Clinician's Roundtable

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Rear Admiral Michael Milner, PA-C You may understand what PAs do in the five armed services of the military, but do you know about their role in the United States Public Health Service Commissioned Corps, the largest public health program in the world? Rear Admiral Michael Milner joins host Lisa Dandrea Lenell to talk about the role of the Corps and the role that PAs play within the organization. He also discusses his path to becoming the only physician assistant to hold the rank of flag officer in any uniformed service.

Host: Bruce Japsen Guest: Bruce Crowther The hospital report card is a much talked-about effort to provide transparency about quality information. It's becoming a more important tool for consumers, just as President Obama and Congress prepare to initiate healthcare reforms that demand such information. Bruce Crowther is president and chief executive officer of Northwest Community Hospital in the Chicago suburb of Arlington Heights. Mr. Crowther tells host Bruce Japsen about how Northwest Community Hospital moved beyond worrying about the information they might be disclosing to competitors, to focusing the information patients and lawmakers want. It's a trend that will soon begin sweeping the country.

Host: Bruce Japsen Guest: Nancy Nowak As President Barack Obama travels the country talking about the need for health care reform, hardly a week goes by when you don't hear the Commander in Chief talk about Intermountain Healthcare and its low costs when compared to the rest of the country. What makes this this large healthcare system an example? Nancy Nowak, vice president of clinical operations and chief nursing officer for Intermountain Healthcare in Salt Lake City, Utah, tells host Bruce Japsen about this much talked-about healthcare system and how its work may be replicated across the country.

Host: Bruce Bloom, DDS, JD Guest: David Pearce, PhD Mucopolysaccharidosis I, or MPS I, often presents initially as a child's failure to thrive, and is a diagnosis with devastating effects. How is new research able to help children with this lysosomal storage disorder? Host Dr. Bruce Bloom talks with Dr. David A. Pearce, director of the Sanford Children's Health Research Center in Sioux Falls, South Dakota, about advances in research into treatment options, including enzyme replacement therapy, for MPS I. Don't miss these other programs on MPS I, with host Dr. Bruce Bloom: Musculoskeletal Aspects of MPS I: Diagnosis and Management Considerations Immune System Irregularities in Lysosomal Storage Disorders Long Term Efficacy and Safety of Laronidase for MPS I

Host: Bruce Bloom, DDS, JD Guest: David Pearce, PhD How is the immune system involved in lysosomal storage disorders, including juvenile Batten disease, Niemann-Pick type C disease and Krabbe disease? Host Dr. Bruce Bloom welcomes Dr. David A. Pearce, director of the Sanford Children's Health Research Center in Sioux Falls, South Dakota, to discuss research into the immune response in these patients. Don't miss these other programs on MPS I, with host Dr. Bruce Bloom: Challenges in Management of MPS I Musculoskeletal Aspects of MPS I: Diagnosis and Management Considerations Long Term Efficacy and Safety of Laronidase for MPS I

Host: Bruce Bloom, DDS, JD Guest: Gregory Pastores, MD What are the musculoskeletal signs and symptoms in children with MPS I? How can we test for MPS I? And how does the disease present in patients as they grow up? Dr. Gregory M. Pastores, associate professor of neurology and pediatrics at the New York University School of Medicine in New York, and director of the neurogenetics laboratory in the department of neurology at NYU, explores with host Dr. Bruce Bloom the diagnostic challenges and management considerations to be reviewed when treating MPS I patients. Don't miss these other programs on MPS I, with host Dr. Bruce Bloom: Challenges in Management of MPS I Immune System Irregularities in Lysosomal Storage Disorders Long Term Efficacy and Safety of Laronidase for MPS I

Host: Bruce Bloom, DDS, JD Guest: Emil Kakkis, MD, PhD Host Dr. Bruce Bloom welcomes Dr. Emil Kakkis, an advisor at BioMarin Pharmaceutical Inc. and author of numerous published articles on mucopolysaccharidosis I, or MPS I, to discuss current treatment options. They discuss the benefits and risks of enzyme replacement therapy with laronidase. Don't miss these other programs on MPS I, with host Dr. Bruce Bloom: Challenges in Management of MPS I Immune System Irregularities in Lysosomal Storage Disorders Musculoskeletal Aspects of MPS I: Diagnosis and Management Considerations

Host: Michael Greenberg, MD Guest: J. James Rohack, MD If you've been following the health care reform debate as closely as we have, you may be suffering from a case of whiplash, with so many proposals and so little time to wade through all the back-and forth on each of them. As Congress heads into its customary August recess, we'll take a step back to examine the issues that could make or break the various proposals for overhauling our health care system. For one perspective on the progress toward reform, host Dr. Michael Greenberg welcomes American Medical Association (AMA) President Dr. James Rohack. Dr. Rohack addresses a range of issues, including the nuances of AMA's recent support for House bill HR 3200, the effectiveness of AMA in representing the interests of all physicians in this reform debate, and the prospects for true medical liability protections in the final reform bill.

Host: Bruce Japsen Guest: Alfred Casale, MD As President Barack Obama touts what is right and wrong with the nation's healthcare system, hardly a week goes by when you don't hear him or one of this surrogates mentioning Geisinger Health System. So what does Mr. Obama see in this large Pennsylvania based medical care provider? Dr. Alfred Casale, director of Cardiothoracic Surgery at Geisinger Health System tells host Bruce Japsen about the Pennsylvania system's years of experience measuring quality and improving patient care to keep costs low.

Host: Bruce Japsen Guest: Joseph Golbus, MD, MBA The economic stimulus package signed into law by President Barack Obama provides doctors money to get their offices set up for electronic medical records over the next few years. But there are actually a few health care systems ahead of the curve on electronic medical records with systems installed and benefits being realized. Host Bruce Japsen talks with Dr. Joseph Golbus, president and CEO of the NorthShore University Health System medical group about achievements made after implementing electronic medical records several years ago.