Tag Archives: FDA

Hot Takes: Dr. Marty Makary dissects the US COVID Response, and he isn’t happy

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We were too slow, too cautious, and too “old-guard” in our responses to COVID

TL;DR

  • Guest Marty Makary condemns the old way that healthcare responds to current events.
  • Sticking to the clinical trials process and a reluctance to use the knowledge already available from Chinese doctors slowed US responses and killed people.
  • “We had terrible medical leadership throughout the pandemic, and I think it’s good for our leaders to show some degree of humility to say, look, we consistently got it wrong.”

This episode is sponsored by Panacea Financial, a company just for medical students and doctors. Check them out!

New York Times bestselling author and Johns Hopkins surgeon Marty Makary returns to the show to just blast US healthcare and medicine’s response to COVID. The flip-flopping on mask effectiveness, the distribution of vaccines, ignoring the role of natural immunity of people who were infected and survived, insisting on a two-dose vaccine rollout instead of first getting everyone vaccinated once. All of these decisions were slow, ill-considered, and in some cases theatrical rather than scientific. Even Fauci got it wrong! *gasp*

Join MD/PhD student Aline Sandouk, and M1s AJ Chowdhury and Rick Gardner as we dissect the chaos. The paperback edition of Dr. Makary’s book, The Price We Pay, includes an update that discusses COVID’s implications for the business of healthcare.

We Want to Hear From You

How’d we do on this week’s show? Did we miss anything in our conversation? Did we anger you? Did we make you smile? Call us at 347-SHORTCT anytime  or email theshortcoats@gmail.com.  It’s always a pleasure to hear from you!

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Invent the Future of Medicine, ft. Matthew Howard, MD

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See a problem, solve a problem

Matthew Howard, MD. Professor, Department of Neurosurgery Chair and DEO, John C. VanGilder Chair in Neurosurgery

Think of an inventor.  What comes to mind?  The quirky lone genius, coming up with a blockbuster device that will save the world?  The Avengers‘ Tony Stark in a cave throwing together a functional exosuit from scrap metal?  Back to the Future’s Doc Emmet Brown crying “1.21 jigawatts?!” and then immediately coming up with the perfect solution?

Or is it a person like neurosurgeon Matthew Howard, toiling away year after year alongside a team of trusted experts, all working together to take an idea–slowly–from problem to concept to prototypes to product to FDA approval to market to patient?  Dr. Howard was recently named the University of Iowa’s first ever National Academy of Inventors fellow, with 34 patents in his portfolio, so we wanted to take a look at yet another amazing aspect of medicine: the people who define and then create solutions that make the surgical world go ’round.  Some of his inventions succeed–including a way to guide catheters to their destinations using magnetic fields–while others –like the “shunt scissors” he discusses–are waiting to set the surgical world on fire. But to Dr. Howard it’s just a good time.

Also, Dave gives the crew–Aline Sandouk, Miranda Schene, Hannah Van Ert, and Maddie Mix–a pop quiz to see if they can guess the invention from some weird patents.  Some of the quiz’s incorrect answers could be money makers, so feel free to patent them and make a fortune.


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You care about others, or you wouldn’t be into this medicine thing. Our #merchforgood program lets you to give to our charity of the semester and get something for yourself at the same time!

We Want to Hear From You

Have you ever had an idea for something and thought, I should patent that?  Like that time Dave thought up an ejection seat for motorcycles? Call us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com and tell us about it.

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Routines, Right To Try, and Reviews

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What Routines Do Medical Students Find Helpful When Drinking from the Firehose?

Photo of a girl gazing at a castle in the clouds
From her perch among the clouds of medical school, Yolanda stared longingly at the residency program of her dreams, knowing deep down inside that her inability to establish a study routine would doom her to a life of *shudder* psychiatry.

Listener Meghan is about to start med school in the fall, and is thinking about what sort of regular habits medical students like Aline Sandouk, Tony Rosenberg, and new co-host Jayden Bowen use to keep them on track.  Not only do we look at some routines they use (and debate whether they’re even helpful), but we also have a suggested routine for the new student.

What Every New Medical Student Needs to Know about The ‘Dean’s Letter.’

And Dave, who’s begun writing dean’s letters (or ‘Medical Student Performance Evaluations’) for students who will be looking for jobs this year, has some sobering news for his co-hosts: they are, themselves, already writing them.  Dave thinks most first-year medical students have never heard of this important document, nor do they know what will be in it…and how it could help or hinder their efforts to land that plum residency.

This Week in Medical News

Dermatologists are less accurate in diagnosing melanomas than the stupidest artificial intelligence…but don’t cancel your derm dreams yet.  Meanwhile, patients get the ‘right to try‘ from the Trump administration…but is bypassing the slow FDA approval process almost completely a good idea, or will the bad actors in medicine end up lining their pockets on the hopes of their desperately ill patients?

We Want to Hear From You

What are your med school routines?  Did your school read you in on the MSPE when you started?  Call us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.  Do all three!

Continue reading Routines, Right To Try, and Reviews

Should you consider romance when selecting a med school?

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Med school can test a relationship.

broken heart photo
Photo by Free For Commercial Use (FFC)

Lauren wrote in to ask us to what extent her love life should play a role in her selection of a medical school, and how we thought med school challenges relationships. Gabe Conely, Joyce Wahba, Claire Casteneda, and new host Brendan George discussed their perspective on how med school can affect romantic relationships, and what role it should play in the selection of a school to attend.

And, after reading an article about how blind people use echolocation–and that they were better at it even than previously thought–Dave thought up an experiment to test his co-hosts.  A stupid experiment, but he’s a podcast host not a doctor.

This Week in Medical News

The opioid epidemic isn’t going anywhere…and it’s getting worse despite the hand wringing done around the country about how to arrest it.  And 23andMe has the green light from the FDA to test customers for BRCA mutations.

We Want to Hear From You

Do you know anyone who echolocates? That’s something we all want to hear more about!  Call us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.

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Crushing It with Mental Illness During Med School

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[We’re re-releasing this episode because when it was first posted the file was screwed up.  Enjoy!]

Much like America, doctors are afraid of mental illness.

mental illness photo
Photo by darcyadelaide

Physicians are no better than the rest of us at dealing with mental illness, even as they work valiantly to get their patients to recognize and get treatment for their conditions. As society becomes more open about ‘mood disorders,’  it is still common for MDs to reject treatment for depression, substance abuse disorders, anxiety, and more…and physicians and medical students are literally killing themselves–America loses 300 to 400 doctors every year to suicide.  Our co-hosts this week, Zeynep Demir, Innie Kim, Jason Lewis, and Kaci McCleary all have experienced their own disorders, and have formed a CCOM chapter of the National Alliance on Mental Illness.  Still in it’s infancy, they’ll be working to destigmatize mental illness among physicians, residents, and medical students in the hope that those who suffer can be saved and become what they always wanted to be: effective, compassionate, and healthy physicians.

We want to hear from you.

Do you suffer from a mental illness, and worry about your future as a physician? We’d love to hear your story, anonymously if that’s what you’d prefer.  Call us at 347-SHORTCT any time, and email theshortcoats@gmail.com.

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Harry Potter and the Suddenly Bald Litigant

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What do you do when you’re pulled in too many directions?

Yer a wizard, ‘arry!

The world of work, and medical school, is often about adjusting for a number of “top” priorities.   Dave’s been having one of those weeks where his work is pulling him in several directions at once, and thought to ask his co-hosts Erin Pasaski, Patrick Brau, Elizabeth Shirazi, and Kaci McCleary what techniques they use when they, inevitably, find themselves struggling to manage all of the important tasks med school throws at them.

Also, since the CCOM Writing and Humanities Program exists to bring art into the lives of busy med students, Dave went out and bought playdough so his co-hosts could flex their sculpting skills on common patient complaints.  Visit our Facebook page for the gallery!

This Week’s Medical News…

Speaking of priorities, Ars Technica takes note of the FDA’s somewhat lackadaisical interest in surveilling the cosmetics and hair care industry, and why that should probably change.  Will flu shots (and other vaccination injections) soon be replaced by a tiny bed of nails?  And Dave warns medical students not to study with their phones in the same room.

We want to hear from you.

If you have something to say or a question to ask, and think we are the best people to do so, who are we to question your judgement? Call us at 347-SHORTCT any time, and email theshortcoats@gmail.com.

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From a Galaxy Far, Far Away…

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herpes photo
Photo by creativedc

Tony Rosenberg, Alex Volkmar, and Doug Russo indulge their Star Wars geekery with Dave, entertaining the various Internet theories of Luke’s and Jar Jar’s importance, while Ellie Ginn sits in the corner wondering what they’re talking about.

Continue reading From a Galaxy Far, Far Away…

The M1s Are All Right

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love me tapeworm! by kaelyn, Flickr

One week of the semester gone, and M1s Aline Sandouk, Ethan Craig, and Nathan Miller report in on their experiences.  Who’s their favorite lecturer?  They won’t say, but they seem to be alive, well, and moving right along. Also, the FDA thinks we should regulate the use of feces as a drug. How an extreme athlete who isn’t a scientist did what she always does–pushes through the pain–to discover her genetic flaw when no-one else could. A company founded by a medical student with a bioengineering background comes up with a smart, simple, easy way to treat a scourge of childbirth in developing countries–postpartum hemorrhage. And a quick plug for The Discover Fit & Health channel which continues its fine tradition of infotainment programming with “Untold Stories of the ER,” featuring a story of a woman who fed her daughter tapeworms to get her ready for that all-important beauty pageant.

Listen to Episode 041: The M1s Are All Right.
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The opinions expressed in this feed and podcast are not those of the University of Iowa or the Roy J. and Lucille A. Carver College of Medicine.