Clinician's Roundtable

Host: Howard Levy, MD, PhD Guest: David H. Ledbetter, PhD, FACMG From the ASHG Meeting in San Diego, Dr. Howard Levy is joined by Dr. David Ledbetter, Executive Vice President and Chief Scientific Officer at Geisinger Health System. Dr. Ledbetter shares his career story as an internationally recognized researcher in the advancement of medical genomics, and the initiatives he is leading at Geisinger to bring genomic sequencing to primary care settings for improved risk assessments and better patient outcomes.

Host: Prathima Setty, MD Issues of vaginal health are commonly seen in post-menopausal women, breast cancer survivors and women who have had a hysterectomy. According to the US Census Bureau there are nearly 46M women between the ages of 50 and 80, and over 2.8M breast cancer survivors. Existing treatments for post-menopause vaginal health can be time intensive or messy, or contraindicated for health reasons. They also can have numerous side-effects and offer only marginal improvement -- according to a doctor associated with the study. Host Dr. Prathima Setty welcomes Dr. Mickey Karram, Director of Fellowship Program on Female Pelvic Medicine & Reconstructive Surgery at The Christ Hospital, Cincinnati, OH. Dr. Karram will share preliminary findings from a trail evaluating laser treatment on post-menopausal women and breast cancer survivors experiencing vaginal health issues. Supported by an Educational Grant from BD Diagnostics. ReachMD retains full editorial control of the content for this pro

Host: Matt Birnholz, MD There’s an estimated 450,000 people with multiple sclerosis in the United States, and of this staggering number, there are 2 to 3 times as many women as men, with a gender gap that is only widening. Since the majority of women with MS get diagnosed in their 20’s and 30’s, the need for understanding the reproductive impacts of MS becomes critical. How can clinicians address these challenges in practice? Joining Dr. Matt Birnholz at Omnia Education’s Women’s Health Annual Visit in New York is Dr. Carolina Ionete, Associate Professor of Clinical Neurology at the University of Massachusetts, and Associate Director of the MS Center in Wooster, MA.

Host: Ana Maria Rosario Pancreatic Cancer strikes fear into the hearts of every practicing internist, pathologist, oncologist, and general surgeon on behalf of their patients, and unfortunately for us all, it’s on the rise. By 2030 it will be expected to climb to the number-2 spot for causes of cancer death. What new insights can we bring to the recognition and identification of pancreatic cancer to help curb that trend? Joining host Ana Maria Rosario at Omnia Education’s Stages in Women’s Health in New York is Dr. Aimee Lucas, Assistant Professor of Medicine at the Icahn School of Medicine at Mount Sinai in New York.

Host: Prathima Setty, MD What are the benefits and harms of screening women for breast cancer? How often should we screen our patients? Are there technological advancements to help our patients live better and longer? Dr. Prathima Setty welcomes Dr. Russell P. Harris, Professor of Medicine and Adjunct Professor of Epidemiology at University of North Carolina, Chapel Hill, NC. Supported by an Educational Grant from BD Diagnostics. ReachMD retains full editorial control of the content for this program.

Host: Matt Birnholz, MD Risk assessments for ovarian tumors are ever-evolving, as advances in diagnostic imaging and biomarker development pave the way. What are the current views on overian tumor risk assessment, and how should they be incorporated into clinical practice? Joining Dr. Matt Birnholz to address these questions is Dr. Fred Ueland, Professor of Obstetrics and Gynecology, and Director of Gynecologic Oncology at the University of Kentucky.

Host: Prathima Setty, MD Post-menopausal patients have many options and choices for hormone therapy. But what are the issues and increased risks, if any? What are the latest updates from recent hormone therapy clinical trials and how does this impact clinical practice? Host Dr. Prathima Setty welcomes Dr. JoAnn V. Pinkerton to discuss various hormone therapy options and the latest updates in this area of concern for our patients. Dr. Pinkerton is the Director for the Midlife Division and the Midlife Health Center, a nationally recognized multidisciplinary center for women's midlife health. She serves as a member of the Board of Trustees for the North American Menopause Society and the Board of Directors for the National Women's Health Resource Center. 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 m

Host: Prathima Setty, MD Host Dr. Prathima Setty is joined by Dr. Bethanee J Schlosser, Assistant Professor in Dermatology and Obstetrics and Gynecology at Northwestern University Feinberg School of Medicine, Chicago, IL. Dr. Schlosser discusses hair concerns and changes in post menopausal patients. She also addresses the importance of identifying the major causes, treatment options, and goals for patients who are suffering from hair loss of the scalp, increased facial hair and other hair changes. 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, sociology, psychology, nutrition, anthropology, epid

Host: Prathima Setty, MD Dr. Prathima Setty welcomes board certified dermatologist Dr. Dina Nicole Anderson to discuss the various cosmetic concerns of post menopausal patients, the effects of estrogent on the skin, how to counsel patients, treatment recommendations, and much more. Dr. Anderson is a board certified dermatologist in private practice in New York City. She was also the Director of Cosmetic Dermatology at SUNY Downstate in Brooklyn, NY. Dr. Anderson is a member of various academic medical societies including American Academy of Dermatology, the Women's Dermatologic Society, and the American Society of Cosmetic Dermatology & Aesthetic Surgery. 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 multidisciplina

Host: Matt Birnholz, MD Guest: Michael Krychman, MD Female sexual dysfunction, or FSD, has long been under-diagnosed and under-treated in clinical practice. But in recent months, notable leaders in women's health have stepped forward to push for new recognition and prioritization of this disorder to the forefront of the FDA. On this program, host Dr. Matt Birnholz is joined by one of those leaders who helped jumpstart this critical development: Dr. Michael Krychman, Executive Director of the Southern California Center for Sexual Health in Newport Beach, CA.

Host: Prathima Setty, MD Dr. Prathima Setty welcomes Dr. Ethel Siris, the Madeline C. Stabile Professor of Clinical Medicine in the Department of Medicine, College of Physicians and Surgeons of Columbia University, and the Director of the Toni Stabile Osteoporosis Center of the Columbia University Medical Center. Their discussion focuses on updated indications and assessments for confirming diagnoses of osteoporosis and recommended approaches to treatment in mild to severe cases. About NAMS The interview was conducted live at The North American Menopause Society (NAMS) meeting. Founded in 1989, NAMS is North America's leading nonprofit organization dedicated to promoting the health and quality of life of all women during midlife and beyond through an understanding of menopause and healthy aging. Its multidisciplinary membership of 2,000 leaders in the field-including clinical and basic science experts from medicine, nursing, sociology, psychology, nutrition, anthropology, epidemiology, pharmacy, an

Host: Jennifer Caudle, DO As a family practictioner, host Dr. Jennifer Caudle's passions is the health of her adolescent patients. Obesity is all too prevalent among adolescents, and with this comes a concern about hypertension. And, to discuss the great concern, Dr. Caudle welcomes Dr. Julie Ingelfinger, Deputy Editor of The New England Journal of Medicine and Professor of Pediatrics at Harvard Medical School. Dr. Ingelfinger is the author of the article, "The Child or Adolescent with Elevated Blood Pressure," which was published a recent issue of the New England Journal of Medicine.

Host: Jennifer Caudle, DO In Family Medicine, treating foot conditions is common. Today's interview is focused on the diagnosis and treatment of 5 common foot diagnoses, including Onychomycosis, Ingrown Toenails, Bunions, Diabetic Foot Care and Plantar Fasciitis. In this segment, host Dr. Jen Caudle speaks with guest Dr. Maasi J. Smith, podiatric surgeon who received his Doctorate of Podiatric Medicine from Temple University's School of Podiatric Medicine in Philadelphia, Pennsylvania.

Host: Prathima Setty, MD Host Dr. Prathima Setty welcomes Dr. Eve Espey, Associate Professor of Obstetrics and Gynecology and Associate Dean of Students at the University of New Mexico School of Medicine, to discuss the comparative efficacies, side effect profiles, costs, and procedural methods for the latest long-acting reversible contraceptives available. Dr. Espey serves on the undergraduate medical education committee of the Association of Professors of Gynecology and Obstetrics and on the Committee for Underserved Women of the American College of Obstetrics and Gynecology.

Host: Prathima Setty, MD Bruxism, or teeth grinding, is more highly prevalent in the population than is commonly believed. It can occur for many reasons and can trigger multiple other health issues such as migraines, jaw dislocations, and exposed enamel roots. Joining host Dr. Prathima Setty to discuss this important problem and the mechanical, behavioral, and pharmacological methods of treatment available is Dr. Anne Saxena, DDS, who owns and operates Elite Smiles Dental, a private dental practice in Leesburg, VA. She is also certified in laser dentistry, sedation dentistry, invisalign, and implant dentistry.

The Gender, Sexuality and HIV Prevention Center at Ann & Robert H Lurie Children's Hospital of Chicago is the first of its kind facilty for adolescent patients. Host Dr. Jennifer Caudle welcoms the center's director, Dr. Robert Garofalo. Dr. Garofalo will share the center's mission of supporting multidisciplinary academic subjects including sexual health, gender, sexuality, HIV prevention and health disparities which affect adolescent and young adult populations at risk of acquiring HIV. The Center partners with similar organizations throughout the country in creating an environment where clinicians, academics and scientists can collaborate to design projects with public health significance. Robert Garofalo, MD, MPH, is Professor of Pediatrics and Preventive Medicine at Northwestern University Feinberg School of Medicine. He is also an Attending Physician at Lurie Children's, where he directs the Adolescent/Young Adult HIV Program. Dr. Garofalo is a national authority on LGBT health issues, adolescent sex

The CDC released a report on the prevalence of sexual violence and intimate partner violence (IPV) that stated about 36% of women in the US are raped or sexually assaulted by an intimate partner during their lifetimes. About 6% experience this in any given year. The costs are burdensome to the health care system and society, estimated at 2.3 to 7 billion dollars in the first year after the assault. What can physicians do to address this public health issue? Host family practitioner Dr. Jennifer Caudle welcomes Dr. Jane Liebschutz to answer these questions and provide insight to the important roles of the physician. Dr. Liebschutz is an Associate Professor of Medicine and Community Health Science and the Director of the General Internal Medicine-Family Medicine-Pediatrics Academic Fellowship at Boston Medical Center.

Host: Maurice Pickard, MD Recent data from the American Cancer Society documents over 14 million survivors of cancer living in the US at the present time. For these individuals, cancer rehabiliation is a critically important service that improves quality of life and, by extension, decreases morbidity and mortality rates. However, while cancer rehabilitation is mandated to be available to all cancer survivors throughout the US, not everyone has access to this care. How are healthcare systems addressing this disparity? Joining host Dr. Maurice Pickard to discuss this issue is Dr. Julie Silver, Associate Professor of Physical Medicine and Rehabilitation at Harvard Medical School and co-founder of Oncology Rehab Partners.

Host Dr. Prathima Setty welcomes Dr. Kurian Thott, Chief of OB/GYN at Stafford Hospital, to discuss the best gynecologic minimally invasive surgery procedures in practice today. Dr. Thott has specialized advanced training in Urogynecology and pelvic reconstructive surgery, and he was awarded for outstanding laparoscopic skill in minimally invasive surgery by both the American Association of Gynecologic Laparoscopists (AAGL) and Society of Laparoendoscopic Surgeons (SLS).

Host: Prathima Setty, MD Guest: Draion M. "Dr. Drai" Burch, DO Female sexual dysfunction (FSD) occurs in about 20 - 60% of patients. FSD is common problem but how comfortable are clinicians in disussing this with their patients? Host Dr. Prathima Setty welcomes Dr. Draion "Dr. Drai" Burch, obstetrician-gynecologist and teaching faculty member at Magee-Womens Hospital of The University of Pittsburgh Medical Center. Dr. Drai reviews the symptoms and causes of FSD and how he counsels patients on FSD. Dr. Drai is also Clinical Assistant Professor in the Department of Obstetrics, Gynecology, and Reproductive Sciences at the University of Pittsburgh School of Medicine.