Medical Rewrites

Meghan Jeffres

Medical Rewrites is the podcast that rewrites movie scenes with evidence-based medicine. Come for the clinical pearls, stay for the tangents.

This podcast analyzes movie scenes with medical plot points that fall short of best practices then rewrite the scene or dialogue.

Schedule: Q14 days on Wednesday

Guest experts: PRN

read less
Saúde e fitnessSaúde e fitness
Knives Out
Ontem
Knives Out
The rewrite today is for Knives Out. The deep dive is about pain management of musculoskeletal injuries.Movie suggestion form: https://tinyurl.com/8pa8sveyReferences used in this episodeClinical Practice Guidelines for Pain Management in Acute Musculoskeletal Injury by the Orthopaedic Trauma Association Musculoskeletal Pain Task Force https://pubmed.ncbi.nlm.nih.gov/30681429/Nonpharmacologic and Pharmacologic Management of Acute Pain From Non-Low Back, Musculoskeletal Injuries in Adults: A Clinical Guideline From the American College of Physicians and American Academy of Family Physicians INFOGRAPHIC INCLUDED https://pubmed.ncbi.nlm.nih.gov/32805126/Oxycodone vs ibuprofen vs. combo tx for the treatment of pain after abdominal or pelvic surgery in women RCT https://pubmed.ncbi.nlm.nih.gov/15763605/RCT topical diclofenac/menthol vs. placebo for ankle sprain pain https://pubmed.ncbi.nlm.nih.gov/28345425/RCT topical diclofenac gel, ibuprofen gel, and ibuprofen gel with levomenthol for musculoskeletal injuries https://pubmed.ncbi.nlm.nih.gov/31353997/RCT: ketorolac 60 mg IM vs ibuprofen 800 mg PO for acute musculoskeletal pain https://pubmed.ncbi.nlm.nih.gov/7618770/RCT: ketorolac 60 mg vs 15 mg for acute musculoskeletal pain https://pubmed.ncbi.nlm.nih.gov/34365063/Post-market surveillance study of ketorolac and GI bleeds https://pubmed.ncbi.nlm.nih.gov/8569017/Nested-case control for NSAID-associated heart failure admissions https://pubmed.ncbi.nlm.nih.gov/27682515/Drug Information summary about ketorolac duration by Christie Denton, PharmD, BCPS https://dig.pharmacy.uic.edu/faqs/2022-2/september-2022-faqs/what-evidence-is-there-for-the-5-day-maximum-with-the-use-of-ketorolac/
Intro
28-08-2023
Intro
My name is Meghan Jeffres and I am the host of Medical Rewrites where we rewrite movie scenes with evidence-based medicine. More importantly it is about redemption. On this podcast we will fix the medical plot points that keep us up and night staring at the ceiling asking – why didn’t the script writers just call me? This podcast for the clinicians that can’t help but lean over to their neighbor in the theater and whisper “That is wrong” during every medical scene. We know they don’t care, but we just can’t help it. I am an Associate Professor at the University of Colorado Skaggs School of Pharmacy on the Anschutz Medical Campus where I teach infectious diseases and clinical problem solving. I have been hospital-based internal medicine and infectious diseases pharmacist since I completed my ID residency in 2006. My research focuses are antibiotic adverse reactions, allergies, and active learning. My plan is to work my way through the list of movies, that I genuinely adore, but have medical plot points that fall short of best practices. For each movie we will identify medical issues, do a deep dive on the topic, and rewrite the scene or dialogue. I goal is to release episodes every 2 weeks. The topics covered with be 50/50 mix of ID and internal med topics. I will be bringing in experts to take us on their own deep dives and rewrites.If you have a movie that needs a rewrite. I have a Google form on the website where you can release your rage about medical plot points that are responsible for your grey hair. The Medical Rewrites podcast would not have been possible without the support of my bosses at CU – shout out to Ralph Altiere and Doug Fish. I am also standing on the shoulders of podcast giants that came before me and offered their support - Lauren Biehle, Stacy Volk, Jamie Wagner, Julie Justo, and Erin McCreary – you are all the absolute best.
Bridesmaids
25-08-2023
Bridesmaids
Our medical rewrite today will be for Bridesmaids. We have two deep dives today, tattoo infections and foodborne diarrhea. Please note that this podcast contains both plot spoilers and descriptions of infectious diseases found in the movie Bridesmaids.Movie suggestion form: https://tinyurl.com/8pa8sveyReferences2012 investigation of tattoo infections in Rochester New York https://pubmed.ncbi.nlm.nih.gov/22913660/ 2019 investigation of tattoo infections in Miami https://pubmed.ncbi.nlm.nih.gov/30452604/ Systematic review of tattoo infection pathogens https://pubmed.ncbi.nlm.nih.gov/27788747/ Pharmacodynamic calculations: Cephalexin 1 g, will result in a peak of 30 mcg/mL in one hour, a 1 hour half-life, and an MIC for Strep or Staph of 4 mcg/mL, results in a percent time above MIC of around 50%. IDSA Guidelines on Infectious Diarrhea https://pubmed.ncbi.nlm.nih.gov/29194529/ Acute diarrhea review with rehydration recipes https://pubmed.ncbi.nlm.nih.gov/35839362/ Risks of antimotility medication after consumption of contaminated foods https://pubmed.ncbi.nlm.nih.gov/15844055/ , https://pubmed.ncbi.nlm.nih.gov/22895383/ RCT: loperamide vs. rifaximin vs. combination https://pubmed.ncbi.nlm.nih.gov/17382603/ TrEAT TD RCT: https://pubmed.ncbi.nlm.nih.gov/29029033/ ESBL acquisition with antibiotic and travelers diarrhea https://pubmed.ncbi.nlm.nih.gov/25613287/ Resistance Map https://resistancemap.onehealthtrust.org/ ESBL acquisition with loperamide and antibiotics https://pubmed.ncbi.nlm.nih.gov/26691898/