Explore every episode of the podcast Second Opinion
| Title | Pub. Date | Duration | |
|---|---|---|---|
| That Message to Your Doctor Might Come With a Price Tag | 11 May 2025 | 00:04:46 | |
Digital communications are playing a larger role in health care, but transparency and equity are being forgotten. | |||
| Life, Death, and the Cost of Being a Surrogate | 04 May 2025 | 00:04:59 | |
Being a surrogate decision-maker for someone at the end of life isn’t easy, but there are steps you can take to ease the burden. | |||
| Significant cuts to Medicaid (MediCal) will have a negative impact on us all. | 23 Feb 2025 | 00:04:59 | |
As Congress debates cuts to Medicaid (the health insurance program for the poor and disabled) in order to deliver a tax cut to the wealthy, it risks a cascade of negative effects on our entire health care system. | |||
| Is there a good time to stop screening for disease? | 14 May 2023 | 00:04:38 | |
We spend lots of time figuring out at what age to start screening for cancer. But when do we stop screening? | |||
| Direct-to-Consumer Genetic Testing | 07 May 2023 | 00:05:03 | |
You can easily order genetic tests online, but should you? | |||
| Screen for prostate cancer (PSA) | 30 Apr 2023 | 00:04:45 | |
While the death rate for prostate cancer has fallen over the past two decades, little of this is related to routine testing of older men.
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| Reducing added sugar in our diet | 23 Apr 2023 | 00:04:59 | |
Simply providing information such as clear warning labels on restaurant menus can reduce added sugar consumption.
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| Artificial Intelligence in End of Life Decisions | 16 Apr 2023 | 00:04:58 | |
Can artificial intelligence, based on machine learning, predict more accurately the care a loved one would want at the end of life compared to next of kin? | |||
| Unnecessary Pre-operative testing | 09 Apr 2023 | 00:04:55 | |
The thinking goes that testing before elective surgery can reduce risks and complications. But, it turns out it may do the opposite. | |||
| Implied Consent | 02 Apr 2023 | 00:04:23 | |
Touch during a visit to the doctor has many benefits, but it can also negatively impact the provider-patient relationship. | |||
| Video recordings of surgical procedures | 26 Mar 2023 | 00:05:02 | |
While video offers some advantages to patients and providers, it also has some significant downsides. | |||
| A rising demand for medical imaging tests | 19 Mar 2023 | 00:04:48 | |
There are several reasons for the increasing use of medical imaging tests buy they may not always benefit the patient | |||
| Unacceptable COVID vaccine profits | 12 Mar 2023 | 00:04:59 | |
When is it simply avarice to profit at the expense of public health? | |||
| The US pushes the world backward | 16 Feb 2025 | 00:05:00 | |
USAID is a powerhouse of humanitarianism and global security | |||
| The continued overuse of antibiotics | 05 Mar 2023 | 00:04:50 | |
Sick people play a large role in driving antibiotic overuse.
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| Medical issues following a disaster | 26 Feb 2023 | 00:04:59 | |
First comes the disaster. What follows is predictable, but equally worrisome. | |||
| Organ donations by prisoners | 19 Feb 2023 | 00:04:48 | |
Should prisoners be allowed to donate organs in exchange for a reduced sentence? | |||
| The Need for New Antibiotics | 12 Feb 2023 | 00:04:48 | |
Changes are needed to ready ourselves to treat new emerging infections | |||
| The problems with direct-to-consumer drug advertising | 05 Feb 2023 | 00:04:54 | |
For good reason, other than the US, only one other country in the world allows drugs to be advertised directly to the public. | |||
| Making three wishes at the end of life | 29 Jan 2023 | 00:04:59 | |
Small acts of kindness make a huge difference to patients and families | |||
| Pay for performance in healthcare | 22 Jan 2023 | 00:04:40 | |
Good quality turns out to be complicated and unrelated to reimbursement rates | |||
| Too many blood tests | 15 Jan 2023 | 00:04:51 | |
While properly ordered blood tests can help enormously with diagnosis, too often, blood tests are ordered without good reason. | |||
| The complexity of a second opinion | 08 Jan 2023 | 00:04:31 | |
Is there value in getting a second opinion? What happens when the two opinions differ from each other? | |||
| 2022 End of Year Recap | 31 Dec 2022 | 00:04:59 | |
A look at some of the topics we covered throughout the past year. | |||
| Will I benefit from that drug? | 09 Feb 2025 | 00:04:50 | |
Statistics can be intimidating. But before you decide to begin a treatment you should ask what the expected benefit will be to you. | |||
| “We got it all” | 25 Dec 2022 | 00:04:32 | |
These four words may not mean the same thing to all people | |||
| Putting technology ahead of the evidence | 18 Dec 2022 | 00:04:49 | |
Too often the use of expensive and risky technologies catch on before we have good data suggesting benefit. | |||
| Injustice Disorder | 11 Dec 2022 | 00:04:41 | |
When a person is a victim of systemic injustice does that constitute a medical diagnosis? | |||
| Insulin production in California | 04 Dec 2022 | 00:05:00 | |
The state of California is about to take on pharmaceutical companies by producing safe, effective, FDA approved insulin. | |||
| Time for a new approach to Alzheimer’s Disease | 27 Nov 2022 | 00:04:56 | |
For over 100 years we’ve had a similar approach to understanding Alzheimer’s disease which hasn’t produced many benefits. Perhaps it’s time to cast the net more broadly? | |||
| The Limits of Specialty Care | 20 Nov 2022 | 00:04:24 | |
In medical care job specifications are often blurred and a focus on the person can get lost | |||
| Microplastics and human health | 13 Nov 2022 | 00:04:48 | |
Until we know more, it makes sense to avoid microplastics as much as possible | |||
| Monitoring poor air quality | 06 Nov 2022 | 00:04:24 | |
Using participatory science to examine local air quality. | |||
| The Care Cascade | 30 Oct 2022 | 00:04:57 | |
Unnecessary medical testing often leads to a “care cascade” that results in real harm and sky-high costs. | |||
| The problems with body mass index (BMI) | 23 Oct 2022 | 00:04:52 | |
Often medicine gets hooked on using simple tools of measurement only to discover, after they have become entrenched, that they don’t measure what they are supposed to measure. | |||
| Do doctors keep up to date with their medical knowledge? | 02 Feb 2025 | 00:04:51 | |
It’s hard to tell, but we have no way to know for sure. | |||
| Code Lavender | 16 Oct 2022 | 00:04:31 | |
A unique way to focus on reducing stress in moments of great need.
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| Reproductive Coercion | 09 Oct 2022 | 00:04:37 | |
Often reproductive autonomy is undermined by our partners.
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| Medical Waste | 02 Oct 2022 | 00:04:31 | |
Big polluters are not just cars and power plants - they include the American health care system. | |||
| Recommendations to screen for anxiety in adults | 25 Sep 2022 | 00:05:00 | |
When we screen for any disease, we need to make sure acceptable treatments are available.
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| The move toward remote home monitoring | 18 Sep 2022 | 00:04:56 | |
Remote monitoring devices are now capable of tracking our health behaviors including the pills we consume, the food we eat, and the step we take. Is this an advance in health care? | |||
| Abortion: States vs the Federal government | 11 Sep 2022 | 00:04:54 | |
Nationally, emergency departments have become the latest battle ground around issues related to abortion. | |||
| The health benefits of Camellia Sinensis (black tea) | 04 Sep 2022 | 00:04:16 | |
A very large preliminary study suggests that there may be some health benefits to regularly drinking black tea. | |||
| The link between soil and health | 28 Aug 2022 | 00:04:59 | |
Soil is something that often gets ignored as we think broadly about health. | |||
| Variations in the consumption of dairy products | 21 Aug 2022 | 00:04:59 | |
It turns out that even what we chose for breakfast can have a biological origin. | |||
| Limitations of the Inflation Reduction Act of 2022 | 14 Aug 2022 | 00:04:48 | |
The new legislation offers some major successes, but with regard to drug pricing it is not close to what it could have been. | |||
| Will AI replace clinicians? | 26 Jan 2025 | 00:04:59 | |
AI is increasingly being used to collect and process clinical information. Whether this is a good thing depends on who you ask. | |||
| Informing relatives of genetic risks | 07 Aug 2022 | 00:04:44 | |
We currently have no good communication systems to assure that those at risk for serious inherited diseases are informed of their risk. | |||
| Anti-depressants needs a major “rethink” | 31 Jul 2022 | 00:04:49 | |
It turns out that much of what we’ve been told about antidepressants is wrong or misleading. The prevailing thinking has led to huge sales with little evidence of effectiveness. | |||
| Video recording surgical operations | 24 Jul 2022 | 00:04:59 | |
Video recordings in the OR have a chance to improve quality but they also open a can of worms. | |||