http://soundmedicine.iu.edu Listen to Sound Medicine, the weekly talk radio show sponsored by the IU School of Medicine and WFYI, 90.1 FM, the Indianapolis NPR affiliate. en-us Copyright 2013 Indiana University School of Medicine medschl @ iupui.edu (IU School of Medicine) Many people in need of kidney transplants have family members or loved ones who are willing to donate a kidney. However, willing donors often aren't matches. Kidney exchanges allow people who need transplants but have an incompatible donor to pair with families with the same problem and exchange kidneys. According to Sommer Gentry, Ph.D., kidney exchanges can be done between two families or can be.... http://soundmedicine.iu.edu/segment/3681/How-do-kidney-exchanges-work- http://soundmedicine.iu.edu/segment/3681/How-do-kidney-exchanges-work- May 19, 2013T00:00:01+20:00 Many people in need of kidney transplants have family members or loved ones who are willing to donate a kidney. However, willing donors often aren't matches. Kidney exchanges allow people who need transplants but have an incompatible donor to pair with families with the same problem and exchange kidneys. According to Sommer Gentry, Ph.D., kidney exchanges can be done between two families or can be.... http://soundmedicine.iu.edu/segment/3681/How-do-kidney-exchanges-work- http://soundmedicine.iu.edu/segment/3681/How-do-kidney-exchanges-work- May 19, 2013T00:00:01+20:00 Many runners have embraced minimalist "barefoot" running shoes -- shoes that are essentially a piece of rubber with five toe slots. Sarah Ridge, Ph.D., recently conducted a study on the potential injuries minimalist shoes could cause. The study looked at 36 runners with no prior leg or foot problems; half of the group was given barefoot running shoes and half of the group used normal running shoes.... http://soundmedicine.iu.edu/segment/3678/Are-minimalist-running-shoes-safe- http://soundmedicine.iu.edu/segment/3678/Are-minimalist-running-shoes-safe- May 19, 2013T00:00:01+20:00 Many runners have embraced minimalist "barefoot" running shoes -- shoes that are essentially a piece of rubber with five toe slots. Sarah Ridge, Ph.D., recently conducted a study on the potential injuries minimalist shoes could cause. The study looked at 36 runners with no prior leg or foot problems; half of the group was given barefoot running shoes and half of the group used normal running shoes.... http://soundmedicine.iu.edu/segment/3678/Are-minimalist-running-shoes-safe- http://soundmedicine.iu.edu/segment/3678/Are-minimalist-running-shoes-safe- May 19, 2013T00:00:01+20:00 Standing up doesn't seem like a complicated task; neither does walking to the bathroom. But according to Jake Streepey, Ph.D., maintaining balance is harder than it looks. Balancing requires coordination between our eyes, ears, sense of touch and positioning of joints. When all of these work together, the body is able to maintain balance; however, if the body senses something is off balance, it .... http://soundmedicine.iu.edu/segment/3677/How-do-we-balance- http://soundmedicine.iu.edu/segment/3677/How-do-we-balance- May 19, 2013T00:00:01+20:00 Standing up doesn't seem like a complicated task; neither does walking to the bathroom. But according to Jake Streepey, Ph.D., maintaining balance is harder than it looks. Balancing requires coordination between our eyes, ears, sense of touch and positioning of joints. When all of these work together, the body is able to maintain balance; however, if the body senses something is off balance, it .... http://soundmedicine.iu.edu/segment/3677/How-do-we-balance- http://soundmedicine.iu.edu/segment/3677/How-do-we-balance- May 19, 2013T00:00:01+20:00 Sound Medicine" health care policy analyst Aaron Carroll, M.D., M.S., weighs in on the actions employers are considering to reduce health care costs. Some companies have begun offering incentives like gym memberships to employees who lose weight; others have raised the cost of insurance for those who smoke. Some, like Honeywell, fine employees up to $1,000 for an elective procedure if they don't s.... http://soundmedicine.iu.edu/segment/3675/Why-are-employers-offering-health-care-incentives- http://soundmedicine.iu.edu/segment/3675/Why-are-employers-offering-health-care-incentives- May 19, 2013T00:00:01+20:00 Sound Medicine" health care policy analyst Aaron Carroll, M.D., M.S., weighs in on the actions employers are considering to reduce health care costs. Some companies have begun offering incentives like gym memberships to employees who lose weight; others have raised the cost of insurance for those who smoke. Some, like Honeywell, fine employees up to $1,000 for an elective procedure if they don't s.... http://soundmedicine.iu.edu/segment/3675/Why-are-employers-offering-health-care-incentives- http://soundmedicine.iu.edu/segment/3675/Why-are-employers-offering-health-care-incentives- May 19, 2013T00:00:01+20:00 More than half of all golden retrievers develop cancer in their lifetime. Veterinarians don't understand why they're at a much higher risk than other animals, but there are genetic links and factors that can lead to cancer. Elizabeth Murphy, DVM, discusses a new study funded by the Morris Animal Foundation that is modeled after the Framingham Heart Study. The foundation has started a canine lifeti.... http://soundmedicine.iu.edu/segment/3673/Why-are-golden-retrievers-at-a-higher-risk-for-cancer- http://soundmedicine.iu.edu/segment/3673/Why-are-golden-retrievers-at-a-higher-risk-for-cancer- May 12, 2013T00:00:01+20:00 More than half of all golden retrievers develop cancer in their lifetime. Veterinarians don't understand why they're at a much higher risk than other animals, but there are genetic links and factors that can lead to cancer. Elizabeth Murphy, DVM, discusses a new study funded by the Morris Animal Foundation that is modeled after the Framingham Heart Study. The foundation has started a canine lifeti.... http://soundmedicine.iu.edu/segment/3673/Why-are-golden-retrievers-at-a-higher-risk-for-cancer- http://soundmedicine.iu.edu/segment/3673/Why-are-golden-retrievers-at-a-higher-risk-for-cancer- May 12, 2013T00:00:01+20:00 In 2003, when diabetes drug Avandia was released, The New England Journal of Medicine published an article about how the drug outperformed two leading competitors in a clinical trial. The study was funded by GlaxoSmithKline, the makers of Avandia; four of the authors were GSK employees, and the others had received support as consultants. The article failed to mention that Avandia showed early warn.... http://soundmedicine.iu.edu/segment/3670/Does-pharmaceutical-funded-research-produce-biased-reports-in-medical-journals- http://soundmedicine.iu.edu/segment/3670/Does-pharmaceutical-funded-research-produce-biased-reports-in-medical-journals- May 12, 2013T00:00:01+20:00 In 2003, when diabetes drug Avandia was released, The New England Journal of Medicine published an article about how the drug outperformed two leading competitors in a clinical trial. The study was funded by GlaxoSmithKline, the makers of Avandia; four of the authors were GSK employees, and the others had received support as consultants. The article failed to mention that Avandia showed early warn.... http://soundmedicine.iu.edu/segment/3670/Does-pharmaceutical-funded-research-produce-biased-reports-in-medical-journals- http://soundmedicine.iu.edu/segment/3670/Does-pharmaceutical-funded-research-produce-biased-reports-in-medical-journals- May 12, 2013T00:00:01+20:00 In 2003, the Accreditation Council for Graduate Medical Education limited the number of hours medical residents could work continuously from 36 to 24 hours. In 2011, the ACGME cut the number of hours again, this time to 16. The goal is to reduce the number of medical mistakes interns make and provide a better quality of life for residents. However, a recent study published online by JAMA Internal .... http://soundmedicine.iu.edu/segment/3669/Doc-chat--Are-residents--long-hours-to-blame-for-medical-mistakes- http://soundmedicine.iu.edu/segment/3669/Doc-chat--Are-residents--long-hours-to-blame-for-medical-mistakes- May 12, 2013T00:00:01+20:00 In 2003, the Accreditation Council for Graduate Medical Education limited the number of hours medical residents could work continuously from 36 to 24 hours. In 2011, the ACGME cut the number of hours again, this time to 16. The goal is to reduce the number of medical mistakes interns make and provide a better quality of life for residents. However, a recent study published online by JAMA Internal .... http://soundmedicine.iu.edu/segment/3669/Doc-chat--Are-residents--long-hours-to-blame-for-medical-mistakes- http://soundmedicine.iu.edu/segment/3669/Doc-chat--Are-residents--long-hours-to-blame-for-medical-mistakes- May 12, 2013T00:00:01+20:00 The American Academy of Pediatrics recently released a policy statement that outlines the harmful effects of pesticides on early fetal development. In 2009, Paul Winchester, M.D., released a study that looked at 30 million Indiana births from 1996 to 2002. According to Dr. Winchester, babies conceived in April, May and June have higher rates of birth defects such as Down syndrome, cleft palate and.... http://soundmedicine.iu.edu/segment/3666/How-d-that-work--Do-pesticides-cause-birth-defects- http://soundmedicine.iu.edu/segment/3666/How-d-that-work--Do-pesticides-cause-birth-defects- May 12, 2013T00:00:01+20:00 The American Academy of Pediatrics recently released a policy statement that outlines the harmful effects of pesticides on early fetal development. In 2009, Paul Winchester, M.D., released a study that looked at 30 million Indiana births from 1996 to 2002. According to Dr. Winchester, babies conceived in April, May and June have higher rates of birth defects such as Down syndrome, cleft palate and.... http://soundmedicine.iu.edu/segment/3666/How-d-that-work--Do-pesticides-cause-birth-defects- http://soundmedicine.iu.edu/segment/3666/How-d-that-work--Do-pesticides-cause-birth-defects- May 12, 2013T00:00:01+20:00 At Birmingham Women's Hospital in England, a local charity bike service called Midlands Freewheelers has switched from delivering blood to delivering breast milk. The hospital used to rely on mothers bringing donated breast milk to the hospital but found that new mothers were too busy. So the Midlands Freewheelers go directly to the mothers, who are screened for HIV, hepatitis B and hepatitis C, a.... http://soundmedicine.iu.edu/segment/3664/Can-breast-milk-be-transported-on-a-motor-bike- http://soundmedicine.iu.edu/segment/3664/Can-breast-milk-be-transported-on-a-motor-bike- May 5, 2013T00:00:01+20:00 At Birmingham Women's Hospital in England, a local charity bike service called Midlands Freewheelers has switched from delivering blood to delivering breast milk. The hospital used to rely on mothers bringing donated breast milk to the hospital but found that new mothers were too busy. So the Midlands Freewheelers go directly to the mothers, who are screened for HIV, hepatitis B and hepatitis C, a.... http://soundmedicine.iu.edu/segment/3664/Can-breast-milk-be-transported-on-a-motor-bike- http://soundmedicine.iu.edu/segment/3664/Can-breast-milk-be-transported-on-a-motor-bike- May 5, 2013T00:00:01+20:00 At the 2012 American Giving Awards, Indianapolis-based Timmy Global Health won third place and $250,000. Timmy Global Health, founded in 1997 by Dr. Chuck Dietzen, has a dual mission statement: to provide health care to some of the most deprived communities in the world and empower the next generation of health care providers to tackle global health challenges. According to executive director Ma.... http://soundmedicine.iu.edu/segment/3659/What-s-new-with-Timmy-Global-Health- http://soundmedicine.iu.edu/segment/3659/What-s-new-with-Timmy-Global-Health- May 5, 2013T00:00:01+20:00 At the 2012 American Giving Awards, Indianapolis-based Timmy Global Health won third place and $250,000. Timmy Global Health, founded in 1997 by Dr. Chuck Dietzen, has a dual mission statement: to provide health care to some of the most deprived communities in the world and empower the next generation of health care providers to tackle global health challenges. According to executive director Ma.... http://soundmedicine.iu.edu/segment/3659/What-s-new-with-Timmy-Global-Health- http://soundmedicine.iu.edu/segment/3659/What-s-new-with-Timmy-Global-Health- May 5, 2013T00:00:01+20:00 Almost 80 percent of all medical diagnoses can be made from a patient's history and current symptoms. When doctors don't actively listen and patients are passive, the wrong diagnosis can be made. According to Leana Wen, M.D., patients often describe their symptoms but don't tell their entire story. Because doctors have limited interaction time, patients should tell their story clearly and concisel.... http://soundmedicine.iu.edu/segment/3657/How-can-we-improve-doctor-patient-communication- http://soundmedicine.iu.edu/segment/3657/How-can-we-improve-doctor-patient-communication- May 5, 2013T00:00:01+20:00 Almost 80 percent of all medical diagnoses can be made from a patient's history and current symptoms. When doctors don't actively listen and patients are passive, the wrong diagnosis can be made. According to Leana Wen, M.D., patients often describe their symptoms but don't tell their entire story. Because doctors have limited interaction time, patients should tell their story clearly and concisel.... http://soundmedicine.iu.edu/segment/3657/How-can-we-improve-doctor-patient-communication- http://soundmedicine.iu.edu/segment/3657/How-can-we-improve-doctor-patient-communication- May 5, 2013T00:00:01+20:00 According to John Finnell, M.D., car accidents used to be the No. 1 cause of death in 18- to 40-year-olds; now it's prescription drug abuse. To help monitor prescription drug abuse, Indiana is using health information technology to monitor prescriptions. The INSPECT program requires a physician to log in and enter a patient's full name, date of birth and address, and within 10 to 15 minutes the pr.... http://soundmedicine.iu.edu/segment/3655/What-is-Indiana-doing-to-prevent-prescription-drug-abuse- http://soundmedicine.iu.edu/segment/3655/What-is-Indiana-doing-to-prevent-prescription-drug-abuse- April 28, 2013T00:00:01+20:00 According to John Finnell, M.D., car accidents used to be the No. 1 cause of death in 18- to 40-year-olds; now it's prescription drug abuse. To help monitor prescription drug abuse, Indiana is using health information technology to monitor prescriptions. The INSPECT program requires a physician to log in and enter a patient's full name, date of birth and address, and within 10 to 15 minutes the pr.... http://soundmedicine.iu.edu/segment/3655/What-is-Indiana-doing-to-prevent-prescription-drug-abuse- http://soundmedicine.iu.edu/segment/3655/What-is-Indiana-doing-to-prevent-prescription-drug-abuse- April 28, 2013T00:00:01+20:00 Hospital-based infection prevention specialists try to stop the spread of infectious diseases through careful observation of patients' medical records. Brian Dixon, Ph.D., recently conducted a study of the awareness, adoption and use of electronic medical records and health information exchanges among prevention specialists. Dr. Dixon's study that found many prevention specialists have no say in w.... http://soundmedicine.iu.edu/segment/3654/Are-hospitals-preventing-the-spread-of-infectious-diseases-effectively- http://soundmedicine.iu.edu/segment/3654/Are-hospitals-preventing-the-spread-of-infectious-diseases-effectively- April 28, 2013T00:00:01+20:00 Hospital-based infection prevention specialists try to stop the spread of infectious diseases through careful observation of patients' medical records. Brian Dixon, Ph.D., recently conducted a study of the awareness, adoption and use of electronic medical records and health information exchanges among prevention specialists. Dr. Dixon's study that found many prevention specialists have no say in w.... http://soundmedicine.iu.edu/segment/3654/Are-hospitals-preventing-the-spread-of-infectious-diseases-effectively- http://soundmedicine.iu.edu/segment/3654/Are-hospitals-preventing-the-spread-of-infectious-diseases-effectively- April 28, 2013T00:00:01+20:00 In 2010, the Food and Drug Administration issued a medical alert warning consumers that inferior vena cava vein filters could potentially move or break, causing medical emergencies. Matt Johnson, M.D., is co-chairing a study to measure the safety and efficacy of vein filters over a five-year period. The IVC is the biggest vein in the body and transports the blood supply from the legs and abdomen .... http://soundmedicine.iu.edu/segment/3652/Do-vein-filters-help-or-harm- http://soundmedicine.iu.edu/segment/3652/Do-vein-filters-help-or-harm- April 28, 2013T00:00:01+20:00 In 2010, the Food and Drug Administration issued a medical alert warning consumers that inferior vena cava vein filters could potentially move or break, causing medical emergencies. Matt Johnson, M.D., is co-chairing a study to measure the safety and efficacy of vein filters over a five-year period. The IVC is the biggest vein in the body and transports the blood supply from the legs and abdomen .... http://soundmedicine.iu.edu/segment/3652/Do-vein-filters-help-or-harm- http://soundmedicine.iu.edu/segment/3652/Do-vein-filters-help-or-harm- April 28, 2013T00:00:01+20:00 Smokers having elective surgery face a slew of potential health problems including wound infection, respiratory failure, prolonged hospital stay and multiple complications after surgery. John Maa, M.D., said surgeons should use the five A's: Ask patients if they smoke; advise them to quit; assess previous attempts to quit; assist them with nicotine replacement; and arrange a follow-up meeting. The.... http://soundmedicine.iu.edu/segment/3651/Why-is-it-important-for-patients-to-quit-smoking-before-surgery- http://soundmedicine.iu.edu/segment/3651/Why-is-it-important-for-patients-to-quit-smoking-before-surgery- April 28, 2013T00:00:01+20:00 Smokers having elective surgery face a slew of potential health problems including wound infection, respiratory failure, prolonged hospital stay and multiple complications after surgery. John Maa, M.D., said surgeons should use the five A's: Ask patients if they smoke; advise them to quit; assess previous attempts to quit; assist them with nicotine replacement; and arrange a follow-up meeting. The.... http://soundmedicine.iu.edu/segment/3651/Why-is-it-important-for-patients-to-quit-smoking-before-surgery- http://soundmedicine.iu.edu/segment/3651/Why-is-it-important-for-patients-to-quit-smoking-before-surgery- April 28, 2013T00:00:01+20:00 Three people were killed in the Boston Marathon bombings and 120 were wounded; 50 people remain hospitalized. Michael Collins, M.D., speaks with "Sound Medicine" about recent developments in trauma surgery that helped in Boston. From the horrific injuries caused by improvised explosive devices in the Afghanistan and Iraq wars, trauma surgeons learned how to better treat lower-extremity wounds like.... http://soundmedicine.iu.edu/segment/3649/How-did-trauma-surgeons-minimize-injuries-at-the-Boston-Marathon- http://soundmedicine.iu.edu/segment/3649/How-did-trauma-surgeons-minimize-injuries-at-the-Boston-Marathon- April 28, 2013T00:00:01+20:00 Three people were killed in the Boston Marathon bombings and 120 were wounded; 50 people remain hospitalized. Michael Collins, M.D., speaks with "Sound Medicine" about recent developments in trauma surgery that helped in Boston. From the horrific injuries caused by improvised explosive devices in the Afghanistan and Iraq wars, trauma surgeons learned how to better treat lower-extremity wounds like.... http://soundmedicine.iu.edu/segment/3649/How-did-trauma-surgeons-minimize-injuries-at-the-Boston-Marathon- http://soundmedicine.iu.edu/segment/3649/How-did-trauma-surgeons-minimize-injuries-at-the-Boston-Marathon- April 28, 2013T00:00:01+20:00