Podcasts about md host maurice pickard

Guest: Shelly Batra, MD Host: Maurice Pickard, MD Multidrug Resistant (MDR) Tuberculosis is a growing public health epidemic in India. Experts estimate there could easily be over 5 million cases of MDR TB at present, with each untreated patient capable of spreading the disease to 10-15 others per year. The non-profit organization Operation ASHA has expanded its role considerably over the past few years to stem this tide of TB transmission from the poorest to the most prosperous communities, bringing innovative treatment protocols right to the patients' doorsteps. Dr. Shelly Batra, president of Operation ASHA, discusses the progress being made in this increasingly global public health campaign. Hosted by Dr. Maurice Pickard.

Guest: Shelly Batra, MD Host: Maurice Pickard, MD Multidrug Resistant (MDR) Tuberculosis is a growing public health epidemic in India. The non-profit organization Operation ASHA has expanded its role considerably over the past few years to stem this tide of TB transmission within both the poorest and the most prosperous communities, bringing innovative treatment protocols right to the patients' doorsteps. Dr. Shelly Batra, president of Operation ASHA, discusses the progress being made in this increasingly global public health campaign. Hosted by Dr. Maurice Pickard.

Guest: Gerald Reaven, MD Host: Maurice Pickard, MD Metabolic syndrome is generally considered to be a combination of conditions that increases a patient's risk of developing coronary artery disease. These conditions include elevated blood pressure, obesity, insulin resistance, elevated C-reactive proteins and high triglycerides or HDL cholesterol. If a patient has three or more of these conditions, he or she is classified as having metabolic syndrome. But what is the clinical applicability of this "syndrome," and should practicing physicians still be using the metabolic syndrome concept? Dr. Gerald Reaven, active emeritus professor of medicine at the Stanford University School of Medicine in Stanford, California, suggests that there are more reliable methods than the metabolic syndrome classification for determining a patient's risk of developing coronary artery disease. Dr. Maurice Pickard hosts.

Guest: Gerald Reaven, MD Host: Maurice Pickard, MD Metabolic syndrome is generally considered to be a combination of conditions that increases a patient's risk of developing coronary artery disease. These conditions include elevated blood pressure, obesity, insulin resistance, elevated C-reactive proteins and high triglycerides or HDL cholesterol. If a patient has three or more of these conditions, he or she is classified as having metabolic syndrome. But what is the clinical applicability of this "syndrome," and should practicing physicians still be using the metabolic syndrome concept? Dr. Gerald Reaven, active emeritus professor of medicine at the Stanford University School of Medicine in Stanford, California, suggests that there are more reliable methods than the metabolic syndrome classification for determining a patient's risk of developing coronary artery disease. Dr. Maurice Pickard hosts.

Guest: Douglas Diekema, MD Host: Maurice Pickard, MD Although female genital mutilation and circumcision are banned in the US, these brutal procedures are still part of a ceremonial ritual for some cultures. This issue was brought to national attention in the US when a recent statement from the American Academy of Pediatrics suggested a pinprick or nicking procedure performed by pediatricians in this country might be an effective way to discourage families from traveling overseas for more disfiguring procedures. The statement was retracted soon after its release. Dr. Douglas Diekema, director of education for the Treuman Katz Center for Pediatric Bioethics, and professor in the division of bioethics, department of pediatrics at the University of Washington School of Medicine, discusses the original intent of this policy suggestion, and the greater issue of female genital mutilation and circumcision in the US and worldwide. How often do American pediatricians see girls who have had complications from these procedures? Dr. Maurice Pickard hosts.

Guest: Lynne Mofenson, MD Host: Maurice Pickard, MD Although HIV transmission through breast milk is a significant global health issue, many mothers and their babies depend on breastfeeding for survival. About 90% of children who become infected with HIV each year are in sub-Saharan Africa. What therapeutic interventions are recommended for mothers with HIV in order to prevent transmission of the virus to their babies? Dr. Lynne Mofenson, chief of the pediatric, adolescent and maternal AIDS branch at the National Institute of Child Health and Human Development, at the National Institutes of Health in Rockville, Maryland, discusses two exciting new developments found to reduce the risk of HIV transmission from mothers to their babies in places where replacement feeding for infants isn't available. Hosted by Dr. Maurice Pickard.

Guest: Andrew Dennis, MD Host: Maurice Pickard, MD When our guest makes a house call, it's usually because a suspected criminal has barricaded himself, with or without hostages, inside the house. Dr. Andrew Dennis is a sworn police officer and medical director of two Chicago-area SWAT teams. Dr. Dennis is also an attending surgeon in the trauma and burn units at John H. Stroger Jr. Cook County Hospital in Chicago. How is what happens in the emergency department similar to what happens in the field, and how do a surgeon's skills complement the work of law enforcement? Also, host Dr. Maurice Pickard hears how television affects the outcome of gunshot and knife injuries.

Guest: Subodh Kumar Singh, MD Host: Maurice Pickard, MD The Oscar-winning documentary film Smile Pinki depicts a little girl who undergoes a cleft palate operation, and experiences a very changed life as a result. Host Dr. Maurice Pickard welcomes Pinki’s surgeon, Dr. Subodh Kumar-Singh, director and chief of plastic surgery at GS Memorial Plastic Surgery Hospital in Varanasi, India. Dr. Kumar-Singh also works with the non-profit organization Smile Train, which provides cleft surgeries to underserved children worldwide. Tune in to learn more about the significant problem of cleft lip and palate in India, and worldwide.

Guest: Abraham Morgentaler, MD Host: Maurice Pickard, MD Testosterone therapy for men is controversial, but some new research suggests physicians might want to re-evaluate increasing the levels of testosterone in men with lower levels. Sexual dysfunction is one of the more apparent symptoms of low testosterone, but what are the other non-sexual symptoms of low "T" physicians should be aware of? What are the parameters for determining appropriate testosterone levels in our male patients? Isn't there an increased risk of developing prostate cancer among men undergoing testosterone therapy? Tune in to hear Dr. Abraham Morgentaler, associate clinical professor of surgery (urology) at Harvard Medical School and author of the book Testosterone for Life, weigh in on these and other questions surrounding testosterone therapy. Hosted by Dr. Maurice Pickard.

Guest: John Heffner, MD Host: Maurice Pickard, MD Do allergies to various types of fungi trigger worsening of asthma? Are patients with severe asthma sensitive to certain species of fungus more than others? Dr. John Heffner, professor of medicine at the Oregon Health and Science University, discusses how patients with asthma might benefit from antifungal agents. Does off-label use of itraconazole for patients with severe asthma require long-term adherence for optimal asthma control? Dr. Maurice Pickard hosts.

Guest: John Heffner, MD Host: Maurice Pickard, MD Do allergies to various types of fungi trigger worsening of asthma? Are patients with severe asthma sensitive to certain species of fungus more than others? Dr. John Heffner, professor of medicine at the Oregon Health and Science University, discusses how patients with asthma might benefit from antifungal agents. Does off-label use of itraconazole for patients with severe asthma require long-term adherence for optimal asthma control? Dr. Maurice Pickard hosts.

Guest: Daniel Remick, MD Host: Maurice Pickard, MD While many patients with asthma are allergic to pollen or pet dander, new evidence suggests inner city asthma patients may be most allergic to cockroach remains found in household dust. Dr. Daniel Remick, chair and professor of pathology at Boston University School of Medicine, discusses his new research demonstrating the relationship between household dust from city buildings and asthma. What implications for treatment does this research provide? Will there be an attempt to desensitize children to this cockroach allergen in the future? Dr. Maurice Pickard hosts.

Guest: Shelly Batra, MD Host: Maurice Pickard, MD Tuberculosis is a public health epidemic in India. What strategies is the non-profit organization Operation ASHA using to treat and prevent T.B. in India? Tune in to hear Dr. Shelley Batra, gynecologist and president of Operation ASHA, discuss the progress being made in treating T.B. patients in India, and why she has dedicated her time to addressing this epidemic. Dr. Maurice Pickard hosts.

Guest: Eric D. Levens, MD Host: Maurice Pickard, MD Dr. Eric Levens, Lieutenant Commander in the United States Public Health Services, discusses ethical issues that arise when research involves human oocyte donation. Among the topics discussed by Dr. Levens and host Dr. Maurice Pickard are issues surrounding donor protection. There are tensions around the potential greater risks than benefits to the donor. Additional controversies exist around the issues of informed consent and compensation.

Guest: Milton Ochieng, MD Host: Maurice Pickard, MD Guest: Frederick Ochieng Growing up in the isolated village of Lwala, Kenya, without electricity or running water, 45 minutes from the nearest paved road and two hours from the nearest hospital, the Ochieng' brothers wanted to do something to improve lives in their community. Host Dr. Maurice Pickard welcomes Dr. Milton Ochieng', a resident at Barnes-Jewish Hospital in St. Louis, and his younger brother, Fred Ochieng', a third-year medical student at Vanderbilt Medical School in Nashville, Tennessee. They tell the story of how their village pooled its resources to send them to the United States for an education, and the health clinic they returned to Lwala to build. Listen in to learn about the first 18 months at the Ochieng' Memorial Lwala Community Health Center, which has served 25,000 patients at the time of this story.

Guest: Milton Ochieng, MD Host: Maurice Pickard, MD Guest: Frederick Ochieng Growing up in Lwala, Kenya, a small rural community in western Africa, 45 minutes from the nearest paved road and two hours from a hospital, brothers Milton and Fred Ochieng' watched members in their community die simply because they could not get to a doctor quickly enough. As children, the brothers began to dream of building a healthcare facility in Lwala. In this segment, Dr. Milton Ochieng', a resident at Barnes-Jewish Hospital in St. Louis, and his younger brother, Fred Ochieng', a third-year medical student at Vanderbilt Medical School in Nashville, Tennessee, tell host Dr. Maurice Pickard the story of how, with the aid of grassroot efforts in the US, they empowered the local community in the village where they grew up to build a clinic of its own.

Guest: James M. Hughes, MD Host: Maurice Pickard, MD How large is the threat of a world wide water shortage and what can we do? Dr. James M. Hughes professor of medicine at both in the school of medicine and school of public health at Emory University speaks about water being a right but also a commodity that is costly to provide especially to those who have it in the shortest supply. There are answers that have been ignored but time is getting short as we undergo global warming and an increasing population.

Guest: James M. Hughes, MD Host: Maurice Pickard, MD Are we headed towards a water crisis? Directory of the Emory Center for Global Safe Water and professor of medicine and public health at Emory University joins host Dr. Maurice Pickard to discuss the global implications of not having clean water. He discusses the linkages between potable water, sanitation and health and the need to promote and facilitate appropriate hygienic behavior. The success of almost eradicating guinea worm shows that behavior modification can combat waterborne and vector-borne diseases.

Guest: Nir Barzilai, MD Host: Maurice Pickard, MD What does the latest research tell us about longevity? Dr. Nir Barzilai, director of the Institute for Aging Research at the Albert Einstein College of Medicine and chaired professor of medicine and molecular genetics, discusses the development of a study in a homogenous founder population in order to identify the biological and genetic underpinnings of exceptional longevity. The genotype and associated phenotype may modulate aging processes and disease susceptibility. Hosted by Dr. Maurice Pickard.

Guest: Nir Barzilai, MD Host: Maurice Pickard, MD What is the role of insulin growth factor in longevity? Dr. Nir Barzilai, director of the Institute for Aging Research at the Albert Einstein College of Medicine and chaired professor of medicine and molecular genetics, speaks about changes in insulin-like growth factor pathways in relation to longevity. The genotype of exceptional age is also associated with improved cognitive function.

Guest: William Hall, MD Host: Maurice Pickard, MD Dr. William Hall, director of the Center for Healthy Aging at Highland Hospital in Rochester, New York, discusses with host Dr. Maurice Pickard the unprecedented increase in members of our population age 85 and older, and the role this may play in exceptional longevity. We know more today than we ever have before about disease factors that cause disability and frailty, such as depression, neuromuscular stability, cognitive status and urinary incontinence. How will these factors help to support older patients?

Guest: Thomas Barr Graboys, MD Host: Maurice Pickard, MD Dr. Thomas Graboys, professor of medicine at Harvard Medical School and president emeritus of Lown Cardiovascular Research Foundation in Brookline, Massachusetts, discusses his new book Life in the Balance: a Physician's Memoir of Life, Love and Loss with Parkinson's Disease and Dementia. Dr. Graboys talks to host Dr. Maurice Pickard about his struggles to live with illness without letting illness control his life. He hopes others will find in his story comfort, inspiration, and validation of their own struggles.

Guest: Narayan Nair, MD Host: Maurice Pickard, MD Guest: Robert J. Tosatto, RPh, MPH, MBA Organized in 2002, this nationwide network of local, volunteer medical and public health professionals contribute their expertise throughout the year as well as in times of community need. Corps Directors - Captain Robert Tosatto and Dr. Narayan Nair, describe how the program is working.

Guest: Narayan Nair, MD Host: Maurice Pickard, MD Guest: Robert J. Tosatto, RPh, MPH, MBA Have you thought about joining the Civilian Volunteer Medical Reserve Corps? Captain Robert Tosatto and Dr. Narayan Nair, directors of the Civilian Volunteer Medical Reserve Corps discuss how all medical professional can join local units to improve health literacy. The MRC works to increase disease prevention, eliminate health disparities and improve public health preparedness. They are trained to respond to emergencies and support the health infrastructure of local communities. Join host Dr. Maurice Pickard to learn more.

Guest: Derek Robinson, MD Host: Maurice Pickard, MD Emergency room visits nationwide are on the rise, even as the total number of emergency rooms is falling. Add this to the fact that, according to the Center for Disease Control and Prevention's recent publication, National Hospital Ambulatory Medical Care Survey: 2006 Emergency Department Summary, only 15.9 million out of 119 million visits to the emergency room in 2006 were urgent or emergent, and we see just how taxed our emergency rooms are. Dr. Derek Robinson, of the American College of Emergency Physicians, explores solutions to this expensive and inefficient way to provide care. Dr. Maurie Pickard hosts.

Guest: Nortin Hadler, MD Host: Maurice Pickard, MD Dr. Nortin Hadler, professor of medicine and microbiology/immunology at the University of North Carolina discusses his new book Worried Sick. A prescription for Health in an Overtreated America. He documents how the consumer needs to adopt an attitude of skepticism regarding the claims of modern medicine and arm themselves with enough information to make some of their own decisions about what care is truly necessary. Hosted by Dr. Maurice Pickard

Guest: Larry Deeb, MD Host: Maurice Pickard, MD Dr. Larry Deeb, past president of medicine and science of the American Diabetes Association and clinical professor of medicine at the University of Florida College of Medicine, tells host Dr. Maurice Pickard how type 1 diabetic athletes have been able to maintain performance levels of excellence. Improvement of monitoring and insulin delivery systems allows control of glucose levels that could have only been imagined 25 years ago.

Guest: Marianne Legato, MD Host: Maurice Pickard, MD What does the research show about why men as a whole approach healthcare differently than women? How do physical, mental and environmental factors impact male health? Dr. Marianne J. Legato, professor of medicine at Columbia University and author of Why Men Die First: How to Lengthen Your Lifespan, joins host Dr. Maurie Pickard to discuss andropause, male depression, and heart health, as well as the general subject of disease, and risk-taking, screening feelings about mortality, and more.

Guest: Robert Klitzman, MD Host: Maurice Pickard, MD HIV is a very preventable disease. If everyone who is HIV positive agreed not to spread the disease it could be stopped, says our guest, Dr. Robert Klitzman, associate professor of clinical psychology at Columbia University College of Physicians and Surgeons. Disclosure however is not easy and does not always happen. Dr. Klitzman explores with host, Dr. Maurice Pickard the size of this non-disclosure problem and why communications are so difficult. It could be that sexual partners are not asking the right questions.

Guest: Mira Milas, MD Host: Maurice Pickard, 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.

Guest: Mira Milas, MD Host: Maurice Pickard, 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.

Guest: Robert Klitzman, MD Host: Maurice Pickard, MD Dr. Robert Klitzman, associate professor of clinical psychology at Columbia University, discusses how to prepare patients and their families to deal with the complex issues that arise in families that have inherited Huntington's disease. Join host Dr. Maurice Pickard for this important discussion.

Guest: Robert Klitzman, MD Host: Maurice Pickard, 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.

Guest: Robert Klitzman, MD Host: Maurice Pickard, 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.

Guest: Benjamin Hippen, MD Host: Maurice Pickard, MD Dr. Benjamin Hippen speaks about the Iranian system that allows an individual's kidney to be sold by the donor, whom we can also think of as the vendor. Examination has shown that the recipients are on a level playing field and there is no tourism or fraud. The responsibility for recruiting potential vendors becomes separated from the responsibility for approving the vendor's medical and surgical candidacy. But moral concerns in the US may have to be resolved in the future by a hybrid system that combines features of both systems.

Guest: Benjamin Hippen, MD Host: Maurice Pickard, MD Dr. Benjamin Hippen reviews the kidney transplantation policy failure in the United States. The cost is now 21 billion dollars in Medicare commitment to end-stage renal disease and 50 percent of those on the transplant waiting list will likely die before receiving an organ. This situation is getting worse by the day. Iran is the only country in the world that has no organ shortage. Is their system of legal organ "vending" worth examining?

Guest: Anjan Chaterjee, MD Host: Maurice Pickard, MD Dr. Anjan Chatterjee, Associate Professor of Neurology at the University of Pennsylvania School of Medicine discusses the off label use of drugs that could lead to issues of safety, coercion and distributive justice. Will physicians will be faced with pressure to manipulate patients' emotional lives, eroding the character of medicine both individually and communally? Dr. Maurice Pickard hosts.

Guest: Anjan Chaterjee, MD Host: Maurice Pickard, MD What are the intended or unintended consequences of a person without pathology taking medication that enhances mental performance? Could the practice of cosmetic neurology become a standard one day encouraging researchers, physicians or other workers to enhance attention to get the job done? Could the use of mental enhancing medications diminish individuality? Creativity? For a fascinating discussion join host Dr. Maurie Pickard talking with our guest Dr. Anjan Chatterjee.

Guest: Robert Klitzman, MD Host: Maurice Pickard, MD Dr. Robert Klitzman , author of When Doctors Become Patients, discusses how by being on the other side of the stethoscope the doctor/patient may gain insight, empathy and a better understanding of the needs of those he treats. Join host Dr. Maurie Pickard to learn some of the first hand lessons Dr. Klitzman gained as a patient as well as those lessons learned by other physician patients who contributed to the research of this fascinating book.

Guest: Robert Klitzman, MD Host: Maurice Pickard, MD Dr. Robert Klitzman , author of When Doctors Become Patients, discusses how by being on the other side of the stethoscope the doctor/patient may gain insight, empathy and a better understanding of the needs of those he treats. Join host Dr. Maurie Pickard to learn some of the first hand lessons Dr. Klitzman gained as a patient as well as those lessons learned by other physician patients who contributed to the research of this fascinating book.

Guest: Robert Klitzman, MD Host: Maurice Pickard, MD Dr. Robert Klitzman , author of When Doctors Become Patients, discusses how by being on the other side of the stethoscope the doctor/patient may gain insight, empathy and a better understanding of the needs of those he treats. Join host Dr. Maurie Pickard to learn some of the first hand lessons Dr. Klitzman gained as a patient as well as those lessons learned by other physician patients who contributed to the research of this fascinating book.

Guest: Michael Polifka, MD Host: Maurice Pickard, MD Dr. Michael Polifka speaks about balancing volunteerism and private practice and the rewards of providing care during the tsunami that led to reinventing his career. Although the spectrum of diseases in the third world is very different from the United States, a physican at the bedside in Ghana knows that he or she is making an extraordinary difference to patients.

Guest: Michael Polifka, MD Host: Maurice Pickard, MD Dr. Michael Polifka discusses Project Hope, which gave him the opportunity to provide medical care in third world countries where there was none. Their mission to "train the trainers" will have long term benefits on the care of the underserved as well as improving the global image of our country.

Guest: Shelly Batra, MD Host: Maurice Pickard, MD Dr. Shelly Batra talks about the reasons she shifted her focus from her private practice as a gynecologist, and a career as a best-selling physician-author and television personality, to fighting tuberculosis in India's urban slums. In India, this disease carries a stigma and, for women, can mean the loss of a job, ostracism from their own family and little hope of being married. Dr. Maurice Pickard hosts.

Guest: Shelly Batra, MD Host: Maurice Pickard, MD Dr. Shelly Batra, a gynecologist, author, and the medical director of the nonprofit Operation Asha, talks with host Dr. Maurice Pickard about her organization's fight against tuberculosis among New Delhi's impoverished and marginalized ragpickers in the urban slums of New Delhi, where adequate nutrition and sanitation are nonexistent. The clinic is staffed by paid employees from the same slums, who counsel patients and keep them coming back to continue their treatment. With donated funds, the clinic also offers incentives like blankets, food, and over-the-counter medicines to encourage patients to complete their treatment.

Guest: Shelly Batra, MD Host: Maurice Pickard, MD One-third of the world’s tuberculosis cases strike in India, where unfavorable logistics and modest infrastructure often hinder efforts to combat the disease. Operation Asha comprises a series of registered non-profit clinics, managing the coordination of tuberculosis care in some of India’s poorest communities. Dr. Shelly Batra, president of Operation Asha, joins host Dr. Maurice Pickard to discuss their organizational strategies for community-based TB care.

Guest: John Richert, MD Host: Maurice Pickard, MD Dr. John Richert discusses 6 approved drugs that have changed the lives of the young patients who have this disabling disease. The early diagnosis of multiple sclerosis and the prompt institution of therapy is beginning to show dividends in that the disease does not progress as rapidly.

Guest: John Richert, MD Host: Maurice Pickard, MD Dr. John Richert describes the role of the office practice in this disease. Vague symptoms can be the first presentation of the relapsing-remitting form of this condition and lead to the appropriate tests and diagnosis. Here is where support for living with disability and frustations can be found.

Guest: John Richert, MD Host: Maurice Pickard, MD Dr. John Richert speaks about the genome abnormality in multiple sclerosis. The etiology is in early discovery stage and leading towards what he describes as the Three Cures.

Guest: John Howe, MD Host: Maurice Pickard, MD Dr. Maurice Pickard speaks with Dr. John Howe, president and CEO of Project HOPE, about Project HOPE's work with the U.S. Navy, from the tsunami devastation in Indonesian to the crisis in New Orleans.

Guest: John Howe, MD Host: Maurice Pickard, MD Dr. Maurice Pickard discusses with Dr. John P. Howe how Project HOPE has formed partnerships around the world that have brought health care to the disadvantaged, especially women and children. This began in 1958 when President Dwight Eisenhower donated a U.S. Navy ship to be converted to the first non-military hospital ship in American history.

Guest: Helen Caldicott, MD Host: Maurice Pickard, MD Dr. Maurice Pickard speaks with Dr. Helen Caldicott, Founder and President of the Nuclear Policy Research Institute (NPRI), about novel solutions for addressing our global energy needs with an emphasis on our cultural preservation. Dr. Caldicott brings attention to the need for resolution, rather than just capability, from our policy makers to affect positive changes in energy regulations to benefit human health on a global scale.

Guest: Helen Caldicott, MD Host: Maurice Pickard, MD Dr. Maurice Pickard talks with Dr. Helen Caldicott about the growing medical hazards of the modern nuclear age. Citizens don't have the luxury of time to remain ignorant, as even the very air we breath is being endangered.

Guest: David Mayer, MD Host: Maurice Pickard, MD Dr. David Mayer leads a program that teaches medical students and house staff the "low tech, high yield" science of listening and communicating empathy. This skill is especially important in helping physicians in training convey themselves honestly, fostering greater transparency in care. The benefits of these skills become especially apparent when medical errors and unexpected results occur, testing the relationship and trust between patient and physician.

Guest: David Mayer, MD Host: Maurice Pickard, MD D. Maurice Pickard discusses with Dr. David Mayer the "how" and "when" of disclosing adverse patient outcomes and medical errors, which has proven to be a difficult challenge for the medical profession. In the wake of medical errors, families want to know what problems have been recognized, and the steps taken to prevent their medical care from faltering again. Dr. Mayer then speaks about the training process in communicative skills for medical students, including how to apologize.

Guest: Nigel Unwin, MD Host: Maurice Pickard, MD Host Dr. Maurice Pickard speaks with Dr. Nigel Unwin, coordinator of the recently-published third edition of the Diabetes Atlas. They will talk about the United Nations resolution to recognize this disease, which causes four million deaths per year and effects 246 million people worldwide, as having the potential to bankrupt national economies. Dr. Unwin also breaks down myths about diabetes: first, that only the affluent and elderly are at risk; second, that there are no cost-effective interventions for prevention and control.

Guest: Nigel Unwin, MD Host: Maurice Pickard, MD Dr. Maurice Pickard discusses with Dr. Nigel Unwin the need for governments to create an environment that allows individuals to make lifestyle changes. The adoption of western culture's poor dietary habits and reduced exercise lifestyles, as well as expanding urban environments fostering these shifts, must be adressed as part of seeking the cure for diabetes.

Guest: Timothy McDonald, MD Host: Maurice Pickard, MD Dr. Maurice Pickard discusses with Dr. Timothy McDonald a multidisciplinary model that directs the "how" and "when" of disclosing adverse patient outcomes and medical errors. This has posed a difficult challenge for most health care professionals in confronting patients and their families. The elements of disclosure are focused upon in detail.

Guest: Timothy McDonald, MD Host: Maurice Pickard, MD Dr. Maurice Pickard speaks with Dr. Timothy McDonald about role-modeling effective communication for disclosing adverse patient outcomes and medical errors. Medicare's plan to stop paying for "preventable errors" such as falls and sores that occur in the hospital may lead to unfamiliar and trecharous terrain as the medical profession attempts to disclose all information involving potential unforeseen events.

Guest: Norbert Goldfield, MD Host: Maurice Pickard, MD Dr. Maurice Pickard speaks with Dr. Norbert Goldfield, Executive Director of Healing Across the Divides, about how changes in physical activity, diet and increasing poverty are shared by Israelies and Palestinians and contribute to mutually rising incidences of diabetes.

Guest: Norbert Goldfield, MD Host: Maurice Pickard, MD Dr. Maurice Pickard discusses with Dr. Norbert Goldfield the organization that is fostering partnered initiatives between Isreali and Palestinian healthcare projects. The purpose is not only to improve health but to contribute to a reawakening of a commitment to the peace process. Empowerment of individuals and communities from the bottom up can have far reaching benefits.

Guest: James Baker, MD Host: Maurice Pickard, MD Dr. James Baker explains the development of a recent nasally-absorbed vaccine developed against anthrax, which marks a new manefestation of the emerging field of medical nanotechnology, or "Nanomedicine."

Guest: James Baker, MD Host: Maurice Pickard, MD Dr. James Baker discusses the development of a new vaccine against anthrax that could be absorbed through the nasal mucosa with host Dr. Maurice Pickard. Dr. Baker also explains that the unique utilization of nanoemulsions toward the design of this vaccine may also apply to the development of other vaccines.

Guest: Shelly Batra, MD Host: Maurice Pickard, MD Dr. Maurice Pickard speaks with Dr. Shelly Batra, gynecologist and Medical Director for Operation Asha based in New Delhi, who expanded her vision for better women's health by confronting a well established taboo in her culture. Women are fearful about seeking medical care for tuberculosis, as this diagnosis often selectively leads to loss of jobs, marginalization in the community, and even exclusion from their family units, in contrast to men.

Guest: Shelly Batra, MD Host: Maurice Pickard, MD Join Dr. Shelly Batra, Medical Director of Operation Asha, a nationwide TB-eradicating initiative in India, as she speaks about the establishment of clinics in the slums of New Delhi. Their innovative use of DOTS (Direct Observance of Treatment System) is a cost effective way to save lives from this treatable disease.

Guest: John Feagin, MD Host: Maurice Pickard, MD Dr. Maurice Pickard Interviews Dr. John Feagin about the complexities of being the orthopedic surgeon to the U.S. Olympic Ski Team. All injuries are difficult to address with athletic patients, but in these elite athletes the emotional impact of losing a participating place in the Olympics can be devastating. In this environment physical therapy to recovery can be inspiring, and lessons can be learned that are useful to all sports medicine practitioners.

Guest: John Feagin, MD Host: Maurice Pickard, MD Dr. John Faegin explains to host Dr. Maurice Pickard the value of being a soldier before becoming a physician when practicing medicine in a war zone. One is made aware of how much medical care US military doctors provide to the civilians, whose lives have been so disrupted.

Guest: John Feagin, MD Host: Maurice Pickard, MD How often do you treat a crush injury and multiple fractures inflicted by the powerful jaws of a leopard? And are post-op temperatures more likely to be due to malaria than wound infections? Dr. Maurice Pickard discusses with Dr. John Feagin the problems and rewards of being an orthopedic surgeon in Tenwek, Kenya.

Guest: John Lantos, MD Host: Maurice Pickard, MD In this segment, Dr. Lantos talks about the ethical issues of performing body-alterating medical procedures geared towards the attenuation of growth of severely developmentally disabled children. To illustrate these issues, he focuses in on the Ashley Treatment, a controversial and highly publicized grouping of invasive medical procedures including hysterectomy, removal of breast buds, and high-dose estrogen regimens.

Guest: John Lantos, MD Host: Maurice Pickard, MD In this segment, Dr. Lantos explores the explosive public and advocacy group responses to the Ashley Treatment, a controversial grouping of invasive medical procedures aimed at attenuating the growth of a child with severe developmental disabilities, first performed in 2004. The talk concludes with a unique comparison of the Ashley Treatment with interventions commonly given to elderly patients suffering from Alzheimer's Disease, establishing the unfortunate trend in addressing social responsibilities in various age groups with procedural medicine's "quick fixes."

Guest: John Lantos, MD Host: Maurice Pickard, MD In this segment, Dr. Lantos examines some of the ethical issues arising within the modern NICU, particularly in relation to Extremely Low Birth Weight (ELBW) babies. The interview looks at the difficulties in predicting survival outcomes and appropriate interventional strategies for these very premature infants on a day-to-day basis. Dr. Lantos then concludes with an effective model for evaluating the risks vs benefits of maximum interventions, with an emphasis on moving away from our current criteria in deciding "futility of care."

Guest: Michael Millis, MD Host: Maurice Pickard, MD In this segment, Dr. Millis examines the ethical issues of several modern organ donation methods, including paired exchange. Referenced and discussed in this discussion is the Norwood Living Organ Donation Act passed recently, and the challenges and controversies this development has brought. The interview concludes with a critical analysis on matching donor website organizations, raising the question on whether these resources ultimately prevent a level playing field for waiting organ recipients.

Guest: Michael Millis, MD Host: Maurice Pickard, MD In this segment, Dr. Millis examines the use of "marginal" or "expanded" donors in the United States, and the various factors behind increasing utilization of these potential donors who would otherwise be ineligible from their own medical problems or comorbidities. The interview then transitions towards some of the ethical issues inherent in "presumed" consent, a hospital policy recently accelerating throughout much of Europe.

Guest: Michael Millis, MD Host: Maurice Pickard, MD In this segment, Dr. Millis discusses his work in spurring changes within the Chinese transplant programs to institute more ethically sound transplant policies. Currently there are approximately 120 accredited transplant centers in China, a far-cry from the 500 loosely certified centers operating only a few years ago. The interview follows with a discussion on the end of "transplant tourism" and the various coercive measures exacted to make organ donors of Chinese prisoners.

Guest: Mardge Cohen, MD Host: Maurice Pickard, MD The government, local organizations and experienced professionals have social, educational and cultural issues to address in the treatment of HIV-positive women and children, both in Rwanda and the United States. In Rwanda, the powerful cultural stigmas of HIV and AIDS hinder patients from seeking help, and PTSD and depression are frequent comorbid conditions encountered particularly in adolecent girls who have never experienced childhood milestones. Dr. Mardge Cohen, Founder of WE-ACTx, discusses these challenges and her organization's work to counter them. Dr. Maurice Pickard hosts.

Guest: Mardge Cohen, MD Host: Maurice Pickard, MD Issues in the care of HIV positive women in the United states and similarities in genocide rape survivors of Rwanda

Guest: Alan Mintz, MD Host: Maurice Pickard, MD In this segment, Dr. Pickard conducts a critical investigation and review of the Cenegenic Institute's controversial age-management system, which incorporates hormonal supplementation for middle to senior aged patients. Dr. Mintz reflects on the supportive versus negative literature recently published on this subject.

Guest: Alan Mintz, MD Host: Maurice Pickard, MD Dr. Mintz reflects on the history, design, and clinical methodology of the Cenegenics Medical Institute headquartered in Las Vegas.

Guest: Ruth Faden, MD Host: Maurice Pickard, MD Dr. Ruth Faden discusses the ethical issues physicians and policy makers may face in the advent of a global influenza pandemic. Global health care responsibilities such as ensuring equiity of treatment on a grand scale, are addressed. Added, questions on our level of preparedness for such an event are raised and explored.

Guest: Avram Kraft, MD Host: Maurice Pickard, MD Dr. Kraft highlights the key factors for better communication between the healthcare provider and the patient.

Guest: Michael Ankin, MD Host: Maurice Pickard, MD Pulmonologist, Dr. Ankin, discusses the types and prevalence of sports related brain injuries and sleep disorder breathing.