Podcasts about md host larry kaskel

Guest: William Hutton, MD Host: Larry Kaskel, MD Decisions on practice philosophy, finances, marketing, and much more are yours to make when starting your own medical practice. That's the good news. But it can also make the prospect of setting up your own shop seem extremely daunting. From picking a location, to creating a business plan, to seeking expert advice on accounting, credentialing and legal issues, how can you put it all together to create a successful private practice? Host Dr. Larry Kaskel welcomes Dr. William Hutton, founder and chairman of the board of MedSynergies, a medical practice management firm based in Irving, Texas, who provides pointers you can use when launching your own practice.

Guest: Leslie Ramirez, MD Host: Larry Kaskel, MD With tens of millions of people in the United States living without health insurance, lower prices for medicine and tests can mean the difference between seeking care and going without it. Even for those with insurance, lower prices can significantly ease out-of-pocket costs. How can we help patients find these lower prices, and might we also use price comparisons in our own practice? One physician has taken these issues into her own hands, creating a website that offers comparative pricing for tests and medications in the Chicagoland area. Host Dr. Larry Kaskel learns more about this website, leslieslist.org, from its founder, Dr. Leslie Ramirez, who also works full-time as a general internist. How has her work on the website changed her prescribing habits, and could they change yours too? Dr. Ramirez also shares a few tips for you to help your patients with bargaining on prices, and other ways to drive down costs.

Guest: Elizabeth Pector, MD Host: Larry Kaskel, MD Though healthcare is seemingly one of the more stable sectors of our turbulent economy, many practitioners are still struggling to subdue rising costs. For patients who may be unable to pay up front, can you employ effective payment plans that won't sidetrack your financial outlook? What else can we do to maintain our practice while dealing with the burdens of these tough times? Host Dr. Larry Kaskel welcomes Dr. Elizabeth Pector, a family physician practicing in Naperville, Illinois, just west of Chicago, and a member of the editorial board for Medical Economics magazine. Dr. Pector also delves into an assortment of other issues in medicine today: reimbursement increases, chronic illness management and wellness services merged into one office visit, and maintaining an office staff that can effectively balance good business acumen with respectful patient relations.

Guest: John Chuey, MD Host: Larry Kaskel, MD In the city that never sleeps, there's a new physician-staffed medical clinic that, well, doesn't sleep either. We all have a few night owls, night-shifters or insomniacs in our practice; we also have patients who may be bothered by pain or illness in the middle of the night, but will avoid a visit to the emergency at all costs. In New York City, at least, these patients have another option for late-night care. For more on this interesting new option for patient care, host Dr. Larry Kaskel welcomes Dr. John Chuey, senior physician at the 23rd Street Office of the Beth Israel Medical Group in New York City, a 24-hour medical clinic staffed round-the-clock by physicians.

Guest: Robert Lamberts, MD Host: Larry Kaskel, MD We've heard a lot about the economic stimulus funding for electronic medical records (EMR), but the central question for you is whether your practice or institution is ready to take on the effort to install it, maintain it and flourish with it. Stimulus money aside, it's a major investment of time, energy and other resources. When considering the purchase of an EMR, how can your practice ensure that you are buying the right product for the right reasons? Dr. Robert Lamberts, board-certified internist and pediatrician and an experienced lecturer on the subject of electronic medical records, shares a few tips to help you make sure it doesn't become an unnecessary hassle for your practice. Dr. Larry Kaskel hosts.

Guest: Matthew A. Menza, MD Host: Larry Kaskel, MD Could tricyclic antidepressants be more effective at treating depression in patients with Parkinson's disease? They have been used since the 1950s for treatment of depression, but in recent years, selective serotonin reuptake inhibitors (SSRIs) have become the predominant form of therapy. New research is suggesting that SSRIs may not be the best antidepressant option for our patients with Parkinson's. The lead author of this research, Dr. Matthew Menza, professor of psychiatry and neurology, and interim chair of psychiatry at the Robert Wood Johnson Medical School, speaks with host Dr. Larry Kaskel about the potential implications of his study on how we care for our Parkinson's patients who are also suffering from depression. Dr. Menza also explores a few other relevant issues: the reticence, among many of those with Parkinson's, to speak with their physician about depression, and the concurrent reluctance, among many in the medical community, to recognize and treat their patients' vulnerability to depression.

Guest: Hyunmi Choi, MD Host: Larry Kaskel, MD Is brain surgery better than medicine for temporal lobe epilepsy? Host Dr. Larry Kaskel talks with Dr. Hyunmi Choi, assistant professor of clinical neurology at Columbia University Medical Center in the Comprehensive Epilepsy Center, about her research into the benefits of brain surgery over continued medication management.

Guest: Brian Rank, MD Host: Larry Kaskel, MD Executive physicals are marketed widely as the ultimate medical checkups for discerning consumers. Dr. Brian Rank, the medical director of HealthPartners Medical Group and Clinics of Minnesota, discusses with host Dr. Larry Kaskel the basis for his belief that the popularity of executive physicals isn't good for medicine or the patients who undergo them. Tune in to hear Dr. Rank explain why executive physicals can be harmful to one's health, are a waste of healthcare resources, and create anxiety and a false sense of wellness.

Guest: William Jessee, MD Host: Larry Kaskel, MD Each year the Medical Group Management Association produces a report on practice operating costs and profitability. Dr. Larry Kaskel discusses the most recent results with Dr. William Jessee, president of Medical Group Management Association. The critical finding is that practice-operating costs are increasing at a higher rate than practice revenue in all areas of medicine. Dr. Jessee reports that the greatest driver of costs is labor due to shortages of healthcare workers and resulting increases in salaries. Notwithstanding, Dr. Jessee notes that practices with more FTE support staff were more profitable than those with fewer FTE support staff, highlighting the importance of proper staffing for the job function. Dr. Jessee discusses the importance of real-time adjudication and the developing trend of more hospital-owned practices.

Guest: Wayne Peters, MD Host: Larry Kaskel, MD Recent studies indicate that some patients may not obtain the full benefits of aspirin's antiplatelet effects Guest Dr. Wayne Peters discusses with host Dr. Larry Kaskel the benefits of aspirin to prevent and manage heart disease, and the tests available to measure aspirin resistance or platelet function. Dr. Peters outlines the clinical importance of these tests and the various factors that can affect absorption including medications such as ibuprofen, smoking and high cholesterol. Tune in to hear how a simple urinary test will provide the primary care physician the information to effectively use aspirin for the prevention and management heart disease in combination with other prevention mechanisms.

Guest: Kathleen Franco, MD Host: Larry Kaskel, MD Imagine being told on the first day of medical school that your graduate education would be at no charge. You may think this is impossible unless you are a student at The Cleveland Clinic Lerner College of Medicine of Case Western Reserve University. Dr Kathleen Franco, associate dean for Admissions, explains to host Dr. Larry Kaskel the decision of Clinic's medical school to offer a tuition free medical education, the funding mechanisms instituted to support this decision indefinitely, and the impact on the students and medical community.

Guest: Emile Allen, MD Host: Larry Kaskel, MD Dr. Emile Allen, an urologist and founder of Practice Pearls, discusses the disabling injury he suffered while practicing medicine, and how his experience as a patient gave rise to his new career. Practice Pearls is a website that provides doctors strategies to improve and grow their practice. Dr. Allen informs host Dr. Larry Kaskel about other information available on the website, including advice to reduce one's malpractice exposure and risk of employee and partnership litigation.

Guest: Sam Nussbaum, MD Host: Larry Kaskel, MD What is the value of a subjective patient ranking system? WellPoint's Chief Medical Officer Dr. Samuel Nussbaum joins us to better explain the goals of the physician ranking system that is being developed by Zagat and Wellpoint, Inc. Dr. Nussbaum says we should carefully distinguish between the technical quality of care and the office experience. The patient's perception of the office experience can teach us to do better. Hosted by Dr. Larry Kaskel.

Guest: Seth Baum, MD Host: Larry Kaskel, MD What does it take to develop a new product? How about an evidence based vitamin line? Today's guest, Cardiologist Dr. Seth Baum, was frustrated with the bags of supplements his patients would bring to him. They were taking too many supplements and not getting the right vitamins and nutrients. In this segment hear about Dr. Baum's experience developing a vitamin line. Dr. Kaskel asks him about the business requirements including raising capital, manufacturing the product, ensuring quality and distribution. They also discuss the ethicality of recommending & selling a product to your patients in which you directly profit.

Guest: Richard Goode, MD Host: Larry Kaskel, MD Are your patients' expectations too high? Could docs be at fault for setting those expectations? Dr. Richard Goode, professor of otolaryngology at Stanford University Medical Center, joins host Dr. Larry Kaskel to discuss his recent article, The Unhappy Patient Following Facial Plastic Surgery: What to Do? and analyze why some patients will always be dissatisfied with the results. Tune in to hear how to identify those unhappy patients before they undergo a procedure. Does surgeons have an ethical obligation to treat and/or refuse treatment to these patients?

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: Paul Howard, MD Host: Larry Kaskel, MD Other than the name, Doctor-Prescribed steroids have little in common with the steroids that often get bad rap from athletic abuse. Our guest today, Dr. Paul Howard, President of Arthritis Health begins the conversation explaining the differences between anabolic and medical steroids. He and host, Larry Kaskel MD, talk about the various types of steroids, when they should be used, and for how long they can be used. They also explore the differences between Disease Modifying Agents (DMA's) and steroids.

Guest: John Cantwell, MD Host: Larry Kaskel, MD Are you qualified to be the next CMO of the Olympic Games? Our guest, Dr. John Cantwell, Cardiologist and CMO of the 1996 summer games in Atlanta share his experiences managing the health of the athletes, their families and 1.5 million spectators as the CMO of the Atlanta Games in 1996. What were the greatest challenges? Were they prepared for the bomb? Join host Dr. Larry Kaskel to learn how Dr. Cantwell's preparation differs from the types of preparation required of the 2008 medical team heading to Beijing.

Guest: Mark Willenbring, MD Host: Larry Kaskel, MD Given the pervasiveness of alcohol use disorders (AUDs) in the United States, Dr. Mark Willenbring says, “we need to be intervening at a much earlier stage and providing treatment to a much broader range of people then we currently do.” Dr. Willenbring, director of the National Institute on Alcohol Abuse and Alcoholism's Division of Treatment and Recovery Research, joins host Dr. Larry Kaskel to talk about new information from epidemiologic research on the prevalence and progression of heavy drinking and alcohol use disorders. In addition, Dr. Willenbring discusses the subtypes of alcohol dependence, and the nature of AUDs, in the context of DSM revisions.

Guest: Marcy Zwelling, MD Host: Larry Kaskel, MD In 2004 Dr. Zwelling-Aamot dramatically reduced the size of her practice, adopting the concierge model in order to provide a higher level of access and attention to a smaller number of patients. Host Dr. Larry Kaskel speaks with Dr. Aamot about the failings of the current healthcare system in the United States and the decision to convert her practice into a concierge model.

Guest: Steven Knope, MD Host: Larry Kaskel, MD One of the leading pioneers and innovators in concierge medicine, Dr. Steven Knope discusses how the concierge medicine practice model is a solution to the failing health care system in the United States. Dr. Knope opened one of the nation's first concierge medical practices and discusses why the arrangement is the perfect resource for practitioners and patients alike. Dr. Knope also discusses some of the key steps necessary for converting a practice to a concierge model, outlined in his book, Concierge Medicine A New System to Get the Best Healthcare.

Guest: Renu Virmani, MD Host: Larry Kaskel, MD Drug-eluting stents or bare metal stents: can pathology research give us a clearer picture? An internationally recognized cardiopathologist, Dr. Renu Virmani, sorts through what we know and what don’t know about drug-eluting stents with host Dr. Larry Kaskel. According to Dr. Virmani, the long-term outlook for stents is quite good, with key improvements in polymers and advances that afford us better quantitative control over the drugs administered via stents.

Guest: Renu Virmani, MD Host: Larry Kaskel, MD What does pathological data tell us about vulnerable plaque and how can we detect it before it’s too late? Join internationally recognized cardio pathologist, Dr. Renu Virmani talking about what she has discovered in the path lab about patients who have died from plaque rupture. She discusses with Dr. Kaskel the variations in soft and hard plaque, the role of the vaso vasorum in disease and whether or not non-invasive techniques can lead to a diagnosis about plaque.

Guest: Bill Crounse, MD Host: Larry Kaskel, MD Imagine monitoring your chronically ill patients while they're at home and you're away from the office. Advances in telemedicine are making this scenario a part of the everyday practice of medicine. Host Dr. Larry Kaskel talks with Microsoft's Senior Director of Worldwide Health, Dr. Bill Crounse, about the latest applications of telemedicine. Dr. Crounse discusses its impact on global health, the need for payers to cover it, and new products and services that promote telemedicine.

Guest: Matt Budoff, MD Host: Larry Kaskel, MD In this segment, Dr. Larry Kaskel welcomes our guest Dr. Matt Budoff Associate Professor of Medicine UCLA School of Medicine. They discuss the developments in noninvasive imaging and how these modalities are used in identifying patients with high levels of calcified plaque and high probability of being a vulnerable patient.

Guest: Amir Lerman, MD Host: Larry Kaskel, MD They say a man is as old as his arteries. We can now tell our patients just how old they are with the FDA-approved Endopat2000, a noninvasive device that safely and quickly measures endothelial function and can help monitor response to treatment or interventions. Join host Dr. Larry Kaskel talking with Dr. Amir Lerman to learn more about measuring endothelial function.

Guest: Amir Lerman, MD Host: Larry Kaskel, MD What is the endothelium and how does it regulate itself in wellness and in illness? What are the consequences of endothelial dysfunction and how we can measure it? Join Host, Dr. Larry Kaskel talking with our guest Dr. Amir Lerman to answer these questions and more.

Guest: Morteza Naghavi, MD Host: Larry Kaskel, MD Guest: Prediman Shah, MD The Society for Heart Attack Prevention and Eradication, SHAPE is focused on several primary interventions to eliminate heart attacks. Join Dr. Larry Kaskel interviewing Dr. Morteza Naghavi and Dr. P.K. Shah to learn about several of SHAPES' top priorities including the polypill and the vaccination for atherosclerosis. What is a polypill and does it make sense? Also, where are we in the current prospect of a vaccine for atherosclerosis?

Guest: Morteza Naghavi, MD Host: Larry Kaskel, MD Guest: Prediman Shah, MD In this segment, our guests Dr. Morteza Naghavi and Dr. P.K. Shah provide an Introduction to the SHAPE Initiative including SHAPE's medical education goals and campaign. In addition, they discuss screening for vulnerable plaque and reconciling FRS Scoring with established and emerging technologies for increased effectiveness at heart attack prevention.

Guest: Paul Shin, MD Host: Larry Kaskel, MD What is known about the cause of Peyronie's Disease, and what are the latest treatments? Join host Dr. Larry Kaskel to discuss Peyronie's Disease with our guest, Dr. Paul Shin.

Guest: Paul Shin, MD Host: Larry Kaskel, MD Our guest, Dr. Paul Shin prefers to use the in-line vasectomy method on his patients. What is different about this technique and why is it better for the patients? Join host, Dr. Larry Kaskel to learn about in-line vasectomy and also about vasectomy reversal.

Guest: Paul Shin, MD Host: Larry Kaskel, MD Does daily dosing provide patients with ED a better option? Join host Dr. Larry Kaskel speaking with urologist Dr. Paul Shin about the various ED medications on the market and the differences between them.

Guest: David Wright, MD Host: Larry Kaskel, MD Our guest, Dr. David Wright shares news of a new device currently being tested to screen for mild congnitive impairment, one of the earliest signs of Alzheimer's. Is this a device you should have in your office? Join host Dr. Larry Kaskel to find out.

Guest: David Wright, MD Host: Larry Kaskel, MD How do new devices get into clinical settings? Join host Dr. Larry Kaskel speak with Physician and Inventor Dr. David Wright about the challenges in bringing new medical technologies to the clinical setting.

Guest: David Wright, MD Host: Larry Kaskel, MD Our guest, Dr. David Wright shares news of a new device currently being tested to screen for mild congnitive impairment, one of the earliest signs of Alzheimer's. Is this a device you should have in your office? Join host Dr. Larry Kaskel to find out.

Guest: William Elliott, MD Host: Larry Kaskel, MD Is there evidence that patients can lower their own blood pressure by changing their breathing patterns? Do device-guided breathing tools such as RESPERATE help a patient lower their blood pressure? Find out in this segment as Dr. Larry Kaskel speaks with our guest Dr. William Elliot about breathing and blood pressure.

Guest: William Elliott, MD Host: Larry Kaskel, MD A recent Business Week article suggests that physicians are overusing cholesterol lowering medications. In this segment, Dr. Larry Kaskel explores the use of statins with our guest, Dr. William Elliott. They discuss who benefits from statins, how patient knowledge of statins impact physician prescribing, and details of NNT. Join Us.

Guest: Bill Crounse, MD Host: Larry Kaskel, MD Dr. Larry Kaskel speaks with Dr. Bill Crounse, Senior Director, Microsoft Worldwide about Microsoft's recently launched HealthVault, or personal medical records system. How can HealthVault help you and your patients? Join us to find out.

Guest: Bill Crounse, MD Host: Larry Kaskel, MD Dr. Bill Crounse, senior director of worldwide health for the Microsoft Corporation, joins host Dr. Larry Kaskel for an interesting conversation about the most effective measures to provide training in information technologies to you and your colleagues. As these tools evolve to become more applicable to everyday health care, how can we incorporate training programs into our medical schools, teaching hospitals and residency programs?

Guest: Ronald Myers, MD Host: Larry Kaskel, MD Collaboration is a theme that pop-up regularly in discussions about how to improve our healthcare system. The Pennsylvania Cancer Control Consortium, an example of just one collaborative healthcare effort has created a statewide blueprint for all sectors of Pennsylvania—public, academic, private, and volunteer, to work together to meet the growing challenge of cancer control. Join host Dr. Larry Kaskel learn more about this consortium with our guest Dr. Ron Myers.

Guest: Timothy Henry, MD Host: Larry Kaskel, MD Not all hospitals are equipped with staff or equipment to perform percutaneous coronary intervention on an emergency basis. However, in an emergency situation, critical decisions must be made: Take a patient to the nearest medical center that can provide fibrinoloysis or take the extra time to get them to a medical center who can perform PCI. What are the current protocols in place to make this often times life/death decision? Join host, Dr. Larry Kaskel talk with Dr. Tim Henry, Director of Research at the Minneapolis Heart Institute Foundation about his recent paper entitled, 'Design of a Standardized System For Transfer of Patients with ST-elevation Myocardial Infarction for Percutaneous Coronary Intervention.'

Guest: Ezra Cohen, MD Host: Larry Kaskel, MD Rapamycin has potential anti-cancer activity but poor oral bioavailability. Grapefruit Juice increases the bioavailability of many drugs. In this segment, Dr. Ezra Cohen shares his research in which he tests whether or not grapefruit juice increases the absorbtion of rapamycin and what impact that may have on the cost and distribution of the Drug. Join host Larry Kaskel to learn more.

Guest: Pedro Moreno, MD Host: Larry Kaskel, MD What are the best imaging techniques for detecting sub-clinical coronary artery disease and how do you interpret and act on the results? Join host Dr. Larry Kaskel speaking with world renowned expert in high-risk atherosclerosis, Dr. Pedro Mereno.

Guest: Pedro Moreno, MD Host: Larry Kaskel, MD In this segment, host, Dr. Larry Kaskel speaks with Dr. Pedro Mereno about the lesser known causes of athlersclerosis. For heart attack prevention learn why physicians need to start focusing on the vaso vasorum rather than the endothelium.

Guest: Ron Waksman, MD Host: Larry Kaskel, MD How is a bio degradeable stent superior to a polymer stent and how specifically do the differ in their ability to support the vessel in which they are implanted? Host Larry Kaskel talks with Dr. Ron Waksman about different types of stents and about what evidence exists that stenting is the better solution than non-stent alternatives to treat vulnerable plaque.

Guest: Ron Waksman, MD Host: Larry Kaskel, MD In this segment, Dr. Ron Waksman talks with host Larry Kaskel about the use of intravascular MRI to detect vulnerable plaques in the heart or carotid artery. He compares the type of information and reliability between angiograms and other imaging techniques and he also discusses how an internist can stablize vulnerable plaque.

Guest: Bill Crounse, MD Host: Larry Kaskel, MD Our guest, Dr. Bill Crounse, Senior Director, Microsoft Worldwide Health talks with host Larry Kaskel about 5 emerging trends in healthcare technology. How will these trends affect you in your role as a healthcare provider?

Guest: Bill Crounse, MD Host: Larry Kaskel, MD Dr. Bill Crounse, Senior Director, Microsoft Worldwide Health joins host Dr. Larry Kaskel for an in-depth look at the many technological advances available now and in the future to help us better manage healthcare communications and operations.

Guest: Richard Valicenti, MD Host: Larry Kaskel, MD What are the reasons a patient should have surgery vs. radiation therapy when trying to cure prostate cancer? When are both treatments recommended? Join oncology radiation specialist Dr. Rick Valicenti speak with host Dr. Larry Kaskel about the most promising treatments for prostate cancer patients.