Clinician's Roundtable

Host: Mary Leuchars, MD Guest: Peter Baquie, MD Dr. Mary Leuchars is joined by guest Dr. Peter Baquie, Medical Director for the 2008 Australian Olympic Team. They will discuss unique measures being undertaken by the Australian medical personnel to protect the health of elite athletes abroad. What are some of the challenges inherent in overseeing the "medical home" of a traveling team, or in tendin...

Host: Mary Leuchars, MD Guest: Ken Fitch, MD Dr. Mary Leuchars is joined by guest Dr. Ken Fitch, past-Chairperson of the Australian Olympic Committee's Medical Commission and current member of the Medical Commission of the International Olympic Committee. The topic is asthma in elite athletes, and Dr. Fitch shares insights on how the Australian Olympic team's physicians assess, treat, and prepare...

Host: Mary Leuchars, MD Guest: Ken Fitch, MD Host Dr. Mary Leuchars speaks with Dr. Ken Fitch, past-Chairperson of the Australian Olympic Committee's Medical Commission and current member of the Medical Commission of the International Olympic Committee. Their topic of conversation is sports medicine and the differences in clinical care of athletes between American and Australian health systems. Th...

Host: Maurice Pickard, MD Guest: Arlin Rogers, PhD Arlin Rogers, PhD, chief of comparative pathology at the Massachusetts Institute of Technology, details a new genome study which is helping to explain why men are saddled with liver cancer more often than their gender counterparts. Dr. Rogers aims to raise awareness for the influence of hepatitis B and C, and the role of an important cell mediator...

Host: Bill Rutenberg, MD Guest: Geoffrey Joyce, PhD The individual's healthcare in the last 12 months of life costs about 25% of total healthcare costs for that person's life. Should policy makers’ better control end-of-life costs? This is just one of many questions addressed in this segment about weighing the effectiveness of treatment vs. cost. Join us as host Dr. Bill Rutenberg interviews Senio...

Host: Matthew J. Sorrentino, MD, FACC, FASH Guest: Joseph Hill, MD, PhD Dr. Joseph Hill, Chief of the Division of Cardiology at the University of Texas Southwestern Medical Center, talks to host Dr. Matthew Sorrentino about the changes that occur in the myocardium when the heart begins to fail. They explore more specifically autophagy, a new concept of cardiac remodeling that may be both beneficia...

Host: Bruce Japsen Guest: Samantha Collier, MD Quality measurement is becoming more known with grades of hospitals, nursing homes and doctor groups becoming more prevalent. But how about prescription drugs? Dr. Samantha Collier, the chief medical officer of HealthGrades, one of the nation’s largest independent healthcare ratings companies, tells the Chicago Tribune's Bruce Japsen about ranking pre...

Host: Bruce Japsen Guest: Samantha Collier, MD Everybody from the government to large employers are getting in the business of quality measurement. But what does one of the major commercial enterprises involved in health grades think of this movement? Dr. Samantha Collier, chief medical officer of HealthGrades, tells the Chicago Tribune's Bruce Japsen how one of the nation’s largest independent he...

Host: Mark Nolan Hill, MD Guest: Richard Salvi, PhD Dr. Richard Salvi, professor in the department of communicative disorders and sciences, and director of the Center for Hearing Deafness at the State University of New York at Buffalo School of Medicine, outlines potentially fertile areas of research in our pursuit of more effective treatment regimens for tinnitus with host Dr. Mark Nolan Hill. We...

Host: Mark Nolan Hill, MD Guest: Richard Salvi, PhD Major advances in tinnitus research are making investigators very optimistic about our ability to treat the condition now and in the future. What are the most effective therapeutic measures for tinnitus? What are the specific mechanisms behind our various treatment options? Dr. Richard Salvi, professor in the department of communicative disorders...

Host: Mark Nolan Hill, MD Guest: Richard Salvi, PhD We're learning more about tinnitus at a steady clip, as researchers use newer imaging modalities to help us understand the origin of the condition, and consider lifestyle and behavioral modifications that may limit its effects. Host Dr. Mark Nolan Hill explores the main causes of tinnitus with Dr. Richard Salvi, professor in the department of com...

Host: Mark Nolan Hill, MD Guest: Richard Salvi, PhD A neurological condition that can be highly distressing, tinnitus affects as much as fifteen percent of our population, according to some surveys. How should medical professionals counsel their patients on this condition? Are we moving closer to understanding the basic triggers of tinnitus? Dr. Richard Salvi, professor in the department of commun...

Host: Susan Dolan, RN, JD Guest: Steve McKee Hear Steve McKee, author of the book, My Father's Heart: A Son's Journey , as he discusses why it was so difficult for him to make the decision to take a statin for his heart disease.

Host: Susan Dolan, RN, JD Guest: Steve McKee Steve McKee's paternal grandfather died of a heart attack at age 53, his father died of a heart attack at age 50 and he discovered he had heart disease at the age of 52. Hear author Steve McKee as he discusses his experience with heart disease in his book, My Father's Heart: A Son's Journey .

Host: Susan Dolan, RN, JD Guest: Suzanne Clough, MD Dr. Suzanne Sysko Clough is the Chief Medical Officer of WellDoc Communications, a technology based healthcare company located in Baltimore, Maryland. Hear Dr. Clough as she discusses how the WellDoc cell phone-based technology helps patients manage their diabetes.

Host: Bill Rutenberg, MD Guest: Mitchel Berger, MD Malignant Glioma: A diagnosis your patient wants do not want to receive. As their primary physician what more can you tell your patient? What does the latest research indicate about the pathobiology of Gliomas? In this segment our guest Dr. Mitchel Berger, Professor and Chair of Neurological Surgery at the University of California, San Francisco,...

Host: Bill Rutenberg, MD Guest: Richard Rosenfeld, MD Dr. Richard Rosenfeld, professor of otolaryngology at the State University of New York Health Sciences Center, joins host Dr. Bill Rutenberg for an in-depth discussion of the current guidelines for the management of sinusitis. Dr. Rosenfeld discusses current criteria for evidence-based diagnosis and recommended treatment.

Host: Bill Rutenberg, MD Guest: Richard Rosenfeld, MD Dr. Richard Rosenfeld, professor of otolaryngology at the State University of New York Health Sciences Center, joins host Dr. Bill Rutenberg for an insightful discussion of the current care guidelines for pediatric otitis media. Dr. Rosenfeld addresses difficulty and necessity of accurate diagnosis in order to safely apply "watchful waiting" as...

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...