Is Britain’s death toll about to jump?
16 min

Cases are rising and restrictions are being reimposed, but will an increase in UK infections lead to a spike in deaths? As the WHO warns of a rise in coronavirus fatalities across Europe from October, The Telegraph's Theodora Louloudis and Global Health Security Correspondent, Sarah Newey discuss how this could play out in Britain, and whether younger sufferers and breakthroughs in treatments are enough to stop a deadly second wave.


Read more about how face masks could be giving people Covid-19 immunity: https://bit.ly/2ZAqIVD |

Read more about the Recovery trial: https://bit.ly/2E4A30s |

Read more about public policing of the 'rule of six': https://bit.ly/2E4A30s |

Read more about Sir Keir Starmer's isolation: https://bit.ly/3c8H8K5 |

For 30 days' free access to The Telegraph: www.telegraph.co.uk/audio |

Email: coronaviruspodcast@telegraph.co.uk |

BrainWaves: A Neurology Podcast
BrainWaves: A Neurology Podcast
Jim Siegler, MD | Neurologist | Father | Friend of dogs
#174 The mental status
The mental status exam is a keystone of the neurologic assessment. Dr. Andrea Casher (Cooper University Hospital) builds upon this metaphor in our program this week. Making a special appearance is US President Donald Trump, who underwent a mental status exam and recounts his experience. Produced by James E. Siegler and Andrea Casher. Music courtesy of Unheard Music Concepts, Purple Planet Music, Lee Rosevere, and Scott Holmes. The opening theme was composed by Jimothy Dalton. Sound effects by Mike Koenig and Daniel Simion. Unless otherwise mentioned in the podcast, no competing financial interests exist in the content of this episode. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision making. Be sure to follow us on Twitter @brainwavesaudio for the latest updates to the podcast. REFERENCES * Tombaugh TN and McIntyre NJ. The mini-mental state examination: a comprehensive review. J Am Geriatr Soc. 1992;40:922-35. * Nasreddine ZS, Phillips NA, Bedirian V, Charbonneau S, Whitehead V, Collin I, Cummings JL and Chertkow H. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005;53:695-9. * Dong Y, Sharma VK, Chan BP, Venketasubramanian N, Teoh HL, Seet RC, Tanicala S, Chan YH and Chen C. The Montreal Cognitive Assessment (MoCA) is superior to the Mini-Mental State Examination (MMSE) for the detection of vascular cognitive impairment after acute stroke. Journal of the neurological sciences. 2010;299:15-8. * Gorno-Tempini ML, Hillis AE, Weintraub S, Kertesz A, Mendez M, Cappa SF, Ogar JM, Rohrer JD, Black S, Boeve BF, Manes F, Dronkers NF, Vandenberghe R, Rascovsky K, Patterson K, Miller BL, Knopman DS, Hodges JR, Mesulam MM and Grossman M. Classification of primary progressive aphasia and its variants. Neurology. 2011;76:1006-14. * Ng KP, Chiew HJ, Lim L, Rosa-Neto P, Kandiah N and Gauthier S. The influence of language and culture on cognitive assessment tools in the diagnosis of early cognitive impairment and dementia. Expert review of neurotherapeutics. 2018;18:859-869. * Rabinovitz B, Jaywant A and Fridman CB. Neuropsychological functioning in severe acute respiratory disorders caused by the coronavirus: implications for the current COVID-19 pandemic. Clin Neuropsychol. 2020:1-27.
30 min
The Curbsiders Internal Medicine Podcast
The Curbsiders Internal Medicine Podcast
The Curbsiders
#243 Diabetes Triple Distilled
Listen in as we recap four of our favorite diabetes episodes to bring you the pearls you need to stay up to date on type 2 diabetes management in the clinic.  We cover pitfalls of A1c testing, guidelines for A1C targets, when and how to use the newer medications SGLT-2 inhibitors and GLP-1 agonists.  We wrap up with a discussion of managing DM2 in patients with kidney disease and in which patients to consider de-intensifying treatment.  Feel confident managing diabetes with the latest data in 2020! Listeners can claim 4 HOURS of Free CE credit for this episode through VCU Health at _http://curbsiders.vcuhealth.org/_ (CME goes live at 0900 ET on the episode’s release date). _Show Notes_ | _Spotify_ | _Swag!_ | _Top Picks_ | _Mailing List_ | _thecurbsiders@gmail.com_ | _CME!_ Credits * Written and Produced by: Molly Heublein, MD * Infographic and Cover Art: Isabel Valdez, PA * Show Notes: Isabel Valdez, PA; Molly Heublein, MD * Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP, Molly Heublein, MD * Editors: Emi Okamoto MD (written materials); Clair Morgan of _nodderly.com_ _Sponsors:_ ACP’s I Raise the Rates Join with other clinicians in working to raise influenza and other adult vaccination rates. Visit _acponline.org/ai_ to access free tools and learn new strategies to support your efforts. VCU Health CE The Curbsiders are partnering with _VCU Health Continuing Education_ to offer FREE continuing education credits for physicians and other healthcare professionals. Visit _curbsiders.vcuhealth.org_ and search for this episode to claim credit. See _info sheet _for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit._ _ _Time Stamps_ 0:00 Intro, 2:45 Pitfalls of A1c testing, 7:00 Diabetes goals/A1c guidelines; Macrovascular vs Microvascular benefits, 16:20 Choosing between SGLT2 inhibitors vs GLP1 agonists, 19:10 Stuart rants on insulin for symptomatic hyperglycemia, 22:32 Start your patient on an SGLT2i and counsel them about potential adverse events, 30:30 GLP-1 agonists, 36:50 Deintensification; Diabetes Treatment in CKD, Tags Diabetes, hypoglycemia, SGLT2 inhibitors, GLP-1 agonist, metformin, CKD, primary care, assistant, doctor, education, family, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, physician, resident, student
47 min
Bedside Rounds
Bedside Rounds
Adam Rodman, MD, MPH, FACP
59 - Cry of the Suffering Organs
Diagnosis is arguably the most important job of a physician. But what does it actually mean to make a diagnosis? In this episode, we’ll explore this question by tracking the development of the “classical” model of diagnosis and pathological anatomy and discussing three cases over three hundred years. Along the way, we’ll ponder the concept of the lesion, iatromechanistic theories of the human machine, the birth of the International Classification of Diseases, and the rise and decline of the autopsy. You can sign up for the iMED Digital Education conference at cmeregistration.hms.harvard.edu/digitaleducation. Sources: * Hooper R, The Physician’s Vade-Mecum: Containing the Symptoms, Causes, Diagnosis, Prognosis and Treatment of Diseases. 1812. * Holdman L et al, The Value of the Autopsy in Three Medical Eras. N Engl J Med 1983; 308:1000-1005. * Cabot RC et al. CASE RECORDS OF THE MASSACHUSETTS GENERAL HOSPITALANTE-MORTEM AND POST-MORTEM RECORDS AS USED IN WEEKLY CLINICO-PATHOLOGICAL EXERCISES. Case 9431. Boston Med Surg J 1923; 189:595-599. * Shojania KG and Burton EC, The Vanishing Nonforensic Autopsy. N Engl J Med 2008; 358:873-875 * Morgagni GB. The seats and causes of diseases investigated by anatomy in five books, containing a great variety of dissections, with remarks. To which are added ... copious indexes. 1769. Retrieved online: https://openlibrary.org/works/OL15821973W/The_seats_and_causes_of_diseases_investigated_by_anatomy * Castiglioni A, GB Morgagni and the Anatomico-pathological Conception of the Clinical. Proceedings of the Royal Society of Medicine, November 7, 1934. * Thiene G, Padua University: The role it has played in the History of Medicine and Cardiology and its position today. European Heart Journal, Volume 30, Issue 6, March 2009, Pages 629–635. * Zampieri F et al, Origin and development of modern medicine at the University of Padua and the role of the “Serenissima” Republic of Venice. Glob Cardiol Sci Pract. 2013; 2013(2): 149–162. * Conner, Annastasia (2017) "Galen’s Analogy: Animal Experimentation and Anatomy in the Second Century C.E.," Anthós: Vol. 8: Iss. 1, Article 9. * Zampieri F et al. The clinico-pathological conference, based upon Giovanni Battista Morgagni's legacy, remains of fundamental importance even in the era of the vanishing autopsy. Virchows Arch. 2015 Sep;467(3):249-54. * Ghosh SK, Giovanni Battista Morgagni (1682-1771): father of pathologic anatomy and pioneer of modern medicine. Anat Sci Int. 2017 Jun;92(3):305-312. * O’Neal JC, Auenbrugger, Corvisart, and the Perception of Disease. Eighteenth-Century Studies Vol. 31, No. 4, The Mind/Body Problem (Summer, 1998), pp. 473-489 * Brown TM, THE COLLEGE OF PHYSICIANS AND THE ACCEPTANCE OF IATROMECHANISM IN ENGLAND, 1665-1695. Bulletin of the History of Medicine Vol. 44, No. 1 (JANUARY-FEBRUARY 1970), pp. 12-30 * Roos AM, Luminaries in Medicine: Richard Mead, James Gibbs, and Solar and Lunar Effects on the Human Body in Early Modern England. Bulletin of the History of Medicine Vol. 74, No. 3 (Fall 2000), pp. 433-457 (25 pages) * Frith J, History of Tuberculosis. Part 1 – Phthisis, consumption and the White Plague. JMVH. 2014; 22(2). * World Health Organization, History of the development of the ICD. https://www.who.int/classifications/icd/en/HistoryOfICD.pdf * Laennec RTH, A treatise on diseases of the chest and on mediate auscultation. 1834. Retrieved from: https://archive.org/details/b21987002. * Marinker M, Why make people patients? J Med Ethics. 1975 Jul; 1(2): 81–84. * King LS, Medical Thinking: A Historical Preface. Princeton University Press, 2016.
43 min
Mastering Diabetes Audio Experience
Mastering Diabetes Audio Experience
Cyrus Khambatta, PhD & Robby Barbaro, MPH (both living with type 1 diabetes
I Eat Almost No Carbs and My Blood Sugar Is Still High! – E105
Charlotte is living with type 1 diabetes and decided the best way to manage it was by limited her carbohydrate intake to no more than 50 grams per day, yet still experienced high blood glucose values (over 300 mg/dL) after eating a banana or half a sweet potato She often complained to herself: “I eat almost no carbs and my blood sugar is still high! How is this possible?”⁣ ⁣ After switching to a low-fat, plant-based, whole-food diet, Charlotte now eats whole-carbohydrate foods without experiencing dramatic blood glucose spikes, has reached her ideal body weight and has more energy than she knows what to do with! We know that changing your eating habits and being 100% responsible for food preparation isn’t always easy. If it was, everyone would be doing it. That’s exactly why we created a weekly done-for-you meal plan that’s specifically designed to simplify grocery shopping, simplify food prep, add variety, and reduce overwhelm. Introducing the Mastering Diabetes Weekly Meal Plan! The Weekly Meal Plan conforms to the Mastering Diabetes Method 100%, and it solves the frustrating issues that most people experience when trying to eat the Mastering Diabetes way in the real world. It’s specifically designed to save you time, save you money, and take the guesswork out of shopping, prepping, and preparing delicious, nutrient-dense, plant-based meals. We’re sending this out ahead of time so that you won’t get distracted by special deals on fluffy bath towels or Bluetooth candles. Every week, you’ll receive a weekly meal plan that gives you step-by-step instructions on: * The exact foods to get at the grocery store to save you money * How to prepare delicious meals that will lower your blood glucose and cholesterol * What to batch prep over the weekend to save you time In a nutshell, the meal plan will make you healthier...and if it doesn’t, we’ll give you your money back. We’re very confident you’ll love the Weekly Meal Planner, so try it risk-free and set yourself up for success this holiday season and beyond. Click the link below to get started with the Weekly Meal Plan! https://www.masteringdiabetes.org/mealplan/
33 min
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