Clinician's Roundtable

Host: Lee Freedman, MD Guest: Shaun Goodman, MD Dr. Goodman describes how the newer interventions for patients with acute coronary syndromes have led to better short and long term outcomes for patients.

Host: Lee Freedman, MD Guest: Shaun Goodman, MD Dr. Goodman reviews for the primary care provider the newer interventions that are available for treatment of patients who present with acute coronary syndromes.

Host: Matt Birnholz, MD Guest: Andrew Pavia, MD In this segment, Dr. Pavia shares his perspectives on the current state of American Public Health organizations in their preparedness to prevent and control dangerous infectious disease outbreaks. Aspects from the case of patient Andrew Speaker, originally diagnosed publicly with XDR Tuberculosis, are brought into focus to illustrate the achievements...

Host: Matt Birnholz, MD Guest: Andrew Pavia, MD In this segment, Dr. Pavia examines the case of patient Andrew Speaker, who is publicly struggling with Extensively Drug-Resistant (XDR) Tuberculosis, and the state of American Public Health Care Systems responding to the threat of transmission with this dangerous infectious disease. The interview clarifies distinctions between XDR-Tuberculosis and t...

Host: Cathleen Margolin, PhD Guest: Charles Wheelan, PhD In this segment, Dr. Charles Wheelan discusses several reasons for soaring health care costs in the U.S. and considers possible solutions.

Host: Cathleen Margolin, PhD Guest: Charles Wheelan, PhD Dr. Charles Wheelan discusses the top ten reasons for soaring health care costs in the U.S.

Host: Cathleen Margolin, PhD Guest: Charles Wheelan, PhD Dr. Charles Wheelan discusses the challenges confronting presidential candidates hoping to propose health care reform.

Host: Cathleen Margolin, PhD Guest: Charles Wheelan, PhD Dr. Wheelan discusses "Health Care and the R Word" - the rationing of health care in the U.S.

Host: Leslie P. Lundt, MD Guest: Jeff Berlant, MD Dr. Berlant tells about his experience in helping to develop a treatment for PTSD.

Host: Leslie P. Lundt, MD Guest: Jeff Berlant, MD In this segment, Dr. Berlant discusses the combined treatment of psychotherapy and SSRI's to overcome PSTD. The downsides of SSRI's are discussed along with a comparison of SSRI treatment vs. Topamax.

Host: Leslie P. Lundt, MD Guest: Jeff Berlant, MD Psychopharmacologist, Jeffery Berlant discusses the most common treatments for Post Traumatic as well as current research and on going clinical trials for new PSTD treatments.

Host: Leslie P. Lundt, MD Guest: Jeff Berlant, MD PTSD often in the news as an issue with soldiers returning from Iraq, Post Traumatic Stress Disorder is really more common among civilians. Dr. Berlant discusses the often difficult diagnosis of this disorder and provides key information/behaviors an internist may look for to help diagnose a patient with PTSD.

Host: Leslie P. Lundt, MD Guest: Brian Decker, MSN, NP Nurse Practitioner Brian Decker examines the many patient complexities physicians must consider before making a decision to medicate or refer out one of their family practice patients.

Host: Leslie P. Lundt, MD Guest: Brian Decker, MSN, NP Have you thought about adding a midlevel practitioner to your office? Are you a midlevel practitioner looking to become a part of a family practice? Nurse Practitioner, Brian Decker shares his experience in developing a good working relationship that benefits both the practice and the patients.

Host: Leslie P. Lundt, MD Guest: Brian Decker, MSN, NP In this segment, Brian Decker discusses the mental health issues he most often sees in family practice.

Host: Leslie P. Lundt, MD Guest: John Hardy, MD How do we adjudicate children with severe psychological disorders? Is moral development possible? What if they murder? Dr. John Hardy talks about the developmental aspects involved in caring for children charged with crimes.

Host: Leslie P. Lundt, MD Guest: John Hardy, MD Dr. Hardy explains some of the more severe psychological disorders effecting children including bipolar disease and schizophrenia.

Host: Leslie P. Lundt, MD Guest: John Hardy, MD Do children who severely misbehave, experience anxiety, depression and other psychological disorders carry their problems into adulthood? Dr. John Hardy talks about these childhood disorders, their predictors and whether the disorders are likely to stay with the child as they grow up.

Host: Leslie P. Lundt, MD Guest: John Hardy, MD Dr. Hardy discusses the range of psychiatric issues that are most prevalent in children today and how to go about identifying and interpreting them.

Host: Bill Rutenberg, MD Guest: Michael Helmrath, MD Dr. Helmrath shares his personal experience treating young patients after bariatric surgery. He describes the postoperative medical care, support groups and the outcomes of some of his patients.

Host: Bill Rutenberg, MD Guest: Michael Helmrath, MD In this segment, Dr. Helmrath talks about the bariatric surgical options for obese teens. He addresses the various considerations in choosing a type of surgery, including the mechanics, costs, and expectations of the procedure.

Host: Bill Rutenberg, MD Guest: Michael Helmrath, MD How do you know if an obese teen is a good candidate for bariatric surgery? Dr. Helmrath shares his process for evaluating teens both medically and emotionally to determine if weight loss surgery is a good option for them. Dr. Helmrath also considers where we are at with alternative medical solutions.

Host: Bill Rutenberg, MD Guest: Michael Helmrath, MD Why have we not made more progress in solving the teen obesity epidemic? Dr. Helmrath shares with us our current medical understanding of teen obesity and where researchers and physicians need to be in order to come up with better solutions.

Host: Michael Benson, MD Guest: Lewis Wall, MD In this segment, Dr. Wall examines the history of operative procedures pioneered for the treatment of vesicovaginal fistulas. From this overview, he depicts the historical to modern social and political challenges faced by doctors trying to initiate global treatment campaigns for this serious maternal complication. Such challenges and ensuing lack of...

Host: Michael Benson, MD Guest: Lewis Wall, MD In this segment, Dr. Wall describes some of the serious, and sadly oftentimes fatal complications and comorbidities arising secondary to developing vesicovaginal fistulas in the postpartum period. He then contrasts the rates of these potential outcomes in women living in the United States vs. developing African countries, demonstrating the great need...