6 - The Number Needed to Treat

FromBedside Rounds

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6 - The Number Needed to Treat

FromBedside Rounds

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Length:

16 minutes

Released:

Sep 19, 2014

Format:

Podcast episode

Description

In this episode of Bedside Rounds, we discuss how risks and benefits are communicated by scientists and physicians, and why those numbers you see in advertisements and newspapers might not be the clearest way to express risk.

Released:

Sep 19, 2014

Format:

Podcast episode

Titles in the series (86)

Bedside Rounds is a storytelling podcast about medical history and medicine’s intersections with society and culture. Host Adam Rodman seeks to tell a few of these weird, wonderful, and intensely human stories that have made modern medicine.

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21 - Renegades: Does medicine have a place for renegades who play by their own rules? Producer Cam Steele brings us a story about medical mavericks drinking toxic cocktails of their own creation, threading rubber tubes through their veins, and trying to disrupt... by Bedside Rounds
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2 - Full Code: In episode 2 of Bedside Rounds (though still technically untitled), I talk some about the myths and realities of cardiopulmonary resuscitation (CPR) in the hospital, and how the media influences how doctors and patients approach these important... by Bedside Rounds
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8 - I will harm: In Episode 8 of Bedside Rounds, we explore the mysterious world of the nocebo effect, where words can literally hurt -- or kill. It's all in the mind, right? by Bedside Rounds
13 min listen
3 - Dark Winter: In episode 3 of Bedside Rounds, I talk about the human triumph of small pox vaccination, and discuss the government exercise called Dark Winter which simulated a bioterrorism attack on the United States. by Bedside Rounds
13 min listen
1 - Frank's Sign: A re-recording of the very first episode of Bedside Rounds! Learn how we can use the physical exam to help solve the mysterious, 2000 year-old death of the Roman Emperor Hadrian! Learn about how biostatistics are used in every day clinical medicine!... by Bedside Rounds
14 min listen
16 - Phineas: Everyone knows the story of Phineas Gage, the young man who had a tamping iron shot through his brain in a freak accident and miraculously survived, only to have extreme personality changes. But the true story is far more complex -- and more... by Bedside Rounds
17 min listen
12 - P.I.M.P.: Pimping ain't easy, especially when it happens on rounds. Where did the peculiar medical tradition of "pimping" come from? How did it get its name? Is it even effective? And does it still have a place in modern medical education? Find out in Episode 12! by Bedside Rounds
14 min listen
4 - Happy Birthday: In Episode 4, I wish a hearty 202nd birthday to the New England Journal of Medicine, and look at how much things have changed over the centuries by looking at the 1912 and 1812 editions. #spoileralert: the answer is a LOT by Bedside Rounds
12 min listen
7 - The Medicine of the Empire Strikes Back: In Episode 7, we take you to a galaxy far, far away to explore the medicine of the best Star Wars film, the Empire Strikes Back. How close are we to replicating their medical interventions? And what can Star Wars tell us about medicine back here on... by Bedside Rounds
19 min listen
Summer Shorts #2 - Corrupted Blood: In 2005, a mysterious plague called Corrupted Blood hit the online denizens of World of Warcraft, ripping through cities and decimating player characters. After the smoke cleared, it became clear that this virtual plague shared many characteristics... by Bedside Rounds
14 min listen
5 - Beachside Rounds: In Episode 5, I present Beachside Rounds, a fun activity for the whole family this summer, and a brief introduction into interesting physical exam findings. by Bedside Rounds
15 min listen
6 - The Number Needed to Treat: In this episode of Bedside Rounds, we discuss how risks and benefits are communicated by scientists and physicians, and why those numbers you see in advertisements and newspapers might not be the clearest way to express risk. by Bedside Rounds
16 min listen
9 - Laennec's Cylinder: In the beginning of a string of podcasts about sound in medicine, Bedside Rounds goes back to the beginning, with the invention of the stethoscope by Rene Laennec. How was the stethoscope invented? What are doctors listening for when they... by Bedside Rounds
16 min listen
10 - Car Talk: On episode 10, I discuss one of the best public radio shows of all time, Car Talk, and how it's an awesome example of clinical reasoning. I also talk a little bit about how doctors learn to think like doctors. Dedicated to Tom Magliozzi, who recently... by Bedside Rounds
13 min listen
15 - Innumeracy: Understanding statistics has never been more important for the practice of medicine. Unfortunately, innumeracy plagues the medical field. Listen to Episode 15 of Bedside Rounds to learn more, and maybe find a way out of this statistical morass... by Bedside Rounds
14 min listen
11 - Frank's Sign Redux: Celebrate ten episodes of Bedside Rounds with a rerecording (with new material) of the first episode, Frank's Sign! The most powerful man in the world, the Roman Emperor Hadrian, dies of a mysterious illness. Learn how the case was (sort of) cracked... by Bedside Rounds
14 min listen
14 - The First Trial: The Randomized Controlled Trial (RCT) is the gold standard for how we know something works in the world of medicine. But how did we get to this point? The answer involves vegetarians and orange juice, spans two thousand years, and stretches from... by Bedside Rounds
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37 - Let It Bleed (PopMed #1): For thousands of years, bloodletting was the standard of care for any number of medical conditions, but at the turn of the nineteenth century, often acrimonious debates about the practice would lead to a new method of medical knowledge. The first of a... by Bedside Rounds
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17 - The Iceman: In 1991, two hikers near the Austrian-Italian border discovered the 5,000 year-old mummified body of Otzi the Iceman buried in a glacier. What have we learned about medicine from the Iceman? From a fungus-based first aid kit, ancient acupuncture ,... by Bedside Rounds
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23 - Bone Portraits: A darkened laboratory with an eerie green glow; a photograph of the bones of a woman’s hand published on the front pages of newspapers throughout the globe; mysterious rays that promise to change medicine forever but also cause horrific disease in... by Bedside Rounds
20 min listen
20 - Buried Alive: The nineteenth century was struck by a collective panic about being buried alive, leading to a bevy of new laws, regulations, and inventions like the safety coffin. In this episode, we explore how medical science created and fueled this fear by... by Bedside Rounds
24 min listen
22 - The Assassination: A mortally wounded American president and the quest to find his assassin’s bullet unexpectedly opened up a potentially new era of medical diagnostics in the late nineteenth century. In this episode, learn about the assassination of James Garfield... by Bedside Rounds
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26 - The God Squad: The invention of dialysis -- essentially artificial kidneys for people with kidney failure -- revolutionized medicine. It also started a debate about medical rationing and ethics that rages to this day. Producer Cam Steele brings us a story about the... by Bedside Rounds
38 min listen
13 - The Oath: Doctors recite an oath, often the Hippocratic Oath, when they graduate medical school, swearing to serve their patients and to do no harm. The common perception is that physicians have sworn an oath for thousands of years, leading back to... by Bedside Rounds
16 min listen
Summer Shorts #1 - The Eclipse: The eclipse is coming! Get out your eclipse glasses (or your camera obscura, if you didn't prepare like me), and enjoy a review of the medical literature on eclipses with our guest Dr. Avi O'Glasser in our first summer short. Beyond solar retinopathy... by Bedside Rounds
12 min listen
28 - Smallpox Blankets: The story of smallpox blankets offered as gifts to indigenous peoples as a weapon of war is ubiquitous -- but is it based in truth? And did our increased medical understanding of smallpox lead to its use as a biological weapon? In this episode,... by Bedside Rounds
32 min listen
18 - Dr. Livingstone, I presume?: By the time that David Livingstone died on the banks of Lake Bangweulu, his name was already legend -- first, as a great explorer, becoming the first European to lay eyes on Victoria Falls and Lake Malawi, and second as a fierce advocate against the... by Bedside Rounds
21 min listen
#TipsforNewInterns and Introducing Summer Shorts (NOT AN EPISODE): In this month's #AdamAnswers, he discusses his #TipsforNewInterns (seriously, it's trending on Twitter). And we introduce the Summer Shorts for this summer -- and discuss how you can contribute and be on the show! (#spoileralert -- Tweet me... by Bedside Rounds
7 min listen
33 - Alexis and William: Alexis St. Martin and William Beaumont have one of the strangest relationships in the history of medicine -- a young French-Canadian fur trapper with a hole in his stomach from an errant shotgun blast and the American army physician who cared for him,... by Bedside Rounds
31 min listen
32 - The Humors: The Four Humors are probably the longest-lasting idea in the history of medicine, even though they’ve been more or less completely abandoned for the past century or so. In this episode, we’ll explore how the ancient Greek idea of disease coming... by Bedside Rounds
32 min listen

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74 - R2D2: What does it mean when a computer can make better medical decisions than a human? The progress in large language models, and in particular the popularity of ChatGPT, has brought these questions to the forefront in 2023, but we’ve been discussing... by Bedside Rounds
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73 - Seadragon: What happens when a patient far from surgical care – say, at the bottom of the Pacific ocean on a submarine, or at a research base in Antarctica in the middle of the winter – develops a surgical abdomen? This dilemma was the impetus to build the... by Bedside Rounds
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72 - Problems: American doctors spend the majority of their time during the day on the computer, either writing or reading notes about their patients; only a small fraction is spent with the human beings in their care. Technology itself – especially the electronic... by Bedside Rounds
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$72 - Problems: American doctors spend the majority of their time during the day on the computer, either writing or reading notes about their patients; only a small fraction is spent with the human beings in their care. Technology itself – especially the electronic...$
71 - A Doctor's Work, part 2: In the past episode, cultural and medical historians Lakshmi Krishnan and Mike Neuss discussed the history of the actual work of the doctor – Holmesian detective, data entry clerk, or something else altogether. In this episode, we conclude our... by Bedside Rounds
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70 - A Doctor's Work: What do doctors actually do? Are they Sherlockian detectives, hunting down obscure clues to solve intractable cases? Are they virtuosic experts, training for half a lifetime to bring the latest science to bear to cure disease? Or are they clerks,... by Bedside Rounds
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69 - The Database: How do doctors actually think? And if we can answer that, can we train a computer to do a better job? In the post-WW2 period, a group of iconoclastic physicians set about to redefine the nature and structure of clinical reasoning and tried to build a... by Bedside Rounds
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68 - The History: Internal medicine physicians like to pride ourselves on our clinical reasoning – the ability to talk to any patient, pluck out seemingly random bits of information, and make a mystery diagnosis. But how does this actually work? In this episode,... by Bedside Rounds
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The Facemaker with Dr. Lindsey Fitzharris (#histmedconsultservice): Modern plastic surgery was born out of the horrors of trench warfare in World War I. In this episode, Adam interviews historian Lindsey Fitzharris about her new book The Facemaker, about the life of surgeon Harold Gillies and his quest to rebuild his... by Bedside Rounds
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67 - Fever on the Frontier: In the early 19th century, a strange new illness, seemingly unknown to medicine, ravaged settler communities in the American Middle West. As fierce debates about this new disease, now called milk sickness, raged – was it from toxic swamp gasses?... by Bedside Rounds
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66 - Burnout: Burnout seems to stalk healthcare workers; between a third and a half of doctors and nurses had symptoms of burnout BEFORE the COVID-19 pandemic. Major medical associations have recognized burnout as a serious problem and the condition is being added... by Bedside Rounds
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65 - The Last Breath: How can we medically tell whether or not someone is alive or dead? The answer is much more complicated than you'd think. In this episode, which is a live podcast I gave with Tony Breu at the Massachusetts Chapter of the American College of Physicians... by Bedside Rounds
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64 - A Vicious Circle: During World War II, the US Army launched a seemingly routine experiment to find the ideal way to screen soldiers for tuberculosis. Jacob Yerushalmy, the statistician in charge of this project, would succeed at this task -- and end up fundamentally... by Bedside Rounds
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63 - Signals: What does it mean when different physicians disagree about a diagnosis? I am joined by Dr. Shani Herzig as we explore this issue in the second part of my series on the development of diagnosis. We’re going to discuss the advent of signal detection... by Bedside Rounds
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62 - The Sisters Blackwell: Elizabeth Blackwell -- the first woman to earn a medical degree in the United States -- and her sister Emily Blackwell are some of the most important physicians of the 19th century, firmly establishing the role of women as physicians, starting an... by Bedside Rounds
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61 - Etymologies: Words matter. At its best, etymology gives us insight not only into the origins of words, but why they remain so important today, especially in medicine, where we’ve been accruing jargon for millennia. In this episode, we’re delving into four... by Bedside Rounds
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The House of Pod: How medical podcasting made me a better doctor and educator … and how it might change the future of medical education for everyone: In this episode, I talk about my podcasting journey -- how I started Bedside Rounds for inspiration during a low period in residency, how it changed me as a physician, and how it has changed my views about digital education and the future of medical... by Bedside Rounds
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58 - The Original (Antigenic) Sin: The COVID-19 pandemic laid bare the racial health disparities in the United States, with markedly increased mortality especially among Blacks and Native Americans. In this episode, Tony Breu and I discuss the conception of race, racism, and the social... by Bedside Rounds
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Introducing the Curious Clinicians!: This bonus episode introduces episode four of the Curious Clinicians, about Vincent Van Gogh and digitalis. The Curious Clinicians is a new medical podcast produced by Hannah Abrams, Avi Cooper, and Tony Breu; you can download them all at... by Bedside Rounds
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55 - The Fever Tree: Where did cinchona, the first medication to cure malaria, come from? This episode explores the murky history of the bark of the fever tree and its derivative chloroquine with mysterious pre-Columbian Pacific crossings of the plasmodium parasite,... by Bedside Rounds
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A short message from Adam: As the COVID-19 pandemic increasingly spreads across the globe, Bedside Rounds is going on hiatus. This short message explains why and gives some historical context. Stay in touch on Twitter in the upcoming months @AdamRodmanMD. by Bedside Rounds
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52 - The Rebuff: Over the past several centuries, the medical field has established a firm graph on the domain of the human body, with one very notable exception -- the teeth. In this episode, we’re going to explore this historic split between medicine and... by Bedside Rounds
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6 - The Number Needed to Treat

6 - The Number Needed to Treat

Description

Titles in the series (86)

More Episodes from Bedside Rounds

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