Shows / Healthy Dialogue

Healthy Dialogue
Go beyond the latest discoveries with nuanced, in-depth conversations in Healthy Dialogue, a podcast from the JAMA Network. Host and JAMA Senior Editor, Derek C. Angus, MD, MPH, sits down with the world's leading experts to explore the most pressing issues in health and health care.
Episodes
Healthy DialogueMenopause Part 1: Beyond Hormones and Hot Flashes
Menopause affects half the population yet is critically understudied and often overlooked or misunderstood by much of the medical profession. In episode 1 of…
Healthy DialogueBreast Cancer Part 2: The Reality of Breast Cancer Screening and Care Today
In part 2 of this Healthy Dialogue on breast cancer, Nancy E. Davidson, MD, discusses changes in screening, the patient journey, and what may lie ahead with…
Healthy DialogueBreast Cancer Part 1: From Deadly to Manageable Disease
Breast cancer has undergone a dramatic transformation over the past several decades. Five-year survival rates are now 92% compared with 76% in 1975. In this…
Healthy DialogueProviding Rural Health Care Is Really Hard; 60 Million Americans Rely on It
Approximately 1 in 5 Americans live in rural areas, and in the coming years they will see dramatic shifts in their health care options due to the One Big…
Healthy DialogueLong COVID: the problem society wants to forget
Long COVID is a debilitating condition impacting millions of people around the world, but is still poorly understood, poorly defined, and poorly treated. In…
Healthy DialogueEveryone Will Feel the $1 Trillion Cut in Medicaid
Medicaid provides health insurance for 1 in 5 Americans and plays a crucial role in US health care infrastructure. The One Big Beautiful Bill Act (OBBBA) is…
Healthy DialogueShould Everyone be on GLP-1s?
GLP-1 receptor agonists are one of the most revolutionary new classes of drugs in decades. In this episode of Healthy Dialogue, host Derek C. Angus, MD, MPH…
Healthy DialogueFood Politics, Obesity, and the "Wicked Mess" We're In
The United States has witnessed a staggering rise in obesity beginning in the early 1980s, leading to a wide array of important health consequences including…
Healthy DialogueWhy and How Should the Government Fund Biomedical Research?
This episode of Healthy Dialogue explores the history and future of science funding in the US in light of recent changes, and proposed changes, from the…
Healthy DialogueSocial Media Use by Children – wonderful, hazardous, or something in-between?
In this episode of Healthy Dialogue, host Derek Angus, MD, MPH sits down with Dimitri Christakis, MD, MPH, to discuss whether social media use disorder is a…
Healthy DialogueUnpacking the Increase in Early-Onset Cancer
A growing number of young adults are being diagnosed with cancer, particularly colorectal cancer, but the underlying cause remains unclear. In this episode of…
Healthy DialoguePrivate Equity's Growing Presence in Health Care: Promise or Peril?
Private equity investment continues to expand across US health care. Current estimates put private equity ownership at almost 10% of hospitals and more than…
Healthy DialogueA New Era in Dementia: Advances in Diagnostic Blood Tests, Novel Drugs, and the Power of Lifestyle Changes
Dementia affects millions of people globally, causing profound memory loss and cognitive impairment and compromising the ability to function independently in…
Healthy DialogueAI Scribes Are Here, but Is Health Care Ready?
The rise in use and function of ambient AI scribes is arguably one of the fastest technologic changes ever seen in health care. In this episode of Healthy…
Healthy DialogueRethinking the Autism "Epidemic": What's Driving the Rise in Diagnosis
What is behind the rise in autism diagnoses? Join Jeremy Veenstra-VanderWeele, MD, professor of developmental neuropsychiatry at Columbia University, and JAMA…
Healthy DialogueIntroducing Healthy Dialogue
Go beyond the latest discoveries with nuanced, in-depth conversations in Healthy Dialogue, a podcast from the JAMA Network. Host and JAMA Senior Editor, Derek…
Healthy DialogueFrom the JAMA Network: JAMA Research of the Year With Editor in Chief Kirsten Bibbins-Domingo
In this episode, JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS, and Medical News Director Jennifer Abbasi discuss the journal's inaugural Research…
Healthy DialogueThe Sequential Organ Failure Assessment (SOFA)-2 Score
SOFA-2, validated in more than 3 million intensive care unit (ICU) patients, incorporates contemporary organ support treatments, showing strong predictive…
Healthy DialogueFrom the JAMA Network: Acetaminophen Use in Pregnancy and Risk of Autism
Epidemiologist Brian Lee, PhD, discusses his study on acetaminophen use during pregnancy and children's risk of autism and other neurodevelopmental disorders…
Healthy DialogueFrom the JAMA Network: AI-Based Analysis for Parkinsonism
Delaying diagnosis of parkinsonism can mean delaying care. In a study recently published in JAMA Neurology, David Vaillancourt, PhD, and colleagues tested the…
Healthy DialogueTreatment of Complicated Staphylococcus aureus Bacteremia
Dalbavancin, a long-acting IV lipoglycopeptide, may be an option for the treatment of complicated Staphylococcus aureus bacteremia without requiring long-term…
Healthy DialogueFrom the JAMA Network: Incidence and Nature of Antidepressant Discontinuation Symptoms
Interview with Sameer Jauhar, PhD, author of Incidence and Nature of Antidepressant Discontinuation Symptoms: A Systematic Review and Meta-Analysis. Hosted by…
Healthy DialogueFrom the JAMA Network: GLP-1 Receptor Agonists in Idiopathic Intracranial Hypertension
Interview with Dennis J. Rivet II, MD, author of GLP-1 Receptor Agonists in Idiopathic Intracranial Hypertension. Hosted by Cynthia E. Armand, MD. Related…
Healthy DialogueLife Support and Outcomes in Patients Admitted to Intensive Care Units
Nationwide data are unavailable regarding changes in intensive care unit (ICU) outcomes over the past 10 years, limiting understanding of practice changes…
Healthy DialogueIncreases in Invasive Group A Streptococcal Infections
The incidence of invasive group A streptococcal infections has risen in the US. Similar observations have been reported in other parts of the world. Authors…
Healthy DialoguePreventive Health Care Among Adults Eligible for Lung Cancer Screening
Less than 20% of patients eligible for lung cancer screening get screened in the US. A recent study examined whether adults eligible for lung cancer screening…
Healthy DialogueCardiac Arrests During Long-Distance Running: What's Changed?
Despite increased participation in US long-distance running races, cardiac arrest incidence remains stable. Authors Jonathan Kim, MD, MSc, of Emory University…
Healthy DialogueInhaled Sedation With Sevoflurane for Acute Respiratory Distress Syndrome (ARDS)
ARDS, which is characterized by hypoxemic respiratory failure and inflammatory injury to the lungs, has a mortality rate of 30% to 40%. Balasubramanian…
Healthy DialogueNew FDA Pulse Oximetry Guidance: Strengths and Weaknesses
The US Food and Drug Administration (FDA) issued new draft regulatory guidance for pulse oximeters related to skin pigment. The guidance is a step forward but…
Healthy DialogueCombining CAC Score With Treatment on Plaque Progression in Familial Coronary Artery Disease
The CAUGHT-CAD randomized clinical trial sought to determine whether a CAC score-informed strategy could slow the progression of coronary plaque volume. Author…
Healthy DialogueEvaluating Treatments for Amyotrophic Lateral Sclerosis
The HEALEY ALS platform is an innovative first attempt at platform trials in ALS, looking to slow ALS disease progression. Author Sabrina Paganoni, MD, PhD, of…
Healthy DialogueUS Health Care Spending by Health Condition and County—What Drives Variation?
Understanding health conditions with the most spending and variation across locations and over time is important for identifying trends, inequalities, and…
Healthy DialogueSupporting Children and Families in an Era With Abortion Restrictions
Two recent studies published in JAMA provide evidence about the effects of state-level abortion restrictions on birth rates and infant mortality. Author Alyssa…
Healthy DialogueEvaluating Comprehensive Models–Challenges and Innovations in Dementia Care
Contemporary models of dementia care are multidisciplinary and aim to bridge medical and social services. Julie P. W. Bynum, MD, MPH, of the University of…
Healthy DialogueIntra-Arterial Thrombolytics Following Thrombectomy for Ischemic Stroke
Two new trials published in JAMA evaluate the efficacy of periprocedural intra-arterial thrombolytics after successful endovascular thrombectomy for patients…
Healthy DialogueImpact of Private Equity Acquisition on Patient Care Experience in US Hospitals
Private equity acquisitions of health care facilities have rapidly increased over the past decade. However, little is known about the effects of these…
Healthy DialogueAsthma Endotypes Based on Nasal Epithelial Biopsies in School-Aged Youth
Certain CD4+ T-cell subtypes play a role in asthma. Characterizing asthma endotypes in diverse groups is important to help develop effective therapies for…
Healthy DialogueDental Benefits and Medicare Advantage Plans
Most Medicare Advantage (MA) plans offer dental care coverage as a supplemental benefit. However,few beneficiaries are enrolled in an MA plan that provides…
Healthy Dialogue2024 Update on Long COVID Classification and Symptom List
Long COVID is now defined as a heterogeneous, infection-associated chronic condition present for at least 3 months after SARS-CoV-2 infection. Author Leora…
Healthy DialogueCamrelizumab vs Placebo With Chemotherapy as Neoadjuvant Treatment in Triple-Negative Breast Cancer
Triple-negative breast cancer accounts for around 15% of breast cancers. Zhi-Ming Shao, MD, of Fudon University, joins JAMA Oncology Editor in Chief and JAMA…
Healthy DialogueHIV Treatment and Prevention: Updated Recommendations
New antiretroviral drugs and formulations continue to become available for the prevention and management of HIV infection. Author Rajesh T. Gandhi, MD, joins…
Healthy DialogueThe Impacts of Severe Maternal Morbidity
A new JAMA study examines the association between severe maternal morbidity in a first birth and the probability of a subsequent birth. Authors Neda Razaz…
Healthy DialogueZerlasiran, a Small-Interfering RNA That Targets Lipoprotein(a)
Elevated lipoprotein(a) levels increase the risk of atherosclerotic cardiovascular disease (ASCVD) and aortic stenosis. Cleveland Clinic's Steven E. Nissen…
Healthy DialogueIntratracheal Budesonide for Extremely Preterm Infants
Preterm birth is the greatest cause of neonatal mortality and morbidity, with infants born extremely preterm at highest risk. Author Brett J. Manley, PhD, the…
Healthy DialogueDigital Health Behavior Intervention to Prevent Childhood Obesity
Preventing obesity in early childhood is challenging for clinicians and families. Authors Eliana M. Perrin, MD, MPH, of Johns Hopkins University, and William…
Healthy DialogueDrug Shortages After Supply Chain Issues in the US vs Canada
A new study published in JAMA found that drug-related supply chain issue reports were 40% less likely to result in meaningful drug shortages in Canada compared…
Healthy DialogueAdvanced Birth Centers Raise Safety Concerns for Obstetric Care
In the US, childbirth typically occurs in hospitals or accredited birth centers. President of the American College of Obstetricians and Gynecologists Stella…
Healthy DialogueDeclaration of Helsinki Addresses New Ethical Challenges
The Declaration of Helsinki originated in 1964, developed by the World Medical Association (WMA). Process Chair Jack S. Resneck Jr, MD, discusses the 2024…
Healthy DialogueJAMA Critical Care Research at ESICM Congress 2024
Transfusion strategy for patients with acute brain injury, telehealth care, acute kidney injury after cardiac surgery, and weaning ventilatory support are the…
Healthy DialogueFecal Immunochemical Test (FIT) and Helicobacter pylori Stool Antigen Co-Testing for Gastric Cancer
Gastric cancer is a leading cause of cancer death globally. Chronic H pylori infection is the primary cause of gastric cancer, responsible for at least 80% of…
Healthy DialoguePreventing Fever in Patients With Acute Vascular Brain Injury
Fever is associated with worse outcomes in patients with stroke, but whether preventing fever improves outcomes is unclear. David M. Greer, MD, MA, speaks with…
Healthy DialogueThe Discovery of Glucagon-Like Peptide 1 (GLP-1)
The 2024 Lasker–DeBakey Clinical Medical Research Award has been presented for the discovery of GLP-1 and its application to the treatment of obesity. Lasker…
Healthy DialogueImproving Access to Palliative Care for Patients With Cancer
Palliative care is an essential component to high-quality care for patients with cancer. How can access to palliative care be expanded? Eduardo Bruera, MD…
Healthy DialogueBalloon Angioplasty for Intracranial Atherosclerotic Stenosis
A new trial assessed whether balloon angioplasty plus aggressive medical management was superior to aggressive medical management alone for patients with…
Healthy DialogueConcerning Mortality Rate Trends in the US
The abating COVID-19 pandemic brings attention to rising mortality rates from non-COVID causes in the US, a trend that predates the COVID-19 pandemic…
Healthy DialogueMenopause-Associated Vasomotor Symptom Treatment With Elinzanetant
Nonhormonal treatments for menopausal vasomotor symptoms may benefit symptomatic patients who cannot take or prefer to avoid systemic hormones. Author JoAnn V…
Healthy DialogueLong COVID in Children
To address the need to characterize long COVID in children and adolescents, the National Institutes of Health funded a pediatric program in the Researching…
Healthy DialogueUterus Transplant: Innovation and Considerations
A new study looks at uterus transplant to determine if it is safe, feasible, and results in births of healthy infants. Editorialist Emily Jungheim, MD, MSCI…
Healthy DialogueA Vaping Cessation Text Message Program for Adolescents
Ten percent of US adolescents use e-cigarettes, and many want to quit. However, evidence on the effectiveness of vaping cessation interventions is lacking…
Healthy DialogueDiagnostic Accuracy of an Integrated AI Ultrasound Tool for Gestational Age Estimation
Gestational age estimation is foundational for obstetric care. In resource-limited settings, an integrated AI tool allows novice users to improve gestational…