Rephonic
Artwork for Last Week in Medicine
Apixaban
Rivaroxaban
Bacteremia
Diabetes
Factor XI Inhibition
Semaglutide
Cystinosis
Pulmonary Embolism
Cardiovascular Disease
Hydrocortisone
Severe Pneumonia
Intensive Blood Pressure Control
Aldosterone Synthase Inhibitors
Hypertension
Reduced-Dose Apixaban
Cancer-Associated Thrombosis
Hematopoietic Stem Cell Gene Therapy
Acute Pulmonary Embolism
ACC/AHA Guidelines
COBRA Trial

Wouldn't it be nice if someone reviewed all the latest internal medicine literature and distilled it into a brief podcast you could listen to on your way to work? Get updates from the New England Journal of Medicine, JAMA Network, Annals of Internal Medicine, Journal of Hospital Medicine, Journal of General Internal Medicine, Lancet and more.

PublishesTwice monthlyEpisodes67Founded6 years ago
Number of ListenersCategories
Mental HealthHealth & FitnessMedicine

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Artwork for Last Week in Medicine

Latest Episodes

Extra, extra, read all about it! We have two "NEWS" studies to talk about in this episode (bad pun).  Does catheter directed thrombolysis improve outcomes in acute intermediate risk PE? Does adding procalcitonin to NEWS2 screening of ED patients real... more

We are back with a landmark trial -- COBRRA was finally published! Apixaban wins again, but is rivaroxaban done for good?? 

Also, is left atrial appendage occlusion safer than oral anticoagulation in patients with a high risk of stroke and a high ri... more

The ACC/AHA published new guidelines for managing acute PE on February 19, 2026. Today I'm joined by Dr. Scott Woller, MD, MACP, FCCP, who was co-chair of the American College of Chest Physicians Clinical Practice Guideline for antithrombotic therapy... more

In this episode I'm joined by senior author Dr. Stephanie Cherqui to talk about her recent publication in the New England Journal of Medicine on gene therapy for cystinosis. This is a very personal episode for me, because two of my children have cyst... more

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Recent Guests

Dr. Stephen Jenkins
Thrombologist guest on the show
Episode: Bleeding Risk with Apixaban vs Rivaroxaban for Acute VTE (COBRRA), Left Atrial Appendage Closure vs Medical Therapy for Atrial Fibrillation (CLOSURE-AF)
Scott Woller
Thrombosis expert, guest on the episode
Intermountain Health; University of Utah
Episode: 2026 ACC/AHA Guidelines for Acute Pulmonary Embolism
Stephanie Cherqui
Senior author of the NEJM study on cystinosis gene therapy
University of California, San Diego (UCSD)
Episode: Hematopoietic Stem Cell Gene Therapy for Cystinosis

Reviews

4.8 out of 5 stars from 67 ratings
  • Amazing

    These guys help a lot of patients they’ll never meet. Best medicine podcast, hands down!

    Apple Podcasts
    5
    ElleryAltshuler
    United States3 years ago
  • Very informative and amusing!

    I subscribed to RLR as I missed listening to the banter between Reza and Rabih - love the concise 30 minute cases with recap and the humor and camaraderie and humility that we can learn even from a med student and no one is or can “know-it-all”.

    You guys are rock stars! Makes me feel enthusiastic and love Internal Medicine all over again - even after 30 years in the field - you infect your listeners with your passion to learn more and teach and diagnose! Keep the candle burning .. in this era wh... more

    Apple Podcasts
    5
    Sharms04
    United States3 years ago
  • Amazing

    These guys help a lot of patients they’ll never meet. Best medicine podcast, hands down.

    Apple Podcasts
    5
    ElleryAltshuler
    United States3 years ago
  • An awesome way to stay up to date!

    Thanks, guys for the great podcast- awesome way to stay caught up. They pick relevant, interesting articles and the conversation is always engaging!

    Apple Podcasts
    5
    Pliu891
    United States5 years ago
  • Fantastic

    Wow- quality podcast! Entertaining, informative, and inspired. The perfect listen on my daily commute.

    Apple Podcasts
    5
    Alexiarw
    United States5 years ago

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Talking Points

Recent interactions between the hosts and their guests.

2026 ACC/AHA Guidelines for Acute Pulmonary Embolism
Q: And that would be different than the 2021 recommendation in chest for minor reversible risk factors. What do you think about that?
The panel suggests a nuanced view where decisions depend on provoking events and persistent risk factors, recognizing a continuum of risk and highlighting a broader consideration for stopping versus continuing anticoagulation based on individual risk profiles.
2026 ACC/AHA Guidelines for Acute Pulmonary Embolism
Q: What do you think about that? Do you think every hospital needs a PERT?
There is strong guidance supporting the establishment of pulmonary embolism response teams, acknowledging non-randomized evidence, but the decision at each hospital is influenced by resources, costs, and local workflows; a regional tele-PERT could be a future solution to share expertise.
2026 ACC/AHA Guidelines for Acute Pulmonary Embolism
Q: So one question that I've had and maybe some of our listeners probably have is, do these guidelines supersede the last updates that we've had from other guideline bodies like chest, which the last one was in 2021, or are these complimentary guidelines?
The ACC/AHA approach represents an integrated, consensus-driven framework that collaborates with other guideline bodies, and while it may complement existing guidelines, it reflects a unified structure and representation from multiple societies to guide practice across categories and severities.
Hematopoietic Stem Cell Gene Therapy for Cystinosis
Q: What safety monitoring is used to ensure the vector does not cause harmful genomic changes?
Ongoing vector integration site analyses are performed every six months (then annually) to monitor for clonal expansion or insertional mutagenesis, ensuring the vector remains polymorphic and non-toxic over long-term follow-up.
Hematopoietic Stem Cell Gene Therapy for Cystinosis
Q: How does the treatment actually work once the patient receives the gene-modified stem cells?
Patients undergo collection of hematopoietic stem cells, which are then modified with a lentiviral vector carrying the corrected gene, and after conditioning with busulfan, receive an infusion of these edited cells that engraft and produce cell lineages capable of delivering the therapeutic protein across tissues.

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Which podcasts are similar to Last Week in Medicine?

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1. The Clinical Problem Solvers
2. The Curbsiders Internal Medicine Podcast
3. Core IM | Internal Medicine Podcast
4. Critical Care Time
5. JAMA Clinical Reviews

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Last Week in Medicine launched 6 years ago and published 67 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 Last Week in Medicine?

Recent guests on Last Week in Medicine include:

1. Dr. Stephen Jenkins
2. Scott Woller
3. Stephanie Cherqui

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