Sudden Death During Triathlons: Risks Higher Than Expected

Sudden Death During Triathlons: Risks Higher Than Expected

A study appearing in the Annals of Internal Medicine documents over 100 deaths during US triathlons over the past 20 years. What common factors underlie that risk?  For the video version, click here.

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Research and Development Costs and Drug Pricing: Link Tenuous at Best

Research and Development Costs and Drug Pricing: Link Tenuous at Best

A study appearing in JAMA Internal Medicine links the cost of developing a new drug to the ultimate revenue a company receives. The results suggest that curbing R&D costs may not have much effect on drug pricing at all. For the video version, click here.

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PSA Screening for Prostate Cancer Gets a Shot in the Arm

PSA Screening for Prostate Cancer Gets a Shot in the Arm

PSA screening for prostate cancer has been on the decline largely due to the negative results of the PLCO trial. But this analysis appearing in the Annals of Internal Medicine suggest that it is not PSA testing that is flawed, but the trial design. For the video version, click here.

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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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