Trump Isn't Crazy, We Are: Doc-to-Doc with Allen Frances, MD

Trump Isn't Crazy, We Are: Doc-to-Doc with Allen Frances, MD

Dr. Allen Frances is a Professor Emeritus of Psychiatry at Duke University and the creator of the diagnostic criteria for narcissistic personality disorder. That condition has been in the news frequently, as many have suggested that President Trump may be so afflicted. In his new book, Twilight of American Sanity, Dr. Frances suggests that it is not Trump who is crazy. It is us. 

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Estrogen Pills, Patches, and Sex After Menopause

Estrogen Pills, Patches, and Sex After Menopause

A randomized trial appearing in JAMA Internal Medicine reveals modest, but significant effects of transdermal estrogen on sexual function in post-menopausal women. But there are some caveats. For the video version, click here.

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Work Hours in Dual-Physician Couples: The Effect of Children

Work Hours in Dual-Physician Couples: The Effect of Children

A research letter appearing in JAMA Internal Medicine documents a striking decrease in work hours among women physicians once they have children - a finding that does not extend to their male physician spouses. For the video version, click here.

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Ending Medical Reversal: Doc-to-Doc with Vinay Prasad, MD

Ending Medical Reversal: Doc-to-Doc with Vinay Prasad, MD

"Medical Reversal" occurs when new data demonstrates that a commonly-accepted practice is not beneficial or even harmful to patients. Dr. Vinay Prasad is a world-expert in this phenomenon. I spoke to him about the trends in medical reversals, their underpinnings, and how they can be ended in the future. His book is entitled "Ending Medical Reversal: Improving Outcomes, Saving Lives".

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What the Market Will Bear: Doc-to-Doc on Skyrocketing Drug Prices with Dr. Umesh Khot

What the Market Will Bear: Doc-to-Doc on Skyrocketing Drug Prices with Dr. Umesh Khot

Dr. Umesh Khot is the Vice-Chairman of the Robert and Suzanne Tomsich Department of Cardiovascular Medicine at the Cleveland Clinic and the author of a research letter in the New England Journal of Medicine examining the effects of the astronomical price increases of isoproteronol and nitroprusside. In this doc-to-doc interview, Dr. Khot discusses the reasons the prices increased, the effects that had on utilization of the drugs, and the implications this has more broadly in our healthcare system.

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Music Therapy For Autism Spectrum Disorder: Disappointing News

Music Therapy For Autism Spectrum Disorder: Disappointing News

A study appearing in the Journal of the American Medical Association found that improvisational music therapy did not improve outcomes in kids with autism. But was it the intervention that didn't work, or the trial itself?  For the video version, click here.

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"Maintenance of Certification": Model of Self-Regulation or Corporate Boondoggle?

"Maintenance of Certification": Model of Self-Regulation or Corporate Boondoggle?

Maintenance of Certification is the process by which docs prove they've kept up with the times in terms of medical knowledge. That's all well and good, but the sky-high exam fees beg the question - where does the money go? For the video version, click here. 

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Chronic Traumatic Encephalopathy in Football-Players

Chronic Traumatic Encephalopathy in Football-Players

An autopsy study reveals that 99% of the brains of NFL players had evidence of chronic traumatic encephalopathy. Will this condition be the end of football? For the video version, click here.

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Obamacare Reduced Hospital Readmissions - Is This a Good Thing?

Obamacare Reduced Hospital Readmissions - Is This a Good Thing?

The Hospital Readmission Reduction Program, which lowered Medicare payments to hospitals with high readmission rates, has accomplished its direct goal of reducing readmission rates. This study, appearing in JAMA, evaluates for potential unintended consequences. For the video version, click here.

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