Clinician's Roundtable

Host: Maurice Pickard, MD Guest: Shelly Batra, MD Multidrug Resistant (MDR) Tuberculosis is a growing public health epidemic in India. Experts estimate there could easily be over 5 million cases of MDR TB at present, with each untreated patient capable of spreading the disease to 10-15 others per year. The non-profit organization Operation ASHA has expanded its role considerably over the past few years to stem this tide of TB transmission from the poorest to the most prosperous communities, bringing innovative treatment protocols right to the patients' doorsteps. Dr. Shelly Batra, president of Operation ASHA, discusses the progress being made in this increasingly global public health campaign. Hosted by Dr. Maurice Pickard.

Host: Brian P. McDonough, MD, FAAFP Guest: Edward J. Mayeaux, Jr., MD, DABFP, FAAFP Despite their growing prevalence in the US, eating disorders such as anorexia and bulimia are still often misrecognized or undermanaged at the primary care level. Host Dr. Brian McDonough is joined by Dr. Edward Mayeaux, Professor of Family Medicine and Professor of Obstetrics and Gynecology at the Louisiana State University Health Sciences Center, to discuss effective diagnostic and treatment strategies for eating disorders in general practice.

Guest: Stephen Orlin, MD The classic "red eye" presentation by your patient may be a common sighting in your clinical practice, but are you truly up to date on the various causes, treatments, and pitfalls that clinicians encounter when confronting ocular problems? Discussing this issue is Dr. Stephen Orlin, Associate Professor of Ophthalmology, Director of the Cornea Department, and Co-Director of the Refractive Surgery Service at the University of Pennsylvania.

Host: Brian P. McDonough, MD, FAAFP Guest: Sean Yanchunas, Pharm.D, MBA Dr. Brian McDonough is joined by guest Sean Yanchunas, Clinical Content Manager and Workflow Subject Matter Expert at Catholic Health East Hospital Systems, to talk about the links between pharmacy and medical informatics.

Host: Steven Davis, DO Guest: Christi Chang, RN Patients with severe dermatologic conditions and scars are commonly concerned about their appearance in public, and physicians often become the first to be asked about methods to camouflage these issues throughout the treatment course. What are the best corrective cosmetic recommendations for these patients? Host Dr. Steven Davis is joined by Christi Chang, President and CEO of Ventura Tan, to discuss updates in corrective cosmetics.

Host: Steven Davis, DO Guest: Christi Chang, RN Tanning beds are extremely popular in the United States despite the medical community's steadfast position against their use. How can we counsel our patients toward safer alternatives, and what are the risks associated with other tanning methods such as airbrushing? Speaking on this subject is Christi Chang, President and CEO of Ventura Tan, a sunless tanning company based in New Jersey. Dr. Steven Davis hosts.

Host: Brian P. McDonough, MD, FAAFP Guest: Robert Monteleone, MD Host Dr. Brian McDonough is joined by Dr. Robert Monteleone, assistant director of the Saint Francis Hospital Family Medicine Residency program in Wilington, DE. Dr. Monteleone has also been in private practice in Elkton, MD for over ten years, and his office's recent adoption of EMR software en route to a "paperless practice" casts lights on some of the benefits and challenges of making this transition from the ground-up.

Host: Farhad Zangeneh, MD Guest: Anthony J. Cannon, MD Host Dr. Farhad Zangeneh welcomes Dr. Anthony J. Cannon as they discuss the recently published studies that reviewed the association of sugary drinks, childhood obesity and epidemic increase of Type-2 diabetes. What are we doing? Are we getting better? And, ultimately, what we can be doing today, as clinicians and parents?

Host: Farhad Zangeneh, MD Guest: Robert Busch, MD Host Dr. Farhad Zenganah is joined by Dr. Robert Busch and they will be discussing current incretin treatment options and what is in the pipeline. They will discuss the differences between oral and injectables incretin treatment options and how clinicians can individualize treatment options for their patients, while determining the benefits and risks. Robert Busch, MD, is a practicing endocrinologist and founding member of The Endocrine Group in Albany, New York. Dr. Busch is a member of the board of trustees at the Albany College of Pharmacy. He has enthusiastically enjoyed teaching medical students, pharmacists, physician assistants, nurse practitioners, and physicians for over 25 years.He is a principal investigator in numerous clinical trials.

Host: Matt Birnholz, MD Guest: Lee Philip Shulman, MD, FACOG, FACMG Join host Dr. Matt Birnholz as he welcomes Dr. Lee Shulman, professor of Obstetrics & Gynecology and division chief of the Feinberger School of Medicine at Northwestern Hospital, Chicago, IL. They will discuss the screening for Down syndrome, what are the current screening modalities and what is on the horizon. As well as the recommendations from American College of Obstetricians and Gynecologists (ACOG).

Host: Matt Birnholz, MD Guest: Brian P. McDonough, MD, FAAFP Host Dr. Matt Birnholz welcomes Dr. Brian McDonough as they discuss the silent pandemic in the growing and alarming rates of childhood obesity. Brian McDonough, MD, FAAFP, is a Clinical Professor of Family Medicine at Temple University School of Medicine and Chairman of The Family Medicine Department at St. Francis Hospital, Wilmington, DE.

Host: Brian P. McDonough, MD, FAAFP Guest: Mark Moyad, MD, MPH This discussion focuses on the current state of evidence behind vitamins, herbs, and supplements in popular demand. What does the latest research recommend for use, and what should we be avoiding? Featured is Dr. Mark Moyad, the Jenkins/Pokempner Director of Preventive & Complementary Medicine at the University of Michigan Medical Center. Dr, Brian McDonough hosts.

Host: Matt Birnholz, MD Guest: Gregory Pokrywka MD FACP FNLA NCMP Primary care is the mainstay for managing patients with hyperlipidemia or mixed dyslipidemia. But in practice we don't often encounter it in isolation; comorbid conditions such as diabetes, hypertension, and coronary artery disease follow dyslipidemia like common catch phrases, so it becomes necessary to understand this problem in the context of complicated patients. What do we need to know to optimize patient outcomes? Host Dr. Matt Birnholz is joined by Dr. Gregory Pokrywka, Director of Baltimore Lipid Center and Assistant Professor of Medicine at Johns Hopkins School of Medicine, to discuss this issue.

Host: Bruce Japsen Guest: Andrew Sama, Dr. The emergency room has long been an entry point for medical care for the seriously injured, young parents with a sick child and increasingly poor uninsured Americans with nowhere to turn. But policymakers increasingly see the emergency room as less like those depicted on shows like Grey's Anatomy as a place for patients to abuse the system and run up costs. Dr. Andrew Sama, vice president of the American College of Emergency Physicians, tells host Bruce Japsen about how he thinks emergency doctors are beneficial to cost-effective medical care and why patients can and should turn to emergency departments.

Host: Bruce Japsen Guest: Howard Bauchner, MD For 127 years, the Journal of the American Medical Association has been one of the nation's best-known medical journals. This summer, its 16th editor, pediatrician Dr. Howard Bauchner, takes over editorial oversight from Dr. Catherine DeAngelis, who has served as the Journal's editor since 2000. Dr. Bauchner talks to host Bruce Japsen about the steps he plans to take in order to lead the publication into a new era of medicine, and a new digital age of medical publications.

Host: Bruce Japsen Guest: Tom X. Lee, MD A new primary care model is making news across the country that offers personalized medicine, like the concierge healthcare that is becoming more common, but at a much more affordable price. Dr. Tom Lee, founder of One Medical Group, with offices in San Francisco and New York, is looking to set a nationwide example for primary medical care by offering personalized consierge services to several thousand patients while taking a variety of insurance plans (including Medicare), tells host Bruce Japsen about this model.

Host: Bruce Japsen Guest: Rebecca Skloot In 1951, cancer killed an impoverished young African American mother named Henrietta Lacks. Cells biopsied from her tumor, without her or her family's knowledge, went on to be critical in establishing an important cell line, known as HeLa, that has been part of a medical revolution. HeLa cells have been used in the discovery of the polio vaccine, cancer treatments, and countless other discoveries. Writer Rebecca Skloot chronicled this saga of medical ethics, money, and family in a bestselling book, The Immortal Life of Henrietta Lacks. She talks with host Bruce Japsen about the novel foundation she established in the Lacks family's name — the Henrietta Lacks Foundation — in order to give back to Henrietta Lacks' family and others who have made contributions to medical research without their consent.

Host: Bruce Japsen Guest: Jeffrey Kullgren, MD, MPH When a patient visits the doctor's office, time is precious. But, given the rising cost of medical care in the United States, making time for direct and open conversation with patients about healthcare prices has never been more important. Dr. Jeffrey Kullgren of Penn Medicine tells host Bruce Japsen about the need for doctors to find a moments in their busy schedules for patient education on comparative costs of care.

Host: Bruce Japsen Guest: Carolyn Robinowitz, MD While much of the nation's attention is focused on new medical benefits under the healthcare overhaul signed into law by President Obama, mental health advocates are stepping up attention to the Mental Health Parity and Addiction Equity Act, which began providing benefits to millions of patients with addictions, depression and other mental illness. The act was designed to put mental health services on equal footing with other medical services. Dr. Carolyn Robinowitz, past president of the American Psychiatric Association, tells host Bruce Japsen about this law and its importance for physicians and their patients.

Host: Bruce Japsen Guest: Timothy Jost Consumer groups for decades have criticized and wondered how much money health insurance companies actually spend on medical care. Under the health care reform law, they will actually come closer to knowing thanks to the so-called medical-loss ratio provisions of the legislation. Host Bruce Japsen talks with Washington and Lee University School of Law health reform expert Timothy Jost about the impact medical-loss ratio rules will have on physicians and their patients.