Clinician's Roundtable

Host: Michael Greenberg, MD Guest: Rosalie Greenberg, MD There is hope for children with bipolar disorder, says Dr. Rosalie Greenberg, assistant professor of clinical psychiatry at Columbia University School of Physicians and Surgeons, and author of the book, Bipolar Kids: Helping Your Child Find Calm in the Mood Storm. Dr. Greenberg joins host Dr. Michael Greenberg to discuss diagnosis, misdiagnosis, and genetics of the disorder, along with treatment options and potential outcomes.

Host: Michael Greenberg, MD Guest: Rosalie Greenberg, MD Pediatric bipolar disorder may be more common than our diagnoses indicate. What constitutes a proper diagnosis? Host Dr. Michael Greenberg is joined by Dr. Rosalie Greenberg, assistant professor of clinical psychiatry at Columbia University School of Physicians and Surgeons, and author of the book, Bipolar Kids: Helping Your Child Find Calm in the Mood Storm. Dr. Rosalie Greenberg discusses the nuances and easily overlooked symptoms in children eventually diagnosed with the disorder, and shares her perspective on the challenges of bipolar disorder for children and their families.

Host: Matthew J. Sorrentino, MD, FACC, FASH Guest: Michael P. Siegenthaler, MD Dr. Michael Siegenthaler, associate professor of surgery and associate director of the Artificial Heart Program at the University of Pittsburg, will discuss the current state of the art of ventricular assist devices and the artificial heart as an alternative therapy for end stage heart failure patients.

Host: Matthew J. Sorrentino, MD, FACC, FASH Guest: Michael P. Siegenthaler, MD Dr. Michael Siegenthaler, associate professor of surgery at the University of Pittsburgh School of Medicine, describes the Impella 2.5 system: a percutaneously-placed ventricular-assist device, now approved for high risk coronary interventions, that has earned the moniker, 'world's smallest heart pump.' Dr. Matthew Sorrentino hosts.

Host: Bill Rutenberg, MD Guest: Sarah de Ferranti, MD, MPH The American Academy of Pediatrics Report on Lipid Screening and Cardiovascular Health in Childhood, published in July 2008, triggered extensive discussion and debate among pediatricians. Dr. Sarah de Ferranti, director of the Preventive Cardiology Clinic at the Children's Hospital in Boston, shares her interpretation of the report and its recommendations with host Dr. Bill Rutenberg. How concerned should we be about the scarcity of long-term data on statin use among pediatric patients? What do we know about statins and puberty? Will the future bring non-invasive ways to assess the cardiovascular status of a child? Join us to learn more.

Host: Maurice Pickard, MD Guest: Stefan J. Friedrichsdorf, MD, PhD Dr. Stefan Friedrichsdorf, medical director of the Pain and Palliative Care Program at Children's Hospitals and Clinics of Minnesota, discusses a range of topics within the field of pediatric palliative care. In contrast to the expected standard of care for adults, many children with life-limiting and terminal diseases receive inferior treatment in this area. Given that a child's condition may last well into adulthood, effective programs embrace physical, emotional, social and spiritual elements, with a focus on enhancing the child's quality of life and providing support for their family. Dr. Maurice Pickard hosts.

Host: Bill Rutenberg, MD Guest: Heidi Feldman, MD, PhD "White matter of the brain is particularly more susceptible to injury after a premature delivery," explains Dr. Heidi Feldman, professor of developmental and behavioral medicine at Stanford University School of Medicine. Dr. Feldman and host Dr. Bill Rutenberg discuss neurodevelopmental recovery in preemies, as well as children with other brain damage. Can we capitalize on other healthy areas of the brain to make up for deficiencies from underdeveloped or injured areas of the brain?

Host: Bill Rutenberg, MD Guest: Heidi Feldman, MD, PhD Much is invested to bring premature infants to the point of hospital discharge. However, there is an extreme drop-off in services after the infant is released from the hospital. This is a very important area for preventative healthcares and should be conceptualized as a chronic condition says our guest, Dr. Heidi Feldman, professor of developmental and behavioral medicine at Stanford University School of Medicine Lucile Packard Children's Hospital. She and host Dr. Bill Rutenberg discuss interventions often required to help a pre-mature infant to reach its developmental age. How much intervention is necessary? Do socioeconomics play a role in which children are most likely to catch up sooner? Why do kids who get the most services often have the greatest delay? Join us to learn more.

Host: Jennifer Shu, MD, FAAP Guest: Jatinder Bhatia, MD Although breast milk is the ideal source of nutrition for children under 12 months, most babies receive infant formula at some point during the first year. With dozens of formulas on the market, making a choice can be confusing for parents and for physicians as well. Dr. Jatinder Bhatia, professor and chair of neonatology at the Medical College of Georgia, and a member of the American Academy of Pediatrics Committee on Nutrition, lends his expert insight on choosing an infant formula. What are the latest recommendations regarding infant formulas? How should physicians decide what formula is best for a patient? Dr. Jennifer Shu hosts.

Host: Jennifer Shu, MD, FAAP Guest: Jatinder Bhatia, MD Guest: Darshak Sanghavi, MD It's the leading cause of death and morbidity in American adults, but the cardiovascular disease process may begin in childhood. A new clinical report from the American Academy of Pediatrics (AAP) recommends some children as young as age 8 should receive pharmacologic treatment for dyslipidemia. The recommendations have stirred considerable debate among pediatricians and others in the medical community. Given the absence of long-term data to support the safety of prescribing statins, how was the decision made to go forward with these recommendations? What potential adverse effects from the medications should we be most concerned about? What are the most prudent alternatives to medicating children at risk for cardiovascular disease? Host Dr. Jennifer Shu welcomes Dr. Jatinder Bhatia, professor and chair of neonatology at the Medical College of Georgia, and a member of the AAP Committee on Nutrition, and Dr. Darshak Sanghavi, a pediatric cardiologist and an assistant professor of pediatrics at the University of Massachusetts Medical School, for a candid discussion about the merits of the AAP recommendations.