Clinician's Roundtable

Host: Larry Kaskel, MD Guest: Kerri Remmel, MD, PhD Late in 2007 the University of Louisville began utilizing an RP7 robot system to provide neurology support to surrounding county hospitals without on site neurologists. Dr. Kerri Remmel, interim chair of the Department of Neurology and director of the University of Louisville Stroke Program joins us host Dr. Larry Kaskel to discuss the successes...

Host: Bill Rutenberg, MD Guest: Thomas Saving, PhD "If consumers care about the cost of healthcare, innovations will be directed at making things less costly," says guest Dr. Thomas Saving, the director of the Private Enterprise Research Center at Texas A&M University about how to fund healthcare. In this segment, Dr. Saving discusses with host Dr. Bill Rutenberg how Medicare can pay for itsel...

Host: Mark Nolan Hill, MD Guest: Beverly Green, MD, MPH By the year 2025, it is predicted that more than 1.5 billion people around the world will have hypertension, accounting for nearly half of heart disease risk and three-quarters of stroke risk. With new Web-based technologies emerging as potential treatment options, how will we change our approach to care? How might these programs impact the t...

Host: Mark Nolan Hill, MD Guest: Beverly Green, MD, MPH The Internet plays such an integral role in so many of our lives, it's only natural to consider expanding its position in medicine. This process is underway, and moving rapidly in some areas, with the first large-scale, randomized clinical trial probing web-based hypertension interventions. How can we, as clinicians, adapt to new digital mech...

Host: Mark Nolan Hill, MD Guest: Beverly Green, MD, MPH For each 10 millimeter drop toward normal systolic blood pressure, research tells us that heart disease mortality risk drops by an average of 30 percent. New internet-based hypertension interventions are proving they could produce this steep, impressive decline. How can these web initiatives help our patients take a more active role in their...

Host: Maurice Pickard, MD Guest: Kristine A. Rapp Kristine Rapp, vice president of global ethics & compliance at Hospira, Inc., discusses with host Dr. Maurice Pickard the new PhRMA Code and the significant limitations on gifts to healthcare professionals. The hope is that marketing practices will be held to a higher ethical level.

Host: Michael Greenberg, MD Guest: Rosalie Greenberg, MD There is hope for children with bipolar disorder, says Dr. Rosalie Greenberg, assistant professor of clinical psychiatry at Columbia University School of Physicians and Surgeons, and author of the book, Bipolar Kids: Helping Your Child Find Calm in the Mood Storm . Dr. Greenberg joins host Dr. Michael Greenberg to discuss diagnosis, misdiagn...

Host: Michael Greenberg, MD Guest: Rosalie Greenberg, MD Pediatric bipolar disorder may be more common than our diagnoses indicate. What constitutes a proper diagnosis? Host Dr. Michael Greenberg is joined by Dr. Rosalie Greenberg, assistant professor of clinical psychiatry at Columbia University School of Physicians and Surgeons, and author of the book, Bipolar Kids: Helping Your Child Find Calm...

Host: Matthew J. Sorrentino, MD, FACC, FASH Guest: Michael P. Siegenthaler, MD Dr. Michael Siegenthaler, associate professor of surgery and associate director of the Artificial Heart Program at the University of Pittsburg, will discuss the current state of the art of ventricular assist devices and the artificial heart as an alternative therapy for end stage heart failure patients.

Host: Matthew J. Sorrentino, MD, FACC, FASH Guest: Michael P. Siegenthaler, MD Dr. Michael Siegenthaler, associate professor of surgery at the University of Pittsburgh School of Medicine, describes the Impella 2.5 system: a percutaneously-placed ventricular-assist device, now approved for high risk coronary interventions, that has earned the moniker, 'world's smallest heart pump.' Dr. Matthew Sorr...

Host: Bill Rutenberg, MD Guest: Sarah de Ferranti, MD, MPH The American Academy of Pediatrics Report on Lipid Screening and Cardiovascular Health in Childhood, published in July 2008, triggered extensive discussion and debate among pediatricians. Dr. Sarah de Ferranti, director of the Preventive Cardiology Clinic at the Children's Hospital in Boston, shares her interpretation of the report and its...

Host: Maurice Pickard, MD Guest: Stefan J. Friedrichsdorf, MD, PhD Dr. Stefan Friedrichsdorf, medical director of the Pain and Palliative Care Program at Children's Hospitals and Clinics of Minnesota, discusses a range of topics within the field of pediatric palliative care. In contrast to the expected standard of care for adults, many children with life-limiting and terminal diseases receive infe...

Host: Bill Rutenberg, MD Guest: Heidi Feldman, MD, PhD "White matter of the brain is particularly more susceptible to injury after a premature delivery," explains Dr. Heidi Feldman, professor of developmental and behavioral medicine at Stanford University School of Medicine. Dr. Feldman and host Dr. Bill Rutenberg discuss neurodevelopmental recovery in preemies, as well as children with other brai...

Host: Bill Rutenberg, MD Guest: Heidi Feldman, MD, PhD Much is invested to bring premature infants to the point of hospital discharge. However, there is an extreme drop-off in services after the infant is released from the hospital. This is a very important area for preventative healthcares and should be conceptualized as a chronic condition says our guest, Dr. Heidi Feldman, professor of developm...

Host: Jennifer Shu, MD, FAAP Guest: Jatinder Bhatia, MD Although breast milk is the ideal source of nutrition for children under 12 months, most babies receive infant formula at some point during the first year. With dozens of formulas on the market, making a choice can be confusing for parents and for physicians as well. Dr. Jatinder Bhatia, professor and chair of neonatology at the Medical Colle...

Host: Jennifer Shu, MD, FAAP Guest: Jatinder Bhatia, MD Guest: Darshak Sanghavi, MD It's the leading cause of death and morbidity in American adults, but the cardiovascular disease process may begin in childhood. A new clinical report from the American Academy of Pediatrics (AAP) recommends some children as young as age 8 should receive pharmacologic treatment for dyslipidemia. The recommendations...

Host: Bruce Japsen Guest: William Jessee, MD Should doctors also be running their own practices? Dr. William Jessee, president and chief executive officer of the Medical Group Management Association, tells Bruce Japsen about how a team approach between doctor and administrator may be in order to improve the patients' experience, boost doctor revenue and help foster more consumer-friendly medicine.

Host: Bruce Japsen Guest: William Jessee, MD The squeeze of reimbursement from private payers and Medicare cuts to doctors are conspiring to take a substantial toll on physician incomes, which in many cases, are not keeping up with inflation. Dr. William Jessee, president and chief executive officer of the Medical Group Management Association (MGMA), details trends in physician practice incomes, a...

Host: Bruce Japsen Guest: William Jessee, MD Administrative burdens and an overload of paperwork have a cumulative effect on a medical group practice. How is a doctor supposed to deal with this so it does not effect patient care? Dr. William Jessee, president and chief executive officer of the Medical Group Management Association, tells Bruce Japsen about new and innovative ways MGMA advises docto...

Host: Mark Nolan Hill, MD Guest: Alan Hemming, MD As we extend the bounds of surgical resection for hepatic malignancies, we overcome previously held limitations of our efforts against liver disease. How do our techniques and theories on hepatic resection also relate back to hepatic transplantation? Are we developing more effective strategies to protect the liver during surgery? Dr. Alan Hemming,...

Host: Mark Nolan Hill, MD Guest: Alan Hemming, MD In recent years, extensive debate has centered around the possibility of further extending the scope of hepatic resection. With research now demonstrating the potential value of extended resection, will more patients be offered this as a treatment option? Are there common complications to consider when evaluating a candidate for this surgery? Dr. A...

Host: Mark Nolan Hill, MD Guest: Alan Hemming, MD For patients with severe hepatic malignancy, attempts to cure their illness are rarely, if ever, successful. We're learning, however, that a more aggressive surgical approach may extend survival rates well beyond those of our previous techniques. Dr. Alan Hemming, professor of surgery and chief of transplantation and hepatobiliary surgery at the Un...

Host: Leslie P. Lundt, MD Guest: Stephen Stahl, MD Regardless of your specialty, Prozac, Zoloft and Paxil have become commonly used and familiar medications. What other medications should we know? Dr. Stephen Stahl, adjunct professor of psychiatry at the University of California at San Diego joins host Dr. Leslie Lundt to tell us what we need to know about antidepressants.

Host: Leslie P. Lundt, MD Guest: Stephen Stahl, MD Last year antipsychotics were one of the more widely sold drugs in the United States. What do we need to know about these medications? Should non-psychiatrists be prescribing them routinely? Dr. Stephen Stahl, internationally recognized clinician, researcher and teacher in psychopharmacology and the author of more than 350 articles and chapters, j...

Host: Leslie P. Lundt, MD Guest: Stephen Stahl, MD In 2000, Dr. Stephen Stahl published what many of us consider to be the definitive text of psychopharmacology. The wait for the third edition is finally over. What has happened in the last 8 years? Dr. Stahl joins host Dr. Leslie Lundt in this informative interview.