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🏆 Great Doctors Series: Jan Baptist van Helmont — 💨 The Doctor Who Invented the Word “Gas”! show art 🏆 Great Doctors Series: Jan Baptist van Helmont — 💨 The Doctor Who Invented the Word “Gas”!

Dr. RR Baliga's 'Podkast for the Kurious Doc'. Where Curiosity meets Clarity!

🧪 Gas, Growth & Genius: The Doctor Who Named “Gas”! 🌱 In the 1600s, physician Jan Baptist van Helmont asked a fascinating question: Where does a growing tree get its weight? 🌳 He grew a willow tree for five years. It gained 164 pounds, while the soil barely changed! He concluded that the weight came from water—a pioneering experiment, although his conclusion was incomplete. 💨 He coined the word “gas”, recognized carbon dioxide, and helped launch pneumatic chemistry. 🩺 He even proposed comparing treatments by randomly assigning patients—centuries before modern...

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🏆 Great Doctors Series: Santorio Santorio — The Father of Experimental Physiology show art 🏆 Great Doctors Series: Santorio Santorio — The Father of Experimental Physiology

Dr. RR Baliga's 'Podkast for the Kurious Doc'. Where Curiosity meets Clarity!

⚖️ Sweat, Scales & Science: The Doctor Who Weighed Everything! 🔬 Imagine weighing yourself, everything you eat and drink, and everything you excrete—for 30 years! That’s exactly what Santorio Santorio (1561–1636) did! 🪑 Using his ingenious weighing chair, he discovered that much of our weight loss occurs invisibly through the skin and breathing—insensible perspiration. 🌡️ He also pioneered instruments to measure pulse and temperature. 📖 His 1614 masterpiece, De Statica Medicina, helped transform medicine from speculation into measurement. 💡 His legacy? If you...

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💤 One Night's Sleep Study, 130 Diseases: Can AI Read Your Health Future? show art 💤 One Night's Sleep Study, 130 Diseases: Can AI Read Your Health Future?

Dr. RR Baliga's 'Podkast for the Kurious Doc'. Where Curiosity meets Clarity!

🌙 SLEEP, SIGNALS & SURVIVAL: Can AI Predict Your Future Health? 💤 What if ONE night of sleep could reveal your risk of future disease? 🔬 Two groundbreaking studies highlighted in Nature demonstrate how AI extracts hidden physiological signals from sleep recordings. 📊 One model identified five groups with progressively increasing mortality risk; another predicted risks for 130 conditions, including heart failure, stroke, and dementia. 💡 The revelation? Sleep contains prognostic information missed by conventional measures. ⚠️ Clinical validation remains essential. 🎙️...

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🏆 Great Doctors Series:-🫀 The Heart, The Pump, The Revolution: William Harvey’s Greatest Discovery show art 🏆 Great Doctors Series:-🫀 The Heart, The Pump, The Revolution: William Harvey’s Greatest Discovery

Dr. RR Baliga's 'Podkast for the Kurious Doc'. Where Curiosity meets Clarity!

🫀 The Heart, The Pump, The Revolution! 🔬 In 1628, William Harvey challenged centuries of medical dogma with a revolutionary discovery: the heart is a pump, and blood circulates continuously through the body! 🩸 Through experiments, observations, and simple mathematics, Harvey demonstrated that blood travels in a circuit—not endlessly produced by the liver, as previously believed. 👑 Physician to two kings, he dared to question Galen and transformed medicine forever. 💡 His enduring lesson? Question authority. Follow evidence. Let experiments speak! 🎙️ Dr RR Baliga’s...

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    🫀 Prescribing Movement: The 2026 ACC Blueprint for Heart Health show art 🫀 Prescribing Movement: The 2026 ACC Blueprint for Heart Health

Dr. RR Baliga's 'Podkast for the Kurious Doc'. Where Curiosity meets Clarity!

🫀 EXERCISE IS MEDICINE: MOVE MORE, LIVE LONGER, PROTECT YOUR HEART! 🏃 The 2026 ACC Scientific Statement reinforces a powerful message: Movement is medicine! 💪 150 minutes of moderate aerobic activity weekly 🏋️ Strength training at least twice weekly 🚶 Even modest increases in activity deliver substantial benefits ❤️ Exercise improves cardiovascular health, functional capacity, and quality of life 🩺 Cardiac rehabilitation remains essential for eligible patients with heart disease. 🔬 The best exercise prescription? One that is safe, personalized, and sustainable!...

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🧬 Don’t Block It—Destroy It! The Protein Degrader Revolution show art 🧬 Don’t Block It—Destroy It! The Protein Degrader Revolution

Dr. RR Baliga's 'Podkast for the Kurious Doc'. Where Curiosity meets Clarity!

🧬 Don’t Block It—Destroy It! The Protein Degrader Revolution 💊 What if we could eliminate disease-causing proteins instead of merely blocking them? 🔬 Meet PROTACs and molecular glues—innovative drugs that harness the cell’s recycling machinery to destroy troublesome proteins. 📊 In multiple myeloma, a molecular-glue-based combination achieved 42 vs. 20 months of progression-free survival. 💰 With ~200 degraders in development and over $5 billion in deals, the pharmaceutical industry is betting big! ⚠️ The challenge? Avoiding destruction of healthy proteins. 🎙️ Dr...

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💧 Microplastics, Water & Radicals: The Chemistry of Hidden Toxicity! show art 💧 Microplastics, Water & Radicals: The Chemistry of Hidden Toxicity!

Dr. RR Baliga's 'Podkast for the Kurious Doc'. Where Curiosity meets Clarity!

💧 Microplastics: Inert No More! 🧪 A fascinating new Nature study challenges a longstanding assumption: plastics are chemically inert. 🔬 Researchers discovered that microplastics spontaneously generate hydroxyl radicals when exposed to water—even without sunlight! ⚡ More hydrophobic surfaces produce greater radical activity. 🧬 These radicals may promote protein aggregation and cellular injury. 🫀 Could this help explain microplastic-associated cardiovascular toxicity? ⚠️ Mechanistic evidence—not yet proof of human disease causation. 🎙️ Dr RR Baliga’s Podkast for...

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⏳ Beyond Birthdays: Can a Blood Test Reveal Your Biological Age? show art ⏳ Beyond Birthdays: Can a Blood Test Reveal Your Biological Age?

Dr. RR Baliga's 'Podkast for the Kurious Doc'. Where Curiosity meets Clarity!

🩸 Your Blood Knows Your Age—But Does It Know Your Future? 🧬 A fascinating study in Science Translational Medicine analyzed 18,476 individuals aged 1–96 years, identifying 56 blood metabolites that help reveal biological aging. 🔬 Using machine learning, researchers developed metabolomic clocks associated with chronic disease and mortality. ❤️ Accelerated metabolic aging predicted higher risks of hypertension, diabetes, cardiovascular disease, and death. 💡 Lifestyle improvements were associated with more favorable aging trajectories. ⚠️ Promising science—not yet ready...

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🤖🩺 The Doctor’s AI Assistant: Smarter Visits, Better Conversations? show art 🤖🩺 The Doctor’s AI Assistant: Smarter Visits, Better Conversations?

Dr. RR Baliga's 'Podkast for the Kurious Doc'. Where Curiosity meets Clarity!

🤖🩺 AI, Answers & Appointments: Is Your Doctor’s New Assistant a Chatbot? Could your next doctor’s visit begin with a conversation with AI? 🔬 A fascinating 2026 Lancet study tested conversational AI in primary care. 📊 Among 98 patients completing the study: ✅ Zero predefined safety stops ✅ Physicians found AI summaries helpful in 33/44 cases ✅ AI potentially influenced physician decisions in 25/44 cases ⚠️ One hallucination was identified. 💡 The message? AI may help physicians prepare, but it cannot replace clinical judgment. 🎙️ Dr RR Baliga’s Podkast for...

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🩸 Great Doctors Series: Ambroise Paré — From Battlefield Bloodshed to Better Surgery show art 🩸 Great Doctors Series: Ambroise Paré — From Battlefield Bloodshed to Better Surgery

Dr. RR Baliga's 'Podkast for the Kurious Doc'. Where Curiosity meets Clarity!

⚔️ What happens when a battlefield surgeon dares to question centuries of tradition? Meet Ambroise Paré (c.1510–1590)—barber-surgeon, innovator and one of the fathers of surgery. 🩺 From abandoning agonizing boiling-oil wound treatment to championing arterial ligatures, Paré showed that careful observation could overturn medical dogma. 🔬🩸 His philosophy remains timeless: “I bandaged him and God healed him.” 🎙️ Great Doctors Series — where the history of medicine illuminates its future.

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More Episodes

Coronary CT angiography-guided management of patients
with stable chest pain: 10-year outcomes from the SCOT-
HEART randomised controlled trial in Scotland


Michelle C Williams, Ryan Wereski, Christopher Tuck, Philip D Adamson, Anoop S V Shah, Edwin J R van Beek, Giles Roditi, Colin Berry,Nicholas Boon, Marcus Flather, Steff Lewis, John Norrie, Adam D Timmis, Nicholas L Mills, Marc R Dweck, David E Newby, on behalf of theSCOT-HEART Investigators*


Summary
Background The Scottish Computed Tomography of the Heart (SCOT-HEART) trial demonstrated that management
guided by coronary CT angiography (CCTA) improved the diagnosis, management, and outcome of patients with
stable chest pain. We aimed to assess whether CCTA-guided care results in sustained long-term improvements in
management and outcomes.


Methods SCOT-HEART was an open-label, multicentre, parallel group trial for which patients were recruited from
12 outpatient cardiology chest pain clinics across Scotland. Eligible patients were aged 18–75 years with symptoms of
suspected stable angina due to coronary heart disease. Patients were randomly assigned (1:1) to standard of care plus
CCTA or standard of care alone. In this prespecified 10-year analysis, prescribing data, coronary procedural
interventions, and clinical outcomes were obtained through record linkage from national registries. The primary
outcome was coronary heart disease death or non-fatal myocardial infarction on an intention-to-treat basis. This trial
is registered at ClinicalTrials.gov (NCT01149590) and is complete.


Findings Between Nov 18, 2010, and Sept 24, 2014, 4146 patients were recruited (mean age 57 years [SD 10], 2325 [56·1%] male, 1821 [43·9%] female), with 2073 randomly assigned to standard care and CCTA and 2073 to standard care
alone. After a median of 10·0 years (IQR 9·3–11·0), coronary heart disease death or non-fatal myocardial infarction
was less frequent in the CCTA group compared with the standard care group (137 [6·6%] vs 171 [8·2%]; hazard ratio
[HR] 0·79 [95% CI 0·63–0·99], p=0·044). Rates of all-cause, cardiovascular, and coronary heart disease death, and
non-fatal stroke, were similar between the groups (p>0·05 for all), but non-fatal myocardial infarctions (90 [4·3%] vs
124 [6·0%]; HR 0·72 [0·55–0·94], p=0·017) and major adverse cardiovascular events (172 [8·3%] vs 214 [10·3%];
HR 0·80 [0·65–0·97], p=0·026) were less frequent in the CCTA group. Rates of coronary revascularisation procedures
were similar (315 [15·2%] vs 318 [15·3%]; HR 1·00 [0·86–1·17], p=0·99) but preventive therapy prescribing remained
more frequent in the CCTA group (831 [55·9%] of 1486 vs 728 [49·0%] of 1485 patients with available data; odds ratio
1·17 [95% CI 1·01–1·36], p=0·034).


Interpretation After 10 years, CCTA-guided management of patients with stable chest pain was associated with a
sustained reduction in coronary heart disease death or non-fatal myocardial infarction. Identification of coronary
atherosclerosis by CCTA improves long-term cardiovascular disease prevention in patients with stable chest pain.