Category Archives: Short Coat Podcast

All episodes of the Short Coat Podcast.

RIP, Radioactive Boy Scout

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I made it myself! Photo by jurvetson

Happy Thanksgiving!  The crew–John Pienta, Marc Toral, Dylan Todd and new guy Jay Blomme–were lucky enough to hear from a couple listeners about our recent post-presidential election episode.  For instance, Kayla called 347-SHORTCT to say thanks; we presume she had more to say, but she got cut off.  We continue our discussions on logic and logical errors, considering the efforts that Facebook and Google are making to reduce the effects of ‘fake news.’ John has some suggestions on how to have a productive conversation with people whose opinions you don’t share.  Dylan is the master of strange analogies that ultimately are right on target. We discuss one idea in DIY medicine we might be able to get behind, a device that allows women to take some control of their breast reconstruction journey.  And we mark the passing of ‘The Radioactive Boy Scout,’ David Hahn, who attempted to build a working nuclear reactor in his back yard as a teenager.  And some podcasters who couldn’t join us this week send in their thoughts on what they’d do with an extra day no one else could mess with. Listeners, share your thoughts with us each week.  Call us at 347-SHORTCT any time, and see our Facebook page for a question to consider every Monday.

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Considering The Other Sides

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Photo by madstreetz

With the close of the election of 2016, many people, including us, found themselves dismayed and surprised by a great many things.  But why were we so shocked?  Now that our hindsight has been LASIK’d, some are noticing the truth that was hiding in plain sight: people were feeling ignored.  And those people were the ones that the electoral college protects: rural Americans. In this episode, we (that is, Dave, Mark Moubarek, John Pienta, Rob Humble, and Amy Hanson) try to step out of our bubble. We cast our eyes on our own ignorance and speculate a little on what our fellow Americans want.  We try to avoid politics in this episode in favor of thoughtful, empathetic consideration.  Let us know whether or not we were successful.

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Do Better Because You Will Die Some Day.

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I made them myself! Photo by loveiswritten

John Pienta, Levi Endelman, Kylie Miller, and Adam Erwood get to answer some probing questions: what’s the first thing a student wants to know upon starting a new clerkship?   What’s the most important skill they’ve ever learned? And what medical specialty should Vladimir Putin pursue?  Also–helpful tip for medical students–if you want to perform the best you can, science says you just need to be reminded that one day you will be worm food.  And men seem to be having trouble with the idea of having minor procedures and experiencing side effects in exchange for the privilege of having sex without certain undesirable consequences like babies.  And we discuss the apparent YouTube trend of DIY braces made by 13-year-olds from wires, superglue, and rubber bands. If you can ignore the risks of your face falling off, it’s a real money saver!

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Compassion Isn’t Easy

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Photo by Half Chinese

Compassion fatigue is a problem for many practitioners. In medicine, some of the needs are so great, and the resources are often so finite. Aline Sandouk, John Pienta, Rob Humble, and Kaci McCleary discuss what happens when caring itself becomes a limited resource, the reasons empathy can dwindle, ways to cultivate it, and the role that compassion can play in caring for oneself.  We also learn what monks and nuns are teaching us about how compassion manifests positivity and even neural plasticity.
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Superstition is the Human Condition

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Photo by bionicteaching

Halloweeeeeeennnn! It’s upon us, and while we’re women and men of science around here, we’re not completely able to shed our lizard-brain’s need to take shortcuts.  Which is why we are not at all surprised to know that ER docs still think the moon’s revolutions around the big blue marble are in any way important.  Fortunately, the post-cave-dwellers at the Marburg Center for Undiagnosed and Rare Disease are putting IBM’s Watson to good use by diagnosing–in seconds– rare diseases that defy the efforts of meatier doctors.  And a Rutgers study finds that med school faculty severely underestimate students’ stress and mental health issues.

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Against Logic there is No Armor like Ignorance.

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WHO researchers in Uganda are keen to teach schoolchildren there how to spot dubious health claims. This leads Dave to ask Levi Endelman, John Pienta, and newcomers Alice Ye and Adam Erwood whether their generation was taught the principles of logic and scientific thought in a way more effective than his own generation was taught, while Alice questions the motives of the researchers themselves. On a related note, listener Jake writes in to remind John that even we on The Short Coat Podcast, careful as we are to disclaim any logic whatsoever, should be wary of “shallow/uncontrolled” arguments.  We discuss emerging ideas on treating ICU patients in ways that minimize ICU delirium and PTSD, a problem once known as ICU psychosis, including changing the ways patients are sedated, their environments, the emphasis on convenience for healthcare personnel, and other factors that may be making patients crazy.

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Recess Rehash: Here’s Lemons In Your Eyes

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You shall pay. Photo by ezhikoff

[Since Dave and the Writing and Humanities Program was putting on an art-and-medicine conference last week, we’re posting this rerun.  Enjoy!]

Dave helps Mark Moubarek, Amy Young, Rob Humble, and Corbin Weaver to practice their clinical skills by  answering random people’s “health” questions from the saddest place on the Internet. But first we discuss the AMA’s policy to support the ban on direct to consumer advertising of drugs and implantable devices, and how such advertising makes the doctor-patient relationship complicated. Will drug companies retaliate by advocating for bans on advertising doctors and hospitals to patients.  Researchers in the UK may be about to get the green light to edit the genes of human embryos seeking answers to why some miscarriages happen.  Are we approaching the slippery slope?

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The Fellowship of the Mic

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Left to right, Rob Humble, Sean Astin, and Doug Russo being awesome.

This week, Dave, Aline Sandouk, John Pienta, Doug Russo, and Tony Rosenberg reflect upon the joy that podcasting brings, as we were recording the show on International Podcasting Day (Sept. 30).  Something else to celebrate: Doug (and Rob Humble) got to chill with an actual hobbit.  Or maybe it was Sean Astin, it isn’t entirely clear. But whoever it was, Samwise was in Iowa stumping for Hillary Clinton. Hobbitses are very liberal, what with their hairy feet and pipeweed. Meanwhile, Doug was listening to the recent show in which Mark Moubarek discussed Rhoto eye drops, and bought some for us to “do.” After the burning subsides, we discuss the advice from an attending overheard recently: should everyone really try to know everything?

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Reversing Pavlok, and What You Can Learn From Your Bike Wreck.

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After listening to our recent show that featured a review of a wrist-worn device that you can shock yourself with to punish you for engaging in bad habits, listener Paulius drops us a line to ask what Amy Young, Corbin Weaver, Aline Sandouk, and John Pienta do to reward themselves when they do the right things.  Like watching YouTube videos of people doing things well.  Or turning your life into a video game. Next, Amy attempts to learn some sort of lesson about clinical medicine as a result of her recent nasty bike wreck, aside from, “Being in a nasty bike wreck isn’t at all a good idea.” And Dave’s fear of someday ending up on YouTube video recorded while he recovers from anesthesia leads to a discussion on online privacy.
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The Modern Opioid Epidemic

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Photo by G4GTi

Close your eyes, and picture an opioid abuser. If you’re like me, you see a man in a flophouse or dark alley. He’s cooking up heroin in a spoon over a lighter. Maybe he has a loop of tubing around his upper arm, and he’s shooting the heroin into a vein in the crook of his elbow. Once he’s done with the injection, he leans back with a euphoric sigh. Fade to black.

Maybe it’s just me, but this is the image that, for years, mediated my perception of the opioid epidemic, but it’s a stereotype created by television and movies. Even as a stereotype, it’s outdated, though. For decades, now, much of the epidemic is one of prescription drugs. The CDC says 78 people die from opioid overdoses every day. At least half of all opioid overdoses are from prescription drugs. Meanwhile, deaths from illegally made opioids, like the synthetic Fentanyl which is often mixed with heroin or cocaine to increase the high, increased 80% from 2013 to 2014. The American Society of Addiction Medicine says that prescription pain reliever overdose deaths among women increased more than 400% from 1999 to 2010, compared to 237% among men. In 2014, 168,000 adolescents were addicted to prescription pain medications. More than 2 and a half times that number of kids were taking prescription pain relievers for non-medical uses.

Next week, from September 26 to September 30, 2016, the University of Iowa Carver College of Medicine will host the Opioid Overdose Prevention Summit. Second-years med students Sarah Ziegenhorn, Petra Hahn, and Cameron Foreman helped organize the conference, in which students from the Colleges of Medicine, Dentistry, Pharmacy, Social Work, Public Health, and Nursing will join together to increase their knowledge and to influence public policy and legislation; personal perspectives; and student advocacy. , Sarah, Petra and Cameron were joined by Assistant Dean Denise Martinez and Nurse Kim Brown, whose son Andy died of an overdose, to talk about the issues of opioid addiction, treatment, and overdose prevention.
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