#165 Things We Do For No Reason™ Part 2

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 12 August 2019

⏱️ 74 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Discover more common practices that persist in the hospital wards despite no proven benefit! We review how hospitals prescribe a “crapload” of docusate which only clogs up the medication list, how unnecessary echocardiograms are ordered enough times to make your head spin, and how basal insulin needs to slide back into your inpatient diabetes management instead of correctional insulin monotherapy. Join high-value care specialist Dr. Lenny Feldman (@DocLennyF, Hopkins) and tweetorialist Dr. Tony Breu (@tony_breu, Harvard) as they walk us through round 2 of “Things We Do For No Reason™.”

SHM members can claim CME-MOC credit at https://www.shmlearningportal.org/curbsiders (CME goes live at 0900 ET on the episode’s release date). Note: The planners and faculty for this activity have no relevant relationships or conflicts to disclose.

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Credits

Written and Produced by: Justin Berk, MD MPH MBA, Matthew Watto MD
Infographic: Justin Berk MD MPH MBA
Cover Art: Matthew Watto MD
Hosts: Stuart Brigham MD, Matthew Watto MD, and Paul Williams MD
Editor: Matthew Watto MD, Emi Okamoto MD
Guest: Lenny Feldman MD, Tony Breu MD

Sponsor

The Society of Hospital Medicine / Journal of Hospital Medicine - Things We Do For No Reason™series. Check out all the Things We Do For No ReasonTM articles here: Master Index of TWDFNR articles .

Transcript

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0:00.0	This episode of the Curbsiders is brought to you in partnership with the Society of Hospital Medicine.
0:05.4	Members can claim CME and mock credit at www.shmlearningportal.org forward slash curbsiders to claim CME and mock credit.
0:17.0	The Curbsiders podcast is for entertainment education and information processing.
0:26.0	As far as discussed, should not be used only by industry, your orbit and industry is more
0:28.5	conditioned, but more than used in the same express on the podcast are solely those of those
0:30.5	who should not be interpreted perfectly perfectly.
0:31.5	This will cause the position of any entity to the cycloposy, cash-like morons, and affiliate
0:33.6	outreach programs.
0:34.6	Indeed, there are any defect there or none.
0:35.6	Pretty much we are responsible for this throughout which we do our homework and let's
0:37.5	know if there were any.
0:38.5	Hey guys, we're back.
0:53.0	Hi, how you doing?
0:55.2	That was horrifying.
0:57.2	I know.
0:58.2	I'm doing okay.
1:00.2	This is one of my favorite shows that we do because I like to think that there's
1:08.4	a lot of low-value practices out there.
1:11.4	Things we do for no reason, if you will.
1:13.7	It's always nice to use the show to shed light on some of those things and hopefully get
1:19.9	people to change their practice.
1:22.2	Paul, can you tell people more or less what we do on this show?
	...

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