Clinician's Roundtable

Host: Maurice Pickard, MD Guest: Mira Milas, MD There are many new techniques to evaluate patients with thyroid and parathyroid disease. Dr. Mira Milas, associate professor at the Institute of Surgery, Endocrinology and Metabolism Institute at Cleveland Clinic Lerner College of Medicine, speaks about the use of ultrasound in thyroid disease detection. She also updates host Dr. Maurice Pickard on t...

Host: Maurice Pickard, MD Guest: Mira Milas, MD Dr. Mira Milas, associate professor of surgery at the Cleveland Clinic Lerner College of Medicine, discusses with host Dr. Maurie Pickard the expanding field of endocrine surgery and how ultrasound and fine needle aspirations have led to successful pre-operative evolutions. Intraoperative parathyroid procedures can help avoid reoperations. In additio...

Host: Maurice Pickard, MD Guest: Robert Klitzman, MD The current research in Huntington's disease still leaves us with more questions than answers. We know the causative gene, identified the proteins involved, and can postulate the mechanisms. Yet despite the universal outcome from this disease, patients may still live much of their adult lives productively, leading to added dfficulty in making li...

Host: Maurice Pickard, MD Guest: Robert Klitzman, MD Dr. Robert Klitzman, Associate Professor of Clinical Psychology at Columbia speaks about the need for more genetic counselors to help with families of Huntington's disease, breast cancer, alpha-1 antitrypsin deficiency and familial polyposis. People can order genetic testing and disease ancestry search directly on the internet. Many physicians h...

Host: Maurice Pickard, MD Guest: Robert Klitzman, MD Dr. Robert Klitzman, associate professor of clinical psychology at Columbia University, discusses how to prepare patients and their families to deal with the complex issues that arise in families that have inherited Huntington's disease. Join host Dr. Maurice Pickard for this important discussion.

Host: Larry Kaskel, MD Guest: Marcy Zwelling, MD In 2004 Dr. Zwelling-Aamot dramatically reduced the size of her practice, adopting the concierge model in order to provide a higher level of access and attention to a smaller number of patients. Host Dr. Larry Kaskel speaks with Dr. Aamot about the failings of the current healthcare system in the United States and the decision to convert her practic...

Host: Larry Kaskel, MD Guest: Steven Knope, MD One of the leading pioneers and innovators in concierge medicine, Dr. Steven Knope discusses how the concierge medicine practice model is a solution to the failing health care system in the United States. Dr. Knope opened one of the nation's first concierge medical practices and discusses why the arrangement is the perfect resource for practitioners a...

Host: Larry Kaskel, MD Guest: Renu Virmani, MD Drug-eluting stents or bare metal stents: can pathology research give us a clearer picture? An internationally recognized cardiopathologist, Dr. Renu Virmani, sorts through what we know and what don’t know about drug-eluting stents with host Dr. Larry Kaskel. According to Dr. Virmani, the long-term outlook for stents is quite good, with key improvemen...

Host: Larry Kaskel, MD Guest: Renu Virmani, MD What does pathological data tell us about vulnerable plaque and how can we detect it before it’s too late? Join internationally recognized cardio pathologist, Dr. Renu Virmani talking about what she has discovered in the path lab about patients who have died from plaque rupture. She discusses with Dr. Kaskel the variations in soft and hard plaque, the...

Host: Larry Kaskel, MD Guest: Mark Willenbring, MD What is the one screening question you can ask your patient to identify if they have a drinking problem? What solutions can you offer as a general physician, outside of counseling programs to help your patient stop drinking? What pharmalogical options are on the market to help patients stop drinking? Do they work? Dr. Mark Willenbring, director of...

Host: Larry Kaskel, MD Guest: Mark Willenbring, MD Given the pervasiveness of alcohol use disorders (AUDs) in the United States, Dr. Mark Willenbring says, “we need to be intervening at a much earlier stage and providing treatment to a much broader range of people then we currently do.” Dr. Willenbring, director of the National Institute on Alcohol Abuse and Alcoholism's Division of Treatment and...

Understanding the unique stressors of growing up in today’s world is an important part of treating children and adolescents. One of the most challenging events that our children endure is the college application process. Competition for spots at top colleges is at an all-time high. How does this affect our children and their families? Author of Fat Envelope Frenzy, Former Assistant Director of Adm...

Host: Leslie P. Lundt, MD Guest: James Welker, DO The time to first antibiotic dose in patients with community-acquired pneumonia is a core quality measure by which hospitals and physicians are evaluated. Might this time pressure have a negative effect on the accuracy of diagnosis of pneumonia? Dr. James Welker, the Director of the Franklin Square Clinical Research Center, joins host Dr. Leslie Lu...

Host: Leslie P. Lundt, MD Guest: Leon Sloman, MD Dr. Leon Sloman has developed a new comprehensive evolutionary model of depression and anxiety which may prompt a radically new approach to psychotherapy. He joins host Dr. Leslie Lundt to discuss IDS – the involuntary defeat strategy.

Host: Leslie P. Lundt, MD Guest: Christine Rosenbloom, PhD Athletes, always looking for an edge, are experimenting with a litany of products touted as performance enhancers. What are our athletic patients sampling these days? Will these items give them the extra boost they crave? Dr. Christine Rosenbloom, professor of nutrition at the College of Health and Human Sciences at Georgia State Universit...

Host: Leslie P. Lundt, MD Guest: Randall Friese, MD Some complications are so common that we overlook them. The lack of sleep in the ICU is a potent example. Host Dr. Leslie Lundt welcomes Dr. Randall Friese, Assistant Professor of Surgery at University of Texas Southwestern Medical Center in Dallas and author of a recent study on sleep in the ICU.

Host: Leslie P. Lundt, MD Guest: Lori Brotto, PhD How do the age of first sexual intercourse and the emotional aspects of that experience contribute to later adult sexual functioning? Dr. Lori Brotto joins host Dr. Leslie Lundt to discuss her research in this area.

Host: Leslie P. Lundt, MD Guest: Maria Boosalis, PhD, MPH, R.D L.D Selenium functions as a dietary antioxidant and may play a role in many chronic diseases. When should we consider selenium augmentation? Dr. Maria Boosalis joins host Dr. Leslie Lundt to discuss this exciting new area of nutritional research.

Host: Lee Freedman, MD Guest: Antoinette Moran, MD Adult men typically encounter higher cardiovascular risk levels at an earlier age than their gender counterparts. Can this divergence in risk be traced back to childhood? Host Dr. Lee Freedman discusses the surprising results of recent research into cardiovascular concerns among adolescent males with Dr. Antoinette Moran, professor of pediatrics a...

Host: Bruce Japsen Guest: John Crosby, JD What is a D.O.? What is osteopathic medicine? Although it has been around for decades, osteopaths and what they do are often not understood, but osteopathy is a growing field gaining more credibility backed by solid research from John Crosby, executive director of the American Osteopathic Association. He tells the Chicago Tribune's Bruce Japsen about curre...

Host: Bruce Japsen Guest: John Crosby, JD In primary care, the medical home is increasingly becoming a key initiative to transform health care. But how can the medical home become a reality for everyone? John Crosby, executive director of the American Osteopathic Association tells the Chicago Tribune's Bruce Japsen about the role of osteopathic physicians in the medical home model.

Host: Bruce Japsen Guest: John Crosby, JD When it comes to meeting the primary care needs of the U.S. population, it's not just medical doctors that are coming to the rescue in the nation's health care system. The number of osteophathic physicians figures to play a major role in providing primary care to Americans well into the future. John Crosby, executive director of the American Osteopathic As...

Host: Mark Nolan Hill, MD Guest: Craig Nichols, MD Testicular cancer has received significant media attention in recent years, thanks in part to the very public cancer battle of cyclist Lance Armstrong during the late 1990s. The treatment aspect of Armstrong’s spirited and ultimately successful drive to beat cancer was led by Dr. Craig Nichols who, at the time, was a professor of medicine in the d...

Host: Mark Nolan Hill, MD Guest: Craig Nichols, MD When patients think of testicular cancer, they immediately think of two ramifications: the impact on their fertility and on their sexuality. Are these concerns well-founded? How should we counsel our patients on these issues? Dr. Craig Nichols, medical director of lymphoma and testicular cancer research at Providence Portland Medical Center in Por...

Host: Mark Nolan Hill, MD Guest: Craig Nichols, MD Diagnosed in thousands of American men each year, testicular cancer has proven highly sensitive to current treatment regimens. Host Dr. Mark Nolan Hill evaluates the most common therapies for testicular cancer with Dr. Craig Nichols, medical director of lymphoma and testicular cancer research at Providence Portland Medical Center in Portland, Ore....