Clinician's Roundtable

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...

Host: Shira Johnson, MD Guest: Calvin A. Brown III, MD Once the sole domain of anesthesiologists, rapid sequence intubation is now a skill practiced by all emergency department physicians. Dr. Calvin Brown III, attending physician in the emergency department at Brigham and Woman's Hospital in Boston, explains the state of the art in intubation. Dr. Brown is interviewed by Dr. Shira Johnson as he r...

Host: Shira Johnson, MD Guest: Rachel Chin, MD Tattoos and body piercings have been around for hundreds of years. But now they are turning up in your office or your ED. Dr. Rachel Chin is a professor of emergency medicine at the University of California San Francisco School of Medicine. She and Dr. Shira Johnson look at the potential complications you may see and how to treat them.

Host: Mark Nolan Hill, MD Guest: Howard Heit, MD Pain is generally considered to be the most common reason our patients come to see us. Yet it's a phenomenon that we don't fully understand and one that varies widely from patient to patient. With regard to the prescription of potent painkillers like methadone, should the often cryptic nature of pain warrant additional pain management training for p...

Host: Mark Nolan Hill, MD Guest: Howard Heit, MD A drug that first gained prominence as a treatment for heroin addiction, methadone is now more commonly prescribed by medical practitioners for a range of severe pains. Why are we seeing this rise in methadone use? Are we, as prescribers, doing everything we can to understand the pharmacokinetics and pharmacodynamics of methadone, and to ensure that...

Host: Larry Kaskel, MD Guest: Wayne Peters, MD Recent studies indicate that some patients may not obtain the full benefits of aspirin's antiplatelet effects Guest Dr. Wayne Peters discusses with host Dr. Larry Kaskel the benefits of aspirin to prevent and manage heart disease, and the tests available to measure aspirin resistance or platelet function. Dr. Peters outlines the clinical importance of...

Guest: John McConnell, PhD Host: Shira Johnson, MD The reality of the Emergency Medical Treatment and Active Labor Act is that patients can not be turned away. But the economics of providing emergency care to all is overburdening hospital resources. Our guest, healthcare economist specializing in ED care and associate professor of emergency medicine at Oregon Health and Science University, Dr. Joh...

Host: Shira Johnson, MD Guest: John McConnell, PhD The concept of the surgicalist was born of economic and practical necessity. Dr. John McConnell is a health economist and an assistant professor of emergency medicine at Oregon Health and Science University whose research has focused on emergency and trauma care as well as health policy. He is interviewed by Dr. Shira Johnson to discuss how and wh...

Host: Mary Leuchars, MD Guest: Brian Kelly, MD Recent advancements in hip arthroscopy and magnetic resonance imaging have elucidated several sources of non-arthritic hip abnormalities which, if left untreated, could result in chronic disabling symptoms. What are the current indications for hip arthroscopy, and what management issues should clinicians be made aware? Host Dr. Mary Leuchars examines...