BS Medicine Podcast

Hosted by James McCormack and Mike Allan .

These podcasts promote healthy skepticism and critical thinking, with the majority presented in a case-based format.

Recommended Listening

Episode 479: Cannabinoids – an update (not much) for chronic pain

In episode 479, Mike and James update the latest information around cannabinoids for chronic pain. Unfortunately, there is not a lot of new information but we talk about what there is and then try and put all the evidence into context and then how to think about the information we have. Show notes...

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Episode 478: How to slow the flow: NSAIDs for heavy menstrual bleeding

In episode 478, James and Mike invite Jen Potter to the podcast yet again to talk about whether or not NSAIDs are effective for reducing menstrual bleeding. While the quality of the evidence is not great, there does appear to be some evidence that NSAIDs have an effect over placebo. Show notes Tools for Practice...

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Episode 477: Vaccine hesitancy in the office: What can I do?

In episode 477, James and Mike invite Jen Potter to the podcast for the first time to talk about the important topic of what to do around vaccine hesitancy. We find out the evidence suggests discussion should focus on the disease-prevention benefits for the individual rather than talking about misinformation around the harm or the benefits to society. Show notes...

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Episode 475: A good sleep would be dop(aminergic) doc! Pramipexole in restless legs syndrome

In episode 475, Mike and James invite Tina to talk about treatments for restless legs syndrome. in particular pramipexole. We find that pramipexole improves symptoms in ~20% of people over and above placebo and that low doses are just as good as higher doses. Who knew?...

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Episode 474: Iron dosing frequency: Is less more or just less?

In episode 474, Mike and James discuss the evidence around intermittent iron dosing for people with anemia. We find that once daily dosing of iron yields similar or slightly better hemoglobin versus twice weekly or alternate day over ~3 months but low dose is still the place to start. We also discuss the amount of iron in supplements and in food and try to put all that into context....

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Episode 473: All the numbers for bisphosphonates and denosumab in osteoporosis

In episode 473, Mike and James invite Samantha Moe yet again to talk about a recent Tools for Practice that looked at treatments for osteoporosis. Sam helps us put all the evidence into perspective for bisphosphonates and denosumab when it comes to fractures. We discuss the numbers and help explain why secondary prevention in osteoporosis is not really secondary prevention....

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