Healthcare Triage

The best way to prevent transmission of Ebola in the United States, or any country for that matter, is to identify and quarantine those with the disease as soon as possible. However, the first person diagnosed with Ebola in the US was, unfortunately, released after coming to an emergency department, even though he had symptoms indicative of the disease. He was sent home on antibiotics. The inappropriate use of antibiotics is the subject of this week's Healthcare Triage. This was based heavily on a piece I wrote for the Upshot, which you can go read here: http://www.nytimes.com/2014/10/21/upshot/on-an-antibiotic-you-may-be-getting-only-a-false-sense-of-security.html. All the refs and links are there. John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen - Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/olsenvideo http://www.twitter.com/johngreen #healthcare #healthcaretriage #antibiotics

Healthcare Triage has merchandise: http://dft.ba/-HCTmerch This week's Healthcare Triage News is likely to upset some docs. Get your popcorn ready! For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=60498 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

Healthcare Triage has merchandise! Get it here: http://dft.ba/-HCTmerch I've found that of almost all of the topics I write about over at my blog, the one that stirs up the most controversy, the one that generates me the most hate, the most emails and the most tweets is e-cigarettes. Defenders of them are very passionate, and surprisingly organized. Those that dislike them are no less dedicated. But let's get past the rhetoric. E-cigarettes are the topic of this week's Healthcare Triage. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=60386 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

Get the merch from question #1! http://dft.ba/-HCTmerch John Green asks the questions you submitted, and Dr. Aaron Carroll answers them. Also, great job with the questions. They were really good.

Two studies this week bust some myths about sensitive topics and kids. This is Healthcare Triage News. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=60691 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

Once again, John Green joins Aaron Carroll on Healthcare Triage to answer questions submitted by you, the viewers.

There's been a lot about vaccines in the news, recently, especially the flu vaccine. So we're going to concentrate on that, in today's Healthcare Triage News. For those of you who want to read more, Aaron has two posts with links: http://theincidentaleconomist.com/wordpress/articles-saying-flu-shots-suck-this-year-may-not-really-get-effectiveness/ and http://theincidentaleconomist.com/wordpress/once-more-unto-the-breach-influenza-effectiveness-edition/ John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen - Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

We've got mugs and posters! Get 'em here: http://dft.ba/-HCTmerch Sleep! It's probably the one single thing we spend the most time doing. Sleeping eight hours a night means that you'd spend literally one third of your life asleep. But most of us are getting less than that, and we probably need more. Sleep is important! It's also the topic of this week's Healthcare Triage. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=61025 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

Get your awesome Healthcare Triage mugs and posters here: http://dft.ba/-HCTmerch The placebo effect extends to how expensive a treatment is. People tend to believe they get what they pay for when it comes to medicine, even placebos. And we talk about measles outbreaks. This is Healthcare Triage News. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=61099 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

The Healthcare Triage mug is clinically proven to be the best vessel for holding hot drinks. Get yours here: http://dft.ba/-HCTmerch Last week we talked about sleep. We talked about how much the average person needs, and how much they get. We also talked about how you can't just rely on "averages" to determine how much you need. Sleep in a personal thing, and we all need different amounts. But sleep is incredibly important. You have to do it. Not getting enough, or sleep deprivation, is a real, and bizarre thing. It's also the topic of this week's Healthcare Triage. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=61150 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

Healthcare Triage Merchandise! http://dft.ba/-HCTmerch How much does weed affect your driving? Why is it on the news so much? This is Healthcare triage News. For those of you who want to read more, here's the report I reference: http://www.nhtsa.gov/staticfiles/nti/pdf/812117-Drug_and_Alcohol_Crash_Risk.pdf John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

We have merchandise! Mugs and Posters! http://dft.ba/-HCTmerch A couple weeks ago, John had a great Vlogbrothers video on racism. It was fantastic, and I assume all of you already watched, but if you didn't, you should. One of the things he mentioned is that differences in life expectancy can be evidence of potential differences in how people of different races are treated. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=61291 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

One of the favorite complaints of doctors when we confront them with the over using technology and overtreating patients is that they demand it. Do they? More and more evidence says that's a myth. This is Healthcare Triage News. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=61385 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

When we are judging the cost-effectiveness of a treatment or intervention, we're really asking how much bang for the buck we're getting for our healthcare spending. That can be relatively easy when we're talking about life and death. But how do we measure improvements in quality? The most widely used method is through the use of utility values, and we'll show you how we calculate those in this week's Healthcare Triage. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=61426 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

Healthcare Triage has merchandise! Beautiful mugs and posters designed by Mark Olsen! http://dft.ba/-HCTmerch Last week, we discussed how to measure the utility value of different health states. These can be used as a proxy for quality in measuring how effective therapies are. How? That's the topic of this week's Healthcare triage. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=61511 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

*We are in no way advocating for you to give peanuts to your babies. And always talk to your doctor before introducing new foods to kids - including peanuts.* Peanut allergies have doubled in prevalence in the last 10 years in Western countries, and they're becoming more common in Africa and Asia, too. People have been trying to keep anything peanut related away from kids in response. Was that the right thing to do? No. This is Healthcare Triage News. For those of you who want to read more, links and sources can be found here: http://theincidentaleconomist.com/wordpress/by-shielding-infants-from-stuff-we-may-be-making-allergies-worse/ John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

Healthcare Triage has merchandise! Get your "To the Research" mugs and posters here: http://dft.ba/-HCTmerch There's another case concerning the Affordable Care Act that's hitting the Supreme Court, and it's a big deal. It has the potential to strip subsidies that help buy health insurance from millions of people across the country. The case is known as King v. Burwell, and it's the topic of this week's Healthcare Triage. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=61672 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen - Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

We're experimenting with hangouts on air! Leave your comments and questions below and we'll try and get to them in the next episode. Tune in next *UPDATED* 03/20/2015 @9:30a EST (link:https://www.youtube.com/watch?v=qXNbQBMNSsw). 00:00 - We were tweeting the link…you probably want to skip to 1:13 1:13 - Intro 2:04 -Thoughts on provider status for pharmacists 3:01 - Is there any research about what the recommended fluid intake should be? 5:13 - Does microwaving food make it less "safe." Are there any studies showing it is safe? 6:43 - Thoughts on Apple HealthKit 9:05 -Thoughts on Soylent and other similar full time meal replacement products. 11:08 - Are doctors overpaid? 12:46 - Burger King is dropping soda from kids meals in favor of milk. Is this a good thing? 14:40 - Chiropractic care - is there evidence for benefit? 16:46- Is there hope for rural health? 18:35 - IS there a benefit for probiotics when taking antibiotics for prevention or treament of C-diff infection? 20:38 - Why are mental services so hard to get? 22:00 - Why have we not found a reliable way to turn off the pain yet? 23:04 - Closing :)

Penis size and Suicide. Not two topics that normally go together. This is Healthcare Triage News. How big is the average penis? mental_floss episode on sex myths: https://www.youtube.com/watch?v=nSNoiAnUnH0 For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=61731 We have HCT merchandise! Get your mugs and posters here: http://dft.ba/-HCTmerch John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

Show Notes: 00:00- intro 00:42- what is your stance on pharmaceutical spending? how much of an issue or conflict of interest is it that doctors can receive kick backs from pharmaceutical companies? (conflict of interest video: https://www.youtube.com/watch?v=UJtLUaeEkbk ) 3:28 - What does the research into ECT or Electro Convulsive Therapy for the purposes of treating mental illness say? and what are your thoughts on it? 5:22 - When nutritionists suggests limiting sugar intake, do they mean all carbohydrates or just simple sugars? Is there any significant difference in how the body processes them? 6:30 - Mug and poster product placement. You can buy here: http://dft.ba/-HCTmerch :)) 6:39 - I've heard that limited alcohol consumption can be beneficial to one's health. Is there any evidence to support this? 8:19 - Is there any hope of moving medical research in the US to a more publicly funded system? The 100k price tag on some medicines is a bit crazy. (cost effectiveness video: https://www.youtube.com/watch?v=RSBaEz10sQk) 11:40 - Thoughts on the new findings on artificial sugar and waistlines. 14:31 - I am hearing from some sides that women should never take statins and others that increase the number of people who take statins. Do you have data? (NNH episode: https://www.youtube.com/watch?v=e_ytF2-4NkI) 17:19 - Could you talk about the benefits/risks of vegetarian and vegan diets compared to diets including meat? Which is better, avoiding meat totally, or balancing? (Diets episode: https://www.youtube.com/watch?v=hdY-NJq6zVQ) (Milk episode: https://www.youtube.com/watch?v=hzyFZcuHmeI) 19:31 - Please discuss the National Residency Matching Process. This week will be a very emotional one for medical students and graduates across the country, and the 20th is the day we find out where we go. 24:13 - Are there any negative long term effects of taking the pill? I'm worried it could permanently throw off my hormones.

Cholesterol! For decades it's been demonized as the reason so many people have heart disease. We 've been watching it, and avoiding it like the plague. Why? Does that do any good? The answer may surprise – and depress you. This is Healthcare Triage. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=61787 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

We have beautiful Healthcare Triage posters and mugs that you can own! http://dft.ba/-HCTmerch It's way too easy for teens to buy e-cigarettes on the Internet, and too many of them are victims of teen violence. Two new studies on Healthcare Triage news. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=61843 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

Leave your questions in the comments section and we'll get to as many as possible during the show. 0:25 - Is there any proven benefit to meditation? 2:00 - What is colloidal silver? Is it safe/effective? 3:07 - Is it possible to be asymptomatic and still pass on herpes? 4:24 - When should people get bone density tests? How about a man over 55? 5:14 - We're probably going to be able to test for every genetically linked disease in the future. Should we? 7:25 - How was p90x? 9:13 - Diabetes runs in my family. What are some strategies to reduce my likelihood of developing it? 10:18 - Is lucid dreaming even possible? 10:40 - Aaron talks about a dream that he had when he met the POTUS :) 11:11 - What back pain treatments do you recommend? 14:00 - Have you looked at recent research suggesting milk fat has some protective effect against obesity and heart disease? 15:03 - Is there a medical explanation for Hank's new hair cut? 15:23 - Product placement for some merch :) You can get some here: http://dft.ba/-HCTmerch 15:52 - I've had a few family members with epilepsy, including my father. Does that put me at risk? 17:35 - Does red meat increase cancer risk? Link: http://www.nytimes.com/2015/03/31/upshot/red-meat-is-not-the-enemy.html 20:50 - What medical question do people ask you most often? 21:55 - Sensory integration for kids with autism; does it work? 23:15 - Another break to drink from the wonderful HCT mug http://dft.ba/-HCTmerch :) 23:45 - We'd love to hear topic suggestions! If there's a study. Tweet at us! @hctriage @aaronecarroll @crashcoursestan @olsenvideo 24:56 - Is there actually more ADD or ADHD, or is it just more accurately diagnosed? 26:24 - What are the risks of pregnancy after 35 years old? 28:32 - Does the research support fecal transplants for treating obesity? 30:29 - Are long acting contraceptives better than short acting contraceptives?

Last week I talked to you about dietary cholesterol, and how the existing randomized controlled trials warned us that they wouldn't work. Now, it appears those guidelines might be changed, decades later. Cholesterol isn't the only recommendation that is controversial. So are the ones on fat. Prepare to get annoyed. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=61881 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

Like some kind of perpetual motion machine, it's hard to get physicians to change their behavior to do stuff. It's even harder to get them to change their behavior to stop doing stuff. This is Healthcare Triage News. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=61955 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen - Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

You can own Healthcare Triage merchandise! http://dft.ba/-HCTmerch The Affordable Care Act in the US, like most health care reform efforts, focuses on uninsurance. That's fine, as people without insurance do face significant problems accessing the healthcare system in the United States. But underinsurance is a real issue, too, and it's often ignored. Underinsurance is the topic of the week's Healthcare Triage.

One of the most common things you all seem obsessed about is supplements. I get questions from Healthcare Triage viewers all the time. You're obsessed. We've covered them before here on Healthcare Triage News as well. But there's more news, so here's another episodes. Updates on supplements today on Healthcare Triage News: For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=62003 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

In previous episodes of Healthcare Triage, we've discussed how people often misunderstand risk and how it affects them. We've also talked about how you can calculate the explicit metrics of numbers needed to treat and harm. But people rarely use them. In spite of the existence of metrics to help patients appreciate benefits and harms, a new systematic review suggests that our expectations are not consistent with the facts. Most patients overestimate the benefits of medical treatments, and underestimate the harms; because of that, they use more care. That's the topic of this week's Healthcare Triage. This piece was based largely on a column Aaron and Austin Frakt wrote for the Upshot at the NYT. References can be found there: http://www.nytimes.com/2015/03/03/upshot/if-patients-only-knew-when-more-information-means-less-treatment.html John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

Healthcare Triage Posters and Coffee Mugs: http://dft.ba/-HCTMerch Actually, you can even use these mugs for tea. Or any other hot drink. Or even a cold drink, if you don't mind bucking convention. Fatigue matters. Even when it comes to doctors. Especially when it comes to doctors. We've got data. This is Healthcare Triage News. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=62020 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

Whenever I give a talk on the sorry state of the US health care system, someone asks me what we should do. My first comment is always something along the lines of "if we knew what to do, we'd have already done it". But if I'm pushed, I will usually note that the best first step would be for us to stop doing things that don't work. There's an organization dedicated to that. It's called Choosing Wisely. It's also the topic of this week's Healthcare Triage. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=62191 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen - Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

1:07 - Start! 1:34 - There's so much dispute over multivitamins for adults & kids. Some say they are worthless, others say they are essential. I'm pregnant & there seems to be NO dispute over me taking a prenatal, why? 4:14 - I have recently been told by a woman that there are all these studies about bras causing breast cancer. have you heard of any? Is she just a fearmonger? Sounds awfully suspicious to me. 5:15 - What are your thoughts on breastfeeding? Are the benefits overhyped? Are the recommendations (6 months exclusive) practical? 7:09 - what do you think about gene therapy? 9:12 - is the silverchloride in anti-perspirants harmful? If yes, are there alternatives? 10:07 - Does The Pill have any side effect for later in life when you would like to have children? 11:12 - Tell me more about the government's inability to negotiate for lower prescription drug prices w.r.t Medicare Part D 13:18 - Are Doctors of Ostheopathy (DO) as good as regular doctors (MD)? 13:58 - Our pediatrician has been very adamant about our 14 month old drinking whole milk due to high fat requirements for the developing brain. Is this legitimate? At what point is milk no longer beneficial? 15:43 - What is up with food dyes and adhd? Hoax or just circumstantial? Or is there actually a causational link? 17:04 - Ok, seriously though... why is the lens of the microscope in your "To the Research" poster shaped like a condom? 17:43 - What kind of evidence/studies are there showing support for the idea that pregnant women shouldn't consume certain things such as sushi or coffee? 19:33 - How good is the research on vegan lifestyles and their health benefits? 21:00 - Any perspective of genetic counseling and the importance of proactive genetic testing? 22:24 - Is aspartame as harmful as everyone says? Episode on sweeteners: https://www.youtube.com/watch?v=Mf82FfX-wuU 23:05 - Does your opposition to the Milk Industrialization Complex apply to soy milk, almond milk, and coconut mil

We've got a permanent doc fix. It's all about the sustainable growth rate. Confused? We'll help. This is Healthcare Triage News. For those of you who want to read more, here's a nice summary at Vox: http://www.vox.com/2015/3/17/8232071/medicare-doc-fix-sgr John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

Guns are one of those topics that really divide Americans. It's hard to have a calm, evidence-based discussion. But one area where we really need to be able to do that is in the pediatrician's office. Why? That's the topic of this week's Healthcare Triage. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=62278 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

Leave any questions you have in next week's video: https://www.youtube.com/watch?v=y4pZYtXwZdA 00:35 - Start! 2:05 - Is there an ethical way to harness the placebo effect? What are your thoughts on placebo surgeries or sugar pills that actually increase the patients sense of well being? 3:30 - JoneseyBanana I often chew a lot of sugar free gum when studying to prevent myself grazing on junk food. Are there any potential downsides to this, especially dentally or to the jaw itself? (Our video on artificial sweeteners: https://www.youtube.com/watch?v=Mf82FfX-wuU) 4:36 - In the Guns and Physicians vid (https://www.youtube.com/watch?v=nXJmdMoNuY4), you said you get a physical every year. I remember you told John Green elsewhere that annual physicals (for men) are probably not necessary. Can you elaborate? 6:27 - How are you able to keep up with all the new research on such a wide range of topics? And how do you make any judgements on areas of conflicting research? 8:36 - What are your thoughts on accutane (isotretinoin) and its continued use on people as an acne medication? 10:09 - Do we know anything about brain freezes? What causes them, how to prevent them, and how to stop them once they've happened? 11:19 - Can you talk about ozone therapy and Aloe Vera products (such as forever living products)! Both are promoted as miracle treatments! Any research? Any results? Your opinion? 12:55 - What's the actual research on best hand washing practices? Length of time? Best type of cleanser? Water temperature? (Link to antibacterial soap video: https://www.youtube.com/watch?v=FS3LcIURelY) 15:00 Can you talk about what adults who had their vaccinations as kids should do in areas where there are measles outbreaks? 15:55 - How can a hypochondriac, like myself, do from having anxiety attacks and annoying his/her doctor? How can we separate real pain from psychosomatic pain? 17:20 - My wife and daughter have celiac disease, and we're planning a

HCT Mugs and Posters! http://dft.ba/-HCTMerch How often should you get a mammogram? After writing for years about how research shows we may be too aggressive in screening for breast cancer, it's only fair that I acknowledge the newer – and more conservative – recommendations from the USPSTF. This it Healthcare Triage News: For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=62338 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

We're eating too much. There are lots of people who think that menu labelling, or putting the number of calories in stuff up on the wall, will help people to eat more healthily. Sounds great, right? You think there might be some research on that? Menu labelling is the topic of this week's Healthcare Triage. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=62352 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

Leave your questions and we'll get to as many as possible during the show! Next week's livestream: https://www.youtube.com/watch?v=caIeXLMHA6c Facebook: https://www.facebook.com/healthcaretriage Questions w/ Timecode *the first couple of minutes have been trimmed because there was a technical error that caused the video feed to glitch pretty badly. 00:00 - A friend of mine is asking for help to pay for hyperbaric chamber therapy for her daughter's ASD. What is a hyperbaric chamber? and how is it supposed to help those with ASD? 2:03 - I'm told I have gallstones but no blockages. I cut out dairy and have not had any more attacks. Everyone is telling me to just remove my gallbladder, but I don't want to. Am I just being stubborn? 3:03 When should young women (late teens to early twenties) start seeing a gynecologist? What are your recommendations for finding one while away from home/in college? 4:32 Are kidney stones hereditary? Both my mother and father have had them as well as several of my grandparents and aunts/uncles. Should I be concerned? 5:52 What does the research say about long term or repeated use of antibiotics as a treatment for a UTI? 7:13 I am a cyclist with a 10-month-old. I have taken her around our 'hood in a tow-behind bike trailer, but it's not much of a workout. Is it safe to ride on the roads with her as I usually do solo? 8:35 Thoughts on fecal transplants and engineering the microbiome? 9:15 - Opinion on law enforcement vs education when it comes to changing people's behavior? For example, making it illegal for people to ride their bike helmet-less or telling them about the pros of helmets? 10:42 - Plugging some of our merch (hctmerch.com) :) 10:52 - Some people with chronic fatigue or pain think they have a form of Lyme disease. What does the research say on whether chronic Lyme disease is even a thing? Is chronic Lyme disease a myth? 11:43 - What are the actual risks involved with unassisted home birth? I don't have a

Pepsi is going to remove aspartame from its sodas. Chipolte is going to stop serving GMO food. It appears lots of people still aren't watching Healthcare Triage. This is Healthcare Triage News. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=62476 We have merchandise! http://dft.ba/-HCTMerch John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

A couple of weeks ago, Mark Cuban got into an interesting debate with much of the health wonk Twitter community (including me) over whether more lab testing is better. It began when he advocated that everyone get quarterly lab testing. While I'm a fan of Cuban's Shark Tank, and I respect his business acumen immensely, there are a couple of things wrong with this. It's worth discussing them in detail. We're going to do that here today, on Healthcare Triage. We have merchandise! http://www.hctmerch.com We're (finally) on Facebook! https://www.facebook.com/healthcaretriage We're on Twitter! https://twitter.com/HCTriage For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=62530 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

You can support Healthcare Triage on Patreon! http://www.patreon.com/healthcaretriage Next week: https://youtu.be/uzhrFHyen_M Re: Mic pounding...SORRY! We used this mic because we knew John was coming at some point. Didn't anticipate the desk noise though (we tried to fix it during the show). We'll be back to our normal mic for next week. If you find it totally unbearable, skip to 21:14...most of it goes away after that. Timecode/topics :13 - We've got a Facebook page: Facebook.com/healthcaretriage :35 - We're announcing our Patreon page! It's finally happening :) Patreon.com/healthcaretriage 2:39 - I've been frequenting several pregnancy & parenting forums lately and there seem to be a lot of women swearing by the "soft cup method" (trapping ejaculate against the cervix using a menstrual cup, typically overnight). Is there any merit to this? 3:37 - Can you talk about/explain Febrile Seizures? As a 911 dispatcher, parents often call extremely freaked out about them and have often never heard of them before. 5:36 - We already know about the potential side effects of advanced maternal age, there are recent studies on the potential side effects of advanced paternal age. What have the results been? 7:14 - I found your HCT episode on e-cigs interesting. As a follow-up, is there any evidence that Nicotine by itself is a carcinogen? Should we be concerned for people who use Nicotine gum or patches? 8:38 - With the creation of more user-based health products, is healthcare and health monitoring switching to a more user-controlled environment? What products will have the most impact on consumers? 10:49 - How do I find a minimalist doctor? I found that many doctors I visit offer most invasive solution and get upset when I ask for less invasive alternatives. 11:48 - With my first pregnancy, I was put on bed rest for 11 weeks due to an incompetent cervix. Can you tell me about the benefits and risks of bed rest during pregnancy? 14:25 - CONFETTI!!! 15:03 - Jo

Vitamin D. I don't know why so many people are obsessed with it, but there are two new studies out about it in JAMA Internal Medicine. We've even got multiple episodes of Healthcare Triage about it. What's one more? This is Healthcare Triage News. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=62623 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

So recently, one of my co-bloggers asked me if we'd ever done a Healthcare Triage on the gender pay gap in medicine. I realized we hadn't. We're going to fix that right now. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=62675 Go to http://www.hctmerch.com to obtain Healthcare Triage posters and mugs! John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

Healthcare Triage is now on Patreon! You can help us make Healthcare Triage AND get cool rewards: http://www.patreon.com/healthcaretriage As always, we have merchandise: http://www.hctmerch.com I read a study a few weeks ago on blood pressure treatment for nursing home residents, and I almost ignored it. There are so many like it. But it's just ridiculous that this kind of stuff continues, and that we can't seem to do anything about it. We're still doing stuff that harms patients. This is Healthcare Triage News. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=62759 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

You can support Healthcare Triage on Patreon! We're raising money to make the show sustainable, and you can help. http://www.patreon.com/healthcaretriage I spend a lot of time writing and talking about what isn't true. Over the past few months, we've had lots of episodes talking about how many nutrition recommendations aren't supported by science. I've argued that what many people are telling you may be inaccurate. In response, lots of you have asked me what nutrition recommendations should say. The truth is that it's much easier to tell you what not to do, than to tell you what to do. But we don't avoid the hard questions. Recently I shared my nutrition recommendations over at the Upshot at the New York Times, and they were surprisingly popular. So I'm going to share them with you, here on Healthcare Triage You should go read that piece, which all of this is based on. References and links can be found there: http://www.nytimes.com/2015/04/21/upshot/simple-rules-for-healthy-eating.html Want a poster of the information in today's episode? It's free and available here: http://ow.ly/NaESK John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

Next week's video: https://www.youtube.com/watch?v=9wptwMyvmws Facebook: http://www.facebook.com/healthcaretriage Patreon: http://www.patreon.com/healthcaretriage Twitter: http://www.twitter.com/hctriage Timecode 02:10 - 1) flyingbeagles In lieu of your article about the benefits of coffee, how about the studies that show the inhibition of iron absorption by coffee that may be of concern of iron deficient patients? 04:00 - 2) Leo DeBroeck - Does skipping breakfast really have a negative effect on your health and body weight? What does the research say? 05:35 - 3) DefenestrateWindows - You have commented on milk before, what about other dairy products? Do they seem to pose the same risks as milk, as the studies you have presented in the past do? 06:40 - 4) Leo DeBroeck - Many claims are made that avocados are 'super foods.' Would you agree with this claim? Do you agree that there are really such things as 'super foods? 07:45 - 5) Joe Dohm - Root Canals. I assume they are actually safe, but I would love to hear you debunk the conspiracy theories. 08:20 - 6) Tucker Nielson I have an 8 year old girl and my wife and I are discussing the HPV Vaccine... at what age do you recommend this vaccine be administered? Also, any reason NOT to get the HPV Vaccine? *The CDC recommends "all kids who are 11 and 12" read more: http://www.cdc.gov/hpv/vaccine.html 10:05 - 7) Horsey0Luver I've heard that drinking pure water is better than getting water from food, but it seems to me like H2O is H2O and it doesn't make a difference how you get it. Which one is correct? 12:40 - 8) Liz Borino What can you tell us about the migraine "headband"? Is it effective? 13:45 - 8.5 poster, fb, patreon promo plug DO ALL THESE THINGS! :) 14:40 - 9) AlexIsPeachy What's a good non-fattening source of caffeine? Trying to give up sugary sodas. 15:40 - 10) tomlyger What are your thoughts on the increasing number of people who think young children should be allowed

What are good factors to consider when choosing a family doctor? Should mental health be treated as its own field? Is there solid evidence for flossing daily? These questions answered and more, this week on Healthcare Triage LIVE. Master question list with TIMESTAMPS: https://docs.google.com/document/d/1d... Visit our subreddit: http://www.reddit.com/r/HCTriage Support HCT at Patreon! http://www.patreon.com/healthcaretriage

David Sackett passed away recently. We don't usually do obituaries here, but this one seems appropriate. This is Healthcare Triage News. This was adapted from a piece I wrote for the AcademyHealth blog. All the references and links are there: http://blog.academyhealth.org/remembering-dr-david-sackett/ Facebook: https://www.facebook.com/healthcaretriage Twitter: https://twitter.com/HCTriage Patreon: https://www.patreon.com/healthcaretriage John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

Thanks to your support, WE NOW HAVE A PODCAST OF THIS VERY SHOW! iTunes: https://itunes.apple.com/us/podcast/healthcaretriage/id999134849 RSS: http://feeds.soundcloud.com/users/soundcloud:users:153879384/sounds.rss Soundcloud: https://soundcloud.com/healthcaretriage/

1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z Twice in the last few weeks I was all riled up and feeling the need to blast out posts on how everyone needed to stop freaking out and pay attention to real risks and not the scream du jour. But before I could even get to it, there was Christopher Ingraham in the Washington Post, doing it for me. He saved me the trouble, and made it much easier to write this week's Healthcare Triage News. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=63025 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

Housekeeping first: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z We've covered test characteristics like sensitivity and specificity before, and we've even covered how you can use those values to make decisions about what results mean about your health. But sensitivity and specificity don't have a meaning that people usually understand. What people want to know are other values, what we might call the positive predictive and negative predictive values. But there are problems with those metrics. They're the topic of this week's Healthcare Triage. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=63074 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

Housekeeping first: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z Austin has been asking me to do an episode on bedbugs for quite some time. I've been pushing it off, because I hate bugs. But they're back, and he asked me again, and you can only avoid the pain for so long. Bedbugs are the topic of this week's Healthcare Triage. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=63075 We have merchandise: http://www.hctmerch.com John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

Housekeeping first: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com We seem to have no problem penalizing patients for being unhealthy (see our episode on wellness programs). But we rarely consider paying patients to be healthier. Why is that? The NEJM has a study to change your mind. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=63167 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

HCTRIAGE ON REDDIT! http://www.reddit.com/r/hctriage Next week's Healthcare Triage livestream: https://www.youtube.com/watch?v=I-auXByvGvI 00:00 - We're LIVE! 02:56 - 1. M. Avery - What can we do to make medical research more accessible for lay people (people trying to make health decisions who aren't medically trained)? 05:32 - 2. Jessica Benson - what are your thoughts on coconut oil and all of its supposed benefits and uses? 06:53 - 3. Ivana Sunjic - What are some of the diagnostic tests used for IBD,aside from colonoscopy? Are certain tests (eg CRP) better than others? 09:38 - 4. Jessica Benson - what are your thoughts on teenagers starting school so early and how that affects them and their performance ? is there research on this topic 12:18 - 5. Adam C. - A friend who works @ Epic tells me different EHR software can easily interface, but providers often don't have incentive to set up a connection bc they want to provide more services. Could you comment? 15:07 - 6. Sam Cook - Does cooking food make it less or more nutritious to eat? Does the heat break down nutrients, or does making it easier to digest make the nutrients more accessible to the human body? 17:13 - 7. Greg Pinn - I know how you feel about milk, but are there any positive or negative differences in drinking organic or hormone free milk over traditional milk? 19:17 - 8. synopsysbane - what are your thoughts on Polyphasic sleep? 20:21 - 9. MrEganator - Can you tell me how much of an impact emotions have on the prognosis of a disease? 22:21 - 10. TerryTown What does the medical research say about chia seeds and ground flaxseed? Am I wasting my money? 23:57 - 11. smoothmasterz - Is there any research on children (specifically 8-16 years old) and weightlifting? There are lots of anecdotal advice saying "no," but these are the people who say it's bad generally. 26:17 - 12. Sher - I had a couple of major knee surgeries (ACL and lateral and medial meniscus) when

Housekeeping first: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com Last week, we ventured into the world of bedbugs. Rather than frighten you off, this only seemed to when your appetite for episodes on creepy, crawly parasites. You want us to cover lice. I bet some of you are already itching your heads. Too late. Lice are the topic of this week's Healthcare Triage: For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=63205 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

Next week's LIVE Show: https://www.youtube.com/watch?v=RRKGMBume70 - Don't forget to leave your questions about parasites in the comments for next week's show! 1a) Food Recommendation episode: https://www.youtube.com/watch?v=PhEwfaFLrd0 1b) Food Recommendation (free) poster: http://ow.ly/NaEJa 2) HCT Reddit: www.reddit.com/r/hctriage 3) Podcast: https://itunes.apple.com/ca/podcast/healthcaretriage/id999134849?mt=2 Facebook: http://www.facebook.com/healthcaretriage Patreon: http://www.patreon.com/healthcaretriage Twitter: http://www.twitter.com/hctriage 00:00 - We're LIVE! 00:32 - We have a poster from the food episode! 00:40 - We have a subreddit now! 02:32 - Maxine McCurdy - Do antibacterial hand soaps and sanitizers make your body less able to fight infections? 04:32 - Deborah Piens - I quit smoking 8/17/14 (Yay me). At what point do I get to call myself a non-smoker? Or will I always be a "former smoker"? 05:46 - Alex Shannon - Is there any good evidence that says that aspartame can affect hormone levels and blood-sugar? PS, you didn't address that question in the HCT episode about artificial sweetners 07:54 - John Harvey - What does the current research say about secondhand smoke? I've heard everything from "barely harmful at all" to "worse than smoking itself". 09:07 - Lisa Jones - Is coconut water as good as, or better than, water for recovering after athletic pursuits? 11:51 - Jay Fensom - CIRCUMCISION! Should it be done according to the research is it more healthy to be circumcised even when considering all of the complications. And what about female circumcision as well? 14:37 - Emily Barbian - About 2/3 of people who lose weight gain it all back over time. How can I prevent that? 16:55 - Mncdk - Is it ever too late to get vaccines, for instance MMR? 18:29 - nkicker - Does Vermont's trouble with adopting single payer universal healthcare for its residents spell doom for others states wanting to do the same

The next LIVE Show: https://www.youtube.com/watch?v=DlHZVQaXo8M 1) Podcast: https://itunes.apple.com/ca/podcast/healthcaretriage/id999134849?mt=2 2) https://docs.google.com/document/d/1dk-KPVNfkzC1R4YDDF69Fn1Z4KcPxTl5Whis_VtNnDU/edit?usp=sharing Healthcare Triage on Reddit: http://www.reddit.com/r/hctriage

Recently, a number of outlets, including the Washington Post, reported on a study about the alarming rise in children who were exposed to parents' marijuana edibles. As always, it's important to view these things in context, and think about how many kids are actually treated for eating pot. We're going to go that, today on Healthcare Triage News. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=63378 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics Housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

People are still getting arthroscopic knee surgery? Do they not watch Healthcare Triage? As we've pointed out arthroscopic knee surgery is probably ineffective. But lots of people are still getting the surgery, in spite of the evidence. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=63588 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Might as well make it Parasite Month. Evidently, I could spend the rest of my life making videos like this, but I'm cutting it off here. One more, and then we're done. Unless you guys vote them back on Patreon, but that's on you. Ticks are the topic of this week's Healthcare Triage. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=63468 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

When does a baby's eye color stop changing? Are plastics bad for you? These questions and more answered this week on Health Care Triage LIVE! Master question list: https://docs.google.com/document/d/1dk-KPVNfkzC1R4YDDF69Fn1Z4KcPxTl5Whis_VtNnDU/ Visit our subreddit: http://www.reddit.com/r/HCTriage Support HCT at Patreon! http://www.patreon.com/healthcaretriage TIMESTAMPS 00:04 - WE'RE LIVE! 01:52 - 1.You said in your nutrition video that it better to eat 2 apples than to drink the same 27g (or whatever it was) of sugar in apple juice. Why? 27g of sugar is 27g of sugar. 03:40 - 2. Listerine. Wikipedia says 3/10 meta analyses found link to oral cancer. I'm a lazy brusher but doesn't mind using Listerine. Thoughts? 06:15 - 3. Is there any evidence that the body absorption rate for caffeine is higher when taken from a liquid like coffee or tea as compared to taken from a capsule or pill? 08:00 - 4. Is Rh factor and blood type linked at all? Or are these 2 completely different things? 09:05 - 5. Are devices that help babies to sit/stand before they are able to unassisted (bumbo, jumparoo, exersaucer) bad for development? 11:25 - 6. A French doctor told me that food allergies are very rare in France. He adds that it's possibly due to the very low amounts of GMO they eat there. Any research on that? 14:10 - 7. Would it be bad for non-smokers to use NRTs as psychostimulants? What are the risks? It seems like it can have some cognitive benefits, but I can't find any research on their use in non-smokers. 15:40 - 8. I have chronic yeast infections. I get one every month. Is it unsafe to take the over the counter anti-fungal medication for them every month? Home remedies have not worked. 16:42 - 9. What does the research show regarding the link between mood/mental health and gut bacteria? 18:43 - 10. With the Supreme Court's decision on allow same-sex couples to marry, lots of people have been posting misinfo of the effects of sam

Is it safe to eat raw eggs? Are all infant formulas the same? Do we REALLY need to wash our hands EVERY time? These questions answered and more, this week on Healthcare Triage LIVE. Master question list: https://docs.google.com/document/d/1dk-KPVNfkzC1R4YDDF69Fn1Z4KcPxTl5Whis_VtNnDU/ Visit our subreddit: http://www.reddit.com/r/HCTriage Support HCT at Patreon! http://www.patreon.com/healthcaretriage TIMESTAMPS 00:08 - WE'RE LIVE! 01:25 - Are all infant formulas the same? Are the more expensive brands better or more nutritious than the store brands? 02:55 - What do you think on caloric restriction diets in humans. A paper was just released on a Low Protein High Carbohydrate diet the same benefits with less side effects. Are mice a good analog for humans? (Go watch our diet episode!) 05:09 - Does a higher protein diet increase the risk of kidney disease or damage? By "higher protein", I mean for a 160-180lb male, 120-180g of protein. 06:39 - Any Truth to: " high dose Vit C (over 1000mg) could cause miscarriage in early pregnancy (4-8 weeks)" (Go watch our episode on vitamins!) 08:14 - My brother rarely washes his hands after he uses the bathroom. It really grosses me out, but also makes me wonder - do we REALLY need to wash our hands EVERY time? Should I not worry about his habits? (Watch the entire month on parasites!) 09:44 - If I am aware of the placebo effect, does it still work? Example - If I take a drug thinking that it won't cure my headache because it only works as a placebo, will the drug be less effective? 10:49 - Is it safe to eat raw eggs? I've read that contrary to popular belief the risk of salmonella is actually really low nowadays. But is it low enough that it would be safe to eat regularly? 12:29 - do the potential benefits of coffee consumption apply to instant coffee consumption as well? (Check out our coffee episode for all of coffee's wonderful benefits) 14:24 - Some sources claim that sleeping on one's

When I was a kid, my parents refused to let me drink coffee because they believed it would "stunt my growth". It turns out, of course, this is a myth. Studies have failed, again and again, to show that coffee or caffeine consumption are related to reduced bone mass or how tall people are. But that's just the tip of the iceberg. Break out your supersized cup of joe, cause coffee is the topic of this week's Healthcare For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=63621 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

This week, Aaron looks at studies on how health care workers' incomes compare to the rest of the population and to each other. Also, there's a new study out showing to many kids are victims of violence, and King v Burwell has been decided, and nothing is changing with Obamacare. John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

You may have heard of a recent study published in JAMA that once again confirmed that the measles, mumps, and rubella (MMR) vaccine is not related to autism. I just met the author of the study at a recent meeting, and she told me that the study is evidently the number one most downloaded from JAMA. Ever. The study's findings, widely covered in the media, are considered robust and important. But it may be time to question how much good continued research in this area is doing. That's the topic of this week's Healthcare Triage. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=63721 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

How dangerous is heading a soccer ball? Who's mandating the HPV vaccine in the US? And how many women are drinking while pregnant in Ireland, Australia, New Zealand, and the UK? This is Healthcare Triage News. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=63893 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Have you ever taken an over the counter medication for heartburn? How about an antibiotic for an ear infection? At some point pretty much all of us have visited a pharmacy to pick up a drug, but likely didn't consider where these drugs come from or how they are made. Whether you're talking about something for seasonal allergies or your grandparent's arthritis medication, the act of bringing a drug to market is long and complex. I'm not an expert, but HCT intern Rachel Hoffman is, and with her help, that's the topic of this week's Healthcare Triage. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=63822 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Next week's LIVE Show: https://www.youtube.com/watch?v=OBQt1IkjUJ4 Master question list: https://docs.google.com/document/d/1dk-KPVNfkzC1R4YDDF69Fn1Z4KcPxTl5Whis_VtNnDU/ check out our reddit: http://www.reddit.com/r/hctriage TIMECODES 01:53 - 1. Previously you rejected quarterly testing (blood?) saying we don't have the context to make the results personally relevant. Wouldn't years of previous results give you the context you need? 4:00 - 2. I recently saw an article that robotic surgery has been connected to 144 deaths in the US since 2000 due to various "malfunctions". This equates less than 10/yr, I imagine the humans fare much worse, thoughts? 6:06 - 3. Thoughts on baby-led weaning vs. feeding puréed foods? What does the research say? 08:56 - 4. Are there any good studies on whether the use of probiotics helps with the treatment/management of IBS? 10:37 - 5. How strong is the link between statin use and the risk of developing diabetes? How should that link affect the calculation/decision to start a patient on a statin? 13:21 - 6. Do antibiotic ointments (neosporin, bacitracin, bactroban, etc) contribute to antibiotic resistance? If so, is the benefit of their use on small wounds sufficient to outweigh the cost? 15:23 - 7. Do you have an opinion on the "worm wars"? The re-analysis of Miguel and Kremer's deworming trial? 19:13 - 8. What's the reason for waiting 15+ minutes after applying sunscreen before going out in the sun? Everyone says to do it, but no one says why. 19:50 - 9. What's your opinion on class-wide or school-wide bans on allergens nuts, etc.? Do the benefits really outweigh the costs? What about bans on alternatives (like soy-based peanut butter replacements)? 22:06 - 10. Why are many chiropractors on bad terms with modern medicine? I enjoy the benefits I get from chiropractic care, but every chiropractor I've been to is at odds with vaccines and traditional doctors. 24:32 - 11. Can household chemicals (e

So, obesity is a serious problem. And it does drive up health care costs in the US. But, and we know this seems counterintuitive, weight loss doesn't necessarily bring down health care costs. Aaron Carroll tells you why. John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

"Female Viagra" and regular or "male" Viagra were both originally investigated as treatments for conditions other than sexual dysfunction. Viagra came out of studies on hypertension, and "female Viagra" for depression. But… that's where most of the similarities end. How so? Let's discuss. Flibanserin, sometimes called "female Viagra", is the topic of this week's Healthcare Triage. Special thanks to Rachel Hoffman for making this week's episode possible. Thanks, Rachel! For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=63905 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Why do doctors get sued? How can malpractice suits be avoided? It turns out, the answer may be simple. Defensive medicine refers to the idea that doctors are forced to order extra tests, perform extra procedures, or push for more office visits because they think that without them, they're at greater risk for being sued. This is in spite of the fact that studies don't support the notion that this extra care actually does reduce their risk. What might help physicians to get sued less often would be for them to get along better with their patients. Or at least, they could become better communicators. That's the topic of this week's Healthcare Triage. This was based on a piece Aaron wrote for the NYT. Links to further reading can be found there: http://www.nytimes.com/2015/06/02/upshot/to-be-sued-less-doctors-should-talk-to-patients-more.html John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=63905

We're not using the HPV vaccine enough, and we may be using NICUs too much. This is Healthcare Triage News. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=64097 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Next week's LIVE Show will take place here: https://www.youtube.com/watch?v=zdI8JaHlcGY Master question list with TIMESTAMPS: https://docs.google.com/document/d/1d... Support HCT at Patreon! http://www.patreon.com/healthcaretriage HCT Merch: http://store.dftba.com/collections/healthcare-triage Visit our subreddit: http://www.reddit.com/r/HCTriage TIMECODES 1:20 - Are there any known negative health effects of tattoos? (edited) 2:32 - How much does family history play a role in depression, and postpartum depression? 3:21 - Is there any research on whether eye muscles are underutilized and/or can be trained? 5:45 - In regards to workout supplements and pills, does "pharmaceutical grade" mean anything? Are they more trustworthy? 7:10 - What medical advice did you often recommend as a pediatrician, but didn't follow as a parent? 9:00 - Everyone knows that you shouldn't clean your ears with Q-tips, but what are some better alternatives? 10:20 - What does the literature indicate about travel bans to contain diseases in the developing world (ie SARS)? 11:30 - What are the benefits/detriments of a ketogenic diet? The Mayo Clinic claims that it can lead to mental/behavioral detriments in the long term. Any good research? 12:56 - I no longer use hydrogen peroxide for wound cleaning. What about for teeth whitening? 13:51 - Every so often, I read about connections between dental health and overall health. If that's the case, why isn't dental care for adults included in the ACA or Medicare? 15:47 - You've talked before that consuming vast amounts of protein doesn't make you healthy or give you 6 pack abs. Why do fitness programs, body builders, and others advocate it then? 17:44 - Is it true that 'meth babies' being more likely to have a mental illness, when controlled for social economic status, doesn't really happen? 19:02 - Should we wash our fruits and vegs, and if so, is running water enough? 20:01 - Are vitamin D

What are the benefits of exercise? Is exercise all that good for you? Yes, yes, and yes. Studies overwhelmingly indicate that exercise has a LOT of benefits. I wrote a piece on exercise and weight for The New York Times a couple months ago, and I'm going to talk about that next week. But a lot of people took that column to mean that exercise isn't important or helpful. That's so wrong that I want to address that first. Exercise, and the good it can do you, is the topic of this week's Healthcare Triage. For those of you who want to read more, go here: http://theincidentaleconomist.com/wordpress/?p=64028 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Is Obamacare working? An update on the ACA and some more bad news for believers in the power of taking Vitamin D. This is Healthcare Triage News. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=64271 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Last week I talked about the many ways exercise is awesome. This week I want to focus on one way it's not. Weight loss. Sorry, but that's the topic of this week's Healthcare Triage. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=64147 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

IN point is at 1:00 Timecode coming shortly. Next week's episode (hopefully in not-280p...): https://www.youtube.com/watch?v=hRYTB_S-fEc

Master Question List: http://ow.ly/Vqmmp TIMECODE: 1:14 - Could you guys cover some of the myths surrounding chiropractic 'benefits'? You've covered supplements a lot, and that's great, but I'd love to hear evidence for/against other commonly-touted "cures". 3:11 - Is there a significant risk of long-term damage from Raynaud's syndrome? 4:55 - I've had a lot of acne on my back and chest. Can you explain why some get acne and others don't? What sort of preventative measures could be taken to reduce the amount of acne I have? 7:05 - Your episode on artificial sweeteners reminded me of the demonization of MSG/Flavor enhancer 621. What does the research say about the health effects of frequent MSG consumption? 9:03 - Are there any health risks related to consuming moderate levels of diet soft drink beverages? I know aspartame doesn't have long term effects on health but what about other ingredients in diet sodas. 12:38 - What is a good high fat substitute for whole milk for 1-2 year olds who are vegan or allergic to milk? 14:23 - In your opinion which country has the best healthcare system? 15:54 - What are the differences between a DO and an MD? Did you ever consider doing a DO instead? Is there any evidence for DO base practices? 18:48 - As a mildly underweight person trying to gain weight by eating more. Can eating too much be counter productive? Should I try eating as many calories as possible or focus on a bigger but balanced diet? 21:44 - Is there any credence to the claims that drinking alkaline or ionized water is better for you than tap? 22:38 - Why does my pediatrician insist on no egg whites for my 9-month-old? With studies proving allergen avoidance doesn't work, and an unremarkable family history, what's the point of avoiding egg whites? 24:39 - Is it harmful or beneficial to eat gold/silver leaf used in garnishing desserts? 25:26 - How bad is it to take expired medications? 25:37 - Why did you not talk about the

Human trafficking is way too common, and Flibanserin gets official approval! This is Healthcare Triage News. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=64395 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Is sitting bad for you? It turns out, sitting is really, really bad for you. Sitting at your desk could shorten your life. So get up and walk around, OK? Last week I talked about the many ways exercise is awesome. This week I want to focus on one way it's not. Weight loss. Sorry, but that's the topic of this week's Healthcare Triage. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=64147 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Master Question List: http://ow.ly/Vqmmp On Reddit: https://www.reddit.com/r/hctriage On Facebook: https://www.facebook.com/healthcaretriage TIMECODE: 2:58 - Should I go to a doctor on a regular appointment basis or only when I feel bad? I don't have a lot of money. 5:45 - Is there any good research into the actual causes of kidney stones. I've tried looking it up and the answers I get on the web are always kind of vague. 6:38 - What is the difference in the treatment of fibromyalgia and osteoarthritis; what is the overlap? 8:32 - Thank you for what you do sir. What keeps you in academia knowing that you could earn much more in private practice? Is the difference in payscale between physicians and surgeons justified? 10:45 - My wife had obstetric cholestasis during her first pregnancy, is there anything she can do that would reduce the likelihood of a recurrence if she were to get pregnant again? 11:36 - My GP sells a brand of supplements and markets them to his own patients. Am I biased by our mutual distrust of supplements or does this strike you as inappropriate too? 14:03 - Are there any long term effects from taking the maximum daily dosage of an NSAID e.g. ibuprofen every day for multiple consecutive weeks? 15:03 - Why is a low body fat percentage considered less healthy for women than for men and what are the health consequences of having a body fat percentage which is lower than recommended? 16:45 - Can binge drinking once a week as a teenager and young adult affect your health later in life? 18:38 - I can't find a primary care physician. Every time I'm sick, doctors in my area say you must already be an established patient to be seen, but how do I become an established patient? 20:19 - Some friends of mine have posted about water bottles left in a hot car cause breast cancer. Any evidence for it? 22:15 - Is there strong evidence for a causal link between whole grains and heart health? If so, what is it about the

Can dementia be prevented? Will exercise or nutritional supplements improve cognitive decline? Prepare to be disappointed. This is Healthcare Triage News. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=64625 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

How can you plan the end of your life? Death Panels! Got your attention, right? Well, although we're going to discuss death panels a little, they're not real. What are real are advance directives, and those are the topic of this week's Healthcare Triage. We're all going to die, but the best time to have a say in your end of life care is in advance. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=65150 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

If we want kids to make better decisions about their health, it helps if they understand if they're unhealthy to begin with. When it comes to weight, that's unfortunately not the case. This is Healthcare Triage News. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=66733 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Everyone talks about condoms as a way to prevent pregnancy. They're good, but nowhere near perfect. The pill is even better. But want to know what's amazing? Intrauterine devices, or IUDs. Why don't women use IUDs? They were pretty rare for a long time. But they're making a resurgence. They're also the topic of this week's Healthcare Triage. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=65152 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Master Question List: http://ow.ly/Vqmmp 2:15 - If there was only one improvement you could make to USA mental healthcare, what would it be? I.e, top priority? Thanks for your channel, BTW. Keep it up 3:55 - What are the long term affects of Nootropics, or "Smart Drugs"? 5:48 - I've been told that milk thistle extract can be used to protect the liver from the damage of things like alcohol and NSAIDs. Is there research on this? 8:14 - How can someone not trained in a medical field find research on the questions they have? What is the hierarchy of study types? (rcts as best down to the worst) 11:11 - Are hydrogenated oils trans fat? If so, how can food labels list hydrogenated oils in their ingredients, but claim to be Trans Fat Free? 12:40 - Getting rid of anti-bacterial components in soap because they promote resistance, would it be useful to have or produce pro-bacterial components so as to reduce the production of resistant bacteria? 13:44 - You have done an episode on coffee now what can you tell us about Tea. 14:42 - I was told recently I should sit down because its for digestion. This sounds like a lie but I guess my friend saw it on a health show. Is there any research to say you shouldn't stand while eating? 16:22 - I've heard a lot of people talking recently about including "good" fats in their diet. Is there any evidence to support this? 17:33 - I know your feelings towards vitamin D, but at our pediatrician's office, they kept asking us about a vitamin D supplement for our 1 month old, I don't see a need for it, what does the research say? 19:21 - Whoa why do you live stream mid-day Wednesday? 20:35 - Is it true that some styles of front facing baby carriers can damage or strain the baby's hips? Some of the more expensive carriers claim to be more ergonomic and better for their joints. Thoughts? 22:22 - Hi, Dr. Carroll; with obesity being such a problem, can you discuss the various bariatric surgery options, their ef

Surgeons evidently don't need sleep as much as I do, and when it comes to pertussis, the real danger is inside the house. This is Healthcare Triage News. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=66845 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

When it comes to disparities research, I sometimes get angry at researchers that we're still spending so much time with studies pointing out disparities in medicine and so little time doing anything about them. I mean, is there anyone out there who denies that there are racial disparities in how we treat patients, that would change their mind if they just saw one more study? I think not. But every once in a while, a study gets published that gets past my eye roll and makes me angry all over again. This is Healthcare Triage News. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=66949 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Last week I talked about IUDs. But there are still a number of myths and misperceptions about them. I covered some of them in my last book, "Don't Put That in There, and 69 other sex myths debunked". But all of you didn't buy the book. Not that you shouldn't – you should! Go ahead! I'll wait. Even if you don't, though, IUD myths are the topic of this week's Healthcare Triage. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/healthcare-triage-myths-about-iuds/ John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

TIMECODE 01:50 - we're live! 3:30 - I'm curious as to know if any liver detoxification methods or ingredients have any statistically proven research behind them and if there is any conclusions from it? 4:55- Does sleep positions make a difference in quality of sleep? What does the research say? 7:33 - I exercise lightly for well over an hour each day (using an exercise bike while I youtube) is this too much? I rarely feel tired or sore after but should I schedule rest days anyway? 9:00 - I have been reading about Oxycise, an exercise program which you supposedly can lose weight by the way you breathe. Is there any evidence to show that the way you breathe has an effect on your weight? 9:50 - I was diagnosed with shingles at age 22, I haven't had an out break in 2 years. What are some ways I can help keep it that way? What causes out breaks? 12:12 - Is there a nutritional difference between cooked vs. uncooked food? Or the way our body absorbs it, etc? 13:02 - Are those dental X-rays safe for kids? They get more than 1x / year when being monitored for mouth expanders and braces. 14:36 - Any research/papers on whether or not cracking knuckles reduces grip strength with age? 15:53 - My Dr. told me that skipping the placebo week on The Pill (and starting the new pack) is bad because the body needs a chance to "clean itself out". Is this true? I'd heard in the past that it was safe. 17:25 - Although women of childbearing age who are expecting or attempting to become pregnant are often recommended to take prenatal vitamins, what does the evidence really say? 18:57 - What is your opinion on sharing clinical notes with patients? I know the studies say it improves patient satisfaction, but do you think it will actually improve patient outcomes? 21:52 - You've said that improving lab results isn't the same as improving health. What about the opposite? If my lipids and weight are perfect, can a bad diet give me heart disease? 24:43 - D

Why do drug prices rises? Are pharmaceutical companies ripping people off? Drug price gouging has been all over the media this week. This is Healthcare Triage News. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=67080 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

A number of you have asked for an episode on worm wars. Others of you will have literally no idea what worm wars is. This episode is for both groups. Worm wars are the topic of this week's Healthcare Triage. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=67113 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Amazing health effects of texting people with significant cardiovascular disease! This is Healthcare Triage News. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=67223 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

What is alternative medicine? Does alternative medicine work? The University of Toronto recently stirred up a bit of controversy by uncritically offering a class on "Alternative Medicine." When people looked at the coursework, which included many studies debunked by this channel, some people started to freak out. The issue highlights a much larger problem: No one is sure how best to teach that subject. The dichotomy, however, between alternative and traditional medicine, or between Eastern and Western medicine, is a false one. We would be much better off if we could reframe the issue. That's the topic of this week's Healthcare Triage. This episode was based on a post I wrote for the Upshot. Links to sources and more reading can be found there: http://www.nytimes.com/2015/08/11/upshot/labels-like-alternative-medicine-dont-matter-the-science-does.html John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

There are a few topics that just never get old for me. "Pay for performance". "overtesting". "medical myths". And, of course, my never-ending war with the milk industrial complex. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=67308 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

How much water should you drink every day? Not as much as you've been told. This summer, like many summers before it, has seen a rash of articles warning us not only that is dehydration is dangerous, but that it is also ubiquitous. Real dehydration, when your body has lost a significant amount of water because of illness, excessive exercise or sweating, or an inability to drink, is a serious issue. But people with clinical dehydration almost always have symptoms of some sort. These reports are worried about something completely different. They fear that otherwise healthy adults and children are walking around dehydrated, so many that dehydration has reached epidemic proportions. Under scrutiny, however, this assertion fails to hold water. That's the topic of this week's Healthcare Triage. This was based on a piece Aaron wrote for the Upshot a while ago. If you want to read more, links can be found there: http://www.nytimes.com/2015/08/25/upshot/no-you-do-not-have-to-drink-8-glasses-of-water-a-day.html John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Master Question List: http://ow.ly/Vqmmp 1:20 - What do you wish was talked about in the debates last night concerning healthcare? 4:41 - On Mental_Floss, it was mentioned that eating 40 Tbs peanut butter increases your risk of death by 1 micromort due to aflotoxin B (higher risk of liver cancer). Should I be worried? 5:40 - What is the weirdest study you've ever read in a reputable journal? 08:00 - Follow up from last week: Dr. Carroll, you misunderstood the birth control question. She was asking is it safe to to only non-placebos, every day? 11:30 - I've recently heard of the "blood type diet". In this diet the food you eat has a direct impact on the efficiency of your metabolism and your overall health. Is there any truth to this? 10:45 - For many years I have been told antioxidants are useful in reducing the risk of cancer and/or influencing general health. Is this true? Recently I've been hearing mixed responses either way? As always, thanks for the show. DFTBA 14:10 - Is there any research on the long-term effects of eating food cooked only by microwave? 16:00 - How do strength training and cardiovascular workouts affect the body differently? 17:04 - What are the next big developments in cardiology over the next few decades? Are stem cells really going to do anything (in relation to the heart)? 17:31 - How do I get help my tennis elbow injury heal faster? (which I am surprised i got since I do not play tennis) Also - what causes tennis elbow so I do not repeat this experience? 18:05 - Weighing concerns like amount of research needed to cure and the number of people affected by a disease, what disease or condition do you wish were more studied? 19:07 - Why does the FDA continue to allow the use of surrogate markers when many of them have no correlation at all with clinical outcomes? 21:47 - Aaron, in the comments I asked about using milk to prevent heartburn. 1 cup daily seems to cure persistent heartburn for me. Does thi

Master Question List: http://ow.ly/Vqmmp 1:47 - We're live… 3:10 - Do you have any suggestions for severe depression treatment other than anti-depressants as I can't take them, I've been looking into omega 3 and vitamin D3 supplements, which are regulated here in the UK? 7:10 - I hear chiropractors and nutritionists talk about "toxins" and "detoxing". Is there any legitimacy to these terms, or are they just used to fear monger people into using a product? 9:32 - Are parabens safe? I'm finding conflicting information on whether or not they could be a contributing factor towards breast cancer. 12-ish - Is their a country that you would like to see the United States healthcare system modeled off of? 15:03 - How do you feel about Direct to Consumer Advertising? How the US & NZ are the only nations to allow prescription drugs to be advertised directly to consumers. Good for the consumer or bad 17:35 - Is umami/MSG actually safe to use in food? I promise to use it in moderation! 19:52 - Is the flu vaccine safe for babies? 21:50 - In a few weeks DST ends (actually at the 25th here), does this give health problems in humans (I mean people getting cranky/overly tired or otherwise feeling crappy)? 23:23 - Are there any benefits to taking probiotics? 24:20 - With the new change in mammography screening guidelines by the American Cancer Society in place, are there any new technologies that have improved sensitivity/specificity such as 3D mammography? 26:37 - Does extreme flexibility i.e. dancer or gymnast, have a long term effect on health? Specifically joint health? Also is there any way to reverse hyperextension in the joints specifically knees? 27:40 - Does wearing compression shorts on a daily basis cause any issues with man parts? 29:02 - What are your thoughts on the rise of non-prescription use of Modafinil, and other nootropics? 29:58 - there's a lot of info out there about how sitting is bad for you? what about the physiolog

If you don't know what Choosing Wisely is, start with our HCT episode on it. If you do, then still watch it. It's good. I was a bit skeptical of its impact. So was I wrong? Is Choosing Wisely changing practice? Today we go to the research! This is Healthcare Triage News Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=67397 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

It's also worth remembering that education is kind of economically weird. It's not just another thing you buy. Education isn't only about individual gain. There's a social aspect as well. We want everyone to have access to quality education because having an educated populace benefits all of us. We're not there yet. (throw to inequality?)

We missed a birthday for Healthcare Triage! On October 1, we turned two years old. October 1, 2013 was the day that the ACA, or Obamacare, insurance exchanges opened for the first time to pre-order insurance for January 1, 2014. So let's celebrate, or cry depending on your political persuasion, with an update on the ACA. This is Healthcare Triage News. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=67491 We've updated the graph found at 1:18 with annotations, but if you want to view a version without them click here: https://www.dropbox.com/s/nzvt6rqv6inlqdp/Percent%20of%20Adults%20With%20Insurance%20Graph.jpg?dl=0 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Have you heard the scary news reports of how people are going to taint kids' candy with pot now that it's getting more legal? There's… no evidence for that. There's also no evidence that strangers poison kids' Halloween candy in general. That's the topic of this week's Healthcare Triage. Aaron covers this every year on his blog. Here's last year's post: http://theincidentaleconomist.com/wordpress/strangers-poisoning-kids-halloween-candy-is-a-myth/ It was also covered in his first book on medical myths: http://www.amazon.com/gp/product/031253387X?ie=UTF8&tag=dotswyogu-20&linkCode=as2&camp=1789&creative=9325&creativeASIN=031253387X John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Master Question List: http://ow.ly/Vqmmp 4:17 - I'm going to Canada for 6 months for a working holiday from Australia. Is there anything i should be checking with my doctor before i leave? Thanks for the show, DFTBA! Male 19 5:52 - Any research done on the nosefrida? I'm worried that even though there's a filter, I can still get sick! 8:05 - Is it safe to semi-regularly(1-2 times per week) train so hard can cause you to vomit?I ask because I am training for an IronMan next year and this does happen from time to time,. 11:40 - Do you think that the DSM-5 has done autists any favours? I've found that it only makes people think that autism isn't real. 14:02 - A study is going around the breastfeeding community claiming it is better for the mother to take a massive dose of vit D rather than baby. I'm curious if you saw this study? 14:46 - What do you think of the recent study published in The International Journal of Epidemiology that found *no* relationship between sitting and mortality rate? 17:20 - I've recently become an adult- how should I find a primary care physician? (My parents see a guy I don't connect with particularly well) 18:18 - What is love? 18:24 - Is chrons disease hereditary? 18:57 - Could you discuss the low FODMAP diet in relation to controling IBS symptoms? 19:33 - What shoud I think about if I want to go vegan? 19:53 - Has there been any research done on what kinds of foods or diet can help or hurt inflammatory issues like arthritis? 20:28 - How is ICD-10 going to affect health care decisions? 21:20 - My doctor did blood tests for food allergies and it said I'm mildly allergic to wheat and sesame seed. However, I read that a positive is only right 55% of the time. Are there better ways to test this 22:06 - Are there any reliable ways to treat migraines other than the medications that control your blood vessel dilation? I have horrible side effects but my doctor keeps saying that it's my only option.

Is meat going to give you cancer? The answer is a very dubious maybe. Aaron helps you understand the meat announcement from the WHO, and it turns out, you might not need to panic. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/healthcare-triage-news-red-meat-and-cancer-panic-understanding-the-whos-meat-and-cancer-announcement/ We've updated the graph found at 1:18 with annotations, but if you want to view a version without them click here: https://www.dropbox.com/s/nzvt6rqv6inlqdp/Percent%20of%20Adults%20With%20Insurance%20Graph.jpg?dl=0 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Who names drugs? Why all the funny names? A number of months ago, we did an episode on how a drug comes to market with the help of out HCT intern, pharmD student Rachel Hoffman. She also helped us out with our episode on Flibanserin. We get a lot of questions from you about drugs. What's the difference between a generic and name brand drug? How do people feel about them? What's the difference with biologics? With her help, we're going to tackle those in the upcoming weeks. Let's start at the beginning. What's in a name? That which we call a drug. By any other name would be so . . . effective? Brand name and generic drugs: are there any differences? Who regulates them? And what's with all the names anyway? That's the topic of today's HealthCare Triage. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=67626 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

We've already discussed drug names, generic and "brand" ones. But are there differences beyond the words? That's the topic of this week's Healthcare Triage. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=67763 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Earlier this week, we covered the difference between brand name and generic drugs. To be honest, we taped that episode a few weeks ago. It takes us some time to work out magic, add graphics, and wind up with the HCT you know and love. But last week, HCT intern and pharmacologic expert Rachel Hoffman emailed me about a new study on brand versus generic labeling and its effect on how well drugs work. It was too late to get it into Monday's episode, but not too late to discuss it here. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=67835 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com You can directly support Healthcare Triage on Patreon: http://vid.io/xqXr If you can afford to pay a little every month, it really helps us to continue producing great content.

After our episode on the health benefits of coffee, the number one request I received was to look into the potential benefits – or harms – of tea. That's the topic of this week's Healthcare Triage. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=67854 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

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Alcohol regulations work better than expected, ACA exchanges might not. This is Healthcare Triage News. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=67962 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Just a few weeks ago, a study was published in the Journal of Nutrition that many reports in the news media said proved that honey was no better than sucrose as a sweetener, and that high-fructose corn syrup was no worse. But did it? This study, and what it says about nutrition research in general, are the topics of this week's Healthcare Triage. This is based on a column Aaron wrote for the Upshot. References can all be found in links there: http://www.nytimes.com/2015/10/27/upshot/surprising-honey-study-shows-woes-of-nutrition-research.html Episode references: Weight Loss: https://www.youtube.com/watch?v=hdY-NJq6zVQ Dietary Guidelines: https://www.youtube.com/watch?v=PhEwfaFLrd0 Exercise and Weight Loss: https://www.youtube.com/watch?v=fCtn4Ap8kDM Coffee: https://www.youtube.com/watch?v=ly1NjibK79U Milk: https://www.youtube.com/watch?v=hzyFZcuHmeI Red Meat: https://www.youtube.com/watch?v=aOVBOwbqcT8 Artificial Sweeteners: https://www.youtube.com/watch?v=Mf82FfX-wuU John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

I don't know why, but you all keep asking for an episode on nootropics. For those of you who aren't in the know, those are drugs which are supposed to enhance cognitive function. Nootropics are the topic of this week's Healthcare Triage. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=68338 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Master Question List: http://ow.ly/Vqmmp 1:04 - What's your opinion on essure the non-surgical sterilisation for women? 2:28 - What research is there on effectiveness of immunotherapy for environmental allergies? Do you have any interesting findings? 3:45 - In the recent documentary "That Sugar Film" it is claimed that a high sugar diet is associated with mental fogginess and bad mood. Is there any evidence to support this? 4:58 - I was told that hot steam from the shower holds chlorine, and that it can be bad for your lungs. Is there any real danger in that? 6:07 - What does the research say about thirdhand smoke? While not a smoker myself, I've known smokers who have been told they must quit smoking altogether in order to hold or interact with a newborn baby. 8:19 - What do you think of open access medical journals like plos-one? 9:46 - I was recently diagnosed with follicular thyroid cancer. I'm due to have a complete thyroidectomy . I was curious why it is standard procedure to remove the entire thyroid rather than just the tumor. 10:43 - My doc prescribed bed rest for my cold. Awesome! I love doing nothing! But is there evidence that bed rest helps fight disease or do doctors just say it to make you feel less useless? 12:20 - Have there been any studies regarding PCOS? (Polycystic Ovary Syndrome). Are there ways to cure it? I lost 50 lbs and continue to have it. 12:53 - My question: what's your opinion on Gerson Therapy? A friend is diagnosed with melanoma on his ankle. Instead of going through surgery, he's going to the Gerson Therapy facility in Tijuana. plz help! 14:35 - Can you explain what process measures and surrogate markers are? They sound kinda similar to me, but I'm not sure I really understand either. 16:10 - Are there other immumnosuppresives to try besides Imuran for Ulcerative Colitis? 16:59 - What research has been done on lightboxes with regards to Seasonal Affective Disorder, thanks! 17:51 - What is your favorite HC tria

Master Question List: http://ow.ly/Vqmmp

When people hear about vaccine denial, they most often think about parents who are refusing to vaccinate their children. But there's another type of vaccine refusal, and it's important that we not ignore that, too. Doctors sometimes promote the use of some vaccines with less enthusiasm than others. Sometimes, they don't talk about them at all. This occurs most often with the herpes simplex virus, or HPV, vaccine. Our suboptimal immunization rates with this vaccine, and the behaviors of the physicians who might be contributing to that, have consequences. That's the topic of this week's Healthcare Triage. This is based largely off a post Aaron wrote for the Upshot. Links to further reading can be found there: http://www.nytimes.com/2015/11/10/upshot/hpv-vaccine-myth-good-talks-needed.html John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

How do computers change the doctor-patient interaction? How do foods and beverages advertise to parents? This is Healthcare Triage News. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=68423 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

You guys love the microbiome. You're not alone. The sales of products containing yeasts and bacteria that will colonize your gut and make you stronger and better are legion. I recently met a researcher who did actual microbiome work, and he didn't seem nearly as convinced as the public. But do probiotics work? That's the topic of this week's Healthcare Triage. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=68555 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

1:52 - Several studies in the last few years have shown Ketamine are effective in short term management of depression. Do you see this and other treatments using illegal drugs, MDMA for PTSD, gaining use? 3:39 - Barring personality disorders, is there research on if/how personality affects psychological therapy? Does therapy work better for some people or is it just a matter of finding the right doctor? 5:11 - Should every breast cancer detected in the screening program be treated? I read a 2014 BJM paper where it said that some disappear or stay that way and don't grow. 8:16 - Are there other options besides Imuran as far as immunosuppressants go to treat Ulcerative Colitis? 9:02 - Is arsenic in rice something to be concerned about? It sounded like nonsense to me at first, but then I looked it up and apparently there's a Consumer Report on it and the FDA's been looking into it. 10:24 - I've been exercising for the last five months, three times a week 30 minutes on the elliptical; I would like to increase to four, five times a week, on your experience, would this be optional? Male, 34 11:06 - What do you think of health education in the US? What changes would you make especially in public school health education? 12:43 - My niece (2 yrs) has had a pretty consistent stream of snot from her nose over the last several weeks, and her mom medicates her for it. My wife says kids will just be snotty, drugs or no. Who's right? 14:39 - Are there differences in health outcomes and mortality between for profit, non profit, and government/military run hospitals? 15:23 - Why do pre-med students need to take physics? 17:27 - How do you respectfully tell a doctor that you don't agree with his/her diagnosis? Is there a way that YOU would be okay with being told I wanted a second opinion? 19:20 - Are there any stats on student doctor outcomes/complications as opposed to experienced doctors? Any advice as to getting into medical school? 20:38 - Do

I'm getting lots of tweets, emails, tests, etc. "Antidepressant Use During Pregnancy and the Risk of Autism Spectrum Disorder in Children". The is Healthcare Triage News. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=68657 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

This week, in a special episode of Healthcare Triage, Aaron and John Green answer your questions! Learn answers to burning questions about handwashing, life expectancy, and stuff. Those of you who want to read more can go here: http://theincidentaleconomist.com/wordpress/?p=68657 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com