Preventive Medicine: Recent Episodes
ReachMD
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Samuel Muench, MD
With colorectal cancer screening rates still falling short of national goals, new strategies are gaining attention—particularly blood-based tests. A recent modeling study compared this emerging tool to other options like stool-based testing and colonoscopy, exploring its potential as a colorectal cancer screening method and barriers to its adoption. Joining Dr. Charles Turck to break down the study and discuss the role of blood-based screening tests in shaping the colorectal cancer screening landscape is Dr. Samuel Muench. Dr. Muench is a board-certified and fellowship-trained gastroenterologist at Capital Digestive Care in Washington, DC.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Brennan Spiegel, MD, MSHS
With colorectal cancer screening rates still lagging, blood-based liquid biopsy tests are emerging as a promising strategy to improve adherence, especially among those reluctant to undergo traditional screening methods. However, these tests come with some challenges that may limit their real-world effectiveness. Joining Dr. Charles Turck to discuss these potential benefits and barriers is Dr. Brennan Spiegel, a Professor of Medicine in Public Health and the Director of Health Services Research at Cedar-Sinai in Los Angeles.
Host: Brian P. McDonough, MD, FAAFP
Guest: Carolyn Rutter, PhD
Guest: Gloria Coronado, PhD
Colorectal cancer screening strategies have significantly evolved in recent years, with noninvasive options like stool and blood-based tests explored for their potential to boost adherence. Drs. Gloria Coronado and Carolyn Rutter join Dr. Brian McDonough to evaluate how these methods compare to traditional colonoscopy in terms of cost-effectiveness, accessibility, and their ability to overcome screening barriers, particularly in underserved populations. Dr. Coronado is a Professor of Epidemiology and the Associate Director of Population Science for the University of Arizona Cancer Center, and Dr. Rutter is a Professor in the Biostatistics Program and Principal Investigator for a Cancer Intervention and Surveillance Modeling Network team at Fred Hutchinson Cancer Center.
Host: Peter Buch, MD, FACG, AGAF, FACP
Guest: Aasma Shaukat, MD, MPH
While fecal immunochemical testing and multitarget stool DNA testing are commonly used to screen for colon cancer, screening rates remain low throughout the United States. With the introduction of blood-based testing modalities, noninvasive colon cancer screening is becoming more accessible than ever. Join host Dr. Peter Buch and Dr. Aasma Shaukat as they discuss the effectiveness of current and emerging methods as well as best practices for screening patients. Dr. Shaukat is the Robert M. and Mary H. Glickman Professor of Medicine at the NYU Grossman School of Medicine and the Co-Director of Translational Research, Education, and Careers and the Director of Outcomes Research in the Division of Gastroenterology and Hepatology at NYU.
Host: Brian P. McDonough, MD, FAAFP
Guest: Stefan Gravenstein, MD, MPH
Guest: David Canaday, MD
COVID-19 could have potential long-term impacts on young and adult patients, including those who experience mild or moderate symptoms. Getting vaccinated could help prevent those long-term effects. So to learn more, join Dr. Brian McDonough as he speaks with Dr. Stefan Gravenstein, Professor of Geriatric Medicine at Brown University in Providence, Rhode Island, and Dr. David Canaday, Professor in the Division of Infectious Diseases and HIV Medicine in the School of Medicine at Case Western Reserve University in Cleveland, Ohio.
Host: Brian P. McDonough, MD, FAAFP
Guest: Laura Knockel, PharmD, BCACP
Patients 65 and older, as well as adults living with comorbidities, could be at a higher risk of getting respiratory viruses. Taking preventative measures before and during the season and educating patients on staying healthy during that season is crucial. To learn more, join Dr. Brian McDonough as he takes a deep dive with Dr. Laura Knockel, Clinical Associate Professor at the University of Iowa College of Pharmacy and Ambulatory Care Clinical Pharmacist at the University of Iowa Hospitals and Clinics.
Host: Brian P. McDonough, MD, FAAFP
Guest: Georges Benjamin, MD
It’s clear that COVID-19 is here to stay, so teaching patients how to stay healthy while protecting those around them is essential. Fortunately, enormous progress has been made since the pandemic began with vaccines, antiviral agents, vaccinators, and testing, so how can we continue to protect ourselves and others? Join Dr. Brian McDonough as he walks through what you need to know with Dr. Georges Benjamin, Executive Director of the American Public Health Association and Board-Certified in Internal Medicine.
Host: Andrea Singer, MD, FACP, CCD
Guest: Paul A. Anderson, MD
Guest: Susan V. Bukata, MD, FAOA, FAAOS
Since the recording of this CME activity, the following updates have been published:
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NAMS Position Statement on the Management of Osteoporosis in Postmenopausal Women
- Menopause. 2021;28(9):973-997.
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Consensus Statement from the Bone Health and Osteoporosis Foundation, formerly known as the National Osteoporosis Foundation
- The Clinician’s Guide to Prevention and Treatment of Osteoporosis. Osteoporosis Int. 2022;33(10):2049-2102.
While there’s growing awareness among orthopedic surgeons that osteoporosis is the underlying cause of fractures, there is often a disconnect between this recognition and action in the form of treatment to prevent subsequent fractures. In this discussion, Drs. Andrea Singer, Paul Anderson, and Susan Bukata address the pathophysiology of osteoporosis and the need to identify patients at risk for additional fractures. Osteoporosis treatment (including pharmacotherapy) can play a critical role in preventing future fractures, but physicians must first recognize that fracture is a sentinel event and treat it as a call to action.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Nick Kusnezov, MD
Can you balance locum tenens with a full-time career? To answer that question, Dr. Charles Turck is joined by board-certified orthopedic surgeon, Dr. Nicholas Kusnezov, to walk us through his journey from joining the military to locum tenens.
Host: Jennifer Caudle, DO
Guest: Roni Devlin, MD
As rates of burnout continue to rise in the healthcare community, how can help our female physicians combat it? Dr. Jennifer Caudle joins Infectious Disease Specialist, Dr. Roni Devlin, to discuss how we can prevent burnout for female physicians.
Host: Mary Katherine Cheeley, PharmD, BCPS, CLS, FNLA
Guest: Charles P. Vega, MD
We now have evidence-based options to reduce atherosclerotic cardiovascular disease (ASCVD) event burden beyond any previously available therapy. A pragmatic approach that addresses residual cardiovascular (CV) risk across a variety of risk factors and that goes beyond LDL-C lowering therapies is needed to optimally manage patients with or at high risk of ASCVD. Pharmacists treating these patients require review of recent data and guidelines so they can incorporate these findings into clinical practice. Join us to ensure you’re keeping up with the science and giving your patients the best care.
Host: Paul P. Doghramji, MD, FAAFP
Guest: Samantha Conroy, MD
Locum tenens can improve quality of care around the globe—especially in remote and underserved communities. To share how, Dr. Paul Doghramji joins Dr. Samantha Conroy, a family practice obstetrician to share her experiences working as a locum tenens obstetrician in underserved communities.
Host: Jennifer Caudle, DO
Guest: Maurice G. Sholas, MD, PhD
After years of serving the New Orleans community, one physician decided to pursue locum tenens work. Dr. Jennifer Caudle joins Dr. Maurice Sholas, a pediatric physical rehabilitation physician, to share his experiences with locum tenens and in New Orleans.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Trevor Cabrera, MD
What’s it like becoming a locum tenens physician right out of residency? Dr. Charles Turck joins Dr. Trevor Cabrera, a Board-Certified pediatrician who trained in Houston, Texas, to share his firsthand experience and offer advice for residents.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Trevor Cabrera, MD
What’s it like becoming a locum tenens physician right out of residency? Dr. Charles Turck joins Dr. Trevor Cabrera, a Board-Certified pediatrician who trained in Houston, Texas, to share his firsthand experience and offer advice for residents.
Host: Eugene E. Wright, Jr., MD
Guest: Jolanta Małyszko, MD, PhD
Guest: María José Soler, MD, PhD
Achieving optimal outcomes when treating patients with chronic kidney disease (CKD) in type 2 diabetes (T2D) remains a challenge due to the multidisciplinary response needed to prevent progressive renal dysfunction. Low screening rates and underdiagnosis impede early interventions. On the other hand, early diagnosis and regular screening of CKD in T2D set the stage for clinicians to optimize drug therapy to prevent progression to end-stage renal disease while aggressively managing comorbid T2D and other CKD risk factors.
Host: John J. Russell, MD
Guest: Joseph E. Bavaria, MD
Featuring a wide range of disciplines and a new approach to comprehensive care, what do we need to know about the Aorta Center at Penn Medicine? Dr. John Russell is joined by Dr. Joseph E. Bavaria to dive into this aortic program and discuss a new approach to comprehensive care.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Kathryn Gallagher, MS, RN, BSN
Guest: Kate Newcomb-DeSanto, MSN, RN, MSW
What does Penn Medicine’s newly-opened patient room facility have to offer? Dr. Charles Turck is joined by Penn Medicine Clinical Advisors Kathy Gallagher and Kate Newcomb-DeSanto to discuss the new pavilion and how it's revolutionizing patient care.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Laila Woc-Colburn, MD, DTM&H, FACP, FIDSA
What are some ways we can better care for our patients prior to starting biologic therapy? Dr. Charles Turck joins Dr. Laila Woc-Colburn from the Emory University School of Medicine to discuss ways to improve safety for patients with tuberculosis.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Sandy Marks
Guest: Kim Horvath, JD
Guest: Kyle Thomson, JD
With telehealth services expanding during the COVID-19 pandemic, has our access to them changed? To better understand this, Dr. Charles Turck meets with Sandy Marks, Kim Horvath, and Kyle Thomson from the AMA to explore what’s been done to provide Medicare coverage during a public health emergency and what’s on the horizon for telehealth access.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Emily Carroll, JD, MSW
The No Surprises Act aims to protect consumers from surprise medical bills. But how exactly does it go about doing that, and what’s the current status of its implementation? Joining Dr. Charles Turck to share progress and challenges associated with the No Surprises Act is Ms. Emily Carroll, a senior legislative attorney for the American Medical Association's Advocacy Resource Center.
Host: Jennifer Caudle, DO
Guest: Sarah Ali, MD
From working in a big city to taking on an assignment in a small mountain village, Dr. Sarah Ali from the Ventura County Medical Center joins Dr. Jennifer Caudle to talk about her adventures abroad with locum tenens and share key lessons she learned along the way.
Guest: Peter Goadsby, MD, PhD, DSc
Guest: Kathleen B. Mullin, MD
Women with migraine have unique needs that often remain undermanaged. Have you taken a critical look at the standard of care and how current treatment strategies have recently shifted? Groundbreaking research on the calcitonin gene-related peptide (CGRP) pathway has led to the development of new medications that act on the specific cascade of inflammatory response associated with migraine. Also called gepants, the CGRP receptor antagonists confer clinical benefit to patients who seek better control of their migraines.
Tune in to this Women’s Health 2021 program to hear our experts, Drs. Peter Goadsby and Kathleen Mullin, discuss the diagnosis of migraine with a focus on the recent evolution of acute and preventive treatment strategies and the role of gepants. Are you doing all you can to ensure that your patients’ needs are optimally addressed?
Guest: Banu Arun, MD
Here to give highlights from the “Finetuning Risk Assessment and Risk Reduction” session at the 2021 San Antonio Breast Cancer Symposium (SABCS) is Dr. Banu Arun, Professor of Breast Medical Oncology at the University of Texas MD Anderson Cancer Center and Executive Director of Cancer Genetics for the MD Anderson Cancer Networks.
Host: Alan S. Brown, MD, FACC, FAHA, FNLA
Guest: Sheng Xu, PhD
Sheng Xu, Professor of Nanoengineering, Bioengineering, Computer and Electrical Engineering at the UC San Diego Jacobs School of Engineering, meets with Dr. Alan Brown to discuss his innovative technology to change the way we predict cardiovascular risks.
Host: Andrea Singer, MD, FACP, CCD
Guest: Paul A. Anderson, MD
Guest: Susan V. Bukata, MD, FAOA, FAAOS
While there’s growing awareness among orthopedic surgeons that osteoporosis is the underlying cause of fractures, there is often a disconnect between this recognition and action in the form of treatment to prevent subsequent fractures. In this discussion, Drs. Andrea Singer, Paul Anderson, and Susan Bukata address the pathophysiology of osteoporosis and the need to identify patients at risk for additional fractures. Osteoporosis treatment (including pharmacotherapy) can play a critical role in preventing future fractures, but physicians must first recognize that fracture is a sentinel event and treat it as a call to action.
Host: Paul P. Doghramji, MD, FAAFP
Guest: Mojgan Saber, MD
Can Locum Tenens be an option for healthcare professionals just completing their residency? Dr. Paul Doghramji is joined by Dr. Mojgan Saber to share her own experience as well as tips and tricks for residents looking at Locum Tenens right after residency.
Host: Brooke M. Faught, DNP, WHNP-BC,NCMP, IF
Our patients express a number of misperceptions about combined hormonal non-LARC contraceptives such as the contraceptive patch, vaginal rings, and oral contraceptive pills. How well do you explain the advantages and disadvantages of these different options to your patients? How often have you prescribed what appeared to be a good contraceptive method for your patients only to have them be dissatisfied and become nonadherent?
Join Dr. Brooke Faught in this Women’s Health 2021 lecture as she tackles these issues and offers insights into how to discuss the full range of combined hormonal non-LARC contraceptive options with your patients using shared decision-making strategies. Remember, each patient’s needs, goals, and cultural background are important factors in a patient-centric approach to the choice of contraception.
Host: Charles P. Vega, MD
Guest: Lionel Phillips, MBA
Learn why diversity in clinical trials is so important to community health. Two experts discuss the key role that trusted messengers play in enrollment, why it is critical to break the cycle of medical mistrust, and the downstream effect of a lack of diversity in clinical trials.
Host: Charles P. Vega, MD
Guest: Robert O. Roswell, MD, FACC, FACP
Diversifying our physician workforce so that it is more racially, ethnically, and geographically balanced can ultimately have a positive impact on community health. Join us as two experts discuss how pipeline programs reaching children as early as elementary school can help ensure workplace diversity. Also find out how clinicians can be advocates for their patients by helping to disentangle them from structural inequities and working towards policy changes. There’s a lot than can be done to provide more balanced care, but we need to look beyond simple fixes to the root causes of the issues. So find your bandwidth – that’s what you can do today – and discover why it’s so important to move upstream to solve the problems manifesting downstream.
Guest: Gregory Pokrywka MD, FACP, FNLA, FASPC, NCMP
Guest: Karol Watson, MD, PhD
Join us to discover optimal ways to identify women at risk or with atherosclerotic cardiovascular disease (ASCVD). In this Women’s Health 2021 lecture, our experts, Dr. Gregory Pokrywka and Dr. Karol Watson, dive deeper into evidence-based approaches to assess and manage ASCVD in women. They discuss topics from lifestyle modifications to recent clinical trial data on the use of omega-3 fatty acids for ASCVD event reduction.
Host: Charles P. Vega, MD
Guest: Sateria Venable
Regional healthcare disparities are biases that are based on where people live. Are your patients’ treatment options being impacted and limited by their geographical location? Join us as our two experts discuss how to support broader policy issues and highlight the importance of diagnostic algorithms that have been developed with diverse input. These steps may be of value in your clinical practice to ensure all patients have equal access to care regardless of their epidemiologic, socioeconomic, or insurance circumstances.
Host: Charles P. Vega, MD
Guest: Candice Taylor Lucas, MD, MPH, FAAP
What is cultural humility, and how can it be incorporated into clinical practice? How does your patient's culture impact their health behaviors, and why does your culture matter?
Listen in as two leading experts navigate concerns surrounding cultural humility and emphasize the importance of empathy, awareness, and advocacy. Discover ways to integrate small but important changes into your clinical practice to help bridge communication gaps and enable your patients to thrive.
Host: Hector O. Chapa, MD, FACOG
Guest: Julio M. Jimenez
While many practicing physicians are aware of Mendelian genetics, epigenetics is a much more complicated field of study. What can this field of genetics tell us about chronic health conditions? Dr. Hector Chapa joins Dr. Julio Jimenez, a licensed chiropractic doctor, to discuss the importance of understanding epigenetics.
Host: Erin D. Michos, MD, MHS, FACC, FAHA, FASE
Guest: James A. Underberg, MD
Guest: Nathan D. Wong, PhD, MPH
This activity is presented by outstanding educators in the field of lipidology and preventive cardiology. Join Drs. Erin D. Michos, James A. Underberg, and Nathan D. Wong for a deep dive into these hot topics: new pathways to manage high risk in ASCVD, differential biological effects of omega-3 fatty acids, and practical considerations to manage ASCVD risk.
Guest: Mary Beth Pfeiffer
With cases being reported in every state and across 80 countries, Lyme disease has become one of the fastest growing vector-borne illnesses in the world. But have you ever wondered how this global health threat came to be? That’s what journalist Mary Beth Pfeiffer investigates in her book, Lyme: The First Epidemic of Climate Change, and with the ReachMD team.
Host: Brian P. McDonough, MD, FAAFP
Guest: Kenneth Davin Fine, MD
Dr. Brian McDonough brings up an age-old question: can listening to music cureyour ailments? In an attempt to put this long-lived discussion to rest, Dr. McDonough welcomes Dr. Kenny Fine, a physician-musician of 15 years.
Host: John J. Russell, MD
Guest: Richard Wender, MD
From oncologists to primary care, physicians are witnessing an alarming trend in younger patients: the rising risk of colorectal cancer. To investigate this growing threat, Dr. John Russell speaks with Dr. Rich Wender, Chief Cancer Control Officer at the American Cancer Society. Dr. Wender discusses the new colorectal cancer screening guidelines set forth and the methods behind the conclusion. While comparing past guidelines, Dr. Wender considers changes in our society and environment that may be contributing to increased cancer risks in younger generations.
For more information and to review the new guidelines, go to cancer.org
Host: John J. Russell, MD
Guest: Paul M. O'Connor
Sodium bicarbonate (more commonly known as baking soda) has been used as a raising agent when baking delicious sweets for years. But as new research suggests, taking a daily dose of baking soda could also be used as a therapeutic agent. Tune in as Dr. John Russell speaks with Dr. Paul O'Connor, Renal Physiologist at the Medical College of Georgia in Augusta, about his recent investigation into how this common household product could treat autoimmune diseases such as rheumatoid arthritis.
Host: Brian P. McDonough, MD, FAAFP
Have we been fed misinformation about how our food choices affect our bodies? Listen in as Dr. Brian McDonough speaks with mythbuster and co-founder of the Florida Wellness Center Dr. Julie Gatza, who proposes a new spin on the most common misconception surrounding healthy eating.
Host: Andrew Wilner, MD, FACP, FAAN
Guest: Lawrence Robbins, MD
With all headache patients being unique, it's important to come up with an individualized treatment plan. But how do you go about doing that?
Joining Dr. Andrew Wilner is Dr. Lawrence Robbins, Director of the Robbins Headache Clinic in Riverwood, Illinois, to discuss the different approaches you can take when selecting acute, preventive, and behavioral therapies for migraine patients.
Host: Brian P. McDonough, MD, FAAFP
With a wide spectrum of symptoms, treating depression often becomes frustrating—not only for the patient, but for the primary care physician as well. Joining Dr. Brian McDonough is Dr. Paul Gross, founder of the TMS Center of Lehigh Valley, to address the difficulties of properly identifying depression. Throughout the discussion, Dr. Green also exposes the impactful therapy Transcranial Magnetic Stimulation (TMS), which has been linked to improving other diseases beyond depression.
Host: Brian P. McDonough, MD, FAAFP
Is it possible that our emotional baggage is undermining our physical health? Dr. Bradley Nelson, holistic doctor and author of The Emotion Code, joins Dr. Brian McDonough to discuss the various impacts that negative emotions can make toward health maintenance and disease prevention.
Host: John J. Russell, MD
Guest: Judd Hollander, MD
In the early 1900s, about 40% of doctor visits were made in a patient’s home. Today, with the rise of telehealth technologies, more than 7 million patients are once again receiving care in the comfort of their own homes.
Join Dr. John Russell as he speaks with Dr. Judd Hollander, Associate Dean for Strategic Health Initiatives at Sidney Kimmel Medical College at Thomas Jefferson University and Professor and Vice Chair of Finance and Healthcare Enterprises in the Department of Emergency Medicine, on the benefits and risks of implementing telemedicine in your practice.
Host: Brian P. McDonough, MD, FAAFP
Guest: John D. Betteridge, MD
Guest: Philip Stein, MD
Guest: Thomas Judge, M.D.
From the ReachMD studios in Fort Washington, Pennsylvania, host Dr. Brian McDonough moderates an expert gastroenterology panel exploring some of the top issues in IBD management: the best time for primary care clinicians to refer patients to GI, challenges to making an early diagnosis, and differences between IBD and IBS.
Panel participants include:
- Dr. John Betteridge, Gastroenterologist at Lancaster General Hospital and Regional Gi Medical Center in Lancaster, PA
- Dr. Tom Judge, Gastroenterologist and Director of the Inflammatory Bowel Disease Center at Cooper University Health Care, and Associate Professor of Medicine at the Cooper Medical School of Rowan University
- Dr. Philip Stein, Pediatric Gastroenterologist at St. Christopher's Hospital and faculty member in the Department of Pediatrics at Drexel University College of Medicine
Host: Robert Frankel, MD
Guest: Neilanjan Nandi, MD
From the ReachMD studios in Fort Washington, Pennsylvania, host Dr. Robert Frankel talks with Dr. Neilanjan Nandi, Assistant Professor in the Division of Gastroenterology & Hepatology and Associate Director of the Gastroenterology Fellowship program at Drexel University College of Medicine. Dr. Nandi shares new insights on how to approach sexual and intimacy issues for IBD patients. Discussion points include quality of life measures, methods for maintaining healthy intimate relationships, respecting boundaries, and top health practitioner resources.
Host: Brian P. McDonough, MD, FAAFP
Guest: Adam Ehrlich, MD, MPH
Guest: John D. Betteridge, MD
From the ReachMD studios in Fort Washington, Pennsylvania, host Dr. Brian McDonough leads an expert panel focusing on preventive care for IBD patients. Joining the expert panel are:
- Dr. Adam C. Ehrlich, Assistant Professor of Medicine at the Lewis Katz School of Medicine at Temple University and Co-Medical Director of the Temple Inflammatory Bowel Disease Program, and
- Dr. John D. Betteridge, Gastroenterologist at Lancaster General Hospital and Regional Gi Medical Center. Drs. Ehrlich and Betteridge discuss the issues surrounding IBD with a focus on preventative care in patients.
Discussion points include micronutrient deficiencies, immunosuppression, methods to maintain a well-balanced nutrient-rich diet, and communication strategies between PCPs and GI specialists to improve patient care.
Host: Kathy King, RDN
Guest: Kristin Kirkpatrick, MS, RDN
Fatty liver disease affects more than thirty percent of Americans, most of whom go undiagnosed due to the typically asymptomatic early stages of the disease.
Joining Dr. Kathy King is Dr. Kristin Kirkpatrick, author of Skinny Liver and Lead Dietitian at the Cleveland Clinic Wellness Institute. From diagnosis to long-term effects, Dr. Kirkpatrick discusses how fatty liver disease has become an epidemic among the American population and the role of nutrition and lifestyle guidelines.
Host: Barnett Mennen, MD
Guest: Sarah Hallberg, MD
Carbohydrates are our main source of energy and provide important nutrients for good health. However, they are also the main culprit behind elevated blood sugar and are problematic for diabetic patients trying to control their blood sugar levels.
Host Dr. Barry Mennen sits down with Dr. Sarah Hallberg to talk about carbohydrate restriction as a key to successful weight loss programs. She prescribes that adherence to a low-carb, high-fat diet is vital to patients for controlling their diabetes, with the possibility of being able to come off medications over time.
Dr. Sarah Hallberg is the Medical Director at Virta Health and Founder of the Indiana University-Arnett Health Medical Weight Loss Program in Lafayette, Indiana.
Host: Maurice Pickard, MD
Guest: Katherine Baicker
In early 2008, Oregon opened a waiting list lottery for a limited number of spots in its Medicaid program. From the 90,000 people who signed up, the state drew approximately 30,000 names of people who were allowed to apply to its Medicaid program. The results of this lottery have been studied over subsequent years, allowing researchers the ability to analyze the effect of expanding access to public health insurance on health care use and patient outcomes.
Host Dr. Maurice Pickard talks with Katherine Baicker, Dean and the Emmett Dedmon Professor at the Harris School of Public Policy at the University of Chicago. She is one of the leaders of the Oregon Health Insurance Experiment, which investigated the effects of the Oregon Medicaid lottery. They discuss some of the conclusions from this study, including how a person’s increased exposure to health care through insurance coverage appears to produce significant, multifaceted, and nuanced benefits to one's health.
Host: Jennifer Caudle, DO
Guest: Karol Watson, MD, PhD
Under the 2017 Hypertension Guidelines, 46 percent of U.S. adults have high blood pressure which is up from 32 percent under the old benchmark. This interview covers the key information physicians need to know from the new guidelines in order to improve blood pressure control rates.
Host Dr. Jennifer Caudle is joined by Dr. Karol Watson, an attending cardiologist and a Professor of Medicine/Cardiology at the David Geffen School of Medicine at UCLA. Dr. Watson is a principal investigator for several large National Institutes of Health research studies, including the Diabetes Prevention Program Outcomes Study and the Multi-Ethnic Study of Atherosclerosis. She reacts to the new guidelines and reflects on what these changes could mean to patients.
The American Medical Association's M.A.P. framework and blood pressure improvement program is dedicated to helping health care providers improve blood pressure control in their adult patient populations, and a new AMA resource can help you succeed in Medicare’s Merit-Based Incentive Payment System (MIPS) while you manage and treat high blood pressure. This resource outlines the different measures that relate to hypertension management in each MIPS performance category, potential MIPS score results, and related AMA resources that can help you improve the health of …
Host: Maurice Pickard, MD
Guest: Robert Pearl, MD
Most patients wrongly assume the “best” care is dependent mainly on the newest medications, the most complex treatments, and the smartest doctors. But according to physician and author Dr. Robert Pearl, Americans tend to look for healthcare solutions in the wrong places.
Host Maurice Pickard chats with Dr. Pearl, author of Mistreated: Why We Think We’re Getting Good Health Care—And Why We’re Usually Wrong, about the subconscious misperceptions that have become so commonplace in medicine today. Dr. Pearl explains how modifying the structure, technology, financing, and leadership of American healthcare could radically improve quality outcomes.
Host: Maurice Pickard, MD
Guest: Danielle Ofri, MD
Despite modern medicine’s infatuation with high-tech gadgetry, the single most powerful diagnostic tool is the doctor-patient conversation, which can uncover the lion’s share of illnesses. However, what patients say and what doctors hear are often two vastly different things.
Host Dr. Maurice Pickard chats with Dr. Danielle Ofri, Associate Professor of Medicine at NYU and author of What Patients Say, What Doctors Hear. The two discuss ways in which refocusing conversations between doctors and their patients can lead to better health outcomes.
Host: Brian P. McDonough, MD, FAAFP
Cigarette smoking is one of the leading cause of preventable death in North America, an unfortunate statistic that is rapidly replicating across the rest of the world. The World Health Organization (WHO) predicts based on current trends that cigarette smoking will kill a billion people this century.
But what can be done to reverse this trend?
Host Brian McDonough talks with David Sweanor, Adjunct Professor of Law, and Chair of the advisory committee for the Centre for Health Law, Policy and Ethics, at the University of Ottawa. Mr. Sweanor has been spearheading efforts to reduce cigarette smoking nationally and globally.
Host: Brian P. McDonough, MD, FAAFP
The Mediterranean Diet, rich in plant-based foods, is associated with a variety of health benefits, including a lower incidence of dementia. Extra-virgin olive oil, a specific ingredient used abundantly in this diet, is now speculated to help protect people against cognitive decline.
Host Brian McDonough talks with Domenico Pratico, Professor in the Department of Pharmacology and Microbiology at the Center for Translational Medicine at the Louis Katz School of Medicine at Temple University, about how consumption of olive oil can preserve memory and cognitive ability and potentially reduce the risk of developing Alzheimer's Disease.
Host: John J. Russell, MD
Guest: Timothy Brigham, MD
Physician stress and burnout are reaching epidemic proportions in the United States.
Host, Dr. John Russell talks with Dr. Timothy Brigham, Chief of Staff and Senior Vice President of Education at the Accreditation Council for Graduate Medical Education, about what can be done to ensure work satisfaction and prevent burnout for health care professionals.
Host: Matt Birnholz, MD
Several new screening tests have been developed to help doctors find colorectal cancer early when it's most treatable and can reduce the burden of this disease and the death toll nationwide.
Host Dr. Matt Birnholz chats with Dr. John Kisiel, gastroenterologist and Assistant Professor of Medicine at Mayo Clinic College of Medicine, about new screening guidelines for detecting colorectal cancer.
Host: Brian P. McDonough, MD, FAAFP
Dr. Brian McDonough chats with physician and nutrition expert Dr. Cass Ingram, author of The Wild Turmeric Cure, about the various reported health benefits of wild turmeric as a disease-preventing spice.
Host: John J. Russell, MD
Infectious disease has the terrifying power to disrupt everyday life on a global scale, overwhelming public and private resources and bringing trade and transportation to a grinding halt.
Host Dr. John Russell sits down with Dr. Osterholm to talk about the book Deadliest Enemy: Our War Against Killer Germs. They talk about how we could wake up to a reality in which many antibiotics no longer cure, bioterror is a certainty, and the threat of a disastrous influenza pandemic looms ever larger. Only by understanding the challenges we face can we prevent the unthinkable from becoming the inevitable.
Host: John J. Russell, MD
After sitting at the feet of Martin Luther King at the University of Michigan in 1963, Larry Brilliant was swept up into the civil rights movement, marching and protesting across America and Europe. As a radical young doctor he followed the hippie trail from London over the Khyber Pass with his wife Girija, Wavy Gravy and the Hog Farm commune to India. There, he found himself in a Himalayan ashram wondering whether he had stumbled into a cult. Instead, one of India’s greatest spiritual teachers, Neem Karoli Baba, opened Larry’s heart and told him his destiny was to work for the World Health Organization to help eradicate killer smallpox. He would never have believed he would become a key player in eliminating a 10,000-year-old disease that killed more than half a billion people in the 20th century alone.
Host Dr. John Russell sits down with Dr. Larry Brilliant to discuss his book, Sometimes Brilliant and talk about his amazing journey from Detroit to counter-culture San Francisco to an ashram in India and beyond.
In this session of Beyond the Data carrying forward ideas discussed at CDC's Public Health Grand Rounds, Dr. Phoebe Thorpe speaks with Dr. Bobbi Pritt, Director of the Clinical Parasitology Laboratory and Co-Director of Vector-borne Diseases Laboratory Services at the Mayo Clinic. The two expand on Dr. Pritt's lecture focusing on advances in diagnosing tickborne diseases.
Host: John J. Russell, MD
What if Americans put aside their differences and worked together to fix America's broken healthcare system? What changes need to be made in order to make health care both accessible and affordable without compromising excellent quality of care standards for patients? These and other crucial questions form premise behind the book We CAN Fix Healthcare: The Future is NOW.
Host Dr. John Russell sits down with Dr. Stephen Klasko, President and CEO of Jefferson University and Jefferson Health and author of We CAN Fix Healthcare: The Future is NOW.
Host: Kathy King, RDN
Joining Kathy King to talk about vitamin D at the molecular, physiological, and clinical levels is Susan Allen, certified clinical nutritionist and owner of Next Level Functional Nutrition based in Tampa, FL.
Host: Brian P. McDonough, MD, FAAFP
Dr. Brian McDonough explores the importance of finding personal fulfilment in work and home life with Dr. William Schiemann, CEO of Metrus Group and author of Fulfilled! Critical Choices: Work, Home, Life.
Host: John J. Russell, MD
Guest: Sanjiv Chopra, MD, FACP
Dr. John Russell talks with Dr. Sanjiv Chopra, author of The Big Five: Five Simple Things You Can Do to Live a Longer, Healthier Life. They discuss 5 easy changes that anyone can implement to improve their overall health.
The book delves into how the underlying promise of every exciting medical discovery, diet, and exercise program is the same: do this, buy this, or eat this and you will look better, live longer, and be healthier. But few books can make the promise of this one: if you adapt these five simple, virtually-free suggestions you will live a longer and healthier life, guaranteed.
This is no fad study. Each of the recommendations outlined in this book has been proven by an overwhelming number of tests, trials, and studies to increase health and lifespan. There are no gimmicks, no catches, no ifs, ands, or buts.
Host: Patrice L Basanta-Henry, MD, MHSc, FACOG
Prescription drugs are often essential to the management of both acute and chronic pain. However, misuse, abuse and additions to these products, especially opioids, have become a worldwide epidemic. Since 1999, the number of overdose deaths involving opioids have almost quadrupled in the United States.
Host Dr. Patrice Basanta-Henry talks with psychiatrist and addiction medicine specialist Dr. Nzinga Harrison, CMO of Anka Behavioral Health Inc., about the physician's role in the face of this opioid epidemic.
Host: Tim Rush
Guest: Asif Ali, MD
Most doctors have heard about telemedicine, also called telehealth and e-medicine, but few have actually seen or utilized it in practice. As technologies enabling virtual patient visits and consultations continue to improve and gain more traction by clinicians, how will American healthcare systems change?
Joining host Tim Rush to discuss the current and future impacts of telemedicine in health care is Dr. Asif Ali, Clinical Assistant Professor of Cardiology at the University of Texas Health Science Center. Dr. Ali lectures nationwide on the evolving applications of telemedicine in modern practice.
Host: Brian P. McDonough, MD, FAAFP
Can the simple act of smiling more often help us live happier, healthier, and more abundant lives?
To answer this question in entertaining detail, Dr. Brian McDonough welcomes onto the show Dr. Rich Castellano, facial plastic surgeon, founder and CEO of ImageLift in Tampa, FL, and author of The Smile Prescription.
Host: Renée Simone Yolanda Allen, MD, MHSc., FACOG
Mid-level providers such as nurse practitioners help fill gaps in health care coverage across the country. Yet while NPs have the ability to work independently in a variety of ways including administering treatments, providing consultations, and authorizing use of medical equipment, several practice barriers impede their efforts to provide highest quality care.
Host Dr. Renee Allen chats with Patrick Washington, a board-certified nurse practitioner in Family Medicine, about the roles NPs play in the healthcare industry and ways to overcome practice obstacles in the era of health care reform.
Host: Brian P. McDonough, MD, FAAFP
In a survey released by the American Academy of Family Physicians (AAFP), nearly half of men reported that their health was "good" or "excellent." This marked a dramatic increase in health perceptions from men over the past decade, despite the fact that more men now live with chronic conditions such as hypertension and diabetes than ever before. What does this discrepancy between perceptions and realities tell us about the state of health care for men in America?
Joining Dr. Brian McDonough to discuss special considerations and primary care priorities for men is Dr. John Meigs, practicing generalist and President-Elect of the AAFP.
Host: Brian P. McDonough, MD, FAAFP
An old adage states "There's many a slip between the cup and the lip." Applied to drug delivery, dosing, and compliance by patients, this phrase couldn't be more accurate. Drug information and clinical decision support systems are evolving to address problems in getting the right medications to the right patients, but more work needs to be done.
Joining Dr. Brian McDonough to discuss barriers and solutions to medication-related decision support is Dr. Shobha Phansalkar, Director of Informatics and Clinical Quality Control at the Clinical Drug Information Division of Wolters Kluwer. Additionally, she is an Assistant Professor in Medicine at the Division of General Medicine and Primary Care, Brigham and Women’s Hospital and Harvard Medical School.
Host: John J. Russell, MD
Have you ever wondered what that 1 outlier would say when you see commercials and products boasting that 9 out of 10 doctors recommend something? Dr. H. Eric Bender, co-author of the book 1 Out of 10 Doctors Recommends: Drinking Urine, Eating Worms, and Other Weird Cures, Cases, and Research from the Annals of Medicine, provides real answers that you wouldn't have even thought possible.
Entertaining and informative (and sometimes just plain gross), 1 Out of 10 Doctors Recommends examines the strangest and most unusual medical practices, including: drinking your own urine to fight infection, using live eels to relieve constipation, and licking a patient's head to diagnose Cystic Fibrosis.
[Read the Article]
According to a new study, eating a diet that includes more plant-based protein is associated with a lower risk of death, while eating more animal protein is associated with a higher risk of death, especially among adults with at least one unhealthy behavior such as smoking, drinking alcohol, being overweight or living a sedentary lifestyle.
Researchers from Massachusetts General Hospital examined how each protein source influenced long-term health. They looked at more than 131,000 adults participating in two long-running national health studies. Participants provided 25 to 30 years of detailed data on diet, lifestyle, and medical conditions. Researchers reviewed detailed food questionnaires that were sent to the participants every four years.
They found that higher intake of animal protein was positively associated with mortality and that the association was higher among adults who lived an unhealthy lifestyle. Substituting plant protein for animal protein, especially processed red meat, was associated with lower mortality, suggesting the importance of protein source.
[Watch more videos of The JAMA Report]
[Read the Article]
Since the legalization of marijuana in Colorado, there has been an increase in hospital visits and calls to regional poison centers due to unintentional marijuana exposure among young children. Researchers from the University of Colorado evaluated the number of children with exposures before and after recreational marijuana was legalized.
Between 2009 and 2015 they found a rise in the annual number of unintentional pediatric exposures. On average, these children were about two years old. Most children ingested the drug in edible forms such as candies and baked goods. Almost half of the patients seen in the children's hospital in the 2 years after legalization had exposures from recreational marijuana, suggesting that legalization did affect the incidence of exposures.
[Watch more videos of The JAMA Report]
Host: Jennifer Caudle, DO
The Amish population are less likely to undergo annual checkups or engage in preventative care and typically prefer natural methods over institutional medicine. This creates unique challenges for the physicians who care for them.
Dr. Jennifer Caudle talks with Dr. Candice Boyer, owner and medical director of Lancaster County Osteopathic Integrative Health, about her collective experiences caring for Amish patients.
Host: Michael Krychman, MD
There are many herbs and supplements that have gained popularity as natural sexual aphrodisiacs. While many are sold over the counter nationwide to enhance sexual function, a surprising number of supplements can cause ranges of serious side effects. Which aphrodisiacs have been proven effective, which are safe, and which are potentially deadly?
Host Dr. Michael Krychman joins Dr. Elizabeth West, a resident physician at the University of California-Irvine, to talk about the spectrum of natural herbs and supplements, from foods like honey and chocolate to herbs such as ginseng and macca, and their known sexual health benefits vs risks.
Host: Matt Birnholz, MD
Guest: Patricia Sulak, MD
The American Heart Association instituted a Strategic Impact Goal to reduce the incidence of cardiovascular deaths and disabilities by 20% by 2020.
Host Dr. Matt Birnholz chats with Dr. Patricia Sulak, Endowed Professor of the Texas A&M University College of Medicine about the 7 key health metrics to reduce cardiovascular deaths including blood pressure, physical activity, and healthy diet, among others.
Host: Brian P. McDonough, MD, FAAFP
Guest: Michael Russomano
Guest: Sandra Gomberg
Guest: Daniel Tropeano
Guest: Gene Kestenbaum
Guest: Lawrence Sherman
An expert panel of health professionals representing hospital admistration, pharmaceuticals, insurance providers, patient advocacy, and medical education convene to strategize new ways for health care industry sectors to work together to improve quality of care for patients. The panel participants also discuss their respective and complementary visions for the future of health care services, including ways that technological innovations such as social media are changing the landscape of medicine.
The panel participants are:
- Michael Russomano: President, CEO and Global Business Head of Wyeth Nutrition, a Nesle Company
- Sandra Gomberg: Chief Operating Officer at Aria Health System
- Daniel Tropeano: Executive Director for United Healthcare
- Gene Kestenbaum: Past Chair of the Board for the Crohn's & Colitis Foundation of America
- Lawrence Sherman: Senior Vice President of TOPEC Global
Host: Matt Birnholz, MD
Meningitis is one of the most feared manifestations of infectious disease for the medical community. Yet in spite of this fact, there are very few educational or advocacy-based resources dedicated to increasing public and professional awareness for meningococcal disease and updated prevention methods.
Dr. Matt Birnholz talks with Lynn Bozof, cofounder and President of the National Meningitis Association, an organization fully dedicated to meningitis education and prevention. They discuss her family’s tragic experience with the deadly disease, the preventive mission that originated from this loss, and ongoing efforts to educate clinicians and patients on the need for vaccinations and boosters.
Host: Jennifer Caudle, DO
Dr. Jennifer Caudle welcomes Dr./Col. William Bograkos, Clinical Professor of Military Science, Family Medicine, and Emergency Medicine at the University Of New England College Of Osteopathic Medicine. Dr. Bograkos is also Assistant Professor in Military & Emergency Medicine at the Uniformed Services University of the Health Sciences, Bethesda, MD, and currently serves as President-Elect for the American Osteopathic Academy of Addiction Medicine. He discusses the importance of having active conversations with patients who are veterans, with special emphasis on their unique physical and mental health needs. He then talks about efforts to support Joining Forces, a nationwide initiative helping service members, veterans, and their families receive wellness, education, and employment opportunities.
Host: Maurice Pickard, MD
Up to 24 million Americans of all ages and genders suffer from eating disorders: binge eating disorder, anorexia, and bulimia—linked todepression, they have the highest mortality rate of any mental illness. Yet, only 1 in 10 people with eating disorders receive treatment. Host Dr. Maurice Pickard welcomes author Sarahjoy Marsh to review the steps and stages of recovery from disordered eating patterns including yo-yo dieting, emotional eating, binge eating, compulsive eating, restricting, obsessive food thoughts, and body-centered shame and self-hatred.
This week, Mark and Margaret speak with Dr Kenneth Brigham, cofounder and past director of the Emory/Georgia Tech Predictive Health Institute, on the future of predictive health. They discuss the use of genomics, biometrics, and nanotechnology to identify disease risks early in life and perhaps prevent the future onset of disease.
Host: Jennifer Caudle, DO
Lung cancer is the leading cause of cancer death and the second most common cancer among both men and women in the United States. But how can clinicians increase awareness and screening for this disease within their practices? Dr. Jennifer Caudle welcomes Dr. Nina Maouelainin, Director of Interventional Pulmonology at The Lung Center of Grand View Health in Sellersville, PA, to discuss the facts about lung cancer, screening approaches, and her personal journey in increasing awareness among primary care providers.
Host: John J. Russell, MD
Dr. John Russell speaks with Dr. Donna Ryan, Professor Emeritus at Pennington Biomedical Research Center in Baton Rouge Louisiana. Dr. Ryan serves as co-Chair of the panel to revise the NIH-supported evidence-based Guidelines on the Evaluation and Management of Overweight and Obesity in Adults. She is past President of The Obesity Society and currently Associate Editor in Chief of the journal, Obesity.
Host: Brian P. McDonough, MD, FAAFP
Join Dr. Brian McDonough as he discusses the past versus present environments of medical practice with award winning journalist Steven Jacob. The two discuss a myriad of important topics encircling primary care, from the rise of concierge physicians and micropractices to accountable care organizations and healthcare costs.
Host: Brian P. McDonough, MD, FAAFP
Dr. Brian McDonough interviews Dr. Kimberly Richter, a professor at University of Kansas Medical Center--Author of "Big Marijuana--Lessons from Big Tobacco" in the New England Journal of Medicine. The United States is divided over legalization of marijuana. Some of the points discussed include individual rights, tax revenue, medical effects, and social benefits and costs of marijuana legalization.
Host: John J. Russell, MD
From the 15th to the mid-19th centuries, scurvy caused more deaths at sea than storms, shipwrecks, combat and all other diseases combined, according to author Stephen Bown. In this remarkable discussion, Bown talks about the harrowing path toward the cure for scurvy. While ranking among the greatest of human accomplishments, its impact on history has, until now, been largely ignored.
Host: Alan S. Brown, MD, FACC, FAHA, FNLA
Host Dr. Alan Brown welcomes Dr. Marc Hamilton, Professor at Pennington Biomedical Research Center in Baton Rouge, LA. Their convesation focuses on the cardiometabolic consequences of lengthy sitting times, such as in people with "desk job careers."
Host: Brian P. McDonough, MD, FAAFP
Over the course of his storied career in emergency medicine at the University of Alberta, Dr. Louis Hugo Francescutti has made it his mission to raise awareness of public safety and to promote injury prevention. Moreover, he has also become an internationally recognized figure in preventive care, lecturing frequently on the social determinants of health. In this discussion with host Dr. Brian McDonough, Dr. Francescutti focuses on ways in which medical professionals can begin to shift treatment paradigms from "disease care" to "health care," and the enormous cost benefit this will bring to modern healthcare systems.
Host: Brian P. McDonough, MD, FAAFP
Dr. Brian McDonough speaks with guest Dr. John Kelly, Associate Professor of Clinical Orthopaedic Surgery and Director of Undergraduate Orthopaedic Education at the University of Pennsylvania School of Medicine. Dr. Kelly's areas of expertise are two-fold: (1) updating medical professionals with the latest trends in sports medicine management, and (2) addressing physician stress reduction strategies. This discussion broaches various interconnections between these two important subjects and their respective applications to primary care practice.
Guest: Shelly Batra, MD
Host: Maurice Pickard, MD
Multidrug Resistant (MDR) Tuberculosis is a growing public health epidemic in India. The non-profit organization Operation ASHA has expanded its role considerably over the past few years to stem this tide of TB transmission within both the poorest and the most prosperous communities, bringing innovative treatment protocols right to the patients' doorsteps. Dr. Shelly Batra, president of Operation ASHA, discusses the progress being made in this increasingly global public health campaign. Hosted by Dr. Maurice Pickard.
Host: Matt Birnholz, MD
This session of Grand Rounds Nation is provided by the American College of Osteopathic Family Physicians (ACOFP), and features Dr. Robert Hasty speaking on anticoagulation therapy guidelines for nonvalvular atrial fibrillation. Topics explored in depth include first vs second line drug regimens, updates on "golden windows" for initiating therapies, and effective risk stratification methods in practice.
Host: Matt Birnholz, MD
This session of Grand Rounds Nation is provided by the American College of Osteopathic Family Physicians (ACOFP), and features Dr. Robert Hasty speaking on anticoagulation therapy guidelines for nonvalvular atrial fibrillation. Topics explored in depth include first vs second line drug regimens, updates on "golden windows" for initiating therapies, and effective risk stratification methods in practice.
Host: Matt Birnholz, MD
This session of Grand Rounds Nation is provided by the American College of Osteopathic Family Physicians (ACOFP), and features Dr. Robert Hasty speaking on anticoagulation therapy guidelines for nonvalvular atrial fibrillation. Topics explored in depth include first vs second line drug regimens, updates on "golden windows" for initiating therapies, and effective risk stratification methods in practice.
Guest: Robert Monteleone, MD
Host: Brian P. McDonough, MD, FAAFP
Host Dr. Brian McDonough is joined by Dr. Robert Monteleone, assistant director of the Saint Francis Hospital Family Medicine Residency program in Wilington, DE. Dr. Monteleone has also been in private practice in Elkton, MD for over ten years, and his office's recent adoption of EMR software en route to a "paperless practice" casts lights on some of the benefits and challenges of making this transition from the ground-up.
Host: Alan S. Brown, MD, FACC, FAHA, FNLA
Guest: Samuel Gidding, MD
Guidelines are being changed continuously as new evidence is acquired and our environment us evolve. Most recently released are the NHLBI guidelines for pediatric care providers. Host Dr. Alan Brown welcomes Dr. Samuel Gidding. They will address the context to which the guidelines were developed, some of the key social and ethical issues faced by the panel, and a review of the results and the recommendations for the future. Dr. Samuel Gidding is the head of pediatric cardiology and interim director of heart failure and transplant at Nemours Cardiac Center, A. I. DuPont Hospital for Children, Wilmington, Delaware.
Guest: Benjamin J. Ansell, MD, FACC, FACP, FNLA
Host: Alan S. Brown, MD, FACC, FAHA, FNLA
Host Dr. Alan Brown welcomes Benjamin Ansell, MD, professor of medicine and cardiology at University of Califronia at Los Angeles, CA and co-director of the Cholesterol and Hypertension Management Program at UCLA. Dr. Ansell reviews the latest trials: dal-OUTCOMES and AIM-HIGH. Dr. Ansell will address the objectives and study designs of both studies and explain why the studies were stopped early. Drs. Brown and Ansell also discuss the future of HDL therapy.
Brought to you by:
Host: Alan S. Brown, MD, FACC, FAHA, FNLA
Guest: Jerome D. Cohen, MD
Statins play a critical role in reducing the risk of heart disease. Not only are the benefits greatly appreciated by both physicians and patients, the majority of statins are also well tolerated. Despite this, many patients discontinue statin therapy against medical advice, oftentimes without notifying their doctors. For this reason, the National Lipid Association embarked on a study that used internet surveys to determine why patients discontinue their statins. This was called the USAGE Study, and its results are the subject of this discussion. Host, Dr. Alan Brown welcomes Dr. Jerome Cohen, emeritus professor of Internal Medicine at St. Louis University School of Medicine.
For more information on the USAGE survey, including resources for patients and healthcare providers, please visit the USAGE website at www.StatinUSAGE.com.
Host: Matt Birnholz, MD
Traumatic brain injury, or TBI, is a serious public health problem that affects approximately 1.7 million Americans every year. Of all injury deaths in our country, one in three cases are TBI-related, and an estimated 5.3 million Americans are living with a TBI-related disability. Beyond the potential for impairment to the cognitive, sensory, and motor functions in an individual, the economic burden of TBI is in excess of $76.5 billion. While significant advances in early treatment and prevention policies such as seat belt and motorcycle helmet laws have proven successful in reducing severe cases of TBI, many public health challenges remain. In addition to the economic impact of TBI, there is need for better surveillance, data, and coordination among the medical, public health and community sectors on both the civilian and military sides of the aisle.
This session of CDC′s Public Health Grand Rounds further addressed these challenges and explored promising policies, guidelines, and interventions such as progesterone treatments to further reduce the severity and number of cases of traumatic brain injury in the U.S.
This is Part 3 of a lecture in three parts.
Part 1 >>
Part 2 >>
To view the complete video recording of …
Host: Matt Birnholz, MD
Traumatic brain injury, or TBI, is a serious public health problem that affects approximately 1.7 million Americans every year. Of all injury deaths in our country, one in three cases are TBI-related, and an estimated 5.3 million Americans are living with a TBI-related disability. Beyond the potential for impairment to the cognitive, sensory, and motor functions in an individual, the economic burden of TBI is in excess of $76.5 billion. While significant advances in early treatment and prevention policies such as seat belt and motorcycle helmet laws have proven successful in reducing severe cases of TBI, many public health challenges remain. In addition to the economic impact of TBI, there is need for better surveillance, data, and coordination among the medical, public health and community sectors on both the civilian and military sides of the aisle.
This session of CDC′s Public Health Grand Rounds further addressed these challenges and explored promising policies, guidelines, and interventions such as progesterone treatments to further reduce the severity and number of cases of traumatic brain injury in the U.S.
This is Part 2 of a lecture in three parts.
Part 1 >>
Part 3 >>
To view the complete video recording of …
Host: Matt Birnholz, MD
Traumatic brain injury, or TBI, is a serious public health problem that affects approximately 1.7 million Americans every year. Of all injury deaths in our country, one in three cases are TBI-related, and an estimated 5.3 million Americans are living with a TBI-related disability. Beyond the potential for impairment to the cognitive, sensory, and motor functions in an individual, the economic burden of TBI is in excess of $76.5 billion. While significant advances in early treatment and prevention policies such as seat belt and motorcycle helmet laws have proven successful in reducing severe cases of TBI, many public health challenges remain. In addition to the economic impact of TBI, there is need for better surveillance, data, and coordination among the medical, public health and community sectors on both the civilian and military sides of the aisle.
This session of CDC′s Public Health Grand Rounds further addressed these challenges and explored promising policies, guidelines, and interventions such as progesterone treatments to further reduce the severity and number of cases of traumatic brain injury in the U.S.
This is Part 1 of a lecture in three parts.
Part 2 >>
Part 3 >>
To view the complete video recording of …
Host: Alan S. Brown, MD, FACC, FAHA, FNLA
Guest: Mary Felando, MS, RD
Given that approximately one third of Americans currently have some degree of metabolic syndrome, host Dr. Alan Brown discusses the very pertinent topics of food intake, prevention, lowering lipids, and related diet issues with dietician Mary Felando. They discuss what an appropriate diet is, how physicians should react when there are changes in nutritional guidelines, and the relative importance of saturated and other dietary fats.
Host: Matt Birnholz, MD
The vast majority of US adults consume more than double the recommended maximum of sodium, which is a direct cause of hypertension, a condition that affects nearly 1 in 3 Americans. Hypertension is not only a major contributor to cardiovascular disease (CVD), disability, and health disparities, but the treatment of related CVDs can cost our already overburdened health system $273 billion annually.
Sadly, the public does not always have a choice when it comes to reducing sodium intake: we cannot remedy this problem simply by removing the salt shaker from our tables. Of the 3,400 mg of sodium the average American consumes daily, nearly 80% is invisible in sources such as restaurant and processed foods. And once the salt is in the food, it cannot be taken out!
This session of Public Health Grand Rounds explored the consequences of excessive sodium intake and discussed the technological context for the use of salt in our food supply. The speakers reviewed current sodium control efforts, such as the National Salt Reduction Initiative and food procurement policies, and separated fact from fiction to support actions needed to address this very real public health burden.
This is Part 3 of a lecture in three …
Host: Matt Birnholz, MD
The vast majority of US adults consume more than double the recommended maximum of sodium, which is a direct cause of hypertension, a condition that affects nearly 1 in 3 Americans. Hypertension is not only a major contributor to cardiovascular disease (CVD), disability, and health disparities, but the treatment of related CVDs can cost our already overburdened health system $273 billion annually.
Sadly, the public does not always have a choice when it comes to reducing sodium intake: we cannot remedy this problem simply by removing the salt shaker from our tables. Of the 3,400 mg of sodium the average American consumes daily, nearly 80% is invisible in sources such as restaurant and processed foods. And once the salt is in the food, it cannot be taken out!
This session of Public Health Grand Rounds explored the consequences of excessive sodium intake and discussed the technological context for the use of salt in our food supply. The speakers reviewed current sodium control efforts, such as the National Salt Reduction Initiative and food procurement policies, and separated fact from fiction to support actions needed to address this very real public health burden.
This is Part 2 of a lecture in three …
Host: Matt Birnholz, MD
The vast majority of US adults consume more than double the recommended maximum of sodium, which is a direct cause of hypertension, a condition that affects nearly 1 in 3 Americans. Hypertension is not only a major contributor to cardiovascular disease (CVD), disability, and health disparities, but the treatment of related CVDs can cost our already overburdened health system $273 billion annually.
Sadly, the public does not always have a choice when it comes to reducing sodium intake: we cannot remedy this problem simply by removing the salt shaker from our tables. Of the 3,400 mg of sodium the average American consumes daily, nearly 80% is invisible in sources such as restaurant and processed foods. And once the salt is in the food, it cannot be taken out!
This session of Public Health Grand Rounds from the CDC explored the consequences of excessive sodium intake and discussed the technological context for the use of salt in our food supply. The speakers reviewed current sodium control efforts, such as the National Salt Reduction Initiative and food procurement policies, and separated fact from fiction to support actions needed to address this very real public health burden.
This is Part 1 of a …
Guest: Timothy Harlan, MD
Host: Mary Leuchars, MD
How can clinicians communicate with patients more effectively about nutrition and diet? Dr. Timothy Harlan, medical director of outpatient clinics, associate chief of general internal medicine, and assistant clinical professor of medicine at Tulane University School of Medicine, stresses the need to tailor nutritional guidance to each patient, and the importance of cooking for promoting good health and nutrition. Hosted by Dr. Mary Leuchars.
Guest: George Blackburn, MD, PhD
Host: Maurice Pickard, MD
Food nutrition labels are becoming ubiquitous— in restaurants, on the front of packaged food, and soon, on meat products. But is all of this nutrition information actually impacting consumer behavior and encouraging healthier food choices? Hosted by Dr. Maurice Pickard's guest is Dr. George Blackburn, associate professor of surgery and nutrition, associate director of the division of nutrition, and the S. Daniel Abraham chair in nutrition medicine at Harvard Medical School, says nutrition labeling is beneficial, but all of the information can be overwhelming. How can we help consumers and patients, find clarity in the food aisles, and steer away from marketing "nutrition keys" featured on the front of many packaged foods? How could nutrition fact labels be re-designed to improve consumer understanding?
Guest: Christine Kessler
Host: Mimi Secor, DNP, FNP-BC, FAANP
America has a weight problem. Billions of dollars are spent every year in the pursuit of weight loss, often without success. And it is one of the most frequently addressed health concerns addressed by patients and their health care providers. What tips can you provide your patients to help them lose weight and keep it off? Nurse Practitioner Christine Kessler, a certified practitioner in advanced diabetes management at a large teaching medical center, joins host Mimi Secor to discuss the changes in our food and eating habits that have contributed to an obesity epidemic.
Guest: Neal Kaufman, MD, MPH
Host: Steven Edelman, MD
Methods of positive behavioral change for people living with diabetes is vital to the overall management of diabetes. What is the value of behavior change for people living with diabetes and their professional counterparts? Join host Dr. Steven Edelman and his guest, professor of pediatrics and public health at the University of California, Los Angeles, Dr. Neal Kaufman, as they discuss the need for behavior modification in the treatment of type 2 diabetes.
Host: Mimi Secor, DNP, FNP-BC, FAANP
Guest: Norma Hannigan
Laughter has been shown to lower blood pressure, increase blood flow and build endorphins. Nurse practitioner Norma Hannigan, associate professor of clinical nursing at Columbia University in New York, joins host Mimi Secor for a serious discussion of the anecdotal and evidence-based research on laughter and how to use laughter as medicine in your clinical practice.
Guest: Christine Kessler
Host: Mimi Secor, DNP, FNP-BC, FAANP
What makes Americans fat? Diet isn't entirely to blame. Christine Kessler, who is a nurse practitioner in the department of endocrinology and metabolic medicine at a Washington, DC, teaching hospital, joins host Mimi Secor to discuss the many variables that are attributed to obesity in this country. They also look at what nurse practitioners can do to help their patients come up with strategies for living healthier lives.
Host: Mimi Secor, DNP, FNP-BC, FAANP
Guest: Eileen O'Grady, PhD, RN, NP
Every day, we hear about the rise of chronic disease and rates of obesity. How do we persuade patients to change their behavior in order to become healthier? A new answer may lie in the field of wellness coaching. Dr. Eileen O'Grady, nurse practitioner, wellness coach and visiting professor at the Leinhard School of Nursing at Pace University in New York City, talks with host Mimi Secor about the evidence-based methodology behind wellness coaching. They also cover certification requirements and how NPs and PAs interested in career opportunities in this field can set up a wellness practice.
Guest: Prediman Shah, MD
Host: Janet Wright, MD
It is apparent to most physicians that patients at high risk for having a cardiovascular event should be screened, but what about those patients who fall into the intermediate risk category (classified using the Framingham risk score)? Dr. Prediman Shah, director of the division of cardiology at Cedars-Sinai Heart Institute in Los Angeles, suggests that screening asymptomatic, intermediate-risk patients for subclinical atherosclerosis using non-invasive imaging might be beneficial. Dr. Shah also discusses the limitations of relying solely on the Framingham risk score, and recommends additional ways to classify a patient's risk for developing a cardiovascular event. What specific screening tests are best for detecting subclinical atherosclerosis? Dr. Janet Wright hosts.
Produced in Cooperation with
Guest: Ann Albright, PhD, RD
Host: Steven Edelman, MD
The Centers for Disease Control and Prevention is aggressively becoming hands-on in the prevention of type 2 diabetes. A new national diabetes prevention program is under way under the tutelage of previous successful clinical research and trials results. What can healthcare professionals treating patients with diabetes learn and how can they get involved? Join host Dr. Steven Edelman and his guest, the director of the division of diabetes translation at the Centers for Disease Control and Prevention, Dr. Ann Albright, as they discuss the criteria for the National Diabetes Prevention Program.
Host: Janet Wright, MD
Guest: Christopher O'Donnell, MD, MPH
We know that genes play a role in cardiovascular health, but new research has identified specific DNA regions that are associated with risk factors for coronary heart disease. It's estimated that 30-50% of cardiovascular health is influenced by family history or genetics, while the rest is influenced by other environmental factors, diet and exercise. How might these new genetic discoveries lead to new treatment options? Dr. Christopher O'Donnell, associate director and scientific director of the SHARe Project of the Framingham Heart Study at the National Heart, Lung and Blood Institute, and associate clinical professor of medicine at Harvard Medical School in Massachusetts, talks about his work genotyping the single-nucleotide polymorphisms of large cohort study participants. How are genome-wide association studies leading to discovery of new genes associated with various diseases, and will these findings move us into a new era of prevention and treatment of cardiovascular disease? Dr. Janet Wright hosts.
Guest: Eric Whitaker, MD
Host: Bruce Japsen
An initiative sprouting on the South Side of Chicago that was once led by First Lady Michelle Obama aims to become a national model for re-educating communities on everything from appropriate emergency department usage to outpatient care and healthy life choices. Dr. Eric Whitaker, executive vice president of strategic affiliations and associate dean of community-based research at the University of Chicago Medical Center, tells host Bruce Japsen about the Urban Health Initiative and what it aims to achieve.
Guest: Karen DeSalvo, MD
Host: Bruce Japsen
Five years after Hurricane Katrina, the horrific memories of disaster and devastation remain, but the healthcare system has created a legacy of resilience for the city's safety net and a potential national model beyond the primary care medical home. Dr. Karen DeSalvo, professor of medicine at the Tulane School of Medicine and a leader in the health system's post-Katrina recovery, tells host Bruce Japsen about the new community-based effort that has since been created to improve medical care delivery in New Orleans.
Guest: Maureen Lichtveld, MD, MPH
Host: Maurice Pickard, MD
Long after the clean-up process from the Deepwater Horizon oil spill is complete along the Gulf of Mexico, we'll still be examining the health effects of this catastrophe. While there is a wealth of information on the health effects of specific contaminants, the effects are less known regarding mixtures of contaminants. What are some of the immediate and potential long-term health risks (both mental and physical) of this disaster? Dr. Maureen Lichtveld, professor and chair of the department of environmental health sciences at the Tulane University, School of Public Health and Tropical Medicine in New Orleans, Louisiana, discusses the role of physicians in this type of public health disaster. How are we identifying the populations most at risk of experiencing health effects from the oil spill, and what are some of the most effective risk communication strategies for these populations? What types of surveillance methods are being used? What can we learn from this disaster to be more prepared for the next? Dr. Maurice Pickard hosts.
Host: Janet Wright, MD
Guest: Paul Heidenreich
Sudden cardiac death among high school or college athletes is rare but tragic, and is jarring to families, friends and communities. What additional measures can physicians take to prevent sudden cardiac death among these students? Current guidelines for screening of young athletes in the U.S. do not include electrocardiography but should they, especially in light of recent Italian research about the efficacy of EKG screenings in preventing sudden cardiac death in this population? Dr. Paul Heidenreich, associate professor of medicine (cardiovascular) and associate professor by courtesy of health research and policy, at the Veterens Affairs (VA) Palo Alto Health Care System, and fellow of the Center for Health Policy and the Center for Primary Care and Outcomes Research at Stanford University, weighs the benefits and risks of widespread use of ECG's in the screening of young athletes. Is there a reasonable cost effectiveness value to adding ECG to routine screening for these patients, compared to a routine medical history and physical exam? How should physicians discuss the value of ECG screening with young adult athletes and their parents? Hosted by Dr. Janet Wright.
Produced in Cooperation with
Host: Janet Wright, MD
Guest: Stephen Kopecky, MD
Drastic lifestyle changes can seem daunting to patients and physicians alike. Fortunately, new research is demonstrating the importance of moderation in improving cardiovascular health. How can small tweaks to a patient's lifestyle have a substantial impact his or her heart health? Dr. Steve Kopecky, cardiologist at Mayo Clinic's Cardiovascular Health Clinic, specifies some of the minor changes patients can make, and the data demonstrating the cardiovascular benefits of these modifications. How can physicians help patients implement these lifestyle changes? Dr. Janet Wright hosts.
Produced in Cooperation with
Host: Janice Baker, MBA, RD, CDE, CNSC
Guest: Lorena Drago, MS, RD, CDN, CDE
Whole grains have the potential to lower cholesterol as well as help manage blood glucose levels. What is the advantage of a whole grain diet in the management of diabetes? Join guest host registered dietitian Janice Baker and her guest, certified diabetes educator Lorena Drago, as they discuss the myths and facts of a whole grain diet in the management of diabetes.
Guest: Roger Green, DNP
Host: Mimi Secor, DNP, FNP-BC, FAANP
Retail health clinics are popping up all over the United States in grocery and drug stores. More than 10,000 NPs and PAs are employed by these clinics— and they are the largest employer for NPs nationwide. So why do nurse practitioners and physician assistants want to work at these clinics? Dr. Roger Green, division western region vice president of the Little Clinics in the Kroger grocery store system, joins host Mimi Secor to discuss why so many NPs and PAs want to work in retail health, who these companies are recruiting and the global expansion of these clinics.
Guest: Roger Green, DNP
Host: Mimi Secor, DNP, FNP-BC, FAANP
Healthcare practiced between the grocery store's pharmacy and produce section is becoming one of the largest sectors employing nurse practitioners in the United States. Since retail clinics see patients from the age of 1 to 100 most NPs are family nurse practitioners. Dr. Roger Green, division vice president of the western region of the Kroger grocery store system's Little Clinics, joins host Mimi Secor to talk about why such clinics are so popular among patients and NPs who work in this rapidly growing medical specialty.
Guest: Dennis Richling, MD
Host: Bruce Japsen
Employers, insurers and providers are all increasingly focused on keeping patients healthy by encouraging prevention and wellness. Many wellness strategies revolve around behavioral issues, so what is the clinician's role in changing patient behavior, and how does the clinician become more tied to initiatives in the community? Dr. Dennis Richling, senior medical director and vice president at the Trustmark Companies, talks with host Bruce Japsen about the move in healthcare toward wellness initiatives, how the clinician's services are involved, and efforts to make those services reimbursable by insurance.
Host: Steven Edelman, MD
Guest: Erminia (Mimi) Guarneri, MD, FACC, ABOIM
Integrative medicine appears to be an effective approach to the overall management of patients living with diabetes. Host Dr. Steven Edelman's guest, founder and medical director of the Scripps Center for Integrative Medicine in La Jolla, California, Dr. Mimi Guarneri, stresses that the more a patient puts in, the more they get out of an integrative medicine program. They discuss an integrative approach to risk modification and disease management focused on reducing stress, improving emotional state, increasing fitness, maximizing nutrition, and reducing dependence on medications.
Guest: John (Jack) L. Leahy, MD
Host: Steven Edelman, MD
Where do thiazolidinediones, or TZD's, fit in our clinical approach to treating patients with type 2 diabetes? TZD's used early in the course of the disease seem to be a powerful therapy with a substantial reduction in the progression of type 2 diabetes. What does this tell us about the pathogenesis of diabetes? Join host Dr. Steven Edelman and his guest, professor of medicine and chief of the division of endocrinology, diabetes and metabolism of the University of Vermont, Dr. Jack Leahy, as they discuss the pathogenesis of diabetes and the role of thiazolidinediones in the prevention and treatment of type 2 diabetes.
Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA
Guest: Rear Admiral Michael Milner, PA-C
Surgeon General Dr. Regina Benjamin has two new priorities: to combat childhood obesity and to encourage all Americans to put their health histories online. So how do practitioners get involved in these new government initiatives? Rear Admiral Michael Milner, assistant surgeon general and chief of the US Public Health Services Corps, joins host Lisa Dandrea Lenell to get the message out about the latest technology allowing patients to easily share their medical records with doctors and family members, as well as getting kids to start exercising and eating healthily.
Guest: Josephine Briggs, MD
Host: Matt Birnholz, MD
Host: Michael Greenberg, MD
Joining our hosts this week is Dr. Josephine P. Brigggs, director of the National Center for Complementary and Alternative Medicine. Dr. Briggs brings her focus on translational research to the position. On the occasion of the 10th anniversary of the agency, Dr. Briggs discusses what has been learned and what can be expected in the future.
Also on the program: a look back at the top medical stories of the year, a discussion of the latest ReachMD Poll, and the curious case of one New York clinic with two entrances, two names, and two pricing structures.
Guest: David Marrero, PhD
Host: Steven Edelman, MD
Recent studies done with primary prevention were designed to prove that lifestyle changes could reduce the risk for diabetes in people at high risk of developing the disease. What can we learn from novel pilot programs in the prevention of type 2 diabetes? Join host Dr. Steven Edelman and Dr. David Marrero, director of the Diabetes Translational Research Center at the Indiana University School of Medicine, as they discuss translational research, specific results of the “Plan Forward” program and implications for clinical care.
U.S. primary care is in crisis. Primary care physicians must care for more and more patients, with more and more chronic conditions, in less and less time, for which they are compensated far less than subspecialists. They must absorb increasing volumes of medical information and complete more paperwork than ever, as they try to function in a poorly coordinated health care system. As a result, their ranks are thinning, with practicing physicians burning out and trainees shunning primary care fields. In a continuing roundtable discussion moderated by Dr. Thomas Lee, four experts in primary care and related policy - Drs. Thomas Bodenheimer, Allan Goroll, Barbara Starfield, and Katharine Treadway - explore the crisis, as well as possible solutions for training, practice, compensation, and systemic change.
US primary care is in crisis. Primary care physicians must care for more and more patients, with more and more chronic conditions, in less and less time, for which they are compensated far less than subspecialists. They must absorb increasing volumes of medical information and complete more paperwork than ever, as they try to function in a poorly coordinated health care system. As a result, their ranks are thinning, with practicing physicians burning out and trainees shunning primary care fields. In a roundtable discussion moderated by Dr. Thomas Lee, four experts in primary care and related policy — Drs. Thomas Bodenheimer, Allan Goroll, Barbara Starfield, and Katharine Treadway — explore the crisis, as well as possible solutions for training, practice, compensation, and systemic change.
In two large randomized trials, researchers examined the effect of annual prostate-specific antigen (PSA) screening on the rate of death from prostate cancer and found that it was small and was offset by false positive diagnoses. Since screening may have benefits in catching cancers early but may also carry risks including that of unnecessary treatment, professional societies have split on the question of whether to recommend regular PSA screening. In a roundtable discussion moderated by Dr. Thomas Lee, oncologist Dr. Philip Kantoff and primary care physician Dr. Mary McNaughton-Collins debate the clinical implications of the new findings and the best way to advise patients about undergoing PSA testing.
Guest: Michael Roizen, MD
Host: Martin Samuels, MD
You get to control how well and long you live. That is the assertion of Dr. Michael Roizen, chief wellness officer at the Cleveland Clinic. He discusses the topic of wellness with host Dr. Martin Samuels. They also discuss ways wellness re-invigorates primary care, how lifestyle re-education increases longevity, and how wellness and prevention need to be part of the future of medicine.
Host: Janet Wright, MD
Guest: David Sabgir, MD
Sometimes there is nothing more pleasant than a simple walk in the park. Encouraging your patients to take an easy stroll may also be an easy way to improve their cardiovascular health. Many of us have talked many times with our patients about the benefits of a regular exercise program, and yet this talk therapy may not be achieving the desired result. Cardiologist Dr. David Sabgir has moved beyond talk therapy and is literally walking the talk -- by taking his patients to the park, as part of this unique physician-led walking program called Walk With a Doc. Dr. Sagbir joins host Dr. Janet Wright to talk about his Ohio-based organization, which he is working to expand across the country. It may be just prescription we all need.
Guest: Susan Levy, MD, CMD
Host: Eric Tangalos, MD
When patients are admitted to long term care facilities, it's crucial to conduct a health screening and identify a preventative patient health plan in order to preserve their well-being. What are some of the areas to pay particular attention to when screening a new patient at a long term care facility? What is the role of the family in creating a health maintenance plan? How might an individualized health maintenance plan differ from standard guidelines? Dr. Susan Levy, vice president of medical affairs and medical director at Levindale Hebrew Geriatric Center and Hospital in Baltimore, discusses these and other questions about health maintenance with host Dr. Eric Tangalos.
Guest: Bernard Lown, MD
Host: Martin Samuels, MD
How can a physician be an activist in his or her patient's healing? Can that same physician be an activist in society's healing? Joining host Dr. Martin Samuels is Nobel Peace Prize recipient, noted cardiologist and author Dr. Bernard Lown. Among other topics, they discuss how time is critical in understanding the ailments of the patient, and individual physician's responsibility to society.
Host: Todd Mahr, MD
Guest: Gailen D. Marshall, MD, PhD
The media often report about the effect of stress on the immune system. What research supports the idea that certain individuals are more susceptible to stress than others, and how can physicians recognize patients who might be experiencing an immunological response to stress? What mechanisms might link rhinitis, asthma and chronic urticaria to stress? Dr. Gailen Marshall, professor of medicine and pediatrics at the University of Mississippi Medical Center, discusses the fascinating relationship between a patient's mental state and immunity. Dr. Todd Mahr hosts.
Guest: Paul Offit, MD
Host: Jennifer Shu, MD, FAAP
Vaccines have been described as one of the greatest medical advances in history. Yet some segments of the population view them as a potential vehicle for causing more harm than good to young patients. What led to this change in perception about vaccines, and how can physicians best counsel patients who harbor concerns? For answers to these critical questions and much more, Dr. Jennifer Shu welcomes one of the foremost figures in the debate over vaccine safety, Dr. Paul Offit, chief of the division of infectious diseases and director of the Vaccine Education Center at the Children's Hospital of Philadelphia, and the Maurice R. Hilleman Professor of Vaccinology and a professor of pediatrics at the University of Pennsylvania School of Medicine.
Guest: Paul Offit, MD
Host: Jennifer Shu, MD, FAAP
Most parents support the immunization of their kids according to the recommended vaccine schedule. But increasing numbers are choosing to forgo this routine entirely or follow an alternative vaccine schedule. How are these vaccine practices impacting the health of our young patients and more broadly, the health of the general public?Host Dr. Jennifer Shu examines the key questions surrounding the alternative vaccine schedules and how to guide young patients and their families through this process, with Dr. Paul Offit, chief of the division of infectious diseases and director of the Vaccine Education Center at the Children's Hospital of Philadelphia, and the Maurice R. Hilleman Professor of Vaccinology at the University of Pennsylvania School of Medicine.
Host: Cathleen Margolin, PhD
Guest: Gary Stoner, PhD
Reports on the medicinal properties of foods are often of interest to the general public, with the hope of finding or maintaining better health through proper nutrition. For many years, the relationship between the consumption of berries and cancer prevention has been studied in lab animals, with results from these scientific studies interpreted for their potential applications in daily life. What does current research tell us about the potency of raspberries, blueberries and other berries toward preventing cancer and can we yet issue any practical indications for humans? Dr. Gary Stoner, professor emeritus in the division of hematology and oncology within the department of internal medicine at the Ohio State University College of Medicine, joins host Dr. Cathleen Margolin to help us provide clear guidance to our patients who inquire about the nutritional value of these fruits.
Host: Jennifer Shu, MD, FAAP
Guest: Per-Henrik Zahl, MD, PhD
The widespread use of mammography to screen for breast cancer has resulted in a decrease in breast tumor detection, as well as decrease in mortality rates associated with the disease. But the natural course of malignant diseases such as different types of cancer can vary considerably. Is it possible-even common-for some invasive breast tumors to regress without treatment? And if this is the case, how could this impact our strategies for screening, diagnosing and treating breast cancer? For more on these intriguing ideas, host Dr. Jennifer Shu welcomes Dr. Per-Henrik Zahl, epidemiologist and senior statistician at the Norwegian Institute of Public Health in Oslo, Norway, and lead author of a study published in the Archives of Internal Medicine that "raises the possibility that the natural course of some screen-detected invasive breast tumors is to spontaneously regress."
Guest: Diane Sperling Lauderdale, PhD
Host: Larry Kaskel, MD
Investigators have become interested in the relationship between sleep and health. The latest research shows that people who sleep for fewer hours than the average are more likely to develop calcification of the coronary arteries. Dr. Diane Lauderdale, an associate professor of health studies at the University of Chicago, talks with host Dr. Larry Kaskel about the heart health benefits of sleep.
Guest: Jerome Groopman, MD
Host: Martin Samuels, MD
Is there any way for clinicians to avoid misdiagnosis and other 'thinking errors'? Host Dr. Martin Samuels discusses this important topic with researcher, physician, and author Dr. Jerome Groopman. Dr. Groopman explores some of the unintended consequences of targeted medical research and 'the Christopher Reeve effect.'
Guest: James Stolzenbach, MD
Host: Bruce Japsen
Despite the wide adoption of statins that are practically in the U.S. drinking water, there are still Americans who are not being treated with lipid-lowering therapies. So what's the answer? Dr. James Stolzenbach, who oversees clinical research in the area of dyslipidemia and renal drug development at Abbott Laboratories, tells the Chicago Tribune's Bruce Japsen about combination therapies and other new drugs being pursued by the pharmaceutical industry to manage cholesterol.
Guest: James Stolzenbach, MD
Host: Bruce Japsen
Consumers and their doctors all know about LDL and the need to lower the so-called bad cholesterol. But what about the treatments beyond those that lower LDL? James Stolzenbach, who oversees clinical research in the area of dyslipidemia and renal drug development at Abbott Laboratories, tells host Bruce Japsen about new developments in treating and managing cholesterol beyond lowering LDL.
Host: Jennifer Shu, MD, FAAP
Guest: William Mahle, MD
We are consistently working to improve our approach to diagnosing congenital cardiovascular defects. With both inherited and modifiable risk factors playing a role in these abnormalities, there are many aspects of treatment and prevention to consider. How can we best utilize tests to complement physical examination for diagnosis and treatment? Dr. William Mahle, medical director of clinical research at Sibley Heart Center Cardiology in Atlanta and associate professor of pediatrics at Emory University School of Medicine, explains what we know about preventing these defects and explores the areas in which we need to learn more about congenital heart disease.
Host: Larry Kaskel, MD
Guest: Mike Katke
Scientific evidence shows that therapeutic lifestyle programs are the most cost effective programs to prevent, improve, or cure chronic diseases such as diabetes. Host Dr. Larry Kaskel discusses with Mike Katke, co-founder of Metagenics, Inc., the elements of a therapeutic lifestyle program and the practical requirements for implementing a program. Tune in to hear how primary care physicians can easily establish a therapeutic lifestyle program that will benefit their patients' health and be financially rewarding.
Guest: Jun Ye, PhD
Host: Larry Kaskel, MD
Diagnosing life threatening diseases and other medical conditions could soon be as easy as breathing. June Ye, a physics professor at the University of Colorado-Boulder and his graduate student, Michael Thorpe, discuss their research on a technique that uses lasers to detect specific chemical compounds in the breath of patients. They explain to host Dr. Larry Kaskel the underlying mechanisms of this technology, which is known as optical frequency comb, and how that it is able to derive health information from the patient's breath. Tune in to hear how this technology, once perfected, will improve the efficiency of diagnosing and monitoring diseases, as well as save patients thousands of dollars on diagnostic testing.
Host: Matthew J. Sorrentino, MD, FACC, FASH
Guest: Steven F. Bolling, MD
Grapes and other fruits high in phytochemicals, such as flavanols, are thought to have a protective effect on blood pressure and cardiac function. Dr. Steven Bolling, director of the Complementary and Alternative Medicine Research Center at the University of Michigan School of Medicine in Ann Arbor, describes his research in a hypertensive animal model that indicated that the addition of grape extract lowered blood pressure, improved cardiac function and reduced inflammation at a dose that would equal the intake of a handful of grapes per day. Hosted by Dr. Matthew Sorrentino.
Guest: Susan Love, MD
Host: Lauren Streicher, MD
Dr. Susan Love, medical director and founder of the Dr. Susan Love Research Foundation, joins host Dr. Lauren Streicher to talk about the Love/Avon Army of Women initiative, which seeks to recruit one million women of all ages and backgrounds to participate in breast cancer research. Dr. Love explains how doctors can apply to be involved in the research process and how your patients can become part of the army of women.
Guest: Gary Conkright
Host: Bruce Japsen
Trying to reduce medication errors? Gary Conkright, chief executive officer of InformMed, a medication safety company, talks with host Bruce Japsen about how the healthcare industry is borrowing a risk assessment technique from the aviation industry as a way to improve patient safety.
Guest: Judith Florendo
Host: Lauren Streicher, MD
Chronic pelvic pain, incontinence and dyspareunia prompt many women to seek the help of their gynecologist. What most women don't know is that the next step in their treatment may be a visit to a physical therapist, for pelvic floor physical therapy. Ms. Judith Florendo, the Midwest regional representative in the women's section of the American Physical Therapy Association, joins host Dr. Lauren Streicher to talk about this growing area of women's health. Ms. Florendo explains how therapists go about evaluating their patients for treatment and who can benefit from this type of therapy.
Guest: Eugene Lipov, MD
Host: Lauren Streicher, MD
Women who have hot flashes may experience episodes up to 80 times a week. Estrogen is the most common treatment, but oftentimes it's just not enough. Dr. Eugene Lipov, an anesthesiologist and medical director of Northwest Hospital's Advanced Pain Center in Arlington Heights, Illinois, discusses with host Dr. Lauren Streicher his pioneering use of the stellate ganglion block to alleviate hot flashes for women. The two cover the procedure for administering the block, the success rate and complications, as well has how Dr. Lipov came up with the concept. Dr. Lipov also talks about how the block aids in better sleep patterns for post menopausal women.
Guest: H. Gilbert Welch, MD, MPH
Host: Jennifer Shu, MD, FAAP
Physicians need to be knowledgeable about both the potential benefits and possible harms of early screening and detection. What should we do when a healthy patient comes to our office requesting a full-body CT scan, genetic testing for cancer markers, or other screening measures that may not be suitable for their condition? How can we put health risks into perspective and give our patients basic information about the overdiagnosis and unnecessary treatment that may follow screening? For an interesting discussion about these questions and much more, host Dr. Jennifer Shu welcomes Dr. H. Gilbert Welch, professor of medicine and community and family medicine at Dartmouth Medical School, and author of Should I Be Tested for Cancer? Maybe Not, and Here's Why.
Guest: H. Gilbert Welch, MD, MPH
Host: Jennifer Shu, MD, FAAP
Preventive medicine in primary care has traditionally focused on health promotion and disease prevention. Due to advances in technology, a typical well visit may now include a series of tests to detect early disease. How is this shift toward preventive medicine affecting patient care, survival outcomes and health care costs? And how can physicians decide when is the optimal time to screen for cancer and other conditions? Dr. H. Gilbert Welch, professor of medicine and community and family medicine at Dartmouth Medical School, and author of Should I Be Tested for Cancer? Maybe Not, and Here’s Why, joins host Dr. Jennifer Shu to examine the realities behind our growing expectations of preventive care.
Guest: Theodore Eisenberg, JD
Host: Larry Kaskel, MD
According to the results of a recent study, the use of statins for primary prevention in women is not supported by clinical-trial data. Theodore Eisenberg, a law professor at Cornell University, discusses the scope of the meta-analyses of the primary prevention clinical statin trial, and the conclusion, which found no statistically significant evidence of cardioprotective effect for women. Mr. Eisenberg explores with host Dr. Larry Kaskel the important questions raised by these findings, including whether the drugs should be used in the primary prevention in women and how the unqualified marketing and advertising claims of protection are misleading to physicians and consumers.
Guest: Laurie Goodyear, PhD
Host: Larry Kaskel, MD
Dr. Laurie Goodyear, a senior investigator and head of the section on metabolism at the Joslin Diabetes Center in Boston, discusses with host Dr. Larry Kaskel how exercise impedes the development of type 2 diabetes. Tune in to hear the implications of Dr. Goodyear's research on exercise and how it works to promote the uptake of glucose into muscles. Could an exercise pill mimic the exercise-activated glucose uptake?
Guest: Timothy Church, MD, PhD
Host: Bruce Japsen
Motivating your patients to exercise can be a challenge. But Dr. Timothy Church of the Pennington Biomedical Research Center in Baton Rouge, Louisiana, tells host Bruce Japsen that even 15 minutes a day can help, citing research that shows even minimal exercise can be a benefit to the obesity epidemic and other diabetes risk factors.
Guest: Marianne Legato, MD
Host: Lauren Streicher, MD
Women account for 85 percent of the people in the industrialized world who have reached 100 years of age. What accounts for the longer lifespan of women? Dr. Marianne Legato, founder of the Partnership for Gender-Specific Medicine at Columbia University College of Physicians and Surgeons, talks with host Dr. Lauren Streicher about the significance of gender on life span. They discuss the roles that biology, lifestyle, and social factors play in longevity, and probe whether social changes in the industrialized world may be closing the gap.
Host: Lauren Streicher, MD
Guest: Coleen Kelly, MD
More than 150,000 obese American people undergo bariatric surgery annually. Many of these patients are women who will become pregnant. Dr. Colleen Kelly, a gastroenterologist at Women and Infants Hospital in Providence, Rhode Island, joins host Dr. Lauren Streicher to discuss this growing patient population. The two discuss which surgical option is best for a woman who wants to conceive, along with nutritional guidlines, complications, and of course the health of the baby.
Guest: Kim Lebowitz
Host: Lauren Streicher, MD
Women are twice as likely as men to experience depression, and that statistic holds true for female cardiac patients. Linking heart disease and depression, the American Heart Association recently recommended that all cardiac patients be screened for depression. Dr. Kim Lebowitz, director and founder of the Bluhm Cardiovascular Institute at Northwestern Memorial Hospital in Chicago, discusses with host Dr. Lauren Streicher the new field of cardiac psychology and how doctors can screen their cardiac patients for the signs and symptoms of depression.
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 Lundt to discuss his ways to help prevent cancer.
Host: Lisa Mazzullo, MD
Guest: Sharmila Makhija, MD
Since the Gardasil vaccination has only been administered to young girls and teens since 2006, there are still questions concerning who should get the vaccine and under what circumstances., and the effectiveness of the vaccine if not taken according to suggested protocol. Dr. Sharmila Makhija, director and associate professor of gynecologic oncology at the University of Alabama, tackles with host Dr. Lisa Mazzullo who should receive the vaccine. They also discuss whether or not it's beneficial for patients to be typed and tested for HPV before receiving the vaccinations, and what happens if a patient becomes pregnant while receiving the vaccine.
Guest: Wendie Berg, MD, PhD
Host: Lisa Mazzullo, MD
The number of women affected by breast cancer every year is staggering: almost 180,000 new cases and upwards of 40,000 deaths. Researchers are focused on finding novel ways to detect a malignancy before it spreads-to the lymph nodes and beyond. Dr. Wendie Berg, a breast imaging radiologist associated with the Johns Hopkins University School of Medicine, talks with host Dr. Lisa Mazzullo about her latest work: studying the use of ultrasound, in conjunction with mammography, to detect breast cancer in high-risk women.
Guest: Sharmila Makhija, MD
Host: Lauren Streicher, MD
We are finding the highest prevalence of human papillomavirus (HPV) among women in their early 20s, but the FDA now recommends that an HPV vaccine be administered to women up to the age of 45. Why? Because recent research tells us that the at-risk population may be larger than we think. Dr. Sharmila Makhija, associate professor of gynecologic oncology at Emory University School of Medicine, weighs the pros and cons of this new recommendation with host Dr. Lauren Streicher.
Guest: David Grimes, MD
Host: Lauren Streicher, MD
There are so many choices when it comes to choosing the right contraceptive for your patient that it can make your head spin. Dr. David A Grimes, a clinical professor in the Department of Obstetrics and Gynecology at the University of North Carolina Medical School helps sort out with host Dr. Lauren Streicher the latest options in contraception. They also look at the option of male hormonal contraception and what future birth control methods may soon be available.
Host: Lauren Streicher, MD
Guest: David Grimes, MD
Intrauterine contraception is underutilized in America, compared with usage rates around the globe: despite its documented efficacy, a mere two percent of American women choose this form of birth control. Dr. David A. Grimes, clinical professor of obstetrics and gynecology at the University of North Carolina School of Medicine, reviews the multitude of benefits linked to intrauterine contraception with host Dr. Lauren Streicher. Dr. Grimes also delves into specifics behind the levonorgestrel intrauterine device.
Guest: Kevin Kunz, MD, MPH
Host: Stuart Gitlow, MD, MPH, MBA
Addiction Medicine may be on track to become a board certified specialty in the future, differentiating itself from the current ABMS-approved subspecialty of Addiction Psychiatry. How has the advancing field reached this stage, and what does it mean for us and our patients? Additionally, what will an Addiction Specialist be able to do that an Addiction Psychiatrist cannot, and vice-versa? Dr. Kevin Kunz, Interim President of the American Board of Addiction Medicine, remarks on this developmental trend from the field. Hosted by Dr. Stu Gitlow.
Guest: Lt. Col. Lorne Blackbourne, MD
Host: John Armstrong, MD
The United States Army Institute of Surgical Research (ISR) tracks every casualty from Iraq and Afghanistan, probing for injuries that may be preventable. One area of focus includes isolated extremity wounds. Col. Dr. Lorne Blackbourne, commander of the ISR in San Antonio, details key advances in field tourniquets and hemostatic agents that optimize outcomes for our soldiers. Are these products also being dispatched in civilian care settings? Find out more with host Dr. John Armstrong.
Guest: Abimbola Famuyide, MD
Host: Lisa Mazzullo, MD
For women with severe cardiac disease, pregnancy is not advisable due to significant risks of maternal and fetal morbidity and mortality. Dr. Lisa Mazzullo talks with Dr. Abimbola Famuyide, principle investigator in a recent study on hysteroscopic steriization at the Mayo Clinic in Rochester, Minnesota. Dr. Famuyide's research provides new safer choices for women with heart issues.
Guest: Stanley Gall, MD
Host: Lisa Mazzullo, MD
Since the 1990s, we have seen a resurgence in infant deaths related to pertussis. Once thought to be a disease of childhood, pertussis attack rates are very high among non-immunized adults. Dr. Stanley Gall, professor of obstetrics and gynecology and women's health at the University of Louisville School of Medicine, analyzes the risk-benefit ratio of immunizing pregnant women and other vulnerable populations with host Dr. Lisa Mazzullo.
Guest: Col. Lisa Keep, MD, MPH
Host: John Armstrong, MD
As our world flattens, we're seeing a similar trend across medicine: developing nations in tropical climates are now increasingly dealing with the lifestyle behavior risks to which we, in the United States, have grown accustomed. Despite this pattern, infectious disease remains a major threat among populations native to the tropics. Host Dr. John Armstrong discusses the current trajectory of tropical medicine, from lifestyle risks, to tuberculosis, malaria and beyond, with Col. Dr. Lisa Keep, director of tropical public health and an assistant professor of preventive medicine at Uniformed Services University of the Health Sciences.
Guest: Veronica Ravnikar, MD
Host: Lauren Streicher, MD
There is substantial evidence that supports the importance of estrogen to cognitive function, but it seems there is relatively little emphasis on proactively preserving the ability to think clearly once menopause hits. Dr. Veronica Ravnikar, chair of obstetrics and gynecology at South Shore Hospital in Weymouth, Mass., discusses how to treat women with estrogen therapy.
Guest: William J. Bryan, MD
Host: Sherwin Ho, MD
In many regions of our country, summer weather means more outdoor activities, competitive cycling among them. Though cycling is great exercise, our patients must take proper caution to limit their injury risk. Host Dr. Sherwin Ho talks with Dr. Bill Bryan, former medical doctor for the United States cycling team and an avid cyclist, about a range of cycling injuries, from carpel tunnel syndrome to the typical joint pains. What advice can you give your patients t help them avoid injury?
Guest: Sandra Carson, MD
Host: Lauren Streicher, MD
Host Dr. Lauren Streicher continues her discussion with Dr. Sandra Carson, professor of obstetrics and gynecology at the Warren Alpert Medical School at Brown University, on how to tackle the issue of treating obese women. They discuss diet plans, lifestyle modifications, counseling strategies, and medications to best treat obese patients.
Guest: Sandra Carson, MD
Host: Lauren Streicher, MD
Dr. Sandra Carson, professor of obstetrics and gynecology at the Warren Alpert Medical School of Brown University, offers her perspective on the causes and consequences of the obesity epidemic in women. Are there common reasons for weight gain not directly linked to the ratio of food intake versus energy output? How do eating patterns, hormone replacement therapies and other medicines impact weight control? Dr. Lauren Streicher hosts.
Guest: Anthony Odibo, MD
Host: Lisa Mazzullo, MD
Dr. Anthony Odibo, associate professor of obstetrics and gynecology and director of the Fetal Care Center at Washington University School of Medicine in St. Louis, details the concurrent challenge and promise of perinatal ultrasound, as it applies to first trimester screening and genetic evaluation, preterm labor prediction and minimally invasive fetal therapies. Should our interpretation of the ultrasound change based on our patients' ethnicity or other criteria?
Guest: Dale Sandler, PhD, MPH
Host: Lisa Mazzullo, MD
Rising rates of breast cancer are of concern to everyone in medicine. To what can we attribute this disturbing trend? For answers, host Dr. Lisa Mazzullo welcomes Dale Sandler, PhD, MPH, chief of epidemiology at the National Institute for Environmental Health Sciences (NIEHS), and principal investigator of the NIEHS Sister Study, a bold initiative to evaluate 50,000 sisters of women with breast cancer, measuring a confluence of environmental factors against their disease risk.
Guest: Steve McKee
Host: Susan Dolan, RN, JD
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.
Guest: Steve McKee
Host: Susan Dolan, RN, JD
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: 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 the Treatment and Recovery Research Division of the National Institute on Alcohol Abuse and Alcoholism talks with Dr. Larry Kaskel about the role a general physician can take in screening and treating patients who drink too much.
Guest: Mark Willenbring, MD
Host: Larry Kaskel, 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 Recovery Research, joins host Dr. Larry Kaskel to talk about new information from epidemiologic research on the prevalence and progression of heavy drinking and alcohol use disorders. In addition, Dr. Willenbring discusses the subtypes of alcohol dependence, and the nature of AUDs, in the context of DSM revisions.
Guest: Maria Boosalis, PhD, MPH, R.D L.D
Host: Leslie P. Lundt, MD
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.
Guest: Prabhat Jha, MD, PhD
Host: Mark Nolan Hill, MD
International research predicts that, in the next decade, India will surpass a frightening landmark: one million annual smoking-related deaths. What are the unique challenges of spreading information on the dangers of smoking throughout India? How is India working to reduce the scourge of smoking-related illnesses? Dr. Prabhat Jha, professor of health and development, and founding director of the Centre for Global Health Research at the University of Toronto, details his extensive findings, published in the New England Journal of Medicine, on the current smoking epidemic in India. Dr. Mark Nolan Hill hosts.
Guest: Prabhat Jha, MD, PhD
Host: Mark Nolan Hill, MD
Dr. Prabhat Jha, professor of health and development, and founding director of the Centre for Global Health Research at the University of Toronto, details his extensive findings, published in the New England Journal of Medicine, on the current smoking epidemic in India with host Dr. Mark Nolan Hill. Is India's hospital and healthcare system equipped to deal with the breadth of smoking-related illnesses? Dr. Jha also talks about the efforts of India's tobacco industry to squash his scientific data, and explains how the Indian government can resist the push of tobacco industry lobbyists.
Guest: Prabhat Jha, MD, PhD
Host: Mark Nolan Hill, MD
By the year 2010, experts predicted that India would suffer nearly one million smoking related-deaths per year. How do the traditional cultural influences, as well as the more modern Western influences, impact smoking patterns in India? Do the primary causes of death from smoking differ from those in the United States? Dr. Prabhat Jha, professor of health and development, and founding director of the Centre for Global Health Research at the University of Toronto, details his extensive findings, published in the New England Journal of Medicine, on the current smoking epidemic in India. Dr. Mark Nolan Hill hosts.
Guest: Melanie Calvert, PhD
Host: Gary Kohn, MD
Quality of life as related to patient care; how do you measure it, teach it, and use it? Join host Dr. Gary Kohn as he explores the topic with Dr. Melanie Calvert, a research fellow at the University of Birmingham and PhD biochemist who's worked with clinicians, industry, and academics researching the role quality of life plays in assessing patient outcomes and health policy decision making.
Guest: Melanie Calvert, PhD
Host: Gary Kohn, MD
Dr. Melanie Calvert, a research fellow at the University of Birmingham, PhD biochemist, and quality of life researcher speaks with host, Dr. Gary Kohn on quality of life measurement; how it's currently conducted and implemented in the medical field, and its future potential.
Guest: Gary Small, MD
Host: Leslie P. Lundt, MD
Dr Gary Small is Professor of Psychiatry and Biobehavioral Sciences and the Parlow-Solomon Professor on Aging at the David Geffen School of Medicine at UCLA. He is a leading expert on memory and aging, joining host Dr. Leslie Lundt to discuss his latest book, The Longevity Bible.
Guest: Gary Small, MD
Host: Leslie P. Lundt, MD
What are the greatest challenges as we age? Will healthcare and lifestyle improve concurrently? In one of the first conferences of its kind, the UCLA Center on Aging presented a one-day symposium featuring a discussion among national academic and industry leaders about the interface between new technology and aging. Host Dr. Leslie Lundt examines this intersection with Dr. Gary Small, director of the UCLA Center on Aging, and a leading expert on memory and aging.
Guest: Roba Whiteley, MS
Host: Bruce Japsen
The role of doctors and other health professionals in helping the uninsured gain access to medicines is critical. But doctors don't always know what is out there to help their patients access prescription drugs. Roba Whiteley, executive director of TogetherRx Access tells the Chicago Tribune's Bruce Japsen about an effort to link millions of uninsured patients to low cost medicines.
Guest: Steven Stryker, MD
Host: Lauren Streicher, MD
There is a dramatically uneven distribution of risk among women for colorectal cancer, the second most common cancer in America. Low-risk women have only five percent lifetime odds of developing the disease, while moderate and high-risk subsets are much more vulnerable. What accounts for this risk? The evidence points to a series of genetic and environmental factors, along with other known syndromes. Dr. Steven Stryker, professor of clinical oncology at Northwestern University’s Feinberg School of Medicine, joins host Dr. Lauren Streicher to evaluate common predispositions to this devastating disease.
Guest: Mary Naylor, PhD, RN
Host: Susan Dolan, RN, JD
Mary D. Naylor, PhD, RN, is the Marian S. Ware Professor in Gerontology and Director of the New Courtland Center for Transitions and Health at the University of Pennsylvania in Philadelphia, Pennsylvania. Hear Dr. Naylor as she discusses how to prevent patients from landing back in the hospital.
Guest: Lee Philip Shulman, MD, FACOG, FACMG
Host: Lisa Mazzullo, MD
Few would quibble with the notion that every patient, irrespective of age, needs genetic screening. When it comes to prenatal testing, early answers are ideal for expectant mothers and their families. Dr. Lee Shulman, professor and chair of reproductive genetics at Northwestern University Feinberg School of Medicine, examines AFP-serum markers, triple and quad screens, and the increasing accuracy we’re now seeing among first trimester non-invasive testing.
Guest: Michael Koren, MD
Host: Lauren Streicher, MD
If you had instant access to the opinion of a panel of board-certified physicians, would this augment your approach to the practice of medicine? Ask 100 Doctors is an organization providing web-based consultation technology, which strives to connect physicians from all corners of medicine. Dr. Michael Koren, founder of Ask 100 Doctors, joins host Dr. Lauren Streicher to examine the utility of this service.
Guest: Marla Mendelson, MD
Host: Lauren Streicher, MD
It is 10 times more likely that an American woman will die of cardiovascular disease than breast cancer. Yet few female patients know what they should be doing to prevent heart disease. How can we help? Dr. Marla Mendelson, director of the women’s cardiology program and assistant professor of medicine at Northwestern University Feinberg School of Medicine, reviews gender-specific cardiovascular risk factors and screening mechanisms with host Dr. Lauren Streicher.
Guest: Steven Blair, MS, PED
Host: Paul Raeburn
What would you recommend: Get on a diet to lose that extra 10 or 15 pounds? Or forget about dieting, just get out there and exercise? Sure, it’s better to be fit AND thin, and it’s also better to be rich, famous, brilliant, and good looking. But we can’t choose all of these things. When it comes to reducing cardiovascular risks, and boosting the chances of a long, healthy life, which is a better bet—to be fit, or to lose weight? In a study from the Journal of the American Medical Association, fitness is shown to have important consequences on cardiovascular health—independent of weight.
Guest: Holly Atkinson, MD
Host: Leslie P. Lundt, MD
With our special skills, ethical obligations and credible voices, health professionals are in a unique position to be human rights advocates. What is being done and how can you get involved? Past president of the board of directors of Physicians for Human Rights, Dr. Holly Atkinson tells host Dr. Leslie Lundt about her experiences.
Guest: Donald Berwick, MD, MPP
Host: Bill Rutenberg, MD
What are the best ways to bring safety to the hospital setting? What type of support systems are available to doctors when errors occur? Dr. Don Berwick, President and CEO of the Institute for Healthcare Improvement shares thoughts on these topics and more in an interesting interview with host Dr. Bill Rutenberg.
Guest: Ateev Mehrotra, MD
Host: Leslie P. Lundt, MD
Two thirds of patients and physicians believe it is important to have a preventive health exam every year. What does this cost? Is it necessary? Host Dr. Leslie Lundt welcomes RAND policy analyst Ateev Mehrotra, MD to discuss his latest research into the value of preventive services.
Guest: Ted Anderson, MD, PhD
Host: Lauren Streicher, MD
What are the most important considerations for our female patients as potential candidates for endometrial ablation? Dr. Ted Anderson, associate professor of obstetrics and gynecology at Vanderbilt University School of Medicine, outlines the preoperative evaluation process with host Dr. Lauren Streicher, including a review of five devices which are FDA approved for the procedure.
Guest: Ted Anderson, MD, PhD
Host: Lauren Streicher, MD
Dr. Ted Anderson, Associate Professor of Obstetrics and Gynecology at Vanderbilt University Medical Center, discusses revised ACOG guidelines, pre-operative evaluation, and choosing appropriate patients for Endometrial Ablation. Dr. Anderson also discuses the potential pitfalls of Endometrial Ablation
Guest: Cathy Wicklund, MS
Host: Lisa Mazzullo, MD
The Genetic Counselor as an amazing tool in your medical armamentarium: As the genome becomes better understood new medical challenges will become evident. The tools to best educate ourselves and to assist our patients as they need to determine the w’s: when, who and why should someone undergo genetic testing. The what do I do after I know I have a genetic predisposition to a disease is an entire challenge on to itself that we must as health care providers help guide our patients . A team approach made up of genetic counselors, medical staff and possibly psychological staff will offer the most comprehensive care when genetic issues arise. Cathy Wicklund helps us understand the role of the genetic counselor and the ways they can help our patients with regards to genetic health testing.
Guest: Joanna Rudnick
Host: Lisa Mazzullo, MD
Guest: Julie Burger, JD
Genetic Discrimination- There should be a law against it, and we’re working on it; The Genetic Information Non Discrimination Act (GINA). What is the ethical and legal dilemma of BRCA 1 / 2 testing? 30,000 women have tested positive for brca1 or 2 but an estimated 250,000 women are suspected to be positive as well but are afraid to be tested due to possible genetic discrimination. The reality of health insurance, disability and employment discrimination due to genetic testing is daunting and is preventing women from taking action against the possible cancer diagnosis in their future. Julie Burger shares with us the legal dilemma and frustrations of genetic information discrimination. Additional References: Coalition For Genetic Fairness: www.geneticfairness.org Halsey Lea, d, et al Ethical Issues in Genetic Testing, J Midwifery Womens Health, 2005; 50 (3); 234-40. - Genomics and personalized Medicine act, 2006, Obama http://en.wikipedia.org/wiki/genetic_information_nondiscrimination_act - www.genome.gov/24519851- discusses the nuances of the gina act.
Guest: Joanna Rudnick
Host: Lisa Mazzullo, MD
From a medical, ethical and psychological perspective, Joanna Rudnick has faced heart-wrenching choices about childbearing, life-altering surgeries, preventive lifestyle changes, and much more. Young women like Ms. Rudnick, who possesses BRCA gene mutations, look to their healthcare providers for guidance through this harrowing journey. How can we help? She talks with host Dr. Lisa Mazzullo about the difficult decisions of genetic testing, and the challenges of treating for disease based on genetic projections.
Guest: Kenneth Thorpe, PhD
Host: Mark Nolan Hill, MD
Dr. Kenneth Thorpe discusses the Partnership to Fight Chronic Disease with host Mark Nolan Hill. Can healthcare be made more affordable by attacking chronic diseases like cancer and obesity?
Guest: Charles Raison, MD
Host: Leslie P. Lundt, MD
Why might it be advantageous to prime our immune systems before being stressed? How has this potentially protective mechanism changed with the advent of civilization? What can we do to minimize the consequences? Dr. Charles Raison joins host Dr. Leslie Lundt to discuss the latest in psychoneuroimmunology.
Guest: Maria Hester, MD
Host: Leslie P. Lundt, MD
Both physicians and patients could benefit from more efficient and effective communication skills. We are constantly told what we as physicians can do better, but what can patients do? Dr. Leslie Lundt hosts this segment in which Dr. Maria Hester gives specific recommendations how to improve our patients’ skills.
Guest: Maria Hester, MD
Host: Leslie P. Lundt, MD
Noted patient advocate expert, Dr. Maria Hester outlines what patients are most concerned about in this segment hosted by Dr. Leslie Lundt.
Guest: Murray Favus, MD
Host: Lauren Streicher, MD
Dr. Murray Favus, a Professor of Medicine at The University of Chicago Pritzker School of Medicine, and director of The University of Chicago Bone Program discusses denosumab, zoledronic acid, oral calcium sensing receptor antagonists, and other emerging therapies for osteoporosis.
Guest: Murray Favus, MD
Host: Lauren Streicher, MD
Dr. Lauren Streicher speaks with Dr. Murray Favus, professor of medicine at the University of Chicago Pritzker School of Medicine and director of the University of Chicago Bone Disease Program, about managing patients who are not tolerating a bisphosphonate or who do not respond to bisphosphonate therapy.
Guest: Diljeet Singh, MD
Host: Lisa Mazzullo, MD
Dr. Mazzullo and Dr. Singh discuss the genetic detection of ovarian cancer and the challenges it proposes.
Guest: Stanley Hazen, MD
Host: Larry Kaskel, MD
People with diabetes are two to four times more likely to develop cardiovascular disease. How can you help your patients reduce the odds of getting cardiovascular disease? Join host Larry Kaskel interview Cleveland Clinic's Stanely Hazen.
Host: Bruce Japsen
Guest: Dennis O'Leary, MD
He runs an organization designed to stop medical errors at U.S. hospitals in a climate where everyone from consumer groups, patients and members of Congress are complaining about patient safety. Dr. Dennis O'Leary tells Bruce Japsen what doctors, hospitals and other medical professionals need to do improve patient safety.
Guest: Thomas Gilliam, PhD
Host: Gary Kohn, MD
Obese workers have a disproportionate amount and intensity of workplace injuries. Dr. Gilliam suggests some trends, implications, and remedies.
Host: Gary Kohn, MD
Guest: Thomas Gilliam, PhD
What is the impact of age and obesity, and what does this mean for workforce selection processes and corporate healthcare costs?
Guest: Thomas Gilliam, PhD
Host: Gary Kohn, MD
Primary care providers, occupational health clinics, and outside companies can all provide physical capability assessments? Who, what, and when are such assessments appropriate?
Guest: Thomas Gilliam, PhD
Host: Gary Kohn, MD
Physical capability assessment programs can help patients, physicians and employers determine appropriate fit between patients and their occupations.
Guest: Allan Prochazka, MD, MSc
Host: Lee Freedman, MD
Dr. Prochazka discuss the use of various pharmacologic agents in helping patients to stop smoking.
Guest: Allan Prochazka, MD, MSc
Host: Lee Freedman, MD
Dr. Prochazka discusses non-pharmacologic tools that primary care providers can use to assist patients with smoking cessation.
Guest: Allan Prochazka, MD, MSc
Host: Lee Freedman, MD
Dr. Prochazka discusses principles in helping patients to quit smoking.
Host: Larry Kaskel, MD
Guest: Elizabeth Tieman, MD
Work-life balance: how many of us can say we have it, let alone come close to having it? Board-certified radiologist Dr. Betsy Tieman is one healthcare professional who can say she achieved work-life balance by leaving private practice where she was working 14 hours a day to take advantage of locum tenens work, which also enabled her to train and compete in triathlons.
Guest: Jerome D. Cohen, MD
Host: Larry Kaskel, MD
Dr. Jerome Cohen, director of preventive cardiology at St. Louis University, joins Dr. Larry Kaskel to discuss statins and how they are sold, from the 'behind-the-counter' perspective in the UK, to the potential of OTC here in the US.
Host: Susan Dolan, RN, JD
Guest: Barbara Dossey, RN, PhD
Join Dr. Barbara Dossey as she discusses how to integrate the latest technology, procedures and medication with holistic approaches.
Host: Paul Raeburn
Guest: Tod Cooperman, MD
Todd Cooperman, founder and president of Consumerlabs.com talks about some recent findings including traces of lead in multi-vitamins and a lack of regulatory control in in glucosamine-chondroitin compounds.
Guest: Arthur Caplan, PhD
Host: Paul Raeburn
One of the nation's leading bioethicists discusses the failures in America's mental health system, and how changes might prevent the next school shooting.
Guest: Stanton Glantz, MD
Host: Paul Raeburn
Dr. Glantz discusses the impact on the movie industry from implemented rules governing smoking in movies.
Guest: Kim Thiboldeaux
Host: Laura Humphrey, PhD
Kim Thiboldeaux, President and CEO of The Wellness Community, talks about the programs and services they provide for people with cancer and their families.
Host: Paul Raeburn
Guest: Ron Davis, MD
Dr. Ron Davis discusses the AMA's stance regarding the public health issues of obesity, alcohol misuse, and health insurance.
Guest: Ron Davis, MD
Host: Paul Raeburn
Dr. Ron Davis discusses the AMA's mission towards tobacco control and disease prevention.
Guest: James Leggett, MD
Host: Paul Raeburn
James Leggett describes the process that the FDA will go through to make decisions regarding the use of antibiotics in cattle.