Clinician's Roundtable

Guest: Kevin Fu, PhD Host: Matthew J. Sorrentino, MD, FACC, FASH Guest: William Maisel, MD It may seem like a notion better suited to a spy novel than medicine, but medical cardiac devices using wireless technology are vulnerable to security breaches. Dr. William Maisel, director of the Medical Device Safety Institute at the Beth Israel Deaconess Medical Center in Boston, and Dr. Kevin Fu, co-director of the Medical Device Security Center at the University of Massachusetts, Amherst, and director of the Radio Frequency Identification (RFID) Consortium on Security and Privacy, share their research. They were able to obtain unauthorized access to a pacemaker defibrillator, and more. Find out about this disturbing dilemma with host Dr. Matthew Sorrentino.

Guest: Akira Sekikawa, MD, MPH, PhD Host: Larry Kaskel, MD Japan's unusually low mortality rate from coronary heart disease may be tied to the large amount of fish in the Japanese diet. Dr. Akira Sekikawa, assistant professor of epidemiology at the University of Pittsburgh Graduate School of Public Health, discusses with host Dr. Larry Kaskel the results of his recent study showing how fish consumption may protect against heart disease. They explore the benefits of fish oil, and the unique attributes of this study compared to other studies examining the relationship between fish intake and heart disease.

Guest: Tom Charland Host: Larry Kaskel, MD Guest Tom Charland, chief executive officer of Merchandise Medicine, a research and consulting firm specializing in retail healthcare clinics, reports on the status of the retail clinics nationwide. Mr. Charland explains to host Dr. Larry Kaskel the different structures of retail health clinics and the emerging hospital system-owned retail clinic. Tune in to hear Mr. Charland make sense of the conflicting data reported in the newspapers concerning the growth and success of the various retail health clinic models.

Guest: Tom Charland Host: Larry Kaskel, MD Recent reports tell us that the number of retail health clinics is declining, but according to Tom Charland, chief executive officer of Merchant Medicine, this data incorrectly implies that the retail clinic model is an unsuccessful fad. Mr. Charland clarifies with host Dr. Larry Kaskel what he characterizes as misconceptions, held by members of the medical community, concerning retail health clinics, and further explains that continued expansion by retailer-owned in-store clinics is likely to result in overall growth. Mr. Charland also sheds light on other myths on patient populations, patient care practices, insurance coverage, and prescription-writing habits of retail-clinic operations.

Guest: Raymond P. Onders, MD Host: Bruce Bloom, DDS, JD Dr. Raymond Onders, director of Minimally Invasive Surgery at University Hospitals Case Medical Center in Cleveland, Ohio, describes the development of the Diaphragm Pacing System that electrically stimulates breathing. Hear how this life-saving technology has helped spinal cord patients, and is being tested for use with ALS patients and in the critical care setting to replace ventilators. Hosted by Dr. Bruce Bloom.

Guest: Raymond P. Onders, MD Host: Bruce Bloom, DDS, JD What is the process required to implant a Diaphragm Pacing System which eliminates the need for ventilator care in ALS patients? Dr. Raymond Onders, director of the Minimally Invasive Surgery at University Hospitals Case Medical Center describes the diagnostic and laparoscopic surgical techniques used to implant a Diaphragm Pacing System that electrically stimulates breathing in spinal cord injury and ALS patients. Hear how this amazing technology changes the lives of patients through a very simple surgery. Hosted by Dr. Bruce Bloom.

Guest: Raymond P. Onders, MD Host: Bruce Bloom, DDS, JD A diaphragm pacing system electronically stimulates breathing in patients with amyotrophic lateral sclerosis (ALS). Not only can this device prolong the lives of ALS patients, it can greatly enhance the quality of their lives. Dr. Raymond Onders, associate professor of surgery and medicine at Case Western Reserve University School of Medicine, and director of minimally invasive surgery at University Hospitals Case Medical Center in Cleveland, tells host Dr. Bruce Bloom about a novel diaphragm pacing system that is making international inroads in the treatment of ALS.

Guest: Lori Feldman-Winter, MD, MPH Host: Jennifer Shu, MD, FAAP Although breast milk is widely considered to be the best nutrition for infants, research tells us that breastfed babies may be at elevated risk for vitamin D deficiency, anemia, and tooth decay. What other health considerations may be associated with breastfeeding? Can we definitively say that breast milk is still the best option for infants? Dr. Lori Feldman-Winter, associate professor of pediatrics at the University of Medicine and Dentistry of New Jersey, division head of adolescent medicine at Cooper University Hospital in Camden, N.J., and an Executive Committee member of the American Academy of Pediatrics section on breastfeeding, shares her expertise with host Dr. Jennifer Shu.

Guest: Lori Feldman-Winter, MD, MPH Host: Jennifer Shu, MD, FAAP Mothers in the United States have the lowest rates of breastfeeding in the developed world. What are the immediate and lasting benefits of breastfeeding for infants and their nursing mothers? How does breast milk compare to formula, in terms of the baby's nutrition and long-term growth development? Host Dr. Jennifer Shu welcomes Dr. Lori Feldman-Winter, associate professor of pediatrics at the University of Medicine and Dentistry of New Jersey, division head of adolescent medicine at Cooper University Hospital in Camden, New Jersey, and an executive committee member of the American Academy of Pediatrics section on breastfeeding.

Guest: Lori Feldman-Winter, MD, MPH Host: Jennifer Shu, MD, FAAP Despite ambitious recommendations that new mothers breastfeed their infants for at least one year after birth, very few mothers meet this objective. Knowing there are barriers to breastfeeding--social, economic, and beyond--how can we help mothers get past these difficulties, where possible? Further, how can we allay the guilt many mothers feel when they're unable to breastfeed? For answers, host Dr. Jennifer Shu talks with Dr. Lori Feldman-Winter, associate professor of pediatrics at the University of Medicine and Dentistry of New Jersey, division head of adolescent medicine at Cooper University Hospital in Camden, N.J., and an Executive Committee member of the American Academy of Pediatrics section on breastfeeding.