Clinician's Roundtable

Host: Leslie P. Lundt, MD Guest: Alan Astrow, MD Breaking difficult news to patients is something that, as doctors, we have to do. Are there approaches that make it easier and clearer for the patient? In this segment, Dr. Alan Astrow, director of the division of hematology and medical oncology at Maimonides Cancer Center in New York City, joins host Dr. Leslie Lundt to discuss specific case exampl...

Host: Leslie P. Lundt, MD Guest: David Spiegel, MD Several studies have found that over half of all physicians have used placebos in their practice. Is there scientific validity to the prescribing of placebos? Dr. David Speigel, associate chairman of the department of psychiatry and behavioral sciences at the Stanford University School of Medicine, joins host Dr. Leslie Lundt to review the science...

Host: Larry Kaskel, MD Guest: John Sweet, MBA Medical office buildings are a safe and stable bet for some real estate investors. John Sweet, a managing director at the Ziegler Healthcare Real Estate Fund, discusses the ins and outs of medical real estate. Mr. Sweet highlights the impact of the current economic climate on the healthcare industry, and the benefits of medical properties. Tune in to h...

Host: Shira Johnson, MD Guest: Marianne Gaushe-Hill, MD EMS care has advanced since the first ambulances scooped a patient up and ran to the hospital. But is it time to go back to BLS? Dr Marianne Gauche-Hill, Director of EMS at UCLA Harbor and Professor of Medicine at UCLA, discusses research from Canada and the US showing that for certain diagnosis, EMS should not continue ACLS at the scene. Joi...

Host: Shira Johnson, MD Guest: Marianne Gaushe-Hill, MD When should your emergency medical services unit be transporting instead of treating? Dr. Marianne Gauche-Hill, professor of medicine at the David Geffen School of Medicine at UCLA and director of EMS at Harbor-UCLA Medical Center, reveals recent studies in the literature showing that less treatment may be more efficacious. Join Dr. Shira Joh...

Host: Bruce Japsen Guest: Philip Newbold Innovation. It's important to change healthcare. But is there an innovator in everyone? Philip Newbold, president and chief executive of Memorial Hospital and Health System in South Bend, Indiana, tells host Bruce Japsen how we can find the innovator in each of us and how this could lead to improvements in medicine and the patient's healthcare experience.

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Anita Duhl Glicken, MSW Anita Glicken, professor of pediatrics and section head of the Child Health Associate/Physician Assistant program at University of Colorado at Denver Health Sciences Center, discusses the scope and admission requirements of this unique physician assistant program. Ms. Glicken explains how the program was started over 30 year...

Host: Shira Johnson, MD Guest: Art Kellerman, MD The emergency department is at the interface between the community and the healthcare system. What impacts the emergency department impacts us all. Dr. Art Kellerman, professor of emergency medicine at Emory University, discusses the challenges facing American healthcare and the groundwork for changing the practice of emergency medicine. As associat...

Host: Shira Johnson, MD Guest: Art Kellerman, MD In a chaotic and uncontrolled environment, the emergency department is taking the lead in clinical research. Dr. Art Kellerman, professor of emergency medicine at Emory University, discusses how clinical trials performed in this challenging environment are shaping the future of the ED and of medicine. Dr. Shira Johnson hosts as Dr. Kellerman discuss...

Host: Lee Freedman, MD Guest: Frederick Vivino, MD Sjogren's syndrome is a commonly overlooked autoimmune disorder. Dry eyes and whole-body dryness are just two of the symptoms of Sjogren's syndrome that can suggest other conditions as well. How does Sjogren's present itself beyond dry eyes, and how severe is the condition? Dr. Frederick Vivino, clinical associate professor of medicine at the Univ...

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: James Jones, PhD, APA-C Captain James Jones, program manager of the Army's Interservice Physician Assistant Program, discusses with host Lisa D'Andrea Lenell the role of the physician assistant on the battlefield. Captain Jones describes the specialized training provided to physician assistants and the team approach employed by the military which u...

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: James Jones, PhD, APA-C The Army offers well qualified officers, enlisted soldiers, and cadets an incredible educational opportunity to become a physician assistant (PA) through the Interservice Physician Assistant Program (IPAP), located at the AMEDD Center & School, Fort Sam in Houston, Texas. Cpt. James J. Jones, program manager of the IPAP...

Host: Lee Freedman, MD Guest: Daniel Munoz, MD, MPA Guest: Kenneth Ludmerer, MD The Institute of Medicine recently revised its work schedule recommendations for medical residents, in the wake of increasing concern about errors made related to medical resident fatigue. What are the new recommendations, and will these help enhance the learning environment for residents? Two of the Institute of Medic...

Host: Shira Johnson, MD Guest: Peter DeBlieux, MD Who will benefit most from early intervention and treatment from the 750,000 patients hospitalized with sepsis each year? Dr Peter De Blieux, Pulmonary and Critical Care specialist from the Louisiana State University Health and Science Center, discusses early management and diagnosis including the importance of goal directed therapy. Dr Shira Johns...

Host: Shira Johnson, MD Guest: Peter DeBlieux, MD Sepsis kills 210,000 patients each year. Dr. Peter DeBlieux, professor of medicine at Louisiana State University Health Science Center and director of emergency medicine services at the Medical Center of Louisiana, discusses the latest clinical practice guidelines. He is interviewed by Dr. Shira Johnson about how to improve sepsis mortality with ne...

Host: Michael Greenberg, MD Guest: Jim Withers, MD ' Street medicine ' involves delivering medical care to the unsheltered homeless where they live. How effective is this model? What are its challenges and rewards? Host Dr. Michael Greenberg explores the evolving field of street medicine with Dr. Jim Withers, founder of the non-profit street medicine organization Operation Safety Net in Pittsburgh...

Guest: Craig T. Standen, MBA Craig Standen, senior vice president of Ziegler Healthcare's finance team, reports to host Dr. Larry Kaskel the effects of the capital crunch and sub-prime debacle on hospitals and healthcare systems, and ultimately physicians. Mr. Standen explains how many hospitals and private practices began to depend on cheap credit that is no longer available, and have halted capi...

Host: Maurice Pickard, MD Guest: Donald J. Palmisano, MD JD Dr. Donald Palmisano, past-president of the American Medical Association and professor of surgery and medical jurisprudence at Tulane University School of Medicine, talks about his new book, On Leadership: Essential Principles for Success , and the idea that leadership qualities can be taught. He discusses how and why physicians should ma...

Host: Maurice Pickard, MD Guest: Donald J. Palmisano, MD JD Dr. Donald Palmisano, past-president of the American Medical Association and clinical professor of surgery and medical jurisprudence at Tulane University School of Medicine, discusses his book, On Leadership, Essential Principles for Success which includes lessons about leadership, resiliency and preparedness that come from experiences in...

Host: Matthew J. Sorrentino, MD, FACC, FASH Guest: William S. Weintraub, MD, MACC, FAHA, FESC The COURAGE trial showed no substantial difference in cardiovascular outcomes among patients who received either optimal medical therapy or optimal therapy plus a percutaneous intervention. Dr. William Weintraub, professor of medicine at Chrisitana Care Health System in Newark, Delaware, describes his cos...

Host: Matthew J. Sorrentino, MD, FACC, FASH Guest: William S. Weintraub, MD, MACC, FAHA, FESC The COURAGE trial suggested that optimal medical therapy and angioplasty are equivalent in reducing major cardiovascular events for patients with coronary artery disease. Dr. William Weintraub, the John H. Ammon Chair of Cardiology and director of the Center for Outcomes Research at the Christiana Care He...

Host: Bruce Japsen Guest: Maureen Corry, Ms. There is a national consensus on standards for perinatal care, but what does that mean and how did these come about? Maureen Corry, executive director of the ChildBirth Connection tells host Bruce Japsen of the Chicago Tribune about coming changes in perinatal standards at hospitals and how these measures should lead to improvements and provide consumer...

Host: Bruce Japsen Guest: Maureen Corry, Ms. The National Quality Forum has endorsed 17 perinatal standards to measure and improve quality of care. Maureen Corry, executive director of the Childbirth Connection, talks with host Bruce Japsen of the Chicago Tribune about these coming measures and what they will mean to child-birthing families and their physicians.

Host: Michael Kotzen, DPM Guest: Jack Morgan, DPM What are the latest trends in surgical treatment options available for patients suffering from recurrent heel pain, and how have podiatrists evolved in practice to manage the myriad of heel problems? Dr. Jack Morgan, attending staff member at the Los Angeles USC Medical Center and fellow of the American College of Foot and Ankle Surgeons, outlines...

Host: Michael Kotzen, DPM Guest: Ronald Lepow, DPM Most of us will have walked the equivilent of three times around the world in our lifetimes. Taking into account that 75% of the population suffers foot problems at least once, the importance of taking care of our feet and ankles cannot be overstated. Dr. Ronald Lepow, past president of the American Podiatric Medical Association and the only Ameri...