Second Opinion Live!

  • Autor: Vários
  • Narrador: Vários
  • Editor: Podcast
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Sinopsis

Whether you're a dermatologist in Seattle, a family practitioner in New Mexico, or a trauma surgeon in New York City, the issues in health care today just can't wait. That's why you turn to ReachMD for Second Opinion Live: we're here to give you a chance to be heard.Join two of our seasoned physician hosts, Dr. Matt Birnholz and Dr. Michael Greenberg, for the next Second Opinion Live, airing on ReachMD.Do you have a topic suggestion or a story idea? Share them with us at info@reachmd.com.

Episodios

  • After Katrina: Clarifying Triage Rules, Resolving Moral Issues

    02/09/2009

    Guest: Sheri Fink, MD, PhD Host: Matt Birnholz, MD Host: Michael Greenberg, MD It has been several years since Hurricane Katrina wreaked havoc up and down the U.S. Gulf Coast, but the storm continues to leave a nasty legacy in its wake. As the levees broke and the city of New Orleans descended into chaos, the medical staff at Memorial Medical Center wondered whether help would come to evacuate their patients to safety. With conditions turning more extreme by the day, and supplies running short, the medical team faced truly extraordinary circumstances. What follows is a narrative of ethical twists and turns, the lessons from which are still being extracted to this day. ProPublica reporter Dr. Sheri Fink has worked tirelessly to investigate the saga at Memorial over the past two and a half years. She joins hosts Dr. Michael Greenberg and Dr. Matt Birnholz to share this story. Dr. Birnholz and Dr. Greenberg will cover a range of other topics during the show, including the ongoing debate over patient res

  • Do Your Assumptions Interfere With the Care You Provide?

    21/08/2009

    Guest: Steven Feldman, MD, PhD Host: Matt Birnholz, MD Host: Michael Greenberg, MD We may not understand why a patient has stopped taking their medication, or why a colleague ordered a test that we might have thought was not needed. In these and other similar situations, frequently our first instinct is to draw conclusions to explain these enigmatic actions. It's not always easy to truly understand the thinking behind their decision, but Dr. Steven Feldman believes we would all save a lot of time, hassle and money by making the effort to do so. Hosts Dr. Matt Birnholz and Dr. Michael Greenberg welcome Dr. Feldman to the show to discuss his new book, Compartments: How the Brightest, Best Trained, and Most Caring People Can Make Judgments That Are Completely & Utterly Wrong. It's a pretty familiar message that extends far beyond health care, but Dr. Feldman uses his research and experience to uniquely tailor his thoughts to our interactions as clinicians, researchers and beyond. Dr. Birnholz and Dr

  • Are Fat, Sugar and Salt Holding Our Health Hostage?

    06/08/2009

    Guest: David A. Kessler, MD Host: Matt Birnholz, MD Host: Michael Greenberg, MD We know that the basic ingredients in our food have played a major role in the progression of our country's obesity epidemic -- it's not all about our genetics and our sedentary lifestyle. Yet, armed with this knowledge, and amid a bevy of weight loss pills, exercise routines and diet fads galore, we continue to have trouble controlling what we eat and how much of it we eat. One competing strategy to beat these struggles centers on brain circuitry and how we respond to food: the activation of reward neurocircuitry, increasing attention to and arousal by food stimuli and other food-related cues like advertising. Can we impart several simple ideas on our patients to improve their control mechanisms for food desires and food intake? Dr. David Kessler says we can. Dr. Kessler, the commissioner of the Food and Drug Administration from 1990 to 1997, former dean of the medical schools at the University of California, San Francis

  • Encouraging Physician Involvement in Health Care Reform

    22/07/2009

    Guest: Rep. Peter Roskam, (R-IL) Host: Matt Birnholz, MD Host: Michael Greenberg, MD It seems every day there is a new batch of developments in the political tussle over health care reform. Many members of the medical community are frustrated at the tenor of the debate in Washington, and concerned that the issues sacred to physicians and other medical professionals appear to have taken a backseat to others involved here. Even for those of us who see the need to change our health care system, it has been a fast moving and oft-confusing period filled with questions: are we moving too quickly on an issue that warrants the full attention of Congress and all of the major players involved? how can physicians do more to ensure that their voices are heard during this frenzied debate? Hosts Dr. Michael Greenberg and Dr. Matthew Birnholz welcome someone with a front-row seat to the health care reform process, Congressman Peter Roskam, of the 6th district in Illinois and a member of the House Ways and Means Com

  • Do Our Professional Organizations Represent Our Interests?

    10/07/2009

    Guest: Rahul Parikh, MD Host: Matt Birnholz, MD Host: Michael Greenberg, MD President Obama recently gave a speech at the annual meeting for the American Medical Association (AMA) in Chicago. The speech thrust the AMA squarely into the national spotlight as an organization that represents physicians around the country. While the president's discourse with the AMA drew a lot of attention to the issue of health care reform, it has also renewed the conversation in some circles of the medical community, where doctors are wondering whether the AMA speaks to their best interests as practicing physicians, as well as to the best interests of their patients. Dr. Rahul Parikh, a pediatrician based in California, recently wrote an article on the subject for the Health Care Blog. He joins hosts Dr. Michael Greenberg and Dr. Matt Birnholz to examine this question of professional organizations' representation of physicians. As we move toward a series of defining moments in the health reform debate, is the voice of

  • Physician Advocates for Single-Payer Health System Reform

    24/06/2009

    Guest: Carol Paris, MD Host: Michael Greenberg, MD and Larry Kaskel, MD We've heard a lot about health system reform in recent months. One possible mode of health care reform is the single-payer approach, but advocates of single-payer believe their principles have not received fair consideration from lawmakers, in large part because of the lobbying influence of the health care industry. Critics of single-payer argue that quality of care will go down and that the model will breed excess demand for medical services; advocates counter that it is the only way to provide comprehensive, cost-effective medical coverage for all. Hosts Dr. Michael Greenberg and Dr. Larry Kaskel welcome single-payer supporter Dr. Carol Paris, a psychiatrist practicing in southern Maryland, to articulate how she and her colleagues in the single-payer camp believe health care should be organized in the United States. Dr. Greenberg and Dr. Kaskel will also discuss physicians who are blogging about their malpractice trials, and a ne

  • Conscientious Objection: Morality and Religion in Medicine

    11/06/2009

    Guest: Julie Cantor, MD, JD Host: Michael Greenberg, MD and Larry Kaskel, MD Friends and family of Dr. George Tiller recently laid the prominent abortion physician to rest, after he was shot and killed while serving as usher during a Sunday church service in Wichita, Kansas. Authorities have charged a man with murder in the case, but Dr. Tiller's death has sparked a fresh debate about the role of physicians and other health care providers in abortion cases, as well as other areas of medicine where moral and religious convictions may overlap with our duty to the health and well-being of our patients. One aspect of this debate revolves around efforts from the administration of President George W. Bush to bolster federal conscience protection statutes for health care providers, regulations which were implemented by the department of Health and Human Services in the final weeks of his time in the White House. The Obama administration began the process of determining whether to rescind the regulations. For

  • Inching Closer to Healthcare Reform: Driving Down Costs

    15/05/2009

    Guest: J. James Rohack, MD Host: Michael Greenberg, MD and Larry Kaskel, MD News out of Washington, DC, last week has many sectors of health care abuzz about the possibility of meaningful reforms to our system: President Barack Obama announced the initial framework of a commitment from six of the major players in the healthcare industry to cut nearly two trillion dollars in health care costs over the next 10 years. If the plan moves forward as it is currently stands, what will be the lasting impact on our work and our practices? Dr. James Rohack, president-elect of the American Medical Association and a leading figure in these high-level meetings at the White House, joins hosts Dr. Larry Kaskel and Dr. Michael Greenberg to share his perspective on the progress toward significant changes in healthcare. Dr. Kaskel and Dr. Greenberg will also reflect on the H1N1 frenzy over the past few weeks, and muse about the apparent gravitation toward Wikipedia among physicians who use the Web as a medical resource.

  • What Physicians Need to Know About H1N1 Influenza

    30/04/2009

    Guest: Joan Nichols, PhD Host: Michael Greenberg, MD and Larry Kaskel, MD Events surrounding the spread of H1N1 influenza virus have dominated the news over the course of the last few weeks. We are all receiving calls from patients worried that they may have symptoms, while others are concerned that they may be at risk. Everyone has questions: Is there any need to think about stockpiling Tamiflu and other antiviral products, and should we recommend that at-risk patients start on a prophylactic antiviral regimen? How long will it be until we have vaccine resources at hand to combat the virus? Hosts Dr. Michael Greenberg and Dr. Larry Kaskel sort through your questions, as well as those you are getting from your patients, with the help of Dr. Joan Nichols, associate director of research at the Galveston National Biocontainment Laboratory, our nation's first national biocontainment facility, based in Galveston, Texas. Dr. Nichols, who is also an associate professor of microbiology & immunology at the

  • Competing Views on Alternative Medicine

    27/02/2008

    Host: Michael Greenberg, MD Alternative, or non-traditional medicine: where does it really stand in the minds and practices of today's doctors? Would you use it, would you refer to it? Dr. Michael Greenberg interviews medical practitioners, voicing their opinion on this controversial topic.

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