#16 Steroids in COPD: Mind the Gap Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 30 May 2018

⏱️ 13 minutes

🔗️ Recording | iTunes | RSS

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Summary

Let’s take your breath away… with a review on steroids in treating COPD exacerbations! Time Stamps * How does GOLD (Global Initiative for Chronic Obstructive Lung Disease) define a COPD exacerbation? (2:44) * What outcomes do steroids actually improve in treating a COPD exacerbation? (5:08) * What is the evidence behind a 5 day steroid “burst”? (7:20) * Are IV steroids more powerful than PO? (9:00) For full show notes: https://www.coreimpodcast.com/2018/05/30/mind-the-gap-steriods-in-copd/ (https://www.coreimpodcast.com/2018/05/30/mind-the-gap-steriods-in-copd/) Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

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0:00.0	This might date me, but I remember when I was a kid there used to be these old Listerine commercials from the 1990s.
0:06.0	You realize you're younger than me, right, Janine? Tell me, what are you talking about?
0:09.5	You know, the ones that would talk about the perils of gum disease.
0:12.8	Oh yeah, yeah.
0:14.0	The perils of gingivitis.
0:16.0	Exactly.
0:17.0	But if you're going to bring up 90s commercials,
0:19.9	how do you not go with the Budweiser frogs?
0:22.0	Or Mentus, the Freshmaker.
0:24.6	I don't know.
0:25.1	I guess Jijevitis stuck out in my mind
0:26.8	because it really did sound crazy scary to little Janine.
0:30.3	Yeah, but to be fair, if it doesn't scare you now, you're probably not seeing your dentist enough.
0:35.0	Well, I think that what always got me was that it was such a scary sounding name.
0:39.0	I didn't learn that ITIS just meant inflammation until medical school.
0:42.8	I'm still trying to see where you're going with this one?
0:45.3	Well, after our last discussion about COPD, Carl and I talked about how to classify it.
0:50.2	We talked about how symptoms matter, but population level outcomes matter too, and they don't correlate as well as we might like.
0:56.4	Sure. And what's kind of cool is that inflammation is common to both disease.
1:00.4	Oh God, I think I know you're trying to go with this. Exactly.
1:04.3	Inflammitis.
1:06.3	That's awesome.
	...

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