Clinician's Roundtable

Host: Mary Leuchars, MD Guest: Brian Kelly, MD In sports medicine, the hip has traditionally received less attention from physicians than other joints. What are the types of non-arthritic hip pain that clinicians need to recognize in order to make accurate diagnoses for both recreational and professional athletes? Dr. Brian Kelly, assistant professor of orthopedic surgery at the Weill Medical Coll...

Host: Mary Leuchars, MD Guest: Scott Rodeo, MD What are the latest research and treatment modalities orthopedic surgeons use for meniscus-deficient patients? Dr. Scott Rodeo, professor of orthopedic surgery at Weill Cornell Medical College in New York and co-chief of the Sports Medicine and Shoulder Service at the Hospital for Special Surgery, discusses synthetic meniscal replacement in the knee j...

Host: Maurice Pickard, MD Guest: Thomas Barr Graboys, MD Dr. Thomas Graboys, professor of medicine at Harvard Medical School and president emeritus of Lown Cardiovascular Research Foundation in Brookline, Massachusetts, discusses his new book Life in the Balance: a Physician's Memoir of Life, Love and Loss with Parkinson's Disease and Dementia . Dr. Graboys talks to host Dr. Maurice Pickard about...

Host: Larry Kaskel, MD Guest: Kathleen Franco, MD Imagine being told on the first day of medical school that your graduate education would be at no charge. You may think this is impossible unless you are a student at The Cleveland Clinic Lerner College of Medicine of Case Western Reserve University. Dr Kathleen Franco, associate dean for Admissions, explains to host Dr. Larry Kaskel the decision o...

Host: Leslie P. Lundt, MD Guest: Larry Young, PhD Autism has garnered much attention in recent years. One of the most interesting areas of research is the exploration of oxytocin. Could it improve social interaction? Dr. Larry Young, the William P. Timmie Professor at the Center for Behavioral Neuroscience and the Department of Psychiatry at the Emory University School of Medicine, outlines his la...

Host: Leslie P. Lundt, MD Guest: Stephen Ross, MD Ketamine is a schedule III drug with a long history as an anesthetic. It also is a well-known club drug in the party circuit. How can it be that it has anti-addictive properties and might it be useful to treat alcoholism? Dr. Stephen Ross, director of the Division of Alcoholism & Drug Abuse at Bellevue Hospital in New York, joins host Dr. Lesli...

Host: Leslie P. Lundt, MD Guest: Joe Sam Robinson Jr., MD In 1999 the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) declared pain the fifth vital sign. Chronic pain affects more people than diabetes, heart disease and cancer combined. Has there been any real improvement in identifying and treating pain since the JCAHO edict? Join us to hear from neurosurgeon Dr. Joe Sam...

Host: Leslie P. Lundt, MD Guest: Marc Galanter, MD Medicine and spirituality have always been linked, we have struggled as a profession with how to introduce spirituality and religion into the general hospital setting. Host Dr. Leslie Lundt discusses such a program with Dr. Mark Galanter, professor of psychiatry at New York University School of Medicine, and author of Spirituality and the Healthy...

Host: Leslie P. Lundt, MD Guest: Alan Astrow, MD All the technology and advances in medical science hasn't changed the most difficult thing we do as physicians - relay emotionally charged diagnostic and prognostic information to our patients. How can we do a better job? Communication skills do not automatically improve with increasing physician experience. Dr. Alan Astrow, the director of the divi...

Host: Michael Epstein, MD Guest: Peter Adamson, MD In all fields of medicine, we have all encountered patients who are ultra-challenging to manage. There can be those who can find dissatisfaction in any outcome that isn't ‘perfect,' according to their standards. There are others who have seen a series of healthcare providers who, despite their efforts, haven't been able to meet their needs and req...

Host: Michael Epstein, MD Guest: Peter Adamson, MD Avoiding potential problem patients in cosmetic surgery: It's a concern that many practitioners face on a regular basis, reminding us of the importance of patient selection and informed consent. How can we minimize the number of problem patients in our practice, and how can we limit the influence of those who are already in our practice? On the fl...

Host: Michael Epstein, MD Guest: Peter Adamson, MD There may be many reasons for a patient to consider elective aesthetic surgery, but whatever the reason, they are often linked to the patient's expectations for the surgical outcome. While we know that most patients maintain a reasonable outlook for their care, how can we work to maintain an affable relationship with those who have unrealistic pos...

Host: Mark Nolan Hill, MD Guest: David Felson, MD, MPH A patient in your office describes the knee pain they have been feeling for an extended period of time. The MRI that you order on their knee reveals meniscal damage. New research is telling us that meniscal tears may be more common than we realize, and further, raises questions as to whether the meniscal tear is really the source of your patie...

Host: Mark Nolan Hill, MD Guest: David Felson, MD, MPH Despite previous evidence to suggest that arthroscopic surgery does not improve symptoms associated with osteoarthritis of the knee, the procedure continues to be a common treatment for arthritis. Now, novel data is backing up this earlier research on arthroscopy. Going forward, how will this development impact practice? Host Dr. Mark Nolan Hi...

Host: Bruce Japsen Guest: Kurt Mosley It seems fewer and fewer physicians want to go into internal medicine, with a recent study showing only two percent of 4th-year medical students elect to enter this field. Kurt Mosley, Vice President of Business Development for Merritt, Hawkins & Associates, the largest physician search and consulting firm in the country with more than two decades in the b...

Host: Bruce Japsen Guest: Kurt Mosley More than 90 percent of new physicians coming into the job market received at least 10 job solicitations and face a much different employment dynamic than older doctors. Kurt Mosley, vice president of business development for Merritt, Hawkins & Associates, the largest physician search and consulting firm in the country, tells the Chicago Tribune 's Bruce J...

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Carolyn Zaumeyer, NP, RN Carolyn Zaumeyer, a nurse practitioner, discusses with host Lisa D'Andrea the key barriers for a nurse practitioner to establish an independent practice. The nurse practitioner must ensure the practice structure and operations are in compliance with the applicable laws. Ms. Zaumeyer also highlights the importance of establi...

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Carolyn Zaumeyer, NP, RN Carolyn Zaumeyer, a nurse practitioner, discusses with host Lisa D'Andrea the key factors to evaluate and analyze when starting an independent practice. Ms. Zaumeyer also provides guidance on establishing competitive charges for services, a relationship with a supervising physician, defining one's scope of practice, and the...

Host: Larry Kaskel, MD Guest: Donald Patrick, MD, JD Medical license applications have jumped 58% since Texas approved tort reform legislation that limited non-economic damages in medical liability cases to $250,000 among other provisions. Dr. Donald Patrick, JD, the former executive director of the Texas Medical Board discusses with host Dr. Larry Kaskel the key elements of the legislation and th...

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Jay Fotland, NP, RN With a focus on wellness rather than illness, Jay Fotland opened a healthcare clinic that offers flat fee health memberships to patients. Host Dr. Lisa D'Andrea discusses with guest Jay Fotland, a nurse practitioner, the low-cost business model that Mr. Fotland developed as a means to reduce the red tape associated with the heal...

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Sue Kling-Colson, PA-C Hyperglycemia in critically ill patients increases the risk factor for inpatient morbidity and mortality. Host Lisa D'Andrea explores with guest Sue Kling-Colson, a physician assistant at the University of Michigan Health System, the intensive insulin protocols established for managing hyperglycemic inpatients. Ms. Colson out...

Host: Leslie P. Lundt, MD Guest: Deirdre Conroy, PhD From alcohol to nicotine to prescription opioids, most substances of abuse can create sleep disturbances that continue even into abstinence. Untreated sleep disturbance can be a significant relapse trigger. Yet, most FDA-approved hypnotics are controlled substances. How can you break the cycle of insomnia in patients with addictive disease? Dr....

Host: Leslie P. Lundt, MD Guest: Deirdre Conroy, PhD Substance abuse and subsequent withdrawal can lead to sleep disturbances. How do you evaluate the substance abuser with sleep difficulties? Dr. Deirdre Conroy, clinical assistant professor of psychiatry at the University of Michigan, joins host Dr. Leslie Lundt to discuss the complex interaction between sleep and substance abuse.

Host: Bruce Japsen Guest: Gerald Bernstein, MD Diabetes has become such a worldwide epidemic that some are turning to over-the-counter products as a way to help patients with this disease that has afflicted nearly 24 million in the U.S. alone. Dr. Gerald Bernstein, the vice president of medical affairs at Generex, a biotech company based in Toronto, tells host Bruce Japsen about nutritional produc...

Host: Lee Freedman, MD Guest: Allison Aiello, PhD, MS Dr. Allison Aiello discusses the possiblity that the use of common household products such as soaps and surface cleaners are be promoting bacterial resistance. Should we be telling our patients to avoid the use of certain products so that they not subject themselves to infection with resistant organisms? What products might pose a risk? What is...