expecting these outbreaks.  But recent increases in those who choose to have their children forego vaccines has led to a loss of herd immunity and an increase in these outbreaks. To further complicate the issue, it seems that immunity wanes with time, which is why many college students (hello spring break!) find themselves falling...more

  • Episode 78: What Evidence Can You Trust?

    May 08 2017

    If you've ever felt like you had a handle on the evidence about a certain medical topic only to read a headline telling you science now says the opposite, you aren't alone.  But science isn't about headlines. It's about evaluating the evidence to decide what's real, and it doesn't always conform to what we want. But that doesn't stop the media, (and maybe some journals), from selectively reporting the research that will generate the most buzz. Today we talk about this issue and ideas that are be...more

  • Episode 77: USPSTF Evidence

    May 01 2017

    Each year, under Obamacare rules, the USPSTF is required to issue a report on evidence gaps. These are areas of preventive medicine that they decide we are lacking sufficient evidence to determine if the harms outweight the risk. This week, we take a look at the primary areas of evidence shortfall. If you are wondering about a screening test, take a listen to see if it made the list.   Resources: Sixth Annual Report to Congress on High Priority Evidence Gaps 2 Docs Talk about Smoking Cessatio...more

  • Episode 76: Do You Want a Long Lifespan? Or a Long Healthspan?

    Apr 24 2017

    In healthcare, the holy graille seems to be longevity. We look at whether a treatment increases lifespan and use that as a barometer for it's value.  But should that be the yardstick we use? Or would we be better off with a more subjective measure of improving quality of life, even if that means sacrificing some of the quantity. Today, 2 Docs Talk about this question propose some things to consider as you consider your approach to aging and healthcare.   Resources: Colonoscopy study in the Annal...more

  • Episode 75: Are We Overscreening for Thyroid Disease

    Apr 17 2017

    Most people probably know someone who has had thyroid disease of some sort, most commonly hypothyroidism - the term low thyroid hormone. But there has been a significant rise in diagnosed thyroid disease in the past couple of decades due to screening. These diagnoses include problems with thyroid hormone as well as thyroid cancers. It's easy to get excited about diagnosing more disease - you catch it earlier and help people prevent the consequences of the disease. Or do you? Today we are going t...more

  • Episode 74: The Evidence on GERD

    Apr 10 2017

    GERD or gastroesophageal reflux disease is the very common disorder where acid backs up from the stomach into the esophagus. It results in that all too common problem we call heartburn, along with a slew of other symptoms. Today we take a look at GERD, the commonly recommended remedies, and the one thing the evidence shows really works to get rid of the burn. Resources Risk of dementia in elderly patients with the use of proton pump inhibitors. Association of Proton Pump Inhibitors With Risk of ...more

  • Episode 73: Hospice

    Apr 03 2017

    Kendall and Amy are in agreement that hospice care is an important, compassionate aspect of healthcare that humanizes what can be a very clinical, impersonal process. We've both experience with hospice - personally and professionally.  Sadly, like most aspects of healthcare, the potential for profit has introduced some ugly practices into what should be focused solely on the needs of dying patients and their families. Today, Kendall and Amy talk about the good and the bad of hospice as it exists...more

  • Episode 72: Death Panels

    Mar 27 2017

    Ever since Sarah Palin famously accused Obamacare of promoting death panels, the idea remains a fixture for some politicians to fall back on to impugn the healhcare law.  But were death panels ever a part of the original healthcare law? And more importantly, how should patients and their physicians be approaching the topic of death, if at all? Be sure and subscribe in iTunes or Stitcher if you haven’t already.  And you know we’d appreciate it so much if you would tell your friends about 2 Docs T...more

  • Episode 71: Our Thoughts on Trumpcare, Part 2

    Mar 20 2017

    In this follow up episode to last week, we dig in to how the American Healthcare Act, aka Trumpcare, will affect Medicaid, and who will benefit from all the tax breaks.  We recorded this episode before the Congressional Budget Office came out with their evaluation of the plan. We weren't too far off, if anything we may have been generous with Trumpcare. We've linked the CBO report in the resources below in case you want to check it out for yourself. Also, I mistakenly credited the Vox article t...more

  • Episode 70: Our Thoughts on Trumpcare, Part 1

    Mar 13 2017

    UPDATE: Since the episode aired (like the very next day) the Congressional Budget Office came out with their assessment of the American Healthcare Act. It was not positive. Stay tuned to the second part of this episode coming out on Monday, March 20, where we will discuss what they had to say. _________________ Over the past week, we've finally gotten to take a look at the elusive Republican healthcare plan, the proposed replacement for Obamacare. In this episode we talk about the faults oppon...more

  • Episode 69: Hepatitis C (Rebroadcast)

    Mar 06 2017

    Hepatitis C infection is on the rise in recent years. The growing opioid epidemic has multiplied the problem, as the primary means of spread is IV drug use.  Surprisingly only 35 percent of those infected received treatment even though excellent treatment available is for this devastating disease. Not surprisingly, drug costs are a major factor in this issue. Join us as we discuss the issue of Hep C and what can be done about it. Resources: American Journal of Managed Care Special Issue on Hepa...more

  • Episode 68: Pediculosis Rebroadcast

    Feb 27 2017

      Lice are an issue that many parents of elementary students have to deal with, often more than once. In this episode we discuss the three different types of lice - body lice, pubic lice, and head lice - how to get them, the health threats associated with them, and what works to get rid of them.  Resources: The CDC on head lice treatment An Interesting Paper if You Want to Get Totally Geeky on Lice Dr. Pearlman's Site on the Cetaphil Treatment and Lice   Be sure and subscribe in iTunes or Stitc...more

  • Episode 67: The 3 Main Reasons for Physician Burnout

    Feb 20 2017

    Physician burnout is a big issue in the medical community. According the the Medscape Lifestyle Report 2017, over half of physicians report burnout. But physician burnout isn't just a problem for physicians. It is a problem for patients, for other medical staff, and for the health care economy.  Today we dig into the causes of physician burnout and how it can be addressed. Here's a hint: It doesn't involve meditation or counseling. Resources: Medscape Lifestyle Report 2017 2 Docs Talk About Pr...more

  • Episode 66: What's New With Diabetes

    Feb 13 2017

    Diabetes is an old disease that hasn't had a many new solutions in a long time. In this episode we look at what Type 1 and Type 2 diabetes are, how they are treated, and some potential game changers for their treatment on the horizon. Resources: Diabetes Stats The exorbitant cost of diabetes ACP Guidelines for Treatment of Type 2 Diabetes Digital Start-up Trying to Help Low Income Diabetes Patients Research into the Utility of the BCG Vaccine for the Treatment of Diabetes   Be sure and subsc...more

  • Episode 65: Cervical Cancer and the HPV Vaccine

    Feb 06 2017

    Historically, cervical cancer has been one of the major killers of young women. But since the advent of the pap smear, death from the disease has dropped dramatically. However, treatment of lesions identified on pap smear can lead to significant issues including infertility. And in other parts of the world where screenign is not easily accessed, cervical cancer remains a significant cause of death for women in the prime of life. As with any disease, prevention is better than treatment, and this ...more

  • Episode 64: What's Up With Zika?

    Jan 30 2017

  • Episode 63: The 21st Century Cures Act

    Jan 23 2017

    The 21st Century Cures Act was passed by both bodies of Congress and signed into law by President Obama on December 7, 2016. The bill received overwhelming bipartisan support, with only a small number (of notable) exceptions. On the surface, the law sounds like a triumph for healthcare and medical research. But a closer look at funding for the act brings its staying power into question. The only provisions of the law that don't require further action to maintain funding benefit one lucky group. ...more

  • Episode 62: Unnecessary Medical Services

    Jan 16 2017

    We’ve got a lot of questions marks ahead of us this year when it comes to healthcare. What will happen with the Affordable Care Act, Medicare, Medicaid, Planned Parenthood, etc. etc. The future of healthcare under the new administration is a big unknown. But one thing we do know - healthcare costs far too much. One of the key contributors to these costs is the over $200 billion per year in unnecessary medical care.  In today's episode, we dig in to the reasons for these costs, and more important...more

  • Episode 61: Artificial Sweeteners (Rebroadcast)

    Jan 09 2017

    In a country (the U.S.) where people drink, on average, 44.7 gallons of soda per person, it's smart to think about what we are putting into our bodies.  Most of us have figured out that all that sugar is a bad idea, but what about sugar substitutes? Diet sodas make up a big portion of that 44.7 gallons. But is it really any better than plain old sugar? Resources: Generally Recognized as Safe San Antonio Heart Study Fueling the obesity epidemic: Artificially sweetened beverage use and long term w...more

  • Episode 60: Lessons from the Biggest Loser (Rebroadcast)

    Jan 02 2017

    America has a weight problem. A full one third of us are classified as obese, and other third are obese. This has implications for individuals, families and society that cut across social and economic factors. We take a look at a handful of studies that take a look at the weight problem from a variety of angles. Metabolic rate, BMI, whole grain intake,physical inactivity, and more.   Resources: CDC Info on Obesity “The Biggest Loser” Study BMI study Whole Grain Study Exercise to Offset Sitting...more

  • Episode 59: Vaping (Rebroadcast)

    Dec 26 2016

    These days you can buy e-Books  for your e-Reader and participate in e-Commerce. You can send your friends Evites, e-file your taxes, and meet the love of your life on eHarmony. So it’s really no surpise that e-Cigarettes have become as popular as they are. Hats off to whoever named them, since they are actually physical items that you can hold in your hands, unlike most e-products. The question, of course, is if there are any health advantages to e-Cigarettes. Do they really help you stop smoki...more

  • Episode 58: Are Hormones Beneficial in Menopause (Rebroadcast)

    Dec 19 2016

    Over the last couple of decades, the conversation surrounding hormone replacement therapy and menopause has been confusing. Does it work? Is it safe? What about alternative therapies? it’s hard to sort out conflicting information coming from various sources. In this episode we discuss: The recent history of hormone replacement therapy (HRT) HRT for symptom relief HRT, endometrial hyperplasia, and uterine cancer HRT and cardiovascular disease HRT and breast cancer Bioidentical hormones And more....more

  • Episode 57: December Updates

    Dec 12 2016

      In this episode we take a look back at our first year of podcasting and some of the more interesting topics we've discussed. Remember medical marijuana? What about vaccines or telemedicine? There are new developments in these areas and more and we discuss these new developments and more. Also, if you hang on to the end, you'll hear one of the few times we disagree. We disagreed, we discussed, we still like eachother. Kendall didn't even tweet about what yuuuge loser Amy is. Podcasts we discuss...more

  • Episode 56: Heart Attacks

    Dec 05 2016

    The media serves us a lot of news about some very flashy diseases. Sometimes is skews our perception of what the most serious threats to our health really are. But no matter what new danger the latest headlines proclaim, heart disease remains the number one cause of death in the United States. Often, those deaths are caused by heart attacks.  In today's episode, 2 Docs Talk about heart attacks, what they are, how they are treated, and how you should respond if you think you or someone near you i...more

  • Episode 55: Laugher is the Best Medicine

    Nov 28 2016

    With the very stressful election we've all just been through, we thought it might be a good idea to lighten things up and have a little fun this week. So we are taking a look at the medical news this week to find teh fun and lightness we are all needing right about now. If you want to learn more about the items we talked about today, the links are listed below. Why are we ticklish http://www.latimes.com/science/sciencenow/la-sci-sn-tickling-rats-20161110-story.htm Flu risk and birth year http:/...more

  • Episode 54: What Does Planned Parenthood Actually Do? (Rebroadcast)

    Nov 21 2016

    If you live anywhere but under a rock, you know that Planned Parenthood has been the center of controversy in recent months. In this episode, we discuss the history of the organization and its founder Margaret Sanger. Then we dig into Planned Parenthood as it exists today and the controversy surrounding it. The coverage of the controversy in the media is filled with innuendo and half-truths from both sides of the political spectrum. We wanted to know the facts, so we did a little searching. Sinc...more

  • Episode 53: Healthcare in a Donald Trump Presidency

    Nov 14 2016

    November 8, 2016 has come and gone and no matter what box you checked you are probably a little surprised by the outcome. Donald Trump will be the 45th POTUS.  This has the potential to shake things up in a lot of areas of American life, but we want to focus today on the healcare ramifications of a  Donald Trump presidency. What did he say he would do? Will he do it? And what will it look like if he does. We refer to a couple of our previous podcasts in this show and they are worth a listen as y...more

  • Episode 52: The Ethic of New Drug Approvals

    Nov 07 2016

    The process of drug approval is long and expensive. To complicate matters, pharmaceutical companies, patients, an the FDA are all invested in the process, for different reasons - and they aren't always the same. Today we discuss the story of how a new drug came to market and the unusual circumstances around its approval.  Resources: FDA grants accelerated approval to first drug for Duchenne muscular dystrophy CDC on Duchenne Muscular Dystrophy Right to Try Compassionate Use Be sure and subscri...more

  • Episode 51: What's New With Acne Treatment?

    Oct 31 2016

    It's one of those things that doesn't feel so big and important compared to other medical problems, but in reality, acne can be a difficult problem to deal with. For teens it can be a huge blow to already fragile self-confidence. It isn't a walk in the park for adults who find themselves with a break-out, either. So today, we are talking about what causes acne, what the science says about dietary approaches to reducing it, and what the most current treatments are.  Resources: Acne: A Disease of...more

  • Episode 50: Why are Drug Prices Going Up?

    Oct 24 2016

    If you've paid any attention to the news over the past year or so, you've likely seen stories of greedy capitalists gouging the vulnerable by hiking up the prices of their life-saving drugs. But are the prices hikes all that bad? Yes. Yes, they are. And we talk about that to day on 2 Docs Talk. Resources: JAMA on Drug Pricing Our episode on Hep C Our episode on Alzheimers Our episode on Pricing Transparency

  • Episode 49: The Prostate

    Oct 17 2016

    You'd think that something like screening for prostate cancer would be free of controversy, but that just isn't the case. The benefits and risks of screening have been hotly debated by different medical organizations over the years. Today, 2 Docs Talk about how prostate screening and the various issues surrounding it. This is a topic every man should discuss with his physicians, and we hope this hepls you know what questions to ask when you do. Resources: Weiner AB, Matulewicz RS, Eggener SE, Sc...more

  • Episode 48: Medical Errors

    Oct 10 2016

    A BMJ report earlier this year declared that 1 in 3 hospital deaths were the result of medical errors. A flurry of headlines about the dangers of hospitals soon followed. Just what is a medical error? What are the dangers of being in a hospital? And what can we do about it? We talk about these questions in today's episode.  Resources: BMJ on medical error KATZ scale To Err is Human: Building a Safer Health System Hospital at Home Be sure and subscribe in iTunes or Stitcher if you haven’t alrea...more

  • Episode 47: Which Statistics Should You Trust?

    Oct 03 2016

    If you've ever felt like you had a handle on the evidence about a certain medical topic only to read a headline telling you science now says the opposite, you aren't alone.  But science isn't about headlines. It's about evaluating the evidence to decide what's real, and it doesn't always conform to what we want. But that doesn't stop the media, (and maybe some journals), from selectively reporting the research that will generate the most buzz. Today we talk about this issue and ideas that are be...more

  • Episode 46: E-Cigs

    Sep 26 2016

    These days you can buy e-Books  for your e-Reader and participate in e-Commerce. You can send your friends Evites, e-file your taxes, and meet the love of your life on eHarmony.  So it's really no surpise that e-Cigarettes have become as popular as they are. Hats off to whoever named them, since they are actually physical items that you can hold in your hands, unlike most e-products. The question, of course, is if there are any health advantages to e-Cigarettes. Do they really help you stop smok...more

  • Episode 45: Birth Control

    Sep 19 2016

    If there is a hot button issue in politics these days, it's abortion. But abortion is the result of a long line of issues that are being inadequately addressed in this country. Today we take a look at contraception - what it is, how it works, its history and its future.  We also offer a look at an innovative program that has the potential to help both pro-choice and pro-life groups happy.    Resources: Details on various types of birth control The Choice Project Use of LARCs in Colorado Slang f...more

  • Episode 44: Artificial Sweeteners

    Sep 12 2016

    In a country (the U.S.) where people drink, on average, 44.7 gallons of soda per person, it's smart to think about what we are putting into our bodies.  Most of us have figured out that all that sugar is a bad idea, but what about sugar substitutes? Diet sodas make up a big portion of that 44.7 gallons. But is it really any better than plain old sugar? Resources: Generally Recognized as Safe San Antonio Heart Study Fueling the obesity epidemic: Artificially sweetened beverage use and long term w...more

  • Episode 43: The Flu, the Shot, the Future

    Sep 05 2016

    Thousands of people die each year from influenza. The CDC recommends that almost all people (with a few rare exceptions) receive the flu vaccine every year. But the disease and the vaccine are poorly understood. In this episode, we discuss the flu, its treatment and its prevention. Resources: Influenza vaccine effectiveness in preventing outpatient, inpatient, and severe cases of laboratory-confirmed influenza Oseltamivir treatment for influenza in adults: a meta-analysis of randomised controll...more

  • Episode 42: Urinary Tract Infections

    Aug 29 2016

    Urinary tract infections are one of the most common infections we humans get. In fact, estimates suggest 60-70% of women will have at least one in their lifetime. And many women suffer from them repeatedly. So what causes these infections and how can you treat them? Is there any way to prevent them? And what does diet have to do with it?  We discuss these issues and more in this episode.  Resources: CDC article on E. coli in our food supply and its role in UTIs   Be sure and subscribe in iTunes ...more

  • Episode 41: The Biggest Loser and Other News on Obesity and Health

    Aug 22 2016

    �America has a weight problem. A full one third of us are classified as obese, and other third are obese. This has implications for individuals, families and society that cut across social and economic factors.  We take a look at a handful of studies that take a look at the weight problem from a variety of angles.  Metabolic rate, BMI, whole grain intake,physical inactivity, and more.    Resources: CDC Info on Obesity "The Biggest Loser" Study BMI study Whole Grain Study Exercise to Offset Si...more

  • Episode 40: Sun - Friend and Foe

    Aug 15 2016

    Everyone thinks of the sun in a different way. Some people crave it and some avoid it. And it turns out there are good health reasons for both. Today on 2 Docs Talk, we'll be covering how the sun affects your health and how to maximize its benefits while minimizing its damage. We'll talk about: UVA vs. UVB rays The UV Index Sunscreen Skin cancer Vitamin D  and more.   Take a listen and get a little info to help you stay sun healthy.   EPA UV Index Database Swedish Studyon Sun Exposure and Smok...more

  • Episode 39: Insomnia - The Epidemic? (Rebroadcast)

    Aug 08 2016

      Our understanding of what sleep is and why it is important grows daily. It's clear that poor sleep plays a role in all sorts of disease states. Sadly, more and more people report sleep disturbances to their doctors.  Is this a new epidemic we are facing, or is it just our awareness of the issue that makes it seem so? In this episode, we take a look at the role sleep plays in our health, what happens when sleep is disturbed, and how insomnia can be treated. Take a listen and see what you think....more

  • Episode 38: Cholesterol - What We Don't Know (Rebroadcast)

    Aug 01 2016

    Because individuals with high cholesterol levels often develop heart disease, we've come to accept that high cholesterol - especially "bad" cholesterol, or LDL - causes heart disease. But it can't be said often enough that correlation does not equal causation, and it is beginning to look more and more like a causal realtionship between cholesterol and heart disease just isn't there.  In this episode we talk about the status of treating cholesterol to prevent heart disease and about a drug trial ...more

  • Episode 37: Medicare for All (Rebroadcast)

    Jul 25 2016

    In this episode, we dig into the terms being bandied about by politicians this year. Medicare for all, single-payer, socialized medicine. What do they all mean? Are they all the same or are there differences between these systems.  And what would we do, today, to start making healthcare work a little better? Resources: Per Capita Health Spending by Country Gallup Poll on Healthcare Satisfaction by Country  

  • Episode 36: The Current Status of Alzheimer Disease (Rebroadcast)

    Jul 18 2016

    One of the big scary pieces of growing old is the possiblity of developing Alzheimer Dementia. This progressive neurological disease is poorly understood, meaning the options for prevention and treatment have a long way to go. In this episode, we talk about what the disease is, current options for treatment, the reality of prevention, and an approach to choosing long term care.   Resources: Systematic review of studies on cholinesterase inhibitors JAMA Neurology meta analysis of memantine Risk r...more

  • Episode 35: Is Gluten Free the Answer

    Jul 11 2016

    The gluten-free phenomenon has grown into a $2.5 billion industry in the U.S. The question we have to ask is if the medical concern from gluten is enough to justify such a huge national expenditure. In this episode, we look at the disorders behind gluten and wheat allergies, gluten sensitivities and the science that supports these diagnoses.  

  • Episode 34: Are Supplements Good Medicine? (Rebroadcast)

    Jul 04 2016

    The supplement industry is a big one - estimates place it anywhere from $12 billion to $37 billion.  However, if you put that number in the context of healthcare spending overall, it's not too crazy...if supplements are effective and safe. But issues with the approval and regulations of dietary supplements make leave us with many unanswered questions about the so-called "natural" products on the market. In this episode we examine supplements, homeopathic remedies, the placebo effect and much mor...more

  • Episode 33: Hepatitis C - The Solution is Here

    Jun 27 2016

        Hepatitis C infection is on the rise in recent years. The growing opioid epidemic has multiplied the problem, as the primary means of spread is IV drug use.  Surprisingly only 35 percent of those infected received treatment even though excellent treatment available is for this devastating disease. Not surprisingly, drug costs are a major factor in this issue. Join us as we discuss the issue of Hep C and what can be done about it. Resources: American Journal of Managed Care Special Issue on ...more

  • Episode 32: Direct-to-Consumer Marketing

    Jun 20 2016

      If you watch any tv at all, it's likely you've seen a drug ad. These ads generally show seemingly healthy people living normal lives, the message being the drug did this for them. But are the drug ads telling the whole story? And should they even be advertising directly to consumers to begin with? We discuss this issue on today's episode.   Resources: Nivolumab Research from New England Journal of Medicine What the FDA has to say about drug ads Be sure and subscribe in iTunes or Stitcher if y...more

  • Episode 31: Pediculosis, aka, Head Lice

    Jun 13 2016

      Lice are an issue that many parents of elementary students have to deal with, often more than once. In this episode we discuss the three different types of lice - body lice, pubic lice, and head lice - how to get them, the health threats associated with them, and what works to get rid of them.  Resources: The CDC on head lice treatment An Interesting Paper if You Want to Get Totally Geeky on Lice Dr. Pearlman's Site on the Cetaphil Treatment and Lice   Be sure and subscribe in iTunes or Stitc...more

  • Episode 30: What to Do About Chronic Back Pain

    Jun 06 2016

    Back pain is second only to cancer as a cause of long term disability. This health problem is damaging to individuals and costly to society. And we don't have much in our arsenal that is effective at treating it. This week, we discuss the difference between acute and chronic back pain with regard to treatment and outcomes. We also discuss the role of surgery, medications, alternative therapies, and some interesting new research on what helps resolve chronic back pain. Resources: Research on effi...more

  • Episode 29: Insomnia - The Epidemic?

    May 30 2016

      Our understanding of what sleep is and why it is important grows daily. It's clear that poor sleep plays a role in all sorts of disease states. Sadly, more and more people report sleep disturbances to their doctors.  Is this a new epidemic we are facing, or is it just our awareness of the issue that makes it seem so? In this episode, we take a look at the role sleep plays in our health, what happens when sleep is disturbed, and how insomnia can be treated. Take a listen and see what you think....more

  • Episode 28: Telemedicine and Its Role as We Know It

    May 23 2016

    In a world when concerns about healthcare costs, access to care, and medical complications create significant barriers to medical care, telemedicine has an obvious role to fill.  But what are the potential downsides of a technology that is being adopted faster than we can track? Is it effective? Is it safe? Is it a door for the unscrupulous ot take advantage of the unsuspecting? We discuss these and other issues of the growing field of telemedicine.  Resources: AMA policy on telemedicine AAFP d...more

  • Episode 27: Pets and Pathogens

    May 16 2016

    Both of us, Kendall and Amy, have dogs named Goose. This was purely coincidental, and we are as surprised by that fact as anyone. It's a little uncanny how much they resemble one another, too. If you'd like to see the Geese, we've added their pictures over at 2DocsTalk.com. These two certainly live the life of Riley, but they aren't the only canines who have it so good. We are a country of pet lovers. We spend over $60 billion annually on food, vet bills, toys, and silly extravagances for our a...more

  • Episode 26: Do Hormones Make Sense During Menopause?

    May 09 2016

    Over the last couple of decades, the conversation surrounding hormone replacement therapy and menopause has been confusing. Does it work? Is it safe? What about alternative therapies? it's hard to sort out conflicting information coming from various sources. In this episode we discuss: The recent history of hormone replacement therapy (HRT) HRT for symptom relief HRT, endometrial hyperplasia, and uterine cancer HRT and cardiovascular disease HRT and breast cancer Bioidentical hormones And more....more

  • Ep 25: Cholesterol and Heart Disease: What We Don't Know

    May 02 2016

    Because individuals with high cholesterol levels often develop heart disease, we've come to accept that high cholesterol - especially "bad" cholesterol, or LDL - causes heart disease. But it can't be said often enough that correlation does not equal causation, and it is beginning to look more and more like a causal realtionship between cholesterol and heart disease just isn't there.  In this episode we talk about the status of treating cholesterol to prevent heart disease and about a drug trial ...more

  • Ep 24: The Mediterranean Diet and Low Fat Folly

    Apr 25 2016

    For decades we've been told that our high fat diet is making us obese and killing us with heart disease. But here's the deal. The concept of a lowfat diet, exemplified in the Mediterranean Diet, is based on faulty science.  In this episode, we discuss how the high fat hypothesis became accepted science and public policy, without any good research to back it up. We also talk about the various kinds of fats that are out there and what we think is the biggest culprit in our obesity problems. Reso...more

  • Episode 23: What's the Deal with Stem Cell Therapy

    Apr 18 2016

    Stem cell research, regenerative medicine, or whatever you want to call it, was a real hot button issue for a while. The policitics around it have cooled somewhat, but controversy remains even if the media isn't reporting on it. What have we learned from stem cell research, what advances have been made, and can we really trust it?  We get in to all this and more on this week's episode. Resources:  ISCCR Draft Guidelines for Stem Cell Science Translation A nice summary of where the FDA got i...more

  • Episode 22: Are GMOs Safe Food or Frankenfood?

    Apr 11 2016

    One of the latest technological advances in food production is the introduction of GMOs, or genetically modified organisms, to the food supply. They have the potential to offer many benefits including increased productivity, pest and herbicide resistance, longer shelf life, and the list goes on. But many are concerned that this relatively new technology isn't safe - for health, the environment or the economy. We dig into the evidence surrounding GMOs in this episode. We might even share an opin...more

  • Episode 21: Testosterone Trending

    Apr 04 2016

    All you have to do is take a quick drive around town to see that low testosterone clinics are all the rage. A little math will tell you why. Males make up around 50 percent of the population, and their testosterone declines, naturally, at a rate of 1 percent per year after age 30. If that decline merits treatment, it's no wonder those clinics are everywhere. But, does it merit treatment? Is testosterone replacement safe? Is it even effective? We dig into those questions on this episode of 2 ...more

  • Episode 20: Medicare for All

    Mar 28 2016

    In this episode, we dig into the terms being bandied about by politicians this year. Medicare for all, single-payer, socialized medicine. What do they all mean? Are they all the same or are there differences between these systems.  And what would we do, today, to start making healthcare work a little better? Resources: Per Capita Health Spending by Country Gallup Poll on Healthcare Satisfaction by Country

  • Episode 19: Intro Redux

    Mar 25 2016

    As we've produced more episodes, we've continues to see our listening audience grow. We appreciate the listeners, the comments, the emails, and the sharing of our little show. Since new listeners are showing up each week, we thought we'd re-run our intro episode so everyone knows where we're coming from and what we're all about.

  • Episode 18: Tasty But Deadly: A Closer Look at Food Borne Illness

    Mar 21 2016

    If you've paid any attention to the news in the last year you've heard about the trials of businesses such as Blue Bell Ice Cream and Chipotle. The outbreaks of food borne illnesses from these and other establishments have cause disease, death, and no small amount of economic hardship.  Why is it that these issues feel like they are happening more frequently? And more importantly, what can we do to keep ourselves healthy, if anything? On this episode of 2 Docs Talk, we dig into the facts about...more

  • Episode 17: The Current Status of Alzheimer Disease

    Mar 14 2016

    One of the big scary pieces of growing old is the possiblity of developing Alzheimer Dementia. This progressive neurological disease is poorly understood, meaning the options for prevention and treatment have a long way to go. In this episode, we talk about what the disease is, current options for treatment, the reality of prevention, and an approach to choosing long term care.   Resources: Systematic review of studies on cholinesterase inhibitors JAMA Neurology meta analysis of memantine ...more

  • Episdoe 16: Can You Trust the Scientific Process?

    Mar 07 2016

    One of the foundational values of this show is emphasizing the importance of using the best available evidence when making decisions about medical care.  Unfortunately the drive to publish has driven some to game the scientific publishing system. From circumventing the peer-review process to outright fraud, scientific literature is plagued with misinformation. The scientific community is responding, though. With tools like retraction databases, research reproducibility efforts and post-publica...more

  • Episode 15: Emerging Vector Borne Diseases: Should We Be Worried

    Feb 29 2016

    With Zika in the news, it seemed like a good time to examine the vector borne diseases making headway here in the U.S. In addition to Zika, we need to pay attention to Dengue Fever. Like the West Nile virus and yellow fever, these viruses are spread by the Aedes mosquito - most often Aedes aegypti.  But don't think mosquitoes are the only issue. The Kissing Bug, which isn't nearly as sweet as it sounds, is responsible for the increasing burden of Chagas disease in the southern states. Without ...more

  • Episode 14: Bugs and Drugs

    Feb 22 2016

    This week we started talking about bugs and drugs, or infections and their treatments and we got into Clostridium difficile infection and fecal transplants. Because when it comes to this topic, we are all middle school boys. We can't not talk about it.  In all seriousness, C. diff can be a devastating disease and the success of this treatment is beyond exciting. As Kendall likes to remind us, though, we have to watch out for the law of unintended consequences.   World Health Organization Surv...more

  • Episode 13: Update 1

    Feb 19 2016

    After a few of our previous episodes we got some great questions from a few of our listeners. In this brief update, we answer questions about our episodes on medical marijuana, breast cancer screening and concussions.

  • Episode 12: The Rising Problem of Opioid Abuse

    Feb 15 2016

    Opioid abuse is at an ever increasing high in the U.S. with overdose being a significant cause of death.  What role do physicians, pharmaceutical companies, and the drug users themselves play in this epidemic. We examine these questions and more in this episode on the opioid problem in the United States. Resources: Drug Overdose Deaths by State Draft CDC Guidelines for Prescribing Opioids for Chronic Pain Specific Populations and Prescription Drug Misuse and Abuse

  • Episode 11: What's on the Horizon for Colon Cancer Screening?

    Feb 08 2016

    Colorectal screening is an effective tool in the prevention of deaths from colon cancer. The question is if the screening tools we use now are the most effective and safe available to us. Technological advances are making less invasive, safer tests a possibility - and sooner rather than later if we're lucky. But today, what tests do we have, which ones work, and what should you as a patient choose when it comes to your own screening. Resources: Current USPSTF Guidelines for Colorectal Screeni...more

  • Episode 10:What Does Planned Parenthood Actually Do?

    Feb 01 2016

    If you live anywhere but under a rock, you know that Planned Parenthood has been the center of controversy in recent months. In this episode, we discuss the history of the organization and its founder Margaret Sanger. Then we dig into Planned Parenthood as it exists today and the controversy surrounding it. The coverage of the controversy in the media is filled with innuendo and half-truths from both sides of the political spectrum. We wanted to know the facts, so we did a little searching. Sin...more

  • Episode 9: Gun Violence is a Public Health Issue

    Jan 25 2016

    As we enter primary season for this election year, gun violence and control is a hot topic. However, much of the discussion lives in one of two extremes, and little of it is based on actual evidence.  With over 30,000 gun deaths each year, and over 20,000 of those death from suicide, the reality is that gun violence is a public health issue. This means we need to treat this issue from the point of view of the medical evidence.  Today we look at the scope of the problem, what has and hasn't wor...more

  • Episode 8: Are Supplements Good Medicine?

    Jan 18 2016

    The supplement industry is a big one - estimates place it anywhere from $12 billion to $37 billion.  However, if you put that number in the context of healthcare spending overall, it's not too crazy...if supplements are effective and safe. But issues with the approval and regulations of dietary supplements make leave us with many unanswered questions about the so-called "natural" products on the market. In this episode we examine supplements, homeopathic remedies, the placebo effect and much ...more

  • Episode 7: Is Gluten Free the Answer?

    Jan 11 2016

    The gluten-free phenomenon has grown into a $2.5 billion industry in the U.S. The question we have to ask is if the medical concern from gluten is enough to justify such a huge national expenditure. In this episode, we look at the disorders behind gluten and wheat allergies, gluten sensitivities and the science that supports these diagnoses.

  • Episode 6: Pricing Transparency in Medicine and Healthcare

    Jan 04 2016

    If you've ever tried to figure out the price of a medical procedure, you know it's not that easy. In fact, research shows that complete pricing for medical procedures is unavailable when requested over one-third of the time.  As healthcare deductibles rise and indidviduals are affected more and directly by these costs, the issue of pricing transparency is growing. In this episode we talk about the problem posed by opaque medical pricing practices. We also dig into two innovative practice models...more

  • Episode 5: Vaccines Past, Present and Future

    Dec 28 2015

    Vaccines are both one of the most widely used and most widely misunderstood preventive medical treatments available. People have concerns about autism, efficacy, the promotion of unhealthy behaviors. We dig into the evidence on some of those topics, as well as take a look at the effectiveness of vaccines against some of the scariest disease of our time - including cancer.   NEJM study on vaccines and autism Lancet study on vaccines and autism Adverse Effects of Vaccines: Evidence and Causali...more

  • Episode 4: Is Screening Mammography All That?

    Dec 21 2015

    Screening mammography is widely used throughout the U.S. and is thought of as a great success in the prevention of breast cancer deaths. But what does the evidence say? Are we getting what we are paying for with mammography, or simply shouldering the extra cost of false positives and overdiagnosis? We examine these issues and more on this episode of 2 Docs Talk. References: What does the U.S. Preventive Services Task Force (USPSTF) do? USPSTF current (2009) breast cancer screening recs  USP...more

  • Episode 3: Affordable Care Act

    Dec 10 2015

    Since March 2010, health care in the U.S. has been subject to the Affordable Care Act, also known as Obamacare. There is a significant amount of confusion about what exactly this law does or does not do. In this episode, we talk about the key provisions of the law and how it affects the delivery of healthcare in the U.S. We cover: the effect of the law on insurance subsidies the pre-exisiting conditions clause the mandatory coverage provision pharmaceutical pricing and other key requir...more

  • Episode 2: Concussions

    Dec 10 2015

    Concussions are not uncommon in contact sports such as football, soccer and basketball.  But we aren't trying to scare or shock anyone. On today's podcast we'd like to educate and inform so that parents and players can make decisions that aren't based on fear and misinformation. We'll cover concussions return-to-play policies second impact syndrome post-concussive syndrome chronic traumatic encephalopathy Take a listen and let us know what you think. Article referenced in podcast: M...more

  • Episode 1: Medical Marijuana

    Dec 10 2015

    As the the political winds shift in favor of legalizing medical marijuana, it's important to consider the evidence that supports it.  But the 23 states that have legalized it and the FDA don't agree on when marijuana helps and when it doesn't. In this episode, we take a look at the evidence supporting the move toward legalizing the use of marijuana and cannabinoids for medical purposes.   References from the show: Cannabinoids for Medical Use: A Systematic Review and Meta-Analysis

  • Episode 0: Introduction

    Dec 10 2015

    Hi and welcome to 2 Docs Talk, the podcast about healthcare, the science of medicine, and everything in between. We are your hosts, Kendall Britt, MD and Amy Rogers, MD and we look forward to sharing our thoughts on the best and worst of medical evidence and healthcare policy. Join us for a 15 minute appointment where the doctor is always in.