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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Dr Michael Fralick Podcasts

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Episode 127 - Leukocytoclastic Vasculitis with Karim Ladak
22:48
22:48
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22:48Send 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. Karim Ladak—rheumatologist and internist, Clinical Assistant Professor at McMaster University, and host of the Rheumatology for the Royal College podcast—to talk about leukocytoclastic vasculitis. Here we go!…
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Episode 126 - Sotatercept for Pulmonary Arterial Hypertension
6:34
6:34
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6:34Send 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 exploring the effects of add-on sotatercept in patients with advanced pulmonary arterial hypertension and a high risk of death. Here we go! Sotatercept in Patients with Pulmonary Arteria…
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Episode 125 - Top Papers from the 2025 American Diabetes Association (ADA) Session
21:57
21:57
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21:57Send us a text Welcome back Rounds Table Listeners! We are back today with a special Rapid Fire Podcast. This week, Dr. Mike Fralick and guest host Danielle Cutler discuss the top papers from the 2025 American Diabetes Association (ADA) Scientific Session. Hot off the presses, here we go! Once-Monthly Maridebart Cafraglutide for the Treatment of Ob…
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Episode 124 - 2024 KDIGO Clinical Practice Guidelines for Chronic Kidney Disease
25:33
25:33
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25:33Send us a text Welcome back Rounds Table Listeners! Today we have the next episode in our Clinical Practice Guidelines series. Drs. Mike and John Fralick discuss the top takeaways from the 2024 KDIGO Clinical Practice Guidelines for chronic kidney disease. Here we go! 1. KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Ch…
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Send us a text Welcome back Rounds Table Listeners! Today we have another special episode— Trial Files turns two years old this June, and we're celebrating with an episode summarizing the Top 5 RCTs in the Trial Files catalogue to date. Dr. Mike Fralick takes us through five trials in 15 minutes. Here we go! 1. Effects of Semaglutide on Chronic Kid…
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Episode 122 - Opioids vs. Non-Opioids for Chronic Pain, IV Albumin for SBP, and PPI for GI Bleed
8:40
8:40
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8:40Send us a text Welcome back Rounds Table Listeners! Today we're introducing a new format—the first episode in our Trial Files series, where we provide an overview of a recent Trial Files issue. This week, Dr. Mike Fralick discusses three trials included in a recent throwback issue: opioids versus non-opioids for chronic pain; IV albumin for renal i…
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Episode 121 - Tirzepatide vs. Semaglutide for Obesity
7:53
7:53
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7:53Send us a text Welcome back Rounds Table Listeners! Today we have a solo episode with Dr. Mike Fralick. This week, he discusses a recently published head-to-head trial exploring the safety and efficacy of tirzepatide compared to semaglutide for obesity management. Here we go! Tirzepatide as Compared with Semaglutide for the Treatment of Obesity (0:…
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Episode 120 - Top 5 Drug Interactions You Are Missing with David Juurlink
25:23
25:23
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25:23Send 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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Episode 118 - Lorundrostat for Uncontrolled Hypertension
7:50
7:50
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7:50Send 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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Episode 117 - Brensocatib for Bronchiectasis and Alteplase for Posterior Circulation Ischemic Stroke
26:08
26:08
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26:08Send 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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Episode 116 - 2025 ACC/AHA Clinical Practice Guidelines for Acute Coronary Syndrome
20:47
20:47
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20:47Send 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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Episode 115 - Tirzepatide for Obesity Treatment and Diabetes Prevention
11:23
11:23
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11:23Send 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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Episode 114 - Liberal Fluid Intake versus Fluid Restriction in Chronic Heart Failure
5:20
5:20
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5:20Send 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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Episode 113 - Vitamin D in Clinically Isolated Syndrome Typical of Multiple Sclerosis
9:15
9:15
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9:15Send 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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Episode 112 - Top Papers from the 2025 American College of Cardiology (ACC) Session
20:40
20:40
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20:40Send 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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Episode 111 - Resmetirom in MASH with Liver Fibrosis and Mediterranean Diet in Ulcerative Colitis
17:55
17:55
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17:55Send 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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Episode 110 - Restrictive versus Liberal Transfusion in Myocardial Infarction with Dr. Jeff Carson
28:46
28:46
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28:46Send 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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Episode 109 - GLP1 Receptor Agonists in Parkinson's Disease
19:42
19:42
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19:42Send 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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Episode 108 - Endovascular Treatment in Stroke with Medium Vessel Occlusion
6:02
6:02
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6:02Send 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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Episode 107 - Point-of-Care Diabetes Management in Hospital and Tirzepatide in Heart Failure
22:25
22:25
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22:25Send 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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Episode 106 - Screening for Diabetes and Dyslipidemia after Pregnancy Complicated by Hypertension or Diabetes with Dr. Amy Yu
18:36
18:36
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18:36Send 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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Episode 105 - Intravenous Thrombolysis in Minor Ischemic Stroke with Intracranial Occlusion
7:59
7:59
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7:59Send 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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Episode 104 - Treatment of Severe Behçet's Syndrome
6:28
6:28
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6:28Send 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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