Clinician's Roundtable

Host: Mary Leuchars, MD Guest: Christine Ren, MD Surgical weight loss: what are the recent advances in this exploding field, and what can patients expect from today's evolving procedures? Joining host Dr. Mary Leuchars to speak on bariatric surgery's emergence and development in practice is Dr. Christine Ren, founder and director of the NYU Program for Surgical Weight Loss and assistant professor...

Host: Shira Johnson, MD Guest: Scott E. Rudkin, MD, MBA Do you understand the financial impact of the on-call crisis and how it affects the emergency department? Dr. Scott Rudkin, associate professor of emergency medicine in the department of emergency medicine at the University of California, Irvine School of Medicine explains his research findings about the on-call crisis as well as solutions ex...

Host: Shira Johnson, MD Guest: Scott E. Rudkin, MD, MBA Who will be there to take call in your emergency department? Dr Scott Rudkin associate professor of emergency medicine at the University of California, Irvine School of Medicine, is interviewed by Dr. Shira Johnson to discuss the on-call crises which may be impacting your emergency department. Dr. Rudkin discusses the instrumental causes whic...

Host: Larry Kaskel, MD Guest: Brian Rank, MD Executive physicals are marketed widely as the ultimate medical checkups for discerning consumers. Dr. Brian Rank, the medical director of HealthPartners Medical Group and Clinics of Minnesota, discusses with host Dr. Larry Kaskel the basis for his belief that the popularity of executive physicals isn't good for medicine or the patients who undergo them...

Host: Larry Kaskel, MD Guest: Theodore Eisenberg, JD According to the results of a recent study, the use of statins for primary prevention in women is not supported by clinical-trial data. Theodore Eisenberg, a law professor at Cornell University, discusses the scope of the meta-analyses of the primary prevention clinical statin trial, and the conclusion, which found no statistically significant e...

Host: Larry Kaskel, MD Guest: Neal Goldstein, JD On October 30, 2008, the Centers for Medicare & Medicaid Services (CMS) published the 2009 Physician Fee Schedule, which includes revisions to the Stark regulations that tighten the prohibition on physician referrals and the anti-markup rules for diagnostic testing. Attorney Neal Goldstein explains that the changes made by CMS are an attempt to...

Host: Leslie P. Lundt, MD Guest: Edward Shorter, PhD Recently-trained physicians may consider barbiturates and tricyclic antidepressants footnotes in history. But have they dismissed the most effective therapeutics in psychiatry? Dr. Edward Shorter, professor of psychiatry and the Hannah Chair in the History of Medicine and at the University of Toronto, joins host Dr. Leslie Lundt to talk about th...

Host: Leslie P. Lundt, MD Guest: David R. Spiegel, MD Patients who are not forthcoming about their alcohol history jeopardize our ability to provide the best possible clinical care. Many instruments such as the CAGE rely only on the patient's self-report. Luckily, we have several biomarkers to assist us. How and when to use which test? Dr. David Spiegel, associate professor of clinical psychiatry...

Host: Leslie P. Lundt, MD Guest: Christopher Drake, PhD Can cardiovascular stress research teach us anything about insomnia? Dr. Christopher Drake, assistant professor of psychiatry and behavioral neurosciences at the Wayne State University School of Medicine in Detroit and a bioscientific staff investigator at the Henry Ford Hospital Sleep Disorders and Research Center joins host Dr. Leslie Lundt...

Host: Mary Leuchars, MD Guest: Daniel Alford, MD, MPH Treating pain is rarely an absolute science, and where opioid use is concerned, it is never risk-free for patients. How can physicians safely prescribe opioids for chronic pain, and what are the risks of addiction? Dr. Daniel Alford, associate professor of medicine and director of Chief Resident Immersion Training in Addiction Medicine section...

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: William Leinweber, MBA Chief executive officer of the American Academy of Physician Assistants, Bill Leinweber, discusses the developments and goals of the organization with host Lisa D'Andrea Lenell. Mr. Leinweber highlights the professional responsibilities of physician assistants, the need to ensure physician assistants fill the increasing deman...

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Vic Germino, PA-C Guest Vic Germino, a member of the 1961 first graduating class of the physician assistant program established at Duke University, discusses the history of the profession with host Lisa D'Andrea Lenell. Mr. Germino explains how Dr. Eugene Stead, Jr., then chairman of the department of medicine at Duke University, conceived of the p...

Host: Bruce Bloom, DDS, JD Guest: Yuri Danilov, PhD Patients with brain damage can learn to see and balance through sensory substitution using the tongue. Join host Dr. Bruce Bloom for a fascinating look into new research with Dr. Yuri Danilov, senior scientist at the Tactile Communication & Neurorehabilitation Laboratory at the University of Wisconsin-Madison. A new understanding of the anato...

Host: Susan Dolan, RN, JD Guest: Sue Ann Thomas, PhD, RN Should terminally ill patients have implantable cardioverter defribrillators (ICDs)? Join Dr. Sue Thomas, assistant dean for PhD studies and professor at the University of Maryland School of Nursing, as she discusses the implications of ICDs for terminally ill patients. Dr. Thomas tells host Susan Dolan how the ICDs is deactivated. They also...

Host: Susan Dolan, RN, JD Guest: Sue Ann Thomas, PhD, RN What is the psychological impact of having an ICD? Dr. Sue Thomas, assistant dean for PhD studies and professor at the University of Maryland School of Nursing, shares her research as principal investigator on the PRHAT trial, in which she investigated long-term changes in anxiety and depression amongst patients post-MI. Dr. Thomas also outl...

Host: Shira Johnson, MD Guest: Trevor Duke, MD In 2000 the UN developed the Millennium Developmental Goals and the fourth goal is to reduce child mortality by 2015. Dr. Trevor Duke is head of the Centre for International Child Health in Australia and collaborates with the World Health Organization to meet this goal. He is interviewed by Dr. Shira Johnson to discuss the mammoth task of reducing ped...

Host: Shira Johnson, MD Guest: Trevor Duke, MD A simple medical device such as an oxygen saturation monitor can make all the difference in a developing country. Dr. Trevor Duke, an intensive care specialist at Royal Children's Hospital in Melbourne, Australia, talks about his study which reduced the death rate from pneumonia in New Guinea by measuring oxygen saturation and administrating oxygen th...

Host: Larry Kaskel, MD Guest: William Jessee, MD Each year the Medical Group Management Association produces a report on practice operating costs and profitability. Dr. Larry Kaskel discusses the most recent results with Dr. William Jessee, president of Medical Group Management Association. The critical finding is that practice-operating costs are increasing at a higher rate than practice revenue...

Guest: Caleb Alexander, MD Out-of -pocket costs account for approximately one fifth of healthcare expenditures. Dr Caleb Alexander,an assistant professor of medicine at the University of Chicago, discusses with host Larry Kaskel, MD, the findings of his recent study that focused on patient-physician communications regarding out-of-pockets costs for outpatient treatment. An unfortunate finding is t...

Host: Jennifer Shu, MD, FAAP Guest: Andrew Muir, MD Type 1 diabetes has long been considered a disease of childhood and adolescence. However, current research suggests that infant nutrition, in addition to genetics and other factors early in life, can significantly impact a child's risk for developing the condition later in life. How can we identify children at risk for Type 1 diabetes, and what c...

Host: Maurice Pickard, MD Guest: Alexia Torke, MD, MS Dr. Alexia Torke, assistant professor of medicine at Indiana University, discusses how standard bioethical approaches with surrogates do not often match what actually happens at the bedside. Physicians use their clinical judgement and what they feel is right for the incompetent patient in determining a course of action. Much can be done to esta...

Host: Bruce Japsen Guest: Maureen Corry, Ms. New data suggests that nearly one in five women suffers postraumatic stress following labor and delivery; however, the postpartum experience of new mothers runs the gamut, oftentimes meaning little or no support. Maureen Corry, executive director of the Childbirth Connection, tells host Bruce Japsen of the Chicago Tribune about issues facing these women...

Host: Cathleen Margolin, PhD Guest: Helen Mayberg, MD Standard treatments for depression are effective in providing relief in most cases. However, some individuals suffer from depression that does not diminish despite adequate trials of antidepressants, psychotherapy and even electroconvulsive therapy. There is new hope for those suffering from treatment-resistant depression in the form of deep br...

Host: Cathleen Margolin, PhD Guest: Helen Mayberg, MD Dr. Helen Mayberg, professor of psychiatry and neurology at Emory University School of Medicine, joins host Dr. Cathleen Margolin to discuss neural network models of depression. Sharing more than two decades of work in this area, Dr. Mayberg explains how models of mood regulation have led to the development of a new intervention for treatment-r...

Host: Shira Johnson, MD Guest: Christopher B. Colwell, MD Evidence-based medicine has changed resuscitation in the field and in the emergency department. Dr. Christopher Colwell, associate director of emergency medicine at Denver Health Medical Center and medical director of the Denver Paramedic Division and the Denver Fire Department, reviews what what we know now about pre-hospital care. He disc...