Clinician's Roundtable

Host: Bill Rutenberg, MD

Guest: Michael Helmrath, MD

In this segment, Dr. Helmrath talks about the bariatric surgical options for obese teens. He addresses the various considerations in choosing a type of surgery, including the mechanics, costs, and expectations of the procedure.

Host: Bill Rutenberg, MD

Guest: Michael Helmrath, MD

How do you know if an obese teen is a good candidate for bariatric surgery? Dr. Helmrath shares his process for evaluating teens both medically and emotionally to determine if weight loss surgery is a good option for them. Dr. Helmrath also considers where we are at with alternative medical solutions.

Host: Bill Rutenberg, MD

Guest: Michael Helmrath, MD

Why have we not made more progress in solving the teen obesity epidemic? Dr. Helmrath shares with us our current medical understanding of teen obesity and where researchers and physicians need to be in order to come up with better solutions.

Host: Michael Benson, MD

Guest: Lewis Wall, MD

In this segment, Dr. Wall examines the history of operative procedures pioneered for the treatment of vesicovaginal fistulas. From this overview, he depicts the historical to modern social and political challenges faced by doctors trying to initiate global treatment campaigns for this serious maternal complication. Such challenges and ensuing lack of progress in the past created a basis of inspiration for Dr. Wall to found the World Wide Fistula Fund, dedicated to helping patients suffering from vesicovaginal fistulas in developing countries obtain access to proper operative treatments.

Host: Michael Benson, MD

Guest: Lewis Wall, MD

In this segment, Dr. Wall describes some of the serious, and sadly oftentimes fatal complications and comorbidities arising secondary to developing vesicovaginal fistulas in the postpartum period. He then contrasts the rates of these potential outcomes in women living in the United States vs. developing African countries, demonstrating the great need for treatment interventions on a global scale.

Host: Michael Benson, MD

Guest: Lewis Wall, MD

In this segment, Dr. Wall overviews the state of treatments and access to care for patients with vesicovaginal fistulas in developing African countries. The talk includes a sobering account of the morbidity and mortality currently estimated for patients with this serious postpartum complication.

Host: Larry Kaskel, MD

Guest: Roxanna Mehran, MD

In long term data presented from the RAVEL trial, the original trial reporting a remarkable decrease in the rate of restenosis with DES, the long-term incidence of death or heart attack was not significantly different between DES and bare metal stents.

Host: Michael Greenberg, MD

Guest: Mitchel Goldman, MD

In this segment, Dr. Mitchel Goldman, director of the La Jolla Spa MD, discusses the rise of strip mall spas not run or attended by dermatologists and the problems that can arise when patients seek treatment in these establishments.

Host: Michael Greenberg, MD

Guest: Mitchel Goldman, MD

In this segment, Dr. Mitchel Goldman, director of the La Jolla Spa MD discusses the dangers for patients seeking treatments at spas in which physicians are not personally in attendance.

Host: Michael Greenberg, MD

Guest: Patch Adams, MD

Dr. Patch Adams, physician, humanist and clown, discusses his philosophy of compassionate healthcare, and his vision for Gesundheit! Hospital. Dr. Michael Greenberg hosts.