Surgery: Recent Episodes
ReachMD
Host: Mario E. Lacouture, MD
Host: Sapna Patel, MD
This educational initiative will enhance dermatologists' and surgeons' knowledge, clinical skills, and confidence in recognizing patients who may benefit from adjuvant systemic therapy and selecting individualized, appropriate agents to improve outcomes for patients with stage IIB-IV resectable melanoma.
Host: Mario E. Lacouture, MD
This educational initiative will enhance dermatologists' and surgeons' knowledge, clinical skills, and confidence in recognizing patients who may benefit from adjuvant systemic therapy and selecting individualized, appropriate agents to improve outcomes for patients with stage IIB-IV resectable melanoma.
Host: Sapna Patel, MD
This educational initiative will enhance dermatologists' and surgeons' knowledge, clinical skills, and confidence in recognizing patients who may benefit from adjuvant systemic therapy and selecting individualized, appropriate agents to improve outcomes for patients with stage IIB-IV resectable melanoma.
Host: Jeffrey S. Weber, MD, PhD
This educational initiative will enhance dermatologists' and surgeons' knowledge, clinical skills, and confidence in recognizing patients who may benefit from adjuvant systemic therapy and selecting individualized, appropriate agents to improve outcomes for patients with stage IIB-IV resectable melanoma.
Host: Sapna Patel, MD
This educational initiative will enhance dermatologists' and surgeons' knowledge, clinical skills, and confidence in recognizing patients who may benefit from adjuvant systemic therapy and selecting individualized, appropriate agents to improve outcomes for patients with stage IIB-IV resectable melanoma.
Host: Jeffrey S. Weber, MD, PhD
This educational initiative will enhance dermatologists' and surgeons' knowledge, clinical skills, and confidence in recognizing patients who may benefit from adjuvant systemic therapy and selecting individualized, appropriate agents to improve outcomes for patients with stage IIB-IV resectable melanoma.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Henry Rosenberg, MD
Malignant hyperthermia is an inherited disorder primarily recognized by anesthesia professionals. And since this condition can have significant consequences on a patient’s health, including their likelihood of surviving surgery, it’s important to know how to diagnose and treat malignant hyperthermia emergencies in operating room settings. Join Dr. Charles Turck as he dives deeper into this topic with Dr. Henry Rosenberg, a member of the Board of Directors of the Malignant Hyperthermia Association of the United States.
Host: Meghan Mooradian, MD
This Patient Clinician Connection CME activity, led by Dr. Meghan Mooradian, focuses on the use of adjuvant immunotherapy in early-stage melanoma. The activity aims to educate clinicians on the role of immunotherapy in reducing the risk of disease recurrence post-surgery, particularly in patients with resected stage IIB to III melanoma. Through patient clinical vignettes and audience education vignettes, participants will gain insights into patient-centered approaches, shared decision-making, and the management of immune-related adverse events associated with adjuvant immunotherapy, ultimately enhancing their ability to optimize treatment outcomes and patient care in this setting.
Host: Peter Buch, MD, FACG, AGAF, FACP
Guest: Michael Lucey, MD
There are a lot of considerations to keep in mind when it comes to liver transplantation in patients with various diseases, like metabolic-associated stereotactic liver diseases, alcoholic liver disease, hepatitis B and C, and more. Joining Dr. Peter Buch to discuss those key considerations surrounding liver transplantation is Dr. Michael Lucey, Professor of Medicine at the University of Wisconsin School of Medicine and Public Health.
Host: Peter Buch, MD, FACG, AGAF, FACP
Guest: David Talan, MD
Until recently, surgery was always utilized for appendicitis, but now, antibiotics are an alternative treatment. Find out who the best candidates are for an antibiotic regimen, the efficacy and safety of this approach to treating acute uncomplicated appendicitis, and more with Dr. Peter Buch and Dr. David Talan, Professor of Medicine at UCLA Geffen School of Medicine.
Host: Peter Buch, MD, FACG, AGAF, FACP
Guest: David Liska, MD
Since the 1990s, clinicians have been seeing a significant increase in colorectal cancer among young patients, who are under the age of 50. A multidisciplinary approach is key as diagnostic and treatment considerations are specific to their age. Dive in with Dr. Peter Buch as he’s joined by Dr. David Liska, Section Chief of Oncology in the Department of Colorectal Surgery at the Cleveland Clinic.
Host: Peter Buch, MD, FACG, AGAF, FACP
Guest: Alan Bonder, MD
According to the United Network for Organ Sharing (UNOS), more than 95 percent of patients are alive and doing well after a liver transplant. So what else can we learn from UNOS? Join Dr. Peter Buch as he speaks with Dr. Alan Bonder, Assistant Professor of Medicine at Harvard Medical School.
Host: Jennifer Caudle, DO
Guest: Michelle Kincaid, MD
The largest study to date on 4F-PCC was conducted as an FDA postmarketing requirement in partnership between Kaiser Permanente and CSL Behring. The purpose of this long-term study was to compare the 45-day risk of thromboembolic events and all-cause mortality in adults with warfarin-associated major bleeding after treatment with KCENTRA®, Prothrombin Complex Concentrate (Human), or plasma. Take a deep dive into the data with Dr. Jennifer Caudle as she speaks with Dr. Michelle Kincaid, Trauma Surgeon and Director of Surgical Critical Care at Ohio Health Grant Medical Center in Columbus.
Host: Jennifer Caudle, DO
Guest: Jeran Wadlow
Guest: Josh Elmassian, MBA
Allergan Medical Institute® has taken a personalized approach to training HCPs in medical aesthetics with the launch of AMI Online. Discover multiple online courses spanning the Allergan Aesthetics portfolio, including content on JUVÉDERM® VOLUX® XC. Experience how AMI Online’s evidence-based and progressive training curricula can educate and empower the aesthetics community. Join Dr Jennifer Caudle as she speaks with Jeran Wadlow, Associate Director, Digital at Allergan Medical Institute® in Irvine, California, and Josh Elmassian, Director of JUVÉDERM® US Commercial Business and Marketing at Allergan Aesthetics, in Irvine, California.
© 2023 AbbVie. All rights reserved.
PRT162857 06/23
Host: Jason J. Luke, MD, FACP
Guest: Tara Mitchell, MD
The 5-year recurrence rates for stage IIB and IIC melanoma are up to 46%, but now new immunotherapy options are FDA-approved for the adjuvant treatment of stage IIB and IIC melanoma. Find out why this matters and hear Drs. Jason Luke and Tara Mitchell break down the latest data on treating stage IIB and IIC melanoma with adjuvant immunotherapy.
Host: Neda Shamie, MD
Guest: Inder Paul Singh, MD
Inder Paul Singh, MD, sits down with Neda Shamie, MD, to discuss a retrospective analysis that evaluated the Medicare claims–based 5-year economic and reintervention burden for patients with primary open-angle glaucoma after incisional glaucoma surgery in the United States. What do the findings suggest for clinical and surgical practice?
Host: Neda Shamie, MD
Guest: Cynthia Matossian, MD
Cynthia Matossian, MD, joins Neda Shamie, MD, to discuss a national, noninterventional, cross-sectional, mixed methods survey that evaluated cataract surgery candidates’ knowledge and emotions as they related to cataract surgery and their behavioral intent to adhere to a doctor-recommended presurgical ocular surface prep routine. Learn more about commonly held assumptions.
Host: Neda Shamie, MD
Guest: Kendall Donaldson, MD
Kendall Donaldson, MD, sits down with Neda Shamie, MD, to discuss a retrospective chart review in which investigators evaluated the refractive outcomes of phacoemulsification in eyes with Fuchs endothelial corneal dystrophy. Did results differ between eyes that underwent laser cataract surgery and those that received conventional phacoemulsification?
Host: Javed Butler, MD, MBA, MPH
Guest: Pedro A Villablanca Spinetto, MD
A complex condition known as tricuspid valve regurgitation may cause concern for patients as it typically doesn’t show signs or symptoms until the disease is severe. So what technologies and therapies do we have to look forward to? Join Dr. Javed Butler as he speaks with Dr. Pedro Villablanca, Structural Heart Interventional Cardiologist at Henry Ford Health.
Guest: Lisa Parks, MS, APRN-CNP, ANP-BC
When considering prehabilitation for cancer patients about to undergo surgery, what factors should we keep in mind? Nurse Practitioner Lisa Parks from the Ohio State University Wexner Medical Center in Columbus, Ohio explores some of the key considerations involved in prehabilitation.
Guest: Lisa Parks, MS, APRN-CNP, ANP-BC
To learn more about key considerations for prehabilitation, Nurse Practitioner Lisa Parks from the Ohio State University Wexner Medical Center in Columbus, Ohio recaps important factors to keep in mind for cancer patients undergoing surgery.
Guest: Lisa Parks, MS, APRN-CNP, ANP-BC
For some cancer patients undergoing surgery, prehabilitation care could impact their outcomes. So what do nurses need to consider in their preoperative assessment? And what key players are part of the multidisciplinary healthcare team? Lisa Parks from the Ohio State University Wexner Medical Center in Columbus, Ohio explores key factors for cancer surgery.
Host: John J. Russell, MD
Guest: Stanton Miller, MD, MPH, FACS
Patients who live in an environment impacted by gun violence may face lifelong challenges. But addressing gun violence from a public health standpoint may help clinicians manage the biological, behavioral, and social aspects of this disease. Dr. John Russell is joined by Dr. Stan Miller from the Jefferson Center for Injury Research & Prevention to discuss how clinicians can reframe their approach.
Host: Peter Buch, MD, FACG, AGAF, FACP
Guest: Koji Hashimoto, MD, PhD
What facts should we keep in mind when considering liver transplantation? And how do we determine which of our patients are the right candidates? Dr. Peter Buch explores important considerations for liver transplantation with Dr. Koji Hashimoto, the Director of Liver Transplantation at the Cleveland Clinic.
Host: Adam DeVore, MD
Guest: Lauren Barron, MD
Guest: Navin Kapur, MD
Less than 20% of patients admitted to the hospital with new-onset heart failure are assessed for coronary artery disease (CAD) even though revascularization can improve survival. Many transplant patients go without a CAD assessment or intervention at earlier stages, but treatment could slow progression of their heart failure or even reverse it. Join Drs. Adam DeVore, Lauren Barron, and Navin Kapur as they discuss the gaps in care with CAD and how you can take action to improve your patients’ outcomes.
Guest: Narjust Duma, MD
Guest: David J. Feller-Kopman, MD
Guest: Bruce E. Johnson, MD
Guest: Razelle Kurzrock, MD, FACP
Guest: Ignacio Wistuba, MD
Lung cancer incidence is decreasing due in part to reduced smoking rates, and new trends are emerging as things change. But despite these advancements, some challenges remain to be solved. Explore those challenges and key strategies for overcoming them in this four-part series.
PP-US-8201a-1520 12/22
Host: Martin Pollak, MD
Guest: Susanne Nicholas, MD, MPH, PhD
End-stage kidney disease (ESKD) is at least 3x higher among African Americans compared to Americans of European descent. Carriers of APOL1 variants with chronic kidney disease (CKD) are associated with more rapid disease progression and an increased risk of kidney failure. Join Drs. Martin Pollak and Susanne Nicholas as they discuss the epidemiology and possible mechanisms of APOL1 kidney disease, as well as recent clinical evidence for therapies in development that can potentially prevent rapid disease progression.
Host: Andrea Singer, MD, FACP, CCD
Guest: Susan V. Bukata, MD, FAOA, FAAOS
Life-altering secondary fractures are a harsh reality, but Medicare studies show, and orthopedic surgeons agree, that knowledge has not translated into prevention. Why is there clinical inertia in providing preventative interventions related to secondary fragility fractures? Join Drs. Andrea Singer and Susan Bukata as they provide a cogent medical approach to preventing these fractures and a roadmap for when and how to use available therapies based on their mechanisms of action.
Host: Peter Buch, MD, FACG, AGAF, FACP
Guest: Benjamin L. Cohen, MD
Guest: Stefan Holubar, MD, MS
New data suggests that the use of anti-TNF therapy early in the treatment course can be effective for patients with inflammatory bowel disease (IBD). However, some of them may still require surgery. But is anti-TNF therapy safe in the perioperative period? To answer this question, Dr. Peter Buch is joined by Drs. Benjamin Cohen and Stefan Holubar from the Cleveland Clinic to discuss the findings from the PUCCINI study.
Host: Peter Buch, MD, FACG, AGAF, FACP
Guest: Victoria Gomez, MD
Endoscopic sleeve gastroplasty may be an effective option for weight loss. But which of our patients are the right candidates—and what do they need to know about before and after the procedure? Dr. Peter Buch dives into this procedure with Dr. Victoria Gomez, an Associate Professor of Medicine at the Mayo Clinic in Florida.
Host: Suzanne J. Baron, MD
Guest: Jonathan A. Bradlow, MD, FACC
Guest: Kendra J. Grubb, MD
Data are limited on the incidence and factors associated with structural valve deterioration (SVD) after transcatheter aortic valve replacement (TAVR) and surgery for severe aortic stenosis in patients of all risk levels. The lifetime management of these patients requires an understanding of bioprosthetic valve durability and failure. Tune in for new evidence evaluating the 5-year incidence, outcomes, and predictors of hemodynamic SVD in patients undergoing TAVR and surgery that will support best practices for treatment selection.
Host: Suzanne J. Baron, MD
Guest: Jonathan A. Bradlow, MD, FACC
Guest: Kendra J. Grubb, MD
Data are limited on the incidence and factors associated with structural valve deterioration (SVD) after transcatheter aortic valve replacement (TAVR) and surgery for severe aortic stenosis in patients of all risk levels. The lifetime management of these patients requires an understanding of bioprosthetic valve durability and failure. Tune in for new evidence evaluating the 5-year incidence, outcomes, and predictors of hemodynamic SVD in patients undergoing TAVR and surgery that will support best practices for treatment selection.
Host: John J. Russell, MD
Guest: Paul Craddock, PhD
Beginning in the mid-16th century up until present day, medicine has evolved tremendously. How did transplant surgery play an important role in doing so? Dive into the teachings with Dr. Paul Craddock, author of the book titled, Spare Parts: The Story of Medicine Through the History of Transplant Surgery, as he joins Dr. John Russell to dissect the surprising history of modern medicine.
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: 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: 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: Heather Wakelee, MD, FASCO
Standard of care treatment for resectable early-stage NSCLC usually includes surgery in combination with neoadjuvant or adjuvant platinum-based chemotherapy; however, metastatic disease often develops. To lower the risk for recurrence, an area of active research is the use of immune checkpoint inhibitors as neoadjuvant and adjuvant therapy for early-stage NSCLC. Several immune checkpoint inhibitors are now being investigated in early-stage NSCLC, with promising results reported, suggesting a role for the use of neoadjuvant and adjuvant therapy with immune checkpoint inhibitors in early-stage NSCLC.
This educational activity will review the role of immunotherapy in early-stage NSCLC as adjuvant treatment, recent clinical data and the latest advances for immune checkpoint inhibitors as adjuvant treatment, and recent and ongoing clinical trials for adjuvant and neoadjuvant immunotherapy for the treatment of early-stage NSCLC so that clinicians are better able to integrate emerging data and new treatment options into clinical practice and inform, educate, and refer patients to clinical trials when appropriate.
Host: Matthew Sorrentino, MD
Guest: Javed Butler, MD, MBA, MPH
In a groundbreaking procedure, a 57-year-old man with life-threatening heart disease received a heart from a genetically altered pig. Surgeons at the University of Maryland Medical Center performed the 8-hour operation, making it the first successful transplant of a pig's heart into a human being. And while much is still uncertain, what could this achievement mean for the future of organ transplantation? That’s what ReachMD hosts Dr. Matthew Sorrentino and Dr. Javed Butler explore together.
Please note: Since the date of publication, David Bennet, the patient who received a heart transplant from a pig, died at the age of 57 at the University of Maryland Medical Center on March 8, 2022.
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: Neilanjan Nandi, MD
Guest: Karen Krok, MD, FAASLD
While hepatologists can help gastroenterologists manage the pulmonary manifestations that may occur in our patients with chronic liver disease, it’s still important for gastroenterologists to know what they should be on the lookout for so that patients can receive timely and appropriate treatment. Additionally, gastroenterologists need to consider the potential impacts of those pulmonary manifestations on transplant outcomes. Joining Dr. Neil Nandi to discuss those and other key considerations gastroenterologists need to know is Dr. Karen Krok from Penn State Health Milton S. Hershey Medical Center.
Host: Kristen Whitaker, MD, MS
Guest: Ricki Fairley, BA, MBA
Guest: Sara M. Tolaney, MD, MPH
For patients with recurrent unresectable or metastatic triple negative breast cancer (TNBC), standard systemic therapy has largely consisted of chemotherapy, though the outlook has improved recently following FDA approval of several targeted therapies and immunotherapeutic options. The management of TNBC remains quite challenging for clinicians, particularly in light of persistent disparities in TNBC care that disproportionately impact specific patient populations (eg, women of minoritized populations). Racial disparities specific to TNBC include a higher incidence, more advanced stage at diagnosis, and increased mortality among black women versus white women in the United States.
This web-based, on-demand, activity will review health disparities and inequities in TNBC and how they impact care, along with the latest evidence for current and emerging antibody-drug conjugates and immunotherapeutic agents, to assist oncology professionals in delivering impartial care to all patients.
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.
Guest: John Friedewald, MD
Could novel technologies like noninvasive biomarkers help us achieve the goal of “one kidney for life”? Find out with Dr. John Friedewald, Professor of Medicine and Surgery at the Northwestern University Feinberg School of Medicine, as he shares the latest developments that can help monitor patients with kidney transplants.
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: Neilanjan Nandi, MD
Guest: Jason Schairer, MD
For a significant portion of our patients, pouchitis can be a frustrating and trying condition plagued with urgent diarrhea, incontinence, and even complications of fistula and stricture. Fortunately, a group of clinicians have gathered together to develop consensus guidelines on the endoscopic evaluation and clinical management of pouchitis and its potential complications. And who better to give us an in-depth review of the new guidelines than Dr. Jason Schairer, one of the authors of the guidelines.
Host: Neilanjan Nandi, MD
Guest: Jason Schairer, MD
How can we make the differentiation between pouchitis and cuffitis to provide the best possible care? And once we accurately identify and treat pouchitis, how can we manage surgical complications that may arise? Tune in to hear Dr. Jason Schairer from the Henry Ford Health System in the Division of Gastroenterology and Hepatology discuss these FAQs with Dr. Neil Nandi.
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: 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: 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: 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: Peter Buch, MD, FACG, AGAF, FACP
Guest: Amanda Ayers, MD, FACS
Many patients undergo surgery to help manage their inflammatory bowel disease (IBD), but many questions still surround the surgical management of IBD. When should a patient receive surgery? How do we know which procedure is best? And what do we need to keep in mind before, during, and after a patient's surgery? Joining Dr. Peter Buch to help address those and other questions is colorectal surgeon Dr. Amanda Ayers.
Host: Tracey Evans, MD
Guest: Raja Mudad, MD
TECENTRIQ® (atezolizumab), in combination with carboplatin and etoposide, is a first-line treatment option for adult patients with extensive-stage small cell lung cancer. What does this treatment path look like in clinical practice? Dr. Tracey Evans is joined by medical oncologist Dr. Raja Mudad to walk us through an example patient case that gives us a better sense of key diagnostic factors, treatment approach, and patient management.
This program is intended for US Physicians.
M-US-00010814(v1.0)
Host: Tracey Evans, MD
Guest: Raja Mudad, MD
For thirty years, there were limited therapeutic advancements leading to FDA approvals in extensive-stage small cell lung cancer (ES-SCLC). However, this all changed with the IMpower133 trial, which led to the emergence of immunotherapy as a first line treatment option in ES-SCLC. Joining Dr. Tracey Evans is medical oncologist Dr. Raja Mudad to discuss the IMpower133 trial and the reasons to consider TECENTRIQ® (atezolizumab), the first immunotherapy combination for patients with ES-SCLC.
This program is intended for US Physicians.
M-US-00010808(v1.0)
Host: Peter Buch, MD, FACG, AGAF, FACP
Guest: Randolph Steinhagen, MD
Despite significant advances in Crohn’s disease therapy, sometimes patients have no other option but surgery. So to learn more about surgery for Crohn’s disease, Dr. Peter Buch speaks with Dr. Randolph Steinhagen, Chief of the Division of Colorectal Surgery and the Director for the Colon and Rectal Fellowship Program at Mount Sinai.
Host: Jennifer Caudle, DO
Guest: Tracey Evans, MD
Small cell lung cancer (SCLC) is a highly aggressive, lethal, and widely metastatic lung cancer. While therapeutic progress in SCLC has been limited over the years, immunotherapy has made some meaningful advancements in the treatment landscape. Joining Dr. Jennifer Caudle to discuss key diagnostic and therapeutic considerations such as TECENTRIQ® (atezolizumab) for 1L ES-SCLC, is Dr. Tracey Evans, Director of Thoracic Oncology Research at Lankenau Institute for Medical Research and Co-Director of the Thoracic Oncology Program at Main Line Health.
This program is intended for US Physicians.
M-US-00010802(v1.0)
Guest: Kelly Hunt, Md
Here to give us a brief overview of her session at the 2021 American Society of Clinical Oncology Annual Meeting titled, “From Desmoid and Phyllodes to UPS: A One-Size-Does-Not-Fit-All Approach to Surgery,” is Dr. Kelly Hunt, Professor and Chair of the Department of Breast Surgical Oncology in the Division of Surgery at the University of Texas MD Anderson Cancer Center.
Host: Christina Y. Weng, MD, MBA
Guest: Arshad M. Khanani, MD, MA
Diabetic macular edema (DME) remains undertreated in the real world. New targeted agents are in development for DME that seek to broaden current treatment approaches while improving upon the durability of VEGF suppression. These new treatments that go beyond the current standard of care may help reduce treatment burdens and ultimately improve vision outcomes in DME. Join our two experts, Dr. Christina Weng and Dr. Arshad Khanani, as they discuss these emerging agents, their mechanisms of action, and the latest available data.
Host: Jennifer Caudle, DO
Guest: Aryeh Shander, MD, FCCM, FCCP
Bleeding is the most common complication of anticoagulant use. And to better care for patients either experiencing acute bleeding or urgently needing surgery, it's critical that clinicians thoroughly understand how to assess, treat, and reverse anticoagulation. Dr. Jennifer Caudle sits down with Dr. Aryeh Shander to discuss some of the different considerations we should take into account when selecting a warfarin reversal option.
Please read full Prescribing Information for Kcentra®.
KCT-0033-APR21
Host: Jennifer Caudle, DO
Guest: Michelle Kincaid, MD
Guest: David M. Janicke, MD
What do we need to know about Kcentra®, Prothrombin Complex Concentrate (Human), and its role in coagulation factor replacement for acute deficiencies? Joining Dr. Jennifer Caudle to explore that question and more through the lens of a patient case are emergency medicine specialist Dr. David Janicke and critical care surgeon Dr. Michelle Kincaid.
Please read full Prescribing Information for Kcentra®.
KCT-0052-APR21
Host: Neilanjan Nandi, MD
Guest: Austin Chiang, MD, MPH
The field of endoscopic bariatric weight loss has developed over the years, but there’s a lot we still don’t know. Dr. Neil Nandi is here today with Dr. Austin Chiang, Director of the Endoscopic Bariatric Program at Thomas Jefferson University Hospital, to provide some insight on advanced endoscopy for bariatric weight loss.
Host: Hector O. Chapa, MD, FACOG
Guest: Cameron Ayala
Hundreds of millions of people worldwide suffer from lymphedema and lymphatic diseases. Joining us to provide a personal perspective on this condition is Cameron Ayala, a former reality TV persona, compression specialist, and lymphedema patient who will be sharing his experience with Dr. Hector Chapa.
Host: Jacob Sands, MD
Guest: Aaron S. Mansfield, MD
There are different treatment options available for early-stage mesothelioma, and there seem to be differences in standard practice from one center to the next. Joining Dr. Jacob Sands to share how he approaches the treatment of early-stage mesothelioma using the latest options is Dr. Aaron Mansfield, an Associate Professor of Oncology and Co-Director of Precision Cancer Therapeutics at Mayo Clinic in Rochester.
Host: Jerome Lisk, MD
Guest: Jerrold Vitek, MD, PhD
Deep brain stimulation, or DBS, is an emerging surgical procedure that may help to manage movement disorders such as Parkinson’s disease. Dr. Jerrold Vitek joins Dr. Jerome Lisk to share what is to be expected when a patient undergoes this type of procedure.
Guest: Monica L. Baskin, PhD
Guest: Josep M. Llovet, MD, PhD
Hepatocellular carcinoma (HCC) is the most common form of liver cancer. Patients with advanced disease at diagnosis typically are not candidates for potentially curative treatment options, such as resection, liver transplantation, or ablation. Additionally, liver cirrhosis and hepatic dysfunction often complicate treatment. Advances in the understanding of the molecular pathogenesis of HCC have broadened the potential for effective molecular targeted therapies, and advances in immune checkpoint inhibitor therapy are now transforming the way clinicians treat HCC.
Of particular concern, HCC incidence and mortality rates have risen among American Indian/Alaska Native, Hispanic, and black populations in the United States in recent years. Incidence of HCC is also expected to increase in older populations due to hepatitis C, a risk factor for development of HCC, among other comorbid conditions such as cirrhosis, obesity, diabetes, and non-alcoholic steatohepatitis, which are also on the rise. Screening and surveillance of these conditions that contribute to the development of HCC occur less often in many Hispanic and black populations, which can delay diagnosis and leave them ineligible for curative resection or transplantation due to advanced disease, leading to worse prognosis.
In this activity, the expert faculty will review health disparities, inequities, and …
Host: Jacob Sands, MD
Guest: Aaron S. Mansfield, MD
Mesothelioma is a cancer with limited treatment options, so how can we manage it in the first and second-line settings and beyond? Here with Dr. Jacob Sands to walk us through the various treatment approaches to mesothelioma is Dr. Aaron Mansfield, Associate Professor of Oncology and Co-Director of Precision Cancer Therapeutics at Mayo Clinic in Rochester.
Host: Matthew J. Sorrentino, MD, FACC, FASH
Guest: Salim S. Virani, MD, PhD, FACC, FAHA, FASPC
What is the leading cause of death worldwide? Dr. Matthew Sorrentino sits down with Dr. Salim Virani, who's a professor of medicine at Baylor College of Medicine in Houston, Texas, and the Cardiovascular Disease Fellowship director at Baylor, to discuss how the COVID-19 pandemic has impacted cardiovascular disease globally.
Host: Peter Buch, MD, FACG, AGAF, FACP
Guest: Paul Feuerstadt MD, FACG, AGAF
Clostridium difficile impacts many patients around the United States. How can we better diagnose and treat this infection? Dr. Peter Buch is joined by Dr. Paul Feuerstadt, Assistant Clinical Professor of Medicine at Yale New Haven Hospital the discuss the importance of managing Clostridium difficile.
Host: Matthew J. Sorrentino, MD, FACC, FASH
Guest: Alan S. Brown, MD, FACC, FAHA, FNLA
With an explosion in new medications to treat diabetes, Heart Matters hosts Dr. Matthew Sorrentino and Dr. Alan Brown sit down to discuss the cardiovascular risk benefits of these new diabetes treatments and how cardiologists can improve patient care.
Host: Matthew J. Sorrentino, MD, FACC, FASH
Guest: Eliot Brinton, MD, FAHA, FNLA
One of the leading causes of death in the US, cardiovascular disease risk-reduction has neglected triglycerides. To explain why that is, Dr. Matthew Sorrentino discusses approaches to take when reducing the risk of cardiovascular disease with expert guest, Dr. Elliot Brinton, president of the Utah Lipid Center in Salt Lake City.
Host: Alan S. Brown, MD, FACC, FAHA, FNLA
Guest: Arun Sharma, PhD
Can low gravity and space flight impact our cardiac function? Dr. Arun Sharma, a stem cell biologist at Cedars-Sinai Medical Center in California, joins Dr. Alan Brown to discuss the impact of outer space on the heart.
Guest: Richard Channick, MD
Guest: Vallerie Mclaughlin, MD
Pulmonary Arterial Hypertension is a progressive disease and is associated with poor clinical outcomes. This first live webinar provides an in-depth discussion of the new thresholds for the diagnosis of PAH, and differential diagnostic considerations, along with the emerging data on the optimal management of patients with PAH. This activity provides a case discussion on the clinical application and effective strategies to integrate the emerging data into treatment regimens to improve outcomes for individuals with this highly complex disease.
Host: Matthew J. Sorrentino, MD, FACC, FASH
Guest: Alan S. Brown, MD, FACC, FAHA, FNLA
The development of statin medications has pushed preventative treatment to the forefront of cardiology. How have advancements in prevention impacted the field? Heart Matters hosts Dr. Matthew Sorrentino and Dr. Alan Brown sit down to discuss prevention in cardiovascular disease and how cardiologist treat their patients.
Host: Matthew J. Sorrentino, MD, FACC, FASH
Guest: Erin D. Michos, MD, MHS, FACC, FAHA, FASE
Dr. Matthew Sorrentino sits down with Dr. Erin Michos, an Associate Professor of Medicine and the Director of Women’s Cardiovascular Health and the Associate Director of Preventive Cardiology at Johns Hopkins Medicine to discuss the ACC/AHA cholesterol guidelines, originally released in 2013 and updated in 2018.
Host: Matthew J. Sorrentino, MD, FACC, FASH
Guest: Heval M. Kelli, MD
Dr. Matthew Sorrentino sits down with Dr. Heval Kelli, a cardiologist who specializes in general non-invasive cardiology and preventive cardiology at Northside Hospital, to discuss his recent nomination for ReachMD’s Heroes in Healthcare Initiative, honoring those recognized by their peers for outstanding contributions to medical care.
Host: Matthew J. Sorrentino, MD, FACC, FASH
Guest: Nanette K. Wenger, MD, MACC, MACP, FAHA
Previously thought to mostly affect men, heart disease puts an equal or greater number of women at risk. What do we need to know about protecting them from this life-threatening condition? Dr. Nanette Wenger, a Professor of Medicine in the division of cardiology at Emory University School of Medicine, joins us to discuss the prevalence of heart disease among women.
Host: Jennifer Caudle, DO
Guest: Wendy J. Sherman, M.D.
Guest: Alfredo Quinones-Hinojosa, M.D.
Brain tumors can be complicated for neurosurgeons to diagnose and treat, but tumors located in eloquent parts of the brain present their own unique set of challenges. How are neurosurgeons managing these complex tumors while protecting their patients’ neurologic function? Dr. Alfredo Quinones-Hinojosa and Dr. Wendy J. Sherman discuss how to diagnoses and carry out brain tumors in eloquent areas.
With state-of-the-art research and laboratory facilities, Mayo Clinic experts are constantly seeking a greater understanding of brain tumors in order to improve patient care. A variety of clinical trials and other studies of tumor biology, neuropathology and epidemiology may be available to for brain tumor treatment at Mayo Clinic.
For more information about referring a patient to Mayo Clinic, please visit mayoclinic.org and for continuing medical education opportunities visit ce.mayo.edu.
Host: Linda Bernstein, Pharm.D.
A sedative commonly used in anesthesia, dexmedetomidine hydrochloride has been the subject of many news reports over the past few months. But most recently, the FDA announced approval for Aurobindo Pharma’s dexmedetomidine hydrochloride in 0.9% sodium chloride injection. In this episode of The Drug Report, Dr. Linda Bernstein reviews recent approvals of dexmedetomidine hydrochloride on initially intubated and mechanically ventilated patients.
Published December 17, 2020
Host: Alan S. Brown, MD, FACC, FAHA, FNLA
Host: Matthew Sorrentino, MD
Developments in the healthcare community have changed the field of preventative cardiology. But how have they impacted cardiology care? Heart Matters hosts Dr. Alan Brown and Dr. Mathew Sorrentino examine adherence to medicine, improvements to compliance, and new entries into the marketplace surrounding cardiology.
Host: Alan S. Brown, MD, FACC, FAHA, FNLA
Host: Matthew Sorrentino, MD
As the field of healthcare continues to change, how will the future of preventative cardiology be impacted? Join our Heart Matters hosts, Dr. Alan Brown and Dr. Mathew Sorrentino, as they sit down to discuss their experiences in preventative cardiology and the future of the healthcare system.
Host: Matthew Sorrentino, MD
Guest: Nosheen Reza, MD
While the field of cardiology has grown to become more inclusive, female-led research and diversity in study participants remain limited. How can we better understand this lack of representation? Tune in as Dr. Matthew Sorrentino explores a recent study on gender disparities in heart failure research with Dr. Nosheen Reza.
Host: Alan S. Brown, MD, FACC, FAHA, FNLA
Guest: Daniel T. Lackland DrPH
For decades, news reports have focused on the prevalence of high blood pressure among adults in the U.S. But a recent study claims that blood pressure among these adults has actually decreased between 1960 and 2005. Here to divulge the surprising results of his study and discuss systolic blood pressure improvements in adults in the U.S. is Dr. Daniel Lackland.
Host: Matthew Sorrentino, MD
Guest: Laetitia Guillemette, MSc, PhD
Heart disease is a leading cause of death in the United States and may impact young adults earlier than we think. Maybe even before they’re born. Joining Dr. Matthew Sorrentino is Dr. Laetitia Guillemette, who discusses her study published in the Canadian Medical Association Journal investigating the relationship between exposure to diabetes in the womb and heart disease in young adults and teenagers.
Host: Matt Birnholz, MD
Guest: Juan A. Crestanello, MD
Image: Mayo Foundation For Medical Education and Research. All Rights Reserved.
Cardiac reoperations are complex procedures that require a highly advanced set of surgical techniques. With more patients than ever before going back for reoperations, how can we help surgery outcomes? Tune in as Dr. Matt Birnholz and Dr. Juan Crestanello discuss those challenges and more.
For more information about referring a patient to Mayo Clinic, please visit mayoclinic.org.
Host: Matthew Sorrentino, MD
Guest: Jennifer N. Avari Silva, MD
Each year, more than 75 thousand cardiac ablation procedures are performed in the United States alone. Could something straight out of a science-fiction movie like holograms help improve physician accuracy and reduce the complications typically associated with this procedure? Talk a walk on the futuristic side of medicine with Dr. Matthew Sorrentino and Dr. Jennifer Silva, who co-led a team that tested a unique headset using mixed reality technology during cardiac ablation procedures at St. Louis Children’s Hospital.
Host: Alan S. Brown, MD, FACC, FAHA, FNLA
Guest: Jennifer N. Avari Silva, MD
While we know that the lungs are deeply affected by COVID-19, they’re far from the only organ to be ravaged by this disease. Dr. Richard Vander Heide, Professor and Director of Pathology Research at LSU Health, New Orleans School of Medicine, joins Dr. Alan Brown to discuss how he led a team of pathologists that performed autopsies on COVID-19 patients to discover the resulting cardiac changes.
Host: Matthew Sorrentino, MD
Guest: Jennifer N. Avari Silva, MD
Understanding how and why arteries age has baffled doctors for years, but a recent study may have the answers we’ve been looking for. Dr. Vienna Brunt, a post-doctorate fellow in the Department of Integrated Physiology of Aging Lab at the University of Colorado in Boulder, walks us through her study published in the journal Hypertension exploring how a compound produced in the gut called “trimethylamine N-oxide” can harm the endothelial lining of our arteries and increase the risk of heart disease with aging.
Guest: Emily F. Conant, MD
When stay-at-home orders were put into place, healthcare institutions were forced to adapt the way they screen, care for, and treat patients. With that in mind, Dr. Emily Conant, Professor of Radiology at the Hospital of the University of Pennsylvania, explains their three-step process to keep breast cancer patients and staff safe during the COVID-19 pandemic.
Published September 23, 2020
Host: Amy Lightner, MD
When patients with inflammatory bowel disease find that certain treatments aren’t working for them, should we resort to surgical options? Tune in to hear Dr. Amy Lightner, Assistant Professor of Surgery and Immunology at the Cleveland Clinic, share her experience and key considerations.
Published August 7, 2020
Host: Jennifer Caudle, DO
Guest: Kathleen E. O'Neill, MD, MTR
Guest: Nawar Abdul Latif, MD, MPH, MSCE
Patients with uterine factor infertility, or UFI, only had two options if they wanted to achieve parenthood: using a gestational carrier or adoption. Until now.
Joining Dr. Jennifer Caudle to talk about the opportunities of uterine transplants and key information about the UNTIL trial are lead investigators Drs. Kathleen O’Neill and Nawar Latif from Penn Medicine.
Host: Joshua Sharfstein, MD
Host: Stephanie Desmon
Guest: Dorry Segev, MD, PhD
With organ transplants on pause in the US to free up needed hospital resources, Americans with kidney failure are forced to assume the risks of going to crowded dialysis centers three times a week. Kidney transplant surgeon Dr. Dorry Segev talks with Stephanie Desmon about how the organ transplant community can rethink ways to resume transplants, assess which patients might fare better with risky transplants, and if COVID-19 patients can be organ donors.
Published April 28, 2020
Host: Matt Birnholz, MD
After the American College of Surgeons and the Surgeon General's suspension of non-emergent surgeries and procedures, Dr. Matt Birnholz explains the new guidelines and their impact on patients.
Published April 2, 2020
Host: Matt Birnholz, MD
Emerging reports are painting a far more complex picture of clinical presentations for COVID-19 than previously thought, stemming to exceptionally high viral loads in nasal cavities. How will this affect the risk profile for otolaryngologists performing essential ENT procedures?
Published March 27, 2020
Host: Matt Birnholz, MD
Guest: Howard C. Herrmann, MD
Twelve years after performing the first transcatheter aortic valve replacement, Penn Medicine continues to gain momentum in the transformation of cardiovascular transcatheter therapies. Dr. Howard Herrmann recounts the evolution in alternative technologies to improve patient safety and outcomes and the role these advancements have in shaping how we approach treatment.
Host: Jennifer Caudle, DO
Guest: Suhail K. Kanchwala, MD
Improving his patients’ post-surgical experience was Dr. Suhail Kanchwala's goal when he sought to develop a new method for autologous breast reconstruction. The result of his search has brought a new technique to the field, along with an array of benefits for patients, including reduction of post-surgical pain and opioid use.
To explore the origin of our country’s opioid epidemic, Mark Masselli and Margaret Flinter speak with Pulitzer Prize-winning Barry Meier, author of Pain Killer: An Empire of Deceit and the Origin of America's Opioid Epidemic which dives into the pivotal role Purdue Pharma, makers of the narcotic OxyContin, played in the greatest public health crisis of the 21st century.
Host: Brian P. McDonough, MD, FAAFP
Dr. Brian McDonough is joined by Dr. Mark Zucker, Director of the Cardiothoracic Transplantation Program at RWJBH/Newark Beth Israel Medical Center, and his HCM patient and founder of the Hypertrophic Cardiomyopathy Association, Lisa Salberg, to discuss her inspiring story and the importance of early diagnosis.
Host: Maurice Pickard, MD
Guest: Bob Mitchell
Quite suddenly, Bob Mitchell became very sick. He would endure three near-fatal episodes of ventricular tachycardia due to a heart muscle comprised of 54% scar tissue, as well as heart surgeries, two harrowing months of waiting on the transplant list for a new heart on life-supporting IV drips (during which time a malignant tumor was detected in his kidney), partial nephrectomy surgery to remove the cancer, another month of waiting, a 12-hour heart and kidney transplant surgery, and 100 days on life support in four different hospitals.
Host Dr. Maurice Pickard talks with novelist Bob Mitchell, author of Time for a Heart-to-Heart: Reflections on Life in the Face of Death about his inspiring story of the triumph of hope in the face of the direst of circumstances.
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: Shira Johnson, MD
Guest: Ronald DeMatteo, MD, FACS
A Gastrointestinal Stromal Tumor (GIST) is a rare sarcoma that begins in the digestive tract or stomach, with an incident rate in the United States of approximately 4,000 to 6,000 cases per year. Since these tumors behave differently from other gastrointestinal cancers, they require a specialized treatment plan.
Host Dr. Shira Johnson chats with Ronald DeMatteo, MD, FACS, Chair of the Department of Surgery and a surgical oncologist at Penn Medicine. They discuss the diagnosis, treatment and current clinical research of GIST. Dr. DeMatteo is a world-renowned surgical expert and researcher for the rare GIST. His research breakthroughs helped develop the new standard of care for GIST.
Host: Shira Johnson, MD
Physicians spend their entire careers striving to heal sick patients. But when these care providers become patients themselves, the abrupt reversal of roles can make for difficult adjustments.
Host Dr. Shira Johnson sits down with Dr. John Mulligan, VP for Emergency Room Physicians Medical Group and a practicing emergency physician, to share his experience, takeaways, and advice for transitioning from doctor to patient.
Anti-TNFα Treatment After Surgical Resection for Crohn's Disease Is Effective Despite Previous Pharmacodynamic Failure
Assa A1, Bronsky J, Kolho KL, Zarubova K, de Meij T, Ledder O, Sladek M, van Biervliet S, Strisciuglio C, Shamir R.
BACKGROUND: The outcome of patients with Crohn's disease who failed anti-tumor necrosis factor alpha (anti-TNFα) therapy despite adequate serum drug levels (pharmacodynamic failure) is unclear. We aimed to assess such pediatric patients who underwent intestinal resection and were re-treated with the same anti-TNFα agent postoperatively.
METHODS: Pediatric patients with Crohn's disease who underwent intestinal resection and were treated with anti-TNFα agents postoperatively were assessed retrospectively. Patients were stratified to those with preoperative anti-TNFα pharmacodynamic failure and those with no preoperative anti-TNFα treatment.
RESULTS: A total of 53 children were included, 18 with pharmacodynamic failure and 35 controls. Median age at intestinal resection was 14.8 years with 23 (43%) girls. The median time from intestinal resection to anti-TNFα initiation was 8 months (interquartile range 4-14 months). At the time of postoperative anti-TNFα initiation, there were no differences in clinical, laboratory, and anthropometric measures between groups. Similar proportions of patients from both groups were in clinical remission on anti-TNFα treatment after 12 months and at the …
Host: Matt Birnholz, MD
Guest: Harold Mondschein
The surgical field is always being improved by cutting edge technology, but the processes used to connect surgical centers to hospitals lack innovation. Dr. Matt Birnholz sits down with Harold Mondschein, CEO and Co-Founder of Medtel Inc. to discuss methods of improving surgical outcomes by capturing structured data. Through better analytics, healthcare providers can better coordinate surgical care while reducing costs and inefficiencies.
Host: Rebecca Kaplan
Guest: Michael E. Kwiatt, MD
When should surgery be considered as a treatment option for patients with Crohn’s or colitis? Host Rebecca Kaplan of the Crohn’s and Colitis Foundation is joined by Dr. Michael Kwiatt, Assistant Professor of Surgery at Cooper University Hospital in New Jersey, to discuss when to consider surgery. Additionally, he will touch on the common surgical complications and differences in surgical approach for patients with respective diseases.
Vedolizumab as Induction and Maintenance Therapy for Crohn's Disease in Patients Naïve to or Who Have Failed Tumor Necrosis Factor Antagonist Therapy.
Sands BE1, Sandborn WJ, Van Assche G, Lukas M, Xu J, James A, Abhyankar B, Lasch K.
BACKGROUND: Vedolizumab is a gut-selective α4β7 integrin antagonist for the treatment of moderately to severely active Crohn's disease (CD). Aims of this study were to characterize the efficacy and safety of vedolizumab induction and maintenance therapy in patients who were naïve to tumor necrosis factor-alpha (TNF-α) antagonist therapy (TNF-naïve) or who had discontinued TNF-α antagonist therapy because of inadequate response (i.e., primary nonresponse), loss of response, or intolerance (collectively classified as the TNF-failure population).
METHODS: Post hoc analyses of the efficacy data for 516 TNF-naïve and 960 TNF-failure patients from the GEMINI 2 and GEMINI 3 trials were evaluated at weeks 6, 10, and 52 and included clinical remission (CD Activity Index [CDAI] score ≤150), enhanced clinical response (≥100-point decrease from baseline in CDAI score), durable clinical remission (remission at ≥80% of visits), and corticosteroid-free remission. Adverse events were summarized for the TNF-naïve and TNF-failure subgroups by treatment received.
RESULTS: Among patients who responded to vedolizumab induction at week 6, 48.9% …
Host: Lea Ann Chen, MD
Guest: Miguel Regueiro, MD, AGAF
Recorded on location at the Crohn’s & Colitis Foundation’s Annual Meeting in Orlando, host Dr. Lea Ann Chen, Assistant Professor of Medicine at New York University, discusses surgical indications for the IBD patient with Dr. Miguel Regueiro, Professor of Medicine at the University of Pittsburgh.
Host: Caren Heller, MD
Guest: Adam S. Cheifetz, MD
Severe ulcerative colitis continues to cause frequent medical emergencies requiring hospitalization for optimal management. Host Dr. Caren Heller, Chief Scientific Officer at the Crohn's & Colitis Foundation, discusses several medical rescue therapies for severe ulcerative colitis in the hospital setting with Dr. Adam Cheifetz, Associate Professor of Medicine at Beth Israel Deaconess Medical Center.
Host: Andrew Wilner, MD, FACP, FAAN
Guest: Steven Neal, MD
Dr. Andrew Wilner chats with Dr. Steven Neal, board certified ENT surgeon and Fellow of the American Academy of Facial Plastic and Reconstructive Surgery. Dr. Neal is a Clinical Instructor at the Oregon Health Science Center in Portland, OR, who also serves on the faculty of the Art of Rhinoplasty Course in San Francisco, CA. He teaches a seminar called "Aesthetics Boot Camp for Surgeons." and has taught hundreds of surgeons over the past 25 years to apply the "art" that must be combined with medical science to achieve optimal results with plastic surgery.
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.
Host: John J. Russell, MD
Guest: Amy Mackey, MD
Hosts Dr. John Russell and Dr. Amy Mackey sit down to reflect on their individual and shared experiences participating in medical missions from their respective vantage points of family medicine and obstetrics & gynecology.
Host: Matt Birnholz, MD
Guest: Taine Pechet, MD
Dr. Taine Pechet, chief of surgery at Penn Presbyterian Medical Center and associate professor of clinical surgery at Penn Medicine joins host Dr. Matt Birnholz to discuss his thoughts on who should be regularly screen for lung cancer and the various diagnostic techniques from his perspective as a thoracic surgeon. Dr. Pechet also discusses the surgical outcomes for these patient and his thoughts on what is on the horizon for the lung cancer field.
Host: Matt Birnholz, MD
Guest: Paris D. Butler, MD, MPH
Host Dr. Matt Birnholz welcomes Dr. Paris D. Butler, who will be discussing breast reduction surgery for women who suffer from chronic back pain and breast cancer patients undergoing reconstructive surgery following a diagnosis. Dr. Butler will go into detail about the pros and cons of taking an immediate versus a delayed reconstruction approach and the various techniques associated.
Host: Matt Birnholz, MD
Guest: John Y.K. Lee, MD
Guest: Jason G. Newman, MD, FACS
Joining Dr. Matt Birnholz to discuss innovative surgical approaches to cranial base disorders are Doctors John Y. K. Lee and Jason G. Newman. Dr. Lee is Medical Director of the Gamma Knife Center and Associate Professor of Neurosurgery and Otorhinolaryngology-Head and Neck Surgery at the Pennsylvania Hospital. Dr. Newman is Associate Professor of Otorhinolaryngology-Head and Neck Surgery at the Center for Cranial Base Surgery at the University of Pennsylvania.
[Read the Article]
A new study suggests that teens undergoing bariatric surgery can experience benefits in terms of walking speed and joint pain. Researchers from the University of Minnesota School of Medicine are tracking long-term outcomes for 242 teens that underwent bariatric surgery at five centers around the United States.
For the current study, researchers specifically focused on improvements in mobility and pain related to muscles and joints is a subset of 206 patients. All patients participated in a quarter mile walk test before and after surgery at six months, twelve months and twenty-four months. Improvements in time to complete the walk, resting heart rate and heart rate differences continued at one and two years after surgery.
[Watch more videos of The JAMA Report]
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Chronic use of prescription pain medications known as opioids is increasing in the United States. New research shows that a portion of patients undergoing several common surgical procedures may be at increased risk for chronic opioid use several months after surgery.
Researchers from Stanford University School of Medicine reviewed the records of more than 641,000 patients who underwent one of 11 common operations and were not taking opioid pain medication during the year prior to surgery.
They found that some patients were at an increased risk for chronic opioid use following surgery, with the risks ranging from about one and a half times more likely, to as high as five times more likely, depending on the procedure. Males and the elderly had a higher risk, as well as patients with a history of drug or alcohol abuse. The overall risk of chronic opioid use remained low at about 1 percent depending on the type of surgery.
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Host: Brian P. McDonough, MD, FAAFP
Guest: Charles N. Walker, MD
Dr. Charles Walker, Assistant Professor of Surgery in the Department of Urology at Yale University School of Medicine, shares clinical insights about penile prostheses, such as inflatable versus malleable devices, used as surgical gold standards to treat erectile dysfunction.
Host: Shira Johnson, MD
For the first time, Penn Medicine surgeons were able to complete a bilateral hand transplant on a child. The surgical team successfully transplanted donor hands and forearms onto 8-year-old Zion Harvey who, several years earlier, had undergone amputation of his hands and feet and a kidney transplant following a serious infection.
Host Dr. Shira Johnson sits down with Dr. Scott Levin, who led the surgical team and is Chairman of the Department of Orthopaedic Surgery at Penn Medicine. They discuss this remarkable, groundbreaking surgery.
Host: Brian P. McDonough, MD, FAAFP
Each year more than 70 million post-surgical patients are prescribed opioids. Research shows 1 in 15 will go on to use the medications long term, potentially putting them at risk for addiction and overdose.
Host Dr. Brian McDonough sits down with Dr. Susan Downey, a board-certified plastic surgeon, to talk about opioid abuse and what alternative prescription options are available instead of narcotics.
Host: Jennifer Caudle, DO
Pectus excavatum is an uncommon condition, but a highly impactful one for those who are born with it. What do physicians need to know about pectus excavatum when encountering it in practice, and what new advances in treatment are on the horizon?
Host Dr. Jennifer Caudle sits down with Dr. Dawn Jaroszewski, a cardiovascular surgeon at the Mayo Clinic, to talk about research updates and treatment options for patients with pectus excavatum.
Host: Jennifer Caudle, DO
Guest: Francis Marchlinski, MD
Host Dr. Jennifer Caudle welcomes Dr. Francis E. Marchlinski, Richard T. and Angela Clark President's Distinguished Professor and Director of the Electrophysiology Laboratory at the University of Pennsylvania. Dr. Marchlinski will review the epidemiology of PVCs, the kinds of problems that PVCs can cause, and how these problems manifest as symptoms in patients. He will also review the effectiveness of catheter ablation as a current treatment option for ventricular tachycardia (VT), a potenially serious complication of PVC's.
Host: Jennifer Caudle, DO
Guest: Timothy W.I. Clark, MD
Host Dr. Jennifer Caudle welcomes Dr. Timothy Clark, Associate Professor of Clinical Radiology and the Director of Interventional Radiology at Penn Presbyterian Medical Center. Dr. Clark will review the prevalence of peripheral arterial disease (PAD) in the U.S., the central risk factors, and how PAD is properly diagnosed and managed. He will also review advanced endovascular procedures for PAD and other therapies that make a difference in patient care and outcomes.
Host: Jennifer Caudle, DO
Guest: Nimesh Desai, MD
Complex aortic diseases, feared by clinicians and the general public alike, are often labeled "silent killers" due to their unnerving pattern for developing insideously prior to presenting as acute crises. Even more concerning, the symptoms of aortic diseases are typically vague and difficult to diagnose without a high degree of clinical suspicion. For these reasons, the speed of diagnosis and treatment can determine whether patients live or die from aortic disease. Host Dr. Jennifer Caudle welcomes Dr. Nimesh Desai, attending cardiac surgeon and Director of the Thoracic Research Program at the University of Pennsylvania, to discuss innovative medical and surgical approaches to complex aortic diseases. The two categorize these disease states specifically, examine which patient populations are at highest risk, and review methods to help clinicians reach faster life-saving diagnoses.
Host: Shira Johnson, MD
Guest: Joseph M. Serletti MD
Reconstructive microsurgery, where specialized operating microscopes and precision instrumentation are utilized to perform intricate operations in very small fields, is a rapidly evolving specialty. Dr. Joseph Serletti, Chief of the Division of Plastic Surgery at the University of Pennsylvania Perelman School of Medicine, oversees the largest reconstructive microsurgery program by volume in the country, performing over 700 free tissue transfers for breast, head & neck, and extremity reconstructions. Dr. Serletti joins host Dr. Ashira Johnson discusses the nuances of these complex procedures, as well as updates on the next horizons in reconstructive microsurgery such as facial and hand tranplants and replants.
Host: Shira Johnson, MD
Guest: Sunil Singhal, MD
The clinical ramifications for adding special fluorescent features to tumors at various stages of malignancy and penetration are enormous. But how do surgical, oncologic, and radiological specialists create these glowing tumors, what impacts do such markers have on clinical care, and which patient populations benefit most from this approach? Host Dr. Ashira Johnson welcomes Dr. Sunil Singhal, Director of the Thoracic Surgery Research Laboratory and Assistant Professor of Surgery at the University of Pennsylvania. Dr. Singhal reviews the use of fluorescence in tumors, articulating how new and emerging applications for this technology will advance the field of oncologic surgery.
Host: Jennifer Caudle, DO
Guest: G. Russell Huffman, MD, MPH
Host Dr. Jennifer Caudle welcomes Dr. G. Russell Huffman, Associate Professor and Director of the Shoulder and Elbow Fellowship at the University of Pennsylvania. Dr. Huffman provides an overview of the various types of elbow injuries, treatment options for athletes at all levels, and special considerations for those who require surgery. Dr. Huffman focuses in particular on updated techniques in ulnar collateral ligament reconstruction, otherwise known as the Tommy John surgery.
Host: Jennifer Caudle, DO
Guest: James L. Carey, MD, MPH
What happens when articular cartilage is damaged? And what are the differences between focal cartilage defects and arthritis? Joining Dr. Jennifer Caudle to discuss current mechanistic understandings of articular cartilage is Dr. James Carey, Director of the Penn Center for Cartilage Repair and Osteochodritis Dissecans Treatment; and, Assistant Professor of Orthopaedic Surgery at Penn Medicine
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Emphysema is a serious lung disease that results in severe shortness of breath and impaired quality of life. Management of emphysema is challenging since there is no cure and current therapies, including lung reduction surgery, can be risky. A new study examined a minimally invasive procedure to see if it could improve shortness of breath and also be a safe and cost effective way to treat emphysema.
Researchers from Hôpital Universitaire de Reims, France studied a new procedure that permanently places several coils into the lung. The study included one hundred patients from ten centers across France. Fifty patients had coils placed in their lungs and the other fifty received standard medical treatment. Both groups were followed closely and assessed at six and twelve months. They participated in a six minute walk test to see if their breathing had improved, allowing them to walk farther.
Results showed that thirty-six percent of patients who received the coil treatment had improvement in the six minute walk test, compared to only eighteen percent in the control group. There was also a significant improvement in quality of life at six and twelve months for patients who received …
Host: Jennifer Caudle, DO
Guest: Scott O. Trerotola, MD, FACR, FSIR
Is there a way to predict complex removal of inferior vena cava filters, and if so, what is the success rate? Dr. Scott Trerotola adresses these and other questions in details. Dr. Trerotola is Stanley Baum Professor at the Hospital of the University of Pennsylvania, Chief of Vascular and Interventional Radiology and Vice Chair for Quality of the Department of Radiology at the University Of Pennsylvania Medical Center.
Host: Jennifer Caudle, DO
Guest: Pavan Atluri, MD
What are the latest advances in minimally invasive & robotic operations? And, which patients are candidates for robotic procedures? Host Dr. Jennifer Caudle welcomes Dr. Pavan Atluri, Assistant Professor of Surgery; Director of the Cardiac Transplantation and Mechanical Circulatory Assist Program; and, Director of the Minimally Invasive and Robotic Cardiac Surgery Program in the Division of Cardiovascular Surgery at the University of Pennsylvania. Dr. Atluri will discuss the latest advancements at Penn Medicine where he and his colleagues have been working for several years to perfect the robotic, minimally invasive, mitral valve repair procedure.
And, don't forget to view some of the additional content below.
[Read the Article]
Successful treatment of stage II or stage III rectal cancer relies on surgical removal of the tumor. However, researchers from Baylor University Medical Center wanted to know if a "minimally invasive" procedure called a laparoscopy, would be as effective as a standard or "open" operation for patients with rectal cancer.
Researchers assigned 486 patients to receive either a standard open operation or the less invasive laparoscopic approach. All procedures were done by forty-six highly trained surgeons. Specimens from each procedure were examined to see whether all the tumor was removed ("complete resection").
Results found that 90 percent of the patients who underwent the open operation had a complete resection, where patients who underwent the laparoscopy only had an 81 percent success rate. The researchers concluded that these findings do not support laparoscopic removal of rectal cancer.
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JAMA Report videos provided pursuant to license. ©2015 American Medical Association, publisher of JAMA® and The JAMA Network® journals.
Host: Prathima Setty, MD
Disorders of sex development (DSDs) occur more frequently than most people realize, and yet there are numerous misconceptions persisting in the clinical arena as to how these disorders are best approached. For example, whereas older prevailing sentiments on presentations of ambiguous genitalia called for immediate sex assignments at birth followed by surgical alignments of those decisions, more modern philosophies advocate for direct patient involvement in these decisions a little later in life.
Joining Dr. Prathima Setty to focus on this important topic is Dr. Earl Cheng, Professor of Urology, Division Head of Urology and Co-Head of Reconstructive Pediatric Urology at Northwestern University Feinberg School of Medicine. Dr. Cheng directs the Gender and Sex Development Program at Ann & Robert H. Lurie Children's Hospital of Chicago.
Host: Jennifer Caudle, DO
Guest: Renée Simone Yolanda Allen, MD, MHSc., FACOG
In the past 20 years, rates of bariatric surgery have risen more than 800%. Of the number of bariatric procedures performed every year, women of reproductive age account for the vast majority of patients. What are the obstetric and gynecological effects of these various surgical procedures on female patients, and how can potential complications be prevented? Host Dr. Jennifer Caudle welcomes Dr. Renee S. Allen, Board certified OB/GYN and hospitalist, Fellow of ACOG, and Masters of Health Sciences from Atlanta, Georgia, to discuss OB/GYN counseling strategies for women who have undergone or intend to undergo bariatric surgery.
Outcomes of Daytime Procedures Performed by Attending Surgeons after Night Work Anand Govindarajan, M.D., David R. Urbach, M.D., Matthew Kumar, M.Sc., Qi Li, M.Sc., Brian J. Murray, M.D., David Juurlink, M.D., Ph.D., Erin Kennedy, M.D., Ph.D., Anna Gagliardi, Ph.D., Rinku Sutradhar, Ph.D., and Nancy N. Baxter, M.D., Ph.D.
N Engl J Med 2015; 373:845-853 DOI: 10.1056/NEJMsa1415994
August 27, 2015
Background: Sleep loss in attending physicians has an unclear effect on patient outcomes. In this study, researchers examined the effect of medical care provided by physicians after midnight on the outcomes of their scheduled elective procedures performed during the day.
Methods: The study authors conducted a population-based, retrospective, matched-cohort study in Ontario, Canada. Patients undergoing 1 of 12 elective daytime procedures performed by a physician who had treated patients from midnight to 7 a.m. were matched in a 1:1 ratio to patients undergoing the same procedure by the same physician on a day when the physician had not treated patients after midnight. Outcomes included death, readmission, complications, length of stay, and procedure duration. Generalized estimating equations were used to compare outcomes between patient groups.
Results: The authors included 38,978 patients, treated by 1448 …
Host: John J. Russell, MD
Dr. Thomas Dent Mütter was an audacious medical innovator who pioneered the use of ether as anesthesia, the sterilization of surgical tools, and a compassion-based vision for helping the severely deformed, which clashed spectacularly with the sentiments of his time in the mid 19th century. Cristin O’Keefe Aptowicz, author of Dr. Mütter’s Marvels, interweaves an eye-opening portrait of nineteenth-century medicine with the riveting biography of a man once described as the "P. T. Barnum of the surgery room."
Host: Michael Krychman, MD
For women in their 40's and 50's, approximately one in four will develop a pelvic floor disorder such as urinary incontinence. By the age of 80, that prevalence rises to more than 50 percent. The struggle with a pelvic floor disorder has lasting effects on a woman's sexual health, leading to numerous psychosocial and physical consequences in turn. But of equal concern to many patients dealing with the symptoms of their disorder is the potential aftermath of reconstructive surgical treatments, such as mesh slings, due to their troubling complication rates. Are these concerns justified, and if so, how can the risks be mitigated by both physicians and patients?
Joining Dr. Michael Krychman to discuss the misconceptions versus realities of pelvic floor disorder treatments is Dr. Cheryl Iglesia, Professor in the departments of OB/GYN and Urology at the Georgetown University School of Medicine, and Drector of the Female Pelvic Medicine and Reconstructive Surgery section of Medstar Washington Hospital Center in Washington, DC.
Host: John J. Russell, MD
Dr. John Russell welcomes author Gerald Imber, MD to talk about his book, Genius on the Edge: The Bizarre Double Life of Dr. William Stewart Halsted, an intriguing biography about the 19th century doctor who invented modern surgery. Halsted was a brilliant and driven physician, but he was also haunted by a lifelong addition to cocain and other pain killers. Despite his internal struggles, he is credited with taking surgery from the horrific, dangerous practice it once was to what we now know as a lifesaving art.
Host: Lee Freedman, MD
When a patient's facial structures are severely impacted by trauma or disease, the physical and psychological tolls are devastating. What are some of the latest advances in facial reconstruction? Joining Dr. Lee Freedman are Dr. Steven Cannady, Assistant Professor of Clinical Otorhinolaryngology: Head and Neck Surgery, and Dr. Oren Friedman, Director of Facial Plastic Surgery and Associate Professor of Clinical Otorhinolaryngology: Head and Neck Surgery, both at Penn Medicine.
Host: Lee Freedman, MD
Patients with ulcerative colitis often need to take multiple medications to achieve and sustain remission. But there is a pionering surgical approach, the laparoscopic J-pouch procedure, that can not only cure patients from this disease, but also eliminate risk of future colorectal cancer. Dr. Najia Mahmoud, Chief of the Division of Colon and Rectal Surgery and Associate Professor of Surgery at the Hospital of the University of Pennsylvania, joins Dr. Lee Freedman to discuss the risks and benefits of this procedure for patients with ulcerative colitis.
Host: Lee Freedman, MD
How does surgery and stenting for carotid lesions help prevent stroke? What are the latest approaches, clinical trials, and philosophy for dialysis access for patients? Host Dr. Lee Freedman welcomes Dr. Benjamin Jackson to answer these questions and the latest innovations in vascular surgery at the University of Pennsylvania Hospital. Dr. Jackson is an Assistant Professor of Surgery in Radiology at the University of Pennsylvania Hospital.
Host: Lee Freedman, MD
Joining host Dr. Lee Freedman is William C. Welch, MD, FACS, FICS, Professor of Neurosurgery and Professor of Orthopaedic Surgery, and Vice Chair of the Department of Neurosurgery at Pennsylvania Hospitall. Dr. Welch will discuss the surgical treatment options for both lumbar spinal stenosis and cervical stenosis. He will also explore the causes and treatment options for lower back pain.
Host: Lee Freedman, MD
Hip pain can be a major roadblock to an active lifestyle, and even effect activies of daily living. This is sometimes even more profound when seen in younger patients. How can we preserve hip function in younger patients, for whom replacement is not an option? In this segment, Dr. Lee Freedman speaks to Dr. Atul Kamath, Director, Center for Hip Preservation and Assistant Professor of Orthopaedic Surgery at the Hospital of the University of Pennsylvania.
Host: Tim Rush
Host Tim Rush welcomes Dr. Ali Kavianian, who after retiring, decided to go back to practicing medicine. Dr. Kavianian founded a group called Pediatric Surgical Associates and later became Surgeon-in-Chief at a pediatric hospital in Southern California. He is now able to enjoy the benefits of retirement and work locum tenens assignments.
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Host: Brian P. McDonough, MD, FAAFP
Host Dr. Brian McDonough is joined by Dr. Steven Davis, Chief of Plastic Surgery at Kennedy Memorial Hospital, Cherry Hill and Washington Township Divisions, and Clinical Assistant Professor in the Department of Surgery at UMDNJ and PCOM. Their discussion centers on the emerging roles of cosmetic surgery in primary care, including the risks versus benefits in providing basic cosmetic procedures for patients in general practice.
Host: Tim Rush
Guest: Winn H. Gregory, MD
As a locum tenens contractor, healthcare professionals can gain experience in a variety of settings, from rural solo practices to urban group practices to even military bases and correctional facilities. So if you’re interested in investigating the potential merits of this unique method of clinical practice, then tune in to hear Dr. Winn Gregory share his experience as a general surgeon who works with locum tenens assignments in affiliation with Weatherby Healthcare.
Host: John J. Russell, MD
Matthew Miller had just pedaled up a mountain pass. He was 20, a member of the University of Virginia triathlon club, so fit his resting pulse was 42! He was on top of the world in so many ways, in love, with dreams of attending medical school. And then, cycling along the Blue Ridge Parkway in Virginia, tragedy struck. The real story is not what happened, but what happened after.
Host Dr. John Russell is joined by Pulitzer Prize winning journalist Michael Vitez to share the humbling story of Matt's survival and recovery. The author first chronicled Matt Miller's story for his newspaper, The Philadelphia Inquirer. The response from readers was so overwhelming - and Matt's continued recovery so remarkable - that Vitez immersed himself in Matt's world. The Road Back is not only about a young man's drive to reclaim his life, but about the people who rode with him, rescued him, helped him heal, and saw up close his amazing comeback.
Host: Lee Freedman, MD
Guest: Neil Malhotra, MD
How much do quality improvement efforts improve quality of life for neurosurgical patients? Host Dr. Lee Freedman talks to Dr. Neil Malhotra, assistant professor of neurosurgery at the University of Pennsylvania and the Penn Neurological Institute of the Pennsylvania Hospital, about new efforts to improve outcomes in this area. They also look at latest treatments and techniques in Dr. Malhotra's area of surgical expertise, the treatment of degenerative disc disease.
Guest: Paul R. Helft, MD
Host: Aaron Carroll, MD
Guest: A. Joseph Tector, MD, PhD
The necessity for transplantation of living cells from other species, or xenotransplantation, may arise when human donors are not available, a bridge organ is needed, or animal cells can provide a unique benefit to patients. Host Dr. Aaron Carroll's guests are xenotransplantation experts Dr. Paul Helft, director of the Charles Warren Fairbanks Center for Medical Ethics at Indiana University Health, and Dr. Joseph Tector, chief of transplant surgery at Indiana University School of Medicine. What is the history of xenotransplantation? What donor species are currently the subject of the most promising research in terms of solid organ transplantation and overcoming immunologic barriers and infection? Find out which patients might be the first to benefit.
Guest: Audrey A. Krause, PhD
Host: Aaron Carroll, MD
Psychosocial issues arise before, during and after organ transplantation. To address these issues proactively and comprehensively, many transplant centers incorporate a psychological assessment as part of the protocol to evaluate patients for transplantation. What are the psychological criteria for inclusion or exclusion for listing? And how are psychosocial issues managed for patients both before and after surgery? Host Dr. Aaron Carroll's guest is Dr. Audrey Krause, assistant professor of clinical psychology at the Indiana University School of Medicine.
Host: Lee Freedman, MD
Guest: Grace Wang, MD, FACS
Dr. Grace Wang, vascular surgeon in the division of vascular and endovascular surgery at Penn Medicine, discusses aortic disease from a surgeon's perspective, with host Dr. Lee Freedman. Among the topics they explore are the importance of history and physical exams, imaging modalities, genetic components, management of anneurisms, surveillance, outpatient and inpatient care.
Host: Lee Freedman, MD
Guest: Thomas Guzzo, MD, MPH
With 70,000 new cases each year in the US, bladder cancer is more common than many Americans may realize. As many as half of cases are caused by smoking, and many others are caused by environmental or occupational exposure. In determining appropriate treatment, staging and diagnosis are critical. Dr. Thomas Guzzo discusses the various treatment options with host Lee Freedman, with the overall goal to preserve quality of life. As a surgeon trained in a wide variety of surgical options, Dr. Guzzo discusses the advantages of each. He also discusses urinary diversions, including the neobladder.
Host: Aaron Carroll, MD
Guest: John M Reynolds, MD
Which patients are good candidates for lung transplantation? How sick does a patient need to be to qualify? How does the transplant allocation system work? Host Dr. Aaron Caroll welcomes Dr. John M. Reynolds, medical director of Indiana University Health Lung Transplant Program, to discuss these questions and other considerations regarding potential lung transplant candidates, including the lung allocation score system, and how to assess the optimal time frame to transplant patients for the best chances to improve overall quality of life.
Host: Aaron Carroll, MD
Guest: Rodrigo M. Vianna, MD
Multivisceral transplant entails the transplant of nearly all the abdominal organs, with the exception of the kidneys. It is a highly unusual procedure, with only about 30-40 such surgeries occurring per year in the United States, compared to thousands of liver transplants performed annually, in only about seven transplant centers in the United States. Host Dr. Aaron Carroll welcomes Dr. Rodrigo Vianna, director of intestinal and multivisceral transplant at Indiana University Health, to discuss when multivisceral transplant can be used to treat patients with rare tumors, such as neuroendorcrine or desmoid tumors.
Host: Aaron Carroll, MD
Guest: Patricia Scott, PhD
Transplantation offers patients a new lease on life, but the process of waiting before and recovering after a transplant can take their toll. Host Dr. Aaron Carroll is joined by Dr. Patricia Scott, who studies occupational role transitions throughout the liver transplantation process at Indiana University, to discusses the challenges patients face and their quality of life before and after transplantation. Dr. Scott also talks about how healthcare providers can help foster a better quality of life for patients surrounding transplantation.
Host: Lee Freedman, MD
Guest: Michael Ruckenstein, MD
In this week's Medical Breakthroughs from Penn Medicine, Dr. Michael Ruckenstein, director of the Center for Implantable Hearing Devices at Penn Medicine, discusses with host Dr. Lee Freedman the only human sense for which total loss can be medically restored: hearing. They talk about which patients with hearing loss might benefit from a cochlear implant instead of a hearing aid. And they'll explore what we know so far about personal music players' role in hearing loss.
Host: Lee Freedman, MD
Guest: Erica Thaler, MD
Sleep apnea is becoming more prevalent in the population, and there are many treatment options. Host Dr. Lee Freedman talks with Dr. Erica Thaler, director of the division of otorhinolaryngology: head and neck surgery at Penn Medicine. Many patients are not willing to be treated, or not treated adequately, with continuous positive airway pressure (CPAP). This conversation focuses on Trans-Oral Robotic Surgery (TORS) as a treatment option, including effectiveness, how to evaluate potential candidates, and when the procedure is contraindicated.
Host: Lee Freedman, MD
Guest: John Y.K. Lee, MD
3-D technology is making its way from the movies, into the operating room. How is this technology enhancing brain surgeries? Dr. John Y.K. Lee, medical director of the Penn Gamma Knife Center and assistant professor of neurosurgery at Penn Medicine, describes the advantages of using 3-D technology for removing various types of ventral skull-based tumors, and says the stereoscopic views provided by a 3-D endoscope help neurosurgeons preserve critical areas of the brain. Will 3-D endoscopes replace their 2-D predecessors? Dr. Lee Freedman hosts.
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Host: Lee Freedman, MD
Guest: Patricia Ford, MD
Patients may choose bloodless medicine for either medical or ethical reasons. How safe and effective are bloodless procedures, compared to more traditional approaches? Dr. Patricia Ford, clinical associate professor of medicine, medical director of the Center for Bloodless Medicine and Surgery and director of the peripheral stem cell program at Penn Medicine, says that while bloodless medicine began as a way to meet the medical needs of Jehovah's Witnesses patients, the science also has broader implications. As many as 30% of blood transfusions may be unnecessary. What alternatives and strategies can healthcare providers use to ensure best patient blood management, and perhaps reduce the need for blood transfusions? Furthermore, what are the specific implications of bloodless medicine for stem cell transplants in particular? Dr. Lee Freedman hosts.
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Host: Aaron Carroll, MD
Guest: Mary Maluccio, MD, MPH
While the incidence of many types of cancer in the United States has decreased in recent years, the incidence of hepatocellular carcinoma, secondary to either hepatitis B or cirrhosis, has been on the rise. And, of the treatment options including resection, ablation and transplantation, what tumor characteristics determine treatment and which patients might benefit most from liver transplant? Dr. Mary Maluccio, director of the liver oncology program at Indiana University Health, discusses the advantages of transplant, the length of time that patients generally wait to receive a donor liver and the criteria for donor organs. Hosted by Dr. Aaron Carroll.
Guest: Jonathan Fridell, MD
Host: Aaron Carroll, MD
Although most patients with type 1 diabetes are able to rely on insulin to effectively manage their condition, sometimes insulin is not enough. When should these patients consider pancreas and/or kidney transplant? Dr. Jonathan Fridell, surgical director of the pancreas transplant program at Indiana University Health, talks with host Dr. Aaron Carroll about the benefits of separate or simultaneous pancreas and kidney transplantation, and says that such transplants can effectively cure patients of their type 1 diabetes. Of course, not every patient with type 1 diabetes is an appropriate candidate for transplant, and sometimes the side effects of immunosuppresive drugs are serious. What are the factors that influence a patient's eligibility for pancreas and kidney transplant? If a patient already has a kidney transplant, are there any disadvantages to getting a pancreas transplant, since these patients are already on immunosuppressive medications?
Guest: Thomas C. Wozniak, MD
Host: Aaron Carroll, MD
Currently, 3 to 5 million people per year suffer from heart failure in the United States; one-third of these patients suffer from Class III or Class IV heart disease. Host Dr. Aaron Carroll welcomes Dr. Thomas Wozniak, surgical director of the Indiana University Health Thoracic Transplant Program. Dr. Thomas discusses the advanced heart failure patient, and who is a candidate for ventricular assist device (VAD) therapy and cardiac transplantation and considerations about timing.
Guest: Tim Taber, MD
Host: Aaron Carroll, MD
Patients needing transplantation have two options--receiving an organ from a deceased donor or a living donor. In which cases might living organ donation be a viable option, and what are the advantages to this procedure? Dr. Tim Taber, medical director of the kidney and pancreas transplant program at Indiana University Health, discusses the issue of organ shortages, how organs are allocated and the process of living organ donation. Dr. Aaron Carroll hosts.
Host: Anthony Alessi, MD
Guest: William Coplin, MD
The world witnessed a remarkable recovery after Congresswoman Gabrielle Giffords was shot in the head in an assassination attempt in January, 2011. However, most gunshot wounds to the head are fatal; statistics show only 5 percent of those shot in the head survive. Yet there are actions first responders and physicians can take to increase the chance of survival. Dr. William Coplin, associate professor of neurology and neurological surgery at Wayne State University in Detroit, Michigan, and director of neurotrauma and the neurological intensive care unit at Detroit Receiving Hospital, joins host Dr. Anthony Alessi to discuss what needs to be done in the "golden hour" after a shooting. He also focuses on the problems and rehabilitation issues patients face after this life-altering wound.
Host: Janet Wright, MD
Guest: David Kaplan, PhD
Although most bypass grafts are sourced from other parts of a patient's body, bioengineers are examining new materials that might be used for bypass grafts to reduce the risk of second-site complications. Silk has been a standard material in sutures for decades, and is now showing promise as a biomaterial in bypass grafts. Might silkworms help repair clogged arteries? Dr. David Kaplan, endowed chair, the Stern Family Professor of Engineering, and professor & chair of the department of biomedical engineering at Tufts University, discusses the advantages of silk protein as a biomaterial and related applications to cardiology. When might this new technology be applied from the bench to the bedside? Dr. Janet Wright hosts.
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Host: Matt Birnholz, MD
Tune in for a summary of some of the important information and research findings from the American College of Surgeons 96th Annual Clinical Congress, held October 3 - 7, 2010, in Washington, DC. This year’s meeting attracted more than 13,000 participants from around the world, who attended presentations on novel surgical techniques, the impact of surgeon availability on survival rates, application of surgical techniques to expanding patient populations, and risk factors associated with trauma incidents.
Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA
As the specialty of cosmetic medicine is rapidly evolving and expanding, so too are the roles of physician assistants and nurse practitioners in the field. Host Lisa Dandrea Lenell talks with some of the leading experts in plastic surgery and dermatology at the Aesthetic Extender Symposium, held October 8 - 10 in Miami Beach, Florida, which educates NPs and PAs about novel technologies and techniques in cosmetic medicine. Tune in to hear about the latest in botulinum toxins, fractionated lasers, hyaluronic fillers, the use of topical anesthetics, new methods of fat reduction and more.
Featured guests include:
- Steven Dayan, MD - board-certified facial plastic surgeon and clinical assistant professor at the University of Illinois and DePaul University in Illinois
- David Goldberg, MD - founding director of the Aesthetic Extender Symposium; clinical professor of dermatology and director of laser research at Mount Sinai School of Medicine in New York; medical director of Skin, Laser and Surgery specialists of New York and New Jersey; and co-director of Sanctuary Medical Center in Boca Raton, Florida
- Krystie Lennox, PA-C - founding director of the Aesthetic Extender Symposium who practices at Sanctuary Medical Aesthetic Center in Boca Raton, Florida
- Jason Pozner, MD - co-founder of …
Host: Janet Wright, MD
Guest: Albert Starr, MD
On the 50th anniversary of the first successful prosthetic mitral valve replacement, how far has cardiac surgery come, and where are we headed? Tune in to hear Dr. Albert Starr, co-founder of the first artificial mitral valve, medical director of the Providence Heart and Vascular Institute, and director of Academic Affairs & Bioscience Development for Providence Health & Services in Portland, Oregon, recounts his first foray into the field of valvular disease and the extraordinary process of inventing the first artificial mitral valve. What complications did Dr. Starr encounter during the design process, and what breakthrough allowed for success in long-term artificial valve replacement? He also discusses the development of what was perhaps one of the first ventures into outcomes research, with the creation of a system for long-term follow up of patients receiving valve replacement. What does Dr. Starr see as the "next big thing" in cardiac surgery? Dr. Janet Wright hosts.
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Guest: Francesco Rubino, MD
Host: Steven Edelman, MD
Gastrointestinal surgery for the morbid obese has long been an option in treatment, providing positive long-lasting results such as normal blood glucose and glycosylated hemoglobin levels and the discontinuation of diabetes-related medications. Is type 2 diabetes an operable intestinal disease? Join host Dr. Steven Edelman and his guest, chief of gastrointestinal metabolic surgery at Weill Cornell Medical College, Dr. Francesco Rubino, as they discuss the implications of metabolic surgery for type 2 patients.
Guest: Joseph Serletti, MD
Host: Lee Freedman, MD
How are the latest advances in autogenous breast reconstruction changing the landscape of options available to women after mastectomy? Dr. Joseph Serletti, the Henry Royster - William Maul Measey professor of surgery and chief of the division of plastic surgery at Penn Medicine, discusses the history and evolution of breast reconstruction surgery, as well as the various types of free flap breast reconstruction that offer better cosmetic results for patients. How can the risk of thrombosis be minimized for patients undergoing these procedures? Dr. Lee Freedman hosts.
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Host: Lee Freedman, MD
Guest: James Palmer, MD
Sinusitis can be debilitating. Complex frontal sinus disease may be categorized as infectious, or due to tumors or trauma. When frontal sinus disease is refractory to medical management, what types of surgery should we consider? Dr. James Palmer, associate professor and director of the division of rhinology in the department of otorhinolaryngology: head and neck surgery, at Penn Medicine, discusses advances in endoscopic surgical techniques for complex frontal sinus disease. Dr. Lee Freedman hosts.
Host: Maureen Whelihan, MD
Guest: Michael Krychman, MD
When a woman is first diagnosed with breast cancer, a doctor's first concern is a treatment plan. But what happens after chemotherapy, radiation and surgery? Women must once again learn to reconnect with their bodies. Dr. Michael Krychman, executive director of the Southern California Center for Sexual Health and Survivorship Medicine, joins host Dr. Maureen Whelihan to discuss the treatment of low sexual desire in breast cancer survivors.
Guest: Scott Levin, MD
Host: Lee Freedman, MD
Trauma patients with injury to one or more limb often have additional systemic injuries that need to be considered during treatment. One approach to limb salvage is the ortho-plastic technique, which involves integrated soft tissue and bone. This conversation covers some of the latest advances in limb salvage techniques that might benefit trauma patients, as well as those with diabetes or peripheral vascular disease. Dr. Scott Levin, professor and chair of orthopaedic surgery and professor of plastic surgery at Penn Medicine, discusses strategies for avoiding amputation. Dr. Lee Freedman hosts.
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Host: Alfred Bove, MD
Guest: Howard Eisen, MD
There are many potential options for treating left ventricular dysfunction, from medical to device therapies. Dr. Howard Eisen, Thomas J. Vischer Professor of Medicine and chief of the division of cardiology at Drexel University College of Medicine and Hahnemann University Hospital, in Philadelphia, Pennsylvania, outlines the roles of bypass surgery, percutaneous coronary intervention, cardiac resynchronization, surgical ventricular reconstruction and pharmacologic therapies for treating this condition. Specifically, he describes results of the recent Surgical Treatment for Ischemic Heart Failure, or STITCH, trial, and also tells us about the various ventricular-assist device options currently available. Dr. Alfred Bove hosts.
Host: Alfred Bove, MD
Guest: Charles Love, MD
Defibrillator and pacemaker leads can be challenging to remove or replace, even when the procedure is performed by an experienced cardiologist. Infection, manufacturer recall and device malfunction are all reasons a lead might require extraction. How can we balance the risks of the procedure with the potential harms of leaving a lead implanted? Dr. Charles Love, professor of clinical medicine in the division of cardiovascular medicine and director of Cardiac Rhythm Device Services at Ohio State University Medical Center, discusses ways to manage the risks of lead extraction with host Dr. Alfred Bove.
Guest: Kevin Chung, MD
Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA
Guest: Charles Thompson, PA-C, RN
The U.S. Army Burn Center at Brooke Army Medical Center, Ft. Sam Houston Texas, is one of the five busiest burn units in the country. These patients are out of the ordinary. They are military men and women who have been burned over at least 20 percent of their body while serving in Iraq and Afghanistan. Dr. Kevin Chung an intensivist at the unit and PA Charles Thompson join host Lisa Dandrea Lenell to talk about the process of moving patients from the battlefield to the burn unit, how burn wounds are treated and the emotional toll that it takes on the medical professionals treating these patients.
Guest: Kevin Chung, MD
Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA
Guest: Charles Thompson, PA-C, RN
It takes a team of specialists, social workers, PAs, nurses and therapists to care for the burn patients at the US Army Burn Unit in Brooke Army Medical Center, Fort Sam Houston, Texas. Every day more than 30 medical professionals make rounds checking on the critically injured at the unit. Dr. Kevin Chung, intensivist at the burn center, and PA Charles Thompson explain to host Lisa Dandrea Lenell the mutli-disciplinary team approach that is used to treat more than 500 patients a year.
Guest: Thomas Starzl, MD, PhD
Host: Martin Samuels, MD
Now in his 80s, Dr. Thomas E. Starzl is actively pursing his latest research interests and gives no indication of slowing down. He is widely known as the father of transplantation. But what is not widely known is that his early work was in neurophysiology. What made him choose surgery? What was it like when he was doing his pioneering transplantation work? What is he researching now? Host Dr. Martin Samuels and Dr. Thomas Starzl discuss.
Guest: Donald O'Rourke, MD
Host: Lee Freedman, MD
Awake craniotomy offers many advantages to brain tumor surgery, since it allows neurosurgeons to maximize surgical resection, while minimizing neurologic risks. Is this procedure well tolerated by most patients? What role does MRI mapping play in awake craniotomy? Dr. Donald O'Rourke, associate professor of neurosurgery at the University of Pennsylvania Neurological Institute and the Abramson Cancer Center at Penn Medicine, discusses the exciting advances being made with awake craniotomy with host Dr. Lee Freedman.
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Guest: John Whapham, MD, MS
Host: Mark Nolan Hill, MD
Somewhere in between the fields of neurology and neurosurgery, we find physicians using less invasive techniques to perform procedures that could be classified as endovascular neurosurgery, or interventional neuroradiology, or more plainly, as neurology practiced through catheters. Dr. John Whapham, a neurointerventionalist and an assistant professor in the departments of neurology and neurological surgery at the Loyola University Chicago Stritch School of Medicine, explains how this area of practice has evolved in recent years, and previews what's in store for the future of this discipline, blending expertise across multiple specialties. Dr. Mark Nolan Hill hosts.
Guest: Subodh Kumar Singh, MD
Host: Maurice Pickard, MD
The Oscar-winning documentary film Smile Pinki depicts a little girl who undergoes a cleft palate operation, and experiences a very changed life as a result. Host Dr. Maurice Pickard welcomes Pinki’s surgeon, Dr. Subodh Kumar-Singh, director and chief of plastic surgery at GS Memorial Plastic Surgery Hospital in Varanasi, India. Dr. Kumar-Singh also works with the non-profit organization Smile Train, which provides cleft surgeries to underserved children worldwide. Tune in to learn more about the significant problem of cleft lip and palate in India, and worldwide.
Guest: Monica Morrow, MD
Host: Mark Nolan Hill, MD
As we expand the scope of breast-conserving surgery for patients with breast cancer, have we focused too much on the cosmetic results, to the potential detriment of the oncologic outcome? It's a question that concerns some in the field of breast surgery, who believe the evidence to establish clinical efficacy for certain procedures is not yet in. Dr. Monica Morrow, chief of the breast service in the department of surgery, and the Anne Burnett Windfohr Chair of Clinical Oncology at Memorial Sloan-Kettering Cancer Center in New York, joins host Dr. Mark Nolan Hill to explore how we can address the potential pitfalls of emphasizing cosmesis in breast-conserving surgery while maintaining the sound principles of oncologic surgery.
Host: Jennifer Shu, MD, FAAP
Guest: Elvira Lang, MD
We've known anecdotally that simply waiting for the results of a tumor biopsy can be as stressful as coping with an unfavorable diagnosis itself. There is even some evidence to suggest that this stressful waiting period may subsequently impact the treatment of those patients who are found to have cancer. How do we explain this hypothesis? Further, how can we ease the anxiety of those patients awaiting cancer test results, and can we shorten the time patients must wait for their diagnosis? Host Dr. Jennifer Shu explores these key issues in the diagnostic process with Dr. Elvira Lang, associate professor of radiology at Harvard Medical School, and an interventional radiologist at Beth Israel Deaconess Medical Center in Boston.
Guest: Marc Hedrick, MD
Host: Bruce Japsen
Many view the promise of stem cells as something far off in the distance, but these regenerative cells are nearing commercialization in the area of cosmetic and plastic surgery, particularly for women who are in need of reconstructive breast surgery. Dr. Marc Hedrick, president of San Diego based Cytori Therapeutics, tells the Chicago Tribune's Bruce Japsen about a commercialized device in Europe that uses adult stem cells derived from fat as a way to reconstruct breasts following surgery. Clinical trials may begin in the US in the next year.
Guest: T. Karl Byrne, MD
Host: Mark DeLegge, MD
What are the advantages to each of the two main types of obesity surgeries— gastric bypass and lap band surgery? How do the recovery times, efficacy and potential complications compare? Host Dr. Mark DeLegge welcomes Dr. T. Karl Byrne, professor of surgery and medical director of the Bariatric Surgery Center at the Medical University of South Carolina, to discuss the role of the gastric bypass and lap band procedures in treating obesity. Are some patients clear candidates for one procedure over the other? And how is a third procedure — the sleeve gastrectomy — becoming another attractive option for treating obesity?
Host: Mark Nolan Hill, MD
Guest: Sam Bhayani, MD
Robotic surgery has made important in-roads into the fields of cardiac and urologic surgery. Though much of the work in urologic surgery has focused on the prostate, we're now seeing a trend toward the use of robotics in procedures to remove kidney tumors. Given the delicate nature of kidney tissue, these procedures can present considerable technical challenges, but they may also provide better outcomes for our patients with kidney cancer. Dr. Sam Bhayani, assistant professor of surgery and co-director of robotic surgery at Washington University School of Medicine in St. Louis, attributes these improvements to the better views of the tumor targets and a more efficient procedure afforded by the robotic instruments. Dr. Bhayani joins host Dr. Mark Nolan Hill to speak about current trends in robotics and renal cancers.
Guest: Alex Haynes, MD
Host: Mary Leuchars, MD
Little is known currently about the amount and availability of surgical care worldwide. How does this challenge development of surgical care protocols globally and, by extension, the formation of international public health policies? Dr. Alex Haynes, surgical research fellow at the Harvard School of Public Health and Massachusetts General Hospital, and lead author of a recent study evaluating the WHO surgical safety checklist, joins host Dr. Mary Leuchars to address these clinical and political challenges.
Guest: Alex Haynes, MD
Host: Mary Leuchars, MD
The annual number of surgeries performed worldwide outnumbers even childbirth. What do the latest studies examining surgical checklists tell us about their impact on reducing global morbidity and mortality? Sharing insights on this subject is Dr. Alex Haynes, surgical research fellow at the Harvard School of Public Health and Massachusetts General Hospital, and lead author of a recent study evaluating the WHO surgical safety checklist. Dr. Haynes and colleagues successfully demonstrated that the use of a simple surgical checklist during major operations can lower the incidence of deaths and complications by more than one-third. Dr. Mary Leuchars hosts.
Guest: Hyunmi Choi, MD
Host: Larry Kaskel, MD
Is brain surgery better than medicine for temporal lobe epilepsy? Host Dr. Larry Kaskel talks with Dr. Hyunmi Choi, assistant professor of clinical neurology at Columbia University Medical Center in the Comprehensive Epilepsy Center, about her research into the benefits of brain surgery over continued medication management.
Guest: Jose Biller, MD
Host: Mark Nolan Hill, MD
Neurologic complications associated with cardiac surgery can involve just about any part of the peripheral and central nervous systems. Yet varying degrees of neurologic decline have been linked to multiple kinds of surgery, not just heart procedures. How can we determine that the adverse long-term neurologic outcomes following cardiac surgery are truly distinctive to cardiac procedures? Dr. Jose Biller, professor of neurology and neurological surgery at the Loyola University Chicago Stritch School of Medicine and chair of neurology at Loyola University Health System, probes this question and more with host Dr. Mark Nolan Hill.
Guest: Jose Biller, MD
Host: Mark Nolan Hill, MD
Though innovations in surgical technology and anesthetic techniques have greatly improved the outlook following cardiac surgery, we must remain attentive to the possibility of post-operative complications. One area of concern includes adverse neurologic outcomes. Dr. Jose Biller, professor of neurology and neurological surgery at the Loyola University Chicago Stritch School of Medicine and chair of neurology at Loyola University Health System, talks with host Dr. Mark Nolan Hill about the key considerations for evaluating cognitive changes following a cardiac procedure. Excluding the most evident post-operative neurologic sequelae, how should we proceed in determining that there is a real problem?
Guest: Steven Dubovsky, MD
Host: Lee Freedman, MD
How have neurosurgical procedures for psychiatric conditions advanced since the development of the lobotomy? Which types of neurosurgical procedures are best for treating depression or obsessive-compulsive disorder? Dr. Steven Dubovsky, professor and chair of the department of psychiatry at the State University New York at Buffalo, explains lesioning surgeries, vegus nerve stimulation and deep brain stimulation for treating depression. Dr. Lee Freedman hosts. Can these procedures cure patients of their psychiatric conditions?
Guest: W. Randolph Chitwood, Jr., MD
Host: Mark Nolan Hill, MD
The most pressing question facing cardiac valve surgery is whether to undergo a replacement or repair procedure. Though outcomes of valve reconstruction are, in many cases, proving notably better than valve replacement, it is estimated that only a small majority of potential candidates are undergoing the valve repair. How can we reconcile this discrepancy—one that would appear to be placing our patients at greater risk? Host Dr. Mark Nolan Hill welcomes Dr. Randolph Chitwood, professor and chair of cardiovascular surgery at the Brody School of Medicine at East Carolina University, founding director of the East Carolina Heart Institute in Greenville, North Carolina, and one of the earliest pioneers of these procedures, to share his perspective on the current state of robot-assisted valvular surgery. Dr. Chitwood also takes a moment to peer into the future of cardiac surgery, anticipating what we'll see from the field of robotics in the years to come.
Host: Doug Weaver, MD
Guest: Don Poldermans, MD, PhD
For patients undergoing major non-cardiac surgery, perioperative management often focuses on recognition and treatment of cardiac risk factors and disease. Dr. Don Poldermans, professor of medicine and head of perioperative cardiac care at Erasmus Medical Center in Rotterdam, the Netherlands, joins host Dr. Doug Weaver to explain how medical treatment and testing should factor into pre-operative preparations. How should you proceed with patients who you suspect possesses some risk, but displays no risk factors? Does aspirin complicate our approach to certain surgeries for certain patients?
Host: Doug Weaver, MD
Guest: Spencer King, III, MD
The performance of percutaneous coronary intervention (PCI) without a surgical backup has long produced controversy. In recent years, off-site PCI has become more common, and clinical evidence demonstrates comparable outcomes for on-site and off-site procedures. How does this shift allow us to serve a broader patient population? Will guidelines change to reflect some of these new findings? For a look at these questions and more, Dr. Spencer King, president of Saint Joseph's Heart and Vascular Institute in Atlanta, professor of medicine emeritus at Emory University School of Medicine, and a past president of the American College of Cardiology, joins host Dr. Doug Weaver.
Guest: Michael Camilleri, MD
Host: Mark DeLegge, MD
What are some of the newer bariatric endoscopic procedures, and when are these procedures preferred over traditional gastric bypass surgery? Dr. Michael Camilleri, professor of medicine and physiology at the Mayo Clinic Medical School in Rochester, Minnesota, reviews the most common gastric bypass procedures, such as the Roux-en-Y, laproscopic banding and duodenal switch procedures, and explains the advantages to some of the newer surgeries, including the sleeve gastrectomy and transoral gastroplasty. Dr. Mark DeLegge hosts.
Guest: Darshak Sanghavi, MD
Host: Jennifer Shu, MD, FAAP
In preterm neonates with a patent ductus arteriosus (PDA), the standard of care has been to attempt to close the defect. Yet some experts have asked whether we need to treat PDA in most preemies. If we are to resolve the condition, there are various methods and protocols for treatment and even prevention; how do outcomes for PDA closure vary by treatment strategy? Dr. Darshak Sanghavi, chief of pediatric cardiology and assistant professor of pediatrics at the University of Massachusetts Medical School, lays out the important points of discussion on PDA closure with host Dr. Jennifer Shu.
Guest: William Fearon, MD
Host: Bruce Japsen
It's called the FAME study, and doctors placing stents or conducting bypass surgery are going to be hearing more about it. Dr. William Fearon, an assistant professor of cardiovascular medicine at Stanford University, tells host Bruce Japsen about how patients whose treatment was based on fractional flow reserve were less likely to have a major adverse cardiac event than those who had standard angiography.
Guest: Marc Bessler, MD
Host: Mark Nolan Hill, MD
As the field of bariatric and minimally invasive surgery continues to grow, the gastric bypass procedure has grabbed many of the headlines, with solid interest in gastric banding as well. Looking ahead, how might the landscape change? Will a new bariatric procedure emerge as the safest and most effective choice? Host Dr. Mark Nolan Hill welcomes Dr. Marc Bessler, assistant professor of surgery at Columbia University College of Physicians and Surgeons, and director of the Columbia University Center for Metabolic and Weight Loss Surgery, to detail one procedure that could represent the next step in reducing the invasiveness of bariatric surgery: the transoral gastroplasty.
Guest: Joseph Murray, MD
Host: Martin Samuels, MD
Nobel Prize winner Dr. Joseph E. Murray discusses performing the first successful human kidney transplant, the value of teamwork, the future of the physician-scientist, and the patient side of the equation, in this far-ranging conversation led by host Dr. Martin Samuels.
Guest: Dennis A. Steindler, PhD
Host: Leslie P. Lundt, MD
What are the barriers in science that keep us from reaching the lofty goal of limb and organ regeneration? Host Dr. Leslie Lundt is joined by Dr. Dennis Steindler, the Joseph J. Bagnor/Shands Professor of Medical Research and the executive director of the McKnight Brain Institute at the University of Florida, to learn about the work of the Regeneration Project, a partnership of the McKnight Brain Institute and the Program in Stem Cell and Regenerative Medicine at the University of Florida. Find out how the study of salamanders could lead us to the next steps in regeneration.
Guest: Abraham Katzir, PhD
Host: Jason Birnholz, MD
Lasers may provide a means of closing surgical incisions that is better than traditional methods in terms of infection risk, time, and scarring. Dr. Abraham Katzir, professor of applied medical physics at Tel Aviv University, and a pioneer of this technique, explains to host Dr. Jason Birnholz how the Applied Physics Group at Tel Aviv University was able to develop a device that could control the temperature of the laser, to bond tissue without doing damage. Dr. Katzir outlines how surgeons would use the device, the current human applications, and the potential application of this device on all kinds of human tissues, including the retina, blood vessels, and skin. Tune in to hear how laser welding could replace the thread for closing external and internal wounds.
Guest: Michael Ozner, MD
Host: Matthew J. Sorrentino, MD, FACC, FASH
For patients with chronic stable coronary artery disease, medical therapy has been shown to be equivalent to interventional therapy for cardiovascular outcomes in comparative studies. Dr. Michael Ozner, medical director of the Cardiovascular Prevention Institute of South Florida and the author of The Great American Heart Hoax will describe his approach to treating cardiovascular risk factors as a way of preventing cardiac events and the need for bypass surgery or angioplasty. Hosted by Dr. Matthew Sorrentino.
Host: Lee Freedman, MD
Guest: David I. Lee, MD
Newer options for treating prostate cancer include cryosurgery and robotic prostatectomy. What does each of these methods involve and how can we determine the best treatment for our patients? Dr. David I. Lee, assistant professor of surgery at Penn Medicine, explores the advantages, risks, and outcomes. Dr. Lee Freedman hosts.
Guest: Ken Kasza, PhD
Host: Larry Kaskel, MD
Dr. Ken Kasza, a senior mechanical engineer at Argonne National Laboratory, discusses with host Dr. Larry Kaskel how doctors can use medical ice slurry to reduce the brain and other organs' demand for oxygen, thus giving doctors additional time to diagnose and treat critical patients in emergencies. Dr. Kasza outlines the mechanisms underlying the ice slurry coolant and the developments for delivery technology, and reviews the amazing surgical applications completed with surgeons from the University of Chicago. Tune in to hear how the protective hypothermia effect of medical ice slurry is the future of medicine.
Guest: Jack Morgan, DPM
Host: Michael Kotzen, DPM
What are the latest trends in surgical treatment options available for patients suffering from recurrent heel pain, and how have podiatrists evolved in practice to manage the myriad of heel problems? Dr. Jack Morgan, attending staff member at the Los Angeles USC Medical Center and fellow of the American College of Foot and Ankle Surgeons, outlines the most common causes of heel pain, their respective modern treatment strategies, and upcoming advances in joint biomechanics. Dr. Michael Kotzen hosts.
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.
Host: Leslie P. Lundt, MD
Guest: David Sarwer, PhD
Patients that undergo bariatric surgery may expect to lose up to 35 percent of their body weight in the first year. What if that doesn't happen? Host Dr. Leslie Lundt, talks about the problem of post-op suboptimal weight gain with Dr. David Sarwer, director of clinical services at the Center for Weight and Eating Disorders at the University of Pennsylvania School of Medicine.
Guest: David Sarwer, PhD
Host: Leslie P. Lundt, MD
We know that the weight loss outcome following bariatric surgery can be impressive - patients lose as much as 35% of their initial body weight in the first 18 months post-op. Does their psychosocial outcome also improve? Host Dr. Leslie Lundt welcomes Dr. David Sarwer, director of clinical services at the Center for Weight and Eating Disorders at the University of Pennsylvania School of Medicine to discuss what happens after bariatric surgery.
Guest: David Sarwer, PhD
Host: Leslie P. Lundt, MD
Understanding the psychosocial aspects of treating morbid obesity may help us improve the success rate of these patients postoperatively. Dr. David Sarwer, the director of clinical services at the Center for Weight and Eating Disorders at the University of Pennsylvania School of Medicine, explores the psychological workup of the pre-op bariatric surgery patient with host Dr. Leslie Lundt.
Guest: Paul Holman, MD
Host: Mark Nolan Hill, MD
At first glance, minimally invasive spine surgery sounds like a contradiction in terms: how could an operation on an area of the body so complex, be navigated successfully through only a few simple incisions? Dr. Paul Holman, a neurosurgeon for the Methodist Neurological Institute at the Methodist Hospital in Houston, joins host Dr. Mark Nolan Hill to explore the intricacies of these procedures, as well as the outcomes: how do the results of minimally invasive spine surgery compare with the more traditional open procedure? Dr. Holman also takes a look ahead, envisioning the technologies and techniques of future minimally invasive spine procedures.
Host: Roy Levit, MD
Guest: Allen Ho, MD
What are macular holes and macular pucker, and how do we treat these conditions? Host Dr. Roy Levit welcomes Dr. Allen Ho, professor of ophthalmology and an attending surgeon in the Retina Service at the Wills Eye Institute in Philadelphia, to discuss back-of-the-eye vitrectomy for the treatment of macular hole and macular pucker. Before this surgical procedure, we had no cure for these diagnoses.
Guest: Christine Ren, MD
Host: Mary Leuchars, MD
When does surgery become the best option for treating obese adolescents? Dr. Christine Ren, founder and director of the New York University (NYU) Program for Surgical Weight Loss and assistant professor of surgery at NYU School of Medicine, addresses this question and identifies target patients for whom surgery is recommended. She also discusses both physical and psychosocial outcomes for adolescents undergoing weight loss procedures, as well as important post-op nutritional complications clinicians should anticipate. Hosted by Dr. Mary Leuchars.
Guest: Christine Ren, MD
Host: Mary Leuchars, MD
Surgical weight loss: what are the recent advances in this exploding field, and what can patients expect from today's evolving procedures? Joining host Dr. Mary Leuchars to speak on bariatric surgery's emergence and development in practice is Dr. Christine Ren, founder and director of the NYU Program for Surgical Weight Loss and assistant professor of surgery at NYU School of Medicine. Dr. Ren talks about the history of gastric bypass procedures, and the past to current trends of practice for bypass, banding, and malabsorptive operations.
Guest: Joseph Gorman III, MD
Host: Lee Freedman, MD
Many cardiovascular researchers consider the heart from a biochemical or genetic standpoint, but what are the advantages to a biomechanical approach? Dr. Joseph Gorman, associate professor of surgery at the University of Pennsylvania School of Medicine, considers assessment of the pathogenesis of heart disease and heart failure at the organ level with host Dr. Lee Freedman. How are catheter-based techniques proving effective for treating structural heart failure?
Guest: Enrique Hernandez, MD
Host: Lisa Mazzullo, MD
Cervical cancer is the second leading cause of death in women around the world. Many of these deaths can be avoided if women with mild cervical dysplasia are treated early. In the last few years, doctors have clarified the cytology and pathology for women in order to treat the problem effectively, while not over-treating the issue. Dr. Enrique Hernandez, chairman of the department of obstetrics, gynecology and reproductive sciences at Temple University School of Medicine in Philadelphia, joins host Dr. Lisa Mazzullo to talk about the treatment plan for women with mild cervical dysplasia as well as recommendations for treating the disease in the future.
Host: Janet Wright, MD
Guest: Arvind Agnihotri, MD
For patients diagnosed with aortic valve stenosis, corrective surgery is advised and is often extremely safe and effective. But there are some patients with advanced disease whose symptoms may be difficult to recognize, and thus may remain undiagnosed without careful consideration. As Dr. Arvind Agnihotri, assistant professor of surgery at Harvard Medical School, tells host Dr. Janet Wright, some of these symptoms—including decreased exercise tolerance or subtle dyspnea—may be more easily dismissed in older patients, in particular, because we expect these symptoms to appear in this population. In what other ways can we improve our detection of aortic valve disease? Dr. Agnihotri will also guide us through the process of a percutaneous valve replacement, from the initial decision-making process to the early post-operative period.
Host: Janet Wright, MD
Guest: Arvind Agnihotri, MD
Artificial heart valves have steadily evolved since their arrival on the surgical scene in the 1960s. A range of the newest devices have shown significant potential, including the prospect of valve replacement in high-risk, symptomatic patients with severe aortic stenosis. What are the most promising devices on the horizon today, and how will these new tools allow us to care for populations with precarious cardiac function without conducting a major surgical procedure? Dr. Arvind Agnihotri, assistant professor of surgery at Harvard Medical School, explores the ways in which we are improving upon traditional aortic valve surgery with host Dr. Janet Wright.
Guest: Mitch Tyler
Guest: Kurt Kaczmarek, PhD
Host: Bruce Bloom, DDS, JD
Guest: Yuri Danilov, PhD
A number of illnesses are caused by central nervous system damage. Can a new method of non-invasive brain stimulation treat or cure disease? Join host Dr. Bruce Bloom as he discusses non-invasive neuromodulation of the central nervous system with senior scientists Dr. Kurt Kaczmarek and Dr. Yuri Danoliv, and Mitch Tyler, from the Tactile Communication and Neurorehabilitation Laboratory at the University of Wisconsin-Madison.
Host: Lee Freedman, MD
Guest: Jason G. Newman, MD, FACS
Minimally-invasive surgery is generally an attractive option, but how reliable and effective is brain surgery performed through the nose? Dr. Jason Newman, assistant professor of otolaryngology - head and neck surgery at the University of Pennsylvania School of Medicine, explores the rapidly evolving field of incisionless brain surgery with host Dr. Lee Freedman. What are the obstacles to approaching brain surgery through the nose, and could there be a robotic component in the next few years?
Guest: John Dixon, MBBS, PhD
Host: Mark Nolan Hill, MD
Gastric bypass surgery has received significant attention as an up-and-coming treatment for type 2 diabetes. At the same time, we are also seeing the emergence of encouraging results from laparoscopic gastric banding surgery for patients with diabetes. Dr. John Dixon, associate professor of medicine and head of obesity research at Monash University Medical School in Melbourne, Australia, compares the efficacy of gastric banding surgery with gastric bypass as a treatment for diabetes. Further, some medical experts have been very critical of any form of surgery as a means to reverse lifestyle tendencies that often contribute to the onset of diabetes, including one's propensity to eat too much or an aversion to exercise. Dr. Dixon responds to this notion in this conversation with Dr. Mark Nolan Hill.
Guest: John Dixon, MBBS, PhD
Host: Mark Nolan Hill, MD
There is mounting evidence that surgery can be a key weapon against diabetes, improving glycemic control or sending the disease into remission entirely. As the scourge of diabetes continues across our country and abroad, safety and efficacy of surgery are two legitimate concerns. How does gastric banding surgery stack up against more traditional therapies for diabetes? What is the key mechanism behind gastric banding: does it reduce the patient's appetite or make the patient ill if they eat too much? Dr. John Dixon, associate professor of medicine and head of obesity research at Monash University Medical School in Melbourne, Australia, details his research team's work to assess the viability of gastric banding surgery. Dr. Mark Nolan Hill hosts.
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: Patrick Lowe, MD
Host: Lauren Streicher, MD
Robotic surgery for gynecology has only been approved by the FDA since 2005. This method is growing popularity among surgeons due to its success rate in treating endometrial cancer and cervical cancer. Dr. Patrick Lowe, director of the Gynecological Robotics and Minimally Invasive Surgery program at Northwestern University Feinberg School of Medicine in Chicago, talks with host Dr. Lauren Streicher about the benefits of robotics and the types of surgery cases that benefit from this cutting edge technology.
Guest: John McConnell, PhD
Host: Shira Johnson, MD
The concept of the surgicalist was born of economic and practical necessity. Dr. John McConnell is a health economist and an assistant professor of emergency medicine at Oregon Health and Science University whose research has focused on emergency and trauma care as well as health policy. He is interviewed by Dr. Shira Johnson to discuss how and why the role of the surgicalist evolved. Tune in to find out who may be seeing your next surgical consult from the ED. It may not be the surgeon on call.
Guest: Peter Adamson, MD
Host: Michael Epstein, MD
Avoiding potential problem patients in cosmetic surgery: It's a concern that many practitioners face on a regular basis, reminding us of the importance of patient selection and informed consent. How can we minimize the number of problem patients in our practice, and how can we limit the influence of those who are already in our practice? On the flipside, who is an ideal candidate for surgery? Dr. Peter Adamson, professor of otolaryngology-head and neck surgery, and head of facial plastic and reconstructive surgery at the University of Toronto, shares advice for staying on the lookout for the various categories of patients. Dr. Michael Epstein hosts.
Guest: Peter Adamson, MD
Host: Michael Epstein, MD
There may be many reasons for a patient to consider elective aesthetic surgery, but whatever the reason, they are often linked to the patient's expectations for the surgical outcome. While we know that most patients maintain a reasonable outlook for their care, how can we work to maintain an affable relationship with those who have unrealistic post-surgery expectations? Dr. Peter Adamson, professor of otolaryngology-head and neck surgery, and head of facial plastic and reconstructive surgery at the University of Toronto, details his experiences and his extensive research on patient relations with host Dr. Michael Epstein. How often does the thought of turning away a patient come into play in a typical practice? Are more of the so-called "problem patients" specific to certain procedures?
Host: Mark Nolan Hill, MD
Guest: David Felson, MD, MPH
Despite previous evidence to suggest that arthroscopic surgery does not improve symptoms associated with osteoarthritis of the knee, the procedure continues to be a common treatment for arthritis. Now, novel data is backing up this earlier research on arthroscopy. Going forward, how will this development impact practice? Host Dr. Mark Nolan Hill talks with Dr. David Felson, professor of medicine at the Boston University (BU) School of Medicine and professor of epidemiology at the BU School of Public Health, about the utility of the procedure, and explores alternative thoughts on the pathogenesis of the pain experienced by this class of patients.
Host: Lauren Streicher, MD
Guest: Laura Berman, PhD
Sex is the last issue on a woman's mind after being diagnosed with cancer or facing a hysterectomy. Studies show that only half of gynecologists bring up the issue prior to a hysterectomy and only 13 percent of patients have the guts to ask their doctor about it. So, how do doctors bring up the issue, and when in their patients' recovery is it appropriate to bring it up? Host Dr. Lauren Streicher and Dr. Laura Berman, assistant clinical professor at the Feinberg School of Medicine at Northwestern University, discuss the protocol for bringing up sexual dysfunction, body image after surgery and medication used to treat sexual dysfunction in women.
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: Roy Levit, MD
Guest: Mark Humayun, MD
Microelectronic implants are restoring vision to the blind.Dr. Mark Humayun discusses with host Dr. Roy Levit the workings of the artificial retina and explains the surgical procedure to implant the device in the eye. The first generation of the implant only has 16 pixels while the second generation has 62 pixels. Dr. Humayun explains how the subjects who have the implant can initially see spots of light, but that the brain over time can fill in the details and many patients are able to see objects, motion and color. At this time, the implants are available only as a part of the clinical trial to subjects who are completely blind as a result of retinitis pigmentosa.
Guest: Robert E. Bristow, MD
Host: Leslie P. Lundt, MD
According to the American Cancer Society, over 21,000 new cases of ovarian cancer are diagnosed each year with 15,000 more women dying annually. What are the recent developments in research to improve these odds? Dr. Robert Bristow, the director of the Kelly Gynecologic Oncology Service and the Johns Hopkins Ovarian Cancer Center of Excellence, joins host Dr. Leslie Lundt to discuss the value of debulking surgeryand hyperthermic intraperitoneal chemotherapy in the treatment of ovarian cancer.
Guest: Robert M. Blumm, PA-C
Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA
Surgical physician assistants are becoming an important part of the workflow of hospitals. Guest Robert Blumm, a practicing physician assistant since 1970 and president of the Association of Plastic Surgery Physician Assistants, outlines with host Lisa D'Andrea the capabilities and contributions of the surgical physician assistant in the hospital setting.
Guest: Robert M. Blumm, PA-C
Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA
Guest Bob Blumm, MA, PA-C, DFAAPA, discusses how surgical physician assistants are contributing to the quality of care in hospitals throughout the country. In addition, Mr. Blumm outlines the training and credentials of surgical physician assistants.
Guest: Elizabeth Kavaler, MD
Host: Lisa Mazzullo, MD
A large number of women suffer from pelvic organ prolapse and incontinence in the United States, many of these women are postmenopausal. Statistics show that one in nine women will undergo surgery for this issue. Dr. Elizabeth Kavaler a urologist at Lenox Hill Hospital in New York joins host Dr. Lisa Mazzullo to discuss the best ways to treat and prevent the issue of pelvic relaxation.
Guest: Cynthia Wong, MD
Host: Lisa Mazzullo, MD
Epidural anesthesia has changed dramatically since its introduction to the obstetric arena in the early 1970s. Now we have various types of epidurals we can administer during labor. One of the major obstacles for anesthesiologists is determining how women perceive pain during labor and how to administer the proper dosage of pain medication. Dr. Cynthia Wong, associate professor of anesthesiology at Northwestern University's Feinberg School of Medicine, joins host Dr. Lisa Mazzullo to discuss these issues, and her recent study that looks at the rate of Cesarean deliveries when epidural anesthesia is administered at different times during labor.
Guest: Jim Hu, MD, MPH
Host: Mark Nolan Hill, MD
We are still working to minimize the major risks of complications involved in minimally invasive prostatectomy. This becomes even more important as more patients undergo these procedures. How has the training and certification process impacted our success? What improvements can we expect in this minimally invasive technique to treat prostate cancer in the years to come? For answers to these questions and many more, host Dr. Mark Nolan Hill welcomes Dr. Jim Hu, assistant professor of surgery at Harvard Medical School, and director of minimally invasive urologic oncology at Brigham and Women's Hospital and the Dana Farber Cancer Institute in Boston.
Guest: Jim Hu, MD, MPH
Host: Mark Nolan Hill, MD
Research indicates that demand for minimally invasive prostatectomy is growing, from 12 percent to more than 30 percent of our candidate patients over a recent two-year span. But research also tells us that there are still drawbacks to a laparoscopic approach to prostate cancer. What are the immediate and enduring pitfalls to laparoscopy, and are these concerns outweighed by the perceived benefits? Dr. Jim Hu, assistant professor of surgery at Harvard Medical School, and director of minimally invasive urologic oncology at Brigham and Women's Hospital and the Dana Farber Cancer Institute in Boston, explains why some surgeons may stick with the open procedure, even as others move ahead with the laparoscopic approach. Dr. Mark Nolan Hill hosts.
Guest: Dana Christian Lynge, MD
Host: Mark Nolan Hill, MD
Dropping reimbursement for general surgical procedures and increased everyday expenses are two issues, in addition to many others, that make the future viability of a general surgery practice a more difficult proposition. What if this disturbing trend continues? Could medicine withstand the loss of general surgery altogether? Dr. Dana Christian Lynge, associate professor of surgery at the University of Washington School of Medicine, and practicing general surgeon, peers into a theoretical future without general surgeons. What does he see? Dr. Mark Nolan Hill hosts.
Guest: Dana Christian Lynge, MD
Host: Mark Nolan Hill, MD
Training, recruiting and retaining general surgeons are key workforce issues for many hospitals across the United States. In a broad sense, these concerns impact the entire field of surgery, from students interested in surgery, to the most established surgeons in practice. What can our profession do to reconcile these issues? Dr. Dana Christian Lynge, associate professor of surgery at the University of Washington School of Medicine, and practicing general surgeon, details his research, published in the Archives of Surgery, that has served to highlight much of the unease surrounding this issue. It used to be that many surgeons with subspecialty certifications also trained in general surgery, but now, their time in general surgery has decreased significantly: how is this trend affecting the matters at hand?
Guest: Dana Christian Lynge, MD
Host: Mark Nolan Hill, MD
A nationwide survey reveals that the number of general surgeons has dropped 25 percent in the past 25 years. A continuation of this decline could have profound implications on patient populations that depend on general surgeons. What are the key demographic concerns surrounding a potential national shortage of general surgeons? Dr. Dana Christian Lynge, associate professor of surgery at the University of Washington School of Medicine, and practicing general surgeon, details his research, published in the Archives of Surgery, on a nationwide shortfall of general surgeons. Dr. Mark Nolan Hill hosts.
Guest: Dana Christian Lynge, MD
Host: Mark Nolan Hill, MD
Thirty to forty years ago, the field of general surgery was truly flourishing. General surgeons treated patients for an array of surgical conditions, as the concept of present day sub-specialties had yet to take hold. What has led to this significant shift in the focus of general surgery? Host Dr. Mark Nolan Hill welcomes Dr. Dana Christian Lynge, associate professor of surgery at the University of Washington School of Medicine, and practicing general surgeon, to discuss the evolution of general surgery in the context of Dr. Lynge's research in the Archives of Surgery on the national shortage of general surgeons.
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: Alan Hemming, MD
Host: Mark Nolan Hill, MD
As we extend the bounds of surgical resection for hepatic malignancies, we overcome previously held limitations of our efforts against liver disease. How do our techniques and theories on hepatic resection also relate back to hepatic transplantation? Are we developing more effective strategies to protect the liver during surgery? Dr. Alan Hemming, professor of surgery and chief of transplantation and hepatobiliary surgery at the University of Florida College of Medicine, also peers into the future to examine the potential role of laparoscopy or endoscopy in hepatic surgery. Dr. Mark Nolan Hill hosts.
Guest: Alan Hemming, MD
Host: Mark Nolan Hill, MD
In recent years, extensive debate has centered around the possibility of further extending the scope of hepatic resection. With research now demonstrating the potential value of extended resection, will more patients be offered this as a treatment option? Are there common complications to consider when evaluating a candidate for this surgery? Dr. Alan Hemming, professor of surgery and chief of transplantation and hepatobiliary surgery at the University of Florida College of Medicine, explains the next steps toward entrenching extended resection in our arsenal of treatment for hepatic disease. Dr. Mark Nolan Hill hosts.
Guest: Alan Hemming, MD
Host: Mark Nolan Hill, MD
For patients with severe hepatic malignancy, attempts to cure their illness are rarely, if ever, successful. We're learning, however, that a more aggressive surgical approach may extend survival rates well beyond those of our previous techniques. Dr. Alan Hemming, professor of surgery and chief of transplantation and hepatobiliary surgery at the University of Florida College of Medicine, details his pursuit of novel measures to surgically address severe hepatic malignancies with host Dr. Mark Nolan Hill.
Guest: Col. Jim Ficke, MD
Host: John Armstrong, MD
Many of the extremity injuries suffered in Iraq and Afghanistan are similar to those seen in previous conflicts. But according to Dr. Jim Ficke, chief of orthopaedic surgery at Brooke Army Medical Center in San Antonio, and an orthopaedic consultant to the United States Army Surgeon General, the wounds are occurring at a notably higher rate. How are we keeping up with these injuries? Dr. Ficke credits new debridement and external fixation techniques as key advances. Learn more with host Dr. John Armstrong.
Guest: Craig Israelite, MD
Host: Lee Freedman, MD
In surgery, we strive for less invasive procedures that still allow for the greatest precision possible. Developments in image-guided surgery are helping us meet this goal. Dr. Craig Israelite, assistant professor of orthopedic surgery at the University of Pennsylvania Health System, joins host Dr. Lee Freedman to discuss computer-assisted tools for surgery. How has the field evolved since its inception ten years ago? What are the key risks or drawbacks to consider with this technology?
Guest: Richard Goode, MD
Host: Larry Kaskel, MD
Are your patients' expectations too high? Could docs be at fault for setting those expectations? Dr. Richard Goode, professor of otolaryngology at Stanford University Medical Center, joins host Dr. Larry Kaskel to discuss his recent article, The Unhappy Patient Following Facial Plastic Surgery: What to Do? and analyze why some patients will always be dissatisfied with the results. Tune in to hear how to identify those unhappy patients before they undergo a procedure. Does surgeons have an ethical obligation to treat and/or refuse treatment to these patients?
Guest: Col. Leon Moores, MD
Host: John Armstrong, MD
Many brain trauma injuries suffered in the current conflicts abroad are unparalleled in severity. At the same time, procedural advances are allowing for unprecedented rates of survival and returns to functional quality of life. Col. Dr. Leon Moores, former chief of neurosurgery at Walter Reed Army Medical Center, joins host Dr. John Armstrong for a fascinating conversation about new techniques to alleviate brain swelling and facilitate subsequent bone reconstruction, as part of our increasingly aggressive approach to care.
Guest: Maj. Molly Klote, MD
Host: John Armstrong, MD
The current military engagements abroad are bringing new areas of activity to the forefront of Army medicine. The slate of ongoing research includes a focus on trauma pain management. How will this revolutionize the standard of care on the battlefield and beyond? Maj. (Promotable) Dr. Molly Klote, an allergist/immunologist and chief of the Research Review Service at Walter Reed Army Medical Center, shares fascinating insights with host Dr. Armstrong.
Guest: Maj. Colin Meghoo, MD
Host: John Armstrong, MD
Maj. Dr. Colin Meghoo, a general surgeon at Landstuhl Regional Medical Center in Germany, shares experiences in mass casualty management from Iraq with host Dr. John Armstrong. For care providers, a team-oriented approach is essential to expeditiously and safely treat a never-ending stream of patients, from local nationals to American service staff. Dr. Meghoo emphasizes practice drills and tested strategies toward maximizing every team member's contribution.
Guest: Col. David Burris, MD
Host: John Armstrong, MD
The history of trauma care can be followed through the history of war. With serious battlefield wounds demanding swift and immediate action, how has modern military medicine improved our ability to execute response protocol for these injuries? Col. Dr. David Burris, professor and chair of surgery at Uniformed Services University of the Health Sciences, details measures for training and oversight of our responding medical units. Dr. John Armstrong hosts.
Guest: Ash Tewari, MD
Host: Bruce Bloom, DDS, JD
Does robotic surgery for radical prostatectomy provide better outcomes? Our guest Dr. Tewari Ash, director of robotic prostatectomy and prostate cancer-urologic oncology outcomes at Brady Urology Institute and associate professor of associate professor of public health and outcomes in the Department of Public Health and Outcomes at The Weill Medical College of Cornell University talks with host Dr. Bruce Bloom about the history, current practice and future of robotic surgery. The hope is that one day the real time information gathered by the computer during the surgery will provide the surgeon with feedback that can enable them to do an even better job at removing the cancer.
Guest: Ash Tewari, MD
Host: Bruce Bloom, DDS, JD
Would experienced video gamers have a leg up in operating the DaVinci robot used in robotic surgery for prostate cancer? Dr. Ash Tewari, associate professor of urology, and director of Robotic Prostatectomy & Prostate Cancer-Urologic Oncology Outcomes at Brady Urology Institute, and associate professor of public health and outcomes at the Weill Medical College of Cornell University, answers this question posed by your host, Dr. Bruce Bloom. Listen in as Dr. Tewari describes the arena of this valuable surgical asset and why he labels the use of the Davinci robot - a technology originally designed for military and astronaut use - as a "marriage made in heaven" for prostatectomy.
Guest: Ash Tewari, MD
Host: Bruce Bloom, DDS, JD
Are your patients potential candidates for robotic prostatectomy? How precisely does robotic surgery treat prostate cancer while maintaining urinary and sexual function? Host Dr. Bruce Bloom addresses these questions with Dr. Ash Tewari, associate professor of urology, and director of Robotic Prostatectomy & Prostate Cancer-Urologic Oncology Outcomes at Brady Urology Institute at Weill Cornell Medical College. Dr. Tewari discusses candidate selection, the benefits of the robotic technique, and the most important factor for a successful surgery. What is it? Tune in to find out!
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: Mininder Kocher, MD, MPH
Host: Mark Nolan Hill, MD
In pediatric sports medicine, it is now recognized that ACL injuries are increasingly common in kids. But their still-growing bodies present added risk when considering treatment options, not the least of which is the grueling recovery process following surgery to repair the injury. Dr. Mininder Kocher, associate professor of orthopaedic surgery at Harvard Medical School, and associate director of sports medicine at the Children's Hospital in Boston, assesses the relative risks of operative and non-operative treatment for ACL injuries in young athletes. How can we counsel our young patients who will not have surgery, but also refuse to adjust their activity level? Dr. Mark Nolan Hill hosts.
Host: Mark Nolan Hill, MD
Guest: Mininder Kocher, MD, MPH
In years past, we understood that children rarely suffered ACL injuries. But we're now learning that this diagnosis, previously reserved for adults, has become increasingly common in children. How can we best counsel a young patient who suffers an ACL injury? Host Dr. Mark Nolan Hill welcomes Dr. Mininder Kocher, associate professor of orthopedic surgery at Harvard Medical School, and associate director of sports medicine at the Children's Hospital in Boston.
Host: Bill Rutenberg, MD
Guest: Andrew Vickers, PhD
We all know that practice makes perfect, but how much practice is necessary to be considered beyond the learning curve? In this segment, Dr. Andrew Vickers shares his research in which his team evaluated the surgical outcomes for radical prostectomies based on chemical recurrence. What do the outcomes of this study indicate about the training and experience level of surgeons? Join us to find out.
Guest: Harlon Wilson, MS
Host: Susan Dolan, RN, JD
Guest: Jack Ditslear, MD
Harlon Wilson is the President and CEO of Medical Animatics. Dr. Jack Ditslear is a bariatric surgeon. During this segment hear Mr. Wilson and Dr. Ditslear discuss how physicians are using new animated informed consent technology for bariatric surgery.
Guest: Jo Quetsch, RN
Host: Mark Nolan Hill, MD
A new technology for the operating room, bar-coded surgical sponges are helping us keep track of one crucial aspect of any surgical procedure: ensuring that all sponges are safely removed at the conclusion of the process. How does the protocol change for a procedure using bar-coded sponges? Host Dr. Mark Nolan Hill welcomes Jo Quetsch, RN, clinical director of surgical services at Loyola University Medical Center in Maywood, Ill., one of the first institutions in the United States to put these sponges into practice in their operating rooms. Ms. Quetsch shares Loyola’s experience in utilizing these sponges.
Guest: Jo Quetsch, RN
Host: Mark Nolan Hill, MD
A new technology for the operating room, bar-coded surgical sponges are helping us keep track of one crucial aspect of any surgical procedure: ensuring that all sponges are safely removed at the conclusion of the process. How can these digitized sponges improve outcomes in the operating room? Host Dr. Mark Nolan Hill talks with Jo Quetsch, RN, clinical director of surgical services at Loyola University Medical Center in Maywood, Ill., one of the first institutions in the United States to put these sponges into practice in their operating rooms.
Guest: Nathaniel Soper, MD
Host: Mark Nolan Hill, MD
Innovations in minimally invasive surgery and endoscopy platforms are contributing to a promising procedural field called Natural Orifice Translumenal Endoscopic Surgery (NOTES). Dr. Nathaniel Soper, professor and chair of surgery at Northwestern University Feinberg School of Medicine, and one of the first surgeons in the United States to perform NOTES procedures, joins host Dr. Mark Nolan Hill. Does early research on NOTES methods give us a perspective on long-term outcomes following the procedure? Do NOTES procedures beget any changes in role for nurses and other key contributors in the operating room?
Guest: Nathaniel Soper, MD
Host: Mark Nolan Hill, MD
Innovations in minimally invasive surgery and endoscopy platforms are contributing to a promising procedural field called Natural Orifice Translumenal Endoscopic Surgery (NOTES). Dr. Nathaniel Soper, professor and chair of surgery at Northwestern University Feinberg School of Medicine, and one of the first surgeons in the United States to perform NOTES procedures, discusses some of the early findings on NOTES procedures. Dr. Soper also shares his perspective as a fundamental contributor to the early stages of this nascent surgical research. Dr. Mark Nolan Hill hosts.
Guest: Nathaniel Soper, MD
Host: Mark Nolan Hill, MD
Innovations in minimally invasive surgery and endoscopy platforms are contributing to a promising procedural field called Natural Orifice Translumenal Endoscopic Surgery (NOTES). Which patients are the most likely candidates for NOTES procedures? Dr. Nathaniel Soper, professor and chair of surgery at Northwestern University Feinberg School of Medicine, and one of the first surgeons in the United States to perform NOTES procedures, joins host Dr. Mark Nolan Hill.
Guest: Nathaniel Soper, MD
Host: Mark Nolan Hill, MD
Innovations in minimally invasive surgery and endoscopy platforms are contributing to a promising procedural field called Natural Orifice Translumenal Endoscopic Surgery (NOTES). Dr. Nathaniel Soper, professor and chair of surgery at Northwestern University Feinberg School of Medicine, and one of the first surgeons in the United States to perform NOTES procedures, joins host Dr. Mark Nolan Hill. What are the most appealing benefits of NOTES? How do we anticipate patients will respond following a NOTES procedure?
Guest: Scott Becker, JD
Host: Bruce Japsen
Physician ownership of ambulatory surgery centers has been hailed as a successful way to bring more competition to the health care industry and potentially better prices and more efficient care. But Scott Becker, co-chairman of law firm McGuireWoods Health Care practice tells the Chicago Tribune's Bruce Japsen that doctors involved in the surgery center business have several challenges ahead.
Guest: Sherrie Delinsky, PhD
Host: Leslie P. Lundt, MD
The American Society of Plastic Surgeons report that cosmetic surgery procedures increased 228% from 1997 through 2002. Popular opinion suggests that attitudes towards cosmetic surgery are more favorable than in previous decades. Does the research support this? Dr. Sherrie Delinsky discusses her research on cosmetic surgery attitudes with host Dr. Leslie Lundt.
Guest: Joel Schlessinger, MD
Host: Michael Greenberg, MD
It’s a doctor-certified, non-surgical procedure promising to melt away fat. What is the science behind mesotherapy and lipolysis? Is it safe? Is it effective? Host Dr. Michael Greenberg talks with Dr. Joel Schlessinger, immediate past president of the American Society of Cosmetic Dermatology and Aesthetic Surgery, about these potentially controversial treatment options.
Guest: Karla Christian, MD
Host: Mark Nolan Hill, MD
Despite the tremendous conflict in Iraq, there have been many medical miracles. One such story centers around Amenah Al-Bayati, a young Iraqi girl found ill by a United States Marine Corps battalion surgeon, who suspected the girl had a potentially life-threatening heart condition, fixable only by immediate surgery. Amenah was subsequently brought to the United States for this complex, life-saving surgery, performed by Dr. Karla Christian at the Monroe Carell Jr. Children's Hospital in Nashville. After her exhaustive journey from Iraq, Amenah had developed a series of infections. Dr. Christian and her team discovered Amenah’s heart condition to be more intricate than originally suspected, which forced minimal delays in the planning for the little girl’s surgery. In the end, however, Dr. Christian says she “couldn’t be more pleased with [Amenah’s] entire pre-operative, operative and post-operative course.” Now, Dr. Christian shares a few personal anecdotes from her own experience as a rare breed of female pediatric cardiac surgeons, as she explains more about her experience working with Amenah and her family, and assesses the long-term prognosis for this little girl. Dr. Mark Nolan Hill hosts.
Guest: Karla Christian, MD
Host: Mark Nolan Hill, MD
Despite the tremendous conflict in Iraq, there have been many medical miracles. One such story centers around Amenah Al-Bayati, a young Iraqi girl found ill by a United States Marine Corps battalion surgeon, who suspected the girl had a potentially life-threatening heart condition, fixable only by immediate surgery. Amenah was subsequently brought to the United States for this complex, life-saving surgery, performed by Dr. Karla Christian at the Monroe Carell Jr. Children's Hospital in Nashville. Find out more, as host Dr. Mark Nolan Hill speaks with Dr. Christian about the complexities of little Amenah’s surgery.
Guest: Karla Christian, MD
Host: Mark Nolan Hill, MD
Despite the tremendous conflict in Iraq, there have been many medical miracles. One such story centers around Amenah Al-Bayati, a young Iraqi girl found ill by a United States Marine Corps battalion surgeon, who suspected the girl had a potentially life-threatening heart condition, fixable only by immediate surgery. Amenah was subsequently brought to the United States for this complex, life-saving surgery, performed by Dr. Karla Christian at the Monroe Carell Jr. Children's Hospital in Nashville. After her exhaustive journey from Iraq, Amenah had developed a series of infections. Dr. Christian and her team discovered Amenah’s heart condition to be more intricate than originally suspected. How did these developments affect planning for the little girl’s surgery? Further, Amenah’s case received significant national media attention for many reasons. How did Dr. Christian handle the additional media demands while preparing to perform an already complex procedure?
Find out more, as host Dr. Mark Nolan Hill speaks with Dr. Christian about her preparations for little Amenah’s surgery.
Guest: Karla Christian, MD
Host: Mark Nolan Hill, MD
Despite the tremendous conflict in Iraq, there have been many medical miracles. One such story centers around a young Iraqi girl, found ill by a United States Marine Corps battalion surgeon, who suspected the girl had a potentially life-threatening heart condition, fixable only by immediate surgery. The girl was subsequently brought to the United States for this complex, life-saving surgery, performed by Dr. Karla Christian at the Monroe Carell Jr. Children's Hospital in Nashville. Host Dr. Mark Nolan Hill talks with Dr. Christian about the medical logistics involved in bringing this girl to the U.S. for surgery.
Host: Leslie P. Lundt, MD
Guest: Michael Gordon, MD
Until recently, many patients undergoing cataract surgery have subsequently needed bifocals or reading glasses to address hyperopia. The latest advances are changing patients’ post-operative outlook. Dr. Michael Gordon, founder of the Gordon Binder Vision Institute in San Diego, joins host Dr. Leslie Lundt to discuss developments in this common area of concern in ophthalmology.
Host: Leslie P. Lundt, MD
Guest: Michael Gordon, MD
For many of us, one of the first signs of aging is presbyopia. In fact, the word comes from the Greek presbys which means old person. Other than growing longer arms or keeping a pair of reading glasses in every room, are there other treatments available? Host Dr. Leslie Lundt welcomes refractive surgeon Dr. Michael Gordon to discuss conductive keratoplasty (CK).
Host: Leslie P. Lundt, MD
Guest: Michael Gordon, MD
Myopia, or near-sightedness, affects approximately 25% of Americans between the ages of 12 and 54. Though glasses are the common quick fix to myopia, laser eye surgery has become more commonly used to correct vision problems since being introduced in the early 1990's. Though over 18 million LASIK procedures have been performed worldwide, some controversy still remains regarding the maximum possible correction and efficacy using this technique. What does the one of the country’s top refractive surgeons have to say? Listen as host Dr. Leslie Lundt interviews one of the most respected eye surgeons in the country, Dr. Michael Gordon.
Guest: Mark Watson
Host: Lee Freedman, MD
Dr. Watson, co-author of the Lap-Band Companion Handbook and a general surgeon with years of experience performing the Lap-Band procedure goes through the practical aspects of Lap-Band surgery: Who is a candidate, what to look for in a surgeon and a bariatric program, what are the financial realities of this type of procedure, and what type of outcomes can one expect.
Guest: William Welch, MD
Host: Lee Freedman, MD
Dr. Welch reviews the approach to this common and disabling condition that affects our older patients. He reviews the diagnosis and initial treatment of lumbar spinal stenosis and then discusses how surgical techniques can bring relief to many of our patients.
Guest: William Welch, MD
Host: Lee Freedman, MD
Advancing surgical treatments and devices are producing better outcomes for patients with spinal problems. How do these innovations alleviate pain associated with spinal stenosis, spinal metastases and spine trauma? Dr. William Welch, chief of neurosurgery at Pennsylvania Hospital, describes new spinal implants, including the X-STOP device, and motion preservation systems that are replacing traditional fusions.
Host: Lee Freedman, MD
Guest: Craig Israelite, MD
Dr. Craig Israelite, assistant professor of orthopedic surgery at the University of Pennsylvania School of Medicine, discusses a series of approaches to knee osteoarthritis. A brief review of non-surgical treatment is followed by a discussion of image-guided surgery, minimally invasive surgery, partial knee replacements and the post-operative use of multi-modal pain strategies. Dr. Lee Freedman hosts.
Host: Lee Freedman, MD
Guest: Craig Israelite, MD
Dr. Israelite intially reviews some basic concepts in the approach to osteoarthritis. He then outlines recent surgical advances in the treatment of osteoarthritis of the hip that have led to better outcomes for our patients. These include minimally invasive surgery, progress in postoperative rehabilitation and the development of new bearing surfaces that both improve range of motion and extend the life of the hip prosthesis.
Guest: Stanley Kardatzke, MD
Host: Michael Greenberg, MD
Dr. Stanley Kardatzke, author of Decisive Surgery for a Dying Healthcare System, discusses affordable medical care with the cost-effective, prepaid medical plan used in his practice.
Guest: Bruce McLucas, MD
Host: Lauren Streicher, MD
It’s generally accepted as appropriate and efficacious treatment for symptomatic uterine fibroids, but uterine artery embolization is dogged by questions about its short- and long-term outcomes. Host Dr. Lauren Streicher addresses the debate with Dr. Bruce McLucas, clinical assistant professor in the department of obstetrics and gynecology at the UCLA David Geffen School of Medicine. How should we approach this dialogue with our patients?
Guest: Bruce McLucas, MD
Host: Lauren Streicher, MD
Despite 600,000 hysterectomies, fibroids remain the number one reason women undergo surgery. While removal of the uterus may be the best treatment, uterine artery embolization may be a non-surgical option for many women with symptomatic fibroids. Dr. Lauren Streicher speaks with Dr. Bruce McLucas, clinical assistant professor in the department of obstetrics and gynecology at the UCLA David Geffen School of Medicine, to discuss candidate evaluation for a successful uterine artery fibroid embolization, and the efficacy of gynecologists who are performing the procedure.
Guest: Ted Feldman, MD
Host: Mark Nolan Hill, MD
Recently physicians have learned that a common heart defect called patent foramen ovale or PFO found in 25% of the population could be linked to migraine headaches. In this segment host Dr. Mark Hill discusses the cause and presentation of PFO with Dr. Ted Feldman. Dr. Feldman discusses how pateint outcomes in PFO closure have led physicians to believe that migraines may also be linked to PFO.
Guest: Ted Feldman, MD
Host: Mark Nolan Hill, MD
In this segment, host Mark Nolan Hill continues his dicussion about percutaneous aortic valve replacement as an alternative less invasive, less risky procedure to help a patient requiring valve replacement than the traditional gold standard surgery, aortic valve replacement.
Guest: Ted Feldman, MD
Host: Mark Nolan Hill, MD
Each year more than 200,000 patients do not receive surgical valve replacement due to excessive risk factors, refusal of surgery and comorbidities. Percutaneous aortic valve replacement, a less invasive option, could provide the life saving alternative treatment your patient needs. Join host Dr. Mark Nolan Hill's interview with Dr. Ted Feldman to learn more about why percutaneous aortic valve replacement is the preferred method of valve replacement in high risk patients.
Guest: Fernando Burstein, MD
Host: Mark Nolan Hill, MD
Dr. Fernando Burstein shares his experience in managing a large multi-disciplinary team to help correct a cleft lip and cleft palate. How does the team approach work in a complex series of multiple surgeries? What are the critical success factors in planning and executing surgeries with multiple medical diciplines involved? Join host Dr. Mark Nolan Hill to learn more.
Guest: Fernando Burstein, MD
Host: Mark Nolan Hill, MD
In combination with endoscopic surgery, botox is being used by Center for Craniofacial Disorders at the Children’s Healthcare of Atlanta as an innovative way to treat muscular torticollis. In this segment, Dr. Mark Nolan Hill interviews surgeon Fernando Burstein about treatment options for torticollis and how outcomes differ with our without the use of botox.
Guest: Fernando Burstein, MD
Host: Mark Nolan Hill, MD
Muscular torticollis or ‘wry neck’ if untreated may result in permanent craniofacial deformities. Traditionally, torticollis has been treated with physicial therapy and/or surgery. Host Dr. Mark Nolan Hill interviews Dr. Fernando Burstein about the varying degrees of muscular torticollis and the preferred methods of treatment.
Host: Larry Kaskel, MD
Guest: Mani Bhaumik, PhD
The excimer laser was the key component to the invention of lasik surgery, responsible to returning nearly perfect vision to millions of people. How was the excimer laser developed and how did it turn into a miracle capable of correcting vision? Join Dr. Larry Kaskel talking with the co-inventor of the excimer laser, Dr. Mani Bhaumik.
Guest: Thomas Russell, MD
Host: Mark Nolan Hill, MD
What are the priorities of the American College of Surgeons in 2008? What are the challenges faced by the surgical specialty and how can they be overcome? In this segment Dr. Thomas Russell, Executive Director of the American College of Surgeons talks with host, Dr. Mark Nolan Hill about the ACS agenda which includes fostering collaboration, building bridges, and addressing the challenges such as medicare cuts. Join us for a look into the future of the American College of Surgeons.
Guest: Thomas Russell, MD
Host: Mark Nolan Hill, MD
What is the State of the Surgical Workforce? Traditionally we have been concerned about the number of general physicians meeting healthcare demands today and in the future. In years to come a surgeon shortage is also being predicted. In this segment, Executive Director of the American College of Surgeons, Dr. Thomas Russell talks with host Dr. Mark Hill about surgical workforce issues. What economic factors are causing the surgical workforce to evolve and how will the surgical workforce look different in the future? Join us.
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: Alan Peaceman, MD
Host: Lisa Mazzullo, MD
Cesarean section on maternal request is becoming a more common discussion in doctors offices around the country. Since the late 90’s, cesarean section rates continue to rise with overall estimates of 29% noted in 2004. The ethics of patient autonomy war with medical concerns about potentially unnecessary surgery. The challenges posed by elective cesarean section are discussed with Dr. Alan Peaceman, professor of ob/gyn at Northwestern University Feinberg School of Medicine and chief of the division of MFM. Neonatal and maternal safety, long term sequelae of vaginal birth and NIH recommendations on how to deal with this potentially emotional issue are thoroughly discussed. Reference Articles 1. Declercq, E, PhD, et al. Factors associated with the rise in Primary Cesarean Births in the US in 2002, Am J Public Health, 2006; 96(5): 867-872 2. National Institute of Health- Cesarean Childbirth. UDHHS- 2006, , 1982-2067 3. Greene, M. et al. Vaginal Delivery after Cesarean section – is the risk acceptable? N Engl J Med 2001, 345:55-56 4. Andrist, Linda, PhD, RNC. NPWH 2006- Cesarean Section on Maternal Request_ the debate.
Guest: Lazar Greenfield, MD
Host: Mark Nolan Hill, MD
Dr. Lazar Greenfield observes the conundrum that there are many standards a physician must comply with to become a surgeon, but no set standards for when a surgeon should retire. Host Dr. Mark Nolan Hill speaks with Dr. Greenfield, professor in the division of cardiovascular medicine at the University of Wisconsin School of Medicine and Public Health and director of the preventive cardiology program and vascular health screening program at the University of Wisconsin Hospital and Clinics, regarding his longitudinal study on the abilities and self-perception of aging surgeons.
Guest: Lazar Greenfield, MD
Host: Mark Nolan Hill, MD
Host Dr. Mark Nolan Hill interviews Dr. Lazar Greenfield, surgeon and developer of the Greenfield intracaval filter, about his longitudinal study of older surgeons, looking at the relationship between self-perceived cognitive changes in memory and objectively demonstrated cognitive performance.
Guest: John Y.K. Lee, MD
Host: Lee Freedman, MD
Dr. John Y.K. Lee, assistant professor of neurosurgery and medical director of the Gamma Knife Center within the University of Pennsylvania Health System, details the neurosurgical utility of the gamma knife with host Dr. Lee Freedman. What are its guiding principles? How does this minimally invasive approach add safety and precision to the current treatment modalities for brain tumors and other diseases?
Discuss On Sermo
Guest: David Sutherland, MD
Host: Mark Nolan Hill, MD
Patients undergoing pancreatectomies are at risk for diabetes. Join host Dr. Mark Nolan Hill interview Dr. David Sutherland to learn how to minimize the risk of diabetes through islet cell transplants.
Guest: Paul Lux, MD
Host: Mark Nolan Hill, MD
Many physicians have ideas about better drugs or better medical devices. How do you take these ideas a step further? Join Dr. Mark Hill interview orthopedic surgeon and inventor Paul Lux, MD to learn about his experiences.
Guest: LTC Robert Rush, Jr., MD
Host: Mark Nolan Hill, MD
In this segment Dr. Mark Hill speaks to currently deployed surgeon Col Robert Rush about his surgical experiences in Iraq and Honduras.
Guest: LTC Robert Rush, Jr., MD
Host: Mark Nolan Hill, MD
Col. Robert Rush MD talks about the military use of far forward surgical units in combat situations.
Guest: LTC Robert Rush, Jr., MD
Host: Mark Nolan Hill, MD
Lt. Col Robert Rush M.D. explains the use of a mobile surgical team in war or other disaster. Find out who makes up the surgical team, how the mobile unit set up, how is it powered, what type of surgeries can be performed and more.
Guest: Donald Trunkey, MD
Host: Mark Nolan Hill, MD
During Desert Storm, Dr. Donald Trunkey was the chief of surgery for the 50th General Hospital, a 1000-bed facility with a medical staff of 705, and chief of professional services. Dr. Trunkey talks with host Dr. Mark Nolan Hill about how he trained his staff, and challenges in care encountered during Desert Storm. Tune in to hear the ways that military surgical units have changed since then.
Guest: Donald Trunkey, MD
Host: Mark Nolan Hill, MD
Dr. Donald Trunkey, professor of surgery and former chair of surgery at Oregon Health and Science University, speaks about his international initiative to train trauma surgeons to be prepared for an array of disaster scenarios, from bullet wounds to nuclear terrorism. Dr. Mark Nolan Hill hosts.
Guest: Donald Trunkey, MD
Host: Mark Nolan Hill, MD
In this segment Dr. Mark Hill talks with internationally renowned Trauma surgeon, Donald Trunkey about the many factors causing the current crisis in emergency surgical care.
Guest: Donald Trunkey, MD
Host: Mark Nolan Hill, MD
Dr. Donald Trunkey, professor of surgery at Oregon Health and Science University, and an internationally renowned trauma surgeon, gives a historical perspective of trauma medicine from the 16th century to modern times. Dr. Mark Nolan Hill hosts.
Guest: John Rabkin, MD
Host: Larry Kaskel, MD
Some bariatric surgeons claim that the duodenal switch procedure to cure morbid obesity is a better option for most patients than the alternatives. Why then is it not the most common option. Find out in this segment from Dr. John Rabkin.
Guest: John Rabkin, MD
Host: Larry Kaskel, MD
The Duodenal Swtich Procedure is a newer option to cure morbid obesity. Join Dr. John Rabkin to learn more about the mechanics of the procedure and how it is different from a more traditional Roux-en-Y gastric bypass.
Guest: Philip Faraci, MD
Host: Mark Nolan Hill, MD
Dr. Faraci walks through the steps of a robotic mitral valve replacement.
Guest: Philip Faraci, MD
Host: Mark Nolan Hill, MD
Dr. Faraci further explains the parts of the DaVinci and specifically goes into detail about the physician console. He also speaks about physician training required to operate using a robot.
Guest: Philip Faraci, MD
Host: Mark Nolan Hill, MD
In this segment Dr. Faraci describes in detail the instrumentation of the DaVinci Robot system. He also explains his own experience interacting with the DaVinci during a surgical procedure.
Guest: Philip Faraci, MD
Host: Mark Nolan Hill, MD
Join Dr. Philip Faraci as he describes a surgical robot and explains the benefits of a robotic assisted surgery as compared to traditional surgical methods.
Guest: Richard Jadick, DO
Host: Maurice Pickard, MD
Dr. Maurice Pickard speaks with Cdr. Richard Jadick, author of "On Call in Hell" and the first Navy doctor to be decorated for valor while serving in Iraq, about his experiences tending to medical emergencies both among his men and the wounded civilians caught in the crossfire of Iraq's insurgency.
Guest: Richard Jadick, DO
Host: Maurice Pickard, MD
Dr. Maurice Pickard speaks with Cdr. Jadick, who feels his decoration of valor should be shared with his corpmen. His story demonstrates why corpmen are the most decorated part of the military. "Corpman Up" tells it all ---this is the command among U.S. Marines that they are coming for a downed soldier no matter what. Cdr Jadick had been a Marine for 7 years before he went to medical school, and he reflects on his missions from a soldier/doctor's perspective.
Guest: Richard Jadick, DO
Host: Maurice Pickard, MD
Dr. Maurice Pickard discusses the above book with its author, who is the only Navy doctor to be decorated for valor while serving in Iraq. He had to shorten the "golden hour" in delivering care to wounded marines, so he advanced his operating room into an abandoned building in the middle of a fire fight in Fallujah. His commanding officer felt he saved the lives of 30 Marines by his bold decision to bring doctors to the patient.
Guest: Bruce Freedman, MD
Host: Leslie P. Lundt, MD
In this segment Dr. Bruce Freedman gives an update on the clinical opinion of silicone implants.
Guest: Bruce Freedman, MD
Host: Leslie P. Lundt, MD
In this segment, Dr. Bruce Freedman gives an overview of dermabrasion and microdermabrasion and the newer procedure or antioxident infusion.
Guest: Bruce Freedman, MD
Host: Leslie P. Lundt, MD
In this segment Dr. Freedman talks about the results he received by avoiding narcotics to manage post operative pain in place of anti-inflammatory agents.
Guest: Bruce Freedman, MD
Host: Leslie P. Lundt, MD
In this segment Dr. Bruce Freedman discusses his research findings correlating cosmetic surgery and antidepressant use.
Guest: Abbas Chamsuddin, MD
Host: Cathleen Margolin, PhD
Dr. Abbas Chamsuddin of the Emory School of medicine discusses the latest techniques for treating varicose veins.
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: John Harper, PhD
Host: Mark Nolan Hill, MD
Hernias, breast reconstruction, and abdominal wall repair: Surgeons are using bioprosthetics for many different surgical applications. Find out in this segment how bioprosthetics can be used in the operating room now and what the hope is for the future of bioprosthetics.
Guest: John Harper, PhD
Host: Mark Nolan Hill, MD
In this segment Dr. Harper of Lifecell Corporation explains the bodies natural wound healing process after a surgical procedure and why surgeons use prosthetics to aid in the healing process. In addition, he explains why the standard plastic or mesh prosthetic may not be the best available option in favor of a newer technology, bioprosthetics.
Host: Mark Nolan Hill, MD
Guest: Marcia Greenleaf, PhD
Dr. Marcia Greenleaf, Assistant Clinical Professor and Director of Training in Medical Hypnosis at Albert Einstein College of Medicine. Private Health Psychologist in NY discusses her technique to alleviate fears and anxiety for patients pre-surgery.
Guest: Pauline Chen, MD
Host: Susan Dolan, RN, JD
Join transplant surgeon, Dr. Pauline Chen as she discusses her book, Final Exam: A Surgeon's Reflections on Mortality.
Guest: Pauline Chen, MD
Host: Susan Dolan, RN, JD
Join transplant surgeon Dr. Pauline Chen as she discusses her article, "Dead Enough? The Paradox of Brain Death."
Guest: Ryan Rhodes
Host: Mark Nolan Hill, MD
Ryan Rhodes, Senior Director of Intuitive Surgical, Inc. talks about the investment for hospitals in acquiring a robotic surgical system. He also discusses what's in store in terms of future applications of this system.
Guest: Ryan Rhodes
Host: Mark Nolan Hill, MD
Ryan Rhodes, Senior Director for Intuitive Surgical, Inc. discusses how the Robotic Surgical Systems are being used today. He also talks about the advantages and disadvantages of working with this new technology.
Guest: Ryan Rhodes
Host: Mark Nolan Hill, MD
Ryan Rhodes, Senior Director for Intuitive Surgical, Inc. talks about the Robotic Surgical System (specifically the Da Vinci System) how it came to be developed and when.
Guest: Ryan Rhodes
Host: Mark Nolan Hill, MD
In this segment, Ryan Rhodes, Senior Director for Intuitive Surgical, Inc. discusses the robotic surgical system, specifically the Da Vinci, and how it is currently being used.
Guest: Yaser Wafai, MD
Host: Mark Nolan Hill, MD
Dr. Yaser Wafai talks about the different forms of anesthesia and how the effects they can have following surgery.
Guest: Yaser Wafai, MD
Host: Mark Nolan Hill, MD
Dr. Wafai talks about the different types of anesthesia, specifically local anesthesia.
Guest: Yaser Wafai, MD
Host: Mark Nolan Hill, MD
Dr. Wafai discusses the process a patient goes through in receiving general anesthesia and post-op recovery.
Guest: Yaser Wafai, MD
Host: Mark Nolan Hill, MD
Dr. Wafai discusses patient profiles and necessary information to make a proper evaluation prior to receiving anesthesia.
Host: Maurice Pickard, MD
Guest: Mary Simmerling, PhD
Dr. Simmerling discusses transplantation ethics with a focus on disparities in patient access. Directed versus non-directed donations are compared, and the concept of "transplant tourism" is introduced.
Guest: Aras D. Tijunelis, MD
Host: Mark Nolan Hill, MD
Dr. Tijunelis identifies the concerns, new advances and expectations of plastic surgery for facial and body contouring.