Episode 038: Changing the World Outside the Clinic

Doctors enjoy, for better or worse, and elevated social status.  How can they use that high regard, as well as their knowledge, to change the world when they're not in the clinic?
In this episode, Alison Pletch, Zeynep Demir, Eric Wilson, and Alison Seline brainstorm some avenues from politics to journalism that docs explore when they have the itch to change the world.

Listen to Episode 038: Changing the World Outside the Clinic.

• Working Mom Arrested for Letting Her 9-Year-Old Play Alone at Park and This Widow's 4 Kids Were Taken After She Left Them Home Alone
• Israel-Gaza conflict: Doctor Mads Gilbert evokes conditions in a Gaza hospital
• A Day in the Life of a Successful Nurse Writer
• Four Ways Katie Couric Stacked The Deck Against Gardasil
• Agriculture and Health Policies Intro
• Physicians of the 113th Congress
• UIHC spinout seeks to reduce blindness

Listen to more great shows for medical students on The Vocalis Podcast Network.

Episode 037: Junk Science

Junk science dominates our thoughts in this episode, our first recording in front of a live studio audience (the Introduction to Medical Education at Iowa students who were kind enough to join us).  Cole Cheney, Alison Pletch, Keenan Laraway, and Eric Wilson talked about Dr. Mehmet Oz's recent troubles, including a New York M3 who asked the AMA and the NY Medical Association to step in.  Also, Cole drops some new research knowledge on us about why pot makes people paranoid (hint--having a researcher stand over you asking you if you're paranoid might be another known cause of paranoia), and The Egyptian Army says it has cured HIV and hepatitis, or so they claim, using a simple point and shoot device that detects AND purifies the blood.   But it needs a leeeeetle more testing...

• AIDS-curing device needs more testing, Egypt's army says
• Meet the medical student who wants to bring down Dr. Oz
• Physician Sounds Alarm On Illegal Drugs Sold On Amazon

Listen to Episode 037: Junk Science.
Listen to more great shows for medical students on The Vocalis Podcast Network.

Episode 029: What Tech Makes Med School Easier?

When you're drinking from the firehose, you need a good straw.  This is why medical students often turn to technology to help distill everything down into something they can actually remember and use.  But buried under a mountain of technological possibilities, it’s really difficult to decide on what level of dependence on technology you’ll accept, what apps to use, what websites to trust, how to establish a workflow for studying, whether or not residents (or worse, patients) will ding you for whipping out your smartphone during rounds, how to keep all your devices charged, and how to pay for it all.

Students Alison Pletch, Jesse Van Maanen, and Cole Cheney talked about the tech they use;  what about you?  

Listen to Episode 029: What Tech Makes Med School Easier?.

Episode 027 - A real life Dr. House: Gurpreet Dhaliwal

All our listeners are familiar with the archetype of the master diagnostician, probably best represented in pop culture by Dr. Greg House, the irascible, pill-popping doctor of the eponymous television series.  Every week, House put together the clues and discarded the red herrings to come up with a diagnosis that only he could have thought of.  It’s a great trick, and there are people out there who can really do it.  Some even do it for their peers, at grand rounds that are akin to displays of medical prestidigitation.

But it’s about more than tricks.  For instance, in April of this year, a Hopkins review of 25 years of malpractice claim payouts found that diagnostic errors—not surgical mistakes or medication errors—made up the largest fraction of claims, the greatest harm to patients, and the highest total payouts: almost $39 billion during that time.  All this despite the common practice of defensive testing, in which tens of billions are spent each year on unnecessary tests in the hope of protecting doctors from the possibility of lawsuits.

Our guest on this episode is Dr. Gurpreet Dhaliwal, Associate Professor of Clinical Medicine at the University of California San Francisco School of Medicine.  Among Dr. Dhaliwal’s professional interests are clinical reasoning, diagnosis and diagnostic errors, and how physicians can improve in those areas.  He is also much less angry, and students Eric Wilson, Dwiju Kumar, and Alison Pletch found him a lot more fun to talk to, than Greg House.

Listen to Episode 027 - A real life Dr. House: Gurpreet Dhaliwal.

Episode 025: Henrietta Lacks vs. HeLa, and the People Behind the Specimens

The efficacy of any biomedical researcher is based on his or her foundation of scientific knowledge.  Few would have any problem grasping that idea.  What's less well understood, by both researchers and laypeople alike, are the stories of the biological materials they work with.  Often these materials are cell cultures, tissue samples, human DNA.

From left to right: Dave Etler, Eboni Jones, Victoria Baptiste, David Lacks, Alison Pletch, and Greg Pelc.

Unlike the chemicals, reagents, test tubes, and machinery used in research, these materials often come from people.  That's easily forgotten when they can be ordered from catalogs and websites in the way of other commodities. But those people, who may no longer live among us, have stories.  In the case of Henrietta Lacks, an African American woman who passed away in the early 1950s of cervical cancer, the cells taken from her without her or her families' knowledge touched off a revolution in biomedical science. 

Henrietta and Day Lacks (From
"The Immortal Life of Henrietta Lacks,"
R. Skloot, 2009)

They've contributed to the vaccine for polio, were the first cells to be cloned, and have been used in a number of cancer, virus, and pharmacological studies all over the world. Rebecca Skloot's 2009 book "The Immortal Life of Henrietta Lacks" noted that Mrs. Lacks' cells have been used in more than 60,000 studies, and 300 more are being added each month.  They are of huge importance to science because they were the first so-called immortal cell line--unlike most cells, they divide and reproduce essentially without limit.  But though no-one in Henrietta Lacks' family knew of their existence at first, the cells ultimately became of huge importance to her descendants.  In this episode, Alison Pletch, Eboni Jones, Greg Pelc, and I were honored to be able to welcome two members of the Lacks family to the show.  David Lacks is Mrs. Lacks' grandson, and Victoria Baptiste is her great granddaughter, and they spoke with us about their ancestor, informed consent, and their work with the National Institutes of Health on HeLa cell research guidelines.

Listen now to Episode 025: Henrietta Lacks vs. HeLa, and the People Behind the Specimens