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Intention to Treat

NEJM Group
Covid-19
Parkinson's Disease
Alzheimer's Disease
CAR T-Cell Therapy
Race-Based Diagnosis
Hypertrophic Cardiomyopathy
Gene Therapy
H5N1 Bird Flu
Medication Advances
Blood Cancers
New England Journal Of Medicine
Alzheimer’s Disease
Pulse Oximeter
Race-Based Algorithms
Dairy Cows
Transmission Routes
Patient-Centric Care
Lymphoma
Monoclonal Antibodies
Dementia

​Welcome to “Intention to Treat,” a podcast exploring the critical issues shaping medicine today. In a new 8-week series, The Race Equation, we confront harmful assumptions about race in clinical medicine—from diagnostic algorithms to guidelines—exploring how these practices took hold, why they endure, and what it will take to change them. ​

Hosted by health care journalist Rachel Gotbaum, the “I... more

PublishesWeeklyEpisodes45Founded3 years ago
Number of ListenersCategories
ScienceMedicineHealth & Fitness

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Artwork for Intention to Treat

Latest Episodes

The story of the pulse oximeter demonstrates that sometimes consideration of race is critical to diagnosis and treatment — as came starkly into light during the Covid-19 pandemic.

A full transcript of this episode is available at www.nejm.or... more

Many Black veterans live below the poverty line, often struggling to manage their illnesses. As V.A. hospitals began to stop using race-corrected interpretation of Black patients’ spirometer readings, there was an epiphany: the race correction wasn’t... more

The history of race-based correction of lung-capacity measures can be traced to a pre–Civil War belief among slave owners that slaves had naturally inferior lung capacity. Despite work to show that race-corrected spirometers mask lung-disease severit... more

Many clinical algorithms, including the eGFR test for kidney function, have actually had race baked into them and produce different results for Black patients. Most of us assume these algorithms are based on science, but what if the science is wrong?... more

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Recent Guests

Noha Abalada
Founder, Roots Community Health
Roots Community Health, Oakland, CA
Episode: When Race Matters
Joelle Brevelle
Medical student
Washington State University
Episode: When Race Matters
Oleseni Bello
Patient advocate and survivor
Independent
Episode: When Race Matters
Abeya Trivedi
Pulmonologist
Rush University Medical Center
Episode: When Race Matters
Michael Lipnick
Professor of anesthesia and critical care
University of California, San Francisco; Open Oximetry Project
Episode: When Race Matters
Peter Sporn
Professor of medicine and critical care pulmonologist caring for veterans
Northwestern University, Jesse Brown VA Medical Center
Episode: Money and Misdiagnosis
Cheryl Conner
Clinical associate professor, advocate for patients
University of Illinois at Chicago
Episode: Money and Misdiagnosis
Lundy Braun
Historian of race in medicine, Brown University (historian featured in episode)
Brown University
Episode: How Did Race Get Into Lung Testing?
Aaron Baw
Pulmonologist, assistant professor of medicine
University of California, San Francisco
Episode: How Did Race Get Into Lung Testing?

Host

Rachel Gotbaum
Host of Intention to Treat, Rachel Gotbaum guides deep discussions of complex medical issues, providing insights from her background in journalism and her connection to the New England Journal of Medicine.

Reviews

4.7 out of 5 stars from 53 ratings
  • Very interesting

    Discussion of important and relevant topics.

    Apple Podcasts
    5
    .><
    United Statesa year ago
  • Excellent

    Very excellent content and performance…

    Thank you for hard work.

    Apple Podcasts
    5
    kiahamid
    United States2 years ago

Listeners Say

Key themes from listener reviews, highlighting what works and what could be improved about the show.

Listeners appreciate the informative and engaging discussions, noting the high-quality content that spans both personal and technical aspects of medicine.
Reviews highlight the emotional depth of interviews, often relating personal stories to broader medical issues, making the content relatable and impactful.

Chart Rankings

How this podcast ranks in the Apple Podcasts, Spotify and YouTube charts.

Talking Points

Recent interactions between the hosts and their guests.

When Race Matters
Q: Why has it taken so long to change pulse oximeter testing and labeling?
The episode suggests delays stem from a combination of historical underestimation of skin pigmentation effects, limited real-world testing, and regulatory gaps that allowed manufacturers to self-validate data, leading to slow progress despite known risks.
Alzheimer’s Update, Part 2
Q: What does this mean for the research if having amyloid in the brain doesn't always lead to Alzheimer's?
Amyloid is necessary, but not sufficient to cause Alzheimer dementia.
Alzheimer’s Update, Part 2
Q: How do you see these medications? Do you see them as a breakthrough?
My feeling about these anti-amyloid drugs is that they have bent the curve.
Alzheimer’s Update, Part 2
Q: What can you tell us about the status of these treatments?
We now have two monoclonal antibodies that are targeting different forms of amyloid in the brain and two phase three trials have been positive.
Covid Update
Q: So given this research gap in our vaccines, what are you now recommending for your patients?
I recommend that vulnerable individuals should get an updated booster, while for healthy younger individuals, it's more optional.

Audience Metrics

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Frequently Asked Questions About Intention to Treat

What is Intention to Treat about and what kind of topics does it cover?

The content explored focuses on pressing and multifaceted issues within the medical field, ranging from innovative research breakthroughs to the emotional journeys of patients and their caregivers. Episodes often highlight personal narratives intertwined with scientific inquiry, creating an informative and empathetic perspective on healthcare advancements. Listeners can expect to encounter discussions on topics such as brain-computer interface technology for ALS patients, the implications of race in medical diagnoses, and the challenges surrounding long COVID, among others. This unique combination of personal stories with cutting-edge medical knowledge makes it a compelling resource for healthcare professionals and interested listeners alik... more

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Which podcasts are similar to Intention to Treat?

These podcasts share a similar audience with Intention to Treat:

1. NEJM This Week
2. JAMA Editors' Summary
3. JAMA Medical News
4. Annals On Call Podcast
5. NEJM AI Grand Rounds

How many episodes of Intention to Treat are there?

Intention to Treat launched 3 years ago and published 45 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on Intention to Treat?

Recent guests on Intention to Treat include:

1. Noha Abalada
2. Joelle Brevelle
3. Oleseni Bello
4. Abeya Trivedi
5. Michael Lipnick
6. Peter Sporn
7. Cheryl Conner
8. Lundy Braun

To view more recent guests and their details, simply upgrade your Rephonic account. You'll also get access to a typical guest profile to help you decide if the show is worth pitching.

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