Clinician's Roundtable

Host: Bruce Japsen Guest: William Jessee, MD The squeeze of reimbursement from private payers and Medicare cuts to doctors are conspiring to take a substantial toll on physician incomes, which in many cases, are not keeping up with inflation. Dr. William Jessee, president and chief executive officer of the Medical Group Management Association (MGMA), details trends in physician practice incomes, a...

Host: Bruce Japsen Guest: William Jessee, MD Administrative burdens and an overload of paperwork have a cumulative effect on a medical group practice. How is a doctor supposed to deal with this so it does not effect patient care? Dr. William Jessee, president and chief executive officer of the Medical Group Management Association, tells Bruce Japsen about new and innovative ways MGMA advises docto...

Host: Mark Nolan Hill, MD Guest: Alan Hemming, MD As we extend the bounds of surgical resection for hepatic malignancies, we overcome previously held limitations of our efforts against liver disease. How do our techniques and theories on hepatic resection also relate back to hepatic transplantation? Are we developing more effective strategies to protect the liver during surgery? Dr. Alan Hemming,...

Host: Mark Nolan Hill, MD Guest: Alan Hemming, MD In recent years, extensive debate has centered around the possibility of further extending the scope of hepatic resection. With research now demonstrating the potential value of extended resection, will more patients be offered this as a treatment option? Are there common complications to consider when evaluating a candidate for this surgery? Dr. A...

Host: Mark Nolan Hill, MD Guest: Alan Hemming, MD For patients with severe hepatic malignancy, attempts to cure their illness are rarely, if ever, successful. We're learning, however, that a more aggressive surgical approach may extend survival rates well beyond those of our previous techniques. Dr. Alan Hemming, professor of surgery and chief of transplantation and hepatobiliary surgery at the Un...

Host: Leslie P. Lundt, MD Guest: Stephen Stahl, MD Regardless of your specialty, Prozac, Zoloft and Paxil have become commonly used and familiar medications. What other medications should we know? Dr. Stephen Stahl, adjunct professor of psychiatry at the University of California at San Diego joins host Dr. Leslie Lundt to tell us what we need to know about antidepressants.

Host: Leslie P. Lundt, MD Guest: Stephen Stahl, MD Last year antipsychotics were one of the more widely sold drugs in the United States. What do we need to know about these medications? Should non-psychiatrists be prescribing them routinely? Dr. Stephen Stahl, internationally recognized clinician, researcher and teacher in psychopharmacology and the author of more than 350 articles and chapters, j...

Host: Leslie P. Lundt, MD Guest: Stephen Stahl, MD In 2000, Dr. Stephen Stahl published what many of us consider to be the definitive text of psychopharmacology. The wait for the third edition is finally over. What has happened in the last 8 years? Dr. Stahl joins host Dr. Leslie Lundt in this informative interview.

Host: Leslie P. Lundt, MD Guest: Mary Roach "Bonk: The Curious Coupling of Science and Sex" was written by Mary Roach and follows the winding history of science and its exploration of human sexuality, going back as far as Aristotle and finally ending with recent discoveries about the origination and anatomy of the female orgasm. In this discussion with host Dr. Leslie Lundt, Roach focuses on femal...

Host: Leslie P. Lundt, MD Guest: Mary Roach Remember the first time you walked into anatomy lab? For many of us, it was a defining moment in our medical careers. Have you ever thought about those cadavers? Has medical training become more sensitive to these brave souls that dedicated their bodies to science? Host Dr. Leslie Lundt welcomes Mary Roach, the acclaimed author of Stiff - The Curious Liv...

Host: Leslie P. Lundt, MD Guest: Samantha Meltzer-Brody, MD, MPH When treating the depressed post-partum woman who is nursing, we have two patients - the depressed woman and her infant. How can we choose the safest medication for both? Dr. Samantha Meltzer-Brody, assistant professor in the department of psychiatry at University of North Carolina at Chapel Hill and the Co-Director of the Perinatal...

Host: Jennifer Shu, MD, FAAP Guest: Ian Williams, PhD Salmonella infections transmitted by food have doubled in the past two decades. What is causing this increase? What foods are primarily to blame? How can physicians identify and treat the condition? Host Dr. Jennifer Shu speaks with Dr. Ian Williams, chief of the Centers for Disease Control and Prevention's OutbreakNet, a network of epidemiolog...

Host: Jennifer Shu, MD, FAAP Guest: Ian Williams, PhD The latest Salmonella concerns mark the United States' worst foodborne outbreak in over a decade. Exactly how are outbreaks of foodborne illness identified? How are specific food products linked to specific illnesses? How can we stop the spread of these outbreaks? Host Dr. Jennifer Shu examines these questions and more with Dr. Ian Williams, ch...

Host: Susan Dolan, RN, JD Guest: Angela Morrow, RN Over 750 topics are listed on About.com. During this segment, hear how Angela Morrow, a certified hospice and palliative care nurse, serves as a Guide for the palliative care site on About.com.

Host: Jennifer Shu, MD, FAAP Guest: Phyllis Kozarsky, MD An estimated 600,000 foreign visitors and athletes are expected to join up to two and a half million domestic volunteers and visitors at the 2008 Beijing Olympics. Patients will be seeking your advice on how to prepare for a safe and healthy visit to China. Dr. Phyllis Kozarsky, an expert consultant in the division of global migration and qu...

Host: Larry Kaskel, MD Guest: Sam Nussbaum, MD What is the value of a subjective patient ranking system? WellPoint's Chief Medical Officer Dr. Samuel Nussbaum joins us to better explain the goals of the physician ranking system that is being developed by Zagat and Wellpoint, Inc. Dr. Nussbaum says we should carefully distinguish between the technical quality of care and the office experience. The...

Host: Larry Kaskel, MD Guest: Seth Baum, MD What does it take to develop a new product? How about an evidence based vitamin line? Today's guest, Cardiologist Dr. Seth Baum, was frustrated with the bags of supplements his patients would bring to him. They were taking too many supplements and not getting the right vitamins and nutrients. In this segment hear about Dr. Baum's experience developing a...

Host: Susan Dolan, RN, JD Guest: Andrea Higham What is the #1 most trusted profession? For that matter, which professions rank #2 through #5? Tune in as host Susan Dolan interviews Andrea Higham, Director of the Johnson & Johnson Campaign for Nursing's Future, on this interesting subject.

Host: Susan Dolan, RN, JD Guest: Andrea Higham The Johnson & Johnson Campaign for Nursing's Future is a multi-year, 50-million dollar national initiative with an ambitious slate of goals: enhance the image of the nursing profession, recruit new nurses and nursing faculty, and help retain practicing nurses. Campaign Director Andrea Higham provides details and describes the impact of this multi-...

Host: Susan Dolan, RN, JD Guest: Andrea Kronman, MD, MSc Dr. Andrea Kronman is an attending physician at Boston University Medical Center and the lead author of the Journal of General Internal Medicine article titled, "Can Primary Care Visits Reduce Hospital Utilization Among Medicare Beneficiaries at the End of Life?" Hear Dr. Kronman as she discusses her research involving the effect of primary...

Host: Lee Freedman, MD Guest: Brian Lawenda, MD For our patients undergoing cancer treatment, what role do antioxidant substances play? Further, should we encourage or actively discourage these patients from taking them? Dr. Brian Lawenda, assistant professor of radiation oncology at the Indiana University School of Medicine, discusses the rationale for and against the use of antioxidants in patie...

Host: Bill Rutenberg, MD Guest: Jane Newburger, MD MPH It's the leading cause of acquired heart disease in children. But pediatricians often face an arduous challenge when trying to confirm a diagnosis of Kawasaki disease. Dr. Jane Newburger, professor of pediatrics at Harvard Medical School and a nationally recognized expert in Kawasaki disease, discusses current clinical criteria for the disease...

Host: Susan Dolan, RN, JD Guest: Suzanne Steinbaum, DO Dr. Suzanne Steinbaum is an attending cardiologist and the Heart and Vascular Institute's director of Women and Heart Disease at Lenox Hospital in New York. Listen in as Dr. Steinbaum discusses a recent study regarding coffee and heart disease. Susan Dolan hosts.

Host: Susan Dolan, RN, JD Guest: James Underberg How do the findings from the Veterans Affairs Diabetes Trail help resolve concerns raised by the ACCORD and ADVANCE studies? Hear Dr. James A. Underberg of New York University School of Medicine as he discusses findings from all three research studies.

Host: Matthew J. Sorrentino, MD, FACC, FASH Guest: Eric Prystowsky, MD How do we decide which patients to convert atrial fibrillation to normal sinus rhythm and which antiarrhythmic medications should we use? Dr. Eric Prystowsky, director of electrophysiology at St. Vincent Hospital in Indianapolis, Indiana, talks with host, Dr. Matthew Sorrentino about a treatment approach to patients with atrial...