Sensible Medicine Vinay at FDA; what's next for Sensible Medicine; ask us anything answers
May 8, 2025
The hosts explore the implications of a new FDA appointment on the future of sensible medicine. They discuss the financial burdens impacting medical education and workforce diversity, highlighting the challenges faced by aspiring healthcare professionals. A critical examination of cardiac stress tests reveals the need for personalized treatment approaches. The episode also delves into the complexities of managing asymptomatic atrial fibrillation and the intricacies surrounding patient care and healthcare incentives, advocating for better clinical decision-making.
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Vinay's Deep Patient Care Dedication
- John Mandrola shares a personal story about Vinay's deep patient care dedication from their residency days.
- Vinay is a physician who cares deeply and reads studies critically, making him an excellent regulator.
Medical School Costs and Burnout
- Medical school is very costly but efforts exist to reduce expenses for needy students.
- Prospective doctors should be prepared for the hard work and stress inherent to medicine.
Stress Tests Often Overlead to Angiograms
- Positive stress tests often lead to unnecessary angiograms despite little evidence for urgent intervention.
- The ISCHEMIA trial showed no benefit for routine angiography after positive stress tests versus medical therapy.