Musculoskeletal Disorders: Recent Episodes
ReachMD
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: 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: 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: 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.
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: 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: 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: 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.
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: Jennifer Caudle, DO
Guest: Catherine Apicella, MPT, PYT-C, PRPC
With less and less primary care physicians partnering with physical therapists, it’s time we ask: are we doing ourselves—and our patients—a disservice by not taking advantage of this option? To find out, Dr. Jennifer Caudle sits down with physical therapist Catherine Apicella to discuss the often-overlooked benefits of physical therapy and how primary care physicians and physical therapists can work together to benefit their patients.
Host: Jennifer Caudle, DO
Guest: Catherine Apicella, MPT, PYT-C, PRPC
Frustrating multiple sclerosis (MS) symptoms like urinary frequency and incontinence can be detrimental to a patient’s quality of life, but there are resources available to help. To explore the benefits of pelvic floor physical therapy for MS, Dr. Jennifer Caudle sits down with two special guests: physical therapist Catherine Apicella from CORE 3 Physical Therapy and her patient—and ReachMD’s very own employee—Crystal Gouldey.
Host: Barnett Mennen, MD
Guest: Comron Saifi, MD
Spinal deformity places strain on the vertebrae and supporting muscles, tendons, ligaments, and tissues supporting the spinal column. The treatment and management of this condition becomes centrally important to maintain patient quality of life through functional mobility and activity levels.
Host, Dr. Barry Mennen and Dr. Comron Saifi discuss the leading assessment and treatment options for spinal deformity. Dr. Saifi is an Assistant Professor of Orthopaedic Surgery in the Division of Spine Surgery at the Perelman School of Medicine at the University of Pennsylvania.
Host: Brian P. McDonough, MD, FAAFP
Out of the approximately 340,000 hip fractures that occur in the US each year, 9 out of 10 of them happen to people older than 65. Hip fractures in an older population can result in significant complications including pneumonia and blood clots, among others.
Host Dr. Brian McDonough sits down with Dr. Derek Donegan, Assistant Professor of Orthopedic Surgery in the Division of Orthopedic Trauma at the Hospital of the University of Pennsylvania to talk about some of the challenges physicians face when treating hip fractures in elderly patients.
Host: Matt Birnholz, MD
Guest: Susan Greenspan, MD
Guest: John Carey, MB, BCh, BAO
It is estimated that 54 million Americans over the age of 50 are affected by osteoporosis and low-density bone mass, putting them at higher risk for fractures. Additionally, new evidence is emerging that the 30-year downward trend in hip fractures has hit a plateau recently, indicating that the field, as a whole, must take action to aggressively reduce this danger in our aging population.
Dr. John Carey, President of the International Society for Clinical Densitometry, and Dr. Susan Greenspan, Vice President of the National Osteoporosis Foundation, speak with host Dr. Matt Birnholz about diagnostic and treatment priorities for osteoporosis to help reduce fractures.
Host: Matt Birnholz, MD
Guest: Patrick J. Connolly, MD
Back and neck pain is extremely common, with 80-90% of people experiencing some pain within their lifetime. About 90% of cases resolve within six weeks, but for those patients whose pain persists, questions arise as to who should be referred next for further consultation. While patients often see a spine specialist at first, the care journey sometimes leads to a neurosurgeon or orthopaedic spine surgeon. Can this pathway from primary care to neurosurgery or orthopaedic surgery ever be expedited?
Dr. Patrick Connolly, neurosurgeon at Penn Medicine joins host Dr. Matt Birnholz to discuss when primary care physicians should consider referring patients to neurosurgeons for neck and back pain. Dr. Connolly will also discuss the different types of surgical options for patients seeking prolonged back and neck pain relief.
[Read the Article]
Among a group of patients with severe obesity who underwent bariatric surgery, a large percentage experienced improvement in pain, physical function, and walking capacity over 3 years, according to a new study.
Severe obesity can be associated with joint pain and impaired physical function, like the ability to bend, lift, carry, and walk.
Researchers from the University of Pittsburgh studied more than 2,200 patients from 10 U.S. hospitals. Patients filled out questionnaires about their pain and physical function before surgery and each year, for 3 years after surgery. Patients also participated in a 400 meter walking test.
The results found that 50 to 70 percent of patients experienced significant improvements in body pain and physical function and in the walking test. In addition, they found three-fourths of participants with severe knee and hip pain experienced improvements in arthritis symptoms.
[Watch more videos of The JAMA Report]
Host: Jennifer Caudle, DO
Why is it important to understand what our body looks like when we are completing tasks, otherwise known as the study of ergonomics? How do we best counsel our patients, as well as clinicians, to notice changes in posture when sedentary? And how can achieve the more optimal "neutral posture" even when inactive? In this episode, host Dr. Jennifer Caudle welcomes Dr. Rubina Tahir, chiropractor, author, and host of The Rx on My New Philly. Dr. Tahir will discuss the importance of posture given the challenges of technology and other factors driving sedentary lifestyles.
Host: Jennifer Caudle, DO
Guest: Michael Lewiecki, MD, FACP, FACE
With an incidence rate of more than 750,000 per year, vertebral fractures contribute significantly to morbidity and mortality rates in osteoporosis patients, particularly those who have sustained a VCF in the past. In this new segment, we will hear from Dr. Michael Lewiecki, as he examines this debilitating issue. Dr. Lewiecki is the Director of the New Mexico Clinical Research and Osteoporosis Center; and, Clinical Assistant Professor of Medicine at UNM School of Medicine in Albuquerque, New Mexico.
Host: Lee Freedman, MD
Osteosarcoma is a relatively rare but feared disease. What exactly is an osteosarcoma and how should it be worked up and treated? Host Dr. Lee Freedman discusses this diagnosis with Dr. Kristy Weber, Abramson Family Professor in Sarcoma Care Excellence and Professor, Vice-Chair of Faculty Affairs, Department of Orthopaedic Surgery; Director of the Sarcoma Program, Abramson Cancer Center; Chief, Orthopaedic Oncology.
Host: Shira Johnson, MD
Guest: Meryl S. LeBoff, MD
Osteoporosis is a major public health threat for an estimated 54 million Americans 50 years of age and older. In the U.S. today, 10.2 million individuals are estimated to already have the disease and 43.4 million more are estimated to have low bone mass, placing them at increased risk for osteoporosis and fractures. Because bone density tends to decline with age, the problem of osteoporosis has reached epidemic proportions with the rapidly aging population. It is estimated that by 2020 over 61 million Americans will have osteoporosis or low bone mass. Join host Dr. Shira Johnson welcomes Dr. Meryl LeBoff, Endocrinologist; Chief of the Calcium and Bone Section at Brigham Women's Hospital in Boston, Massachusetts; and, trustee of the National Osteoporosis Foundation.
About NOF & Fracture Liaison Service (FLS)
NOF has adopted the 20/20 Vision of the National Bone Health Alliance (NBHA), of which NOF is a founding member. The goal is to reduce bone breaks by 20% by the year 2020.
Approximately 2 million fractures are caused by osteoporosis each year. Compliance around osteoporosis and post-fracture quality measures is not consistent despite the existence of several NCQA and CMS healthcare provider quality measures. The solution to resolving the 75 …
Host: Prathima Setty, MD
Dr. Prathima Setty welcomes Dr. Ethel Siris, the Madeline C. Stabile Professor of Clinical Medicine in the Department of Medicine, College of Physicians and Surgeons of Columbia University, and the Director of the Toni Stabile Osteoporosis Center of the Columbia University Medical Center. Their discussion focuses on updated indications and assessments for confirming diagnoses of osteoporosis and recommended approaches to treatment in mild to severe cases.
About NAMS The interview was conducted live at The North American Menopause Society (NAMS) meeting. Founded in 1989, NAMS is North America's leading nonprofit organization dedicated to promoting the health and quality of life of all women during midlife and beyond through an understanding of menopause and healthy aging. Its multidisciplinary membership of 2,000 leaders in the field-including clinical and basic science experts from medicine, nursing, sociology, psychology, nutrition, anthropology, epidemiology, pharmacy, and education-makes NAMS uniquely qualified to serve as the definitive resource for health professionals and the public for accurate, unbiased information about menopause and healthy aging To learn more about NAMS, visit www.menopause.org.
Host: Lee Freedman, MD
Presentation of lumps and bumps are common in the primary care setting, but the appropriate approach is vital to determine whether there may be a deeper problem. A better understanding can lead to more effective treatment. Expert guest Dr. Kristy Weber discusses musculoskeletal tumors during her discussion with host Dr. Lee Freedman. Dr. Weber is the Abramson Family Professor in Sarcoma Care Excellence as well as Professor, Vice-Chair of Faculty Affairs, Department of Orthopaedic Surgery; and Director of the Sarcoma Program, Abramson Cancer Center; and Chief, Orthopaedic Oncology.
Host: Matt Birnholz, MD
This session of Grand Rounds Nation is provided by the American College of Osteopathic Family Physicians (ACOFP), and features Dr. Susan Zito, DO, MPH. Dr. Zito is a faculty physician at the Largo Medical Center in Largo, Florida.
This is Part 2 of a lecture in two parts.
Part 1 >>
Host: Matt Birnholz, MD
This session of Grand Rounds Nation is provided by the American College of Osteopathic Family Physicians (ACOFP), and features Dr. Susan Zito, DO, MPH. Dr. Zito is a faculty physician at the Largo Medical Center in Largo, Florida.
This is Part 1 of a lecture in two parts.
Part 2 >>
Host: Matt Birnholz, MD
Guest: Michael Lewiecki, MD, FACP, FACE
Anyone in medicine will freely admit that osteoporosis is a major health threat in the United States, and yet the majority of patients with osteoporosis remain undiagnosed and untreated. In fact, fewer than one-third of cases have even been diagnosed, and only 14% of women with osteoporosis receive treatment. This comes in stark contrast to the fact that more than 50% of women over age 50 will encounter an osteoporosis-related fracture. So what can the healthcare community do in the face of those odds? Addressing this issue is Dr. Michael Lewiecki, Osteoporosis Director at the New Mexico Clinical Research and Osteoporosis Center. He's also Clinical Assistant Professor of Medicine at the University of New Mexico School of Medicine. Dr. Matt Birnholz hosts.
Guest: Rachel Kim, MD
Host: Steven Edelman, MD
Diabetes may affect the musculoskeletal system in a variety of ways. The metabolic perturbations in diabetes result in changes in the connective tissue. What are current recommendations for healthcare providers as an overall strategy in the treatment of patients living with diabetes? Join host Dr. Steven Edelman and his guest, rheumatologist at the Scripps Clinic, Dr. Rachel Kim, as they discuss musculoskeletal complications, intervention and treatment.
Guest: Lawrence Hurst, MD
Host: Lee Freedman, MD
Dupuytren's disease can cause severe joint contracture in the hands, and surgery is often recommended for these patients most affected by the condition. But Dr. Lawrence Hurst, professor, chairman and chief of the division of hand surgery in the department of orthopaedics at Stony Brook School of Medicine Health Sciences Center, tells us about another new, non-surgical option that may soon be available for treating Dupuytren's contracture, using injectable collagenase. What types of patients are most susceptible to developing this condition? Dr. Lee Freedman hosts.
Guest: Sharlene Teefey, MD
Host: Beverly Hashimoto, MD
Ultrasound images of the musculoskeletal system provides pictures of muscles, tendons, ligaments, joints and soft tissue throughout the body. Dr. Sherry Teefey, associate professor of radiology at Washington University School of Medicine in St. Louis, discusses with host Dr. Beverly Hashimoto some of the common uses for this procedure. Dr. Teefey also discusses the application of musculoskeletal ultrasound in conjunction with aspiration or injection. Tune in to hear the benefits and limitations of diagnostic musculoskeletal ultrasound.
Guest: Judith Florendo
Host: Lauren Streicher, MD
Treatment of pelvic pain is often handled by a gynecologist. The most successful approach to treating pelvic pain and dyspareunia may be a team approach. Judith Florendo, the Midwest regional representative in the women's section of the American Physical Therapy Association, joins host Dr. Lauren Streicher to discuss how pelvic physical therapists determine treatment for the problem. It begins with a complete medical history, and may include ultrasound, biofeedback, internal exams of the pelvis and electrical stimulation. The two also look at the significant increase in quality of life following treatment and the length of treatment for women with pelvic pain.
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: Timothy Coetzee, PhD
Host: Bruce Bloom, DDS, JD
Through a venture philanthropy called Fast Forward, LLC the National Multiple Sclerosis Society plans to deploy 1.5 to 2 million dollars in the next 18 months as seed funding to biotech companies on the path towards cures for Multiple Sclerosis. Our guest, Timothy Coetzee executive director of Fast Forward, LLC joins host Dr. Bruce Bloom to talk about genomics, novel immune system therapies and other hopeful possibilities leading towards cures for multiple sclerosis. Interesting also is the process by which the biotech companies are evaluated and followed after an investment is made.
Host: Bruce Bloom, DDS, JD
Guest: Timothy Coetzee, PhD
Speeding up the translation process for MS patients is the mission of Fast Forward, LLC, a venture philanthropy of the National Multiple Sclerosis Society. Our guest today, Dr. Timothy Coetzee executive director of Fast Forward, LLC tells us how they are taking a business venture approach to find cures. Funded by private donations, the Fast Forward team makes investments in promising science backed by companies with a plan and strategy in place. Says Coetzee, "Its pivotal that charities think about using their capital towards commercial development. We are not sure where the next cure will come from."
Guest: Col. Geoffrey Ling, MD, PhD
Host: John Armstrong, MD
Col. Dr. Geoffrey Ling, program manager at the Defense Advanced Research Projects Agency (DARPA) and former professor and chair of neurology at Uniformed Services University of the Health Sciences, joins host Dr. John Armstrong for an inspiring conversation about the future of revolutionary prosthetic limbs. At the crossroads of biology and artificial technology, from ‘strap-and-go' devices to cortical interface tools, we hold the power to revitalize the human spirit.
Host: Susan Dolan, RN, JD
Guest: Richard Blau, MD
Dr. Richard H. Blau is the founder and Medical Director of The Arthritis Institute of Long Island in Long Island, New York and a Founding Fellow of the American College of Rheumatology. Hear Dr. Blau as he discusses his book, Too Young to Feel Old: The Arthritis Doctor's 28-Day Formula for Pain-Free Living.
Guest: Spero Karas, MD
Host: Mark Nolan Hill, MD
The reported rates of failure after arthroscopic rotator cuff repair are widely varied. Dr. Spero Karas, director of the Emory Orthopaedic Sports Medicine Fellowship Program, talks host Dr. Mark Nolan Hill through the double-row rotator cuff repair procedure, a newer and more successful repair technique. Which patient populations will do best with this procedure and how do the results differ when compared with a more traditional repair?
Guest: Charles Raison, MD
Host: Leslie P. Lundt, MD
Is depression a condition of immune activation? There has been a dramatic paradigm shift in how we think about inflammatory response and disease. Host Dr. Leslie Lundt welcomes Dr. Charles Raison to discuss the latest research linking inflammation and depression.
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: Murray Favus, MD
Host: Lauren Streicher, MD
Dr. Lauren Striecher speaks to 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. They will discuss management of patients identified with osteoporosis.
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?
Host: Susan Dolan, RN, JD
Guest: Jacob Teitelbaum, MD
Over 40 Million Americans suffer from arthritis. Join Dr. Jacob Teitelbaum, Director of the Fibromyalgia and Fatigue Centers, based in Dallas, Texas, and author of "Pain Free 1-2-3: A Proven Program for Eliminating Chronic Pain Now," discuss his 4-step natural program to treat arthritis.
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: Joan Lappe, PhD
Host: Renee Matthews, MD
In this segment, Dr. Lappe talks about how Vitamin D and Calcium Supplementation decreases the rate of stress fractures in female navy recruits.
Guest: Jacob Teitelbaum, MD
Host: Susan Dolan, RN, JD
Join Dr. Jacob Teitelbaum, Director of the Fibromyalgia & Fatigue Centers and author of "From Fatigued to Fantastic" discuss the latest research, and treatment of chronic fatigue.
Guest: Jacob Teitelbaum, MD
Host: Susan Dolan, RN, JD
Join Dr. Jacob Teitelbaum, Medical Director of the Fibromyalgia and Fatigue Centers and author of "From Fatigued to Fantastic" as he offers a Chronic Fatigue Syndrome 101.