Clinician's Roundtable

Host: Bruce Japsen Guest: Nancy Nowak As President Barack Obama travels the country talking about the need for health care reform, hardly a week goes by when you don't hear the Commander in Chief talk about Intermountain Healthcare and its low costs when compared to the rest of the country. What makes this this large healthcare system an example? Nancy Nowak, vice president of clinical operations and chief nursing officer for Intermountain Healthcare in Salt Lake City, Utah, tells host Bruce Japsen about this much talked-about healthcare system and how its work may be replicated across the country.

Host: Bruce Bloom, DDS, JD Guest: David Pearce, PhD Mucopolysaccharidosis I, or MPS I, often presents initially as a child's failure to thrive, and is a diagnosis with devastating effects. How is new research able to help children with this lysosomal storage disorder? Host Dr. Bruce Bloom talks with Dr. David A. Pearce, director of the Sanford Children's Health Research Center in Sioux Falls, South Dakota, about advances in research into treatment options, including enzyme replacement therapy, for MPS I. Don't miss these other programs on MPS I, with host Dr. Bruce Bloom: Musculoskeletal Aspects of MPS I: Diagnosis and Management Considerations Immune System Irregularities in Lysosomal Storage Disorders Long Term Efficacy and Safety of Laronidase for MPS I

Host: Bruce Bloom, DDS, JD Guest: David Pearce, PhD How is the immune system involved in lysosomal storage disorders, including juvenile Batten disease, Niemann-Pick type C disease and Krabbe disease? Host Dr. Bruce Bloom welcomes Dr. David A. Pearce, director of the Sanford Children's Health Research Center in Sioux Falls, South Dakota, to discuss research into the immune response in these patients. Don't miss these other programs on MPS I, with host Dr. Bruce Bloom: Challenges in Management of MPS I Musculoskeletal Aspects of MPS I: Diagnosis and Management Considerations Long Term Efficacy and Safety of Laronidase for MPS I

Host: Bruce Bloom, DDS, JD Guest: Gregory Pastores, MD What are the musculoskeletal signs and symptoms in children with MPS I? How can we test for MPS I? And how does the disease present in patients as they grow up? Dr. Gregory M. Pastores, associate professor of neurology and pediatrics at the New York University School of Medicine in New York, and director of the neurogenetics laboratory in the department of neurology at NYU, explores with host Dr. Bruce Bloom the diagnostic challenges and management considerations to be reviewed when treating MPS I patients. Don't miss these other programs on MPS I, with host Dr. Bruce Bloom: Challenges in Management of MPS I Immune System Irregularities in Lysosomal Storage Disorders Long Term Efficacy and Safety of Laronidase for MPS I

Host: Bruce Bloom, DDS, JD Guest: Emil Kakkis, MD, PhD Host Dr. Bruce Bloom welcomes Dr. Emil Kakkis, an advisor at BioMarin Pharmaceutical Inc. and author of numerous published articles on mucopolysaccharidosis I, or MPS I, to discuss current treatment options. They discuss the benefits and risks of enzyme replacement therapy with laronidase. Don't miss these other programs on MPS I, with host Dr. Bruce Bloom: Challenges in Management of MPS I Immune System Irregularities in Lysosomal Storage Disorders Musculoskeletal Aspects of MPS I: Diagnosis and Management Considerations

Host: Michael Greenberg, MD Guest: J. James Rohack, MD If you've been following the health care reform debate as closely as we have, you may be suffering from a case of whiplash, with so many proposals and so little time to wade through all the back-and forth on each of them. As Congress heads into its customary August recess, we'll take a step back to examine the issues that could make or break the various proposals for overhauling our health care system. For one perspective on the progress toward reform, host Dr. Michael Greenberg welcomes American Medical Association (AMA) President Dr. James Rohack. Dr. Rohack addresses a range of issues, including the nuances of AMA's recent support for House bill HR 3200, the effectiveness of AMA in representing the interests of all physicians in this reform debate, and the prospects for true medical liability protections in the final reform bill.

Host: Bruce Japsen Guest: Alfred Casale, MD As President Barack Obama touts what is right and wrong with the nation's healthcare system, hardly a week goes by when you don't hear him or one of this surrogates mentioning Geisinger Health System. So what does Mr. Obama see in this large Pennsylvania based medical care provider? Dr. Alfred Casale, director of Cardiothoracic Surgery at Geisinger Health System tells host Bruce Japsen about the Pennsylvania system's years of experience measuring quality and improving patient care to keep costs low.

Host: Bruce Japsen Guest: Joseph Golbus, MD, MBA The economic stimulus package signed into law by President Barack Obama provides doctors money to get their offices set up for electronic medical records over the next few years. But there are actually a few health care systems ahead of the curve on electronic medical records with systems installed and benefits being realized. Host Bruce Japsen talks with Dr. Joseph Golbus, president and CEO of the NorthShore University Health System medical group about achievements made after implementing electronic medical records several years ago.

Host: Bruce Japsen Guest: Sharon Treat, Ms. More and more states, and even the federal government, are moving to ban drug industry gift-giving practices. So how is this legislation working, and what does it mean for physicians and their patients? Sharon Anglin Treat, executive director of the National Legislative Association on Prescription Drug Prices, tells host Bruce Japsen about states moving to ban or curtail gifts from drug makers to physicians and how the effort is working in states like Vermont, Minnesota and Massachusetts.

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Stan Roberts Federal law mandates that commercial truck drivers pass a medical exam in order to stay behind the wheel. Physician assistants have been authorized by the Department of Transportation to conduct these exams since 1992. But stricter certification recommendations proposed by an advisory board to the government may change the role of the PA in this process. Stan Roberts, a commercial driver medical examiner for the past 17 years, joins host Lisa D'Andrea Lenell to sort out the issues related to medical certification and US truck drivers every year.