Focus On Neurology And Psychiatry

Host: Andrew Wilner, MD, Author of "The Locum Life: A Physician's Guide to Locum Tenens" While most people with epilepsy are treated with medications, other modalities such as surgery, diet, and neuromodulation are often necessary. Since the FDA approval of the vagus nerve stimulator in 1997, there has been a growing interest in neuromodulation. A second, more sophisticated device, the responsive neurostimulator, received FDA approval in 2013. Host Andrew Wilner talks with Dr. Robert Fisher, Professor of Neurology and Director of the Sandford Epilepsy Center at Stanford University about the role of neuromodulation therapy for treatment of epilepsy.

Host: Paul Rokuskie Scientists have been doing research into many areas of autism spectrum disorder in the hopes of explaining the doubling of its prevalence rate over the past decade. Both environmental risk factors and genetic components are areas of intense scrutiny for researchers seeking to understand the root causes of autism. Host Paul Rokuskie talks with Craig Newschaffer, Professor, Associate Dean for Research, and Director of the A.J. Drexel Autism Institute, about the risk factors for autism spectrum disorder that scientists are working to better define.

Host: Brian P. McDonough, MD, FAAFP According to the American Foundation for Suicide Prevention, 44,193 Americans die by suicide each year. The Columbia Suicide Severity Rating Scale (C-SSRS) has been developed as a means of helping users identify whether someone is at risk for suicide, assessing the severity and immediacy of that risk, and gauging the level of support that the person needs. Host Dr. Brian McDonough talks with Dr. Kelly Posner Gerstenhaber, Founder and Director of the Columbia Lighthouse Project who disseminates the C-SSRS worldwide as a tool for suicide prevention.

Host: David Weisman, MD Guest: John Khoury, MD For the first time, the FDA has approved a direct-to-consumer genetic test from 23andme that will inform patients if they are predisposed to diseases such as Parkinson’s, Alzheimer's, and Celiac Disease among others. Proponents applaud this decision, saying this will allow for people to know their genetic health risks and be more proactive about their health. Others argue that this information doesn’t tell the whole story since predisposition doesn't reflect someone's ultimate risk or likelihood of developing a disease. What are the benefits and liabilities of consumers' access to genetic testing? Host Dr. David Weisman, Director of Clinical Trials at Abington Neurological Associates, sits down with Dr. John Khoury, Associate Director at Abington Memorial Hospital Sleep Disorders Center, to debate the merits and pitfalls of direct-to-consumer genetic testing.

Host: Paul Rokuskie Over the past two decades, the world has seen a dramatic rise of individuals being diagnosed with autism spectrum disorder. For decades scientists and medical professionals have been researching various aspects of this disease to uncover genetic and environmental factors explaining this rapid increase in prevalence; however, discovering definitive clues to causality has proven elusive. Host Paul Rokuskie talks with Dr. Craig Newschaffer, Professor, Associate Dean for Research, and Director of the A.J. Drexel Autism Institute about the latest research findings into environmental factors affecting autism risk.

Host: Paul Rokuskie Researchers have been challenged for years by the simultaneous results of numerous studies into brain network connections in individuals with Autism Spectrum Disorder. Some results show strong connections, while others suggest the opposite. New research has helped bring some clarity to this ongoing paradox. Host Paul Rokuskie is joined by Dr. Benjamin Yerys, a child psychologist in the Center for Autism Research (CAR) at the Children’s Hospital of Philadelphia. They talk about how it’s possible to see conflicting results and, paradoxically, for both to be true.

Host: Paul Rokuskie Autism Spectrum Disorder affects communication skills as well as emotional & social development. Researchers have been studying the brain for decades to better understand how these developmental differences manifest as autism. Recent studies that measure rapid eye movement (REM) have been showing great promise in elucidating the origins and mechanisms of disease. Host Paul Rokusie sits down with Dr. John Foxe to talk about his study on rapid eye movement, its implications on disease pathogenesis, and new insights it can bring to future autism research.

Host: Brian P. McDonough, MD, FAAFP Millennials report higher incidence and prevalence rates of depression than any previous generation. Why is this, and what can be done to help these patients? Host Brian McDonough speaks with Dr. John Huber, Chairman for Mainstream Mental Health, about the reasons why millennials are struggling with depression and anxiety, and tips for helping these patients handle the unique stressors in life they are facing.

Host: Brian P. McDonough, MD, FAAFP Guest: Signe Whitson What is passive-aggressive behavior, and what can (or should) people do when confronted with it? Host Brian McDonough sits down with Signe Whitson, author of the book The Angry Smile: The New Psychological Study of Passive-Aggressive Behavior at Home, at School, in Marriage & Close Relationships, in the Workplace and Online. Ms. Whitson is an educator on bullying, crisis intervention, and child and adolescent emotional and behavioral health. She offers real-world examples and empowering, practical strategies for individuals confronted with passive aggressiveness.

Host: Brian P. McDonough, MD, FAAFP Guest: Allison Willis, MD More men than women are diagnosed with Parkinson's Disease by almost a 2 to 1 margin. However, women receive supportive surgery less often than men, and their symptoms are more severe on average by the time surgical options are taken. Host Brian McDonough chats with Dr. Allison Willis, Assistant Professor of Neurology at the Perelman School of Medicine at the University of Pennsylvania, about gender differences in diagnosing and managing Parkinson's Disease.

Host: Brian P. McDonough, MD, FAAFP Vegetative state is commonly defined as "wakefulness with awareness." Patients with a vegetative state diagnosis will show only reflex behavior, are not able to follow commands and are unable to communicate. This barrier in the inability for patients to communicate can make it difficult for doctors to measure their level of consciousness. In fact, some patients who are believed to be in a completely vegetative state may be more aware of what's going on than people realize. Host Brian McDonough joins Dr. Adrian Owen, Canada Excellence Research Chair in Cognitive Neuroscience and Imaging at the Brain and Mind Institute at Western University. They talk about how the use of MRI technology is aiding doctors in measuring the level of consciousness in patients under vegetative states.

Host: Andrew Wilner, MD, Author of "The Locum Life: A Physician's Guide to Locum Tenens" Guest: Elizabeth Donner, MD Sudden Unexplained Death in Epilepsy (SUDEP) refers to the unexplained death of a seemingly healthy person with epilepsy where no cause of death can be found. What do doctors need to know about this mysterious and devastating phenomenon? Dr. Elizabeth Donner, Director of the Comprehensive Epilepsy Program and Associate Professor in the Department of Pediatrics at the University of Toronto joins host Dr. Andrew Wilner to talk about the risks and investigated causes of SUDEP.

Host: Brian P. McDonough, MD, FAAFP Could constant cell phone use be damaging children's brains? Host Dr. Brian McDonough chats with Daniel Debaun, author of Radiation Nation: The Fallout of Modern Technology," about how electromagnetic frequency (EMF) radiation produced by modern technology such as cell phones, tablets, laptops, Wi-Fi, and smart meters may be emerging as a health threat with many unknown consequences.

Host: Adam Ehrlich, MD, MPH Guest: Alison Kaufman, PsyD Our body responds to stress and anxiety in a variety of ways. For patients with IBD, the body manifests stress into various psychological issues, creating a link between IBD and mental health. Dr. Alison Kaufman, a psychologist at Children’s Hospital of Philadelphia will discuss the common emotional reactions of IBD patients, suggesting ways for physicians to help these patients cope with their chronic disease. She is joined by Dr. Adam Ehrlich of Temple University.

Host: Maurice Pickard, MD Guest: Annette Hanson, MD Is forced treatment helpful or harmful? Battle lines have been drawn over involuntary treatment for psychiatric patients. Psychiatrist Dr. Annette Hanson offers a thought-provoking and engaging account of the controversy surrounding involuntary psychiatric care in the United States. She brings the issue to life with first-hand accounts from patients, clinicians, advocates, and opponents. Committed takes on the difficult question of psychiatry's role in preventing violence, suicide, and mass murder. Hosted by Dr. Maurice Pickard.

Host: Brian P. McDonough, MD, FAAFP Guest: Annalisa Scimemi Hemorrhagic strokes account for about 200,000 strokes per year. Of those who survive, about 66 percent suffer some permanent brain damage. Our guest, biophysicist Dr. Annalisa Scimemi, has been studying the receptors in the brain that may contribute to brain damage immediately after hemorrhagic stroke. Alongside host Dr. Brian McDonough, she will discuss how to lessen the effects of brain damage following a stroke.

This week, hosts Mark Masselli and Margaret Flinter speak with Dr. Peter Yellowlees, President-elect of the American Telemedicine Association which seeks to improve health care delivery through better use of remote medicine technologies. Dr. Yellowlees discusses his decades of work at the University of California Davis advancing the use of telemedicine in clinical and behavioral care.

This week, hosts Mark Masselli and Margaret Flinter speak with Paul Gionfriddo, CEO of Mental Health America, the nation's oldest organization dedicated to advancing access to mental services for all Americans. He discusses the need to change the nation's response to mental illness from a public safety to a public health approach.

Host: Matt Birnholz, MD Guest: Patrick J. Connolly, MD Back and neck pain is extremely common, with 80-90% of people experiencing some pain within their lifetime. About 90% of cases resolve within six weeks, but for those patients whose pain persists, questions arise as to who should be referred next for further consultation. While patients often see a spine specialist at first, the care journey sometimes leads to a neurosurgeon or orthopaedic spine surgeon. Can this pathway from primary care to neurosurgery or orthopaedic surgery ever be expedited? Dr. Patrick Connolly, neurosurgeon at Penn Medicine joins host Dr. Matt Birnholz to discuss when primary care physicians should consider referring patients to neurosurgeons for neck and back pain. Dr. Connolly will also discuss the different types of surgical options for patients seeking prolonged back and neck pain relief.

Host: Maurice Pickard, MD Dr. Maurice Pickards talks with Dr. Edward Shaw about his book Keeping Love Alive as Memories Fade: The 5 Love Languages and the Alzheimer's Journey. Dr. Shaw shares how love can lift a corner of dementia’s dark curtain to cultivate an emotional connection amid memory loss. The book provides focused help for those feeling overwhelmed by the relational toll of Alzheimer’s.