On this throwback episode from 2023 Alan revisits a long-standing “chip on his shoulder”: the continual and incessantly unscientific call for for antibiotic premedication in joint alternative sufferers. Sparked via his personal spouse’s hip surgical operation, Alan dives into the disconnect between evidence-based ADA/AAOS tips and the “premedicate for lifestyles” tradition maintained via many orthopedic surgeons. Together with his signature wit and candid frustration, he explores the hazards of antibiotic resistance, the parable of dental-induced bacteremia, and the awkward “heart guy” place sufferers are pressured into when dental and surgical philosophies collide.
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