Clinician's Roundtable

Host: Leslie P. Lundt, MD Guest: George I. Viamontes, MD, PhD Signal transduction is a key concept in cell and molecular biology. How can understanding this concept help us understand how psychotropics and psychotherapy works? Dr. George Viamontes, author of An Atlas of Neurobiology: How the Brain Creates the Self, joins host Dr. Leslie Lundt to discuss signal transduction.

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Karen Fields, MSPAS, PA-C Few organized exposures to the midlevel practitioner fields currently exist for students considering career paths in medicine. However, some educational leaders are working to increase student awareness nationally. Host Lisa D'Andrea talks with Ms. Karen Fields, physician assistant and the founder of Medical Mentoring, a u...

Host: Jennifer Shu, MD, FAAP Guest: Harry Keyserling, MD A single vaccine is now available for immunization against diphtheria, tetanus, pertussis, polio, and Haemophilus influenzae type b. As we consider offering this to our pediatric patients, what are the vaccine's unique challenges and benefits? How does this combination vaccine compare with other options for immunization? Host Dr. Jennifer Sh...

Host: Jennifer Shu, MD, FAAP Guest: Harry Keyserling, MD Physicians administering rotavirus vaccines to infants now have the choice of two distinct immunizations. How do the two vaccines differ? How effective are these immunizations in preventing rotavirus gastroenteritis infections? How can we decide what to offer our patients? Dr. Harry Keyserling, professor of pediatrics in the division of infe...

Host: Shira Johnson, MD Guest: Mitchell Levy, MD Who delivers the best critical care, the critical care specialist or the physician without those credentials? Dr. Mitchell Levy, Professor of Medicine at Brown Medical School and Medical Director of the Medical Intensive Care Unit at Rhode Island Hospital discusses his recent study on the association between critical care management and patient mort...

Host: Maurice Pickard, MD Guest: Jonathan Kimmelman, PhD What should be done if research subjects become ill from phase 1 clinical trials? Dr. Jonathan Kimmelman, assistant professor of the Biomedical Research unit at McGill University says most programs do not provide health care or compensation from loss of time from work or for pain and suffering. He also tells host Dr. Pickard that data is vie...

Host: Maurice Pickard, MD Guest: Jonathan Kimmelman, PhD Dr. Jonathan Kimmelman, assistant professor of the Biomedical Research unit at McGill University, discusses with host Dr. Maurice Pickard what appears to be a ‘job' that may exploit the underclass in Phase 1 clinical studies. The poor in the studies are less likely to have access to the drugs when approved, which calls the risk/benefit ratio...

Host: Cathleen Margolin, PhD Guest: Andrea Asnes, MD, MSW A patient's palpable anger during a clinical visit can create uniquely challenging situations for the clinician. Whether or not the emotions are justified, how can a practitioner keep their cool and diffuse the tension? Even when proper medicine is practiced, are there certain situations where apologizing is the most effective course of act...

Host: Larry Kaskel, MD Guest: Kerri Remmel, MD, PhD Late in 2007 the University of Louisville began utilizing an RP7 robot system to provide neurology support to surrounding county hospitals without on site neurologists. Dr. Kerri Remmel, interim chair of the Department of Neurology and director of the University of Louisville Stroke Program joins us host Dr. Larry Kaskel to discuss the successes...

Host: Bill Rutenberg, MD Guest: Thomas Saving, PhD "If consumers care about the cost of healthcare, innovations will be directed at making things less costly," says guest Dr. Thomas Saving, the director of the Private Enterprise Research Center at Texas A&M University about how to fund healthcare. In this segment, Dr. Saving discusses with host Dr. Bill Rutenberg how Medicare can pay for itsel...

Host: Mark Nolan Hill, MD Guest: Beverly Green, MD, MPH By the year 2025, it is predicted that more than 1.5 billion people around the world will have hypertension, accounting for nearly half of heart disease risk and three-quarters of stroke risk. With new Web-based technologies emerging as potential treatment options, how will we change our approach to care? How might these programs impact the t...

Host: Mark Nolan Hill, MD Guest: Beverly Green, MD, MPH The Internet plays such an integral role in so many of our lives, it's only natural to consider expanding its position in medicine. This process is underway, and moving rapidly in some areas, with the first large-scale, randomized clinical trial probing web-based hypertension interventions. How can we, as clinicians, adapt to new digital mech...

Host: Mark Nolan Hill, MD Guest: Beverly Green, MD, MPH For each 10 millimeter drop toward normal systolic blood pressure, research tells us that heart disease mortality risk drops by an average of 30 percent. New internet-based hypertension interventions are proving they could produce this steep, impressive decline. How can these web initiatives help our patients take a more active role in their...

Host: Maurice Pickard, MD Guest: Kristine A. Rapp Kristine Rapp, vice president of global ethics & compliance at Hospira, Inc., discusses with host Dr. Maurice Pickard the new PhRMA Code and the significant limitations on gifts to healthcare professionals. The hope is that marketing practices will be held to a higher ethical level.

Host: Michael Greenberg, MD Guest: Rosalie Greenberg, MD There is hope for children with bipolar disorder, says Dr. Rosalie Greenberg, assistant professor of clinical psychiatry at Columbia University School of Physicians and Surgeons, and author of the book, Bipolar Kids: Helping Your Child Find Calm in the Mood Storm . Dr. Greenberg joins host Dr. Michael Greenberg to discuss diagnosis, misdiagn...

Host: Michael Greenberg, MD Guest: Rosalie Greenberg, MD Pediatric bipolar disorder may be more common than our diagnoses indicate. What constitutes a proper diagnosis? Host Dr. Michael Greenberg is joined by Dr. Rosalie Greenberg, assistant professor of clinical psychiatry at Columbia University School of Physicians and Surgeons, and author of the book, Bipolar Kids: Helping Your Child Find Calm...

Host: Matthew J. Sorrentino, MD, FACC, FASH Guest: Michael P. Siegenthaler, MD Dr. Michael Siegenthaler, associate professor of surgery and associate director of the Artificial Heart Program at the University of Pittsburg, will discuss the current state of the art of ventricular assist devices and the artificial heart as an alternative therapy for end stage heart failure patients.

Host: Matthew J. Sorrentino, MD, FACC, FASH Guest: Michael P. Siegenthaler, MD Dr. Michael Siegenthaler, associate professor of surgery at the University of Pittsburgh School of Medicine, describes the Impella 2.5 system: a percutaneously-placed ventricular-assist device, now approved for high risk coronary interventions, that has earned the moniker, 'world's smallest heart pump.' Dr. Matthew Sorr...

Host: Bill Rutenberg, MD Guest: Sarah de Ferranti, MD, MPH The American Academy of Pediatrics Report on Lipid Screening and Cardiovascular Health in Childhood, published in July 2008, triggered extensive discussion and debate among pediatricians. Dr. Sarah de Ferranti, director of the Preventive Cardiology Clinic at the Children's Hospital in Boston, shares her interpretation of the report and its...

Host: Maurice Pickard, MD Guest: Stefan J. Friedrichsdorf, MD, PhD Dr. Stefan Friedrichsdorf, medical director of the Pain and Palliative Care Program at Children's Hospitals and Clinics of Minnesota, discusses a range of topics within the field of pediatric palliative care. In contrast to the expected standard of care for adults, many children with life-limiting and terminal diseases receive infe...

Host: Bill Rutenberg, MD Guest: Heidi Feldman, MD, PhD "White matter of the brain is particularly more susceptible to injury after a premature delivery," explains Dr. Heidi Feldman, professor of developmental and behavioral medicine at Stanford University School of Medicine. Dr. Feldman and host Dr. Bill Rutenberg discuss neurodevelopmental recovery in preemies, as well as children with other brai...

Host: Bill Rutenberg, MD Guest: Heidi Feldman, MD, PhD Much is invested to bring premature infants to the point of hospital discharge. However, there is an extreme drop-off in services after the infant is released from the hospital. This is a very important area for preventative healthcares and should be conceptualized as a chronic condition says our guest, Dr. Heidi Feldman, professor of developm...

Host: Jennifer Shu, MD, FAAP Guest: Jatinder Bhatia, MD Although breast milk is the ideal source of nutrition for children under 12 months, most babies receive infant formula at some point during the first year. With dozens of formulas on the market, making a choice can be confusing for parents and for physicians as well. Dr. Jatinder Bhatia, professor and chair of neonatology at the Medical Colle...

Host: Jennifer Shu, MD, FAAP Guest: Jatinder Bhatia, MD Guest: Darshak Sanghavi, MD It's the leading cause of death and morbidity in American adults, but the cardiovascular disease process may begin in childhood. A new clinical report from the American Academy of Pediatrics (AAP) recommends some children as young as age 8 should receive pharmacologic treatment for dyslipidemia. The recommendations...

Host: Bruce Japsen Guest: William Jessee, MD Should doctors also be running their own practices? Dr. William Jessee, president and chief executive officer of the Medical Group Management Association, tells Bruce Japsen about how a team approach between doctor and administrator may be in order to improve the patients' experience, boost doctor revenue and help foster more consumer-friendly medicine.