Clinician's Roundtable

Host: Leslie P. Lundt, MD Guest: Jim Hirsch Understanding a single illness can teach us much about medical history and the characters that shaped it. Diabetes is no exception. James Hirsch, author of “Cheating Destiny,” discusses some of the more colorful characters in the history of diabetes with host Dr. Leslie Lundt.

Host: Leslie P. Lundt, MD Guest: Jim Hirsch We treat diabetes every day in our offices. But do we really know what our patients go through on a day-to-day basis? Author of “Cheating Destiny”, James Hirsch gives host Dr. Leslie Lundt a glimpse into what it is really like to have diabetes.

Host: Leslie P. Lundt, MD Guest: Michael Schiesser, MD One of the most difficult challenges in medicine can be the decision to use a potentially addicting opioid medication to treat pain. We don’t want to give malingering drug seeking patients meds they can abuse or sell on the street yet we don’t want to withhold treatment to those who need it. Host Dr. Leslie Lundt welcomes internist Dr. Michael...

Host: Leslie P. Lundt, MD Guest: Michael Schiesser, MD Tiered, or narrow health plan networks are designed to steer patients towards a group of physicians that the insurer defines as more “efficient” than others. This approach appears to make common and fiscal sense. But does it work? Washington internist Dr. Michael Schiesser shares his story about pay for performance with host Dr. Leslie Lundt.

Host: Leslie P. Lundt, MD Guest: Ronald Pies, MD As neurologists and psychiatrists, we both deal with the brain. We have the same board administering our exams, the American Board of Psychiatry and Neurology. We often prescribe the same medications. Neurologists diagnose depression, psychiatrists diagnose dementia. We have subspecialties called neuropsychiatry and behavioral neurology. So why don’...

Host: Leslie P. Lundt, MD Guest: Ronald Pies, MD Maimonides, the 12 century physician and philosopher said, “The physician does not cure a disease, he cures a diseased person.” Is there a neurobiology of spiritual purpose? Poet, philosopher and psychiatrist Dr. Ronald Pies joins host Dr. Leslie Lundt to discuss the neurobiology of spiritual purpose.

Host: Leslie P. Lundt, MD Guest: Ronald Pies, MD Studies have shown that often the first and even second and third antidepressants do not adequately treat depression in our patients. What strategies can we use to treat the difficult to treat patients? Dr. Ronald Pies shares with host Dr. Leslie Lundt the lessons he has learned from consulting with the most treatment refractory patients.

Host: Leslie P. Lundt, MD Guest: Ronald Pies, MD Psychiatrist Prakash Masand has been quoted as saying, “The difference between a good clinician and a great clinician is that a great clinician is better at managing side effects”. How can we improve our psychotropic side effect management? Dr. Ronald Pies discusses important tips on how to treat the most common psychotropic side effects.

Host: Leslie P. Lundt, MD Guest: David Muzina, MD For most of us, the possibility that patients may kill themselves is the most emotionally wrenching part of treating psychiatric disorders. Having at one’s fingertips a practical approach to suicide assessment is mandatory for all clinicians. Dr. David Muzina from the Cleveland Clinic outlines the B-SAFE plan for host Dr. Leslie Lundt.

Host: Renee Matthews, MD Guest: Ian Smith, MD In this segment, Dr. Ian Smith discusses his career as a medical correspondent.

Host: Renee Matthews, MD Guest: Ian Smith, MD In this segment, Dr. Ian Smith discussed his 50 million pound challenge for the African American community to improve their health.

Host: Susan Dolan, RN, JD Guest: Beth Tarini, MD. MS Dr. Beth A. Tarini, clinical lecturer in the Child Health Evaluation and Research Unit at the University of Michigan C.S. Mott Children's Hospital in Ann Arbor, discusses the application of tandem mass spectrometry in newborn screening with host Susan Dolan.

Host: Susan Dolan, RN, JD Guest: Beth Tarini, MD. MS Hear Dr. Beth A. Tarini, clinical lecturer in the Child Health Evaluation and Research Unit at the University of Michigan's C.S. Mott Children's Hospital in Ann Arbor, Michigan, as she discusses with host Susan Dolan the past, present and future of newborn screening.

Host: Susan Dolan, RN, JD Guest: Nathan Kottkamp, JD Hear healthcare attorney Nathan A. Kottkamp from McGuireWoods law firm in Richmond, Virginia, as he discusses the importance of the advance care planning process.

Host: Susan Dolan, RN, JD Guest: Nathan Kottkamp, JD Hear healthcare attorney Nathan A. Kottkamp with the law firm McGuireWoods in Richmond, Virginia, as he discusses National Healthcare Decisions Day 2008.

Host: Susan Dolan, RN, JD Guest: James Saxton, JD Attorney James W. Saxton, from Stevens & Lee law firm in Lancaster, Pennsylvania, is a healthcare attorney with over 25 years experience defending healthcare professionals. Hear him as he discusses his national Five Star Provider Consulting Program and learn about how "mystery patients" play a role.

Host: Susan Dolan, RN, JD Guest: Bill Colby, JD Hear attorney Bill Colby, National Fellow with the National Hospice and Palliative Care Organization and author of Unplugged: Reclaiming Our Right to Die in America, as he discusses what healthcare issues the Baby Boomers will face at the end-of-life.

Host: Susan Dolan, RN, JD Guest: Bill Colby, JD Hear Bill Colby, the lawyer who represented the family of Nancy Cruzan in the first right-to-die case heard by the U.S. Supreme Court, and the author of Unplugged: Reclaiming Our Right to Die in America, as he offers his best advice regarding end-of-life care.

Host: Susan Dolan, RN, JD Guest: Geoffrey Walford, MD Hear Dr. Geoffrey A. Walford from Harvard Medical School as he discusses symptoms, diagnosis and treatment for male menopause.

Host: Maurice Pickard, MD Guest: Frederick Burkle, Jr., MD, MPH Dr. Frederick Burkle speaks about the indirect deaths that take place in a politically motivated disaster. The lack of data on the number of these lives makes them unseen, uncounted and unnoticed. As indicated by our guest, we must begin to consider that health is the most important foreign policy issue of our times.

Host: Maurice Pickard, MD Guest: Frederick Burkle, Jr., MD, MPH Dr. Frederick Burkle addresses our evaluation of what level of healthcare we would find in Iraq when we invaded in 2003, based on the previous 8-year war with Iran ('80-'88), the Gulf War of '91, and 12 years of sanctions (91-'03 ). The continuing war, the looting of all hospitals and clinics, the inefficiency of the CPA (Coalition fo...

Host: Maurice Pickard, MD Guest: Frederick Burkle, Jr., MD, MPH Dr. Frederick Burkle, first Head of the Ministry of Health, discusses what went wrong in fulfilling our responsibility to provide adequate and sustained healthcare to the Iraqi civilians throughout the American occupation. The interview raises the question of whether the Department of Defense should carry on the war while simultaneous...

Host: Larry Kaskel, MD Guest: Paul Donatio With the looming threat of Medicare and Medicaid payment cuts to physicians, fees from other sources become even more important to a physician's practice. The healthcare industry has traditionally instilled few consequences for patients who pay late or fail to cover uncollectable insurance balances, but times are changing. How can you re-train your patien...

Host: Larry Kaskel, MD Guest: Paul Donatio How well does your medical practice collect fees both from your patients and from 3rd party payers? Can you do better and how much could you really gain by trying? Paul Donatio, of the Greenflag Profit Recovery System from Transworld, joins host Dr. Larry Kaskel to discuss the 'best practices' for payment collection in your medical practice.

Host: Larry Kaskel, MD Guest: Thomas Goetz, MA, MPH What happens to healthcare related scientific studies that don’t get published? Where does this data go? In this segment join host Dr. Larry Kaskel in an in depth discussion about dark scientific data with Deputy Editor of Wired Magazine, Thomas Goetz who recently wrote the article "Freeing the Dark Data of Failed Scientific Experiments"