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The Rounds Table

Dr. John Fralick and Dr. Michael Fralick

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The Rounds Table is a free recurring medical podcast covering the latest and most important research from major medical journals. It is intended for all practicing healthcare professionals and aims to to help them keep up to date in the care of their patients.
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Send us a text Welcome back Rounds Table Listeners! We are back this week with a special podcast episode. Dr. Mike Fralick sits down with Dr. David Juurlink, pharmacologist and internist, Professor of Medicine at the University of Toronto, and head of the Clinical Pharmacology and Toxicology division at Sunnybrook Health Sciences Centre, to chat ab…
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Send us a text Welcome back, Rounds Table Listeners! This week we have a solo episode with Dr. John Fralick, discussing a recently published trial of the GLP-1 receptor agonist semaglutide for the treatment of metabolic dysfunction–associated steatohepatitis (MASH). Here we go! Phase 3 Trial of Semaglutide in Metabolic Dysfunction–Associated Steato…
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Send us a text Welcome back Rounds Table Listeners! We are back today with a solo episode with Dr. Mike Fralick. This week, he discusses a recently published trial exploring the safety and efficacy of lorundrostat (an aldosterone synthase inhibitor) in treatment of uncontrolled and treatment-resistant hypertension. Here we go! Lorundrostat Efficacy…
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Send us a text Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast. This week, Dr. Mike Fralick and special guest Dr. Laiya Carayannopoulos from the Intern at Work Podcast and our Medicine Pods collaboration discuss two recent papers: the use of brensocatib (a DPP-1 inhibitor) to treat bronchiectasis, and the …
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Send us a text Welcome back Rounds Table Listeners! Today we're introducing a new format—the first episode in our Clinical Practice Guidelines series. This week, Drs. Mike and John Fralick discuss the 2025 ACC/AHA Clinical Practice Guidelines for Acute Coronary Syndrome. Here we go! 2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Pati…
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Send us a text Welcome back Rounds Table Listeners! We are back today with a solo episode with Dr. Mike Fralick. This week, he discusses a recently published trial exploring the role of tirzepatide in weight reduction and diabetes prevention in persons with obesity. Here we go! Tirzepatide for Obesity Treatment and Diabetes Prevention (0:00 – 10:24…
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Send us a text Welcome back Rounds Table Listeners! We are back today with a solo episode with Dr. John Fralick. This week, he discusses a recently published trial examining liberal fluid intake vs. fluid restriction in chronic heart failure. Here we go! Liberal fluid intake versus fluid restriction in chronic heart failure: a randomized clinical t…
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Send us a text Welcome back Rounds Table Listeners! We are back today with a solo episode with Dr. Mike Fralick. This week, he discusses a recently published trial exploring the role of high-dose Vitamin D therapy in reducing disease activity in patients with clinically isolated syndrome (CIS) typical of multiple sclerosis (MS). Here we go! High-Do…
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Send us a text Welcome back Rounds Table Listeners! We are back today with a special Rapid Fire Podcast! This week, Drs. Mike and John Fralick discuss top papers from the 2025 American College of Cardiology (ACC) Annual Scientific Session. Hot off the presses, here we go! Extended Reduced-Dose Apixaban for Cancer-Associated Venous Thromboembolism (…
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Send us a text Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Dr. John Fralick and guest host Dr. Chunpeng Nie discuss two recent papers: resmetirom for the treatment of Nonalcoholic Steatohepatitis (NASH)—now known as Metabolic Dysfunction-Associated Steatohepatitis (MASH)—with liver fibrosis…
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Send us a text Welcome back Rounds Table Listeners! In this throwback episode, Drs. Mike and John Fralick chat about five important research studies published in 2023: Hydrocortisone in Severe Community-Acquired Pneumonia (0:00 – 5:39). Tirzepatide vs Insulin Lispro Added to Basal Insulin in Type 2 Diabetes (5:40 – 8:48). Semaglutide and Cardiovasc…
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Send us a text Welcome back Rounds Table Listeners! We are back this week with a special podcast episode! Dr. Mike Fralick sits down with Dr. Jeffrey Carson, Distinguished Professor of Medicine at the Rutgers Robert Wood Johnson Medical School and Provost at Rutgers University, to chat about his recent publication - Restrictive versus Liberal Trans…
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Send us a text Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike and John Fralick discuss two recent papers examining the effect of glucagon-like peptide-1 receptor agonists (GLP1's) on patients living with Parkinson’s disease. Two papers, here we go! Trial of Lixisenatide in Early Park…
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Send us a text Welcome back Rounds Table Listeners! We are back today with a solo episode with Dr. Mike Fralick. This week, he will discuss a paper exploring endovascular treatment (EVT) for acute ischemic stroke due to medium-vessel occlusion. Here we go! Endovascular Treatment of Stroke Due to Medium-Vessel Occlusion (0:00 – 6:02). This episode i…
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Send us a text Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike and John Fralick discuss two recent papers - the role of continuous glucose monitoring for diabetes management in hospital and the benefit of tirzepatide in patients with heart failure with preserved ejection fraction and …
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Send us a text Welcome back Rounds Table Listeners! We are back this week with a special podcast episode! Dr. Mike Fralick sits down with Dr. Amy Yu, a Stroke Neurologist, Clinician-Scientist, and Associate Professor of Medicine at the University of Toronto and Sunnybrook Hospital, to chat about her hot-off-the press publication - Population-Level …
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Send us a text Welcome back Rounds Table Listeners! We are back today with a solo episode with Dr. Mike Fralick! This week, he will discuss a paper exploring the role of intravenous thrombolytic therapy in patients with minor ischemic stroke and intracranial vessel occlusion. Here we go! Tenecteplase versus standard of care for minor ischaemic stro…
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Send us a text Welcome back Rounds Table Listeners! We are back today with a solo episode with Dr. John Fralick! This week, he will discuss a paper exploring infliximab versus cyclophosphamide for the treatment of severe Behçet's Syndrome. Here we go! Infliximab versus Cyclophosphamide for Severe Behçet's Syndrome (0:00 – 5:15). And for the Good St…
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Send us a text Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike and John Fralick discuss two recent papers - whether aspirin should be held in patients with stable coronary artery disease and drug-eluting stents and the role of semaglutide in patients with obesity and knee osteoarthrit…
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Send us a text Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Dr. Mike Fralick and special guest, Dr. Laiya Carayannopoulos from the Intern at Work Podcast and our Medicine Pods collaboration, discuss two recent papers exploring oxygenation in acute respiratory failure and the use of ablation …
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Send us a text Dr. John Fralick sits down with Dr. Nicole Hawe, a first-year Internal Medicine resident at the University of British Columbia, to discuss her third place winning clinical vignette from the Canadian Society of Internal Medicine Annual Meeting 2024. Questions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork …
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Send us a text Welcome back Rounds Table Listeners! We are back today with a solo episode with Dr. John Fralick! This week, he will discuss a paper exploring whether Renin-Angiotensin System Inhibitors should be held before major non-cardiac surgery. Here we go! Continuation versus Discontinuation of Renin-Angiotensin System Inhibitors Before Major…
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Send us a text Dr. Zahra Merali (Host) sits down with Dr. Shaima Kaka (Internal Medicine resident) to discuss her first place winning clinical vignette (oral case report) from the Canadian Conference of Medicine Annual Meeting 2024. Resources: Diabetic Striatopathy: An Updated Overview Questions? Comments? Feedback? We’d love to hear from you! @rou…
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Send us a text Welcome back Rounds Table Listeners! We are back this week with a special podcast episode! Dr. Mike Fralick sits down with Dr. David-Dan Nguyen, a Urology Resident at the University of Toronto, to chat about his recent study, "Payments by Drug and Medical Device Manufacturers to US Peer Reviewers of Major Medical Journals", that has …
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