Clinician's Roundtable

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...

Host: Jennifer Shu, MD, FAAP Guest: Jay Berkelhamer, MD The medical community provides a vital public health service when we vaccinate our patients. However, this practice is often a money-losing proposition for us, as evidenced by the many primary care physicians who are discontinuing immunizations in their practice. What can physicians, vaccine manufacturers and insurers do to improve the curren...

Host: Leslie P. Lundt, MD Guest: Will Parsons, MD, PhD The complete genetic blueprint for two of the deadliest cancers, pancreatic and brain cancer, was recently deciphered by a team at the Johns Hopkins Kimmel Cancer Center. Understanding the molecular mechanisms of these cancers can help us develop new therapeutic modalities. In this segment, Dr. Will Parsons, one of the trial investigators, joi...

Host: Jennifer Shu, MD, FAAP Guest: Young-Shin Kim, MD, PhD, MPH, MS Roughly one-third of children in the United States are involved in bullying, either as the bully, as the victim, or on both sides of the confrontation. What interventions can be taken that recognize patterns which lead to this all-too-common part of childhood, and that also work to prevent and combat its occurrence? Further, what...

Host: Maurice Pickard, MD Guest: Lisa A. Jackson, MD, MPH Do influenza vaccines for the elderly really make a difference? Dr. Lisa Jackson, research professor of epidemiology at the University of Washington and senior investigator at The Center for Health Studies in Seattle, Washington calls into question previous documentation of reducing deaths and hospitalizations in the elderly from flu vaccin...

Host: Bruce Bloom, DDS, JD Guest: David J. Kuter, MD Platelets have a unique regulatory system in the body that does not respond well to increased or decreased production or destruction. Join guest Dr. David J. Kuter, director of hematology at Massachusetts General Hospital in Boston as he tells host Dr. Bruce Bloom about new findings concerning the platelet regulatory molecule thrombopoietin that...

Host: Bruce Bloom, DDS, JD Guest: David J. Kuter, MD New drug therapies have just become available for the rare disease Idiopathic Thrombocytopenic Purpura or ITP. Join our guest Dr. David J. Kuter, director of hematology, at Massachusetts General Hospital in Boston to explain the development of romiplostim and other ITP drugs and what clinical impact they are having. Hosted by Dr. Bruce Bloom

Host: Bill Rutenberg, MD Guest: John Ruge, MD Successful brain surgery correlates with the amount of tumor removed. What if the neurosurgeon could visualize the tumor in situ during the operation? Join host, Dr. Bill Rutenberg, and his guest Dr. John Ruge, associate professor of neurosurgery at Rush Medical College and director of the Midwest Children's Brain Tumor Center. Dr. Ruge will discuss th...

Host: Maurice Pickard, MD Guest: James Webster, MD Despite dramatic improvement in American health and life expectancy over the past several decades, racial and ethnic minorities have not benefited equally from this progress. Dr. James Webster, professor of medicine at Northwestern University's Feinberg School of Medicine, and president of the Chicago Board of Health, discusses how improving cultu...

Host: Bruce Bloom, DDS, JD Guest: Thomas Seyfried, PhD We almost always cure mice of cancer, but the same treatment often fails in humans. Is the problem the mouse model? Join host Dr. Bruce Bloom, and his guest, Dr. Thomas Seyfried, professor of biology at Boston College and associate editor of the J ournal of Nutrition and Metabolism , as they review the first mouse model that manifests all the...

Host: Leslie P. Lundt, MD Guest: David Servan-Schreiber, MD, PhD How much do nutrition, environmental factors, exercise, and psychoneuroimmunology play role in helping your patients prevent and manage cancer? Dr. David Servan-Schreiber, clinical professor of psychiatry at the University of Pittsburgh School of Medicine and cofounder of the Center for Integrative Medicine, joins host Dr. Leslie Lun...

Host: Leslie P. Lundt, MD Guest: Aaron Gibson, PharmD In an ideal world, evidence-based medicine and thoughtful clinical research might guide our every treatment decision. But the body of research is sparse on combination therapy for schizophrenia. When is it logical to combine antipsychotics? Dr. Aaron Gibson, assistant professor in the college of pharmacy at the University of New Mexico, joins h...

Host: Leslie P. Lundt, MD Guest: Eva Schernhammer, MD, DrPH Physicians' suicide rates are often reported as higher than the general population or of other academics. Dr. Eva Schernhammer, assistant professor of medicine at the Harvard Medical School and assistant professor of epidemiology at the Harvard School of Public Health, discusses her research into physician suicide with host Dr. Leslie Lun...

Host: Leslie P. Lundt, MD Guest: Katharina Manassis, MD Children with the common presentation of both anxiety disorders and ADHD require a four-pronged treatment approach. What are the mainstays of treatment? Host Dr. Leslie Lundt welcomes Dr. Katharina Manassis, associate professor in the department of psychiatry at the University of Toronto, to discuss how to treat children with both ADHD and an...

Host: Leslie P. Lundt, MD Guest: Robert E. Bristow, MD According to the American Cancer Society, over 21,000 new cases of ovarian cancer are diagnosed each year with 15,000 more women dying annually. What are the recent developments in research to improve these odds? Dr. Robert Bristow, the director of the Kelly Gynecologic Oncology Service and the Johns Hopkins Ovarian Cancer Center of Excellence...

Host: Matthew J. Sorrentino, MD, FACC, FASH Guest: Jeanne Poole, MD Patients with advanced heart failure are at increased risk for sudden cardiac arrest, but many of them are not receiving ICD therapy. Dr. Jeanne Poole, professor of medicine and cardiology at the University of Washington, Seattle, will review with host Dr. Matthew Sorrentino the indications for ICD therapy in patients with congest...

Host: Matthew J. Sorrentino, MD, FACC, FASH Guest: Jeanne Poole, MD Recent studies show that patients who receive an ICD shock, either appropriately or inappropriately, have a higher risk of death. Dr. Jeanne Poole, professor of Medicine and Cardiology at the University of Washington, Seattle shares with host, Dr. Matthew Sorrentino the prognostic importance of defibrillator shocks in patients wit...

Host: Cathleen Margolin, PhD Guest: Steven Garlow, MD, PhD Host Dr. Cathleen Margolin interviews Dr. Steven Garlow of Emory University School of Medicine about his recently published article in the Journal of American College Health . Dr. Garlow and colleagues studied an interactive web-based method of outreach to college students at risk for suicide.