Clinician's Roundtable

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 sexuality, and HIV clinical care and prevention.

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.

Host: Prathima Setty, MD Guest: Draion M. "Dr. Drai" Burch, DO What does transgender mean? What are common health issues found in transgender patients? Host Dr. Prathima Setty welcomes Dr. Draion M. Burch, also known as "Dr Drai". Dr. Drai will address these questions, as well as, information on screening, hormone therapy, and resources available for clinicians, specifically on how to make their offices transgender-friendly. Dr. Burch is a practicing physician and teaching faculty member at Magee-Womens Hospital of The University of Pittsburgh Medical Center. Dr. Drai is the Founder and Chief Medical Advisor of DrDrai.com, where he discusses actionable ideas and real-world strategies to help women take control of their health.

Host: Matt Birnholz, MD It is known from prior studies that healthcare professionals who wait for the subjects of sex and intimacy to be brought forth by their patients will typically not cover these important health topics at all. Nowhere is this more prominent than in elderly patient populations, particularly in women, where even the mere idea of continuing sexuality is so often ignored. Dr. Michael Krychman, Executive Director of the Southern California Center for Sexual Health and Survivorship in Newport Beach, CA, joins host Dr. Matt Birnholz to discuss counseling strategies on sexual health that physicians must incorporate into their practices for optimal care of elder women.

Host: Maurice Pickard, MD Gun violence continues to be a major health care issue. What can physicians and other health care providers do to reduce firearms-related violence? Host Dr. Maurice Pickard welcomes Dr. David Fleming, the 2014-2015 President of the American College of Physicians (ACP), the nation's largest medical specialty organization. Dr Fleming discusses the ACP's new policy paper, Reducing Firearm-Related Injuries and Deaths in the United States, published in the Annals of Internal Medicine. This paper offers strategies to address the societal, health care, and regulatory barriers to reducing firearms-related violence, injuries, and deaths in the United States. Dr. Fleming is Professor of Medicine at the University of Missouri School of Medicine, where he also serves as Chairman of the Department of Medicine and Director of the MU Center for Health Ethics.

Host: Ana Maria Rosario Guest: David Gandell, MD Genital herpes is a common sexually transmitted disease. However, it is also one that is commonly underrecognized and misdiagnosed. Senior reporter Ana Maria Rosario chats with Dr. David L. Gandell to discuss genital herpes, from its prevalence to presentation of symptoms, treatment options, and ongoing therapy. Of particular focus within their discussion is the importance of counseling patients through the course of diagnosis and treatment. Dr. Gandell is a Clinical Professor of Obstetrics and Gynecology from the University of Rochester, Strong Memorial Hospital in Rochester, NY.