Clinician's Roundtable

Host: Bruce Bloom, DDS, JD Guest: Dan Roden, MD What are the tools that will finally make personalized medicine a reality? Dr. Dan Roden, the William Stokes Professor of Experimental Therapeutics, vice-chancellor for personalized medicine and the director of the John Oates Institute for Experimental Therapeutics at Vanderbilt University School of Medicine, joins host Dr. Bruce Bloom, DNA banks, electronic medical records and more.

Host: Bruce Bloom, DDS, JD Guest: Dan Roden, MD The greatest side effect of medications is that they often don't do what we expect them to do. Dr. Dan Roden, professor in the departments of medicine and pharmacology at Vanderbilt University School of Medicine, talks with Dr. Bruce Bloom about variability in response to drugs. Genetic components are just one of many reasons patients respond differently. Dr. Roden also discusses his specific work with customizing treatment for patients with arrhythmias based upon the disease mechanism.

Host: Larry Kaskel, MD Guest: Mike Katke What are medical foods? Are they good for patients, and what exactly are the benefits? Host Dr. Larry Kaskel investigates these products with Mike Katke, co-founder of Metagenics, Inc., a manufacturer and distributor of medical foods.

Host: Larry Kaskel, MD Guest: Mike Katke Scientific evidence shows that therapeutic lifestyle programs are the most cost effective programs to prevent, improve, or cure chronic diseases such as diabetes. Host Dr. Larry Kaskel discusses with Mike Katke, co-founder of Metagenics, Inc., the elements of a therapeutic lifestyle program and the practical requirements for implementing a program. Tune in to hear how primary care physicians can easily establish a therapeutic lifestyle program that will benefit their patients' health and be financially rewarding.

Host: Mark Nolan Hill, MD Guest: Selene Parekh, MD, MBA Ankle injuries extend from the common sprain, to the complex arthritis case that could warrant total joint replacement surgery. With respect to the basic sprain, why do we see so many of these injuries in our practices: are our ankles not strong enough, are we wearing the wrong shoes or are we simply more active than we used to be? What are the keys to a good clinical evaluation for these ankle injuries and what can you counsel your patients to anticipate following a more serious ankle injury? Dr. Selene Parekh, head of the foot and ankle division of the department of orthopaedic surgery at the University of North Carolina School of Medicine, assesses a range of ankle injuries in this conversation with host Dr. Mark Nolan Hill.

Host: Mark Nolan Hill, MD Guest: Marc Bessler, MD As the field of bariatric and minimally invasive surgery continues to grow, the gastric bypass procedure has grabbed many of the headlines, with solid interest in gastric banding as well. Looking ahead, how might the landscape change? Will a new bariatric procedure emerge as the safest and most effective choice? Host Dr. Mark Nolan Hill welcomes Dr. Marc Bessler, assistant professor of surgery at Columbia University College of Physicians and Surgeons, and director of the Columbia University Center for Metabolic and Weight Loss Surgery, to detail one procedure that could represent the next step in reducing the invasiveness of bariatric surgery: the transoral gastroplasty.

Host: Lauren Streicher, MD Guest: Margery Gass, MD If you have a patient who suffers from hypoactive sexual desire disorder, you may want to consider helping their libido with testosterone. One recent study showed improvement in women who used a testosterone-only patch without estrogen. Even though the patch is not FDA approved at this point, it could be an alternative in the future. Dr. Margery Gass, an associate professor of clinical obstetrics at the University of Cincinnati talks with host Dr. Lauren Streicher about her recent research and what can be done to boost a woman's libido before and after menopause.

Host: Lauren Streicher, MD Guest: Michael Holick, PhD, MD It seems these days patients know more about the benefits of Vitamin D than their physicians. Doctors are soaking up the information and making sure their patients are taking the proper levels of Vitamin D. Dr. Michael Holick, professor of medicine, physiology and biophysics and director of the Bone Health Care Clinic and the Heliotherapy, Light, and Skin Research Center at Boston University Medical Center, joins host Dr. Lauren Streicher to discuss the proper dosage, risk factors, geographical factors and benefits of Vitamin D.

Host: Leslie P. Lundt, MD Guest: Matthew A. Menza, MD Impulse control disorders have become increasingly reported in Parkinson's Disease patients. Dr. Matthew Menza, professor of psychiatry and neurology at Robert Wood Johnson Medical School, joins host Dr. Leslie Lundt to explore the etiology of impulse control disorders in the general population and in Parkinson's patients. Are impulse control disorders more common in Parkinson's patients, or are we just identifying them more readily? What can we do to help these patients?

Host: Leslie P. Lundt, MD Guest: Matthew A. Menza, MD Depression is present in as many as half of the one million people with Parkinson's disease in the United States. What evidence-based treatments should we be using? Host Dr. Leslie Lundt welcomes Dr. Matthew Menza, professor of psychiatry and neurology at Robert Wood Johnson Medical School, to talk about his work on diagnosing and treating depression in Parkinson's disease patients.