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| Program 1 |
Elderly Care: Geriatric Medicine and the Older Driver
Our population is aging and we’re living longer
through healthier lifestyles and advanced medical
technology. This demands more medical care for the elderly
for longer periods of time. Is there a difference in caring
for senior citizens? If so, what should the patient be aware
of? What should adult children of seniors be aware of and
can they contribute to healthier seniors? What are, if any,
the key issues seniors should be concerned with? And what of
the Older Driver? Just how much of a public health
issue/concern/hazard is the Older Driver? How do you
determine when to take the keys? And what do adult children
do to make that loss of independence easier? What is the
physician's role in all of this?
Guests:
Kate Ackerman, M.D., Chairman, Committee on Geriatrics,
Mass. Medical Society
Elizabeth Roaf, M.D., Team Leader, MMS Older Driver Project
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| Program 2 |
Health Literacy: What should the patient know?
The Institute of Medicine says that nearly half
of American adults are “health illiterate,” leading to
medical errors that can be prevented. What is health
literacy? How does one become health literate? What is the
role of the patient? What is the role of the physician and
health care provider? Where can one go for help?
Guest:
Vanessa P. Kenealy, Esq., President, Massachusetts
Medical Society Alliance
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| Program 3 |
End of Life Care: What is it and why is it important?
Why should doctors, whose primary concern is
preserving and sustaining life, be concerned about
end-of-life care? What can or should families do to prepare
for end of life? How should decisions be made and who should
make them? What legal documents come into play? What lessons
do the widely –publicized cases of former Red Sox star Ted
Williams and Florida resident Terry Schiavo have for the
rest of us?
Guests:
John A. Fromson, M.D., Vice President, Medical Affairs,
Massachusetts Medical Society and Member, Mass. End of Life Care Commission
Rigney Cunningham, Executive Director, Hospice and
Palliative Care Federation of Massachusetts
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| Program 4 |
The Bare Bones of Health Care: The Rapid Rise of Osteoporosis
The US Surgeon General issued its first-ever
report on bone health in October 2004, saying that by 2020
– only 15 years from now – half of all Americans over 50
will be at risk for fractures from osteoporosis and low bone
mass if nothing is done now by patients, doctors, health
systems. Currently, 10 million Americans over 50 have the
disease, and another 34 million are at risk of developing
it. What is osteoporosis? How does it develop?
Can we prevent it? If so, how? And what do we do to treat
it, if we can?
Guest:
Dr. Purnima R. Sangal, A Fellow of the American College of
Obstetricians and Gynecologists; a practicing gynecologist
at A Woman’s Place in Chelmsford, Mass.; and President of
the Middlesex North District Medical Society.
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| Program 5 |
Polio: Past and Present
Before the 1950s, the fear of getting polio was
widespread. A dreaded illness caused by a virus and mainly
affecting children under 5, this highly infectious disease
attacks the central nervous system, causing inflammation and
paralysis. There is no cure, only prevention.
April 2005 marks the 50th anniversary of the discovery of
the polio vaccine, a preventive measure that marked the
beginning of mass inoculation in the US and one that
effectively wiped out the disease in the US. The impact of
the disease went far beyond the medical community, affecting
the cultural, social and political lives of the United
States.
While most of us think that polio is gone, today there are
more than one million polio survivors in the US alone. And
nearly 50 years after the medical miracle of vaccine, the
disease is resurgent in more than a dozen nations around the
world. Why are we fighting an illness 50 years after
developing a preventive vaccine? How have polio survivors
fared? And what do we need to do today to prevent this
disease from spreading?
Guests:
Julie K. Silver, M.D., Medical Director, Spaulding
Rehabilitation Hospital, Framingham
Anna Rubin, Education and Outreach Coordinator,
International Rehab Center for Polio |
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| Program 6 |
Discussing Diabetes: Types, Risks, Prevention and Treatment
According to the American Diabetes Association,
diabetes is a disease in which the body does not produce or
properly use insulin. Insulin is a hormone that is needed to
convert sugar, starches and other food into energy needed
for daily life. Its cause continues to be a mystery,
although both genetics and environmental factors such as
obesity and lack of exercise appear to play roles.
Estimates are that 18.2 million people in the United States
(6.3% of the population) have diabetes: 13 million who have
been diagnosed and another 5.2 million who are unaware that
they have the disease. Further, indications are that adult
diabetes – type 2 – is on the rise in children due to
widespread obesity.
What are the symptoms of this disease? How does one get it?
How does one get tested? Are there any preventive measures
to take? And if you do get diabetes, what can one do to
treat it?
Guests:
Michael Thompson, M.D., Director, Diabetes Clinic, UMass
Memorial Medical Center; and Diane Carter, Diabetes Nurse
Practitioner and Certified Diabetes Education, UMass
Memorial Medical Center
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| Program 7 |
Challenges in Emergency Medicine
Emergency rooms across the state are crowded
every day, causing long waits for patients seeking care. In
one highly-publicized case, a patient in an emergency room
called an ambulance to be taken to another emergency room.
In some cases, ER’s “divert” patients to other
hospital emergency departments, because they can’t take
any more patients. What’s causing this? How are emergency
physicians, nurses, and hospitals responding? Can the
patient do anything to alleviate the situation?
Guests:
Dr. Stephen Epstein, Beth Israel Deaconess Medical
Center
Dr. Joseph Currier, Emergency Physician, Milford Regional
Medical Center, Milford |
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| Program 8 |
Infectious Disease: Threats, Transmission, Protection
West Nile Virus. SARS. Monkeypox. Rabies. Bird
flu, which many experts say could be the trigger for the
next world pandemic. Infectious diseases surround us, and
many begin with animals. How do these start? What kinds of
threat do they pose? What should we know about transmission?
And what measures can we take for prevention?
Guests:
Alfred DeMaria, M.D., State Epidemiologist, Commonwealth
of Mass.
Leonard Marcus, V.M.D., M.D., Travelers Health and
Immunization
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| Program 9 |
On the Job: The ABC's of Occupational Medicine
The field of occupational health is directed at
the prevention, treatment and management of work-related
injuries and illnesses. What are the roles and
responsibilities of employers in work-related injuries? What
are the rights and responsibilities of employees? What
should workers do when they've been injured on the job? And
what can the employee and employer do to prevent
work-related injuries and create a safe work environment?
Guests:
William B. Patterson, MD, MPH, FACOEM
Chief Medical Officer, Occupational Health + Rehabilitation
and Chairperson, Committee on Occupational and Environmental
health, Mass. Medical Society.
Sheila Litchfield, R.N., President of the Massachusetts
Association of Occupational Health Nurses
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Program 10
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Patient Safety: Who’s responsible?
The 1999 landmark report of the Institute of
Medicine called attention to thousands of medical errors
occurring every year in our health care system. Six years
later, what progress have we made? Do patients feel
they’re in harm’s way? How can we improve? And what are
the roles of the main players - physicians, hospitals, and,
yes, patients, in ensuring patient safety? The President of
the Massachusetts Medical Society and [guest to be named
later] will examine these and other issues on the topic of
patient safety and what health care providers – and
patients – can do to make it better.
Guests:
Alan M. Harvey, M.D., President, Mass. Medical Society
Allan Frankel, M.D., Director of Patient Safety, Partners
Healthcare
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| Program 11 |
Public health and our common wealth
Just what do we mean by “Public Health?” Who
is responsible for it? What should be the state’s role in
public health? What is the physician’s role? And what is,
or should be, the role of the individual citizen? What are
some of the threats facing the public’s health? And how
can we prepare for them? Medical Society physicians will
take a close look at this most important area of health and
medicine that affects every citizen in Massachusetts.
Guests:
Alan C. Woodward, M.D., Past President, Mass. Medical
Society
Howard C. Koh, M.D., Harvard School of Public Health,
Chairman, Public Health Committee, Mass. Medical Society
Lynda Young, M.D., President, Mass. Chapter, American
Academy of Pediatrics
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| Program 12 |
The New Medicare
Medicare, a program of the Federal government, is
the nation's largest health insurer, covering some 42
million Americans aged 65 and over, and is celebrating its
40th anniversary in 2005. Today, Medicare at mid-life is far
advanced over its earlier years. And recently, it has added
many new improvements and benefits. Join the regional
administrator of Medicare for a look at what's new with
Medicare, and how the changes may affect you.
Guests:
Charlotte Yeh, M.D., Regional Administrator, Centers for
Medicare & Medicaid Services (CMS) in Region I, based in
Boston
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| Program 13 |
All Around Us: Environmental Health
Air and water pollution. Contaminants and
chemicals. Mercury and mold. These are just some of the
environmental factors affecting our health. How exactly are
we affected by our environment? And what can we do about
making our lives and our environment healthier?
Guests:
William B. Patterson, MD, MPH, FACOEM
Chief Medical Officer, Occupational Health + Rehabilitation,
Hingham, Mass. and Chairperson, Committee on Occupational
and Environmental Health, Mass. Medical Society
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| Program 14 |
Noise and Hearing Loss
It’s all around us, from traffic to lawnmowers
to leaf blowers to snow throwers. Young drivers, with huge
woofers and tweeters in the back of their cars, drive down
the street in their mobile boom boxes, literally shaking the
houses they pass by. Parents buy toys for their toddlers
that seemingly approach sonic boom levels. Cities and towns
enact noise ordnances, with apparently little effect, and
residents clamor to have noise barriers placed along
highways. How is noise affecting our health? What can we do
about it? Is hearing loss inevitable as we age? How can we
protect ourselves from our noise addicted society?
Guests:
Dr. James Kenealy, Otolaryngologist (Ear, Nose, Throat), in
private practice in the Metrowest area and member, the
Massachusetts Medical Society. |
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| Program 15 |
Unequal Treatment: Disparities in Health Care
In 2002, the Institute of Medicine issued its
report, Unequal Treatment: Confronting Racial and Ethnic
Disparities in Health Care, pointing out that racial and
ethnic minorities receive poorer quality care than white
patients. Even when insurance, income, age and severity
of conditions are comparable among whites and non-whites,
non-whites are less likely to be given the level of care
that experts recommend. Disparities also exist with
respect to health care providers. In Massachusetts, Blacks,
Hispanics, and Native-Americans make up nearly 14 percent of
the population, yet only a little more than 3 percent of the
workforce. What’s causing such disparity and unequal
treatment? What role, if any, does the physician play in
correcting this inequity? And what can patients do to
improve their health care?
Guests:
Alice Coombs, M.D., Chairperson, Massachusetts Medical
Society Committee on Diversity in Medicine
Lauren Smith, M.D., Medical Director, Family Advocacy
Program, Boston Medical Center |
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| Program 16 |
When Cancer Strikes
Cancer is the second leading cause of death in the US,
exceeded only by heart disease, and it can affect just about
every part of the body. According to the American Cancer
Society, about 1,500 people die from cancer every day
–nearly 600,000 annually. Survival rates have risen
dramatically, but just how far have we come in treating –
and beating – cancer? What, besides the disease itself,
are the obstacles patients and their families face when
confronted with a diagnosis of cancer? Where can/do patients
look for help and hope? We'll hear from two physicians who
not only treat patients with the disease, but are also
cancer patients themselves.
Guests:
Jack Evjy, M.D., Oncologist and Cancer Patient
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| Program 17 |
Youth Violence
From bullying to dating violence to child abuse, in schools
and on the streets, youth violence is on the rise. What’s
causing this phenomenon? What can parents and teachers do
about it? What role can or should the physician play? And
how do adults reach young people to turn the tide?
GUESTS:
Robert Sege, M.D., Ph.D., Chief
of the Division of General Pediatrics at The Floating
Hospital for Children at New England Medical Center,
Associate Professor of Pediatrics at Tufts University School
of Medicine. and Director of the Pediatric and
Adolescent Health Research Center at New England Medical Center; Member, MMS Committee on Violence
Elizabeth Miller, M.D., Ph.D., Director of Adolescent Community Health, Massachusetts General Hospital Revere Health Center; Member, MMS Committee on Violence
GUEST HOST
Lynda Young, M.D., President, Mass. Chapter of the American Academy of Pediatrics; Physician, Chandler Pediatrics, Worcester, Mass.
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| Program 18 |
Coronary Heart Disease
Coronary heart disease is the nation’s number one cause of
death, claiming more than 900,000 people each year. More
than 70 million Americans have some form of cardiovascular
disease, such as heart failure, high blood pressure,
congenital defects, or other circulatory problems. What
causes these diseases? Are there preventive steps people can
take to ward off heart disease? And what steps should people
take if they do get cardiovascular disease?
GUESTS:
Samuel J. Shubrooks Jr., M.D., Cardiovascular Division,
Beth Israel Deaconess Medical Center and President,
Massachusetts Chapter, American College of Cardiology;
Thomas C. Piemonte, M.D., Heart and Vascular Center,
The Lahey Clinic
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| Program 19 |
Ear, Nose and Throat Health
Otolaryngology is the medical specialty dealing
with the treatment of disorders and diseases of the ear,
nose, throat, head and neck. This specialty concerns such
critical functions as hearing, speech, breathing, and
conditions of the head and neck area (including balance,
swallowing, and cancer). How can patients ensure good ENT
health? What preventive health steps can they take? Do
environmental or genetic factors affect ENT health, and if
so, how? What symptoms or changes in health should prompt
patients to visit such a specialist?
GUESTS:
Wendy Stern, M.D., President, Mass. Society of
Otolaryngologists
Jerry Schreibstein, M.D., Ear, Nose & Throat
Associates of Springfield
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| Program 20 |
Keeping Your Eyes Healthy
The eye is a remarkable organ, and we’ve only got two of
them. They are instruments of learning and pleasure, safety
and security. How do we keep our eyes safe and healthy? What
are the principal dangers to our eyes? When should we use
protection and what kind of protection should it be? How can
we tell if children are having problems, and do children
have different concerns than adults? What should we be
concerned about as we age? What about supplements that are
purported to promote eye health? And what every day steps
can we take to protect and preserve our precious gift of
sight?
Robert Lytle, M.D., President, Mass. Society of Eye
Physicians and Surgeons
Jean Ramsey, M.D., Pediatric Ophthalmologist, Boston
Medical Center
Guest Host: Mavis Jaworski, M.D.
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| Program 21 |
Skin Cancer
Skin cancer is now the most common form of cancer, with more
than one million people developing the disease every year.
And the numbers are growing. Since the late 1970s, the
incidence of basal cell and squamous cell skin cancer has
tripled for women under 40 years of age, and the more
serious form, melanoma, is being diagnosed at double the
rate since 1986 and increasing at a rate faster than any
other kind of cancer. What’s causing this increase? What
can be done to reduce the rates? Are there danger signs
patients should recognize? And what steps can patients take
to protect themselves?
Guests: Karen Rothman, M.D., Assistant Professor of
Dermatology, University of Massachusetts Medical School; and
Robert Baler, M.D. , Clinical Professor of
Dermatology, Boston University School of Medicine.
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| Program 22 |
Asthma and Allergies
Allergic conditions strike one in five Americans - some 60
million people, with asthma alone affecting 20 million
individuals. Here in New England, one in seven adults and children and nearly 10 percent of
students across the state are reported to have asthma. And
the numbers appear to be increasing. What causes these
respiratory diseases? What are the "triggers" for
asthma and allergies? And what steps can patients take to
manage such conditions?
Guest:
Daniel Steinberg, M.D., Director, Allergy & Asthma Center of Massachusetts; President, MassachusettsAllergy & Asthma Society. |
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| Program 23 |
One on One with the
Candidates for Governor
The
first special edition of Physician Focus, One-on-One with
Candidates for Governor, featured three of the 2006
candidates running for Governor of Massachusetts, each
answering questions on health care issues in separate
televised segments. Participating were Republican Kerry
Healy, Independent candidate Christy Mihos, and
Green-Rainbow Party Candidate Grace Ross. Among the areas
covered were health care reform, public health, prescription
drugs, patient access to care, and physician shortages
Physician Focus Special Edition |
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| Program 24 |
Neurological disorders
Migraines, stroke, Parkinson's disease, Alzheimer's,
and nerve disorders are just some of the conditions treated
by neurologists - physicians who specialize in treating
diseases of the brain, spinal cord, and nervous system. What
are the most common conditions seen by neurologists today?
Are there preventive measures for people to take to avoid
such conditions? And what treatment options are available
for those patients suffering from such conditions?
Guests:
Thomas F. Mullins, M.D., President, Massachusetts Neurological Association and Chief of Neurology, Fallon
Clinic, Worcester; and
Cynthia B. Passarelli, M.D., Staff Neurologist, Fallon Clinic, Worcester
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| Program 25 |
Bones, Joints, and Muscles: Orthopedic Care
Orthopedics is the medical specialty concentrating on
bones, joints, and muscles. As we age, our body parts
deteriorate, slowly but surely. What can we do to keep our
bones, muscles, and joints healthy and strong? If we
play sports, what precautions should we take to protect our
bones and joints? And if a hip, knee or other joint
becomes severely damaged, should we consider replacement
surgery – a procedure now commonplace in orthopedic care.
GUEST:
Scott Oliver, M.D., Chief of Orthopedics, Jordan Hospital, Plymouth, Mass. and Past President, Massachusetts Orthopedic Association
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| Program 26 |
Cancer: After the Treatment
Cancer is one of the most prevalent diseases we face today.
It's the second leading cause of death in the US, exceeded
only by heart disease, accounting for one of every four
deaths. Every year, an estimated 1.4 million new cases of
cancer are diagnosed, with 33,000 here in Massachusetts
alone. But there is good news. Survival rates for all
cancers are increasing, due earlier screening tests and
better treatments. But what happens after treatment?
How do men and women begin their recovery, both emotionally
and physically? Can they regain the health they once had?
And if so, how do they go about it?
GUESTS:
Julie Silver, M.D., Director, RESTORE, Cancer Rehabilitation Program, Framingham, Mass.
Karen Horowitz, Ambassador, Cancer Action Network and Breast Cancer Survivor
Guest host: Mavis Jaworski, M.D., Primary Care Physician, Beverly, Mass. |
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| Program 27 |
The Impact of Obesity
Obesity is now a national medical problem. Data
compiled by the National Center for Health Statistics show that 30 percent of U.S. adults 20 years of age and older—over 60 million people -
are obese. Also alarming is the fact that the percentage of
young people who are overweight has more than tripled since
1980. Among children and teens aged 6–19 years, 16 percent
- 9 million young people - are considered overweight. To
many, the causes of this American epidemic are obvious. But
what are the consequences of obesity - in personal and
psychological health, medical costs, and economic terms?
How far into the future will they be felt? And what
can we do about it?
GUESTS:
Stuart R. Chipkin, M.D., Chair, MMS Committee on Nutrition; Physician, Valley Medical Group, Amherst
Caroline M. Apovian, M.D., F.A.C.N., Vice-Chair, MMS Committee on Nutrition; Director, Nutrition & Weight Management Center, Boston Medical Center
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| Program 28 |
Vaccines and Immunizations
Vaccines are some of medicine's best
preventive measures. Some, like the Salk and Sabine vaccines
for polio, have eradicated debilitating diseases altogether.
Some prevent illness for all ages, like flu vaccines. And
many have erased childhood diseases, like mumps, measles,
and chickenpox. New ones - like Gardasil for cervical cancer
- are added to our protective arsenal. Yet new cases of
polio, whooping cough, measles and mumps have appeared, here
in the United States as well as overseas. How are vaccines developed and how
effective are they? What are the risks of immunizations? Who
should be immunized? And how valid is the controversy
surrounding some of the vaccines?
GUESTS:
Susan M. Lett, M.D., M.P.H., Medical Director, Immunization Program, Department of Public Health, Commonwealth of Mass.
Sean Palfrey, M.D., Founder and Director of the Immunization Initiative, Mass. Chapter, American Academy of Pediatrics; Clinical Professor of Pediatrics and Public Health, Boston University School of Medicine; Pediatrician, Boston Medical Center.
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| Program 29 |
Alzheimer's Disease and Dementias
Alzheimer's disease is a progressive brain
disorder that gradually destroys a person's memory, ability
to learn, reason, make judgments, communicate and carry out
daily activities. It is the most common form of dementias, a
group of conditions that destroys brain cells and leads to
diminished mental function. And it’s a disease with
enormous impact on the family as well. There is no cure, but
research is leading to new treatments. What may be the
causes of Alzheimer's and dementia? Are there preventive
steps to take? What is the latest in research? And what is
the role of - and impact on - family members?
GUESTS:
Sanford Auerbach, M.D. Associate Professor, Boston University School of Medicine
James Wessler, M.B.A., President and Chief Executive Officer, Massachusetts Chapter, Alzheimer's Association
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| Program 30 |
Arthritis
Forty-three million Americans report that a
doctor told them they have arthritis or other rheumatic
conditions. According to the Centers for Disease Control,
arthritis is the leading cause of disability in the United States, limiting the activities of more than 16 million adults. In Massachusetts, some 1.2 million people have the condition - nearly 26
percent of the population. And the Arthritis Foundation
lists more than 100 different types of arthritis. What,
exactly, is arthritis? What causes these conditions? Are
there preventive steps to take to avoid getting the
condition? And what treatments are available?
Martin J. Kafina,
M.D., F.A.C.R., F.A.C.P., clinical instructor in
medicine at Harvard Medical School at Beth Israel Deaconess
Medical Center and specialist in the private practice of
rheumatology at Emerson Hospital in Concord.
Judith Levine,
Senior Vice President for Health Education, Arthritis
Foundation, Massachusetts Chapter
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| Program 31 |
The Two Sides of Plastic Surgery
Plastic surgeons performed more than 10 million
cosmetic procedures and nearly 5.5 million reconstructive
procedures in 2005. Cosmetic procedures jumped 11 percent
from the previous year, prompting The American Society of
Plastic Surgeons to note that "cosmetic surgery is the
new take on 'growing old gracefully'." What should
patients know about such procedures? How dangerous are they?
How are they different from reconstructive procedures? And
with the successful completion in France of the world's first face transplant, how far can medicine
go in recreating parts of the human body?
GUESTS:
Glen Brooks, M.D.,President, Massachusetts Society of Plastic Surgery, and Surgeon, Aesthetic Plastic and Reconstructive Surgery, Longmeadow, Mass.
Theodore Calianos, M.D., Plastic Surgeon; President, Barnstable County District Medical Society
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| Program 32 |
Managing Pain
Pain management has become a separate and growing
field of research and treatment in the medical field, as
more and more people experience pain from conditions like
fibromyalgia, migraine headaches, and other areas of chronic
disease. A recent report from the Centers for Disease
Control, in fact, said that 10 percent of Americans
experience some kind of chronic pain. The withdrawal of pain
medications from the marketplace due to increased risk
factors has put increased attention on how we deal with pain
and what alternatives are available. What options do
patients have today? What are physicians recommending? Is
alternative treatment or care a viable option?
Edgar L. Ross, M.D.,
Director, Pain Management Center, Brigham and Women's Hospital |
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| Program 33 |
Men's Health
Research has shown that men get sicker and die earlier than
women. Males also account for nearly 10 times the number of
occupational injuries and more than four times the number of
suicides than women. And males also die prematurely at
higher rates than women as a result of engaging in risky
behaviors, such as smoking, excessive use of alcohol and
drugs, and lack of seat belt usage. Yet males are nearly
twice as likely not to have a usual source of health care.
What's causing this disparity? And what can men - and their
families - do to reverse the trend?
David Dodson, M.D., Chair, Massachusetts Medical
Society Committee on Men's Health; Primary Care Physician,
Marino Center, Wellesley
Peter Tiffany, M.D., Mystic Valley Urological
Associates, Stoneham
Host: John Fromson, M.D., Chairman of Psychiatry,
MetroWest Medical Center
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| Program 34 |
Gastroenterology: "GI Health"
Gastroenterology is the medical specialty dealing
with the function and diseases of the esophagus, stomach,
small intestine, colon and rectum, pancreas, gallbladder,
bile ducts, liver, and all the digestive organs. It treats
conditions such as colon polyps and cancer, hepatitis,
gastroesophageal reflux, ulcers, colitis, gallbladders,
irritable bowel syndrome, and pancreatitis. When should a
patient see this kind of specialist? What kind of symptoms
may signal a problem? Are there preventive steps a patient
can take for good "GI" health?
Albert A. Crimaldi, MD, PhD, FACG, Milford Regional
Medical Center, Associate Professor of Clinical Medicine,
University of Massachusetts Medical School
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| Program 35 |
Preventing Medication Errors
Americans spend
billions of dollars every year on prescription drugs,
over-the-counter medications, weight-loss products, vitamins
and herbal supplements. The explosive use of these products
means there is plenty of room for error, and medication
errors have become far too common and costly in today's
health care system. The Institute of Medicine's landmark report, Preventing Medication Errors pointed out
that medication errors injure an estimated 1.5 million
people each year in the U.S. What are the roles of the physician, the patient, the
pharmacist in medication safety? And what can hospitals,
pharmaceutical companies, and other health care
organizations do to reduce such preventable errors?
Ronald B. Goodspeed,
MD, MPH, President, Massachusetts Coalition for the
Prevention of Medical Errors, and President & CEO,
Southcoast Hospitals Group.
John A. Fromson, MD, Chair of Psychiatry, MetroWest Medical Center, and Past President, Massachusetts Coalition for the Prevention of Medical Errors
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| Program 36 |
Becoming a smarter patient
At one time or another, at any age, and perhaps
when we least expect it, every one of us becomes a patient.
Health care today is better than ever, as technology and
discovery have expanded medical information and treatments
to levels unheard of just a few years ago. With patients now
also playing a greater role in their own care, they also
assume more responsibility for their care, and this
situation presents more questions: What should patients know
about choosing and interacting with their physicians and
hospitals? What preventive steps should they take to avoid
illness and stay healthy? What should they consider if
undergoing treatment, testing, or surgery? What, in essence,
does it take to become a smarter patient to get the best
care possible?
B. Dale Magee, President, Massachusetts Medical
Society
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| Program 37 |
Weight-Loss Surgery Surgery: The
Solution to Obesity?
Obesity in the US has been rising dramatically for years,
prompting The Institute of Medicine to label it "one of
the most pervasive public health problems in this
country." It is associated with more than 30 other
diseases and conditions and affects people of all ages. For
the severely obese, bariatric surgery is becoming a popular
solution to this condition. Since 1998, the number of
patients undergoing bariatric surgery has soared 800
percent, according to the national Agency for Healthcare
Research and Quality. And as the incidence of obesity rises,
the numbers of surgeries are expected to rise as well. Who
may qualify for this surgery? Why has it become so popular?
How dangerous is it? And what are the aftereffects?
Alan M. Harvey, M.D., Chair, Betsy Lehman Center
Weight Loss Surgery Expert Panel, Director of Quality
Assurance/Quality Improvement, Department of Anesthesiology,
Perioperative and Pain Medicine, Brigham & Women's
Hospital; and
George M. Blackburn, M.D.,
Chair, Massachusetts Department of Public Health's Betsy
Lehman Center Weight Loss Surgery Expert Panel; Physician,
Department of Surgery at Beth Israel Deaconess Hospital,
Boston; Associate Professor of Nutrition, Harvard Medical
School, and Rebecca Shore, M.D., Bariatric Surgeon, Lowell Surgical Associates
Host: Lynda Young,
M.D.
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| Program 38 |
Pathology and the patient
Television has likely done more than anything else to put
the medical specialty of pathology before the American
public. Police and crime dramas and reality programs on
forensics are perhaps the public's first introduction to
pathology, solving crimes and performing autopsies. But
physicians who practice this specialty play a critical role
in the everyday diagnosis and treatment of disease of living
patients. What exactly does a pathologist do? What is the
connection to the patient? What are the many and varied
roles do they play in medical care today?
Brinda Kamat, M.D., M.P.H., Past President,
Massachusetts Society of Pathologists; Pathologist, Mt.
Auburn Hospital
Donald Ross, M.D., President, Massachusetts Society
of Pathologists; Pathologist, Holy Family Hospital
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| Program 39 |
Medical Images: The Specialty of
Radiology
CT's, PET-scans, MRIs, mammograms, and body scans are
much-used terms in medicine today. They are part of the
language of radiology, the medical specialty of diagnosing
and treating disease and injury by using medical imaging
techniques. Spurred by rapid advances in technology,
radiology allows us to see deep inside the body, revealing
information that we could only dream of gaining just a few
years ago.
The questions this program will examine include: How do
these tests work? What exactly do they show? How definitive
can they be in diagnosing conditions? Are they safe for
patients? And where does the specialty of radiology fit into
the care of patients?
Phyllis Kornguth, M.D., Chief, Belkin Breast Imaging
Center, Boston Medical Center, Past President, Massachusetts
Radiological Society, Radiologist, Boston Medical Center;
and
Max Rosen, M.D., Radiologist, Beth Israel Deaconess
Medical Center, Boston, Past President, Massachusetts
Radiological Society, Associate Professor, Radiology,
Harvard Medical School
Host: James F.X. Kenealy, M.D., MetroWest ENT
Associates
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| Program 40 |
Ready or Not? Emergency Preparedness
We live in a world today when disaster can strike at
any time. The threats of bioterrorism, chemical spills, flu
and infectious disease pandemics, natural disasters and
severe weather are real and frightening. The destruction of
the World Trade Center in New York and the devastation
wrought by Hurricane Katrina along the Gulf Coast, along
with the threats of avian flu and other infectious diseases,
have given rise to a new focus on emergency preparedness.
How prepared are we for such events? What should be the
roles of the Federal, State and local governments and the
medical professions? And what can individuals and families
do to increase their preparedness?
Paul
Biddinger, M.D., Chairman of the Massachusetts Medical
Society's Committee on Preparedness, Director of
Pre-Hospital Care and Disaster Medicine at Massachusetts
General Hospital; Lisa
Stone, M.D., Massachusetts Department of Public Health
Host:
Dr. Karlin
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| Program 41 |
Primary Care
Primary care physicians represent a patient's
focal point in the health care system. They coordinate
overall medical care, refer to specialists when needed,
provide health plans with necessary information for
insurance purposes, and much more. Yet these physicians are
increasingly in short supply, creating challenges for
patients in getting and maintaining good care. What,
exactly, are the roles of primary care physicians? What
obstacles do they face in caring for patients? What's
causing this shortage and are there solutions to fix it? Is
the solo practitioner or small group general practice
becoming extinct? And what, ultimately, will be the impact
on patients?
Paul Hart, M.D., Primary Care Physician, Sterling,
Mass.; Sharon Jezard, M.D., Primary Care Physician,
Sturdy Memorial Hospital, Attleboro, Mass.
Host: Bruce Karlin, M.D.
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| Program 42 |
Healthy Minds: Psychiatric Care
Psychiatry is the medical specialty of diagnosing,
treating and preventing mental illness, including substance
abuse and addictions. Each year, one in five Americans is
diagnosed with a form of mental illness, such as depression,
anxiety disorders, or substance abuse conditions, among
others. What is the medical science behind psychiatry? What
are the warning signs of mental illnesses? How do
psychiatrists diagnose and treat psychiatric conditions? And
how does psychiatry differ from other professions that
provide mental health care?
Guests: Eugene Fierman, M.D.,
President, Massachusetts Psychiatric Society; Daniele
Bick, M.D., Psychiatrist, Framingham, Mass.
Host: John Fromson, M.D., Chair of
Psychiatry, MetroWest Medical Center
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| Program 43 |
Healthcare for the Aging: Geriatric
Care
America is aging fast. Estimates are that by the year 2021,
the 65-plus age group will exceed 70 million people. At the
same time, we're seeing a growing shortage of physicians,
especially in primary care and geriatric care. The American
Geriatrics Society, for example, has warned that we only
have half the number of geriatricians we currently need
(7,000 vs. 14,000) and that by 2030, we will need five times
the number we have now. How will we care for our aging
citizens? How is geriatric medicine different from primary
care? What should seniors be concerned about and prepare
for? What steps can patients take for healthy aging? And
what roles and responsibilities do their family members
have?
Host: Bruce Karlin, M.D.
Guests: Daniel Oates, M.D., Internal
Medicine and Geriatrics, Boston Medical Center; Janet
Jankowiak, M.D., Neurologist, Radius Specialty Hospital,
Boston
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| Program 44 |
Cardiac Alert: Atrial Fibrillation
Once thought to be harmless, atrial fibrillation - a
condition of rapid and irregular heartbeats - is now
considered to be one of the nation's most common cardiac
malfunctions. It is recognized as a major source of strokes
and a cause of a potentially fatal deterioration of the
heart. Estimates are that it affects more than two million
people, and the number of patients being treated for this is
expected to soar. What, exactly, is atrial fibrillation?
What causes this condition? Is prevention possible? How
dangerous is it? What are its possible consequences? Can it
be cured? And what treatments are available?
Guests: Robert Hagberg, M.D.,
Cardiothoracic Surgeon, Beth Israel Deaconess Medical
Center, Boston; Mark Josephson, M.D., Chief of the
Cardiovascular Division, Beth Israel Deaconess Medical
Center
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| Program 45 |
Caring for our Children: Pediatric Care
Childhood obesity is soaring. Violence among youth is a
major problem. Immunizations are being called into question. And
every year, children are injured and killed accidentally by
firearms and a host of other causes. Those are just a few of the
many areas covered by pediatric medicine – health care for
people from birth through 21. What are some of today’s major
issues in pediatric care? How should parents or guardians select a
pediatrician? And how does a patient make the transition from
pediatric care to adult care?
Host: Lynda Young, M.D., Pediatrician, Chandler
Pediatrics, Worcester
Guests: Karen McAlmon, M.D., Past President, Mass. Chapter,
American Academy of Pediatrics; Pediatrician, Winchester Hospital;
David Norton, M.D., Pediatrician, Holyoke Pediatric Associates
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| Program 46 |
Age-Related Eye Diseases
Blindness ranks as one of the most feared disabilities among
Americans. As our population ages, more and more citizens will
experience age-related eye diseases that threaten their gift of
sight. For those 40 years and older, vision care becomes
critically important. Cataracts, which slowly steal vision, affect
half of all Americans by age 80. Glaucoma is the second leading
cause of blindness in the world, and the number one cause among
African-Americans. Macular degeneration is the primary cause of
blindness for those 55 and older and affects more Americans than
cataracts and glaucoma combined. What causes these conditions?
What are the symptoms of these diseases? What treatments or cures
are available? And what can patients do, if anything, to ward off
or even prevent vision loss from age-related eye diseases?
Guests: Joan W. Miller, M.D., Chair, Department of
Ophthalmology, Harvard Medical School Chief of Ophthalmology,
Massachusetts Eye and Ear Infirmary; M. Lisa McHam, M.D.,
President of the Massachusetts Society of Eye Physicians and
Surgeons and Chairman of the Public Health and Education Committee
of the New England Ophthalmological Society
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| Program 47 |
Preparing for Surgery
The prospect of surgery can be unnerving, if not
frightening. And, though thankfully rare, the stories of
'wrong-site surgery' are those that usually top the list of
medical errors. How do we define surgical procedures? What should
patients know about them? How should they prepare for surgery?
What questions should they ask? What role will your primary care
physician play? What should parents know and do if their children
are to undergo surgery? And are there different risks for elective
procedures, such as cosmetic surgery?
Host: James
Kenealy, M.D.
Guests: Robert
Driscoll, M.D., Chief of Trauma and Surgical Critical Care,
South Shore Hospital; Jennifer Rosen, M.D., Surgical
Oncologist, Boston Medical Center
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| Program 48 |
Healthy Minds: Child and Adolescent Psychiatry
Psychiatry is the medical specialty of diagnosing, treating and
preventing mental illness, including substance abuse and
addictions. Between 7 and 12 Million American youth suffer from
mental, behavioral, or developmental disorders at any given time,
and the number of issues facing children can be vast: divorce,
eating disorders, alcohol and drug abuse, depression, child abuse,
grief, bullying, and violent behavior, just to name several. How
does psychiatric treatment for children differ from that for
adults? How should parents address these issues? What is their
impact on families and siblings? What role, if any, should schools
play? And what kinds of treatments are available?
Guests: Don Condie, M.D., Psychiatrist,
Massachusetts General Hospital
Virginia Merritt, M.D., Psychiatrist, Framingham Psychiatric
Counseling
Host: John Fromson, M.D., Associate Director,
Postgraduate Medical Education, Massachusetts General Hospital
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| Program 49 |
Hunger in the Commonwealth
Hunger
in Massachusetts is a growing public health issue, so much so
that the state's top health care leaders and elected officials
convened a statewide summit in March to discuss ways to fight
the problem. According to Project Bread, the state's leading
anti-hunger agency, nearly 500,000 people across the state are
experiencing hunger or "food insecurity" - a term
applied to households that can't afford to buy enough
nutritious food for healthy living. And the numbers are
growing: Project Bread reported a 22 percent increase in food
insecurity in its most recent Status Report on Hunger in
Massachusetts.
Physician Focus Special Edition
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| Program 50 |
Young Athletes and Sports Injuries
The proliferation of sports programs and opportunities for young
people is a great boost to physical fitness and the fight against
obesity. Yet, there's a downside as well: more and more very young
athletes are coming down with injuries previously confined to only
professional athletes. Estimates are that more than three and half
million children 14 years old and under are receiving medical
treatment for sports-related injuries each year. What's behind the
increase in these serious injuries? What can be done - by parents
and coaches and physicians - to reduce their frequency? And how
might these young athletes be affected in the future?
Host: Bruce Karlin, M.D.
Guests: John C. Richmond, M.D., Chairman, Dept. of Orthopedic Surgery, New England Baptist Hospital,
Luis Palacio, M.D., Director, Primary Care Sports Medicine, Malden
Family Medicine/Tufts
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| Program 51 |
Nutrition and Your Health
The growing epidemic of obesity in America has refocused
nationwide attention on nutrition. Schools have banned soda and
snack machines; food manufacturers have reformulated many of their
products, eliminating trans fats and reducing sugar content. The
Department of Agriculture has re-created its food pyramid,
recognizing that one size doesn’t fit all. Just how does
nutrition affect your weight and overall health? What, exactly,
constitutes a "healthy diet"? Is organic really better?
What role can or do vitamins play? Why should someone care about
calories, carbohydrates or saturated fats? And what are the key
items individuals should know about practicing good nutrition?
Host: Bruce Karlin, M.D.
Guests:
Edward Saltzman, M.D., Chief of the Division of
Clinical Nutrition, Tufts Medical Center,
Denise Rollinson, M.D., Chairperson, Mass.
Medical Society Cmte. on Nutrition and Physical Activity
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| Program 52 |
Stroke: The Brain Attack
Stroke is the third leading cause of death in the U.S., after heart disease and cancer, and is the number one cause of
adult disability. Each year about 700,000 people suffer a stroke,
according to the Centers for Disease Control. A stroke can cause
paralysis, speech problems, loss of sensation, difficulties with
thinking and memory, coma, and even death. Recovery can be long
and is often incomplete, creating great burden on loved ones as
well as patients. What, exactly, is a stroke and can it be
prevented? What are the risk factors for stroke and how can they
be reduced? What are the signs of a stroke? What should you do if
you think someone is having a stroke? And what are the health
implications for someone who has had a stroke?
Guests:
Gigi Girgis, M.D., President, Massachusetts Neurologic Association; Staff Neurologist,
Beth Israel Deaconess Medical Center, Needham, Thomas Mullins, M.D., Neurologist, Fallon Clinic
Worcester; Past President, Massachusetts Neurologic Association
Host: James Kenealy, M.D., MetroWest ENT Associates
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| Program 53 |
Domestic Violence: Public Health Alert
In Massachusetts, domestic violence deaths were three times higher in 2007 than in
2005. Nationally, a 2003 Centers for Disease Control study
estimated that each year domestic violence involving an intimate
partner results in 1,200 deaths, 2 million injuries among women,
and 600,000 injuries among men – at a cost of $8.5 billion
annually including direct medical and mental health costs. In June
of 2008, with the passage of the Violence and Intervention Bill, Massachusetts
became the first state in the nation to require health care
providers to link victims of violence to counseling, housing,
legal and educational and other services. What will be the effect
of this new effort? How will victims benefit? What role does -
can - the health care provider now play? And what other steps can
be taken, by physicians, public officials, and lawmakers, to
address this public health problem of domestic violence?
Guests: Elaine Alpert, M.D., Senior Public Health Fellow at Massachusetts General Hospital's Division of Global Health and Human Rights, Department of Emergency Medicine.
Liza Sirota White, Education Manager, Jane Doe Inc.
Host: Barbara Herbert, M.D., Chair, Mass. Medical Society Committee on Violence Prevention and Intervention
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| Program 54 |
Medicine’s “Superbugs”
Drug-resistant infections are rising dramatically, from
tuberculosis to MRSA to C.diff. The war against the “superbugs”
continues. In Massachusetts in 2007, the Centers for Disease Control recorded 2,500 cases of
MRSA – a bacterial strain that can be fatal. CDC estimates that
half a million cases of C.diff – Clostridium difficile –
occur every year in the U.S., contributing to between 15,000-30,000 deaths. How prevalent are
such infections? Hospitals are known places of infection, but
where else can they occur? What are the chances of such infections
spreading? And what can hospitals, health officials, and patients do
to reduce and even prevent these infections?
Guest: Ronald Goodspeed, M.D., M.P.H.,
President, Massachusetts Coalition for the Prevention of Medical Errors
Host: Bruce Karlin, M.D.
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| Program 55 |
Hospice and Palliative Care
Some 90 million Americans now live with serious and
life-threatening illnesses, such as cancer, Alzheimer’s and
Parkinson’s diseases, and the number is expected to double in the
next 25 years as our population ages. The medical specialty
dedicated to relieving the pain and suffering of patients with
serious illness and providing them with the best quality of life
possible is called hospice and palliative care, a specialty
practiced for more than a decade yet officially recognized by the
medical community only a few years ago. How well do we meet the
needs of the seriously ill? What should patients know about this
kind of care? Just how accessible is it? And what sets this kind of
care apart from other medical care?
Guests: JoAnne T. Nowak, M.D.,
Medical Director, Partners Hospice
Lachlan Forrow, M.D., Director of Ethics and Palliative
Care Programs, Beth Israel Deaconess Medical Center
Host: John Fromson, M.D., Associate Director, Postgraduate Medical Education, Massachusetts General Hospital
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| Program 56 |
Sleep Disorders
Some 70 million people in the U.S. are affected by sleep disorders of one kind or another. Chronic or
severe insomnia, narcolepsy, restless leg syndrome, and sleep apnea
affect the health and safety of millions of people. Many people put
themselves and others at risk – on the job, at home, or behind the
wheel as a “drowsy driver” - for injury, health and behavioral
problems, and worse because they’re not getting enough sleep. Just
how prevalent are sleep disorders? Who is affected by them? What
causes these disorders? And what can patients do about them?
Sanford Auerbach, M.D., Director, Sleep Disorders Center, Boston University School of Medicine
Robert Sokolove, Ph.D., Assistant Professor of Psychiatry
and Assistant Professor of Medicine, Boston University School of
Medicine, Boston MA
Host: James Kenealy, M.D., MetroWest ENT Associates
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| Program 57 |
Infectious disease
Infectious diseases such as West Nile virus, Eastern Equine Encephalitis, rabies, and seasonal flu are
annual challenges to public health. Whooping cough and measles are
making comebacks in the US, while public health officials across the globe keep their eyes
on bird flu, drug-resistant TB, new strains of viruses, and ‘superbugs.’
What’s the latest information on infectious disease? How serious
are the threats in the US and Massachusetts? Are there new threats on the horizon? What are public
health officials and infectious disease specialists doing about
existing and future threats? And what’s the best course of
action individuals can take to protect themselves and their
families?
Host:
Bruce Karlin, M.D.
Guests:
Alfred DeMaria Jr., M.D., Medical Director, Bureau of Infectious Disease, Commonwealth of Massachusetts;
Thomas Treadwell, M.D., Director
of the Infectious Disease Clinic and director of the HIV Clinic,
MetroWest Medical Center in Framingham
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| Program 58 |
Obesity in Massachusetts
Obesity and overweight are two of the nation's biggest health
problems, affecting people of all ages, contributing to
rising levels of chronic disease, and driving up health
care costs to uncharted levels. The National Center for
Health Statistics calculates that more than 30 percent
of American adults – some 60 million people – are
obese, and another 35 percent are overweight.
Physician Focus Special Edition
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| Program 59 |
Health Hazards in the Home
Mold, lead, carbon monoxide, radon, pests, toxic chemicals
– these are just some of the potential hazards lurking in our
homes. What are the primary dangers
homeowners face? How should we check for them? Are there
clues or signals that will alert us to these dangers? What should
we be aware of when we buy products, such as cleaning agents,
paints, or tools? What additional concerns should we have if
children or pets are in the house? And what specific steps should
we take to reduce the dangers and ensure our home is as safe as
possible?
Host:
Bruce Karlin, M.D.
Guest:
Robert P. Naparstek, M.D., Medical
Director, Caritas Good Samaritan Occupational Health Services
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| Program 60 |
People, Animals, and Health
People, animals, and the environment have converged today in
so many ways that the health of each group seems inextricably
linked. As a result, our dependence on animals and the products
they provide poses increasing risks for our health and well being.
Mad cow disease and avian flu are but two examples. While
veterinary and human medicine are considered separate entities,
many links exist between the two. How are these professions
linked? How can they come together to improve the health of both
man and animal? And how do we meet the needs of disease prevention
and health promotion in people, animals, and the environment?
Host:
Bruce Karlin, M.D.
Guests:
Leonard Marcus, V.M.D., M.D. Travelers Health Specialist (Ret.),
Mary Labato, D.V.M., President, Massachusetts Veterinary Medical Association
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| Program 61 |
Integrative Medicine
Integrative medicine is a new approach to care, combining
conventional or evidence-based medical therapies with complementary
or alternative treatments such as acupuncture, biofeedback, stress
reduction, or herbal medicines. Such an approach is growing in a
variety of health care settings. How much do we know about
such methods? Are they effective? What is the current thinking of
medical doctors about integrative, complimentary and alternative
medicine? And how and when should a patient decide on such
treatments?
Guests:
Harvey Zarren, M.D., President, Integrative Medicine Alliance
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| Program 62 |
Physiatry: Physical Medicine and Rehabilitation
Physical disability can affect
patients of any age and arise from many sources. Among the causes
are sports injuries, conditions affecting the muscular and skeletal
systems, neurological trauma such as head or spinal cord injury,
stroke, or neck and back pain. The medical specialty that diagnoses
and treats such disabilities is called physical medicine and
rehabilitation or physiatry. What are the effects on patients who
suffer such conditions? How are rehabilitation programs developed?
What can patients expect in undergoing such regimens? How do
physicians go about treating these
patients and restoring them back to health? And what are the
main health concerns of people with disabilities?
Guests:
Edward Phillips, M.D., Director, Outpatient Medical Services, Spaulding Rehabilitation Hospital; Assistant Professor,
Harvard Medical School
Carina O’Neill, D.O., Medical Director, Spaulding
Rehabilitation Center-Braintree; Instructor, Harvard Medical School
Host:
Bruce Karlin, M.D.
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| Program 63 |
All About Anesthesiology
Most patient contact with an anesthesiologist comes as a result
of undergoing surgery. Assessing the risk of a patient undergoing
surgery and optimizing the patient's condition prior to, during, and
after surgery – is, after all, a prime activity of this specialty
and goes hand in hand with the surgeon’s skill. What should
patients know about anesthesia? What kinds are available? And what
are the risks to patients? Beyond surgery, the anesthesiologist
plays a key role in patient care, especially in pain management and
critical care medicine. And the specialty has been a leader in local
and national efforts to improve patient safety. This edition of
Physician Focus will take a close look the various aspects of
anesthesiology and the specialty’s impact and influence on patient
care.
Guests:
David Hepner, M.D., Brigham and Women’s Hospital, Boston
Michael Entrup, M.D., Mass. Society of Anesthesiologists
Host:
John Fromson, M.D., Associate Director Postgraduate Medical Education Massachusetts General Hospital
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| Program 64 |
ADHD - Attention Deficit/Hyperactivity Disorder
Attention Deficit Hyperactivity Disorder is one of the most
common neurobehavioral disorders of childhood, affecting some 4.5
million children 5-17 years of age in the United States. Here in Massachusetts, nearly 10 percent of children have been diagnosed with the
condition, which affects behavior, emotions, attentiveness, and
learning. What causes this disorder? What are the signs a child may
have it? What should parents do if they suspect their child has
ADHD? And what kinds of treatments are available?
Guest:
Alison Schonwald, M.D., Medical Director, Developmental
Behavioral Outreach, Children's Hospital Boston
Host: Lynda Young, M.D.
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Program
65 |
The Flu: What You Should Know
The Flu: What You Should Know brings physicians and public health officials together in presenting information on the dangers of H1N1 swine flu and seasonal flu, vaccine safety and supply, how to protect against the infections, and what to do if you get sick.
Physician Focus Special Edition
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