Second Opinion artwork

Second Opinion

900 episodes - English - Latest episode: 6 days ago - ★★★★★ - 62 ratings

An examination of medical ethics and the practitioners who define them. Sign up to receive the Second Opinion topics in newsletter form at kcrw.com/newsletters .

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Episodes

Remembering Childhood Trauma

July 06, 2024 07:00 - 4 minutes - 3.16 MB

Memory is complicated and many factors impact the retention of distant memories

Contingency management to end addiction

June 16, 2024 13:35 - 4 minutes - 3.38 MB

While paying those addicted to drugs to stop using has its skeptics, studies suggest it has real potential

Pharmaceutical gifts to healthcare providers

June 09, 2024 13:35 - 4 minutes - 3.63 MB

Gifts are unethical and drive up healthcare costs

Delving into the depths of Dental Care

June 02, 2024 13:35 - 4 minutes - 3.64 MB

Much of what we know about routine dental care is not based on sound science

Changes coming with artificial intelligence

May 26, 2024 07:00 - 5 minutes - 4.19 MB

Medicine has seen many changes over the past 30 years, but AI will be a disruptive game changer.

Medical Tourism

May 19, 2024 13:35 - 5 minutes - 3.71 MB

There are many reasons to go abroad for healthcare, but attention is needed to carefully weigh the risks and benefits.

The impact of antimicrobial resistance on human health

May 12, 2024 13:35 - 4 minutes - 3.65 MB

The World Health Organization considers antimicrobial resistance one of the top 10 threats to global health alongside climate change and pandemics.

Improving the environment to improve health

May 05, 2024 13:35 - 4 minutes - 3.13 MB

The EPA has just passed some air pollution rules that could improve our American’s health. 

Confirmation Bias

April 28, 2024 13:35 - 4 minutes - 3.65 MB

Research findings are not etched in stone.

Brain Drain

April 21, 2024 13:35 - 4 minutes - 3.62 MB

America's dependency on foreign medical graduates, helps us but disadvantages countries around the world. 

Those who receive the poorest healthcare in America

April 14, 2024 13:35 - 5 minutes - 3.67 MB

The medical needs of those with intellectual and developmental disabilities are often ignored, and their care suffers.  

The importance of bird flu

April 07, 2024 13:35 - 5 minutes - 3.87 MB

We may still have some lingering pandemic fatigue but the new bird flu has the potential for significant harm if we are not careful.

Giving and Receiving Bad News

March 31, 2024 13:35 - 4 minutes - 3.54 MB

Would you prefer to receive bad medical news in person or over the phone?

The recurrence of measles in a time of misinformation

March 24, 2024 13:35 - 4 minutes - 3.64 MB

Measles, a highly contagious disease, is making a comeback in the US and we are not as prepared as we have been in the recent past.

Mistreated and Ignored

March 17, 2024 13:35 - 4 minutes - 3.63 MB

Institutional Care for People with Neurodiversity

Batwa indigenous people of Uganda

March 10, 2024 13:35 - 4 minutes - 3.25 MB

Surviving in the mountainous rainforests of Uganda.

Prevention in Uganda

March 03, 2024 14:35 - 5 minutes - 3.99 MB

On a national level, Uganda has made progress in health outcomes, but certain populations have been left behind.

Why can’t I prescribe a person a home?

February 25, 2024 14:35 - 4 minutes - 3.5 MB

Classic medical care is a start but not always enough to ensure good health.

Limited Access to Medical Records

February 18, 2024 14:35 - 4 minutes - 3.62 MB

Despite rules to promote the sharing of medical records, barriers still exist that reduce the quality and increase the cost of healthcare.

Do grades motivate learning?

February 11, 2024 14:35 - 4 minutes - 2.97 MB

As medical schools move to pass/fail grades what impact will this have on tomorrow’s doctors?

The health impact of microplastics

February 04, 2024 14:35 - 4 minutes - 3.52 MB

There is a critical need to rethink healthcare delivery to reduce microplastic waste

Superstitions and well-being

January 28, 2024 14:35 - 4 minutes - 3.62 MB

It is hard to avoid superstitions, but they are usually harmless and can provide a boost of confidence

Diagnosing ADHD

January 21, 2024 14:35 - 4 minutes - 3.49 MB

The condition is difficult to diagnose, and errors drive toward overdiagnosis.

The truth behind spinal cord stimulation

January 14, 2024 14:35 - 4 minutes - 3.42 MB

Industry tries to do what it can to keep the secret that these devices just don’t work very well.

In memory of a medical hero

January 07, 2024 14:35 - 4 minutes - 3.61 MB

Sidney Wolfe accomplished far more than most of us mere mortals

Home Testing for Cervical Cancer

December 31, 2023 14:35 - 4 minutes - 3.42 MB

If we can decrease the need for pelvic exams and improve the convenience of cervical cancer screening we can increase detection rates

Excessive Radiation from CT Scans

December 24, 2023 14:35 - 5 minutes - 3.67 MB

Too many CT scans are unnecessary, and the radiation can cause problems

We don’t have the information we need on prescription drugs

December 17, 2023 14:35 - 4 minutes - 3.57 MB

If you are prescribed a drug, how do you find out how effective the drug really is?

Making Hepatitis C treatment available to all

December 10, 2023 14:35 - 4 minutes - 3.36 MB

Now that there is a highly effective treatment available, how can we assure access to this life saving drug?

Prescription Digital Tools

December 03, 2023 14:35 - 4 minutes - 3.54 MB

These tools rely on software to monitor, treat, or prevent disease.  They are still in their early stages but we need more data on their effectiveness.

What is a normal part of aging?

November 26, 2023 14:35 - 4 minutes - 3.36 MB

Not all problems should be attributed to normal aging.

The meaning of gratitude

November 19, 2023 14:35 - 4 minutes - 3.55 MB

It turns out that gratitude can benefit physical and mental health.

When to report child or elderly abuse

November 13, 2023 14:35 - 4 minutes - 3.45 MB

The consequences of reporting, and not reporting abuse, can be enormous

Hospital Culture and End-of-Life Care

November 05, 2023 14:35 - 5 minutes - 3.67 MB

We need to do better at matching care provided at the end of life to patient’s preferences.

Is gambling a medical problem?

October 29, 2023 13:35 - 5 minutes - 3.67 MB

Decreasing problem gambling will require a toolbox of remedies including health care interventions and new policies.

Hospital Discharge- given only a few hours to decide what’s next

October 22, 2023 13:35 - 5 minutes - 4.39 MB

Hospital discharge can be complicated, and too often, patient’s preferences are not considered.

Do we need black boxes in medicine?

October 15, 2023 13:35 - 5 minutes - 3.67 MB

There are many similarities between medicine and aviation, but one change we need to make in medicine is to develop the equivalent of black boxes to improve the quality of care.

Harm Reduction

October 08, 2023 13:35 - 5 minutes - 4.55 MB

While not a perfect solution, it has been shown to work.

Substance Abuse Part 1

October 01, 2023 13:35 - 4 minutes - 3.35 MB

What drives substance abuse is complex and treatment requires a dual approach

Vector Borne Disease and Climate Change

September 24, 2023 13:35 - 5 minutes - 3.67 MB

Climate change has created unique opportunities for insects to spread disease.

The Popularity of Total Body MRI Scanning

September 17, 2023 13:35 - 4 minutes - 3.35 MB

These expensive tests have very little benefit and some important risks.

Intergenerational Trauma

September 10, 2023 13:35 - 4 minutes - 3.58 MB

Trauma experienced by refugees can have a powerful effect on the biology and behaviors of future generations.

The meaning of being on the “BEST HOSPITAL” list

September 03, 2023 13:35 - 4 minutes - 3.62 MB

We need to agree on outcomes for a “best hospital” and then figure out how to measure those qualities. 

The impact of positive childhood experiences

August 27, 2023 13:35 - 4 minutes - 3.17 MB

It turns out both adverse and positive childhood experiences impact our health as adults.

Emotional Support Animals

August 20, 2023 13:35 - 4 minutes - 3.04 MB

Certain rules assure that people can live with emotional support animals, but they are different rules than protect service animals.

Medical Research Volunteers are often poorly informed

August 13, 2023 13:35 - 4 minutes - 3.61 MB

The FDA has dropped the ball on requiring that studies are properly evaluated for ethical violations

The White Coat Ceremony – only a partial celebration.

August 06, 2023 13:35 - 3 minutes - 2.72 MB

Perhaps the white coat is no longer a fitting symbol for a patient-focused modern medical profession.

Religion and Medicine often make strange partners

July 30, 2023 13:35 - 4 minutes - 3.34 MB

Is our life’s path already written, or can we control behaviors and impact our health?

Ordering drug tests without permission

July 23, 2023 13:35 - 4 minutes - 3.58 MB

Drug testing for elicit substances should require explicit permission from the patient

The new heavily promoted weight loss drugs

July 16, 2023 13:35 - 4 minutes - 3.63 MB

Like with all new drugs, – things are never quite what they first seem.