Clinician's Roundtable

Host: Susan Dolan, RN, JD Guest: Steve McKee Hear Steve McKee, author of the book, My Father's Heart: A Son's Journey, as he discusses why it was so difficult for him to make the decision to take a statin for his heart disease.

Host: Susan Dolan, RN, JD Guest: Steve McKee Steve McKee's paternal grandfather died of a heart attack at age 53, his father died of a heart attack at age 50 and he discovered he had heart disease at the age of 52. Hear author Steve McKee as he discusses his experience with heart disease in his book, My Father's Heart: A Son's Journey.

Host: Susan Dolan, RN, JD Guest: Suzanne Clough, MD Dr. Suzanne Sysko Clough is the Chief Medical Officer of WellDoc Communications, a technology based healthcare company located in Baltimore, Maryland. Hear Dr. Clough as she discusses how the WellDoc cell phone-based technology helps patients manage their diabetes.

Host: Bill Rutenberg, MD Guest: Mitchel Berger, MD Malignant Glioma: A diagnosis your patient wants do not want to receive. As their primary physician what more can you tell your patient? What does the latest research indicate about the pathobiology of Gliomas? In this segment our guest Dr. Mitchel Berger, Professor and Chair of Neurological Surgery at the University of California, San Francisco, talks with host Dr. Bill Rutenberg about the latest Glioma research. They discuss the genetic advances that may lead to new treatments including a possible vaccination currently being developed that could one day replace mainstay treatments including radiation and chemotherapy.

Host: Bill Rutenberg, MD Guest: Richard Rosenfeld, MD Dr. Richard Rosenfeld, professor of otolaryngology at the State University of New York Health Sciences Center, joins host Dr. Bill Rutenberg for an in-depth discussion of the current guidelines for the management of sinusitis. Dr. Rosenfeld discusses current criteria for evidence-based diagnosis and recommended treatment.

Host: Bill Rutenberg, MD Guest: Richard Rosenfeld, MD Dr. Richard Rosenfeld, professor of otolaryngology at the State University of New York Health Sciences Center, joins host Dr. Bill Rutenberg for an insightful discussion of the current care guidelines for pediatric otitis media. Dr. Rosenfeld addresses difficulty and necessity of accurate diagnosis in order to safely apply "watchful waiting" as first-line treatment. What do you do if the patient doesn't get better?

Host: Maurice Pickard, MD Guest: Mira Milas, MD There are many new techniques to evaluate patients with thyroid and parathyroid disease. Dr. Mira Milas, associate professor at the Institute of Surgery, Endocrinology and Metabolism Institute at Cleveland Clinic Lerner College of Medicine, speaks about the use of ultrasound in thyroid disease detection. She also updates host Dr. Maurice Pickard on the development of a new test, TSHrmRNA, to augment intermediate FNA as well as to show if there is residual disease or recurrence. They also discuss osteoporosis found in some men with parathyroid disease.

Host: Maurice Pickard, MD Guest: Mira Milas, MD Dr. Mira Milas, associate professor of surgery at the Cleveland Clinic Lerner College of Medicine, discusses with host Dr. Maurie Pickard the expanding field of endocrine surgery and how ultrasound and fine needle aspirations have led to successful pre-operative evolutions. Intraoperative parathyroid procedures can help avoid reoperations. In addition, we learn that decisions to operate on asymptomatic patients with hyperparathyroidism need to be seriously considered.

Host: Maurice Pickard, MD Guest: Robert Klitzman, MD The current research in Huntington's disease still leaves us with more questions than answers. We know the causative gene, identified the proteins involved, and can postulate the mechanisms. Yet despite the universal outcome from this disease, patients may still live much of their adult lives productively, leading to added dfficulty in making life choices. Dr. Robert Klitzman, Associate Professor of Clinical Psychology at Columbia University College of Physicians and Surgeons, joins host Dr. Maurie Pickard on the subject of counseling patients with Huntington's Disease through life's milestones.

Host: Maurice Pickard, MD Guest: Robert Klitzman, MD Dr. Robert Klitzman, Associate Professor of Clinical Psychology at Columbia speaks about the need for more genetic counselors to help with families of Huntington's disease, breast cancer, alpha-1 antitrypsin deficiency and familial polyposis. People can order genetic testing and disease ancestry search directly on the internet. Many physicians have not been able to keep up with developments of the genome but will be asked to be knowledgeable about this exploding field. Dr. Maurie Pickard hosts.