Physician Interviews

Physician Interviews

Penn Medicine physicians often give interviews in order to discuss current health care topics. To listen to one of the interviews below, click on the buttons. The MP3 files will play directly on your computer.


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Cancer

The Future of Proton Therapy

Dr. James MetzProton therapy has existed for decades, but it's only recently begun to be clinically adopted. Rather than being a stand-alone treatment, this therapy is often best used in conjunction with surgery or chemotherapy. Outside of oncology, what other conditions might proton therapy be used to treat? Join host Dr. Lee Freedman and his guest, James Metz, MD, vice chair of the department of radiation oncology at Penn Medicine, to learn more about future directions of proton therapy.

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Aired: October 19, 2009
Length: 13 min

Diagnosing Gastrointestinal Neuroendocrine Tumors

Dr. David MetzAlthough gastroenteropancreatic neuroendocrine tumors, or GEP-NETs, are relatively common, they are often indolent. However, GEP-NETs can metastasize in a small portion of the population, so physicians should be aware of symptoms and screening tools.

The two most common types of GEP-NETs are categorized as carcinoids and pancreatic endocrine tumors. What distinguishes the two? Host Dr. Lee Freedman welcomes David Metz, MD, professor of medicine and associate chief for clinical affairs in the division of gastroenterology at Penn Medicine, to discuss characteristics and diagnosis of GEP-NETs.

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Aired: October 12, 2009
Length: 13 min

The Role of Proton Therapy for Primary Bone Cancer and Spinal Metastasis

Dr. Michelle Alonso-BasantaWhat are the limitations of conventional treatment for primary bone cancer and spinal metastasis? How can proton therapy be particularly beneficial for treating primary bone tumors, which are found more often in pediatric patients? And what role can proton therapy play for patients with spinal metastasis?

Michelle Alonso-Basanta, MD, PhD, the Helene Blum Assistant Professor in the department of radiation oncology at Penn Medicine, discusses some of the advantages of proton therapy, including precise targeting and reduced toxicity. Dr. Lee Freedman hosts.

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Aired: September 27, 2009
Length: 13 min

Cellular Vaccine Development as Cancer Therapy

Dr. Don SiegelWhat are cellular vaccines and how do they differ from what we think of as conventional vaccines? What are the various types of approaches that we can potentially use for inducing anti-cancer immunity?

Don Siegel, MD, PhD, vice chair and professor of pathology and laboratory medicine at Penn Medicine, talks with host Dr. Lee Freedman about the exciting potential of cellular vaccines as cancer therapy.

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Aired: September 7, 2009
Length: 13 min

The Promise of Proton Therapy for Lung Cancer

Because the lungs are sensitive to radiation, treating lung cancer can be challenging. What's the current standard of care for the management of inoperable non-small cell lung cancer, and how might proton therapy benefit patients with this condition? How does the efficacy of proton therapy for lung cancer compare to other therapies?

Ramesh Rengan, MD, PhD, assistant professor of radiation oncology at Penn Medicine, evaluates the potential of proton therapy for lung cancer. Dr. Lee Freedman hosts.

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Aired: August 24, 2009
Length: 13 min

Proton Therapy for Brain Tumors

Dr. Robert LustigWhat advantages are there to using proton therapy to treat brain tumors? Is proton therapy most effective when used alone or when it is integrated with conventional radiation therapy? What patients might benefit the most from proton therapy for treating their brain tumors?

Robert Lustig, MD, professor of clinical radiation oncology and director of clinical operations in the department of radiation oncology at Penn Medicine, describes this exciting new therapy. Hosted by Dr. Lee Freedman.

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Aired: August 17, 2009
Length: 13 min

Novel Approaches to Bone Marrow and Stem Cell Transplant

Dr. David PorterThe conventional bone marrow transplant procedure can have many side effects, and the traditional procedure can be especially risky for older patients or other patients with comorbidities. How are novel approaches of bone marrow and stem cell transplantation attempting to limit the toxicity and improve the safety of the procedure?

David Porter, MD, professor of medicine and director of stem cell transplantation at Penn Medicine, discusses how using an immunosuppresive approach to the bone marrow transplant procedure may benefit a greater number of patients. Hosted by Dr. Lee Freedman.

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Aired: August 3, 2009
Length: 13 min

Progress in Diagnosis and Treatment of Esophageal Cancer

Diagnosis of esophageal cancer has typically warranted a grim outlook, but prognosis is improving in many respects. Frank Spitz, MD, associate professor in the division of surgical oncology at the University of Pennsylvania School of Medicine, speaks about advances in diagnosis and treatment of esophageal cancer with host Dr. Lee Freedman. Whom should we screen for the disease? Once diagnosed, what are the likely prospects for a full return to functionality?

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Aired: May 4, 2009
Length: 13 min

Metastatic Bone Cancer: Beyond the Diagnosis

Dr. Richard LackmanRichard Lackman, MD, FACS, chair of orthopaedic surgery and director of the Sarcoma Center of Excellence at the Abramson Cancer Center, discusses what needs to be conveyed to patients when presented with metastasis to the bone, and which cases are more favorable for the prognosis.

Dr. Lackman speaks with your host, Dr. Lee Freedman, about bone cancer, covering topics such as the approach to blastic vs. lytic lesions, impending fracture indicators, and surgical solutions for the patient.

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Aired: April 20, 2009
Length: 13 min

Defining Benign vs. Malignant Palpable Masses

Dr. Richard LackmanRichard Lackman, MD, FACS, chair of orthopaedic surgery and director of the Sarcoma Center of Excellence at the Abramson Cancer Center, discusses how to ensure a proper diagnosis when a patient presents doctors with a palpable mass. Is pain often a false gauge of severity? Dr. Lackman speaks about treatment modalities for a variety of palpable masses. When should patients be referred to a specialist?

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Aired: October 20, 2008
Length: 13 min

Renal Cell Carcinoma and Partial Nephrectomy

Dr. C. William Schwab, II C. William Schwab II, MD, discusses how in certain cases of renal cell cancer, patients are now given the option of partial nephrectomy, as opposed to complete kidney removal. Is this a viable alternative for your patients?

Host Dr. Lee Freedman talks with Dr. Schwab, assistant professor of surgery in the division of urology at the University of Pennsylvania School of Medicine, about recent advances toward increasing the efficacy of this procedure.

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Aired: October 13, 2008
Length: 13 min

The Promise of Proton Therapy

Dr. Steve HahnSteve Hahn, MD discusses what proton therapy is and how it may be used to attack cancers in new and promising ways that will reduce morbidity and side effects.

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Aired: July 28, 2008
Length: 13 min

Implementing Proton Therapy for Cancer Treatment

Dr. Steve HahnSteve Hahn, MD, professor and chair of radiation oncology at the University of Pennsylvania School of Medicine, details advances in our understanding of proton therapy. This innovative cancer treatment could be of great benefit to patients, but, Dr. Hahn cautions, we're still in the early stages of development. Current research must be conducted with the utmost precision.

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Aired: May 5, 2008
Length: 13 min

Molecular Biology and Personalized Cancer Therapy

Dr. Keith FlahertyKeith Flaherty, MD, a national leader in the understanding of signalling pathways and the molecular biology of cancer, discusses how breakthroughs in understanding intracellular pathways will lead to personalized cancer therapy. Agents such as Sorafenib may be among the first substances that will be used in unique combinations to thwart the growth and spread of malignancies.

How will these agents be developed, studied and mixed together for the optimum clinical result? How will the intense research needed for this endeavor be funded? How will the future of cancer treatment be altered?

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Aired: April 28, 2008
Length: 13 min

Cancer Care Designed for Patients 65 and Older

David M. Mintzer, MDDavid M. Mintzer, MD, chief of hematology/oncology at Pennsylvania Hospital, discusses cancer care that is designed for patients 65 and older.

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Aired: March 16, 2008
Length: 39 min, 46 sec

Ovarian Function, Fertility, and Cancer Therapy

Dr. Clarisa GraciaClarisa Gracia, MD, MSCE, discusses ovarian function and fertility before, during and after cancer treatments. The new ways in which we are beginning to perserve fertility provides hope for young cancer patients.

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Aired: February 24, 2008
Length: 13 min

Hematology/Oncology

Lynn M. Schuchter, MDLynn M. Schuchter, MD, professor of medicine, and division chief of hematology/oncology at University of Pennsylvania, and a leader of the melanoma program at Penn's Abramson Cancer Center, discusses hematology/oncology.

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Aired: January 28, 2008
Length: 44 min, 41 sec

Diagnosis and Treatment of Lung Cancer – New Ideas

Dr. Tracey EvansTracey Evans, MD discusses the the latest thinking in regard to screening and case finding for lung cancer. Dr. Evans then reviews newer approaches to the treatment of various types and stages of lung cancer.

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Aired: January 7, 2008
Length: 13 min

Gynecologic Oncology

Dr. Thomas C. RandallThomas C. Randall, MD, chief of gynecologic oncology at Pennsylvania Hospital, discusses gynecologic oncology.

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Aired: November 11, 2007
Length: 45 min, 59 sec

New Directions in the Treatment of Lung Cancer

Dr. Tracey EvansTracey Evans, MD discusses developing agents for use in the treatment of this often deadly disease.

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Aired: November 5, 2007
Length: 13 min

Hematology-Oncology

Dr. Arthur FeldmanArthur M. Feldman, MD, a physician of hematology-oncology at Abramson Cancer Center at Penn Presbyterian Medical Center, discusses hematology-oncology.

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Aired: October 7, 2007
Length: 43 min, 45 sec

Lung Cancer and Disease, Thoracic Surgery

Dr. John KucharczukJohn C. Kucharczuk, MD of the thoracic surgery division at Pennsylvania Hospital discusses lung cancer, lung disease, and thoracic surgery.

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Aired: April 1, 2007
Length: 45 min, 04 sec

Cancer Diagnosis and Treatment

Dr. Arthur StaddonArthur Staddon, MD, director, Joan Karnell Cancer Center; director, Bone or Soft Tissue Sarcoma Program at Pennsylvania Hospital, discusses cancer diagnosis and treatment.

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Aired: March 11, 2007
Length: 36 min, 31 sec

Dermatology

The Link Between Psoriasis and Cardiac Conditions

Dr. Joel GelfandAre patients with psoriasis more likely to develop cardiovascular disease, and what mechanisms might link these two conditions? Do the severity of psoriasis and the agents used to treat this condition factor in to determining a patient's cardiovascular risk?

Host Dr. Lee Freedman asks Joel Gelfand, MD, MSCE, assistant professor of dermatology and medical director of the clinical studies unit in the department of dermatology at Penn Medicine, to describe what physicians should be aware of with patients who have psoriasis. Should these patients be screened more regularly for cardiovascular disease?

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Aired: June 1, 2009
Length: 13 min

Melanoma Breakthroughs: Signalling Pathways

Dr. Keith FlahertyKeith Flaherty, MD, an authority on and one of the leading researchers in the country in understanding the role of signaling pathways in malignancies, discusses these new targets for chemotherapy.

He discusses how these pathways are elucidated and how agents are being developed that attack these new targets. In turn, this may lead to dynamic breakthroughs in cancer treatments such as with melanoma.

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Aired: July 21, 2008
Length: 13 min

Melanoma Basics: Are You Up To Date?

Dr. Christopher MillerChristopher J. Miller, MD reviews basic and newer understandings about melanomas — how do they arise, what are risk factors, how are they recognized and diagnosed?

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Aired: March 23, 2008
Length: 13 min

Endocrinology and Diabetes

Diabetes Diagnosis and Treatments

Dr. Stephen RosenStephen Rosen, MD, chief of endocrinology and metabolism at Pennsylvania Hospital talks about the latest diabetes diagnosis and treatments.

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Aired: April 6, 2008
Length: 55 min, 20 sec

The Diabetes Epidemic

Dr. Mitchell LazarMitchell A. Lazar, MD, PhD, professor of medicine and genetics at the University of Pennsylvania School of Medicine and director of the Penn Diabetes Center, discusses the magnitude of the diabetes epidemic. The CDC has ominously projected that one in three children born in the year 2000 will develop diabetes in his or her lifetime. What can we do to prevent the CDC's prediction from materializing?

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Aired: March 16, 2008
Length: 13 min

Novel Treatments for Diabetes

Dr. Mitchell LazarMitchell A. Lazar, MD, PhD discusses exciting new innovations in our approach to both type I and type II diabetes including islet cell transplantation, medications for beta cell preservation and new insights into the control of obesity.

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Aired: November 26, 2007
Length: 13 min

Gastrointestinal Medicine/Surgery

Diagnosing Gastrointestinal Neuroendocrine Tumors

Dr. David MetzAlthough gastroenteropancreatic neuroendocrine tumors, or GEP-NETs, are relatively common, they are often indolent. However, GEP-NETs can metastasize in a small portion of the population, so physicians should be aware of symptoms and screening tools.

The two most common types of GEP-NETs are categorized as carcinoids and pancreatic endocrine tumors. What distinguishes the two? Host Dr. Lee Freedman welcomes David Metz, MD, professor of medicine and associate chief for clinical affairs in the division of gastroenterology at Penn Medicine, to discuss characteristics and diagnosis of GEP-NETs.

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Aired: October 12, 2009
Length: 13 min

Surgical Treatment Options for Gastrointestinal Diseases

Dr. Jeffrey DrebinJeffrey A. Drebin, MD, PhD, FACS, chief of the division of gastrointestinal surgery, discusses surgical treatment options for gastrointestinal diseases.

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Aired: February 23, 2008
Length: 56 min, 11 sec

General Medicine/Surgery

Damaged Nerve Tissue: Repair and Regeneration

Dr. Douglas SmithDouglas Smith, MD outlines the groundbreaking work being done in his lab with in vitro and in vivo repair of nerve tissue.

Topics discussed are the growth and development of new nerve tissue in the lab and it's transplantation into animals with nerve injury. The potential of this technology to help humans in ways never before thought possible is also presented.

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Aired: June 9, 2008
Length: 13 min

The Paradigm Shift In Our Approach to Medications

Dr. Garrett FitzGeraldGarrett FitzGerald, MD outlines how the collaborative work of multiple disciplines is leading to a brave new world when it comes to the development of medications and how, in the near future, the concepts of drug efficacy and safety will be redefined.

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Aired: January 14, 2008
Length: 13 min

Personalized Medicine

Dr. Garrett FitzGeraldGarrett FitzGerald, MD discusses how advances in molecular biology and our understanding of the human genome will lead to a paradigm shift in how we approach the development and prescibing of medications for our patients.

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Aired: November 12, 2007
Length: 13 min

Heart and Vascular Services

An Approach to Women's Cardiovascular Disease

In most cases of cardiovascular disease, women present the same way as men. Yet more women suffer atypical symptoms and the mortality rate is higher for women. With this in mind, should we take a different approach to cardiovascular disease in women? Ruchira Glaser, MD, assistant professor of medicine at the University of Pennsylvania School of Medicine, talks with host Dr. Lee Freedman about the diagnostic value of vasospasms and exertion or resting pains, while also exploring structural concerns and the stratified risks of invasive therapy.

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Aired: April 27, 2009
Length: 13 min

Investigational Approaches to Structural and Valvular Heart Disease

Dr. Howard HerrmanHoward Herrmann, MD, professor of medicine and director of interventional cardiology and the cardiac catheterization laboratories within UPHS, discusses investigational, catheter-based treatment with host Dr. Lee Freedman. We are increasingly able to turn to non-surgical therapies for structural and valvular heart disease. What new devices are making these advances possible? What are the procedural risks?

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Aired: April 6, 2009
Length: 13 min

The Biomechanical Approach to Heart Disease

Joseph H. Gorman, III, MD, associate professor of surgery at the University of Pennsylvania School of Medicine, discusses how many cardiovascular researchers consider the heart from a biochemical or genetic standpoint, but what are the advantages to a biomechanical approach? Dr. Gorman considers assessment of the pathogenesis of heart disease and heart failure at the organ level with host Dr. Lee Freedman. How are catheter-based techniques proving effective for treating structural heart failure?

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Aired: March 2, 2009
Length: 13 min

Addressing Vascular Plaque Ruptures

Dr. Emile Mohler IIIEmile R. Mohler III, MD, associate professor of medicine and director of vascular medicine at UPHS, discusses how a ruptured vascular plaque with subsequent thrombus often triggers the heart attack that occurs without warning. How do we identify and treat at-risk cardiac patients?

Host Dr. Lee Freedman discusses an array of tools to evaluate plaque burden and promote plaque stabilization with Dr. Mohler.

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Aired: November 17, 2008
Length: 13 min

Addressing Patients With Palpitations

Dr. Joshua CooperJoshua Cooper, MD, assistant professor of medicine at the University of Pennsylvania School of Medicine, outlines the approach to a patient who presents with palpitations. What key factor in a patient's history can help you distinguish the benign incident from the potentially life-threatening? What diagnostic tests are helpful and necessary in the workup? Dr. Cooper also explains treatment options, with a focus on ablative procedures, in his conversation with host Dr. Lee Freedman.

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Aired: October 27, 2008
Length: 13 min

Current Management Strategies for Atrial Fibrillation

Dr. Joshua CooperJoshua Cooper, MD, assistant professor of medicine at the University of Pennsylvania School of Medicine, outlines present approaches to this common, but often complex arrhythmia. Host Dr. Lee Freedman talks with Dr. Cooper about reversible causes to rule out before embarking on treatment of the primary arrhythmia, as well as proper methods for controlling ventricular response, and assessing clot risk strata. When should we be satisfied with rate control and anticoagulation, versus a full conversion back to normal sinus rhythm?

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Aired: September 29, 2008
Length: 13 min

Improving the Lives for Our Patients with Pulmonary Hypertension

Paul Forfia, MD, cardiologist and director of the pulmonary hypertension program at the Hospital of the University of Pennsylvania, discusses pulmonary hypertension with host Dr. Lee Freedman. Pulmonary hypertension can be devastating to our patients and is a leading cause of cardiovascular complications. How can we identify and address this condition in our patients, and therefore improve their lives?

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Aired: August 25, 2008
Length: 13 min

Approaching Vulnerable Plaque in the Coronaries

Dr. Emile Mohler IIIEmile R. Mohler III, MD, associate professor of medicine and director of vascular medicine at UPHS, discusses how doctors should approach vulnerable plaques in the coronaries and how they can calculate more precise risk levels in both high- and average-risk patients. Host Dr. Lee Freedman addresses diagnosis and treatment options with Dr. Mohler.

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Aired: June 30, 2008
Length: 13 min

A Primer on Adult Congential Heart Disease

Dr. Gary WebbGary Webb, MD, professor of medicine and director of the Philadelphia Adult Congenital Heart Center within the University of Pennsylvania Health System, talks with host Dr. Lee Freedman about providing care for the growing population of adult patients saddled with congenital heart disease since childhood. When treating these patients, who often require lifelong surveillance, what risks and complications must we account for?

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Aired: May 12, 2008
Length: 13 min

Severe Heart Failure: Keys to Survival

Dr. Mariell JessupMariell L. Jessup, MDdiscusses the approach to severe congestive heart failure. Could non-compliance be at fault in those who are failing? How to detect and remedy this situation.

What can a heart failure specialist bring to the table? How are more sophisticated pacemakers, assist devices and transplants changing the prognosis for patients with class IV CHF?

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Aired: April 21, 2008
Length: 13 min

Expert Centers for Adult Congenital Heart Disease

Dr. Gary WebbGary Webb, MD outlines the way for providers to locate centers of excellence for care of adults with congenital heart disease. He also discusses the specialized care a patient may receive at such centers, focusing specifically on the issues of contraception, pregnancy and genetic counselling.

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Aired: April 7, 2008
Length: 13 min

Can You Diagnose and Treat Early Heart Failure?

Dr. Mariell JessupMariell L. Jessup, MD first covers the diagnosis of heart failure: despite our technologic advances, this is still a clinical diagnosis. She then reviews the appropriate use of testing including echocardiography and BNP.

When should these be ordered? When should a cardiologist be consulted? Finally, she reviews the essentials of treatment of systolic and diastolic heart failure including medications and lifestyle interventions.

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Aired: February 17, 2008
Length: 13 min

Vascular Surgery and Endovascular Therapy

Dr. Lee KirkseyLee Kirksey, MD, a surgeon and vascular director of the Penn Wound Care Center at Penn Presbyterian Medical Center, discusses vascular surgery and endovascular therapy.

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Aired: September 30, 2007
Length: 47 min, 13 sec

Heart Rhythm Disorders

Dr. Joshua CooperJoshua Cooper, MD, assistant professor of medicine at the University of Pennsylvania School of Medicine and an electrophysiologist talking about heart rhythm disorders.

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Aired: February 25, 2007
Length: 44 min, 53 sec

Neurosciences

Awake Craniotomy and Mapping Techniques for Brain Tumor Surgery

Dr. Donald O'RourkeAwake craniotomy offers many advantages to brain tumor surgery, since it allows neurosurgeons to maximize surgical resection, while minimizing neurologic risks. Is this procedure well tolerated by most patients? What role does MRI mapping play in awake craniotomy? Donald O'Rourke, MD, associate professor of neurosurgery at the University of Pennsylvania Neurological Institute and the Abramson Cancer Center, discusses the exciting advances being made with awake craniotomy with host Dr. Lee Freedman.

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Aired: June 29, 2009
Length: 13 min

Practice and Potential of Deep Brain Stimulation

Dr. Gordon BaltuchGordon Baltuch, MD, PhD discusses how deep brain stimulation, known as the ‘pacemaker for the brain,' has made noteworthy progress in treating Parkinson's disease. Dr. Gordon Baltuch, associate professor of neurosurgery, and director of the Center for Functional and Restorative Neurosurgery at the University of Pennsylvania School of Medicine, joins host Dr. Lee Freedman to explain the technology and take a look ahead to its potential treatment applications for other diseases.

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Aired: May 18, 2009
Length: 13 min

Differentiating the Dementias

Dr. John TrojanowskiJohn Trojanowski, MD, PhD discusses how to differentiate the types of dementia and how making these distinctions can lead to different approaches in terms of management.

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Aired: July 14, 2008
Length: 13 min

The Gamma Knife – More Precise and Safer Treatment

Dr. John Y.K. LeeJohn Y.K. Lee, MD discusses the Gamma Knife radiosurgery – what it is, how it works, and how it is bringing better and safer treatment for brain tumors and other neurologic disorders to our patients.

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Aired: May 26, 2008
Length: 13 min

Treatment for Cervical Stenosis and Radiculopathy

William C. Welch, MD, FACS, FICSWilliam C. Welch, MD, FACS, FICS, chief of neurosurgery at Pennsylvania Hospital, discusses the latest advances in the treatment of cervial stenosis and radiculopathy.

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Aired: May 3, 2008
Length: 49 min, 28 sec

Lumbar Spinal Stenosis: Think Surgery?

William C. Welch, MD, FACS, FICSWilliam C. Welch, MD, FACS, FICS reviews the approach to this common and disabling condition that affects our older patients. He reviews the diagnosis and initial treatment of lumbar spinal stenosis and then discusses how surgical techniques can bring relief to many of our patients.

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Aired: April 14, 2008
Length: 13 min

New Understandings in Traumatic Brain Injury

Dr. Douglas SmithDouglas Smith, MD discusses the paradigm shift in our understanding of the mechanisms of traumatic brain injury. He explores how these new insights may impact our approach to various diseases including Alzheimer's disease.

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Aired: March 30, 2008
Length: 13 min

Treatment for Alzheimer's Disease

Dr. H. Branch CoslettH. Branch Coslett, MD, chief of the section of cognitive neurology, discusses the latest research and advances in the treatment of Alzheimier's disease and other dementias.

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Aired: February 24, 2008
Length: 48 min, 43 sec

Alzheimer's Disease: What Does the Future Hold?

Dr. John TrojanowskiJohn Trojanowski, MD, PhD discusses the implications of our aging population in terms of the future burden of Alzheimier's disease: financial and human costs. He then reviews newer directions for the prevention and treatment of this possible epidemic.

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Aired: February 24, 2008
Length: 13 min

New Surgical Options for Spinal Disorders

William C. Welch, MD, FACS, FICSWilliam C. Welch, MD, FACS, FICS, chief of neurosurgery at Pennsylvania Hospital, discusses both the concepts and the practical specifics of new approaches to the surgical treatment of spinal disorders.

Dr. Welch touches on surgery for spine trauma as well as for spinal metastases and spinal stenosis. He outlines new devices such as the X-Stop interspinous process device, spinal implants and various motion preservation systems that are being used in place of traditional fusions.

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Aired: July 14, 2008
Length: 13 min

Pacemaker for the Brain

Dr. John Y.K. LeeJohn Y.K. Lee, MD discusses the use of deep brain stimulation as a new option for the treatment of Parkinsonian tremor and other movement disorders.

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Aired: January 21, 2008
Length: 13 min

Back Pain and Spinal Disorders

William C. Welch, MD, FACS, FICSWilliam C. Welch, MD, FACS, FICS, chief of neurosurgery at Pennsylvania Hospital, discusses back pain and spinal disorders.

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Aired: December 20, 2007
Length: 42 min, 28 sec

Ophthalmology

Advancing Diagnostic and Treatment Strategies for Glaucoma

Dr. Husam AnsariHusam Ansari, MD, PhD, assistant professor of ophthalmology at the University of Pennsylvania School of Medicine, discusses glaucoma and how although it is classically defined as a disease of high eye pressure, glaucoma is a much more complex condition.

Dr. Ansari explores the evolution of our understanding of glaucoma with host Dr. Lee Freedman. What are the most common risk factors? What are the crucial elements of an accurate diagnosis? Dr. Ansari also reviews proper treatment strategies, and offers a glimpse at the future of advanced surgical therapies for glaucoma.

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Aired: May 11, 2009
Length: 13 min

Oral & Maxillofacial Surgery

Oral Mucosal Diseases

Dr. Martin GreenbergSome of the most common oral mucosal diseases include oral lichen planus and mucous membrane pemphigoid. Martin Greenberg, DDS, chief of oral medicine at Penn Medicine, joins host Dr. Lee Freedman to discuss how primary care physicians can diagnose these conditions, some of which are chronic. Oral lesions are often the first symptoms of various underlying systemic diseases, including Crohn's disease and sarcoidosis. At what point should a physician be concerned that an oral lesion might be the sign of a more serious condition?

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Aired: June 15, 2009
Length: 13 min

Hair Restoration

Dr. Barry HendlerBarry H. Hendler, DDS, MD, with our OMS/Cosmetic Surgery Associates, discusses advances in hair restoration through micrografting and hair transplantation.

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Aired: April 13, 2008
Length: 51 min, 9 sec

Orthopaedics

When a Fracture Is More Than a Fracture

Dr. Samir MehtaSamir Mehta, MD, chief of orthopedic trauma at the Hospital of the University of Pennsylvania, discusses the role of the orthopedic traumatologist. What does this designation mean? What kind of special care or expertise do these specialists bring to the care of the patient? In what situations might an orthopedic traumatologist be called in for consultation? If you were in an accident, wouldn't you want this specialist called in to assist in your care? Dr. Lee Freedman hosts.

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Aired: March 9, 2009
Length: 13 min

Image-Guided Orthopaedic Surgery

Dr. Craig IsraeliteCraig Israelite, MD, assistant professor of orthopedic surgery at the University of Pennsylvania School of Medicine, discusses efforts to strive for less invasive procedures that still allow for the greatest precision possible. Developments in image-guided surgery are helping Penn meet this goal.

Dr. Israelite joins host Dr. Lee Freedman to discuss computer-assisted tools for surgery. How has the field evolved since its inception ten years ago? What are the key risks or drawbacks to consider with this technology?

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Aired: November 10, 2008
Length: 13 min

Rotator Cuff Tears: New Understandings

Dr. Louis SoslowskyLouis Soslowsky, PhD discusses how new understandings of the pathophysiology of tendon-to-bone repair are leading to a new therapeutic approach to rotator cuff tears.

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Aired: November 3, 2008
Length: 13 min

Surgical Advances in Knee Osteoarthritis

Dr. Craig IsraeliteCraig Israelite, MD discusses the approach to the common and often disabling problem of knee osteoarthritis. A brief review of non-surgical approaches is followed by a discussion of techniques such as image guided surgery, minimally invasive surgery, partial knee replacements and the post-operative use of multi-modal pain strategies.

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Aired: March 2, 2008
Length: 13 min

Orthopaedic Surgery

Dr. G. Russell HuffmanG. Russell Huffman, MD, MPH is an assistant professor of orthopaedic surgery at the University of Pennsylvania Health System.

He specializes in arthroscopic treatment of athletic shoulder and elbow disorders, as well as joint replacement and fracture repair surgery of the shoulder and elbow.

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Aired: February 10, 2008
Length: 51 min, 7 sec

Surgical Breakthroughs in Hip Osteoarthritis

Dr. Craig IsraeliteCraig Israelite, MD intially reviews some basic concepts in the approach to osteoarthritis. He then outlines recent surgical advances in the treatment of osteoarthritis of the hip that have led to better outcomes for our patients.

These advances include minimally invasive surgery, progress in postoperative rehabilitation and the development of new bearing surfaces that both improve range of motion and extend the life of the hip prosthesis.

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Aired: February 4, 2008
Length: 13 min

Overuse Tendon Injuries – New Approaches

Dr. Louis SoslowskyLouis Soslowsky, PhD outlines how newer understanding of the mechanism of injury in overuse syndromes is leading to new approaches in treatment.

Dr. Soslowsky shares his expertise in biomedical engineering to help doctors fine tune their approach to rotator cuff tendinosis, epicondylitis and other common clinical problems caused by overused tendons.

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Aired: December 24, 2007
Length: 13 min

Hand/Wrist Injuries and Disorders

Dr. David BozentkaDavid Bozentka, MD, chief of orthopedic surgery at Penn Presbyterian Medical Center, discusses hand/wrist injuries and disorders.

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Aired: November 4, 2007
Length: 47 min, 28 sec

Arthritis of the Hip/Knee and Hip/Knee Replacement

Dr. Craig IsraeliteCraig Israelite, MD is a co-director of knee implant service and an assistant professor in the department orthopaedic surgery at the University of Pennsylvania Health System.

Dr. Israelite specializes in hip and knee arthroscopy, complex hip and knee reconstruction and minimally invasive total hip and knee replacement.

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Aired: March 4, 2007
Length: 28 min, 7 sec

Otorhinolaryngology

Incisionless Brain Surgery

Dr. Jason G. NewmanJason G. Newman, MD, assistant professor of otolaryngology - head and neck surgery at the University of Pennsylvania School of Medicine, discusses how minimally invasive surgery is generally an attractive option, but brain surgery performed through the nose is also reliable and effective.

Dr. Newman explores the rapidly evolving field of incisionless brain surgery with host Dr. Lee Freedman. What are the obstacles to approaching brain surgery through the nose, and could there be a robotic component in the next few years?

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Aired: February 2, 2009
Length: 13 min

Pulmonary Medicine / Thoracic Surgery

The Promise of Proton Therapy for Lung Cancer

Because the lungs are sensitive to radiation, treating lung cancer can be challenging. What's the current standard of care for the management of inoperable non-small cell lung cancer, and how might proton therapy benefit patients with this condition? How does the efficacy of proton therapy for lung cancer compare to other therapies?

Ramesh Rengan, MD, PhD, assistant professor of radiation oncology at Penn Medicine, evaluates the potential of proton therapy for lung cancer. Dr. Lee Freedman hosts.

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Aired: August 24, 2009
Length: 13 min

Novel Adjuvant Therapies for Lung Cancer

Dr. John KucharczukLung cancer is one of the most fatal types of cancer, but significant advances are being made. How are novel adjuvant post-operative therapies, including personalized therapies, improving survival and quality of life for patients with lung cancer?

John C. Kucharczuk, MD, assistant professor of surgery and surgeon in the division of thoracic surgery at Penn Medicine, discusses clinical trials centered around adjuvant therapies for patients with lung cancer. Dr. Lee Freedman hosts.

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Aired: July 13, 2009
Length: 13 min

Comprehensive Smoking Cessation Programs

Dr. Frank LeoneFrank Leone, MD, MS, associate professor of medicine and director of the Comprehensive Smoking Treatment Program at the University of Pennsylvania, discusses how smoking-related morbidities and health complications are well-established. Even with social trends impinging on the freedom to smoke in convenient locations, many of our patients still can't kick the habit.

Host Dr. Lee Freedman learns more about effective pharmacologic and non-pharmacologic 'quit smoking' remedies from Dr. Frank Leone.

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Aired: April 13, 2009
Length: 13 min

Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration

Until recently, bronchoscopy has involved using cameras with CT guidance to determine abnormalities along the airway and lymph nodes. How is ultrasound now being used for bronchoscopic needle biopsies? What are other novel therapeutic applications for endobronchial ultrasound-guided transbronchial needle aspiration?

Andrew Haas, MD, assistant professor of medicine in the pulmonary, allergy and critical care division at the University of Pennsylvania Medical Center, discusses the diagnostic and therapeutic uses of ultrasound-guided bronchoscopy. Dr. Lee Freedman hosts.

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Aired: March 23, 2009
Length: 13 min

Smoking Cessation Therapies

Dr. Frank LeoneFrank Leone, MD, MS, pulmonologist and Director of Comprehensive Smoking Treatment Programs at the University of Pennsylvania, discusses how the morbidities and health complications from smoking are certainly well established. And even with social trends increasingly making the life of a smoker more difficult, many of our patients still can't kick the habit.

Joining your host, Dr. Lee Freedman, to discuss smoking cessation therapies is Dr. Leone. Dr. Leone covers the origins of the habit, nicotine addiction, and how to best approach patients with both pharmacologic and non-pharmacologic treatments.

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Aired: August 4, 2008
Length: 13 min

Comprehensive Smoking Treatment Program

Dr. Frank LeoneFrank Leone, MD, MS, director of the Comprehensive Smoking Treatment Programs, discusses how to learn to quit smoking safely and comfortably.

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Aired: March 9, 2008
Length: 37 min, 6 sec

Diagnosis and Treatment of Lung Cancer – New Ideas

Dr. Tracey EvansTracey Evans, MD discusses the the latest thinking in regard to screening and case finding for lung cancer. Dr. Evans then reviews newer approaches to the treatment of various types and stages of lung cancer.

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Aired: January 7, 2008
Length: 13 min

New Directions in the Treatment of Lung Cancer

Dr. Tracey EvansTracey Evans, MD discusses developing agents for use in the treatment of this often deadly disease.

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Aired: November 5, 2007
Length: 13 min

Chronic Obstruction Pulmonary Disease

Dr. Gregory TinoGregory Tino, MD, a physician and director of pulmonary outpatient practices at HUP, discusses chronic obstruction pulmonary disease.

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Aired: October 14, 2007
Length: 45 min, 31 sec

Lung Cancer and Disease, Thoracic Surgery

Dr. John KucharczukJohn C. Kucharczuk, MD of the thoracic surgery division at Pennsylvania Hospital discusses lung cancer, lung disease, and thoracic surgery.

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Aired: April 1, 2007
Length: 45 min, 04 sec

Rheumatology

Beyond Dry Eyes: Signs of Sjogren's Syndrome

Dr. Joseph HarryhillSjogren's syndrome is a commonly overlooked autoimmune disorder. Dry eyes and whole-body dryness are just two of the symptoms of Sjogren's syndrome that can suggest other conditions as well. How does Sjogren's present itself beyond dry eyes, and how severe is the condition? Frederick Vivino, MD, FACR, clinical associate professor of medicine at the University of Pennsylvania School of Medicine, describes some of the tests and therapies available for Sjogren's syndrome to host Dr. Lee Freedman.

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Aired: March 30, 2009
Length: 13 min

Urology

Prostatic Cryosurgery and Robotic Prostatectomy

Dr. David I. LeeNewer options for treating prostate cancer include cryosurgery and robotic prostatectomy. What does each of these methods involve and how can we determine the best treatment for our patients? David I. Lee, MD, assistant professor of surgery at Penn Medicine, explores the advantages, risks, and outcomes. Dr. Lee Freedman hosts.

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Aired: May 25, 2009
Length: 13 min

Benign Prostatic Hyperplasia: A Green Light for Laser Therapy?

Dr. Joseph HarryhillJoseph F. Harryhill, MD, FACS, assistant clinical professor of surgery at the University of Pennsylvania School of Medicine, outlines procedural considerations for men with benign prostatic hyperplasia with host Dr. Lee Freedman. Dr. Harryhill provides a contrast between more traditional approaches and newer therapies, including the GreenLight laser. Should you be referring your patients for laser therapy? If so, what might be his expected outcome?

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Aired: March 16, 2009
Length: 13 min

Renal Cell Carcinoma and Partial Nephrectomy

Dr. C. William Schwab, II C. William Schwab II, MD, discusses how in certain cases of renal cell cancer, patients are now given the option of partial nephrectomy, as opposed to complete kidney removal. Is this a viable alternative for your patients?

Host Dr. Lee Freedman talks with Dr. Schwab, assistant professor of surgery in the division of urology at the University of Pennsylvania School of Medicine, about recent advances toward increasing the efficacy of this procedure.

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Aired: October 13, 2008
Length: 13 min

Surgical Treatment Options for Renal Cell Cancer

Dr. C. William Schwab, II C. William Schwab II, MD, discusses how newer imaging techniques are uncovering smaller renal masses, which invite stronger consideration of nephron-sparing surgery as a treatment option.

Dr. Schwab, assistant professor of surgery in the division of urology at the University of Pennsylvania School of Medicine, talks about the basics of laparoscopic and robot-assisted partial nephrectomy. Which procedure would fit your patient's profile?

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Aired: June 2, 2008
Length: 13 min

Women's Health

Ovarian Function, Fertility, and Cancer Therapy

Dr. Clarisa GraciaClarisa Gracia, MD, MSCE, discusses ovarian function and fertility before, during and after cancer treatments. The new ways in which we are beginning to perserve fertility provides hope for young cancer patients.

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Aired: February 24, 2008
Length: 13 min

Gynecologic Oncology

Dr. Thomas C. RandallThomas C. Randall, MD, chief of gynecologic oncology at Pennsylvania Hospital, discusses gynecologic oncology.

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Aired: November 11, 2007
Length: 45 min, 59 sec

Reproductive Endocrinology and Infertility

Dr. Maureen KellyMaureen Kelly, MD, an ob/gyn physician discusses reproductive endocrinology and infertility at Penn Health for Women.

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Aired: September 23, 2007
Length: 40 min, 30 sec

 


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