Clinician's Roundtable

Guest: Joel Saper, MD Host: Mark Nolan Hill, MD The sources of migraine headaches have long been a mystery in medicine. Over the years, many theories have come and gone, with few enduring leads on this debilitating problem that affects many of our patients. Could finding a new therapy for migraines bring us back to the root cause of this condition? Dr. Joel Saper, director of the Michigan Head Pain and Neurological Institute in Ann Arbor, discusses his clinical research on occipital nerve stimulation as treatment for migraine headaches with host Dr. Mark Nolan Hill.

Guest: Vonda Wright, MD Host: Bruce Japsen As baby boomers age, they develop different medical needs. For our super-active older athletes, commonly known as Masters, the needs can be that much different. Dr. Vonda Wright, director of the Performance and Research Initiative for Masters Athletes at the University of Pittsburgh Medical Center, tells host Bruce Japsen how doctors can benefit by understanding the distinctive medical needs of older athletes.

Guest: Michael Marin, MD Host: Mark Nolan Hill, MD Research data indicates an increasingly significant percentage of all elective aortic aneurysm repairs are endovascular procedures. How are new tools for endovascular repair improving our ability to provide minimally invasive options to our patients? How common are subsequent re-interventions following endovascular repair, and what is the key to finding success in this secondary procedure? Dr. Michael Marin, professor and chair of surgery at Mount Sinai School of Medicine in New York City, tells host Dr. Mark Nolan Hill how we are addressing the biggest challenges in endovascular aortic repair.

Guest: Michael Marin, MD Host: Mark Nolan Hill, MD Techniques for open repair of aortic aneurysms have remained remarkably steady over the past several decades. But with the trend toward minimally-invasive procedures sweeping across medicine, how are advancing techniques in endovascular repair of aortic aneurysms enhancing the standard of care? How do the current success rates for emergent and elective endovascular procedures compare with open repair? Dr. Michael Marin, professor and chair of surgery at Mount Sinai School of Medicine in New York City, examines these questions and more with Dr. Mark Nolan Hill.

Host: Bill Rutenberg, MD Guest: Paul Stricker, MD More and more children are presenting with overuse injuries. What is happening at the cellular level and how do their bodies repair? Dr. Paul Stricker, board certified in both pediatrics and sports medicine joins host Dr. Bill Rutenberg to discuss pediatric overuse injuries. They discuss the need for individual treatment and question the decision to order an MRI. Also, find out what guidelines can you offer patients to help avoid injuries.

Guest: Paul Stricker, MD Host: Bill Rutenberg, MD Is the child uncoordinated and not likely to be good at baseball? Or, might he just be developmentally unable to evaluate a moving object coming at him and catch it in mid air? Our guest, Dr. Paul Stricker, board certified in both pediatrics and sports medicine and author of the recent book, Sports Success RX tells host Dr. Bill Rutenberg that a combination of physical, emotional and chemical milestones will indicate if a child has the ability to be successful at a particular sport or activity. Pediatricians can help make parents aware of these milestones and use them to guide their children towards positive sport experiences.

Guest: Shepard Stone, PA Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Lisa D'Andrea talks with Shepard Stone, a Physician Associate Anesthesiologist at Yale-New Haven Hospital in Connecticut. He is also an Associate Clinical Professor of Anesthesiology at Yale University School of Medicine. Shepard Stone is one of a very elite group of PAs practicing in the field of Anesthesia today.

Guest: Jean Lud Cadet, MD Host: Larry Kaskel, MD Dr. Jean Lud Cadet, chief of molecular neuropsychiatry at the National Institutes of Health, talks with host Dr. Larry Kaskel about the impacts of marijuana on cardiovascular and neurological systems. According to Dr. Cadet, chronic marijuana users have learning abnormalities. Dr. Cadet presents the findings of two studies and discusses the areas of altered brain tissue.

Guest: Jean Lud Cadet, MD Host: Larry Kaskel, MD Dr. Jean Lud Cadet, Chief of Molecular Neuropsychiatry Branch at the National Institutes of Health joins host Dr. Larry Kaskel to explain a recent study in which he and his colleagues studied cardiovascular impacts of heavy marijuana use. What impact does heavy marijuana use have on apolipoprotein C3 (apoC3)? How does this effect triglyceride levels. Join us to learn more.

Guest: Marilyn Moffat, PhD Host: Mark Nolan Hill, MD Exercise and physical therapy are commonly touted as keys to preventing an array of conditions: heart attack, depression, cancer and more. But how does the exercise equation change once a patient is diagnosed with an illness? How does a patient's perspective on their disease impact their outlook on exercise? Dr. Marilyn Moffat, professor of physical therapy at New York University and an internationally-respected voice in physical therapy, provides her perspective on the value of exercise in encouraging patients stricken with illness to work beyond the boundary of what they initially believed they could accomplish. Dr. Mark Nolan Hill hosts.