Surgery

Host: Lisa Mazzullo, MD

Guest: Alan Peaceman, MD

Cesarean section on maternal request is becoming a more common discussion in doctors offices around the country. Since the late 90’s, cesarean section rates continue to rise with overall estimates of 29% noted in 2004. The ethics of patient autonomy war with medical concerns about potentially unnecessary surgery. The challenges posed by elective cesarean section are discussed with Dr. Alan Peaceman, professor of ob/gyn at Northwestern University Feinberg School of Medicine and chief of the division of MFM. Neonatal and maternal safety, long term sequelae of vaginal birth and NIH recommendations on how to deal with this potentially emotional issue are thoroughly discussed. Reference Articles 1. Declercq, E, PhD, et al. Factors associated with the rise in Primary Cesarean Births in the US in 2002, Am J Public Health, 2006; 96(5): 867-872 2. National Institute of Health- Cesarean Childbirth. UDHHS- 2006, , 1982-2067 3. Greene, M. et al. Vaginal Delivery after Cesarean section – is the risk acceptable? N Engl J Med 2001, 345:55-56 4. Andrist, Linda, PhD, RNC. NPWH 2006- Cesarean Section on Maternal Request_ the debate.

Host: Mark Nolan Hill, MD

Guest: Lazar Greenfield, MD

Dr. Lazar Greenfield observes the conundrum that there are many standards a physician must comply with to become a surgeon, but no set standards for when a surgeon should retire. Host Dr. Mark Nolan Hill speaks with Dr. Greenfield, professor in the division of cardiovascular medicine at the University of Wisconsin School of Medicine and Public Health and director of the preventive cardiology program and vascular health screening program at the University of Wisconsin Hospital and Clinics, regarding his longitudinal study on the abilities and self-perception of aging surgeons.

Host: Mark Nolan Hill, MD

Guest: Lazar Greenfield, MD

Host Dr. Mark Nolan Hill interviews Dr. Lazar Greenfield, surgeon and developer of the Greenfield intracaval filter, about his longitudinal study of older surgeons, looking at the relationship between self-perceived cognitive changes in memory and objectively demonstrated cognitive performance.

Host: Lee Freedman, MD

Guest: John Y.K. Lee, MD

Dr. John Y.K. Lee, assistant professor of neurosurgery and medical director of the Gamma Knife Center within the University of Pennsylvania Health System, details the neurosurgical utility of the gamma knife with host Dr. Lee Freedman. What are its guiding principles? How does this minimally invasive approach add safety and precision to the current treatment modalities for brain tumors and other diseases?

Discuss On Sermo

Host: Mark Nolan Hill, MD

Guest: David Sutherland, MD

Patients undergoing pancreatectomies are at risk for diabetes. Join host Dr. Mark Nolan Hill interview Dr. David Sutherland to learn how to minimize the risk of diabetes through islet cell transplants.

Host: Mark Nolan Hill, MD

Guest: Paul Lux, MD

Many physicians have ideas about better drugs or better medical devices. How do you take these ideas a step further? Join Dr. Mark Hill interview orthopedic surgeon and inventor Paul Lux, MD to learn about his experiences.

Host: Mark Nolan Hill, MD

Guest: LTC Robert Rush, Jr., MD

In this segment Dr. Mark Hill speaks to currently deployed surgeon Col Robert Rush about his surgical experiences in Iraq and Honduras.

Host: Mark Nolan Hill, MD

Guest: LTC Robert Rush, Jr., MD

Col. Robert Rush MD talks about the military use of far forward surgical units in combat situations.

Host: Mark Nolan Hill, MD

Guest: LTC Robert Rush, Jr., MD

Lt. Col Robert Rush M.D. explains the use of a mobile surgical team in war or other disaster. Find out who makes up the surgical team, how the mobile unit set up, how is it powered, what type of surgeries can be performed and more.

Host: Mark Nolan Hill, MD

Guest: Donald Trunkey, MD

During Desert Storm, Dr. Donald Trunkey was the chief of surgery for the 50th General Hospital, a 1000-bed facility with a medical staff of 705, and chief of professional services. Dr. Trunkey talks with host Dr. Mark Nolan Hill about how he trained his staff, and challenges in care encountered during Desert Storm. Tune in to hear the ways that military surgical units have changed since then.