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Intention to Treat
From the New England Journal of Medicine, welcome to “Intention to Treat,” a podcast exploring the most complicated, perplexing, and fascinating issues facing medicine today. From groundbreaking research, to clinical advances, to personal stories from doctors and their patients, we give you a behind-the-scenes look at discoveries that are changing medical practice and provide you with the knowledge to thrive on the front lines of health care.
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Episodes
3 days ago
Race-Based Diagnosis, Part 2
3 days ago
3 days ago
A key measure of kidney function and a risk calculator for vaginal birth after cesarean delivery are among the many tools that have long contributed to health and health care inequities for Black patients.
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2405797.
Wednesday Jul 03, 2024
Race-Based Diagnosis, Part 1
Wednesday Jul 03, 2024
Wednesday Jul 03, 2024
Claims that Black people had lower lung capacity than White people led to race-adjusted spirometry and poorer care for Black patients with lung disease. New equations are starting to change that.
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2405796.
Wednesday Jun 19, 2024
Are We Prepared for Bird Flu?
Wednesday Jun 19, 2024
Wednesday Jun 19, 2024
A new strain of H5N1 influenza is spreading in dairy cows in the United States. Will it cause an epidemic in humans? And what does our public health system need to do in order to be ready if it does?
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2405795.
Wednesday Jun 05, 2024
Treating Obesity in Kids
Wednesday Jun 05, 2024
Wednesday Jun 05, 2024
In the face of a growing childhood obesity epidemic, some parents and clinicians are turning to new tools such as GLP-1 receptor agonists. This episode explores the implications of that trend.
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2400703.
Wednesday May 15, 2024
New Hope for a Common and Deadly Heart Condition
Wednesday May 15, 2024
Wednesday May 15, 2024
This episode considers a new treatment for hypertrophic cardiomyopathy, the world’s most common inherited heart condition, which most affected people don’t even realize they have.
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2400702.
Wednesday Apr 24, 2024
CAR T-Cells and Safety Signals
Wednesday Apr 24, 2024
Wednesday Apr 24, 2024
This episode examines CAR T-cell therapy’s early successes, broader promise, and emerging risks, as the FDA considers reports of occasional secondary cancers.
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2400701.
Wednesday Apr 03, 2024
Progress for Parkinson's?
Wednesday Apr 03, 2024
Wednesday Apr 03, 2024
This episode explores the fastest-growing neurologic condition in the world, Parkinson’s disease. What have we learned in recent years, and where are the greatest hopes for the future?
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2414003.
Wednesday Mar 13, 2024
Doctors and Guns
Wednesday Mar 13, 2024
Wednesday Mar 13, 2024
In this episode, parents who have lost children to gun accidents and physicians working for gun safety discuss the number-one killer of U.S. children and what doctors can do about it.
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2314002.
Wednesday Feb 28, 2024
Race Relations and the First Paramedics
Wednesday Feb 28, 2024
Wednesday Feb 28, 2024
This episode of “Intention to Treat” tells the story of the Freedom House Ambulance Service — a group of Black laypeople in Pittsburgh who underwent intensive training to become the first paramedics in the United States. [Originally aired on May 4, 2023.]
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2303614.
Wednesday Feb 14, 2024
Why Doctors Need to Talk about Death
Wednesday Feb 14, 2024
Wednesday Feb 14, 2024
Highlighting gaps in communication near the end of life, this podcast episode explores a new approach to preparing patients with serious illness and their families for all possible outcomes.
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2314001.
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About the Host
Rachel Gotbaum, the host and producer of the NEJM podcast “Intention to Treat,” is an award-winning health care journalist with more than two decades of experience reporting and hosting audio documentaries, narrative features, breaking news, and podcasts. Rachel has worked as an editor, reporter, and producer on several national radio programs, including NPR’s “All Things Considered,” “Weekend Edition,” and “Here and Now.” Her stories have aired on NPR, “Marketplace,” CBC Radio, and PRX’s “The World” and have been published by the New York Times, the San Francisco Chronicle, and Kaiser Health News. She has frequently focused on the culture of medicine and its effects on all aspects of health care, from policy to patient outcomes.
Version: 20240320