IMreasoning - Clinical reasoning for Doctors and Students

Once again we dissect a diagnosis-gone-wrong from the records of the Health and Disability Commissioner.  Can we learn something to take away and avoid making the same mistake ourselves?

Welcome to another STC where friend of the podcast, Josh Inglis, challenges us with a case from Australia.  Play along with us and try to get the diagnosis as early as possible. As an aside, our update regarding COVID19 in NZ is already a bit out date.  Time move quickly during a pandemic!  NZ has not only managed to "flatten the curve"; we have completely squashed it.  For each of the last 4 days we have had less than 15 new confirmed and probable cases.  Now we have to figure out how to stay COVID-free until the vaccine... Remember you can view our medical student teaching events on our Facebook page. You can support our efforts to continue producing this podcast at https://www.patreon.com/imreasoning Thanks!

First, welcome to Madison and Steven who have joined the IMreasoning team! Like everyone else, we're talking about the Coronavirus.  Its hard not to when it has taken over essentially every aspect of our daily lives, both at work and at home. We talk about what makes the situation difficult for human minds to grasp the reality of this pandemic; the concept of exponential growth, denial in hard times, and the counterfactual. And we have the rare treat of chatting with our good friend Jorge Valbuena-Balbas who is living and working in Bilbao, Spain, and is currently sitting (metophorically-speaking) at the bottom of what appears to be an exponential trajectory in Spain. For those keen to support our efforts please visit: https://www.patreon.com/imreasoning  

Another instalment of STC, this time using a Global Morning Report case from HumanDx.  We hope to do more of these as we initiate a collaboration with the Human Dx team. Big news! We have launched our Patreon page.  Listen to this episode to hear more about how you can support the podcast. You can use the link below to visit our Patreon page: https://www.patreon.com/imreasoning We appreciate your support.

Dive into the world of Bayesian reasoning, where stats and medical decision-making collide! Discover the impact of base rate neglect through engaging case studies. Learn about the crucial roles of sensitivity, specificity, and likelihood ratios in interpreting medical tests. Hear fascinating examples involving fictional conditions like 'fatal itchy arm syndrome.' Explore how pretest probabilities shape clinical judgments and the real-life applications in diagnosing heart failure. Get ready to rethink how you assess health risks!

Well folks, we are finally ready to re-launch with "season 2".  During our break we have been making plans to continue bringing you new material.  But most importantly we've decided to launch a new podcast called "Diagnostica" which aims to bridge the gap between the culture of medicine and the "public".  We'll keep you updated on this new project. For now, enjoy a short cognitive autopsy.  Next episode, more Bayesian math!

After a season 1 that has dragged on for 4 years, we've decided to have a publishing break so we can work on more episodes.  Thanks to all our listeners for your feedback and encouragement.  We will be back soon!

Apologies for the delay in getting this next episode out to you.  Play along with us on this very challenging case. Schadenfreude (/ˈʃɑːdənfrɔɪdə/; German: [ˈʃaːdn̩ˌfʁɔʏ̯də] (listen); lit. 'harm-joy') is the experience of pleasure, joy, or self-satisfaction that comes from learning of or witnessing the troubles, failures, or humiliation of another.  

A special edition of STC!  This time our good friend of the podcast Gurpreet Dhaliwal, master diagnostician, works through a case with Nic.  The case was originally presented to Art at morning report by one of our registrars Luke Sutherland.

Enjoy part 2 of our conversation with Bertalan Mesko, the Medical Futurist.  Apparently in 20 years when we're ready to retire, work will be so satisfying we won't want to leave!  I hope Bertalan's optimism turns out to be prophetic...