Hospital Medicine: Recent Episodes
ReachMD
Guest: Divya Shankar, MD
A recent study investigated whether pulse-dose corticosteroids offer a benefit over lower doses in managing acute exacerbations of idiopathic pulmonary fibrosis (IPF). Join Dr. Divya Shankar as she explains the real-world data, variability in prescribing patterns, and outcomes observed in different levels of care. Divya Shankar is an Assistant Professor of Medicine at Boston University Chobanian and Avedisian School of Medicine as well as a Pulmonary and Critical Care Physician at Boston Medical Center, and she spoke about this topic at the 2025 American Thoracic Society International Conference.
Host: Peter Buch, MD, FACG, AGAF, FACP
Guest: Mark Benson, MD
Colonic perforations during colonoscopy are rare, but when they occur, taking swift and informed action is critical, particularly to avoid surgical intervention. Joining Dr. Peter Buch to offer his insights on perforation prevention, risk-reduction techniques, and repair strategies is Dr. Mark Benson, an advanced endoscopist and Associate Professor in the Division of Gastroenterology and Hepatology at the University of Wisconsin School of Medicine.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: John Hertig PharmD, MS, CPPS
Not only does intraoperative opioid waste have serious environmental, regulatory, and financial costs, but it can also threaten the quality of patient care and safety. Fortunately, implementing strategies like ready-to-administer syringes with small doses can improve surgical protocols, patient outcomes, and overall healthcare efficiency. Joining Dr. Charles Turck to discuss how we can address and prevent the critical impacts of opioid waste is Dr. John Hertig, Associate Professor of Pharmacy Practice and Department Chair at Butler University College of Pharmacy and Health Sciences.
Guest: Erick Tarula, MD
Many complications can occur in hospitalized neurological patients from an internal medicine standpoint. So a session from the 2024 Academy of American Neurology (AAN) Annual Meeting focused on these common issues, how they can be addressed quickly, and the role of a neurohospitalist. Dive in further with Dr. Erick Tarula, Assistant Professor in the Department of Neurology at the University of Wisconsin School of Medicine and Public Health.
Host: Mary Katherine Cheeley, PharmD, BCPS, CLS, FNLA
Guest: Shelby Yaceczko, MS, RDN-AP, CNSC
The burden of malnutrition across the globe is very high, with hospitals and care teams being directly impacted. Here with Dr. Mary Katherine Cheeley to share what we need to know about the relationship between nutritional deficiencies and health economics in the hospital is Ms. Shelby Yaceczko, an Assistant Clinical Professor in the Department of Nutrition at the University of the Pacific in Sacramento, California.
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: 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: 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: John E. Anderson, MD
Guest: Scott Pilla, MD, MHS
One of the most serious side effects of diabetes, hypoglycemia can lead to severe consequences, and keeping up with the latest in care can help us prevent this complication. To share the latest updates, Dr. John Anderson is joined by Lead Researcher Dr. Scott Pilla to share insights from his recent studies on hospital utilization and primary care communication for patients with diabetes.
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: Peter Buch, MD, FACG, AGAF, FACP
Guest: Michelle Hughes, MD
Over the past two decades, there has been an increasing need for GI hospitalists to help provide rapid access to care. Since then, GI hospitalists have become an important part to many healthcare systems and their approach to patient care. Joining Dr. Peter Buch to discuss the benefits and challenges that come along with the GI hospitalist role is Dr. Michelle Hughes, Assistant Professor of Medicine and Medical Chief of Quality and Safety for Digestive Health at Yale New Haven Health.
Host: Tom Corbridge, MD, FCCP
Guest: Michael E. Wechsler, MD, MMSc
Severe asthma is an uncontrolled disease that can be difficult to diagnose. To help us overcome this obstacle, Dr. Tom Corbridge joins Dr. Michael Wechsler from National Jewish Health in Denver to discuss the challenges we face while trying to diagnose severe asthma.
This is a non-promotional, non-CME disease state disease education podcast series brought to you by American College of CHEST Physicians in collaboration with and paid for by GSK.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Kathryn Gallagher, MS, RN, BSN
Guest: Kate Newcomb-DeSanto, MSN, RN, MSW
What does Penn Medicine’s newly-opened patient room facility have to offer? Dr. Charles Turck is joined by Penn Medicine Clinical Advisors Kathy Gallagher and Kate Newcomb-DeSanto to discuss the new pavilion and how it's revolutionizing patient care.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Sandy Marks
Guest: Kim Horvath, JD
Guest: Kyle Thomson, JD
With telehealth services expanding during the COVID-19 pandemic, has our access to them changed? To better understand this, Dr. Charles Turck meets with Sandy Marks, Kim Horvath, and Kyle Thomson from the AMA to explore what’s been done to provide Medicare coverage during a public health emergency and what’s on the horizon for telehealth access.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Emily Carroll, JD, MSW
The No Surprises Act aims to protect consumers from surprise medical bills. But how exactly does it go about doing that, and what’s the current status of its implementation? Joining Dr. Charles Turck to share progress and challenges associated with the No Surprises Act is Ms. Emily Carroll, a senior legislative attorney for the American Medical Association's Advocacy Resource Center.
Host: Jennifer Caudle, DO
Guest: Sarah Ali, MD
From working in a big city to taking on an assignment in a small mountain village, Dr. Sarah Ali from the Ventura County Medical Center joins Dr. Jennifer Caudle to talk about her adventures abroad with locum tenens and share key lessons she learned along the way.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Hassan Bencheqroun, MD
Evaluating the need for therapy escalation can be challenging. So joining Dr. Charles Turck to help us understand how to escalate treatment for patients with chronic obstructive pulmonary disease is Dr. Hassan Bencheqroun, Assistant Professor of Medicine at the University of California Riverside School of Medicine.
This is a non-promotional, non-CME disease state disease education podcast series brought to you by American College of CHEST Physicians in collaboration with and paid for by GSK.
Host: Charles Turck, PharmD, BCPS, BCCCP
Guest: Deborah Levine, MD, FCCP
To better understand whether or not corticosteroids should be incorporated in treatment for our patients with COPD, Dr. Charles Turck is joined by Dr. Deborah Jo Levine, a Professor of Medicine and Director of the Pulmonary Hypertension Center at the University of Texas Health.
This is a non-promotional, non-CME disease state disease education podcast series brought to you by American College of CHEST Physicians in collaboration with and paid for by GSK.
Host: Paul P. Doghramji, MD, FAAFP
Guest: Mojgan Saber, MD
Can Locum Tenens be an option for healthcare professionals just completing their residency? Dr. Paul Doghramji is joined by Dr. Mojgan Saber to share her own experience as well as tips and tricks for residents looking at Locum Tenens right after residency.
Host: Charles P. Vega, MD
Guest: Robert O. Roswell, MD, FACC, FACP
Diversifying our physician workforce so that it is more racially, ethnically, and geographically balanced can ultimately have a positive impact on community health. Join us as two experts discuss how pipeline programs reaching children as early as elementary school can help ensure workplace diversity. Also find out how clinicians can be advocates for their patients by helping to disentangle them from structural inequities and working towards policy changes. There’s a lot than can be done to provide more balanced care, but we need to look beyond simple fixes to the root causes of the issues. So find your bandwidth – that’s what you can do today – and discover why it’s so important to move upstream to solve the problems manifesting downstream.
Host: Charles P. Vega, MD
Guest: Candice Taylor Lucas, MD, MPH, FAAP
What is cultural humility, and how can it be incorporated into clinical practice? How does your patient's culture impact their health behaviors, and why does your culture matter?
Listen in as two leading experts navigate concerns surrounding cultural humility and emphasize the importance of empathy, awareness, and advocacy. Discover ways to integrate small but important changes into your clinical practice to help bridge communication gaps and enable your patients to thrive.
Guest: Madhukar H. Trivedi, MD
Guest: Steven Shoptaw, PhD
Join Drs. Madhukar Trivedi and Steven Shoptaw as they discuss the evolving landscape of pharmacologic intervention for methamphetamine use disorder. Their focus will be on evidence from the ADAPT-2 clinical trial supporting the combination of extended release naltrexone and high dose bupropion to reduce methamphetamine use for patients with moderate to severe methamphetamine addiction. These important data from ADAPT-2 offer a significant therapeutic advance for methamphetamine use disorder that can be taken into the clinic.
Host: Charles P. Vega, MD
Guest: Lionel Phillips, MBA
Learn why diversity in clinical trials is so important to community health. Two experts discuss the key role that trusted messengers play in enrollment, why it is critical to break the cycle of medical mistrust, and the downstream effect of a lack of diversity in clinical trials.
Host: Charles P. Vega, MD
Guest: Sateria Venable
Regional healthcare disparities are biases that are based on where people live. Are your patients’ treatment options being impacted and limited by their geographical location? Join us as our two experts discuss how to support broader policy issues and highlight the importance of diagnostic algorithms that have been developed with diverse input. These steps may be of value in your clinical practice to ensure all patients have equal access to care regardless of their epidemiologic, socioeconomic, or insurance circumstances.
Host: Fernando J Martinez, MD, FCCP
Guest: Navitha Ramesh, MD, FCCP
At least 50 percent of our patients with asthma continue to experience uncontrolled asthma, and they remain at risk of asthma exacerbations, which can be serious. To learn more about the impacts of uncontrolled asthma, Dr. Fernando J. Martinez sits down with Dr. Navitha Ramesh, who discusses how we can better diagnose, assess, and treat this condition.
A non-promotional, non-CME educational program brought to you by CHEST in collaboration with GlaxoSmithKline
Host: Matthew P. Bars, MS, CTTS, NCTTP
Guest: Michael C. Fiore, MD, MPH, MBA
Guest: Laura E. Crotty Alexander, MD
Dr. Matt Bars is joined by his two colleagues: Dr. Laura Crotty Alexander, Associate Professor of Pulmonary Critical Care Medicine at the University of California San Diego, and Dr. Michael Fiore, Professor of Medicine at the University of Wisconsin and Director of the University of Wisconsin Center for Tobacco Research Intervention. Together, they review tobacco dependence, the CHEST Tobacco Dependence Treatment Toolkit, and resources to help patients.
Supported in part by an independent medical educational grant from Pfizer.
Host: Erin D. Michos, MD, MHS, FACC, FAHA, FASE
Guest: James A. Underberg, MD
Guest: Nathan D. Wong, PhD, MPH
This activity is presented by outstanding educators in the field of lipidology and preventive cardiology. Join Drs. Erin D. Michos, James A. Underberg, and Nathan D. Wong for a deep dive into these hot topics: new pathways to manage high risk in ASCVD, differential biological effects of omega-3 fatty acids, and practical considerations to manage ASCVD risk.
Host: Gerard A. Silvestri MD, MS, FCCP
Guest: Lynn Tanoue, MD, MBA
About 10 percent of all cancer patients develop treatment-related pulmonary complications, and for lung cancer patients, that risk is even greater. Dr. Gerard Silvestri sits down with Dr. Lynn Tanoue, Professor of Medicine and Vice Chair of Clinical Affairs in the section of pulmonary critical care and sleep medicine at the Yale Cancer Center in New Haven, Connecticut, to discuss pulmonary toxicities related to lung cancer treatment.
Host: Gerard A. Silvestri MD, MS, FCCP
Guest: Michael S. Machuzak, MD
Clinicians can uncover a wealth of information from a non-small cell lung cancer patient’s collected tissue that can help inform treatment decisions. To dive into this idea further, Dr. Gerard Silvestri is joined by his colleague Dr. Michael Machuzak, Full Staff Member in the Department of Pulmonary, Allergy, and Critical Care Medicine at Cleveland Clinic. Together they review the importance of tissue acquisition, proper handling of specimens, rapid onsite evaluation during EBUS-TBNA procedures, and much more.
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: Gerard A. Silvestri MD, MS, FCCP
Guest: Catherine R. Sears, MD
When it comes to managing lung cancer, should we be considering a multidisciplinary approach? Dr. Gerard Sylvestri is joined by Dr. Katie Sears, an assistant professor at the Indiana University School of Medicine, to discuss multidisciplinary lung cancer programs and share suggestions on how to implement this kind of approach.
Host: Gerard A. Silvestri MD, MS, FCCP
Guest: Lonny Brett Yarmus, DO, FCCP
Dr. Gerard Sylvestri, the Hillenbrand Professor of Thoracic Oncology at the Medical University of South Carolina in Charleston and Dr. Lonny Yarmus, Clinical Director of the Division of Pulmonary and Critical Care Medicine at Johns Hopkins University, come together to discuss staging in early-stage lung cancer.
An educational campaign brought to you by CHEST, in collaboration with AstraZeneca.
Host: Matthew J. Sorrentino, MD, FACC, FASH
There’s no denying that healthcare professionals across all specialties went above and beyond the call of duty during the COVID-19 pandemic. And cardiologists were no exception. That’s why Dr. Matthew Sorrentino is calling attention to those cardiologists who were nominated by their peers for ReachMD’s Heroes in Healthcare initiative.
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: 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: 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: 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.
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: De De Gardner, DrPH, RRT, RRT-NPS, FAARC, FCCP
Guest: Stephanie Briney, DO
Despite widespread availability, only half of Americans received the flu shot last year. With that in mind, Dr. De De Gardner is joined by Dr. Stephanie Briney, Assistant Professor in Family, Community, and Preventive Medicine at the University of Arizona College of Medicine, Phoenix to discuss why Americans avoid getting the flu shot and how she approaches this in her practice.
Host: John J. Russell, MD
Guest: Rose George
Dr. John Russell is joined by Rose George, the author of the book “Nine Pints," to take an in-depth look into everything we know about blood.
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: Jennifer Caudle, DO
Guest: Steve R. Ommen, MD
Dr. Steven Ommen, a cardiologist and medical director of the Hypertrophic Cardiomyopathy Clinic at Mayo Clinic and the chair of the 2020 AHA/ACC Hypertrophic Cardiomyopathy Guideline Writing Committee, sits down with Dr. Jennifer Caudle to discuss the committee’s updated guidelines.
For more information about referring a patient to Mayo Clinic, please visit mayoclinic.org.
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: Linda Bernstein, Pharm.D.
The U.S. Food and Drug Administration announced its approval of Ebanga (Ansuvimab-zykl) for the treatment of the ebola virus infection in adults and children. To learn more about the second ebolavirus treatment to receive approval, Dr. Linda Bernstein walks us through this new drug.
Published December 29, 2020
Host: Linda Bernstein, Pharm.D.
As a growing number of pharmaceutical companies refuse to provide discounts to 340B hospitals for drugs dispensed at community-based pharmacies, a federal lawsuit is challenging the U.S. Department of Health and Human Services in order to fight for patient communities harmed by this refusal. On this episode of The Drug Report, Dr. Linda Bernstein dives into this lawsuit.
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: 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: 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: 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: Timothy Aksamit, MD
Guest: Amy Levinger, MSN, FNP-C
Guest: David E. Griffith, MD
The prevalence of non-tuberculous mycobacterial (NTM) lung disease in the United States has almost doubled between 2008 and 2015. But despite this increase, its diagnosis can often be delayed, which is why pulmonary nurse practitioner Amy Levinger and Dr. David Griffith join Dr. Tim Aksamit to discuss the diagnostic criteria, tools that can help us make a timely diagnosis of NTM lung disease, and more.
For more information and to access clinician & patient tools about NTM and MAC Lung Disease, click here to visit the CHEST Foundation NTM webpage.
This program is produced in partnership with the American College of CHEST Physicians, and is sponsored by Insmed Incorporated.
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: Xavier Soler, MD, PhD
Guest: Nicola A. Hanania, MD, MS, FCCP
To help us address the current lack of awareness of uncontrolled or symptomatic asthma in all stages of the disease, Dr. Xavier Soler is joined by Dr. Nicola Hanania, Associate Professor of Pulmonary Medicine and Director of the Airway Clinical Research Center at Baylor College of Medicine in Houston, Texas. Together, they’ll discuss how we can better recognize and treat our patients with uncontrolled asthma.
A non-promotional, non-CME educational program brought to you by CHEST in collaboration with GlaxoSmithKline.
Host: David E. Griffith, MD
Guest: Amy Levinger, MSN, FNP-C
Guest: Timothy Aksamit, MD
The care team supporting a patient with mycobacterium avium complex, or MAC, lung disease is just as important as the treatment itself. Joining Dr. David Griffith to discuss how we can provide optimal treatment using established guideline-based strategies all while protecting patients’ quality of life are Dr. Tim Aksamit and pulmonary nurse practitioner Amy Levinger.
For more information and to access clinician & patient tools about NTM and MAC Lung Disease, click here to visit the CHEST Foundation NTM webpage.
This program is produced in partnership with the American College of CHEST Physicians, and is sponsored by Insmed Incorporated.
Host: Tom Corbridge, MD, FCCP
Guest: Matt Hegewald, MD FCCP
With uncontrolled asthma placing such a tremendous burden on our patients and our society, how can we use the latest treatment guidelines to help alleviate that burden? Dr. Matt Hegewald is here to talk about the new and emerging guideline-based treatments for uncontrolled asthma, like long-acting muscarinic antagonists.
A non-promotional, non-CME educational program brought to you by CHEST in collaboration with GlaxoSmithKline.
Host: Tom Corbridge, MD, FCCP
Guest: Navitha Ramesh, MD, FCCP
Now that long-acting muscarinic receptor antagonists (LAMAs) have entered the scene, Dr. Tom Corbridge is joined by Dr. Navitha Ramesh, a pulmonologist and critical care physician at UPMC, to review some patient cases demonstrating how LAMAs may be changing the way we approach step-up treatment for some patients with asthma.
A non-promotional, non-CME educational program brought to you by CHEST in collaboration with GlaxoSmithKline.
Host: Megan Carreon, MHA, RRT
Guest: Amy Levinger, MSN, FNP-C
Guest: Timothy Aksamit, MD
There are numerous factors that contribute to an overall wellness of patients with of NTM refractory MAC lung disease. Listen in as Megan Carreon, Assistant Professor with the Division of Respiratory Care at UT Health San Antonio, Texas, sits down with pulmonary nurse practitioner Amy Levinger from NYU Langone Health and Dr. Tim Aksamit, Associate Professor of Pulmonary and Critical Care Medicine at Mayo Clinic.
For more information and to access clinician & patient tools about NTM and MAC Lung Disease, click here to visit the CHEST Foundation NTM webpage.
This program is produced in partnership with the American College of CHEST Physicians, and is sponsored by Insmed Incorporated.
Guest: Anil Agarwal, MD
How can healthcare professionals at the forefront of the pandemic protect the vascular integrity of COVID-19 patients undergoing acute dialysis procedures? Here to walk us through his process step by step is Dr. Anil Agarwal from the Ohio State University Wexner Medical Center.
Published August 19, 2020
Host: Matt Birnholz, MD
Guest: Anil Agarwal, MD
The emergence of blood clotting and clogged equipment for vascular procedures is a more recent—and troubling—phenomenon that’s emerged from the COVID-19 pandemic. Tune in as Dr. Anil Agarwal from the Ohio State University Wexner Medical Center discusses these two challenges and strategies for overcoming them.
Published August 13, 2020
Host: Andrew Wilner, MD, FACP, FAAN
Guest: William W. Li, MD
How do the lungs of healthy patients differ from the lungs of patients with COVID-19 or the flu? That’s the exact question Dr. William Li wanted to answer, and now, he’s sharing the results of his study that was recently published in the New England Journal of Medicine.
Published August 12, 2020
Guest: Bret Nelson, MD
When it comes to using ultrasound at the point of care in the setting of COVID-19, what do we need to keep in mind? Here to share his five key considerations is Dr. Bret Nelson, Professor of Emergency Medicine and the Chief of the Emergency Medicine Ultrasound Division at Mount Sinai Hospital.
Published June 5, 2020
Guest: Charles Turck, PharmD, BCPS, BCCCP
Against the backdrop of a global push to get more ventilators and other critical gear into the hands of healthcare professionals, some clinicians are opting out of using ventilators to treat their COVID-19 patients as several hospitals have reported unusually high death rates. Listen in as Dr. Charles Turck explains.
Published June 5, 2020
Host: Jennifer Caudle, DO
Guest: Todd Askew
What’s being done to address the range of issues like the PPE shortage, lack of testing, and financial shortfalls encountered during the COVID-19 pandemic? Here to share his team’s advocacy efforts to help tackle these and other challenges is Todd Askew, the American Medical Association's Senior Vice President of Advocacy.
Guest: Anish Patel, DO, FACG
Real-world Pattern of Biologic Use in Patients With Inflammatory Bowel Disease: Treatment Persistence, Switching, and Importance of Concurrent Immunosuppressive Therapy
Chao Chen, PhD, Abraham G Hartzema, PhD, Hong Xiao, PhD, Yu-Jung Wei, PhD, Naueen Chaudhry, MD, Ofor Ewelukwa, MD, Sarah C Glover, DO, Ellen M Zimmermann, MD
BACKGROUND AND AIMS:
Medication persistence, defined as the time from drug initiation to discontinuation of therapy, has been suggested as a proxy for real-world therapeutic benefit and safety. This study seeks to compare the persistence of biologic drugs among patients with inflammatory bowel disease (IBD).
METHODS:
Patients with newly diagnosed IBD were included in a retrospective study using Truven MarketScan database. Treatment persistence and switching was compared among biologic medications including infliximab, adalimumab, certolizumab, golimumab, and vedolizumab. Predictors for discontinuation and switching were evaluated using time-dependent proportional hazard regression.
RESULTS:
In total, 5612 patients with Crohn's disease (CD) and 3533 patients with ulcerative colitis (UC) were included in this analysis. Less than half of the patients continued using their initial biologic treatment after 1 year (48.48% in CD cohort; 44.78% …
Guest: Robin Dalal, MD
Improving the Quality of Inpatient Ulcerative Colitis Management: Promoting Evidence-Based Practice and Reducing Care Variation With an Inpatient Protocol
Sara M Lewin, MD, Ryan A McConnell, MD, Roshan Patel, MD, Suzanne R Sharpton, MD, MAS, Fernando Velayos, MD, MPH, Uma Mahadevan, MD
BACKGROUND:
Hospitalization for ulcerative colitis is a high-risk period associated with increased risk of Clostridium difficile infection, thromboembolism, and opiate use. The study aim was to develop and implement a quality-improvement intervention for inpatient ulcerative colitis management that standardizes gastroenterology consultant recommendations and improves delivery of evidence-based care.
METHODS:
All adult patients hospitalized for ulcerative colitis between July 1, 2014, and December 31, 2017, who received intravenous corticosteroids were included. On July 1, 2016, the UCSF Inpatient Ulcerative Colitis Protocol was implemented, featuring standardized core recommendations and a daily checklist for gastroenterology consultant notes, a bundled IBD electronic order set, and an opiate awareness campaign. The composite primary outcome was adherence to all 3 evidence-based care metrics: C. difficile testing performed, pharmacologic venous thromboembolism (VTE) prophylaxis ordered, and opiates avoided.
RESULTS:
Ninety-three ulcerative colitis hospitalizations occurred, including 36 preintervention and 57 …
Host: Jennifer Caudle, DO
Guest: William Levin, MD
To explore the complementary approaches to care that are making an impact in the oncology field, Dr. William Levin joins Dr. Jennifer Caudle to discuss how integrative therapy can help reduce stress and anxiety in cancer patients and their caregivers.
Host: Jennifer Caudle, DO
Are you a recent graduate looking to forge your own path in the medical world? Or perhaps you’re starting a family and are looking for balance in your work schedule. Dr. John Thieszen has been there.
After beginning his medical career in the military, Dr. Thieszen realized he wanted more flexibility and a more convenient schedule for his lifestyle. That’s when he turned to locum tenens work, and he has since found the perfect balance as a locum tenens for CompHealth and the leader of his own consulting group.
Host: Matt Birnholz, MD
Guest: Wes Ely, MD, MPH
After surviving a critical illness, many patients look forward to their lives returning to normal, but unfortunately, that’s not always possible.
To uncover the far-reaching impacts of delirium, Dr. Matt Birnholz is joined by Dr. Wes Ely, Professor of Medicine and Co-Director of the Center for Critical Illness, Brain Dysfunction and Survivorship Center at Vanderbilt University’s School of Medicine which focuses on improving the lives and care of patients in the intensive care unit to ensure both physical and cognitive rehabilitation.
Host: Matt Birnholz, MD
Guest: Mimi Secor, DNP, FNP-BC, FAANP
Mimi Secor, nurse practitioner, women’s health expert, national speaker, and fitness guru, joins Dr. Matt Birnholz to talk about the challenges healthcare providers face when it comes to living a healthy lifestyle and provides steps you can take to implement wellness changes in your life.
Host: Jennifer Caudle, DO
Tune in as Dr. Jennifer Caudle provides an update on suicide rates in the United States.
Host: Jennifer Caudle, DO
August is National Immunization Awareness Month sponsored by the National Public Health Information Coalition. Dr. Jennifer Caudle discusses the important role immunizations play in healthcare.
Host: Brian P. McDonough, MD, FAAFP
Palliative and hospice care both have very important roles in healthcare, but unfortunately, they are often overlooked as resources.
Dr. Brian McDonough is joined by Chief Medical Officer of Samaritan Healthcare & Hospice Dr. Stephen Goldfine, who offers his perspective on the stigma surrounding these two areas of healthcare and recommendations on how to make the conversation easier for you and your patients.
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: 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: Brian P. McDonough, MD, FAAFP
At the age of 35, Jessica Cross was pursuing a rewarding career and raising a family with her loving husband when she was dealt a crippling blow: suffering a stroke that left her paralyzed on the right side of her body and hospitalized for months.
Two years later, still in rehabilitation, Cross began punching at a keyboard to restore function in her arm and hand. Having little interest in typing mindlessly, this daily rehab exercise soon grew into writing what would become the book, Crossed Lines: What Lies Buried Within the Heart.
Host Dr. Brian McDonough sits down with Jessica Cross to talk about her journey through enduring this stroke, her recovery and rehab, and subsequent activism around education and wellness for stroke survivors.
Jessica Cross is an author, speaker, and Executive Director of Strong Cross Foundation.
Host: John J. Russell, MD
As a young critical care physician, Dr. Rana Awdish was transfigured from a doctor into a critically ill patient in an instant. This transposition, coincidentally timed at the end of her medical training, instantly laid bare the vast chasm between the conventional practice of medicine and the stark reality of the prostrate patient.
Host Dr. John Russell chats with Dr. Rana Awdish about this transformation and how she came to understand the fatal flaws in her profession, from her own past actions as a physician to the perils of navigating her own illness. She presents a new paradigm and rationale for embracing the emotional bond between doctor and patient and outlines the redemptive possibilities of dismantling the barriers to connection in all relationships.
Dr. Awdish is the author of In Shock: My Journey from Death to Recovery and the Redemptive Power of Hope and Director of the Pulmonary Hypertension Program at Henry Ford Hospital in Detroit.
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.
Host: Andrew Wilner, MD, FACP, FAAN
Guest: Michael Weisberg, MD
What happens when you are admitted to the hospital as a patient, and the physician assigned to be your doctor has never seen you before and knows absolutely nothing about you?
Says Dr. Michael Weisberg, gastroenterologist and author of The Hospitalist, situations like these are increasingly common in modern medicine and can have disastrous consequences for patients.
Dr. Weisberg joins host Dr. Andrew Wilner to talk about his novel, which underscores how doctors are now at heightened risk of being thwarted by the modern health care system.
Host: Brian P. McDonough, MD, FAAFP
Interoperability refers to the capacity for computer systems and software to exchange information and interpret that shared data.
The ability for machines to communicate efficiently within healthcare systems offers a myriad of vital benefits to patients and providers. For instance, as data becomes more mobile, personal health information entered by clinicians can begin to reach patients wherever they are and whenever they need it.
Dr. Brian McDonough sits down with Brendan McCorkle, CEO and Founder of CloudMine, to discuss his perspectives on the importance of health care systems interoperability and how to implement it successfully.
Host: Matt Birnholz, MD
Guest: Sandra Gomberg
From the Villanova Health Summit's Speaker Event, host Dr. Matt Birnholz speaks with guest Sandra Gomberg, President of Aria Jefferson Health. They discuss ways that technology is changing the healthcare landscape, as well as the benefits and risks that follow this evolution.
Host: Jennifer Caudle, DO
The burden of deciding end-of-life care often falls on family and friends when patients are no longer able to make decisions regarding their own care. What do physicians need to know when guiding families through these tough situations?
Host Dr. Jennifer Caudle is joined by Dr. Marianne Holler, Medical Director of Hospice and Palliative Programs for the VNA Health Group of New Jersey. They talk about what physicians can do to aid families when faced with end-of-life decisions.
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: John J. Russell, MD
Three out of four people addicted to heroin probably started on a prescription opioid, according to the director of the Centers for Disease Control and Prevention. In the United States alone, 16,000 people die each year as a result of prescription opioid overdose. But perhaps the most frightening aspect of the prescription drug epidemic is that it’s built on well-meaning doctors treating patients with real problems.
Host Dr. John Russell chats with Dr. Anna Lembke, Chief of Addiction Medicine and an Assistant Professor at Stanford University School of Medicine. Dr. Lembke is the author of Drug Dealer, MD: How Doctors Were Duped, Patients Got Hooked, and Why It’s So Hard to Stop, exploring how the prescription drug epidemic is a symptom of a faltering health care system, the solution for which lies in rethinking how health care is delivered.
Host: Matt Birnholz, MD
It's estimated that 80% of serious medical errors involve miscommunications between caregivers during the transfer of patients. But investigations are ongoing to identify the key issues behind these miscommunications, and how patient centered, value based care can address them.
Host Dr. Matt Birnholz speaks with Dr. David Badolato, family physician and founder and CEO of Life Laboratory, a Philadelphia-based nonprofit organization dedicated to research and education in quality models of care. Dr. Badolato authored an article published in Patient Safety and Quality Healthcare titled “The Patient-Family Journey From Outpatient to Inpatient: Improving Quality and Safety With the Outpatient EMR and PCP Collaboration.”
Host: Tim Rush
Guest: Roxanne Richards, MD
Many people dream of packing up their bags and moving to the Alaskan wilderness, but practicing medicine in Alaska comes with unique challenges.
Host Tim Rush talks with Dr. Roxanne Richards, a Family Medicine Physician at Norton Sound Regional Health Outpatient Clinic in Nome, Alaska about her experience working as a Locum Tenens doctor in Alaska.
Host: John J. Russell, MD
What if Americans put aside their differences and worked together to fix America's broken healthcare system? What changes need to be made in order to make health care both accessible and affordable without compromising excellent quality of care standards for patients? These and other crucial questions form premise behind the book We CAN Fix Healthcare: The Future is NOW.
Host Dr. John Russell sits down with Dr. Stephen Klasko, President and CEO of Jefferson University and Jefferson Health and author of We CAN Fix Healthcare: The Future is NOW.
Host: Renée Simone Yolanda Allen, MD, MHSc., FACOG
Guest: Rob Olson, MD
The OB/GYN hospitalist model is one potential approach to enhancing the quality and safety of hospital’s obstetric–gynecologic services and reducing the incidence of adverse events
Host Dr. Renee Allen sits down with Dr. Rob Olson, an OB/GYN hospitalist program consultant with over 7 years experience practicing in this role. Dr. Olson is founding President of the newly formed Society of OB/GYN Hospitalists, and he speaks nationally on the many benefits of OB/GYN Hospitalist models of care.
Host: Brian P. McDonough, MD, FAAFP
Dr. Brian McDonough chats with Scott Schober, CEO of Berkeley Varitronics Systems and author of Hacked Again: It Can Happen to Anyone, Even a Cybersecurity Expert, about the growing need for cyber security in the health care sector.
Impact of Specialized Inpatient IBD Care on Outcomes of IBD Hospitalizations: A Cohort Study Law, Cindy C. Y. MD; Sasidharan, Saranya MD; Rodrigues, Rodrigo MD; Nguyen, Deanna D. MD; Sauk, Jenny MD; Garber, John MD; Giallourakis, Cosmas MD; Xavier, Ramnik MD, PhD; Khalili, Hamed MD, MPH; Yajnik, Vijay MD, PhD; Ananthakrishnan, Ashwin N. MD, MPH
Host: Dr. Manish Singla, Gastroenterology Division, Department of Internal Medicine, Walter Reed National Military Medical Center, Bethesda, MD
Background: The management of inflammatory bowel diseases (IBDs; Crohn's disease, ulcerative colitis) is increasingly complex. Specialized care has been associated with improved ambulatory IBD outcomes.
Aims: To examine if the implementation of specialized inpatient IBD care modified short-term and long-term clinical outcomes in IBD-related hospitalizations.
Methods: This retrospective cohort study included IBD patients hospitalized between July 2013 and April 2015 at a single tertiary referral center where a specialized inpatient IBD care model was implemented in July 2014. In-hospital medical and surgical outcomes as well as postdischarge outcomes at 30 and 90 days were analyzed along with measures …
Host: Maurice Pickard, MD
While modern medicine produces miracles, it also delivers care that is too often unsafe, unreliable, unsatisfying, and impossibly expensive. For the past few decades, technology has been touted as the cure for all of healthcare’s ills.
But medicine stubbornly resisted computerization – until now. Over the past five years, thanks largely to billions of dollars in federal incentives, healthcare has finally gone digital.
Yet once clinicians started using computers to actually deliver care, it dawned on them that something was deeply wrong. Why were doctors no longer making eye contact with their patients? How could one of America’s leading hospitals give a teenager a 39-fold overdose of a common antibiotic, despite a state-of-the-art computerized prescribing system? How could a recruiting ad for physicians tout the absence of an electronic medical record as a major selling point?
Logically enough, we’ve pinned the problems on clunky software, flawed implementations, absurd regulations, and bad karma. It was all of those things, but it was also something far more complicated. And far more interesting . . .
Written with a rare combination of compelling stories and hard-hitting analysis by one of the nation’s most thoughtful physicians, The Digital Doctor examines healthcare at the dawn …
Host: Shira Johnson, MD
Opiate addiction is rapidly becoming one of the biggest health crises in the United States today. Opiates have killed more than 28,000 people in 2014 and opioid deaths outnumber motor vehicle accidents and gunshot fatalities.
Dr. Shira Johnson talks with Dr. Kenji Oyasu, the Executive Medical Director for Brightside Clinic in Northbrook, Illinois. They discuss common misconceptions about medically-assisted treatments for opiate addiction.
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: Renée Simone Yolanda Allen, MD, MHSc., FACOG
Obstetrical emergency care units offer pregnant women highly-specialized emergency care as a better alternative to the traditional emergency room visit. These units have been proven to increase patient satisfaction and improve emergency room wait time lengths. Where are they being utilized, and what are the barriers to implementing them nationwide?
Host Renee Allen talks with guests Dr. Brian Gilpin, National Clinical Director of Operations for OB Hospitalists at Mednax National Medical Group, and Dr. Christopher Swain, Founder and Chief Medical Officer for Ob Hospitalist Group (OBHG). They discuss the benefits and challenges of obstretical emergency care units.
Host: Brian P. McDonough, MD, FAAFP
Guest: Sandra Gomberg
Technological advances over the past decade have rapidly changed the ways people seek, access, and respond to health care at all levels: patients self-research medical information via health websites, clinicians counsel and treat patients from remote telemedical settings, insurance companies promote patient-controlled health savings accounts, and healthcare organizations monitor internet reviews to predict future cash flow rises and falls. All of these changes point toward a consumer-driven healthcare (CDHC) model, but where will it lead?
From the Villanova Healthcare Speaker Event, host Dr. Brian McDonough talks with guest Sandra Gomberg, Chief Operating Officer at Aria Health System. They discuss ways in which medicine has adopted consumer-driven healthcare over time, and what the future holds for patients and clinicians in this system.
Host: Brian P. McDonough, MD, FAAFP
Guest: Michael Russomano
Guest: Sandra Gomberg
Guest: Daniel Tropeano
Guest: Gene Kestenbaum
Guest: Lawrence Sherman
An expert panel of health professionals representing hospital admistration, pharmaceuticals, insurance providers, patient advocacy, and medical education convene to strategize new ways for health care industry sectors to work together to improve quality of care for patients. The panel participants also discuss their respective and complementary visions for the future of health care services, including ways that technological innovations such as social media are changing the landscape of medicine.
The panel participants are:
- Michael Russomano: President, CEO and Global Business Head of Wyeth Nutrition, a Nesle Company
- Sandra Gomberg: Chief Operating Officer at Aria Health System
- Daniel Tropeano: Executive Director for United Healthcare
- Gene Kestenbaum: Past Chair of the Board for the Crohn's & Colitis Foundation of America
- Lawrence Sherman: Senior Vice President of TOPEC Global
Host: Matt Birnholz, MD
Dr. Matt Birnholz speaks with Dr. Angela Garnder, past president of ACEP and Chief of Operations, Quality and Patient Safety at University of Texas Southwest. They discuss the importance of social media in the health care industry and ways to utilize this platform to enhance patients' experiences in hospitals and beyond.
Host: John J. Russell, MD
Dr. Bruce Fye's unique book, Caring for the Heart: Mayo Clinic and the Rise of Specialization, weaves together three important themes. It describes major developments in the diagnosis and treatment of heart disease in the twentieth century, explains how the Mayo Clinic evolved from a family practice in Minnesota into one of the world's leading medical centers, and reveals how the invention of new technologies and procedures promoted specialization among physicians and surgeons. Join Dr. John Russell in overviewing with Dr. Fye this pivotal epoch in American medical history.
This week, hosts Mark Masselli and Margaret Flinter speak with Leah Binder, Chief Executive Officer of the Leapfrog Group, a not-for-profit organization dedicated to improving safety in the hospital setting. She discusses the Leapfrog Hospital Survey and the Hospital Safety Score which coalesce patient safety data to rank hospitals for quality and safety across the country.
Host: Brian P. McDonough, MD, FAAFP
Dr. Brian McDonough talks with Dusty Eber, creator and president of PatientSyle, an alternative hospital gown provider attempting to change the way patients see their medical experience. PatientStyle promotes its patient gown apparel as being high quality without compromising of medical service functions.
Host: Brian P. McDonough, MD, FAAFP
Join Dr. Brian McDonough as he discusses the past versus present environments of medical practice with award winning journalist Steven Jacob. The two discuss a myriad of important topics encircling primary care, from the rise of concierge physicians and micropractices to accountable care organizations and healthcare costs.
This week, Mark and Margaret speak with Secretary of Health and Mental Hygiene for the State of Maryland, Dr. Joshua Sharfstein, who also served as Chief Deputy Secretary of the Food and Drug Administration. Maryland has major reforms underway in hospital pricing and health care funding that incorporate incentives to reduce hospitalizations - and it's working.
Host: John J. Russell, MD
A New Orleans hospital, after Hurricane Katrina, was surrounded on all sides by several feet of water. The power was out, and as time went on without restoration of basic operations, rumors began circulating of the hospital being overrun by looters. It was a period of total chaos with breakdowns in institutional leadership, compromises in patient care, and in some cases, clinical decisions with deadly consequences. Dr. Sheri Fink, author of Five Days at Memorial: Life and Death in a Storm-Ravaged Hospital, takes us on a tour of the aftermath of these events, and the public outcries that both villified and defended the healthcare workers involved.
Click here for Part 1 of this fascinating two-part exploration of the disaster, a hospital's response, and the repercussions that have rippled through its affected staff, patients, and families years later.
Host: John J. Russell, MD
Author and journalist Molly Caldwell Crosby joins host Dr. John Russell to discuss her second book, Asleep: The Forgotten Epidemic that Remains One of Medicine's Greatest Mysteries. Asleep is another fascnating look into medical history. In the 1920s and '30s, a team of neurologists investigated a rare but disturbing group of patients spread across various hospitals and insane asylums to try to solve the worldwide epidemic of encephalitis lethargica, or sleeping sickness.
Tune in and listen today!
Host: John J. Russell, MD
In her book, Five Days at Memorial, physician and reporter Sheri Fink reconstructs 5 days at Memorial Medical Center and draws the reader into the lives of those who struggled mightily to survive and to maintain life amid chaos. Drawing from a culmination of six years of reporting, Dr. Fink unspools the mystery of what happened in those days, bringing listeners into a hospital fighting for its life and into a conversation about the most terrifying form of health care rationing.
Click here for Part 2 of this fascinating two-part exploration of the disaster, a hospital's response, and the repercussions that have rippled through its affected staff, patients, and families years later.
Guest: Larry Kraska
Host: Shane Jackson
Managing the high demands of medicine and trying to keep a physician office profitable is no easy task. What about the demands of being on staff at a hospital system? Or, multiple clinics? So, how do you try to manage your practice/profession, do it well and be happy? Is that possible? Well, answering these questions and more is Larry Krazka, CEO of MESA Medical Group in Lexington, Kentucky. Larry will discuss the unique practice management structure that has been set up in his organization and the value it brings to his physicians, advanced health care professionals and ultimately our patients.
Host: Alan S. Brown, MD, FACC, FAHA, FNLA
Guest: Spencer Kroll, MD, PhD
The Food and Drug Administration has warned that patients taking cholesterol-fighting statins face a small increase in the risk of higher blood-sugar levels and of being diagnosed with diabetes. There has been conflicting information from several large trials about the effects of statin therapy on the development of diabetes and glycemic control.
Join host Dr. Alan Brown and Dr. Spencer Kroll, diplomate of the American Board of Clinical Lipidology and a board certified Internist. He also serves on the board of directors of the Northeast Lipid Association and runs The Cholesterol Treatment Center, a lipid clinic in Marlboro, New Jersey.
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.
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: 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.
Guest: Anne Goldberg, MD
Host: Alan S. Brown, MD, FACC, FAHA, FNLA
The National Lipid Association Foundation is emphasizing awareness of the most common inherited form of high cholesterol, familial hypercholesterolemia. Endocrinologist Dr. Anne Goldberg, talks with host Dr. Alan Brown about how to recognize and treat this hereditary cause of early onset atherosclerosis. Research has shown that statin treatment should begin when patients are very young. How early in life can we start screening and treating children, and are there differences to consider when treating young male versus female patients?
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Guest: Elizabeth Kovacs, PhD
Host: Timothy Bailey, MD
Experimental approaches, including the suppression of certain immune cells to speed difficult wounds, may lead healthcare professionals to advances in the treatment of diabetic wounds. What are the therapeutic strategies and implications for our patients with diabetes? Join guest host Dr. Timothy Bailey and his guest, director of research at the Burn & Shock Trauma Institute at Loyola University Medical Center, Dr. Elizabeth Kovacs, as they discuss the latest research in suppressing certain immune cells to speed healing of slow-to-heal wounds.
Host: Janet Wright, MD
Guest: James Scheulen, PA-C
Guest: Jeffrey Trost, MD
Door-to-balloon time for a patient with ST-segment elevation myocardial infarction (or STEMI) should be less than 90 minutes. Wireless electrocardiography (or EKG) programs around the country are helping to reduce door-to-balloon time by transmitting EKG data to hospitals via broadband internet, where a specialist at the hospital makes a diagnosis and prepares to treat the incoming patient. What are some of the challenges, and advantages, of such programs? Mr. Jim Scheulen, chief administrative officer for the Johns Hopkins Department of Emergency Medicine and president of Johns Hopkins Emergency Medical Services, and Dr. Jeffrey Trost, assistant professor in cardiology, director of the Cardiac Catheterization Laboratory and director of the Interventional Cardiology Program at Johns Hopkins Bayview Medical Center, helped create a Baltimore consortium of hospitals that donated wireless EKG technology to the city's paramedic units. How effective has the Baltimore program been at improving treatment for MI patients, and how is this program similar to others around the country? Dr. Janet Wright hosts.
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Guest: Mark Chassin, MD, MPP, MPH
Host: Bruce Japsen
An estimated 4 out of 5 serious medical errors involve miscommunication that occurs when care is 'handed off' from one care provider to another. Dr. Mark Chassin, president of the Joint Commission, the organization that's studied handwashing and potentially dangerous acronyms and abreviations, tells host Bruce Japsen about how the Commission's Center for Transforming Health Care and 10 hospitals and health systems across the country are working to improve patient care by improving communication between 'senders' and 'receivers.'
Guest: Alan Lazaroff, MD
Host: Eric Tangalos, MD
How different is the population of long term care facilities today than in decades past, and how will these new resident communities impact delivery of care? Dr. Alan Lazaroff, director of geriatric medicine at St. Anthony Hospitals Senior Health Centers, and president of Geriatric Medicine Associates in Denver, Colorado, talks about the changes long term care facilities have made to better serve the needs of shifting resident demographics, including flexible scheduling and activities. What challenges face nursing homes today that care for younger, sicker or shorter-term patients? Dr. Eric Tangalos hosts.
Guest: Edward Mello, Jr
Host: Mimi Secor, DNP, FNP-BC, FAANP
It takes the entire community working together to effectively respond to a disaster. Trained first responders and medical professionals are key to saving lives. Nurse practitioners and physician assistants play a vital role, but it's crucial that community agencies know your specialties and how you can to be best utilized before a disaster strikes. Nurse practitioner Lt. Colonel Ed Mello joins host Mimi Secor to discuss how advanced practice clinicians can be involved in disaster training and what goes into becoming part of a disaster team.
Guest: Stanley Schwartz, MD
Host: Steven Edelman, MD
Guidelines that avoid the use of oral antidiabetes agents associated with hypoglycemia and weight gain are becoming increasingly popular in treating patients with diabetes. What are we learning about incretin-based therapies in both the intensive care and emergency medicine departments and perioperatively? Join host Dr. Steven Edelman and his guest, associate professor of medicine at the University of Pennsylvania, Dr. Stanley Schwartz, as they discuss the surprising results in both intensive care, emergency medicine and perioperative periods using incretin-based therapies.
Guest: Patrick Hagan
Host: Bruce Japsen
As doctors and hospitals enter an era of healthcare that will demand high quality at a competitive price, factory-style efficiency is an answer that's working, at Seattle Children's Hospital. The hospital's president, Patrick Hagan, tells host Bruce Japsen about how doctors and hospitals can replicate the kind of factory efficiency used at companies like Toyota and Boeing to improve medical care service for their patients, and perhaps even boost their productivity and profits.
Guest: Laurie Jacobs, MD
Host: Eric Tangalos, MD
Patients who have recently had orthopedic and other types of general surgery, those who have recently had a stroke, and those with an ongoing medical condition (such as heart disease) are at most risk for developing venous thromboembolic disease. Do most long-term care facilities screen for this condition among these patient populations, and when should physicians initiate prophylactic care? Dr. Laurie Jacobs, professor of clinical medicine and vice chairman of clinical and educational programs in the department of medicine at Albert Einstein College of Medicine and Montefiore Medical Center, and director of the Resnick Gerontology Center at Albert Einstein College of Medicine in Bronx, New York, discusses ways to reduce the risk of developing venous thromboembolism among long-term care patients. What is on the horizon in terms of new therapies? Hosted by Dr. Eric Tangalos.
Guest: Fred Toffel, MD
Host: Steven Edelman, MD
Are the current ADA guidelines for inpatient care enough in the management of patients with diabetes? How are areas such as identification, assessment, glycemic control and nutrition therapy integrated? How are we approaching optimal glycemic control for inpatient care? Join host Dr. Steven Edelman and his guest, endocrinologist in Las Vegas, Nevada, Dr. Fred Toffel, as they discuss unique approaches to inpatient care for patients with diabetes.
Guest: Jeremy Allen, PA-C
Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA
When patients go to the emergency department for a non-life-threatening emergency, it seems impossible to predict how long the wait could be to see a medical provider. But now patients in New Britain, Connecticut, can plan their care by checking their iPhone. Physician assistant Jeremy Allen talks with host Lisa Dandrea Lenell about his role as lead developer on an iPhone app for the Hospital of Central Connecticut. They discuss the benefits to patients and ER staff, as well as how to expand the technology for other medical sites.
Guest: Joseph Ouslander, MD
Host: Eric Tangalos, MD
What are the most essential elements of ensuring safe transitions of care when a patient is discharged from a hospital into a skilled nursing facility, and vice-versa? Dr. Joseph Ouslander, professor of clinical biomedical science and associate dean for geriatric programs at the Charles E. Schmidt College of Biomedical Science, and professor at the Christine E. Lynn College of Nursing of Florida Atlantic University in Boca Raton, Florida, recommends some of the clinical tools he uses to encourage smoother and safer transitions of care to and from long-term care facilities. How can better communication between physicians and adherence to transfer document checklists reduce hospital readmissions? Dr. Eric Tangalos hosts.
Guest: Jeffrey Nicholson, PhD, PA-C
Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA
A malpractice lawsuit is something all physician assistants want to avoid, but what do you do if you are sued by a patient? We'll explore the difference between malpractice for physicians and malpractice for PAs, and can a PA be qualified to testify in court as a legal expert? Dr. Jeffrey Nicholson, president of the American Academy of PAs in Legal Medicine, joins host Lisa Dandrea Lenell to talk about the process of a lawsuit, common themes and mistakes in PA malpractice cases, and what to do if you make a mistake.
Host: Matt Birnholz, MD
The Healthcare Information and Management Systems Society (HIMSS) Annual Conference brings together more than 28,000 healthcare industry IT experts to see offerings from over 900 exhibitors. It is the largest annual gathering in the healthcare information technology field. This year's exhibit takes on special significance given federal incentives to accelerate adoption of information technology in the healthcare arena. Dr. Matthew Birnholz hosts this second of two programs from the conference.
Guests include:
John Zaleski, VP - Clinical Applications, Nuvon
James King, MD - Past President, American Academy of Family Physicians (interviewed at the Shared Health exhibit)
Michael Mirro, MD, FACC, FACP - Chair, Health Informatics Committee, American College of Cardiology (interviewed at the Medical Informatics Engineering Exhibit)
John Stanley - SVP and CIO of Riverside Health System, Newport News, VA. (interviewed at the Siemens exhibit)
H. Stephen Lieber, CAE - President and CEO, HIMSS
John Mattison, MD - Chief Medical Information Officer, Kaiser Permanente, Southern California
Christopher Mertens - VP Healthcare Business Group, Hewlett-Packard
Steve Aylward - General Manager, Health and Life Sciences, Microsoft
Host: Matt Birnholz, MD
The Healthcare Information and Management Systems Society (HIMSS) Annual Conference brings together more than 28,000 healthcare industry IT experts to see offerings from over 900 exhibitors. It is the largest annual gathering in the healthcare information technology field. This year's exhibit takes on special significance given federal incentives to accelerate adoption of information technology in the healthcare arena. Dr. Matthew Birnholz hosts this first of two programs from the conference.
Guests include:
H. Stephen Lieber, CAE - President and CEO, HIMSS
John Mattison, MD - Chief Medical Information Officer, Kaiser Permanente, Southern California
Steve Aylward - General Manager, Health and Life Sciences, Microsoft
Michael Mirro, MD, FACC, FACP - Chair, Health Informatics Committee, American College of Cardiology (interviewed at the Medical Informatics Engineering Exhibit)
Host: Lawrence Sherman, FACEHP, CCMEP
ReachMD Presents Conference Coverage Highlights from the Alliance for Continuing Medical Education 2010 35th Annual Conference in New Orleans on January 27-30, 2010.
The theme of the conference - Establishing CME as a Pathway to Better Patient Care - provided the opportunity for medical educators and planners from various specialties to share best practices and discuss broader issues and concerns.
Guests on this program include:
- Alejandro Aparicio, MD, Director, Division of Continuing Physician Professional Development, American Medical Association
- Maureen Doyle-Scharff, MBA, FACME, Senior Director, Medical Education Group, Pfizer, Inc.
- Joseph Kim, MD, MPH, Director of Medical Affairs and Technology, Medical Communications, Media, Inc.
Host: Lawrence Sherman, FACEHP, CCMEP
ReachMD Presents Conference Coverage Highlights from the Alliance for Continuing Medical Education 2010 35th Annual Conference in New Orleans on January 27-30, 2010.
The theme of the conference — Establishing CME as a Pathway to Better Patient Care — provided the opportunity for medical educators and planners from various specialties to share best practices and discuss broader issues and concerns.
Guests on this program include:
- Jann Balmer, PhD, President of the Alliance for Continuing Medical Education and Director of CME at the University of Virginia School of Medicine
- Dave Davis, MD, Senior Director, Academic Affairs, Association of American Medical Colleges
- George Mejicano, MD, Associate Dean for Continuing Professional Development, University of Wisconsin, School of Medicine and Public Health
- Don Detmer, MD, MA, President and chief Executive Officer, American Medical Informatics Association
Representative Charles Boustany, MD, of Louisiana, responds to President Obama's healthcare address in front of a joint session of Congress, September 9, 2009. Listen here or download the podcast.
To hear President Obama's address, click here.
Listen here or download the podcast of President Obama's speech to a joint session of Congress on September 9, 2009, outlining his plan for healthcare reform.
To listen to the Republican response delivered by Rep. Charles Boustany, MD (R-LA), click here.
Vice President Joe Biden, alongside Health and Human Services Secretary Kathleen Sebelius and Dr. David Blumenthal, the Obama administration's National Coordinator for Health Information Technology, leads this roundtable discussion on healthcare reform and the need to ‘modernize the system' with broad implementation of electronic health records (EHRs). Hosted by Mount Sinai Hospital in Chicago on August 20, 2009, the discussion ranges from the keys to improving the coordination of care through EHRs, to enhancing patient safety and reducing privacy concerns, to promoting vital cost and effectiveness measures across the spectrum of care.
Vice President Biden announced the availability of $1.2 billion in federal grants for electronic health record systems. The funding comes from the $787 billion stimulus package passed earlier this year. It is ticketed to finance the creation of EHR technology extension-centers, which will provide clinicians and hospitals with on-the-spot support for the installation and utilization of certified EHR systems. Money is also set aside to help providers attain key incentives to encourage the adoption of EHRs. The administration says grants will be awarded on a rolling basis, with the first awards to be issued in fiscal year 2010.
Panelists included cardiologist Dr. Martha Gulati, geriatrician Dr. June McKoy, …
Tune in for complete audio of the prime-time presidential news conference from the White House, July 22, 2009. President Obama outlines his plan for overhauling the nation's healthcare system, and takes questions.
Guest: J. James Rohack, MD
The American Medical Association (AMA) has inaugurated Dr. J. James Rohack, a cardiologist from Bryan, Texas, as the Association's 164th president. In his inaugural address as AMA president, Dr. Rohack covered a range of issues central to the ongoing debate over healthcare reform in the United States, chiefly that we improve access to high-quality, affordable health care for all of our patients.
"I can promise that our AMA is committed to offering guidance, our expertise, the benefits of our relationship with patients, and the powerful voice of our profession, to help the powers that be make the right decisions," said Dr. Rohack. "This is an effort that will define our organization, define our nation and define each and every one of us."
ReachMD brings you the entirety of Dr. Rohack's speech, along with complete coverage of the 2009 AMA House of Delegates Meeting. Listen now!
Dr. Rohack discusses President Obama's plan for healthcare reform
President Obama's keynote address to the AMA House of Delegates
Delegates respond to President Obama's address
Leaders in long term care medicine react to the 2009 Delegates Meeting
Perspectives from members of the AMA Board of Trustees
Voting round-up and …
Guest: Steven Stack, MD
Host: Bruce Japsen
Join host Bruce Japsen for an overview of some of the major votes from the American Medical Association's 2009 House of Delegates Meeting in Chicago. Afterward, he sits down for an in-depth discussion of the issues with Dr. Steven Stack, an emergency physician from Lexington, Kentucky, and a member of the AMA board of trustees.
ReachMD brings you complete coverage of the 2009 AMA House of Delegates Meeting. Listen now!
President Obama's keynote address to the AMA House of Delegates
Delegates Respond to President Obama's Address
Leaders in long term care medicine react to the 2009 Delegates Meeting
AMA President Dr. J. James Rohack's inauguration speech
Dr. Rohack discusses President Obama's plan for healthcare reform
Perspectives from members of the AMA Board of Trustees
Guest: J. James Rohack, MD
Host: John Armstrong, MD
How will the AMA shape healthcare reform? The day after President Barack Obama's historic address to the AMA, host Dr. John Armstrong gets reaction from Dr. J. James Rohack, cardiologist from Bryan, Texas, and the American Medical Association's 164th president. Dr. Rohack discusses ways to achieve the common goals of working toward universal and affordable healthcare coverage, and also addresses the issues of liability reform and a public plan option.
ReachMD brings you complete coverage of the 2009 AMA House of Delegates Meeting. Listen now!
President Obama's keynote address to the AMA House of Delegates
Delegates respond to President Obama's address
Leaders in long term care medicine react to the 2009 Delegates Meeting
AMA President Dr. J. James Rohack's inauguration speech
Perspectives from members of the AMA Board of Trustees
Voting round-up and one-on-one with Dr. Steven Stack
Guest: Steven Stack, MD
Host: John Armstrong, MD
Guest: Samantha Rosman, MD
Join host Dr. John Armstrong at the American Medical Association's House of Delegates Meeting in Chicago. Dr. Armstrong sits down with two members of the AMA's board of trustees, Dr. Samantha Rosman, a fellow in pediatric emergency medicine at Boston Medical Center in Cambridge, Massachusetts, and Dr. Steven Stack, chairman and medical director of the department of emergency medicine at St. Joseph Hospital East in Lexington, Kentucky. This interview took place June 16, 2009, the day after President Barack Obama's speech to the AMA House of Delegates Meeting outlining his aspirations for healthcare in America. Dr. Stack and Dr. Rosman discuss their reactions to the President's speech.
ReachMD brings you complete coverage of the 2009 AMA House of Delegates Meeting. Listen now!
President Obama's keynote address to the AMA House of Delegates
Delegates Respond to President Obama's Address
Leaders in long term care medicine react to the 2009 Delegates Meeting
AMA President Dr. J. James Rohack's inauguration speech
Dr. Rohack discusses President Obama's plan for healthcare reform
Voting round-up and one-on-one with Dr. Steven Stack
Host: Matt Birnholz, MD
The fifth annual Games for Health Conference, held in Boston June 10-12, brought together several hundred people at the intersection of game development and health. The stated goal was to explore the use of game techology in health and healthcare and to discuss recent industry advancements. Those interviewed in this program include: Ben Sawyer, co-founder of the conference; Richard Tate of HopeLab; Jerry Heneghan of Virtual Heroes; Richard Levine, developer of the video game "Microsurgeon;" Stephen Downs of the Robert Wood Johnson Foundation; Paul Puopolo of Humana; and Steve Brown of 3banana.
Host: John Armstrong, MD
President Barack Obama delivered a lengthy address on his vision for health system reform to delegates of the American Medical Association (AMA) at their 158th annual meeting in Chicago. The speech generated a range of reactions from physicians in the audience. Host Dr. John Armstrong captures their sentiments on the floor of the meeting hall. How will this speech affect America's physicians? Will President Obama ensure that our concerns are represented in the health system reform debate? Tune in to hear the unfiltered responses from your colleagues in medicine!
ReachMD brings you complete coverage of the 2009 AMA House of Delegates Meeting. Listen now!
President Obama's keynote address to the AMA House of Delegates
Leaders in long term care medicine react to the 2009 Delegates Meeting
AMA President Dr. J. James Rohack's inauguration speech
Dr. Rohack discusses President Obama's plan for healthcare reform
Perspectives from members of the AMA Board of Trustees
Voting round-up and one-on-one with Dr. Steven Stack
Host: John Armstrong, MD
All this week on the radio at XM 160 and online at www.ReachMD.com
ReachMD brings you coverage of President Barack Obama's unprecedented keynote address to the American Medical Association's House of Delegates at their 158th annual meeting.
And don't miss the multimedia presentation of the President's speech from American Medical News. Audio courtesy of ReachMD.
Guest: Michael King
Host: Bruce Japsen
The burgeoning number of emergency patients who do not speak English because our nation has become so diverse is creating a greater imperative to bridge the language gap in the hospital. Live video interpretation and translation could be the answer, says Michael King, director of business development for the Metropolitan Chicago Healthcare Council, in an interview with host Bruce Japsen of the Chicago Tribune.
Guest: Ed Lopez
Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA
What's it like to be a hospitalist? Many PAs are turning to this growing field. Ed Lopez, founder and president of La Palma Medicine and Surgical Associates in Tacoma, Washington, talks with host Lisa D'Andrea Lenell about the ins and outs of working in a hospital. They cover a typical day, and the type of personality best suited for this growing specialty.
Guest: Ed Lopez
Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA
With the growing shortage of healthcare professionals, the need is growing for PAs to become part of a hospitalist team. Ed Lopez founder and president of La Palma Medicine and Surgical Associates in Tacoma, Washington, joins host Lisa D'Andrea Lenell to discuss this growing field, including how to get a job in a hospital setting and the challenges and future for this specialty track within the PA profession.
Guest: Angela Gardner, MD
Host: Shira Johnson, MD
The practice of emergency room diversion began back in the late 1980s to help prevent overcrowding in busy hospitals. But does it still work? Hospitals across the country are so crowded today that ambulances are turned away regularly. Dr. Angela Gardner, president-elect of the American College of Emergency Physicians and assistant professor of emergency medicine at the University of Texas at Galveston, explores the issue of overcrowding and the policies designed to combat the problem, with host Dr. Shira Johnson.
Guest: Emily Merrill, PhD, RN
Host: Lisa Mazzullo, MD
Imagine going into a doctor's office, putting on a gown and finding that it won't wrap around your body. Or, having your blood pressure taken when the cuff doesn't fit around your arm. These are just a few of the problems obese women deal with as medical patients. Dr. Emily Merrill, department chair for nurse practitioner studies at Texas Tech University in Lubbock, Texas, discusses with host Dr. Lisa Mazzullo the challenges, stigmas and frustrations associated with treating obese women. They also discuss the attitudes and perceptions of doctors, medical students and nurses when it comes to treating overweight women.
Guest: Jian Han, MD
Host: Bruce Japsen
The 'superbug' methicillin-resistant staphylococcus aureus, or MRSA, is a top concern for hospitals and doctors nationwide. So what are we doing to combat this? Dr. Gian Han, director of Diatherix Laboratories, tells host Bruce Japsen about molecular diagnostic technologies being developed for doctors to detect MRSA and prevent infection in patients.
Guest: Patrick Killeen, PA-C
Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA
Where do physician assistants fit into the organizational chart within hospitals? How are PAs categorized within the organization? Are they considered allied health staff with no vote on hospital issues, or are they medical staff with a voice? Host Lisa Dandrea Lenell and Patrick Killeen, director at large on the American Academy of Physician Assistants' board of directors, tackle the difficult issue of the evolving role of the PA within a large hospital setting. They discuss the importance of having PAs serve within the administration and the challenges of achieving that goal.
Guest: Ronald Sherman
Host: Bill Rutenberg, MD
Join host Dr. Bill Rutenberg as he discusses the magical mysteries of the wound debridement biotherapy with our guest Dr. Ronald Sherman, director of the non-profit BioTherapeutics, Education & Research Foundation. Learn about the medical uses for maggots, how maggot therapy is executed and what controlled studies show about the use of medical grade maggots.
Guest: Dale Needham, MD, PhD
Host: Lee Freedman, MD
What complications in the ICU might lead to a patient experiencing post-traumatic stress disorder after an ICU stay? Is it better to keep ICU patients sedated to prevent pain, or is there an advantage to encouraging movement as soon as possible? Host Dr. Lee Freedman debates this question with Dr. Dale Needham, assistant professor in the division of pulmonary and critical care medicine at Johns Hopkins University. Are certain patients more susceptible than others to developing PTSD after being in the ICU?
Guest: Jack Franaszek, MD
Host: Shira Johnson, MD
Urgent care centers, boutique emergency rooms, free standing emergency departments and retail clinics: How do all of these non-traditional emergency facilities fit in the paradigm of emergency medicine? What works? What doesn't work? What is the best for the patient and for healthcare? Dr. Jack Franaszek, director of the emergency department at Lake Forest Hospital and clinical associate professor at University of Chicago, elaborates on the structure and the financial impact of the multi-tiered options of emergency care. He discusses how all of these tiers of acute healthcare are eating up dollars. And will it be for the better? Dr Shira Johnson hosts.
Guest: Barbara Rutt, MDiv, BCC,
Host: Susan Dolan, RN, JD
Chaplains are increasingly being recognized as a critical resource on a hospital medical team. Our guest today, Chaplain Barbara Rutt, manager of Pastoral Care at the Lehigh Valley Health Network talks with host Susan Dolan, RN about her role as a member of the of trauma team, the open heart team and as a collaborator for the medical rounds of the palliative team. Join us to learn about the day in the life of a hospital Chaplain and how you might incorporate their services into your medical team.
Guest: Joseph R. Lex, MD
Host: Shira Johnson, MD
Medicine remains both an art and a science. Are more sensitive cardiac markers clouding our judgement? Dr. Joseph Lex, associate professor of emergency medicine at Temple University School of Medicine in Philadelphia, joins host Dr. Shira Johnson to discuss cardiac markers at the bedside, diagnostic testing and clinical judgement.
Host: Cathleen Margolin, PhD
Guest: Woodson Merrell, MD
When clothing designer Donna Karan lost her husband and then her best friend to cancer, she felt frustrated with the limitations of the strictly Western style of medical care they had received. Ms. Karan recognized the important contributions of science from Western medicine, but she also believed that healing comes from spiritual and alternative means. Her desire to combine the best of Eastern and Western healing methods resulted in an $850,000 grant to Beth Israel Medical Center's Continuum Center for Health and Healing and department of integrative medicine in New York City. Dr. Woodson Merrell, chair of the department of integrative medicine, explains how integrative therapies are being interwoven with care strategies for complex medical cases and explores the potential of integrative medicine, as well as research into these therapies and what would lead to their taking hold at more hospitals across the country. Dr. Cathleen Margolin hosts.
Guest: Peter DeBlieux, MD
Host: Shira Johnson, MD
Who will benefit most from early intervention and treatment from the 750,000 patients hospitalized with sepsis each year? Dr Peter De Blieux, Pulmonary and Critical Care specialist from the Louisiana State University Health and Science Center, discusses early management and diagnosis including the importance of goal directed therapy. Dr Shira Johnson is the host as Dr De Blieux reviews common mistakes in sepsis management and provides case studies for learning.
Guest: Peter DeBlieux, MD
Host: Shira Johnson, MD
Sepsis kills 210,000 patients each year. Dr. Peter DeBlieux, professor of medicine at Louisiana State University Health Science Center and director of emergency medicine services at the Medical Center of Louisiana, discusses the latest clinical practice guidelines. He is interviewed by Dr. Shira Johnson about how to improve sepsis mortality with new therapies. Learn why early and agressive management is the key .
Guest: Gary Conkright
Host: Bruce Japsen
Reducing medication errors is a global challenge but the good news is that there are increasingly new and innovative ways companies are looking to find solutions to error reduction. Gary Conkright, chief executive officer of medication safety company InformMed tells host Bruce Japsen about a tool designed by nurses as the latest in the coming wave of potential products in the medication error solution space.
Guest: Steven Larson, MD
Host: Mark Nolan Hill, MD
Lost in the ever-evolving diversity of the American populace, is what happens when one of our newest, or in some cases, undocumented immigrants, becomes extraordinarily ill. Under our current system, hospitals are often left to shoulder the logistical and financial burden of care. How are our hospitals coping with this responsibility, and how does this impact the care we can provide to these patients and more broadly, to all of our patients? Dr. Steven Larson, assistant dean of global health at the University of Pennsylvania School of Medicine, and an expert on migrant health, helps us sort through some of the key issues related to this far-reaching topic. Dr. Mark Nolan Hill hosts.
Guest: Cassing Hammond, MD
Host: Lisa Mazzullo, MD
What's it like to not be able to get a mammogram because the machine does not accommodate a wheelchair? What's it like to be a paraplegic and want to have a baby? These are just two of the growing number of daily problems facing the more than 25 million women with disabilities in the United States. Dr. Cassing Hammond, director of family planning and contraception at the Feinberg School of Medicine at Northwestern University and director of ob/gyn services at the Rehabilitation Institute of Chicago, discusses with host Dr. Lisa Mazzullo the challenge of contraception choices, welcoming these patients to the typical doctor's office, as well as the cutting-edge clinic designed especially for this group of women at the Rehabilitation Institute of Chicago.
Guest: Nancy H. Nielsen, MD, PhD
The second of two programs consisting of excerpts of a panel discussion examining the issues surrounding healthcare coverage for millions of uninsured Americans. The panel was presented by U.S. News and World Report's National Issues Briefing, in association with the American Medical Association.
Panelists include Senator Max Baucus (D-MT), Senate Finance Committee Chairman; Mary R. Grealy, president of the Healthcare Leadership Council; and Paul H. Keckley, PhD, executive director of the Deloitte Center for Health Solutions. Brian Kelly, editor, U.S. News and World Report, moderates. The panel was introduced by Nancy H. Nielsen, MD, PhD, president of the American Medical Association.
Given latest U.S. Census profiles of uninsured Americans, and the obstacles to retaining coverage, including evolving private sector and employee work patterns and gaps in existing health care plans, panelists debate possible solutions -- from group coverage to state and federal benefits plans -- as well as current and emerging solutions from within the Administration and Congress, the presidential candidates, and other experts. The panel was recorded on September 23, 2008, at the National Press Club in Washington, D.C.
Guest: Nancy H. Nielsen, MD, PhD
The first of two programs consisting of excerpts of a panel discussion examining the issues surrounding healthcare coverage for millions of uninsured Americans. The panel was presented by U.S. News and World Report's National Issues Briefing, in association with the American Medical Association.
Panelists include Senator Max Baucus (D-MT), Senate Finance Committee Chairman; Mary R. Grealy, president of the Healthcare Leadership Council; and Paul H. Keckley, PhD, executive director of the Deloitte Center for Health Solutions. Brian Kelly, editor, U.S. News and World Report, moderates. The panel was introduced by Nancy H. Nielsen, MD, PhD, president of the American Medical Association.
Given latest U.S. Census profiles of uninsured Americans, and the obstacles to retaining coverage, including evolving private sector and employee work patterns and gaps in existing health care plans, panelists debate possible solutions -- from group coverage to state and federal benefits plans -- as well as current and emerging solutions from within the Administration and Congress, the presidential candidates, and other experts. The panel was recorded on September 23, 2008, at the National Press Club in Washington, D.C.
Guest: Marc Galanter, MD
Host: Leslie P. Lundt, MD
Medicine and spirituality have always been linked, we have struggled as a profession with how to introduce spirituality and religion into the general hospital setting. Host Dr. Leslie Lundt discusses such a program with Dr. Mark Galanter, professor of psychiatry at New York University School of Medicine, and author of Spirituality and the Healthy Mind: Science, Therapy and the Need for Personal Meaning.
Guest: James Webster, MD
Host: Maurice Pickard, MD
Often, healthcare workers are unaware of the particular needs, expectations, and belief systems of minority groups. Dr. James Webster, professor of medicine at Northwestern University's Feinberg School of Medicine and president of the Chicago Board of Health, and host Dr. Maurice Pickard discuss the ways that gaps in understanding can adversely affect medical outcomes.
Guest: James M Nicholson, MD,MSCE
Host: Lisa Mazzullo, MD
Over the last decade the rate of cesarean sections has increased from 22 percent to as much as 30 percent in some parts of the country. Cesarean risk increases with potential placental insufficiency and concerns about cephalo pelvic disproportion. How does AMOR-IPAT (active management of risk in pregnancy at term), a preventive induction technique, limit cesarean risk? Dr. James M. Nicholson, assistant professor in family practice and community medicine at the University of Pennsylvania School of Medicine, talks with host Dr. Lisa Mazzullo about this technique designed to prevent cesarean deliveries.
Guest: Raymond P. Onders, MD
Host: Bruce Bloom, DDS, JD
Dr. Raymond Onders, director of Minimally Invasive Surgery at University Hospitals Case Medical Center in Cleveland, Ohio, describes the development of the Diaphragm Pacing System that electrically stimulates breathing. Hear how this life-saving technology has helped spinal cord patients, and is being tested for use with ALS patients and in the critical care setting to replace ventilators. Hosted by Dr. Bruce Bloom.
Guest: Raymond P. Onders, MD
Host: Bruce Bloom, DDS, JD
What is the process required to implant a Diaphragm Pacing System which eliminates the need for ventilator care in ALS patients? Dr. Raymond Onders, director of the Minimally Invasive Surgery at University Hospitals Case Medical Center describes the diagnostic and laparoscopic surgical techniques used to implant a Diaphragm Pacing System that electrically stimulates breathing in spinal cord injury and ALS patients. Hear how this amazing technology changes the lives of patients through a very simple surgery. Hosted by Dr. Bruce Bloom.
Guest: Raymond P. Onders, MD
Host: Bruce Bloom, DDS, JD
A diaphragm pacing system electronically stimulates breathing in patients with amyotrophic lateral sclerosis (ALS). Not only can this device prolong the lives of ALS patients, it can greatly enhance the quality of their lives. Dr. Raymond Onders, associate professor of surgery and medicine at Case Western Reserve University School of Medicine, and director of minimally invasive surgery at University Hospitals Case Medical Center in Cleveland, tells host Dr. Bruce Bloom about a novel diaphragm pacing system that is making international inroads in the treatment of ALS.
Guest: Maureen F. Orr, MS
Host: Larry Kaskel, MD
Should health professionals be concerned about secondary contamination? How often does it occur and what are the signs that should prompt you to take extra precautions? Maureen Orr, an epidemiologist at the Centers for Disease Control's Agency for Toxic Substances and Disease Registry, talks with host Dr. Larry Kaskel about her published report, "Secondary Contamination of Medical Personnel, Equipment, and Facilities Resulting From Hazardous Materials Events, 2003-2006."
Guest: Winifred Hayes, PhD
Host: Bruce Japsen
The health technology assessment, something gaining momentum in hospitals as a way to improve patient care, can be a challenge to implement. Dr. Winifred Hayes, founder and chief executive officer of Hayes Inc. tells host Bruce Japsen how this can be done and what the doctor's role should be in this process.
Guest: Julie Salamon
Host: Leslie P. Lundt, MD
We know graft-versus-host disease is a common complication in transplant patients. How can this also be happening at an institutional level? Julie Salamon's recent book, Hospital-Man, Woman, Birth, Death, Infinity Plus Red Tape, Bad Behavior, Money, God and Diversity on Steroids, offers a glimpse of her year-long journey through Maimonides Hospital in Brooklyn, New York. Ms. Salamon joins host Dr. Leslie Lundt to discuss the complex cross-cultural implications of 21st century American medicine.
Guest: Mitchell Levy, MD
Host: Shira Johnson, MD
What is the impact of re-education on outcomes in sepsis in an ICU? Host, Dr. Shira Johnson is joined by Dr. Mitchell Levy, professor of medicine at Brown Medical School and Medical Director of the Medical Intensive Care Unit at Rhode Island Hospital, who discusses the "Surviving Sepsis Campaign." Re-education of physicians and nurses in this global study had a remarkable impact on reducing mortality and morbidity. Dr. Levy explains why outcomes were so dramatically affected.
Guest: Joseph Flaherty, MD
Host: Lisa Mazzullo, MD
Do the career choices made by female physicians play a central role in the projected shortage of doctors? Host Dr. Lisa Mazzullo explores this provocative idea with Dr. Joseph Flaherty, dean of medicine, and professor of psychiatry and community health sciences at the University of Illinois College of Medicine, taking an in-depth look at the substantive issues that confront many contemporary women in medicine. Beyond gender considerations, does the pursuit of a more balanced life negatively impact the standard of care?
Guest: Nancy H. Nielsen, MD, PhD
Dr. Nancy Nielsen, the incoming president of the American Medical Association (AMA), delivers a moving inaugural speech to the 2008 AMA House of Delegates in Chicago. Dr. Nielsen touches on several major issues, with a broad focus on the economic challenges and scientific demands of rebuilding our healthcare system. She calls on the healthcare community, the insurance industry, employers and our government to work cohesively with our patients to battle "our real enemies: disease and untimely death."
Guest: Ronald M. Davis, MD
Dr. Ronald M. Davis, the outgoing president of the American Medical Association (AMA), delivers his final speech as president to the 2008 AMA House of Delegates in Chicago. Dr. Davis speaks to many issues, including the legacy we choose to leave on people we meet during the course of our lives.
Guest: Thea Sakata
Host: Lauren Streicher, MD
Guest: Lina Rodriguez
A medical school graduation photo today looks much different than those of the 1950s, with a considerable shift in gender distribution, and a diverse collection of races, nationalities and pre-medical school experiences. Ms. Thea Sakata and Ms. Lina Rodriguez, both first-year medical students at Northwestern University's Feinberg School of Medicine, discuss their unique journeys to medical school with host Dr. Lauren Streicher.
Guest: Geoffrey Joyce, PhD
Host: Bill Rutenberg, MD
The individual's healthcare in the last 12 months of life costs about 25% of total healthcare costs for that person's life. Should policy makers’ better control end-of-life costs? This is just one of many questions addressed in this segment about weighing the effectiveness of treatment vs. cost. Join us as host Dr. Bill Rutenberg interviews Senior Medical Economist of the Rand Corporation, Geoffrey Joyce PhD.
Guest: James Welker, DO
Host: Leslie P. Lundt, MD
The time to first antibiotic dose in patients with community-acquired pneumonia is a core quality measure by which hospitals and physicians are evaluated. Might this time pressure have a negative effect on the accuracy of diagnosis of pneumonia? Dr. James Welker, the Director of the Franklin Square Clinical Research Center, joins host Dr. Leslie Lundt to discuss his research in this area.
Host: Leslie P. Lundt, MD
Guest: Randall Friese, MD
Some complications are so common that we overlook them. The lack of sleep in the ICU is a potent example. Host Dr. Leslie Lundt welcomes Dr. Randall Friese, Assistant Professor of Surgery at University of Texas Southwestern Medical Center in Dallas and author of a recent study on sleep in the ICU.
Guest: Robert Wagner, MD
Host: Bill Rutenberg, MD
Could further educating physicians on the revenue cycle of the hospital increase cash flow? Dr. Robert Wagner, chief medical officer of Accretive Health, suggests that applying six sigma principals to the financial aspects of medicine can greatly improve the bottom line. Physicians should have a vested interest in the reimbursement of the hospital. Dr. Bill Rutenberg hosts.
Guest: Darrell Kirch, MD
Host: Bruce Japsen
Will there be a doctor in the house when we need one? A shortage of U.S. physicians is putting academic medicine to the test when it comes to this question. Dr. Darrell Kirch, president and CEO of the Association of American Medical Colleges tells the Chicago Tribune's Bruce Japsen about the support needed for teaching hospitals and medical schools how to satisfy the nation's supply of physicians.
Dr. Tom Stevenson, CMO of Covisint, interviews John Page, Chair Vistage International, on the development and changes of HIMSS over time.
Recipient of the 2008 American Medical Association Foundation's Pride in the Profession Award, Dr. Joyce D. Kirkland Essien, Director of the Center for Public Health Practice at the Rollins School of Public Health, Emory University, and Captain in the U.S. Public Health Service at the Centers for Disease Control and Prevention, speaks with your host, Dr. Mark Chyna.
Guest: Susan Frampton, PhD
Host: Susan Dolan, RN, JD
Hear Dr. Susan Frampton, the President of Planetree, as she discusses how architecture and facility design impacts patient and staff satisfaction and saves money.
Guest: Susan Frampton, PhD
Host: Susan Dolan, RN, JD
As the President of Planetree, Dr. Susan Frampton works with a growing network of hospitals and health center across the United States, Canada and Europe that have implemented Planetree's unique model of patient-centered care. Hear Dr. Frampton as she discusses how Planetree has grown over the last thirty years.
Guest: Richard Umbdenstock, MS
Host: Bruce Japsen
Health information technology has long been believed to be the key to unlocking ways to not only improve patient care but to save money. But achieving this in an industry as complex and large as health care has its challenges, particularly in U.S hospitals. Richard Umbdenstock, President and Chief Executive Officer of the American Hospital Association tells the Chicago Tribune's Bruce Japsen about the challenges and strides hospitals are making on the health information technology front.
Guest: Sherman Elias, MD
Host: Bruce Japsen
Medical care for women is not just about delivering babies, but providing medical care at one location for all stages of their lives. Dr. Sherman Elias of Northwestern University's obstetrics and gynecology department tells the Chicago Tribune's Bruce Japsen about the move by U.S. hospitals to care for women at each and every stage of their lives.
Guest: Mary Naylor, PhD, RN
Host: Susan Dolan, RN, JD
Mary D. Naylor, PhD, RN, is the Marian S. Ware Professor in Gerontology and Director of the New Courtland Center for Transitions and Health at the University of Pennsylvania in Philadelphia, Pennsylvania. Hear Dr. Naylor as she discusses how to prevent patients from landing back in the hospital.
Guest: Carol Haraden, PhD
Host: Maurice Pickard, MD
Institute for Healthcare Improvement Vice President and patient safety expert, Carol Haraden, PhD, comments on the state of quality improvement and patient safety in the U.S. and abroad, and discusses the necessary tools and processes that can improve flow in the hospital setting and reduce harm.
Host: Maurice Pickard, MD
Guest: Richard King
In his book “My Maggie,” Chicago sports anchor Rich King writes a powerful, complex, and memorable love story about his childhood sweetheart and wife of 32 years. Diagnosed with hearing loss at the age of four, Maggie wore cumbersome hearing aids and felt the humiliation of being "different." Slowly, an insidious disease later diagnosed as Usher Syndrome robbed her of vision. But she soldiered on, having fought three different cancers, changed careers in the middle of her life and fought to realize her dreams. Maggie King confronted this progressive disease with courage and dignity throughout her career in nursing and later as a strong advocate for the disabled.
Host: Maurice Pickard, MD
Guest: Richard King
In his book “My Maggie,” Chicago sports anchor Rich King writes a powerful, complex, and memorable love story about his childhood sweetheart and wife of 32 years. Diagnosed with hearing loss at the age of four, Maggie wore cumbersome hearing aids and felt the humiliation of being "different." Slowly, an insidious disease later diagnosed as Usher Syndrome robbed her of vision. But she soldiered on, having fought three different cancers, changed careers in the middle of her life and fought to realize her dreams. Maggie King confronted this progressive disease with courage and dignity throughout her career in nursing and later as a strong advocate for the disabled.
Guest: Judith Paice, PhD, RN
Host: Susan Dolan, RN, JD
Join Judith A. Paice PhD, RN, FAAN, Director of the Cancer Pain Program in the Division of Hematology-Oncology and a Research Professor of Medicine at Northwestern University Feinburg School of Medicine in Chicago, Illinois, as she discusses her research regarding incorporating palliative and hospice care in the medical and nursing curricula.
Guest: Thomas Russell, MD
Host: Mark Nolan Hill, MD
Dr. Thomas Russell, Executive Director of the American College of Surgeons, recently traveled to Brazil and Argentina to participate in a lecture series about hospital safety and hospital accreditation. In this segment he shares with host, Dr. Mark Nolan Hill a description of the current healthcare challenges and healthcare opportunities facing South America.
Guest: Donald Berwick, MD, MPP
Host: Bill Rutenberg, MD
What are the best ways to bring safety to the hospital setting? What type of support systems are available to doctors when errors occur? Dr. Don Berwick, President and CEO of the Institute for Healthcare Improvement shares thoughts on these topics and more in an interesting interview with host Dr. Bill Rutenberg.
Guest: Joe McCannon
Host: Bruce Bloom, DDS, JD
Joe McCannon, a VP at the Institute for Healthcare Improvement and manager of the 5 Million Lives Campaign, discusses the groundbreaking, voluntary initiative to protect patients from five million incidents of medical harm in US hospitals over two years (December 2006 – December 2008).
Guest: Joe McCannon
Host: Bruce Bloom, DDS, JD
Joe McCannon, VP and Campaign Manager for the IHI, discusses the 100,000 lives campaign which began in 2006. Up to 15M incidents of patient harm occur in US Hospitals each year-what can we do to reduce these iatrogenic errors?
Guest: Fred Tenover, PhD
Host: Danny Petrasek, MD, PhD
The evolutionary and molecular underpinnings of the MRSA epidemic are poorly understood. Join host Dr. Danny Petrasek in speaking with Dr. Fred Tenover, Associate Director for Laboratory Science at the Centers for Disease Control and Prevention, about the evolutionary history of MRSA.
Guest: John Jernigan, MD
Host: Bill Rutenberg, MD
MRSA has been around for decades. Did we realize the size of the potential threat 40 years ago? Could we have done more in years past to prevent the transmissions that occur today? Dr. Bill Rutenberg discusses these questions and more with our guest, Dr. John Jernigan.
Guest: John Driscoll
Host: Bruce Bloom, DDS, JD
John Driscoll, President of the Chicago based company Alter+care, a company that plans, develops, finances and manages Wellness Centers and other healthcare facilities, discusses physician/hospital relationships.
Guest: Arjun Srinivasan, MD
Host: Shira Johnson, MD
Dr. Shira Johnson interviews Dr. Arjun Srinivasan, who is a Medical Epidemiologist from the CDC in Atlanta. His work is to diagnose and to prevent outbreaks of infections in the hospital and in the community. Learn about a resistant infection caused by Acinetobacter which is prolonging ICU stays across the country. Acinetobacter species has become increasingly difficult to treat due to the development of antibiotic resistance, and mortality and length of hospitalization are increased in a subset of patients.
Guest: Arjun Srinivasan, MD
Host: Shira Johnson, MD
Join Dr Shira Johnson as she interviews Dr. Arjun Srinivasan, a Medical Epidemiologist from the CDC in Atlanta. His job is to investigate outbreaks of infections in hospitals and communities across the country and importantly, to prevent them from occurring again. Why is resistance spreading from the community to the hospital, and are we responding appropriately? What you don't know about MRSA may surprise you.
Guest: Arjun Srinivasan, MD
Host: Shira Johnson, MD
Dr. Arjun Srinivasan is a Medical Epidemiologist at the CDC in Atlanta, and his work involves diagnosing and and stopping outbreaks of infectious diseases. Join Dr. Shira Johnson as she interviews him to learn why a virulent strain of the well known MRSA microcrobe is on the rise in the community at this time. Are we effective in our approach to the new epidemic of antibiotic resistance in this organism? And why did it occur?
Guest: Gregory Gilbert, MD
Host: Gary Kohn, MD
In the event of a flu pandemic, Dr. Gregory Gilbert, an Emergency Medicine Specialist at Stanford University, suggests it may make sense to keep people with suspected flu out of the ER, while triaging them to the care they need. He discusses the concept of "drive-thru" triage and how it might be adapted to community hospitals.
Guest: Gregory Gilbert, MD
Host: Gary Kohn, MD
What would happen at your ER if a quarter of the staff were sick, and hundreds of people began streaming in with a highly infectious and potentially lethal influenza. Dr. Gregory Gilbert, an Emergency Medicine specialist at Stanford University, discusses the role physicians play in helping their hospital's disaster planning.
Guest: Sharon Kozachik, PhD, RN
Host: Susan Dolan, RN, JD
Join Sharon Kozachik PhD, RN, from Johns Hopkins University, discuss the pros and cons of patient controlled analgesia.
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: Bruce Komiske, MHA
Host: Bruce Japsen
"If you build it, they will come" may have worked for that farmer who wanted to build a baseball field in the corn, but it won't work when building support for a new Children's Hospital. From inner city squabbles with neighbors to raising large sums of money from donors, the challenges of caring for tomorrow's children are enormous. Bruce Komisky, chief of new hospital design and construction at Children's Memorial Hospital in Chicago, tells about the latest trends in building support for new pediatric facilities on Inside Health Care with Bruce Japsen of the Chicago Tribune.
Guest: Bruce Komiske, MHA
Host: Bruce Japsen
From plasma screen TVs to private rooms, the latest in Children's Hospitals might think patients are being admitted to hotels near Disney World. If these new facilities are what children want, it's because they are. Bruce Komiske, chief of New Design and Hospital Construction at Children's Memorial Hospital in Chicago tells about the latest in Children's Hospital construction on Inside Health Care with Bruce Japsen of the Chicago Tribune.
Host: Bruce Japsen
Guest: Dennis O'Leary, MD
He runs an organization designed to stop medical errors at U.S. hospitals in a climate where everyone from consumer groups, patients and members of Congress are complaining about patient safety. Dr. Dennis O'Leary tells Bruce Japsen what doctors, hospitals and other medical professionals need to do improve patient safety.
Guest: Linda Kruus, PhD
Host: Shira Johnson, MD
All hospitals now have disaster plans. But who is going to show up to work? Join Dr. Shira Johnson as she speaks with Dr. Linda Kruus from the Department of Emergency Medicine at Temple University to discuss her study's results on key personnel factors impacting disaster management plans.
Guest: Kristin Dascomb, MD, PhD
Host: Michael Greenberg, MD
In the wake of Hurricane Katrina, Dr. Kristin Dascomb, a pediatrics resident in New Orleans at the time, found herself trapped in a flooding hospital with limited staff and a surplus of unevacuated patients. Dr. Dascomb recounts her personal experiences caring for the sick and wounded without aid of power, food, or water.
Guest: Kristin Dascomb, MD, PhD
Host: Michael Greenberg, MD
Host Dr. Michael Greenberg speaks with Dr. Kristin Dascomb, a pediatrics resident who was trapped in a New Orleans hospital during Hurricane Katrina. Dr. Dascomb recounts her experiences caring for the sick and wounded without aid of power, food, or water.
Guest: John Simkovich, DDS, MHA
Host: Bruce Bloom, DDS, JD
Beyond the injuries and other health concerns that arise during and after a disaster, we must also account for the medical needs of patients who are already hospitalized. If the situation requires evacuations of seriously ill patients, how can this be done both safely and effectively? Dr. John Simkovich, director of public health for the South Carolina Department of Health and Environmental Control's Public Health Region 7, and a member of the National Council on Readiness and Preparedness, discusses the process of evacuating patients in a disaster from hospitals, nursing homes, and other care facilities. Dr. Bruce Bloom hosts.
Guest: Manuel Lowenhaupt, MD
Host: Michael Greenberg, MD
Dr. Michael Greenberg talks with Dr. Manuel Lowenhaupt, President and CEO of Radianse, Inc. about how RFID tagging of patients, doctors, and supplies can increase efficiency, save money, and even save lives.
Guest: Manuel Lowenhaupt, MD
Host: Michael Greenberg, MD
Dr. Michael Greenberg talks with Dr. Manuel Lowenhaupt of Radianse, Inc. about how RFID tracking of patients, doctors, and supplies can save not only money and increase efficiency but can save lives.
Guest: Patrick O'Neal, MD
Host: Bruce Bloom, DDS, JD
Dr. J. Patrick O'Neal, director of preparedness for the State of Georgia, discusses necessary hospital preparations for a disaster. Dr. Bruce Bloom hosts.
Guest: John Hick, MD
Host: Bruce Bloom, DDS, JD
Dr. Hick is discussing the important role of the hospital and hospitals play in the delivery of care during a disaster. The hospital’s individual organization, communication with other medical centers and community, and their ability to respond quickly directly affect the number of victim deaths and wounded.
Guest: Alejandro Gandsas, MD
Host: Danny Petrasek, MD, PhD
Join Dr. Petrasek as he speaks with Dr. Alejandro Gandsas from Baltimore's Sinai Hospital about modern trends in utilizing remote-controlled telemedical robots on the wards. Nicknamed Bari for the bariatric surgery Dr. Gandsas practices, the RP-7 Remote Presence Robotic System by InTouch Technologies is one of a number of robotic devices finding their way into the medical world.
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: Robert Wachter, MD
Host: Bill Rutenberg, MD
There are now 20,000 hospitalists nationally, more than many other medical specialties. In this segment Dr. Robert Wachter explores the roles of hospitalists and how hospital care changes when patients are managed by hospitalists.
Guest: John Lantos, MD
Host: Maurice Pickard, MD
In this segment, Dr. Lantos examines some of the ethical issues arising within the modern NICU, particularly in relation to Extremely Low Birth Weight (ELBW) babies. The interview looks at the difficulties in predicting survival outcomes and appropriate interventional strategies for these very premature infants on a day-to-day basis. Dr. Lantos then concludes with an effective model for evaluating the risks vs benefits of maximum interventions, with an emphasis on moving away from our current criteria in deciding "futility of care."
Guest: Carson Porter, JD
Host: Mark Chyna, MD
Mr. Porter discusses patient safety in the physician's practice and the hospital setting.
Guest: Tamara E. Merryman, RN, MSN
Host: Cathleen Margolin, PhD
Ms. Merryman discusses the changes in her hospital setting invoking increased patient empowerment and the evolution of the rapid response system.
Guest: Dennis Millirons, MHA
Host: Mark Nolan Hill, MD
Mr. Millirons discusses the steps, difficulties and benefits of hospital administrators and physicians sharing a vision for success.