Medical Conservatism, Myocarditis, and Physician Advocacy with John Mandrola, MD
The External Medicine Podcast
This conversation with Dr. John Mandrola was recorded on July 11th, 2021. In this interview, Daniel Belkin and Mitch Belkin speak with Dr. Mandrola about a 2019 article he co-authored entitled The Case for Being a Medical Conservative. They discuss concerns about vaccine-induced myocarditis in children, vaccine mandates, and whether the AMA and other physician organizations should take sides on controversial political issues. Who is John Mandrola? Dr. John Mandrola is a practicing cardiac electrophysiologist and a regular columnist for theheart.org on Medscape. He hosts the fantastic “This Week in Cardiology” podcast and is a blogger at drjohnm.org. He completed his medical training in Internal Medicine, Cardiology and Electrophysiology at Indiana University. References: The CAST trial RECOVERY Trial Medscape – Cardiology Medscape – General Medicine Blog Substack This Week In Cardiology Podcast Twitter: @drjohnm______________________Follow us @ExMedPod, and sign up for our newsletter at www.externalmedicinepodcast.com/subscribe Daniel Belkin and Mitch Belkin are brothers and 4th year medical students. The External Medicine Podcast is a podcast exploring nontraditional medical ideas and innovation.
3.21 Affirmative Action with Leah Litman, Cost Implications with Dr. DeMartino, & Dr. John Mandrola
First up this week we interview constitutional law scholar Leah Litman, an Assistant Professor of Law at the University of Michigan, on Dr. Norman Wang and the intricacies of the laws on affirmative action. Next, we talk with Dr. Patrick DeMartino, a pediatric hematology/oncology fellow at Oregon Health & Science University, on his new paper out now in JAMA Internal Medicine: "Potential Cost Implications for All US Food and Drug Administration Oncology Drug Approvals in 2018". Finally, we sit down with Dr. John Mandrola for an in-depth discussion on the intersection of medicine, politics, and advocacy. Cost Implications: doi.org/10.1001/jamainternmed.2020.5921Back us on Patreon! www.patreon.com/plenarysessionCheck out our YouTube channel: www.youtube.com/channel/UCUibd0E2kdF9N9e-EmIbUew
John Mandrola: Why Doctoring and Politics Shouldn’t Mix
Dr. John Mandrola returns to the show to discuss why doctoring and politics shouldn’t mix and how he got into hot water on Twitter for holding that unacceptable view. Dr. Mandrola is an electrophysiologist in Louisville, Kentucky. He is is cardiology editor on Medscape where he writes a regular column and produces a weekly podcast.SHOW NOTESJohn Mandrola, MD: Twitter and WebsiteJohn Mandrola: “Doctoring and Activism“Sally Satel: “The Hypocritical Oath“Mandrola et al: The Case for Being a Medical Conservative (in the American Journal of Medicine)Watch the episode on YouTubeDr. Mandrola's previous appearances on the show: Ep. 12 and Ep. 107
Ep. 144 John Mandrola: Why Doctoring and Politics Shouldn’t Mix
The Accad and Koka Report
Dr. John Mandrola returns to the show to discuss why doctoring and politics shouldn't mix and how he got into hot water on Twitter for holding that unacceptable view.Dr. Mandrola is an electrophysiologist in Louisville, Kentucky. He is is cardiology editor on Medscape where he writes a regular column and produces a weekly podcast.GUEST:John Mandrola, MD: Twitter and WebsiteLINKS:John Mandrola: "Doctoring and Activism"Sally Satel: "The Hypocritical Oath"Mandrola et al: The Case for Being a Medical Conservative (in the American Journal of Medicine)PREVIOUS GUEST APPEARANCES:Ep. 12 John Mandrola: The Case for "Less-Is-More"Ep. 107 Independent Nurse Practitioners: Public Health Threat or Libertarian Step Forward?WATCH ON YOUTUBE:Watch the episode on our YouTube channelSUPPORT THE SHOW:Make a small donation on our Patreon page on and join our discussion group or receive a free book.
Dr. John Mandrola - Cardiophysiologist and co-author of the Haywire Heart
All About Fitness
Yes, exercise is good for us, but is there such a thing as too much exercise? Where does exercise makes the transition from an activity that promotes health to one that could be fatal? On this episode, Dr. John Mandrola, a cardiologist, amateur cyclist and co-author of the Haywire Heart, is able to share his insights both as an athlete and a medical expert on cardiac health for a fun, insightful and educational conversation about how your heart adapts to exercise and when too much might be too much. Learn more about your ad choices. Visit megaphone.fm/adchoices
1.07 Adjuvant Sunitinib in RCC, future of EBM with Dr. John Mandrola
In this episode we discuss the USA FDA's recent approval of sunitinib as the adjuvant treatment for patients with resected renal cell carcinoma who are at high risk of relapse. We also interview cardiologist Dr. John Mandrola on new directions forward for evidence-based medicine.
Dr. John Mandrola We explore the “less-is-more” movement with Dr. John Mandrola, one of its most articulate and popular champions. We discuss the problem of practices that have no scientific justification and the conundrum of out-of-control costs. What is the best way to curtail unwarranted therapies? Should there be more top down regulations or is it possible that more health care freedom will lead to less utilization? GUEST: John Mandrola’s website John Mandrola’s Twitter WATCH ON YOUTUBE: Watch the episode on our YouTube channel
An ACC preview show with Medscape's Dr John Mandrola
In this episode of the Heart podcast, Digital Media Editor Dr James Rudd is joined by cardiologist and EP specialist Dr John Mandrola from Louisville, Kentucky. John is also Medscape's chief cardiology correspondent. They discuss the eye-catching late-breaking trials from the upcoming ACC meeting in Orlando.Please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2John Mandrola's podcast at Medscape - https://www.medscape.com/index/list_10295_0 John Mandrola's columns at Medscape - https://www.medscape.com/index/section_10325_0 and https://www.medscape.com/index/section_10382_0
How to Protect Your Heart for the Miles Ahead with Dr. John Mandrola, Lennard Zinn and Chris Case
Run to the Top Podcast | The Ultimate Guide to Running
The Haywire Heart with Dr. John Mandrola, Lennard Zinn, and Chris Case It’s been said that if a little does a good job, then a lot is even better and too much is probably just right. However, evidence indicates that too much exercise, like that experienced by years of endurance sports, can lead to what is known as “athlete’s heart” - a host of conditions easy for physicians to misdiagnose. In this episode, we are joined by Dr. John Mandrola, Lennard Zinn, and Chris Case, the co-authors of The Haywire Heart. Their book details numerous case studies, including that of co-author Lennard Zinn and the event that nearly killed him. Today, Lennard shares the story of his initial cardiac episode, diagnosis, and his new perspective on fitness as he still participates in endurance sports. Dr. John Mandrola is a cardiac electrophysiologist and an active cyclist who had atrial fibrillation. He works in a private cardiology practice where he specializes in heart rhythm disorders. He is Chief Cardiology Correspondent for Medscape, the leading online resource for physicians and healthcare professionals seeking medical news and expert perspectives. He is a also a regular columnist for theHeart.org and VeloNews magazine. This interview is informative, cautionary, and, at the same time, inspirational. Don’t forget: RunnersConnect members with training plans and / or Masters Subscriptions can get The Haywire Heart for 20% off by logging onto the RunnersConnect Dashboard > Resources > Member Perks. Here are some of the topics we’ll discuss today: What is, and what causes, “athlete’s heart” Various risk factors What can life be like after a cardiac diagnosis How to recognize symptoms How to work with your physician Types of treatment available Questions Guests are asked: 3:46 Was part of your intention with The Haywire Heart to dispel the myth that ‘more is better”? 5:10 What is “athlete’s heart” 7:17 What is the most common heart condition caused by overtraining? 8:53 Lennard, what is your background as a cyclist and what led up to your diagnosis? 14:15 What are some of the symptoms you experience now? 15:16 What do you do when you experience your arrhythmia during exercise? 16:40 Dr. Mandrola, what is the risk of this for endurance athletes? 18:03 Is someone more at risk if they started running at a younger age vs. started later in life? 19:27 What were some of the difficulties in studying this? 21:44 Are there any other factors that might have influenced why there are fewer women with arrhythmias? 23:37 Is there a correlation between women being shorter than men that may reduce the risk in women? 24:05 For how long has this been studied? 24:43 Lennard, do you still cycle competitively? 30:39 How does living at higher elevation affect this condition? 32:21 How long have you been living in Boulder? 35:24 Were there any significant patterns that tied the case studies in the book together? 39:13 What types of treatments are available for arrhythmia? 41:42 Lennard, what type of business do you run in Boulder? 42:30 Were you trying to create an optimistic tone with your book? 43:57 Dr. Mandrola, are there any ways to reduce risk of “athlete’s heart”? 46:28 What would you recommend someone do if they experience symptoms? 50:30 The Final Kick Round Quotes by Guests: “The heart is a muscle, just like the bicep; if you do curls and weight lifting, like endurance exercise, your heart’s going to adapt. And endurance training causes lots of different changes to the heart.” “I was about 15 minutes into this half-hour climb and I looked down and saw that my heart rate was now 220 (bpm) and it just stayed there; I just kept riding. And I felt fine. But after seven minutes of continuing that way and it never came down, then it seemed like that’s not the greatest thing to do to keep going.” “I think in the coming years and decades, we’re going to learn more about women athletes and heart disease because more and more women are doing endurance athletics.” “People seemed to follow a similar pattern in that initially they would essentially be in denial, and then there was the realization that this was something serious and there was the contemplation of how this is going to change my life / is this going to ruin my life / how will I ever be able to do what I love, and then, of course… hopefully, they will continue down the path that Lennard took and realize that this doesn’t mean that they have to never do what they love to do.” “Pay attention to symptoms. Don’t ignore excessive trouble breathing or a racing heart that seems out of proportion to the effort.” “Always leave enough energy for the post-race party.” Take a Listen on Your Next Run Want more awesome interviews and advice? Subscribe to our iTunes channel Mentioned in this podcast: Book: The Haywire Heart; Velopress.com Book: Born To Run Book: The Sports Gene Book: Slaying The Badger Moots Bikes 8 Things You Need To Know About Electronic Shifting We really hope you’ve enjoyed this episode of Run to the Top. The best way you can show your support of the show is to share this podcast with your family and friends and share it on your Facebook, Twitter, or any other social media channel you use. If more people who know about the podcast and download the episodes, it means I can reach out to and get through to the top running influencers, to bring them on and share their advice, which hopefully makes the show even more enjoyable for you! -- Thank you to our sponsors for supporting Run to the Top Enter to win a FREE 6-Pack of Perfect Amino from BodyHealth Use coupon code TINA for 10% off at Saucony.com
Screening for Medical Disease with Dr. John Mandrola
Podcast – YOUR HEALTH®
This weekend on YOUR HEALTH® Adam and guest cohost Dr. Jessica Anderson will be talking with Dr. John Mandrola, Electrophysiologist and Columnist for Medscape about Screening for Medical Disease. Please tune in! The show will air: WCHL 97.9FM • Saturday, February 27th at 9 a.m. and 5 p.m. • Sunday, February 28th at 9 a.m. and 5 p.m. • Monday, February 29th at 6 p.m. and 10 p.m. KKAG Retro Radio 88.7 FM • Sunday, February 28th at 7 a.m. Listen to the show!https://yourhealthradio.org/wp-content/uploads/2016/02/your-health_synd-mandrola_web-revised.mp3 Research that Matters (min 0-09:27) Teens who use tanning booths more likely to have melanoma by 30 Free full-text article Skin Cancer Many older patients visiting emergency rooms go because of infectious diseases Abstract of article Depressive symptoms in older adults associated with increased risk for stroke, heart attack News about the article Abstract of the article Depression in older adults People visiting countries with Zika should wait 28 days after their return to donate blood FDA Guidance CDC information about Zika and blood donation UNC Health Sciences Library Zika guide Conversations with Dr. John Mandrola (min 09:27-28:55) About Dr. Mandrola Health Screening House Calls (min 28:56-39:26) Infections and scarring from a cosmetic surgery Scars Scar Revision Why would a doctor go to jail for prescribing opioids? Opioid Painkiller Prescribing Naloxone to treat opioid overdose UNC Health Sciences Library guide to Opioid Addiction Are artificial sweeteners safe? Artificial sweeteners Is DEET safe? Choosing an insect repellent for your child From CDC: Travelers’ Health: Protection against Mosquitoes, Ticks, and Other Insects and Arthropods