Coffee + Cardiology

The regular schedule for Coffee and Cardiology will be back in 2 weeks. 

------

Dr. Bill Lombardi was our first episode guest on Coffee and Cardiology and is now expanding the UW Heart Institute media empire in a new format with live Q&A.

The series will include special guests from around the country and focus on topics blending the technical and mental sides of healthcare. 

Keep up to date for a live recordings on Twitter Spaces by following Dr. Bill Lombardi on twitter @DrBillLombardi or listen as a podcast every Friday morning www.DrJourneytoBetter.com

Larry Dean, M.D., F.A.C.C., M.S.C.A.I., is an expert in general cardiology, cardiac catheterization and interventional cardiology.  Dr. Dean is Founding Director of the UW Medicine Regional Heart Center and current Medical Director of Outreach and Clinical Integration of the UW Medicine Heart Institute.  

1:00 - Roll Tide
2:05 - Follow the Opportunities
6:35 - A retrospective of UW Cardiology
10:00 - Teaching Mission
11:25 - Ready for Transcatheter Aortic Valve Replacement (TAVR)
13:15 - Collaboration in the Region
17:30 - Bed Capacity & Certificate of Need (CON)
26:10 - Workflow Crisis
30:15 - Mental Health through the diversity of practice.
31:15 - PNW Cyclist
36:50 - https://www.theeatingplaces.com/
41:15 - The Profession of Medicine
46:15 - Hippocratic Oath 
51:22 - Changes in Healthcare Tensions
54:30 - Investing in Balance
58:00 - IT as a resource

[email protected]

Dr. Steinberg specializes in the care of adults born with heart defects and performs transcatheter intervention on this complex patient population.  He has a wide array of interventional expertise including complex coronary artery revascularization, transcatheter valve implantation, septal defect closure, and balloon pulmonary angioplasty for patients with chronic thromboembolic pulmonary hypertension (CTEPH).

00:55 - Dr. Specialization
13:00 - "A Profession of Lifelong Learning"
15:10 - Intervention Cardiology First
19:45 - A Day in the Life - Chronic thromboembolic pulmonary hypertension
28.25 - Learning Chronic Pulmonary Angioplasty
36:45 - Approaching Orphan Diseases
37:30 - Our Interventional Team
39:50 - Repairing Congenital Defects

[email protected]

Babak Nazer, MD directs the UW Translational Electrophysiology Laboratory, where his research focuses on the diagnosis and treatment of ventricular arrhythmias (premature ventricular complexes (PVCs) and ventricular tachycardia (VT). In collaboration with acoustic physicists and biomedical engineers, his laboratory develops new diagnostic and therapeutic ablation tools for the treatment of PVCs and VT, particularly those using ultrasound as an energy source.  As Director of the UW Multidisciplinary Ventricular Arrhythmia Program, he collaborates with psychologists to investigate the psychosocial symptoms associated with VT and defibrillator shocks, and therapies to alleviate these symptoms. 

[email protected]

Eric Krieger, MD, FACC, is a board certified Adult Congenital Heart Disease (ACHD) Cardiologist at UW Medicine's Heart Institute.  He directs the Adult Congenital Heart Disease Program and ACHD fellowship training program. He practices at the University of Washington and Seattle Children's Hospital.  

1:05 - From Philosophy to Medicine
4:20 - The Why
6:15 - Advanced Fellowships in Boston
7:15 - Growing the UW ACHD Program
9:00 - The unique nature of the UW ACHD Fellowship
12:35 - Collaboration with Seattle Children's Hospital
14:35 - Importance of Trust in Congenital Heart Disease
17:15 - Patients' Transition of Care (Pediatric to Adult)
24:00 - The intangibles of an ACHD Cardiologist
26:00 - "No Jerks"
29:30 - Supporting WAMI Region (Washington, Alaska, Montana, Idaho)
32:00 - Centrality of Imaging in ACHD
35:35 - Role of Specialized Cardiac Sonographers & Other Imagers
37:40 - How to define and best care for "Complex Congenital Heart Disease"

[email protected]

Robb MacLellan, MD is the Director of the UW Medicine Heart Institute and our Division Head of Cardiology.   Since 2011 he has ensured our faculty and research goals are aligned with the needs and opportunities in the hospital.  In addition to those important responsibilities, he is an active attending physician and Robert A. Bruce Endowed Chair in Cardiovascular Research.

Robb's research interests include:

• Understand the molecular mechanisms that regulate cardiac failure and develop therapies to regenerate myocardium
• Use genetic mouse models in an attempt to correlate molecular insights with whole organ physiology
• Develop stem cell and tissue engineering strategies to repair the heart

1:15 - The Canadian Researcher
6:00 - Why Cardiology
7:27 - Research Training
10:45 - Research Fundamentals
13:15 - First Trial to the Lab Today
26:40 - Complimentary Teamwork Success
30:55 - Advice to the Future Academic
35:50 - The Argument for the Physician Scientist
41:20 - Struggle for Balance in Training and Future Need
46:55 - Looking back as Division Head and Director
52:30 - Regional Heart Center to Heart Institute
56:30 - A new role in Department of Medicine

Carrie Boom is an advanced registered nurse practitioner since 2001 who has clinical experience throughout the continuum of inpatient and outpatient Cardiology and Cardiac Surgical care.   As the Senior Lead Advanced Practice Provider in the Division of Cardiology, she focuses her leadership efforts on building high-quality multidisciplinary teams who focus on providing high quality, safe patient care to high acuity Cardiology patients.

1:15 - From Iowa to UW
7:15 - The Draw to Acuity
8:15 - The Creation of Boom's Legion
15:50 - Structured Multidisciplinary Rounds 
20:10 - Advanced Practice Provider (APP) Teams in the ICU
25:45 - Future Goals in the ICU
28:00 - Pulmonary Artery (PA) Catheter Management
34:00 - CCU APP Evolution
38:43 - Communicating ICU Culture Forward
42:45 - Impact Potential of the Multidisciplinary Team
47:15 - Mental Health in the ICU
50:20 - Pillar of Strength

Email: [email protected]

Christopher T. Longenecker, MD is a non-invasive cardiologist and Associate Professor in the Division of Cardiology and Department of Global Health at the University of Washington School of Medicine.  He is the inaugural Director of the Global Cardiovascular Health Program, a joint initiative of cardiology and global health. Clinically, he attends on the Harborview cardiology consultative service and is director of a unique HIV-Cardiology clinic within the Madison Clinic at Harborview.

1:20 - A Global Citizen
3:00 - The Journey to Global Health by way of HIV/AIDS
6:40 - Cardiovascular Global Health
8:20 - An Interdisciplinary Global Cardiovascular Health Program at UW
16:55 - Leveraging HIV Infrastructure  to Treat Rheumatic Heart Disease
20:15 - Stakeholders in Global Cardiovascular Health
27:30 - Advocacy for Funding
31:05 - Misconceptions in Global Health
34:10 - Building Relationships by Fostering Trust
36:50 - Fostering Trust with Relationships
38:30 - Advice for a future in Global Health
41:30 - Reciprocal Mentoring
43:45 - Relationships as a bridge to advancement
46:00 - A Global Standard of Care?  Warfarin v. Rivaroxaban Example
49:15 - Skills for Success in Global Health
51:20 -  Advice for the practicing clinician

Email: [email protected]
Twitter: @hivcardiodoc
Global Cardiovascular Health Program Website

Yonatan Buber, MD earned his M.D. from Ben Gurion University in Israel.   Dr. Buber specializes in all forms of congenital heart disease, pregnancy in women with heart disease, pulmonary hypertension and exercise physiology.

0:40 - Dr. Buber's Journey from Israel
3:05 - A week that inspired an Adult Congenital Heart Disease career
5:00 - Differences in ACHD Care Israel vs. US
7:40 - Recruiting persistence of Drs. Krieger and Stout
10:05 - Cardiopulmonary Exercise Testing, Cardio-Obstetrics, Aortopathy Clinic
14:30 - Cardio-Obstetrics
22:15 - Global Health Collaborations
26:30 - Regional ACHD Care
30:20 - Defusing Bombs in Israel
36:30 - Advice for future cardiologists

Email: [email protected]

Laurie Soine, PhD, ARNP, is a board-certified nurse practitioner in the UW Medicine Department of Medicine and serves in the role of Chief ARNP for UWMC.  In 2013, she was awarded the UW School of Nursing Distinguished Practitioner Award for demonstrating nursing care excellence. She is also a UW School of Medicine teaching associate and is a clinical assistant professor in the School of Nursing.    Laurie's research interests include the impact of what patients know and its effect on clinical outcomes, and describing factors associated with creating robust models of advanced practice nursing.

0:30 - Who is Laurie Soine
2:15 - Move to the Nuclear Lab
6:20 - The changes in Nuclear Cardiology
9:45 - Patient Interactions
12:30 - Clinical Secrets
15:25 - Patients understanding the Why
21:00 - Move to (CPET) Cardio-Pulmonary Exercise Testing
24:00 - Why a CPET
26:40 - What is CPET like for a patient
27:34 - Testing for Lung vs. Heart
32:50 - Dr. Robert Bruce - "Father of exercise cardiology"
35:00 - Future of diagnostics and CPET for Covid-19
40:15 - Advanced Practice Provider's (APP) Research
42:25 - Quantifying Impact of APP's
46:00 - Taking the administrative role
51:30 - Growth from 2 to 50 APPs
53:00 - Primary to Specialty Roles in APP Realm
59:20 - Advice to Cardiology Fellows

Contact Laurie: [email protected]