Clinician's Roundtable

Host: Leslie P. Lundt, MD Guest: Joe Goveas, MD Memory complaints in those of us aged 50 and up are not unusual. How can you determine whether subtle changes are due to normal aging, early dementia or some other medical problem? Dr. Joseph Goveas, assistant professor in the Department of Psychiatry and Behavioral Medicine at the Medical College of Wisconsin joins host Dr. Leslie Lundt to discuss m...

Host: Leslie P. Lundt, MD Guest: Thomas E. Eissenberg, PhD We recognize that tobacco use kills millions of people around the world each year, but most of the available research focuses on cigarette smoking. The scope of tobacco use extends well beyond cigarettes, and includes an upswing in hookah, or water pipe, smoking, which many young people believe is less harmful than other forms of tobacco u...

Host: Leslie P. Lundt, MD Guest: Beth Ann Malow, MD, MS Insomnia is a common sleep concern in children with autism spectrum disorders. As these children often have a complex array of other conditions, hypnotic use can be problematic. Is melatonin a reasonable alternative? Dr. Beth Malow joins host Dr. Leslie Lundt to discuss her research in this area.

Host: Leslie P. Lundt, MD Guest: Robert Rosen, PhD Dr. Robert Rosen was awarded a six-year multi-million dollar grant from the John D. and Catherine T. MacArthur Foundation to study leadership and healthy organizations. Having interviewed more than 250 CEOs and worked with organizations in more than 30 countries, Dr. Rosen says anxiety is a necessary and desirable feature of a successful leader. H...

Host: Larry Kaskel, MD Guest: Jeffrey Gulcher, MD PhD Are we already able to assess our patients accurately for MI risk factors or is there another test that could provide more accuracy? Our guest today, Dr. Jeffrey Gulcher, chief scientific officer and co-founder of deCode Genetics tells host, Dr. Larry Kaskel about deCode MI. Learn how to use and interpret the results of the new decode MI test....

Host: Larry Kaskel, MD Guest: Richard Goode, MD Are your patients' expectations too high? Could docs be at fault for setting those expectations? Dr. Richard Goode, professor of otolaryngology at Stanford University Medical Center, joins host Dr. Larry Kaskel to discuss his recent article, The Unhappy Patient Following Facial Plastic Surgery: What to Do? and analyze why some patients will always be...

Host: Bill Rutenberg, MD Guest: Charles Samenow, MD, MPH Disruptive Physicians: Do you work with one? Do you manage one? What can you do to help a disruptive or "distracted" physician? Our guest Dr. Charles Samenow, instructor in the Department of Psychiatry and Behavioral Sciences at the George Washington University School of Medicine and Health Sciences and co-author of a recent NEJM publication...

Host: Bill Rutenberg, MD Guest: Charles Samenow, MD, MPH How do you define disruptive physician? They are not always the loud, intimidating, abusive physician but also the one unwilling to return phone calls timely or properly chart a case. Dr. Charles Samenow, psychiatrist in the Department of Psychiatry and Behavioral Sciences at George Washington University Medical Faculty Associates joins host...

Host: Maurice Pickard, MD Guest: Stewart Justman, PhD Professor Stewart Justman discusses his new book "Do No Harm" in which the results of finasteride trial that ended in 2003 are looked at again. By reducing the size of the gland, what previously had appeared to be causing increased aggressive cancers may now be called into question. We will have to decide whether a healthy man should take a tre...

Host: Maurice Pickard, MD Guest: Stewart Justman, PhD Professor Stewart Justman discusses his new book "Do No Harm" in which the results of the Prostate Cancer Prevention Trial cause us to reflect on Hippocratic ethical principals of 300BCE in our present practice. Finasteride leaves us with an ambiguity of reducing the incidence of cancer but also associated with a higher rate of aggressive neopl...

Host: Maurice Pickard, MD Dr. William Galanter, assistant professor of pharmacy at University of Illinois College of Medicine, speaks to doctors about the real cost of drug industry lunches and samples. It is time that the government looks at comparative drug efficacy. Also physicians should not have to be confronted by pharmaceutical representatives who know their prescription data. Join Host Mau...

Host: Maurice Pickard, MD Dr. William Galanter, assistant professor of pharmacy at University of Illinois College of Medicine, discusses the ongoing relationship between physicians and drug representatives and how the 19 billion dollars that pharmaceutical companies spend on this "educational/marketing tool" can be used to provide the best and most cost effective care for our patients. Education i...

Host: Mark Nolan Hill, MD Guest: Richard B. Lipton, MD For decades, researchers and medical professionals have pursued a more concrete understanding of migraine headaches. We're still not sure of the origin of migraines, but we may have found a device that minimizes their impact. Dr. Richard Lipton, professor and vice chair of neurology at Albert Einstein College of Medicine, and director of the M...

Host: Mark Nolan Hill, MD Guest: Joel Saper, MD The sources of migraine headaches have long been a mystery in medicine. Over the years, many theories have come and gone, with few enduring leads on this debilitating problem that affects many of our patients. Could finding a new therapy for migraines bring us back to the root cause of this condition? Dr. Joel Saper, director of the Michigan Head Pai...

Host: Bruce Japsen Guest: Vonda Wright, MD As baby boomers age, they develop different medical needs. For our super-active older athletes, commonly known as Masters, the needs can be that much different. Dr. Vonda Wright, director of the Performance and Research Initiative for Masters Athletes at the University of Pittsburgh Medical Center, tells host Bruce Japsen how doctors can benefit by unders...

Host: Mark Nolan Hill, MD Guest: Michael Marin, MD Research data indicates an increasingly significant percentage of all elective aortic aneurysm repairs are endovascular procedures. How are new tools for endovascular repair improving our ability to provide minimally invasive options to our patients? How common are subsequent re-interventions following endovascular repair, and what is the key to f...

Host: Mark Nolan Hill, MD Guest: Michael Marin, MD Techniques for open repair of aortic aneurysms have remained remarkably steady over the past several decades. But with the trend toward minimally-invasive procedures sweeping across medicine, how are advancing techniques in endovascular repair of aortic aneurysms enhancing the standard of care? How do the current success rates for emergent and ele...

Host: Bill Rutenberg, MD Guest: Paul Stricker, MD More and more children are presenting with overuse injuries. What is happening at the cellular level and how do their bodies repair? Dr. Paul Stricker, board certified in both pediatrics and sports medicine joins host Dr. Bill Rutenberg to discuss pediatric overuse injuries. They discuss the need for individual treatment and question the decision t...

Host: Bill Rutenberg, MD Guest: Paul Stricker, MD Is the child uncoordinated and not likely to be good at baseball? Or, might he just be developmentally unable to evaluate a moving object coming at him and catch it in mid air? Our guest, Dr. Paul Stricker, board certified in both pediatrics and sports medicine and author of the recent book, Sports Success RX tells host Dr. Bill Rutenberg that a co...

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Shepard Stone, PA Lisa D'Andrea talks with Shepard Stone, a Physician Associate Anesthesiologist at Yale-New Haven Hospital in Connecticut. He is also an Associate Clinical Professor of Anesthesiology at Yale University School of Medicine. Shepard Stone is one of a very elite group of PAs practicing in the field of Anesthesia today.

Host: Larry Kaskel, MD Guest: Jean Lud Cadet, MD Dr. Jean Lud Cadet, chief of molecular neuropsychiatry at the National Institutes of Health, talks with host Dr. Larry Kaskel about the impacts of marijuana on cardiovascular and neurological systems. According to Dr. Cadet, chronic marijuana users have learning abnormalities. Dr. Cadet presents the findings of two studies and discusses the areas of...

Host: Larry Kaskel, MD Guest: Jean Lud Cadet, MD Dr. Jean Lud Cadet, Chief of Molecular Neuropsychiatry Branch at the National Institutes of Health joins host Dr. Larry Kaskel to explain a recent study in which he and his colleagues studied cardiovascular impacts of heavy marijuana use. What impact does heavy marijuana use have on apolipoprotein C3 (apoC3)? How does this effect triglyceride levels...

Host: Mark Nolan Hill, MD Guest: Marilyn Moffat, PhD Exercise and physical therapy are commonly touted as keys to preventing an array of conditions: heart attack, depression, cancer and more. But how does the exercise equation change once a patient is diagnosed with an illness? How does a patient's perspective on their disease impact their outlook on exercise? Dr. Marilyn Moffat, professor of phys...

Host: Mark Nolan Hill, MD Guest: Marilyn Moffat, PhD We are acutely aware of the value of exercise in maintaining good health. But how do the benefits of exercise and physical therapy apply specifically to patients who are coping with a disease or an illness? Dr. Marilyn Moffat, professor of physical therapy at New York University and an internationally-respected voice in physical therapy, joins h...

Host: Bruce Japsen Guest: Alex Marxer, Mr. Prohibitive costs and lack of health insurance in the United States is leading a rising number of Americans to seek medical care abroad. But what kind of care will they receive in India, Thailand or Mexico, for example, via a company in the medical tourism business? Alex Marxer, co-founder and chief operating officer of the California-based Health Travel...