Primary Care Pod: Recent Episodes
Dr. Mark List
Welcome to the Primary Care Podcast. We review the latest news, updates, and guidelines for primary care providers. Not medical advice for patients!
Fun, quick episode this week.
https://pubmed.ncbi.nlm.nih.gov/33934725/
Non-fatal senior pickleball and tennis-related injuries treated in United States emergency departments, 2010-2019
Harold Weiss 1, Jacob Dougherty 2, Charles DiMaggio 3
Today's episode is a very complicated topic without clear cut benefits. Expert opinions and modeling data to address a dangerous and serious topic. Let's look at 2 sources: a new study from the Annals of Internal Medicine and an expert opinion from Uptodate.
https://www.uptodate.com/contents/selecting-adult-patients-with-lower-extremity-deep-venous-thrombosis-and-pulmonary-embolism-for-indefinite-anticoagulation?search=unprovoked%20dvt§ionRank=1&usage_type=default&anchor=H648618&source=machineLearning&selectedTitle=1~150&display_rank=1#H648618
vs.
https://pubmed.ncbi.nlm.nih.gov/37364263/
Indefinite Anticoagulant Therapy for First Unprovoked Venous Thromboembolism : A Cost-Effectiveness Study Faizan Khan 1, Doug Coyle 2, Kednapa Thavorn 3, Sasha van Katwyk 4, Tobias Tritschler 5, Brian Hutton 6, Grégoire Le Gal 7, Marc A Rodger 8, Dean A Fergusson 9
Time restricted eating vs. caloric restriction. Is there a winner in this 1:1:1 12-month trial from Chicago?
https://pubmed.ncbi.nlm.nih.gov/37364268/
Time-Restricted Eating Without Calorie Counting for Weight Loss in a Racially Diverse Population : A Randomized Controlled Trial
Shuhao Lin 1, Sofia Cienfuegos 1, Mark Ezpeleta 1, Kelsey Gabel 1, Vasiliki Pavlou 1, Andrea Mulas 1, Kaitie Chakos 1, Mara McStay 1, Jackie Wu 1, Lisa Tussing-Humphreys 2, Shaina J Alexandria 3, Julienne Sanchez 4, Terry Unterman 5, Krista A Varady 1
Talking about 2 studies released last month:
- Giving it to 3rd trimester moms and seeing what happens in newborns:
https://pubmed.ncbi.nlm.nih.gov/37018474/
- Giving it to 60+ yo adults and seeing what happens:
https://pubmed.ncbi.nlm.nih.gov/37018468/
What happens when I review these? Listen to find out!
Helpful table (Not sure if this will reproduce well or not):
NNTVaccine EfficacySevere LRI first 90 d14281%In 6 mo7569%ADULTS142885% non-severe LRI first 90 d111576mo5551%ADULTS76966% Any URI ADULTS50062%
Hey everyone, on today's episode we are talking about a recent JAMA article on Heterogeneity in Blood Pressure Response to various blood pressure medicines and the idea of individualizing antihypertensive algorithms.
https://jamanetwork.com/journals/jama/article-abstract/2803518
Today's episode we look at a study of 60+ year olds who have poorly controlled depression. Is it better to add on medications? Switch medications? Does it matter?
Study link:
https://pubmed.ncbi.nlm.nih.gov/36867173/
Bempedoic Acid aka Nexletol has a new trial in NEJM that shows MACE reduction in very high risk patients (mostly secondary but some primary prevention). NNT? NNH? Other trials on Bempedoic acid? Tune in and find out.
Interesting study today that looks at High dose ICS inhalers possibly have worse outcomes in patients than medium dose ICS inhalers, leading to more exacerbations and need for antibiotics. Plausible? Let's discuss!
We take a Pre-operative study from the Annals of Surgery and talk about perioperative risk management for patients with low serum creatinine.
Let's review a clinical trial of medical cannabis use in chronic pain patients with the goal of reducing daily MME dose.
Interesting Study out of the Netherlands on different typing speeds in clinical practice by age, gender, medical role, and specialty.
Take home - You aren't as fast as a typer as you think!
Kicking 2023 year off with a topic on Motivational Interviewing, and what I'm focusing on to help patients make healthy choices and beneficial lifestyle changes for this year.
Today we discuss a recent study looking at intra-articular steroid injections for knee arthritis vs. IM steroid injections in the glute. Non-inferior???
Apparently, the relationship between HDL and coronary artery disease is much more complicated than previously thought. Low HDL doesn't matter if you are black? Let's read about a November 2022 study from JACC.
Last decade, data has pointed us to prescribe BP meds at night, new study says, maybe it doesn't matter?
SHOCKING! DRAMA! Not really, so let's dig into the details from NEJM October article on colonoscopy RCT in Europe.
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New classifications for your documentation - HFrEF, HFmrEF, HFpEf, HFiEF
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Medications for HFrEF, HFmrEF
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Medications for HFpEF.
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MEMORIZE ALL THE ACRONYMS
Not smoking cessation, but SITTING CESSATION? How a British RCT showed that PCPs can improved hours of sedentary sitting per day, and make changes to patient's overall wellbeing and ? health?
Let's discuss!
WELCOME BACK.
Let's talk about a recent study last month on treatment options for painful neuropathy in diabetes. Monotherapy or dual therapy? Is More Better? Is this practice changing? Do I like typing questions in here? Find out in this episode!
Let's talk about cfDNA and how a new test is soon to be coming to a PCP office near you to screen healthy patients for all cancers in a single blood test.
On today's episode: Standard opening and joke, but with a new sponsorship from Panacea Financial!
Pod Episode is on an interesting study from last month on management of hyperkalemia with patients on ACE/ARBs that I thought was super interesting and very relevant to primary care. Hope you agree!
Let's talk and review research (and future treatments of LpA) on today's episode of the PCP.
sigh Alzheimer's disease is awful.
Let's talk about management, or at least how best to handle it.
We're back!
Let's talk what to do with Warfarin/coumadin, DOACs, antiplatelets/aspirin at the time of EGDs and Colonoscopy based on the most recent guidelines in the spring
Let's review an important topic for Primary Care - COPD! Because it's actually easier than we make it out to be, and can be managed by PCPs in the clinic. Let's review the 2020 GOLD recommendations.
Let's have a talk based on a very recent meta-analysis from the BMJ about PCSK9 and ezetimibe use in prevention of ASCVD/MACEvents.
Fun article to discuss today, does it matter whether you wear a white coat to patients?
PPIs are usually great. PPIs sometimes need to go away. Let's talk about De-prescribing PPIs from a new guideline update from the AGA. OK
Very confusing study and very confusing popular media reporting on the topic, all leads to good topic to talk about in podcast form.
Today we go back to Practice Efficiency and look at clinic documentation! Something we can ALL get better about. I have thoughts. ALL THE THOUGHTS.
Just a short, fun episode on human physiology and space travel. Probably not clinically relevant but maaaaaaaaaybe one day? Nah, probably not.
Hey! New study! Is it better to increase a current medication to max dose or start new medication? We know the answer in general population, but let's talk about elderly specific patients.
I like alliteration. Today is about a possible new PE protocol we can follow to rule out false positive D-Dimers by adjusting its threshold based on some variables. BUT, this can be confusing. And hard to remember. Are adding more and more complex algorithms actually worth it?
New study! Short course, low dose Amox NON INFERIOR to traditional care. Game changer? IDK probably, let's discuss.
New study highlights what artificial sweeteners are actually doing metabolically, neurologically, and impacting people's ability to lose weight.
Hey everyone
On this episode, we review the recent AFP article on outpatient alcohol withdrawal management.
New study looking at outcomes between ACE and ARBs. Is there a difference? Does the choice matter?
PLUS BONUS HCTZ concerns
Meta-analysis shows us polypills win, again. Easy button.
Also, should we be dosing aspirin by weight and giving it to everyone?
What's the real NNT when placebo works so well? Let's discuss management of adolescent anxiety and depression.
Today we do something VERY different. We talk about practice management, specifically diving into a question from a listener about how to effectively manage an efficient schedule to stay on time. Hope you enjoy. Back to the studies next week.
Hey everyone,
New JAMA article showing some significant issues with opioid tapering. Pretty scary data. Let's dive in.
Hey everyone,
On today's episode we look at a new Swedish study from this week on the benefits of improving our accuracy of prostate cancer screening by adding MRI before biopsy. Does it reduce false positive PSAs and unnecessary biopsies? Does it catch high grade and not low grade (Gleason
My 3 Brazilians listeners can be experts for discussions about their recently hospitalized president when they listen to this podcast episode on intractable hiccups!
Keep It Simple, Stupid!
Can we simplify complex multiple insulin types and doses per day and go away from the Basal Bolus regimen (which, btw, usually works super well) without sacrificing efficacy? Can we make patients happy, make our lives managing their diabetes easier, and yet not be inferior to the Basal/Bolus method?
New study last month validates that yes, you can!
listen in!
Today we're talking about clinic exam maneuvers that are evidence-based for examining a patient presenting to clinic with a red eye.
Hey! Are we appropriately screening women for breast cancer? What are the risks/benefits to different screening strategies? Is there a better way? Let's explore
SGLT2s are apparently the greatest medication on the planet, but they are just mediocre for A1c reduction, let's review a couple of recent studies on the topic
Reviewing Episode 53 USPSTF Lung cancer screening guidelines and discussing recent relevant COVID 19 articles.
Diverticulitis!
Augmentin > Fluoroquinolones + flagyl
Diet choices matter
Obesity/Genetics/Smoking/NSAIDs/Opioids matter more.
Guideline recommendations.
Hey everybody - 2fer today: 2 topics that couldn't be more different. Family medicine in a nutshell.
Heeeeeeeeeeeeeeey everybody, today we discuss the evidence on the risks of metformin and its associated lactic acidosis in type 2 DM in CKD. Good/bad? What do you need to know to be safe and yet do good diabetic care? Let's dive in.
Hey pod peeps, let's listen to how it is absolutely possible to management appendicitis as PCPs, based on recent and not so recent data.
Alternative title for today is Dr. List presents the Idiot's Guide to the Kidneys in Diabetes.
I think I messed up and said 2007 was the article from the Journal of International Society of Nephrology, meant to say 2017.
Here's a link to the graph that show's your patient's risk of progression to CKD based on GFR and albuminuria levels: https://www.researchgate.net/figure/Prognosis-of-CKD-by-GFR-and-Albuminuria-categories-12_fig1_296618862
Hey everyone! Today we discuss the new AUA 2020 Hematuria guidelines. Merry Christmas/Happy Holidays!
On this episode of the podcast we talk about arguably the most important topic in medicine today: combating vaccination hesitancy for the COVID19 vaccine.
Hey there, hip young teens. Do you know what the cool kids are talking about? Definitely not regular cigarettes! No, they are on the primary care podcast talking about very low dose nicotine content cigarettes! So be a cool kid and listen and learn!
(TEENS DO NOT SMOKE OR VAPE PLEASE OK THANKS TEENAGE LISTENERS)
Hey everyone! On today's episode, we review today's new mask study out of Denmark. The study says masks weren't effective, but there's some bigtime issues with the actual study itself. Let's review! Also, sorry for the banging, my kid was kicking a soccer ball in the room directly above me. sorry sorry sorry sorry.
Hey everyone! Did you like that clickbait title? We're talking about Primary hyperaldosteronism and how/why PCPs fail to diagnosis this! Why it matters! Why should you care? Because reasons! That's why! Listen in and learn!
Hey everyone,
On tonight's EMERGENCY PANIC INDUCING GUIDELINE UPDATE we talk about USPFTF lowering CRC screening to age 45. Dang. Well, data supports it, but kinda weakly. We'll discuss.
Hey everyone,
On today's episode.... ya boy caught covid! I talk about my personal experience having COVID and what takeaways I learned from it.
Hey everyone! We're here to REVISIT a favorite topic from the podcast: Intermittent fasting, which didn't look so hot in an RCT last month in JAMA. Let's dive into the dietary "science" in the article and talk about what it means for discussions with patients!
Hey everyone, today we discuss the new proposed changes to office documentation, and wow are they massive changes. Huuuuuuuuge. Many, many people are saying they are the biggest and most impressive changes in documentation history.
International listeners, this might not apply as much to you, but you're free to listen in to the discussion.
Hey everyone, first we get to a follow up email from the Meningitis B Action Project about a previous episode, then we dive into a new article on Turmeric for Knee OA. Let's do this!
Hey everybody!
Time to finally talk about Vitamin D and COVID 19. We're doing it. We're talking about it. The talk has been done. Done did it good. It's been did.
Hey Everyone,
Today's topic we discuss the Men B vaccine, and how I apply the NNV/statistics to help add in the shared decision making process.
Hey everyone,
On today's episode we talk about why you should know if your patients are taking biotin supplementation that is crazy higher than the recommended daily value (0.03mg/30ug daily) and what it means in primary care and chronic disease management.
Hey errrrbody who likes to misspell words for fun,
On today's episode, we review the new joint guideline for acute MS pain from ACP/AAFP. I promise, it's a painfree episode.
Welcome back fans of alliteration, we dive into a maybe practice changing update on statins for elderly patients. Reduction in all cause and ASCVD related mortality? Who knews?
Hey Everyone! Another guideline update! Cervical Cancer screening from the ACS!
Sell your pap stock, no more cytology, we're hrHPV hype train now!
hey friends, welcome back. Today we talk about the people at risk for developing ASCVD, using the 2018 pooled cohort equation from the ACC/AHA to calculate their 10 year risk. For our international listeners or those not aware, this is the calculator I'm talking about:
http://www.cvriskcalculator.com/
and the Article/Youtube discussion about the article:
https://youtu.be/_H-Q7GXmm-8
Let's get to it!
Heeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeey everyone who loves the letter e and even those that don't,
On today's episode, we look at the July 7th new lung cancer screening draft by USPFTF. Probably saves lives, we should probably do it more. Ok? Ok. Let's discuss.
On today's episode, we finish part 2 from last week - diving into STOPP vs Beers criteria and how to change your practice to tackle polypharmacy, inappropriate medications, and do it efficiently and/or/maybe well.
Welcome back to another episode of the PCP. Today we hit up a tough topic - polypharmacy and potential inappropriate medications. We'll discuss Beers and STOPP/START criteria, and pave way to part 2 next week.
Big topic, let's dive in.
On this SHORT episode, we discuss today's news release about dexamethasone working shockingly well vs. COVID in sick ICU patients from our friends in the UK.
Welcome back to the PCP ladies and gents. Today we talk about the power of the canine olfactory system, think outside the box, and get a little weird.
Enjoy!
WELCOME BACK to the PCP, today we talk about drama associated with COVID 19 antibody testing, when it's good, when it's bad, when it's ugly, and how to talk about it with patients. LETS GO.
Heeeeeeeeeeeeeeeeeeeeeeey everyone welcome back to the podcast. That was a lot of E's. Seemed appropriate at the time, now I regret it.
Today we look at a study from last week on footwear and it's affect on knee arthritis. Shockingly positive study. Good? Useful? I guess we'll have to find out. Let's dive in.
On today's episode, we figure out why are people so itchy! Spoiler: everyone has scabies. Everyone. Disclaimer you may get scabies from listening to this episode. Just Kidding. OR AM I?
Hey everyone thanks for tuning into the Primary Care Podcast.
You ready to welcome our lords and saviors Honey Bees into your hearts and lives? Today we go, TO THE FUTURE, to see that Bee Venom is the cure for Coronavirus. Yes, that was a sentence I just wrote #I'mADoctor #DoesAnyoneActualReadThese? If you don't believe me, just listen to this letter to the editor from a physician in China.
Also, we review data on skin findings in COVID19. Let's do this!
On this back-to-back episode of the PCP, we talk about what in the world we can actually do as outpatient clinicians in a pandemic where there are no good treatment options available.
Let's see what we can come up with? I'm Ron Burgundy?
YOOOOOOOOOOOO!! So COVID has been on the West Coast longer than we thought, huh? Let's look at the news the past 48 hours for our COVID updates!
Also, let's review the findings of NY's first antibody study and compare it to the Santa Clara County study I trashed on the last pod! Let's do it!
Hey everybody!
On today's episode we journal club and analyze a hot paper from Santa Clara County California that claims the IFR of COVID is 0.12% and we're missing 50-85x the cases we are catching. Yikes! Let's get into it!
Onnnnnnnnnnnnnn today's episode of the primary care podcast, we talk about the new montelukast black box warning. What's the deal? Really? What's the evidence, should it change your practice, and what you need to know.
Hey everyone, on this episode we talk about.... Covid. Yeah, sorry, but this is about the JUICY JUICY drama about a particular medicine (combo?) and all the fuss about it coming from literally every media source. What is the actual data behind it? Let's DEEP DIVE! Away we go!
Hey Podcast listeners, we hit the topic of Virtual Visits on today's episode of the PCP. In the COVID world, let's do virtual visits to protect patients and staff.
Uploaded because there's a part in the middle apparently I completely forgot to edit! Oops!
Ugh, this is our lives now, huh? COVID COVID COVID AND MORE COVID. Well, let's do the update then and do it right!
Welcome back to the Primary care pod listeners and listenettes! Today, we try to talk about literally anything that isn't COVID related. Enjoy random topics day!
Welcome back to the podcast! Sorry for scratchy voice and no intro - doing this from home recovering from illness.
Today we tackle the dreaded resistant hypertension - what causes it, what not to miss, what to do, and what probably doesn't matter.
Apologies! I recorded this from home, lots of popping and poor mic quality! Bear with me for this and the next episode please!
Today we attack hypertension management and JNC 8 recommendations.
Hey everyone,
Fresh off watching a press conference from the POTUS and VPOTUS, I go on a long rant about COVID19 and what I think we, as primary care providers, need to be doing to prepare our communities for a possible COVID19 spread.
On today's episode, we talk about the December 2019 diabetes management guidelines and talk about their algorithm they recommend. Then we all fall asleep because talking diabetes medications is boring. But necessary. But probably not as necessary as trying to change diet and exercise and stop smoking. But pretty important nonetheless.
Hey everybody, new sponsor today! All Hail Big Sugar Corporation!
We dig into a (potentially?) practice changing meta analysis about the (lack of) effectiveness for migraine medications in prophylaxis for pediatrics. Also (more parentheses)!
Hey everyone, welcome back to the podcast! In this episode, we introduce our newest member of the PCP recording team.
Then, we go through questions from patients, listeners, and the imaginary voices in my head, trying to use the most recent studies and updates to answer them.
Our favorite sponsor is back!
Today, I clean off my desk. We go through a stack of articles I've been storing up that I think are fun topics to talk about. If you don't learn something today, then I fail you and I'll refund you the cost of this podcast.
In this special mid week episode of the Primary Care Pod, we give an update on the Wuhan Virus. I PROMISE THIS IS NO JOKES. NONE. This is hard.
Hey everyone! On today's episode we tackle Chronic Lyme Disease, or, more accurately, the constellation of symptoms of Post-Treatment Lyme Disease vs. vague, non-specific symptoms which are likely other medical conditions being called and treated for Chronic Lyme Disease. GET YOUR TICKETS TO THE CONTROVERSY PODCAST TODAY
Hey everyone! On today's episode we talk about the Flu Vaccine. Sometimes good? Sometimes meh? Better than nothing. We'll discuss trends in the US vs other countries. When should you get your flu shot? Does it fade within a single season? What about Xofluza/Tamiflu?
In today's episode, we have our first Multi-part special! We tackle the huge topic of Intermittent Fasting, and almost everything to know, or at least that I know about it.
In today's episode, we have our first Multi-part special! We tackle the huge topic of Intermittent Fasting, and almost everything to know, or at least that I know about it.
In today's episode, we have our first Multi-part special! We tackle the huge topic of Intermittent Fasting, and almost everything to know, or at least that I know about it.
Learn more (than you ever wanted to know) about your podcast host, Dr. List!
Smokers Hate This One Cessation Trick! Dr. ClickBait himself joins us to discuss a Chinese ED study showing a very simple smoking cessation education given in under 60 seconds improves smoking cessation rates by (absolute 5 increase 4%). Pretty good for something super simple.
This matters and we discuss why. You have a major impact on patient lives, and this is something easy that moves the healthcare needle.
In today's episode: We hit a bunch of random questions from recently published trials.
Still trying to get CME approved through ANAWA medical clinics, just FYI
Welcome back to the podcast!
A very slightly NSFW joke at the beginning so careful for little ears around.
Then, on the heels of our "breast cancer associated with hair dye" podcast this month, we talk about something that actually matters in breast cancer prevention: obesity!
Stats! Stats! Stats!
In today's episode, we make history!
Right here -> https://imgur.com/VN1rsJQ
Alright, in real news we do a deep dive into SGLT2 inhibitors and talk about what the data says about the new(ish) drug class.
We discuss all the what's, who's, when's, how's, and why's. Are those apostrophes necessary? I don't know, is this podcast necessary??
In today's episode, we discuss a recent research study showing a 9% increase in breast cancer in women who use permanent hair dye.
Spoiler! It's boring. American College of Physicians updates their recommendation for CRC screening
Ages 50-75 and patient needs >10 year life expectancy. They do not endorse the American Cancer Society recommendation to start early.
In this episode we start getting in the Christmas spirit, test out the new ANAWA podcasting studio, and talk about how you, the Primary Care Provider, can do just as good of a job managing stable ischemic heart disease as your local Cardiologist.
Hey everyone, on today's Thanksgiving edition of the podcast, we get in the mood for over-eating by talking about Colorectal cancer screening and why no one can seem to agree on what used to be the most straightforward cancer screening there was.
In today's quick hitter, I take less than 5 minutes to pass along an update from the CDC about prenvar in adults. RIP ol buddy, you served almost no one any good.
NNT 26,000? Yikes. So you're telling me there's a chance!
In today's episode, we look at two studies recently released, and we say hello to our newest group of international listeners, the Russian Bot Network!
In today's episode we have our first sponsor! We also dig into HPV vaccinations, check on any new updates, and talk about how to discuss, and how not to discuss, them with patients and parents.
In today's episode, we discuss getting rid of adult prevnar vaccination? What the evidence/experts say, and whether or not to expect a major guideline shift soon-ish? Pros and Cons, etc, etc, etc,
Also, is recommending 10,000 steps daily to patients evidence based? (Spoiler: NOPE)
Hey everyone!
On today's episode we present evidence as to why you shouldn't have your patients fast prior to getting labs drawn! Join the revolution!
Hey Everyone!
Today we have our first interview with Glenn Voss, a pharmacist at Avera McKennan. He breaks down everything a PCP could ever want to know about Biosimilar drugs.
To Treat or Not To Treat, that is the question we address on today's episode of the Primary Care Podcast, coming live to you from our luxurious podcasting studio at ANAWA Medical Clinic Southeast
In this episode we discuss the most recent GINA guidelines (European Asthma), make fun of the Orthopedic Surgeons, and boo the Dallas Cowboys.
PRN ICS/LABA > Daily ICS? Huh, looks like it.
DISCLAIMER: This is not a podcast for patients! This is a personal podcast, produced in my own time and solely reflecting my personal opinions. Statements on this podcast do not represent the views or policies of my employer, past or present, or any other organization with which I may be affiliated
In this episode, we talk COPD exacerbations? Recent research in to using CRP to help guide antibiotic decision making? I'm Ron Burgundy?
DISCLAIMER: This is not a podcast for patients! This is a personal podcast, produced in my own time and solely reflecting my personal opinions. Statements on this podcast do not represent the views or policies of my employer, past or present, or any other organization with which I may be affiliated.
In this episode, we discuss the statistics in #FakeNews read by our patients on major online media sources. We discuss how to address the fears stoked by relative risk in published reports.
DISCLAIMER: This is not a podcast for patients! This is a personal podcast, produced in my own time and solely reflecting my personal opinions. Statements on this podcast do not represent the views or policies of my employer, past or present, or any other organization with which I may be affiliated.
In this episode, we highlight and review measles! A highly infectious disease coming back into our country due to Social Media Activists whose degrees in Facebook and Pinterest mean more than your training! #EssentialOils
DISCLAIMER: This podcast is not for patients! This is a personal podcast, produced in my own time and solely reflecting my personal opinions. Statements on this podcast do not represent the views or policies of my employer, past or present, or any other organization with which I may be affiliated.
In this episode, we discuss when it is appropriate to use antibiotics appropriately for prophylaxis for dental appointments. Spoiler - NOT for orthopedic reasons!
DISCLAIMER: This podcast is NOT for patients! This is a personal podcast, produced in my own time and solely reflecting my personal opinions. Statements on this podcast do not represent the views or policies of my employer, past or present, or any other organization with which I may be affiliated.
Episode 0 - An introduction to the podcast. In this short episode, I talk about background about the podcast