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Latest episodes from UAB MedCast

Using Mpirik Cardiac Intelligence to Address Health Inequities

Play Episode Listen Later Jan 16, 2023

Oscar Julian Booker, MD and Efstathia Andrikopoulou MD discuss how using third-party vendor, Mpirik Cardiac Intelligence, helped to develop a software algorithm that provides clinical decision support to help identify patients at risk for heart valve disease who otherwise might be overlooked. They share what factors are behind the most significant disparities, as they connect the potential of machine learning and artificial intelligence with the need for clinicians to expand their toolkit. They offer their top recommendations for physicians to consider when they are treating underserved and minority patients.

Primary Ciliary Dyskinesia

Play Episode Listen Later Dec 14, 2022

Primary Ciliary Dyskinesia (PCD) is a rare genetic disease that results in severe sinus and pulmonary infections and is particularly difficult to treat; however, as George Solomon, MD, explains, researchers have recently made important steps in understanding and treating PCD. He explains the critical link they have established between genotype and phenotype of observed PCD cases, which will lead to genetic-based therapies in the future. Equally important, he says, are the strides made in treating symptoms PCD that can help patients right now: UAB is currently conducting clinical trials exploring treatments that help patients clear mucus from their lungs in order to limit damage throughout the body.

Forecasting Seizure Clusters from Chronic Ambulatory Electrocorticography

Play Episode Listen Later Dec 13, 2022

Even for those diagnosed with a seizure disorder (e.g., epilepsy), seizure events are unpredictable and dangerous; worse still, they often occur in clusters. Adeel Ilyas, MD, discusses his new research paper that demonstrates how seizure clusters may be predicted based on brain activity. He describes the methods his team used to refine a definition for seizure clusters and to develop an algorithm for predicting them in the pilot study. Learn more about the promising implications of this groundbreaking work for treatment and patient quality of life.

Current Management of Atrial Fibrillation

Play Episode Listen Later Dec 6, 2022

Atrial fibrillation (AF) is the most common sustained heart arrhythmia, and it dramatically increases stroke risk. William Maddox, MD, a cardiac electrophysiologist, discusses the most recent approaches to treating patients' symptoms of AF and reducing their stroke risk. He covers some of the most important developments that affect how specialists manage AF: smartwatch monitoring, catheter ablation improvements, and new implantation devices that occlude the left atrial appendage for stroke prevention.

Treating Type 2 Diabetes in the Diabetes Belt

Play Episode Listen Later Nov 21, 2022

In some central Alabama counties, roughly one in five adults has type 2 diabetes. Fernando Ovalle, MD, discusses trends in diabetes care. He notes the general complications that often accompany type 2 diabetes, including kidney disease, neuropathy, and retinopathy. In Dr. Ovalle's experience, continuous glucose monitoring devices empower patients to achieve tangible goals related to their condition. Learn more about new drugs that now target hormones beyond insulin, which also have a significant effect on glucose metabolism.

New Frontiers in Diabetes Research

Play Episode Listen Later Nov 14, 2022

Diabetes and related comorbidities have been devastating in the South. Anath Shalev, MD, explains how the UAB Comprehensive Diabetes Center (UCDC) opens new avenues for collaborative research and effective new treatments. She discusses two recent examples of multidisciplinary research bringing new therapies from bench to bedside.

Diagnosing and Treating Opioid Use Disorder

Play Episode Listen Later Nov 7, 2022

The most recent medical research on opioid addiction makes one thing clear: medication saves lives. Leah Leisch, MD, a psychiatrist, explains how CDC guidelines regarding prescribing and tapering opioids have responded to new insights about the risks of addiction and withdrawal. She notes that patients who develop a substance use disorder face a mortality ratio three times higher if they are not prescribed a medication approved to treat opioid addiction. Dr. Leisch discusses each medication and the means of prescribing them.

Collaborative Management of Atrial Fibrillation in Hematology Patients

Play Episode Listen Later Oct 31, 2022

Hematologic cancer patients have the benefit of many new oral medications to manage their conditions; however, those medications may create or worsen cardiovascular comorbidities. Nurse Practitioners Courtney Estes (Cardio-Oncology Program) and Ellen Lazarre (Hematology Oncology Division) discuss the balancing act of managing risks while attacking cancer, which is only possible with an interdisciplinary team. They discuss the most common cardiovascular comorbidities (e.g., AFib, hypertension) and alternative treatments that may address them without interfering with effective cancer treatments.

Identifying and Reducing Risk Factors for ACL Injuries

Play Episode Listen Later Oct 24, 2022

Justin Kirk, PT, highlights identifying and reducing risk factors for ACL injuries. He shares who is most likely to sustain an ACL injury, the movements or position that increases an athlete's risk for injury and the importance of limb symmetry and single leg training for preventing ACL injuries. Additionally, he offers recommendations for providers, when working with athletes at high risk, on how to reduce their risk for an ACL injury and the changes he has seen in management of ACL tears over the past 5 years.

Crohn's Disease & Colitis

Play Episode Listen Later Oct 17, 2022

Around 3 million Americans suffer from inflammatory bowel disease (IBD). Daniel Chu, MD, a colorectal surgeon, and Kirk Russ, MD, a gastroenterologist, discuss the trends in occurrence, diagnosis, and treatment of IBD (including Crohn's disease and ulcerative colitis). Dr. Russ emphasizes that biologic and small molecule medicinal options have changed the approach of specialists. Meanwhile, Dr. Chu explains that surgeons have begun to focus on patient recovery and using minimally invasive techniques. As their understanding of the complex disease has increased and the treatment options available have expanded, the doctors agree that psychologists and nutritionists are an important part of their interdisciplinary colorectal team.

Spasticity Rehabilitation & Treatment Options

Play Episode Listen Later Oct 10, 2022

Any injury or illness that affects the spinal cord can cause spasticity, an increase in muscle stiffness that can lead to immobility. Bobby Brunner, MD, a physiatrist, discusses some common disorders that result in spasticity and the wide spectrum of its severity. He walks us through the considerations a physiatrist would make in determining how to address spasticity. Dr. Brunner discusses a progression of treatment options for spasticity: physical therapy, injection therapies, pump system implantation, and surgery.

Chronic Limb Threatening Ischemia

Play Episode Listen Later Oct 3, 2022

Chronic limb-threatening ischemia (CLTI) is a severe form of peripheral arterial disease that results in constant pain, usually in the extremities. Danielle Sutzko, MD, program director for the Vascular Surgery Residency at UAB, discusses the importance of classifying claudication (arterial pain) along a spectrum and treating it appropriately.Many patients with mild peripheral arterial disease may simply manage their condition with cholesterol agents, smoking cessation, and exercise programs – if the condition is identified early and monitored accurately. She explains the factors that determine the type of interventions for those with CLTI. She also discusses how new research works to include vulnerable populations in broad treatment guidelines for peripheral arterial disease.

Thoracic Aortic Aneurysm: Optimal Management & Treatment

Play Episode Listen Later Sep 26, 2022

Aortic aneurysms are complex and often asymptomatic, making swift monitoring and mitigation crucial. Kyle Eudailey, MD, an expert in aortic surgery, discusses the guidelines that he considers when weighing the patient-specific risks of surgery vs. surveillance. He emphasizes the importance of consistent imaging and measurement over time by specialists to improve physician recommendations and patient outcomes. Learn about behavioral interventions that may reduce the risk of aortic aneurysm rupture and need for surgery in some patients.

Cystic Fibrosis: Family Planning Post-CFTR Modulators

Play Episode Listen Later Sep 19, 2022

Pulmonologists have noted an exciting “baby boom” among women with Cystic Fibrosis (CF) in the last several years. As Gretchen Winter, MD, explains, CFTR modulators have led to increased fertility and the prospect of family planning for those with CF. She discusses the unique concerns those with CF may have when making reproductive decisions, such as effective contraception; safety of CFTR modulator use during both pregnancy and breastfeeding; and the risk of passing on the genetic disease. She also presents the different pathways to parenthood available for women and men with CF.

Facial Pain Classification and Treatment: Not Just Trigeminal Neuralgia

Play Episode Listen Later Sep 12, 2022

Patients present with facial pain for a whole host of reasons. One of the most widely known facial pain diagnosis is trigeminal neuralgia, but a whole host of other diagnosis must be considered as treatment is driven by diagnosis. In this podcast, Marshall Holland MD talks about the approach to a facial pain patient, neurosurgical options for different facial pain syndromes, the importance of listening to the patient's story fully, and the need for good relationships with other providers that may be called upon for the treatment of the patient

Sepsis: Improving Prevention, Diagnosis and Clinical Management

Play Episode Listen Later Sep 5, 2022

With no quick fix in sight, only vigilance and testing can help prevent death from sepsis—the dysregulated immune response that is responsible for 270,000 deaths per year. Justin Glasgow, MD, the physician advisor for sepsis at UAB Medicine, discusses best practices for identifying and classifying sepsis, as well as those for treating its root infections. He discusses the importance of following the CMS reporting requirements protocol for sepsis, which includes checking lactic acid, taking blood a blood culture, and administering antibiotics or fluids depending on severity. Glasgow notes the importance of de-escalating treatment as a patient's status improves to limit risk.

Vascular Malformations of the Head and Neck

Play Episode Listen Later Aug 29, 2022

Vascular malformations in the face are lesions with potential psychosocial and functional consequences to the patient. Jesse Jones, MD—an interventional neuroradiologist—and Anthony Morlandt, MD, DDS, FACS—an  oral and maxillofacial surgeon—discuss their interdisciplinary approach to diagnosing and treating these complex lesions. They highlight the importance of accounting for and controlling blood flow in a vascular malformation during surgery to preserve facial function and appearance.

Geographic Disparities in Transplantation

Play Episode Listen Later Aug 22, 2022

The areas of the country with the highest need for liver and kidney transplants have the lowest rates. Why? Robert Cannon, MD, surgical director of the UAB Liver Transplant Program, explains that researchers have often focused on the number of patients on waitlists rather than the overall need for transplants in an area; that has resulted in more transplants in some areas that are among the best-performing already. He discusses related health-care challenges of those who live in regions with relatively low transplant rates and long-term solutions for improving transplant disparities.

Teen Pregnancy Prevention

Play Episode Listen Later Aug 15, 2022

Three in 10 teens will become pregnant before they are 20 years old. Amy Boone, MD, a specialist in pediatric and adolescent gynecology, discusses the multifaceted topics of teen sexual health, including pregnancies and STI infections, digital influences on teens, access to contraceptives, and public policy on sex education. She discusses statistical trends and how those trends relate to what we now know about effective sex education. Boone shares expertise in navigating the provider-patient relationship with teens and gives advice for balancing assurances of confidentiality while encouraging open communication between teens and their parents when practical.

Current Management of Ventricular Arrhythmias

Play Episode Listen Later Aug 8, 2022

Ventricular tachycardia (VT) is a life-threatening arrhythmia that requires a comprehensive treatment approach unique to a patient's comorbidities and heart condition. As electrophysiologist William Maddox, MD, explains, patients with a structurally normal heart can often manage VT with various medications, while those with myopathies also require defibrillator (ICD) implantation and catheter ablation. He explains the advances in catheter ablation technology that have resulted in success rates as high as 90%, depending on the patient's substrate metabolism. Research has shown that early referral for catheter ablation reduces a patient's number of ICD shocks and improves outcomes.

Exercise in Pregnancy Clinic

Play Episode Listen Later Aug 1, 2022

Women who exercise during pregnancy have better outcomes for prenatal and neonatal health, but ACOG exercise guidelines can be confusing for patients who either have not previously exercised or have high-risk conditions. Sara Gould, MD, and Chase Cawyer, MD, discuss the UAB Exercise in Pregnancy Clinic, which guides women through healthy exercise regimens with appropriate intensities informed by ultrasound technology. Learn more about how the multidisciplinary clinic, as well as the doctors own research, reduces women's hesitancy to stay active or become active, safely, during pregnancy.

Academic Global Surgery

Play Episode Listen Later Jul 25, 2022

Surgery has often been known as the ‘neglected stepchild of global health,'” says Lily Gutnik, MD, during this primer on the emergence of academic global surgery. The field of global academic surgery has only begun to cohere over the past 6-to 7 years in order to address the diverse needs that stand in the way of access to surgical care across the world. She explains the challenges of collecting meaningful data in such a cross-cutting field. Because the organization of health care varies greatly by region, Gutnik recommends a collaborative approach that begins with listening and understanding the needs of local administrators and providers.

Gynecologic Care

Play Episode Listen Later Jul 18, 2022

Gynecologic care evolves with patients throughout their lives and depending on risk factors. Ashley Wright, MD, provides an overview of the turning points in routine care by age range. She discusses the major changes in recommendations over the past decade for cervical and breast cancer screening—which depends more on genetic testing than before. Learn more about why the provider-patient relationship in gynecology is uniquely personalized.

Lung Cancer Screening Guidelines

Play Episode Listen Later Jul 12, 2022

Lung cancer is the leading cause of cancer deaths in the United States and the second most common malignancy in both men and women. Aline Zouk, MD, explains that many of these deaths are preventable via early low-dose CT scan screening among smokers and early-stage treatment. Because survival rates increase dramatically with earlier detection, the U.S. Preventive Services Task Force has updated its guidelines for screening—now, around 14 million Americans are recommended to receive yearly screenings. Dr. Zouk explains how the guidelines account for pack-years and age. The challenge for physicians, notes Zouk, is to encourage screening for patients before they exhibit any symptoms.

Breast Cancer in Sub-Saharan Africa

Play Episode Listen Later Jul 4, 2022

Women living in Sub-Saharan Africa (SSA) diagnosed with breast cancer are more than four times as likely to die from the disease (48% mortality rate) as women from wealthier countries. Lily Gutnik, MD, explains the interrelated factors—biological, social, and systemic—that lead to later diagnoses and worse outcomes for breast cancer in SSA. She shares her own research experiences in Malawi that explored ways to make screening and detection more likely, such as training laypersons in low-resource areas to conduct clinical breast exams.

Exercise Is Medicine in Cystic Fibrosis

Play Episode Listen Later Jun 27, 2022

Exercise can improve lung function and have a range of other benefits for cystic fibrosis (CF) patients, but each patient has a unique tolerance for exercise depending on age, condition, and lifestyle. Stefanie Krick, MD, discusses how the complications specific to CF require popular exercises to be modified. She also emphasizes that patients must be monitored closely for changing abilities in each phase of their lives. Multidisciplinary teams that include physical therapists are best suited to help patients with special challenges due to CF make exercise part of their lives safely.

The Role of Ambulatory Care Transition RNs

Play Episode Listen Later Jun 20, 2022

Ambulatory care transition RNs manage the crossroads of the patient experience. Alyse Hicks, RN, and Jennifer Rosales, RN, explain the dynamic work of triaging patients from an online portal and via telephone, as well as following up with those patients to prevent readmissions. They use critical thinking to make judgments based on a deep knowledge of physicians' preferences from various specialties. Learn more about the growth of their profession's scope, the challenges of maintaining their own well-being during COVID-19 peaks, and how experience and education continue to make them more effective.

Management of Spinal Vascular Lesions

Play Episode Listen Later Jun 13, 2022

Spinal vascular lesions are rare yet treatable. Good patient outcomes depend on quick recognition of stepwise symptoms and referral to specialists who can use advanced imaging and other tests. That is where Jesse Jones, MD, and Will Meador, MD, come in, with the most advanced diagnostic, treatment, and recovery techniques in neurosurgery. They discuss the pathologies of vascular lesions and closely related disorders, as well as the relative severity of these diagnoses. After explaining diagnostic methods, from simplest to most complex (i.e., spinal angiogram) methods, they describe surgical and endovascular approaches to treatment. Learn more about the urgency of treating these often-complex diagnoses and the recovery outlooks for patients who receive them.

STIs in Women and Pregnancy

Play Episode Listen Later Jun 6, 2022

STI infection rates are generally increasing in the U.S., and this is especially concerning for pregnant women; for instance, in just the last five years, congenital syphilis cases have jumped 200%. Jodie Dionne-Odom, MD, MSPH, FIDSA, defines the categories of STIs and explains possible reasons behind the increase. She emphasizes the need for early testing and treatment of pregnant women and discusses some of the advances in testing that may lead to convenient, at-home sample collection options. Learn about the clinical trials in progress at UAB exploring vaccines and antibiotics for common STIs.

Brain Tumor Therapy

Play Episode Listen Later May 23, 2022

Immunotherapy is the most promising avenue of research for treating deadly brain tumors. M. R. Chambers, DVM, MD, and James Markert, MD, MPH, are leading clinical trial research on therapies using oncolytic viruses and checkpoint inhibitors as part of an ongoing NIH-awarded UAB Specialized Program of Research. They discuss the promising immune system responses they have seen in humans and dogs via RNA-seq and NanoString analyses, as well as how results may translate from one species to the other in the form of expanded clinical trials.

UAB Adds Surgery Suite with Built-In MRI

Play Episode Listen Later May 16, 2022

Procedures for brain tumors, epilepsy, and movement disorders require a precise and conservative approach so as not to damage functioning brain tissue. UAB Hospital neurosurgeons can now check their work as they operate in a new intraoperative MRI suite—the first in Alabama. James Markert, MD, MPH, chair of the Department of Neurosurgery in the Heersink School of Medicine, discusses how surgeons respond to real-time MRIs at crucial moments. Because of this technology, UAB surgeons can now target the margins of glioma tumors; confirm proper placement of deep brain stimulators for Parkinson's disease; and use laser interstitial thermal therapy more precisely to eliminate seizures. Dr. Markert discusses the logistics of using an MRI in the operating suite and the vast potential of this suite for other surgical units.

Oral, Head and Neck Cancer: Symptoms, Types & Treatment

Play Episode Listen Later May 16, 2022

Head and neck cancer patients face not only health challenges, but identity challenges—altered appearance and speech and difficulty eating and swallowing. As a result, oral oncologists, such as Anthony Morlandt, MD, are uniquely focused on quality-of-life outcomes for patients. Dr. Morlandt explains the recent leaps forward in radiation treatment (proton therapy), jaw reconstruction (custom fabrication), and cost reduction that have dramatically improved the quality of life for UAB patients. Learn more about the new horizons of head and neck cancer care, including screening with the help of bacteria and the possible role of immunotherapy in treatment.

Cystic Fibrosis: New CF Research & Clinical Trials

Play Episode Listen Later May 16, 2022

Although most cystic fibrosis (CF) patients respond to new drug combinations which activate the proteins commonly affected by the disease, around 15% of patients are still without a treatment option. George Solomon, MD, discusses how UAB's participation in the international “Path to a Cure” initiative will expand treatment options for all CF patients. He summarizes the three prongs of the path: developing a wider range of protein modulators, finding safe and ethical ways to administer genetic therapies, and ultimately finding a universal cure for CF. But what can we do now for CF patients with less common mutations? Learn more about how the UAB Medicine Cystic Fibrosis Program gives patients with tough-to-treat protein mutations access to emerging therapies through clinical trials.

Telemedicine for Cystic Fibrosis Patients

Play Episode Listen Later May 10, 2022

Telehealth is making it possible for those with rare diseases to receive expert care more efficiently. Bryan Garcia, MD, explains that although many specialties simply had to use telehealth during the pandemic, the benefits are here to stay for many of his cystic fibrosis (CF) patients. Thanks to recent Cystic Fibrosis Foundation investments in home-monitoring spirometers and newly approved medicines that allow CF patients to maintain more routine lifestyles, telehealth is not only possible, but is often preferred. Dr. Garcia explains how CF treatment lends itself to the early adoption of telehealth, but he also emphasizes that the general trend towards it is inevitable across the industry—noting that some clinical trials are already enabling greater participation by requiring fewer in-person visits.

Hypoglossal Nerve Stimulator Implantation Treats Obstructive Sleep Apnea

Play Episode Listen Later May 2, 2022

Kirk Withrow, MD, director of Salivary and Sleep Surgery in the UAB Department of Otolaryngology, discusses a new solution for patients who do not tolerate CPAP therapy: hypoglossal nerve stimulator implantation. A CPAP machine is the first-line treatment for obstructive sleep apnea because it works when patients use it consistently—and many either cannot or do not. Hypoglossal nerve stimulation represents a new approach, adding muscle tone to the upper airway to ensure airflow. Dr. Withrow was the first surgeon in Alabama to implant a hypoglossal nerve stimulator in 2016, and he discusses the positive outcomes of the 300 implants he has placed since. As he explains in detail, the device simplifies patient adherence after being placed in a low-morbidity outpatient procedure. Find out what makes a patient a good candidate.

Pregnancy and Vaccination

Play Episode Listen Later Apr 25, 2022

Even amid dropping infection numbers and generally lower disease severity, COVID-19 is still a special concern for pregnant women, those planning to become pregnant, and new mothers. Akila Subramaniam, MD—the only doctor in Alabama board-certified in both maternal-fetal medicine and genetics—summarizes why these women should get vaccinated. As she explains, two full years of data indicate that vaccination protects mother and child against severe illness from the disease (for which they are at heightened risk). Dr. Subramanian addresses the concerns her patients often have about vaccines in general. She also emphasizes the extra care pregnant women should take in masking and social distancing even as the general population may continue to follow more relaxed standards.

Ongoing Impact of COVID-19 in Ambulatory Care Settings

Play Episode Listen Later Apr 18, 2022

COVID-19 has shone a light on the dynamic, challenging, and rewarding field of nursing. Antoinette Shedlarski, RN; Jennifer Rosales, RN; and Alyse Hicks, RN, discuss the ongoing impact of COVID-19 in ambulatory care settings. The panel explains the role that good communication patterns; accurate triage; reliance on telehealth; and learning from evolving infectious disease research allowed them to give their patients the best care despite unprecedented demand. These nurses take pride in being the cool heads who bridge the gap between patient and provider during tough times, pandemics and otherwise.

Hip Arthroscopy: New Frontier in Treating Hip Pain

Play Episode Listen Later Apr 11, 2022

Hip arthroscopy is a relatively new and expanding field to treat hip impingement and groin pain in young active individuals. The hip labrum can tear, causing significant pinching pain with deep flexion, prolonged running, or prolonged sitting. Aaron Casp, MD discusses the goal to intervene before degenerative changes and hip arthritis begin set in, and prolong the health of the joint.

New Treatment for Rotator Cuff Injury

Play Episode Listen Later Apr 4, 2022

Rotator cuff tears are painful and limiting for patients; larger tears have had poor outcomes in general and have often been deemed irreparable. But a new procedure using a subacromial balloon spacer offers hope to patients with large tears, a way of relieving their pain and restoring range of motion—and without the tissue grafts of capsular reconstruction. Amit Momaya, MD; Aaron Casp, MD; and Eugene W. Brabston, III, MD, of the UAB Medicine Sports Medicine program, have led research and early implementation of this procedure. They discuss the function of a biocompatible, saline-filled balloon in keeping the humeral head centered during shoulder movements, explore possible explanations for why this procedure is so effective, and explain its advantages for recovery. Find out which of your patients may now have an option for restoring shoulder mobility.

Maxillofacial Prosthetics Practice Profile

Play Episode Listen Later Mar 28, 2022

Did you know the same type of dentist who places a full mouth of dental implants for a cancer patient can also repair congenital anomalies in the mouth; place an inter-oral barrier to preserve eating ability; and even create a prosthetic nose or ear? In Alabama, there is only one such dentist who subspecializes in maxillofacial prosthodontics and dental oncology—Michael Kase, DMD. Learn more from Dr. Kase about his dynamic UAB Medicine practice, his training, and the wide range of fascinating procedures he has performed—referring physicians often call on Dr. Kase when there seem to be no more options for a patient. Find out how he coordinates care with a multi-disciplinary team including medical and radiation oncologists, ENT specialists, and speech-language pathologists to solve complex issues.

Endobronchial Lung Volume Reduction

Play Episode Listen Later Mar 21, 2022

For certain severe COPD patients who are not responding to bronchodilators and rehabilitation, a new minimally invasive procedure is available that can yield a 15-20% improvement in lung function. As Surya Bhatt, MD, explains, the Zephyr endobronchial valve addresses emphysema via lung volume reduction; the one-way valve is placed through a bronchoscope, without even a stitch. The procedure, performed under conscious sedation or general anesthesia, can dramatically improve patients' quality of life if they meet certain criteria. Learn more from Dr. Bhatt about the importance of intact fissures, the ideal differences in respective lung lobe performance, and the critical tests he uses to determine if this procedure is right for your patient.

The Role of Radiation Therapy for Oral Cancer

Play Episode Listen Later Mar 7, 2022

Precision coordination among specialists is critical to successfully treating oral cancer. Michael Kase, DMD; James Snider, III, MD; and Christopher Willey, MD, discuss advances in both radiation therapy and overall treatment timelines for oral cancer. Though proton therapy is an exciting new form of radiation that limits damage to surrounding tissues, there are still serious side effects to the treatment and serious consequences to delays. The doctors emphasize the role of a prosthodontist in avoiding common long-term issues with the jaw and mouth. Learn more about the “well-orchestrated dance” between medical and radiation oncologists, surgeons, and prosthodontists needed to treat this delicate area.

The UAB Oral Oncology Multidisciplinary Clinic

Play Episode Listen Later Feb 21, 2022

Anthony Morlandt, MD, DDS, FACS, Michael Kase DMD and Christina Cyriac PA-C discuss The UAB Oral Oncology Multidisciplinary Clinic. They tell us about oral cancer and why the care management model is challenging. They share the importance of a multidisciplinary approach for these patients and the most important issues to patients and families as they navigate cancer care. They talk about whether medical insurance covers the dental aspects of multi-specialty oral cancer care and how the oral oncology clinic at UAB Medicine makes oral cancer care unique

The Immense Value of Dental Implants For The Oral Cancer Patient

Play Episode Listen Later Feb 14, 2022

Dental implants (or their absence) change an oral cancer patient's quality of life forever—socially, psychologically, and nutritionally. Michael Kase, DMD, and Anthony Morlandt, MD, DDS, FACS, discuss the complexity of modern titanium implants and the special coordination that goes into successful implants for an oral cancer patient. Learn how the comprehensive care model has changed the perception of dental implants, from an afterthought to now being considered a standard of the oral cancer treatment plan.

Common Causes and Risk Factors of Thyroid Disease

Play Episode Listen Later Feb 7, 2022

Thyroid disease is one of the most common found in general practice, though many people never know they have it. For primary care physicians, keeping your patient's condition manageable is often as simple as doing the right blood work, that is, a TSH level test, and knowing when to make a referral. Endocrinologist Richard Rosenthal, MD, discusses the steps of diagnosing and treating both hyperthyroidism and hypothyroidism. Join him to learn more about identifying nodules, the proper use of different imaging techniques, common medications, surgical options, and special considerations for pregnant women with thyroid disease.

Bicuspid Valve Disease

Play Episode Listen Later Jan 31, 2022

Bicuspid valve disease one of the most common congenital heart defects, affecting 1-2% of the entire population. Because it is asymptotic for many who have it, or for much of their lives, detection and treatment can be complex. Kyle Eudailey, MD, discusses the three common ways that symptoms of bicuspid valve disease complications present themselves, as well as the ages at which these symptoms usually occur. He describes the multidisciplinary approach needed for successful treatment at various ages and the importance of screening relatives of those diagnosed with the disease.

Non-Fluoroscopic Imaging for Endovascular Surgery

Play Episode Listen Later Jan 24, 2022

Due to its two-dimensional (2D) nature and the high radiation exposure associated with its use, fluoroscopy is an imperfect solution to endovascular surgery's need for intraoperative imaging. Adam Beck, MD discusses non-fluoroscopic imaging for endovascular surgery

New Ways to Approach Pancreatic Cancer

Play Episode Listen Later Jan 17, 2022

Pancreatic cancer is among the most difficult types to treat, but clinical researchers and oncologists have finally moved the needle on patient survival rates. J. Bart Rose, III, MD; Rojymon Jacob, MD; and Moh'd Khushman, MD, discuss new approaches to pancreatic cancer. Join them to learn more about how targeted therapies, immunotherapies, and other novel agents are improving patient journeys and outcomes.

Benefits of Multidisciplinary Care for Colorectal Cancer Patients

Play Episode Listen Later Jan 10, 2022

Multidisciplinary colorectal oncology clinics bring together radiation oncologists, medical oncologists, and surgery teams to develop treatment programs that are more effective and efficient for patients. Drew Gunnells, Jr., MD; Rogeemon Jacob, MD; and Moh'd Khushman, MD, discuss the major breakthroughs informing multidisciplinary colorectal cancer care. More accurate staging, molecular profiling, and use of circulating tumor DNA to assess disease response are among the most significant advancements discussed. Meanwhile, the doctors note that COVID-19 protocols have highlighted the efficiency of using telehealth and exploring fewer radiation treatments when possible

Outpatient Total Joint Replacement: The Future is Now

Play Episode Listen Later Jan 9, 2022

Due to advances in anesthesiology, pain management, and physical therapy, total joint replacement is becoming popular as an outpatient surgery. Scott Mabry, MD, explains these interdisciplinary improvements that have made same-day total joint replacement preferable for many patients. Learn about the importance of proper patient selection, the kind of team that successfully coordinates this outpatient procedure, and how your patients might benefit.

Robotic Bronchoscopy

Play Episode Listen Later Dec 27, 2021

Hitesh Batra, MD, discusses how UAB Medicine is the first in the state to use the Intuitive robotic bronchoscopy system. Batra shares the limitations of traditional bronchoscopy and how robotic bronchoscopy has changed the landscape for detection of lung nodules.

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