Clinician's Roundtable

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.

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-including clinical and basic science experts from medicine, nursing, sociology, psychology, nutrition, anthropology, epidemiology, pharmacy, and education-makes NAMS uniquely qualified to serve as the definitive resource for health professionals and the public for accurate, unbiased information about menopause and healthy aging. To learn more about NAMS, visit www.menopause.org.

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, sociology, psychology, nutrition, anthropology, epidemiology, pharmacy, and education-makes NAMS uniquely qualified to serve as the definitive resource for health professionals and the public for accurate, unbiased information about menopause and healthy aging. To learn more about NAMS, visit www.menopause.org.

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: 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 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: 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.