The Ways We Live and Die

This episode aired on Sunday October 2, 2011. You can listen to this episode in its entirety on WYSO.org or download the free podcast on our iTunes page!

In this episode, Avash Kalra and Teresa Lee lead a discussion on palliative care and the intricacies of dealing with end-of-life events, from the perspective of both physicians and patients.

Featured Guest: Dr. David Casarett, Associate Professor in the Division of Geriatrics at the University of Pennsylvania and author of Last Acts: Discovering Possibility and Opportunity at the End of Life.

Dr. Casarett shares with us many stories from his experiences as a physician specializing in palliative care, including the story of Sylvester, the patient who inspired him to write his book.  As patients discover they are at the end of life, they have many different ways of responding — including reconciliation, aggression, celebration, revenge, denial and many others.  Dr. Casarett stresses the importance of battling the common assumption that the end of life is hopeless.

Avash and Teresa also discuss with host Casey McCluskey her own experiences with the possibility of death — stemming from Casey’s personal experience with breast cancer, diagnosed when she was a first year medical student.  As medical students, the education on disease and healing is extensive.  However, when it comes to dealing with the end of life, less opportunity is provided to develop answers to some of the difficult questions that many palliative care patients must deal with.  Learning to bring hope to a family whose sense of loss is overwhelming is an additional topic that is explored in this episode.

Remember, as always, the free-to-download podcast of this episode (and all past episodes) can be found on our iTunes page! And you can listen to this episode in its entirety on WYSO.org !

On the Hot Seat – The Medical School Interview

This episode, which aired on September 26, 2010, is now available as a free download on our iTunes page!

This episode is specifically designed for our pre-medical student listeners, as we hear all-important advice and insight about medical school interviews, from featured guests:

  • Dr. David Neumeyer, Associate Dean of Admissions at the Tufts University School of Medicine
  • Dr. David Wofsy, Associate Dean of Admissions at the University of California at San Francisco (UCSF) School of Medicine,
  • Brad Kuhn, a second-year medical student who sits on the admissions committee at the Wright State University Boonshoft School of Medicine

Our guests in this episode also discussed their own fields of medicine, the personal statement portion of the application, the importance of extracurricular activities, and red flags that arise during the medical school interview process.

Again, as always, the free-to-download podcast of this episode (and all past episodes) can be found on our iTunes page!

The AMA and Student Voices

This episode aired on Sunday September 25, 2011. You can listen to this episode in its entirety on WYSO.org or download the free podcast on our iTunes page!

In this episode, John Corker and Teresa Lee discuss with our guests the roles that the American Medical Association (AMA), particularly the medical student section (MSS), plays in the development
of health care policies on Capitol Hill.

Featured Guests: Dr. Peter Carmel, recently inaugurated 166th president of the American Medical Association, Chairman of the Department of Neurological
Surgery at New Jersey Medical School and Director of the Neurological Institute of New Jersey. Also: Abby Daniel, the 2011-2012 Government Relations
Advocacy Fellow for the AMA, and T.R. Eckler, Chief of the AMA Medical Student Section Governing Council.

Dr. Carmel gives us insight into the role that medical students play in the AMA and the influence that they have in the direction of proposals on Capitol Hill. He also mentions the proposed budget cuts to Medicare and the effect that those cuts would have on the medical community, particularly for physicians in residencies funded by Medicare.

Abby Daniel and T.R. Eckler share with us how they became involved in the AMA MSS and also ways that other medical students can get involved. Medical students play an important role in the AMA and their presence is needed. According to Dr. Carmel, the medical student section of the AMA is one of the most influential because the students are the “most altruistic and the most selfless” part of the medical profession so “when they talk, people listen.” Dr. Carmel also shares his opinions on how to combat the empathy burnout in medicine.

Remember, as always, the free-to-download podcast of this episode (and all past episodes) can be found on our iTunes page! And you can listen to this episode in its entirety on WYSO.org !

The Unfinished Agenda

This episode aired on Sunday September 18, 2011. You can listen to this episode in its entirety on WYSO.org or download the free podcast on our iTunes page!

In this episode, hosts John Corker and Lakshman Swamy consider the many challenges facing primary care physicians today with regards to children’s vaccinations and the declining public perception of the utility of preventive medicine.  As experienced U.S. physicians attempt to convince misinformed parents of the importance of preventive medicine, Latin America faces many of these same struggles.  One in three children in Latin America have not received the vaccinations they so desperately need!

Featured Guest: Dr. Jon Andrus, Deputy Director of the Pan-American Health Organization, a division of the World Health Organization.  Dr. Andrus is credited for his work in eradicating Polio in the Americas and Southeast Asia.  He received the Distinguished Service Medal, the highest award of the United States Public Health Service for this work.

Dr. Andrus’ current work in PAHO focuses on “finishing the unfinished agenda.”  This includes bringing immunizations and preventive medicine to those who need it in many underdeveloped countries across our globe.  Dr. Andrus discusses his concerns with the proposed budget cuts to the CDC’s immunization programs in the United States.  In the medical world, “an ounce of prevention is worth a pound of cure.”  If we eliminate the funding for this “ounce,” then the healthcare industry will face an inevitable “tsunami” of disease.  Already, in California, there has been a recurrence of the infectious disease Pertussis, commonly known as whooping cough.  With federal cuts, diseases like Pertussis that have been forgotten for so long will not just be in our history books.  They will be on our doorsteps.

Remember, as always, the free-to-download podcast of this episode (and all past episodes) can be found on our iTunes page! And you can listen to this episode in its entirety on WYSO.org !

9/11 – The Medical Response

This episode aired on Sunday September 11, 2011 and is now available as a free download on our iTunes page!For our first episode of Season 6, Radio Rounds hosts discuss the events that took place on September 11, 2001 with two physicians whose perspectives offer unique insight into the details and aftermath of that fateful day.

Featured Guests: Dr. Steven Sampson, Osteopathic Physical Medicine and Rehabilitation Doctor and Clinical Instructor of Medicine at UCLA School of Medicine and Dr. Jacqueline Moline, Director of the World Trade Center Medical Monitoring and Treatment Program at Mt. Sinai Hospital in New York City.

Dr. Sampson recalls his experiences as a 4th-year Medical student during the tragedies of September 11 one decade ago.  After hearing of the attacks, Dr. Sampson’s response was similar to so many others on that day: heroism uninhibited by fear and a sense of duty that called him to the doorstep of Ground Zero to offer whatever help he could.

Dr. Moline’s project at Mt. Sinai Hospital aims at treating the ailments that occurred as a result of the same heroism and bravery that Dr. Sampson exhibited.  A lot of musculoskeletal and respiratory problems have resulted from the extreme conditions of Ground Zero on 9/11.  Dr. Moline’s humbling task of caring for those who risked their lives that day has given her a new appreciation for the art of healing.

HostsAvash Kalra and Lakshman Swamy lead the discussion of the heroism and bravery that were exhibited during the attacks on the United States.  With each story a new picture is painted of the horror felt on that day and every story of heroism reminds us of the inherent good nature of human-kind.Again, remember that, as always, the free-to-download podcast of this episode (and all past episodes) can be found on our iTunes page!

Beyond Borders – Coppola, A Pediatric Surgeon in Iraq

This episode aired on May 8, 2011 as the Season 5 Finale and is now available as a free download on our iTunes page!

Featured Guest: Dr. Chris Coppola shares with us the stories he describes in his book entitled Coppola: A Pediatric Surgeon in Iraq. Dr. Coppola was deployed twice to Iraq in support of Operation Iraqi Freedom, assigned to the 332nd Air Force Theater Hospital in Balad, Iraq, where many of his patients were seriously wounded children.

Learn more at coppolathebook.com

Again, remember that, as always, the free-to-download podcast of this episode (and all past episodes) can be found on our iTunes page!

The Patient in the Center

This episode aired on May 1, 2011 and is now available as a free download on our iTunes page!

In this episode, the Radio Rounds crew discovers the efforts of a family physician in Oregon to put her patients in control.

Featured Guest: Dr. Pamela Wible, board-certified family physician in Eugene, Oregon, and nationally recognized innovator in patient-centered care. In 2005 she hosted a town hall meeting and invited ordinary citizens to do something extraordinary: create the clinic of their dreams. On this episode, Dr. Wible tells us what happened next.

In addition. Dr. Wible is co-author of the award-winning anthology Goddess Shift: Women Leading for a Change with Michelle Obama and Oprah Winfrey, among other visionary women.

Also featured in this episode are faculty members at the Wright State University Boonshoft School of Medicine — Drs. Ashley Fernandes and Annette Chavez — who offer their own perspectives on primary care.

Again, remember that, as always, the free-to-download podcast of this episode (and all past episodes) can be found on our iTunes page!

Oh, the Humanities!

This episode aired on Sunday April 24, and the free podcast download is now available on our iTunes page!

In this episode, hosts Avash Kalra and Shamie Das discuss the intersection of the humanities — literature and writing — with the medical profession. Kalra recently attended the annual “Examined Life: Writing and the Art of Medicine” conference at the University of Iowa, and he describes his experience there and the lessons learned from writers and journalists across the country.

In addition, Kalra discusses a recent short story he wrote, which he presented at the conference in Iowa City. Click here to read that story, entitled “Can I Go Home?”

In addition…

Featured Guests: Residency Program Directors — Dr. Kevin Hinchey (Internal Medicine, Tufts University Baystate), Dr. Patrick Duff (OB/GYN, Univ. of Florida), and Dr. Michael Leitman (Surgery, Albert Einstein University’s Beth Israel Medical Center in NYC) — provide advice regarding the residency application process and provide insight for all listeners regarding how the future of the medical profession is chosen and trained.

Again, remember that, as always, the free-to-download podcast of this episode (and all past episodes) can be found on our iTunes page!

Faith In Medicine

This episode aired on April 17, 2011 and is now available as a free download on our iTunes page!

In this episode, our team investigates the application of faith in medical practice.

Featured Guest: Dr. David Stevens, Chief Executive Officer of the Christian Medical & Dental Associations, (CMDA). In addition, as the former medical director for Samaritan’s Purse, Dr. Stevens led medical teams into war zones in both Somalia and Sudan.

Dr. Stevens has previously appeared on NBC’s Today Show, NBC Nightly News, BBC-World Television, CNN and National Public Radio.  As a medical missionary, Dr. Stevens has witnessed the power of faith in medicine.  He discusses the use of the psycho-physiological model of medicine in the United States in comparison to the religious model on which many other countries have based their medical practice.

Faith is seldom discussed in medical education, which presents an interesting problem.  When patients ask their physician about faith-related issues, most have very little preparation for handling the situation unless faith is of central importance to them personally.

Hosts John Corker and Adam Deardorff — in addition to special guest Peter Hountras MS4 — lead the discussion with Dr. Stevens and delve into the roles of faith in both the patient’s and the physician’s life.  Since mental well-being is of critical importance to the overall health of the patient, faith and spirituality often play important roles in medical treatment, particularly in end-of-life scenarios.

To learn more about the CMDA, visit their website at www.cmda.org.

The Science Behind the Art – The Rational Clinical Exam

This episode aired on Sunday April 10, and the free podcast download is now available on our iTunes page!

In this episode, we investiage the application of a patient’s history and physical exam in the diagnosis of illness and the importance of using evidence-based medicine in practice.

Featured Guest: Dr. David Simel, faculty member in the Dept. of Internal Medicine at Duke University and Editor of the Rational Clinical Examination series published by JAMA Evidence — Learn more at JamaEvidence.com

As editor for this series, Dr. Simel has expanded his knowledge in the realm of evidence-based medicine. Hosts Avash Kalra and Lakshman Swamy discuss with Dr. Simel how the history and physical exam can be invaluable diagnostic tools when used as such. They also discuss the importance of practicing the simple tests and understanding the science behind them.  In this way, physicians can make definite decisions to better care for patients.

Dr. Simel also provides specific examples of situations where simple observations have prevented complications in his patients, emphasizing again the importance of basic physical signs that provide important information regarding the science behind symptoms.

Again, remember that, as always, the free-to-download podcast of this episode (and all past episodes) can be found on our iTunes page!