Amol, general internal resident at the University of Toronto, and Raed Joundi, neurology resident at the University of Toronto, discuss 2 recent studies:
Is early mobilization helpful for stroke patients? A randomized control trial showed that early aggressive rehabilitation for acute stroke patients resulted in worse outcomes. Amol and Raed speculate reasons behind this counter-intuitive finding.
A study that analyzed administrative data from insurance claims in Korea found that patients who received both anti-depressants and anti-inflammatory medications have an increased risk for intracranial hemorrhage. Should drug interaction results from massive registries be used to dictate prescribing practices?
The papers
1. Early rehabilitation for stroke patients: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)60690-0/fulltext?rss=yes
2. Drug interaction that increase intracranial hemorrhage: http://www.bmj.com/content/351/bmj.h3517
Good Stuff
1. Germany’s refugee crisis: http://healthaffairs.org/blog/2015/10/22/the-public-health-dimension-of-germanys-refugee-crisis/
2. Caring for refugees in Munich: http://www.nejm.org/doi/full/10.1056/NEJMp1512139
3. The patient wish list: https://armstronginstitute.blogs.hopkinsmedicine.org/2015/10/20/the-patient-wish-list/
Music Credits (Creative Commons)
In your Robotic Heart – Nicolai Heidlas https://soundcloud.com/nicolai-heidlas/in-your-robotic-heart
Drive – Nicolai Heidlas https://soundcloud.com/nicolai-heidlas/drive-fresh-upbeat-pop-background-music
Swingin’ Jazz – Nicolai Heidlas https://m.soundcloud.com/nicolai-heidlas/jazz-blues-background-music
All tracks have been modified for the purposes of this podcast.