Clinician's Roundtable

Guest: Robert A. Baldor, MD Guest: Chadwick R. Johr, MD This innovative, 45-minute, case-based CME activity features two prominent faculty covering important, timely issues and data related to the detection of autoimmune (AI) disorders. Using case studies, the faculty will explore diagnosis and management strategies to maximize patient care. In addition to the analysis of AI cases, key topics will be covered, including: Evaluation for suspected RA Combination serological assessment 14-3-3eta as a marker for joint damage Autoantibodies in SLE diagnosis and classification ANA IFA and subserologies Diagnosis of RA, Sjögren’s, Lupus, and Systemic Sclerosis

Host: John Russell, MD Guest: Judd Hollander, MD In the early 1900s, about 40% of doctor visits were made in a patient’s home. Today, with the rise of telehealth technologies, more than 7 million patients are once again receiving care in the comfort of their own homes. Join Dr. John Russell as he speaks with Dr. Judd Hollander, Associate Dean for Strategic Health Initiatives at Sidney Kimmel Medical College at Thomas Jefferson University and Professor and Vice Chair of Finance and Healthcare Enterprises in the Department of Emergency Medicine, on the benefits and risks of implementing telemedicine in your practice.

Guest: Robert A. Baldor, MD Guest: Chadwick R. Johr, MD This innovative, 30-minute, online activity features a Video Expert Dialogue with two prominent faculty covering important, timely issues and data related to the detection of autoimmune (AI) disorders. The emphasis is on the unique role primary care providers play in diagnosing and managing AI and maximizing patient care. Topics include: Overview of connective tissue diseases and ANA testing ANA IFA and ELISA New tests Subserologies with IFA Choosing wisely about ANA testing Diagnosis of RA, Sjögren’s, Lupus, and Systemic Sclerosis Titer Information Negative ANA testing When to refer We’ll be discussing autoantibody testing for autoimmune diseases, or more precisely, connective tissue diseases. Our purpose here is to discuss how autoantibody testing, such as the ANA, may be used in the primary care setting to diagnose these disorders. Using the ANA test combined with a good medical exam and a good history, along with signs and symptoms of connective tissue diseases, will help to achieve greater benefits in diagnosing and treating patients.

Host: Maurice Pickard, MD Guest: Katherine Baicker In early 2008, Oregon opened a waiting list lottery for a limited number of spots in its Medicaid program. From the 90,000 people who signed up, the state drew approximately 30,000 names of people who were allowed to apply to its Medicaid program. The results of this lottery have been studied over subsequent years, allowing researchers the ability to analyze the effect of expanding access to public health insurance on health care use and patient outcomes. Host Dr. Maurice Pickard talks with Katherine Baicker, Dean and the Emmett Dedmon Professor at the Harris School of Public Policy at the University of Chicago. She is one of the leaders of the Oregon Health Insurance Experiment, which investigated the effects of the Oregon Medicaid lottery. They discuss some of the conclusions from this study, including how a person’s increased exposure to health care through insurance coverage appears to produce significant, multifaceted, and nuanced benefits to one's health.

Host: Barnett Mennen, MD Guest: Sarah Hallberg, MD Carbohydrates are our main source of energy and provide important nutrients for good health. However, they are also the main culprit behind elevated blood sugar and are problematic for diabetic patients trying to control their blood sugar levels. Host Dr. Barry Mennen sits down with Dr. Sarah Hallberg to talk about carbohydrate restriction as a key to successful weight loss programs. She prescribes that adherence to a low-carb, high-fat diet is vital to patients for controlling their diabetes, with the possibility of being able to come off medications over time. Dr. Sarah Hallberg is the Medical Director at Virta Health and Founder of the Indiana University-Arnett Health Medical Weight Loss Program in Lafayette, Indiana.

Host: John Russell, MD Guest: Thomas Doyle, MD About 40,000 babies are born with Congenital Heart Disease each year, making it one of the most common birth defects and causes of infant death in the US. CHD is usually present at birth but shows very few outward signs and, in most cases has no known cause or origin. New and evolving surgical techniques, along with the dawn of pediatric heart transplant, are transforming the field of pediatric cardiology and offer new options for CHD patients. Host Dr. John Russell talks with Dr. Thomas Doyle about how continued research, improved surgical treatments and, emerging technology have altered the course of treatment for CHD, resulting in approximately 69% of children with CHD now living to age 18. Dr. Thomas Doyle is the Ann and Monroe Carell Jr. Family Associate Professor of Pediatrics at Vanderbilt University. Dr. Doyle was a 2016 Project Heart CHD research grant recipient.

Host: Shira Johnson, MD Guest: Bennett Omalu, MD Many studies have demonstrated long-lasting and even permanent brain damage that can originate from just one concussion. With athletes suffering multiple repeated head traumas due to high-contact sports, the controversies over player safety and long-term health risks remain hot-button issues. Pathologist Dr. Bennett Omalu coined the term "CTE" and published the first evidence for chronic traumatic encephalopathy after autopsying American football players. In this second of a two-part interview, he shares his perspectives on CTE in athletes and the lifelong dangers of contact sports.

Host: Shira Johnson, MD Guest: Bennett Omalu, MD Chronic Traumatic Encephalopathy (CTE) is a degenerative brain disease found in athletes, military veterans, and others who experience repetitive brain trauma. Pathologist Dr. Bennett Omalu coined the term "CTE" and published the first evidence for this condition after autopsying American football players. Host Dr. Shira Johnson welcomes Dr. Omalu to share the story of his discovery and the medical, athletic, and public responses that followed.

Host: Andrea J. Singer, MD, FACP, CCD Guest: Lisa Larkin, MD, FACP, NCMP, IF Direct Primary Care, or DPC, is a new healthcare model that focuses on affordability, accessibility and personalization. Health insurance is an obstacle that many patients face and one of DCP's goals is to create an affordable way for patients to get the healthcare they need at a reasonable price with a physician who has the time to see them. Joining Dr. Andrea Singer in this emerging discussion of Direct Primary Care is Dr. Lisa Larkin, President and CEO of Lisa Larkin M.D. & Associates, Internal Medicine and Women's Health Group Practice, Medical Director of Women's Health Services for TriHealth Corporate Health, and Founder of the Cinncinati Sexual Health Consortium in Cinncinati, Ohio. The two discuss both the benefits and challenges of Direct Primary Care as well as the similiarities and differences between DCP and traditional primary care.

Host: Thomas C. Wright, Jr., MD Guest: Andrew M. Kaunitz, MD, FACOG Recorded live at a recent Women’s Health Annual Visit symposium, host Dr. Thomas Wright Jr. welcomed Dr Andrew Kaunitz to discuss the misconceptions of hormonal therapy of menopausal patients, current guidelines and recommendations, and patient safety. Dr. Andrew Kaunitz is Professor and Associate Chair of Obstetrics and Gynecology at the University of Florida College of Medicine. He also serves as Director of Menopause and Gynecologic Ultrasound Services at Southside Women's Health.