Clinician's Roundtable

Host: Matt Birnholz, MD Guest: Maureen Whelihan, MD There is a stigma around sex in the United States. That stigma makes it difficult both for patients to disclose details about their sex lives in clinical settings and for physicians to ask patients about sex. Consequentially patients may have treatable but unaddressed sexual problems because their physicians don't know those problems exists. Join Dr. Matt Birnholz and Dr. Maureen Whelihan, President of The Center for Sexual Health and Education in West Palm Beach, Florida, as they discuss case stories spanning the various ages and stages of sexual health, and their implications in helping physicians and patients talk about sex.

Host: Matt Birnholz, MD Studies in the field of anthropology have shown that having a healthy grandmother plays a critically positive role in family cohesion. But the wholistic, personalized health needs of women in their elder years are not always recognized. This care disparity is all the more prominent in general OB/GYN practice, but thanks to the work of a select few, the trends may be about to change. Dr. Matt Birnholz speaks with Dr. Sarah Berga, Professor and Chair of OB/GYN at Wake Forest School of Medicine at ACOG’s annual meeting in San Francisco. They discuss maintaining grandmothers' health across both physiological and psychological spectra, and how this attention in care fundamentally changes larger family units for the better.

Host: Maureen Whelihan, MD The increasingly recognized concept of a clinician's "work-life balance" is critical to thriving and avoiding burnout, but the philosophy behind this balance remains poorly understood. Some argue that adequate time alottment to one's priorities is the key factor in sustaining a positive medical career trajectory, but a select few believe that time allocation alone is not enough. Dr. Michael Foley, Chairman of the Department of Obstetrics and Gynecology at Banner University Medical Center-Phoenix, argues in favor of what he calls work-life harmony, where aspects of meaningfulness, relationships, and wellbeing better guide one's life and career decisions. Joining host Dr. Maureen Whelihan at ACOG's Annual Scientific Meeting in San Francisco, Dr. Foley applies a martial arts-centered perspective on medical careers based on his extensive experience as a seventh-degree black belt and the founder of The Center for Humane Living.

Over the past decade, Food Protein Enterocolitis, or FPIES, has emerged as the most actively studied non–IgE-mediated gastrointestinal food allergy because of its acute onset, severity of symptoms, and distinctive clinical features. Yet as a rare allergic disorder of infancy and young childhood, it is often misinterpreted and misdiagnosed in clinical practice, leading to difficult treatment paths for patients and their families. Joining Dr. Renee Matthews to present a case history from the vantage point of a patient's mother, including challenges faced in reaching the correct diagnosis and starting effective treatment regimens, is Jennifer Kandt.

Host: Matt Birnholz, MD Dr. Matt Birnholz welcomes Dr. Tom Gellhaus, President-Elect of The American College of Obstetricians and Gynecologists, to discuss his vision for ACOG's initiatives to come, inspired in part by both his unique clinical training background and his extensive legislative activity experience on behalf of OB/GYN specialists nationwide. Dr Gellhaus is Clinical Associate Professor of OB/GYN and Director of General OB/GYN at the University of Iowa Hospitals and Clinics in Iowa. City.

Host: Jennifer Caudle, DO Approaching the topic of body weight with patients is a sensitive issue. It can be challenging for providers to discuss health issues related to excess weight while also remaining sensitive to terminology and language that may offend patients. Host Dr. Jennifer Caudle welcomes Dr. Adarsh Gupta to provide insight on how to approach obesity during an office visit. Dr. Gupta is the Director of the Center for Medical Weight Loss & Metabolic Control, and Associate Professor of Family Medicine at Rowan School of Medicine.

Host: Matt Birnholz, MD Dr. Matt Birnholz welcomes Dr. Mark DeFrancesco, 66th President of The American College of Obstetricians and Gynecologists, to the program. Dr. DeFrancesco looks back at the accomplishments of his immediate predecessors, and reflects on the three-fold initiative to which he will dedicate his efforts on behalf of ACOG to advance the OB/GYN specialty for years to come. Dr. DeFrancesco is managing partner at Westwood Women’s Health in Waterbury, Connecticut, a division of Women’s Health Connecticut. He is a founding member of this organization, and served as its chief medical officer for many years.

Host: Matt Birnholz, MD Dr. Matt Birnholz welcomes Dr. Jeanne Conry, 64th President of The American Congress of Obstetricians and Gynecologists, Assistant Physician-in-Chief at The Permanente Medical Group in Roseville, CA, and Associate Clinical Professor of OB/GYN at the University of California, Davis. Dr. Conry reflects on three presidential initiatives she advanced during her tenure: (1) formal, ongoing investigations into the environmental impacts on health, (2) a national campaign to reduce maternal morbidity and mortality, and (3) launch of the Well Woman Task Force.

Host: Matt Birnholz, MD In the past several years, endometrial ablation has become an increasingly utilized method for minimalizing heavy menstrual bleeding. What's more, this procedure has since been brought into the outpatient setting. But what do clinicians who are considering bringing this procedural practice into their offices need to know before moving forward? Joining Dr. Matt Birnholz to discuss the benefits and limitations of in-office endometrial ablation is Dr. Monte Swarup, Partner at New Horizons Women’s Care from the Arizona OB/GYN Affiliates, and Clinical Assistant Professor at Midwestern University in Phoenix, AZ.

Host: Matt Birnholz, MD Hypnosis, as a medical tool, doesn't enter the daily lexicon of clinical practice in most hospital settings. But for those familiar with its applications, hypnosis can be a versatile and powerfully effective therapeutic aid across the broad spectrum of psychiatric and somatic disease states. Will the healthcare community at large start to embrace these emerging roles for hypnosis over time, or will the practice remain marginalized to peripheral stereotypes of mysticism and the occult? Joining Dr. Matt Birnholz to explore hypnosis in medicine and the many questions therein is Dr. David Gandell, hypnosis expert and Clinical Professor of Obstetrics and Gynecology at Strong Memorial Hospital of the University of Rochester in Rochester, New York.

Most women in the United States will develop fibroids at some point in their lives. But the range of issues experienced is very wide, from asymptomatic disease to debilitating illness. Joining Dr. Renee Matthews to examine the mysterious etiology and pathogenesis, quality of life impacts, and modern medical and surgical approaches to fibroids is Dr. Jessica Shepherd, Assistant Professor of Clinical Obstetrics and Gynecology and the Director of Minimally Invasive Gynecology at the University of Illinois College of Medicine in Chicago. Dr. Shepherd is also founder of Her Viewpoint, an online community empowering women about their health.

Host: Matt Birnholz, MD Placenta accreta, also known as invasive placentation, is on the rise in US labor and delivery wards. It’s also potentially deadly, and healthcare professionals need to know how to detect it quickly and manage it safely. Joining Dr. Matt Birnholz at Omnia Education’s Women’s Health Annual Visit in New York to discuss the types, risks, and therapeutic approaches for placenta accreta is Dr. Jordan Perlow, Director of Maternal Fetal Medicine at Banner Good Samaritan Medical Center in Phoenix, AZ, and Associate Clinical Professor of OB/GYN at the University of Arizona School of Medicine.

Host: Matt Birnholz, MD In today's clinical practice, there is no appropriate "one size fits all" treatment approach for COPD. But while this progressive trend toward personalized medicine standards helps optimize COPD care for each patient, the cost-to-benefit ratio for drug development changes as COPD evolves from one disease state into a larger disease spectrum. What is the current to future pipeline for drug R&D in the COPD arena, and is the horizon optimistic for delivering better treatment methods to patients? Joining Dr. Matt Birnholz to discuss the "Pulmonary Pipeline" is Dr. Nicholas Gross, pulmonologist and industry news reporter. Dr. Gross is emeritus professor of medicine and molecular biology at Loyola University in Chicago.

Host: Prathima Setty, MD Guest: Sheryl A. Kingsberg, PhD Hypoactive sexual desire disorder (HSDD) is the most prevalent sexual disorder for women of all ages, but it is also one of the most difficult to address. Clinicians need to understand the implications and address the concerns of their patients. Host Dr. Prathima Setty discusses this topic with Sheryl A. Kingsberg, PhD, Chief, Division of Behavioral Medicine, Department of Obstetrics/Gynecology, University Hospitals Case Medical Center, and Professor, Departments of Reproductive Biology and Psychiatry, Case Western Reserve University, Cleveland, OH. About NAMS The interview was conducted live at The North American Menopause Society (NAMS) 2014 meeting. Founded in 1989, NAMS is North America's leading nonprofit organization dedicated to promoting the health and quality of life of all women during midlife and beyond through an understanding of menopause and healthy aging. Its multidisciplinary membership of 2,000 leaders in the field-includi

Host: Prathima Setty, MD What is the practical approach in treating and counseling patients suffering from hot flashes? Dr. Susan Reed discusses the latest research on herbal supplements, such as black cohosh therapy; as well as, pharmacologic options: SSRIs, SNRIs and Gabapentin. Dr. Susan Reed is the Professor and Division Director of the Women's Health and Adjunct Appointment, Epidemiology, Clinical Services Director at the UW National Center of Excellence in Women's Health at the Univesity of Washington Schoolf of Medicine, Seattle, Washington. About NAMS The interview was conducted live at The North American Menopause Society (NAMS) 2014 meeting. Founded in 1989, NAMS is North America's leading nonprofit organization dedicated to promoting the health and quality of life of all women during midlife and beyond through an understanding of menopause and healthy aging. Its multidisciplinary membership of 2,000 leaders in the field-including clinical and basic science experts from medicine, nursing,

Host: Matt Birnholz, MD The "FDA Jury" is out on treatment for uterine fibroids, and it’s not favorable to the practice of laparoscopic power morcellation. That update, and more importantly an expert practitioner’s perspectives on the FDA's suggested recommendations, is the focus of this interview. Joining Dr. Matt Birnholz to discuss the current landscape in uterine fibroid treatments, and the changing perceptions on power morcellation procedures, is Dr. Michael Randell, practicing OB/GYN in the Department of Obstetrics and Gynecology at Northside Hospital in Atlanta, GA. Dr. Randell is a Diplomat of the American Board of Obstetrics and Gynecology and the National Board of Medical Examiners.

Host: Matt Birnholz, MD Cord Blood Banking has become increasingly prominent in OB/GYN practice, which demands a myriad of skills such as counseling expectant parents and families on collections, procedure processes, and differences in public vs private banks. Is your state of knowledge up to date? Joining Dr. Matt Birnholz at Omnia Education’s Women’s Health Annual Visit in New York is Dr. Jordan Perlow, Director of Maternal Fetal Medicine at Banner Good Samaritan Medical Center in Phoenix, AZ, and Associate Clinical Professor of OB/GYN at the University of Arizona School of Medicine.

Host: John Russell, MD Dr. John Russell speaks with Dr. Donna Ryan, Professor Emeritus at Pennington Biomedical Research Center in Baton Rouge Louisiana. Dr. Ryan serves as co-Chair of the panel to revise the NIH-supported evidence-based Guidelines on the Evaluation and Management of Overweight and Obesity in Adults. She is past President of The Obesity Society and currently Associate Editor in Chief of the journal, Obesity.

Host: Matt Birnholz, MD Antibiotic stewardship, or the responsible prescribing habits of antibiotics, is on the decline in the U.S, and the spread of multidrug resistant bacterial infections through communities has already begun to be observed. Dr. Steven Brown, staff physician at Mercy Hospital in St. Louis, MO and Medical Director of the Lung Injury Center, likens antibiotic prescription expectations by patients to that of gameshow participants, where everyone presumes to take home a "prize" of some kind by the end of the encounter. How can clinicians counteract this trend in antibiotic prescription habits, and what are the risks of ignoring this mandate for better stewardship?

Host: Matt Birnholz, MD Hypnosis in Obstetrics. It’s something you probably just don’t hear about every day, but the practice has existed for more than a century and in that time collected a fair amount of evidence on its behalf. What are the benefits and risks of hypnotic practice, both in the obstetric domain and in the wider arena of medicine? Joining Dr. Matt Birnholz to separate fact from fiction about hypnosis in medicine at Omnia Education’s Women’s Health Annual Visit in New York is Dr. David Gandell, Clinical Professor of Obstetrics and Gynecology at Strong Memorial Hospital of the University of Rochester in Rochester, New York.