healthcare radio Archives - Page 5 of 10

Pediatric Health Technologies

April 24, 2015 by angishields

Health Connect South

Pediatric Health Technologies

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Pediatric Health Technologies

This week we had experts on the show talking about developments in Pediatric Health Technologies. We were joined in studio by Leanne West, Principal Research Scientist at Georgia Tech Research Institute, and Paul Spearman, Chief Research Officer with Children’s Healthcare of Atlanta. They came by to talk about the innovative collaboration between academic research institutions, Emory and Georgia Institute of Technology, that help accelerate the rate that important technologies can be made available to the pediatric patient population in need. Carly Kiseleczynk, CEO/Founder of BrainChild Technologies also came by to talk about the intriguing technology that allows parents to have more interactive interaction with young infants through their pacifier-controlled device that interfaces and can control applications and toys through non-nutritional sucking patterns.

We discussed the goals of these important Atlanta research institutions of helping pediatric health providers to treat the unique needs of very young patients. They have what they call a “Quick Wins” program where they engage with promising technology companies to help them bring their solutions to market within a very-fast 18 months.

Carly talked about how they were able to advance their work on developing an interactive technology that allows infants to learn how to control toys and tablet-based applications with their sucking patterns. The infants are able to turn on a mobile or night light, or make remote-controlled toys move. And they’re able to advance language skills through interacting with special tablet-based applications that can provide data on certain developmental milestones.

Both of these initiatives can benefit from financial support to allow them to hasten the pace of their research and make these helpful technologies available to pediatric patients in need sooner.

Special Guests:

Leanne West, Principal Research Scientist with Georgia Tech Research Institute

Education, Vanderbilt University
Former High School Physics Teacher
17 years as Research Scientist Georgia Tech Research Institute
Recipient, 2014 Woman of the Year, Georgia Women In Technology

Paul Spearman, Chief Research Officer with Childrens Healthcare of Atlanta

Doctor of Medicine, University of Texas Southwestern Medical School
Residency, Internal Medicine and Pediatrics, The Ohio State University
Residency, Infectious Disease, Washington University in St. Louis
Professor, Emory University School of Medicine

Carly Kiselyczynk, CEO/Founder, of BrainChild Technologies

PhD, Medical Sciences, Neurosciences, Karolinska Institutet
Published research author
Postdoctoral Fellow, Yale Depression Research Group
Recipient 2012 Ruth L. Kirchstein National Research Service Award

Senate Bill 158 – Top Docs Radio

April 20, 2015 by angishields

Top Docs Radio

Senate Bill 158 - Top Docs Radio

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Senate Bill 158

On this week’s show we continued our monthly series with the Medical Association of Georgia. MAG’s CEO/Executive Director, Donald J. Palmisano, Jr. stopped by for a discussion on the state of Senate Bill 158, changes in the insurance contracting arena, and other topics on the MAG agenda. Donald also shared how he and a colleague were able to raise over $40,000 to support the Think About It campaign to raise awareness and fight prescription drug abuse/addiction in Georgia, participating in a 100 mile race and completing it in under 24 hours. In the days since Donald joined us on the show, Senate Bill 158 was passed.

MAG continues to take steps to enhance the relationship between health insurer Blue Cross Blue Shield of Georgia, Inc. (BCBSGa) and physicians in the state.

At the end of 2014, Georgia Insurance Commissioner Ralph Hudgens rescinded physician contract amendments that BCBSGa had put into place in Georgia following “numerous complaints from physicians (and their practices).”

First MAG/BCBSGa “Physician Advisory Group” meeting took place on February 12. It is forum for physicians to express their concerns, it will give Blue Cross the opportunity to disseminate information about new payer initiatives, it will be a venue for improving communications, and it will serve as a mechanism for physicians to weigh in on Blue Cross’ clinical policies, operations and contracting practices.

The advisory group consists of four MAG member physicians as well as MAG Health Policy and Third Party Payer Advocacy Department Director Susan Moore and BCBSGa Senior Clinical Officer Mark Kishel, M.D., and BCBSGa Director of Network Management/Georgia Provider Solutions Hayden Mathieson. They will meet a minimum of three times a year.

Rental Networks

MAG supports legislation that would limit rental networks in Georgia. A rental network involves a health insurer that rents or sells its network of physicians to another health insurer. These second-level insurers then include the physicians in their health insurance plans – and pay the physicians an even deeper discount – even though they don’t have a contract with the physicians.

It’s not uncommon for physicians to offer their services to a health insurer at a discounted rate because the higher patient volume offsets the costs. However, the aforementioned insurers rent or sell their networks without the physician’s knowledge – so the physicians often aren’t aware that they are in a given network or that they are contractually obligated to deliver patient care at a greater discount.

Rental networks result in mass confusion and higher administrative costs (e.g., the additional staff time that is required to verify a patient’s health insurance coverage and/or confirm the proper payment). Rental networks can also reduce the accessibility of care because physicians are forced to accept the lower (i.e., “re-priced” or “re-rented”) payment or refuse to see the patient for any follow-up or future care.

Rental networks are an inappropriate, profit-driven tactic that undermines the practice environment in Georgia that will exacerbate the physician shortage in the state. Sixteen states have now adopted laws that regulate or limit or prohibit rental networks.

Insurers are prohibited from using rental networks in federal employee health benefits plan contracts.

All-Products Clauses

Insurance companies use ‘all-products or all-or-nothing’ clauses as a cost-control tactic to force physicians to participate in every health insurance product that they offer or be blocked from caring for patients in the insurer’s plan altogether.

By forcing physicians and their practices to agree to all-products clauses, health insurers are undermining the economic viability of the medical profession in Georgia – keeping in mind that a report that was prepared by IMS Health for the American Medical Association determined that physicians in Georgia “created a total of $29.7 billion in direct and indirect economic output (i.e., sales revenues) in 2012… [and] each physician supported $1,559,494 in [economic] output.” It is also worth noting that the report found that “…physicians supported 205,869 jobs (including their own)…[and] $1,089.6 million in local and state tax revenues in 2012.”

Because physicians are constantly wrestling with these manipulative contract provisions, they have less time to spend with their patients.

All-products clauses violate several individual rights, including the right to contract and an owner’s right to operate a business in a free and autonomous way.

Physicians and medical practices in Georgia should be free to accept the health insurance products of their choice versus the ones that’s imposed on them by profit-driven insurance companies.

Eleven states have enacted prohibitions on all-products clauses, including Alaska, Arkansas, Florida, Indiana, Kansas, Kentucky, Maryland, Massachusetts, Minnesota, Ohio, and Virginia – as well as Washington, D.C.

Special Guest

Donald Palmisano, CEO, Executive Director of Medical Association of Georgia

JD Law, Loyola School of Law
Board of Directors, Physician Advocacy Institute
Medical Payment Subcommitte Member, State Board of Workers’ Compensation
Treasurer, Board of Directors, Physicians’ Institute for Excellence in Medicine
Former Director, Government Relations/General Counsel/Director, GAMPAC

Eating Disorders

April 15, 2015 by angishields

Health Connect South

Eating Disorders

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Eating Disorders

This week we focused on eating disorders. I sat down with experts from Eating Disorders Information Network, a non-profit organization aimed at outreach to increase awareness/prevention among students in grade school to high school, and helping people identify resources for treatment. According to the National Anorexia Nervosa Association, eating disorders are a serious problem, with as many as 24 million Americans suffering with some form of disorder from anorexia, to bulemia, to binge/purge, and more.

The problem affects both men and women, children and adults, across all demographics. And according to Dr. Dina Zeckhausen, founder of EDIN, eating disorders are more deadly than other mental illness. When you consider dysfunctional eating habits such as overly-restrictive dieting, comfort eating, and others, as many as 80-90% of us are impacted at some time by potentially-problematic attitudes about food.

EDIN is working to engage young people beginning in grade school through high school to promote self-acceptance and to share information about the dangers of risky behaviors such as “clubs” that foster unhealthy choices such as eating crackers and water only for lunch with a group of peers. Their website describes their mission in this way, “The Eating Disorders Information Network (EDIN) is a nonprofit organization dedicated to the prevention of eating disorders through education, outreach, and action. EDIN is committed to addressing the problem of eating disorders on a societal level. We are devoted to:

Preventing eating disorders
Increasing public awareness of the personal, familial, and cultural/media influences which contribute to eating disorders
Helping those already suffering to find the therapeutic services they need

The organization strives to serve as a comprehensive resource and educational guide for those wanting to learn more about eating disorders, those seeking help, and those gathering and distributing information about available treatment options both in the Atlanta area and nationwide.”

Special Guests:

Dina Zeckhausen, PhD, Founder of Eating Disorders Information Network

PhD, Clinical-Community Psychology, University of South Carolina
Active private practice psychologist
Well-known public speaker on the topic of eating disorders
Published author and playwrite

Hallie Udelson, Eating Disorders Information Network

BA, Psychology, Emory University
2016 Candidate, Master of Public Health, Emory University
Developing curriculum for school outreach initiatives for EDIN

Sara Pannell, Incoming Director, Eating Disorders Information Network

Licensed Family and Marriage Counselor, Trillium Springs Counseling
MS, Family & Marriage Counseling, Fuller Theological Seminary
Previous Bi-lingual Clinician I, San Fernando Valley Community Mental Health Center

Hyperbaric Oxygen Therapy

April 9, 2015 by angishields

Health Connect South

Hyperbaric Oxygen Therapy

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Hyperbaric Oxygen Therapy

This week we sat down with internationally-known expert on the subject of Hyperbaric Oxygen Therapy, Dr. Helen Gelly. This treatment modality has been available to patients with poorly-healing wounds, thermal injuries, decompression sickness, late effects of radiation, and several other problems for decades. And while there is a quality body of evidence supporting the use of this treatment for clinically-appropriate patients, many of the patients who could benefit from access to it never get to know it’s available.

This is due in large part to the fact that of ~159 US medical colleges, only ~30 offer hyperbaric oxygen therapy and wound resolution as taught specialties. That means that approximately 85% of graduating physicians have had very little (if any) exposure to academic information about the modality. The result is that they often miss opportunities to add the treatment to the patient’s care plan, which in turn delays (or even prevents) these problem wounds from healing.

Dr. Gelly shared information about the history of hyperbaric oxygen therapy and we talked about the physiology of what’s happening during the course of therapy. We discussed a couple of major groups of patients whose clinical outcomes tend to be significantly improved with access to hyperbaric medicine, diabetic ulcer patients and patients experiencing persistent late effects of radiation. The aim is to get credible information to the public so that both physicians and patients in need can educate themselves about it. Atlanta is unique in that both inside the city and in numerous suburbs, patients can receive hyperbaric oxygen therapy in hospital-based or UHMS accredited free-standing programs. It’s also paid for by Medicare, Medicaid, and commercial insurance companies for these evidence-based indications.

Special Guest:

Dr. Helen Gelly, MD of HyperbaRXs

Doctor of Medicine, Emory University School of Medicine
Internship/Residency: Pediatrics/Emergency Medicine at Emory University Affiliated Hospitals
Board Certified in Emergency Medicine
Fellow of the American College of Emergency Physicians
Fellow of the American College of Certified Wound Specialists
Subspecialty Certified Undersea and Hyperbaric Medicine

Mindfulness – Top Docs Radio

April 4, 2015 by angishields

Top Docs Radio

Mindfulness - Top Docs Radio

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True North Partnering — Peter North talks Mindfulness on Top Docs Radio

Mindfulness

This week I sat down with Peter Vajda. He’s a Certified Professional Coach and PhD in Education and Cognitive Psychology. We talked about how we can apply the practice of meditation and mindfulness to bring about a more centered “You”, becoming better able to handle conflict and reduce one’s over-all level of anxiety. Peter is an astute observer of the human condition and is a passionate pioneer in the field of mind-body-spirit integrative functioning and development. Dr. Vajda is dedicated to supporting individuals and groups to enhance their understanding of how to live consciously – from the inside out – which deeply supports an individual’s ability to change, grow and evolve.

Peter brings a diversified base of professional expertise – as an entrepreneur, an educator, a facilitator, and a manager. He is sensitive to the diverse perspectives, demands and dynamics of relationships. Since 1981, he has facilitated individuals, couples, groups and organizations.

His life and the orientation he brings to coaching, consulting, facilitating and writing are deeply influenced by his understanding of, and his experience in, the psychology of personal growth and development.

For over thirty years, Peter’s has been committed to his own personal and spiritual development. His experience in working with the “whole body” is based on his studies of psychodynamics, ego development, bioenergetics as well as energy healing.

Peter earned his Ph.D. in Education and Cognitive Psychology from Fordham University. His post-graduate work is in organizational behavior at NYU’s Stern School of Business.

For six years, Dr. Vajda has written a weekly column – “Know Thyself” – for the widely-acclaimed international Management-Issues website.

His book– Becoming a Better You, Who You Are vs. Who You Think You Are – was published in October, 2013.

Special Guest:

Peter Vajda, Phd, CPC, True North Partnering

PhD, Education-Cognitive Psychology, Fordham University
Former Director, Academic Services, Information Technology Institute, New York University
Previous Manager, Instructional Design Dept. , Gulliver Ritchie Associates
Published Author

Intellimedix and Life University

April 1, 2015 by angishields

Health Connect South

Intellimedix and Life University

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Intellimedix and Life University

This week we sat down with experts from Intellimedix and Life University. Intellimedix is an Atlanta-based company that uses high-powered computing algorithms, coupled with genetic testing to identify existing medications that could potentially be re-purposed to effectively treat illnesses other than the ones they were originally designed to treat. One of the company’s founders has a child who suffers from a severe form of epilepsy. Unfortunately, there are limited treatments known to be available that will provide relief from this debilitating condition. His daughter’s story influenced the decision to focus the company’s initial efforts on uncovering existing medications that could be successfully re-purposed to help folks dealing with this type of epilepsy and other neurologic disorders.

Chief Science Officer, Jeff Skolnick shared the example of how a blood pressure medication (Viagra) was re-purposed to treat erectile dysfunction. He went on the discuss the physiology/chemistry behind why this is possible and why it makes sense to look for existing, approved medications that have the ability to improve quality of life for patients dealing with illnesses different from those the medications are initially intended to treat. This approach saves a great deal of time and money over the years-long, massively-expensive process of developing a medication from ground zero to treat a particular condition; allowing patients in need to receive access to an effective treatment sooner.

Dr. Gilles LeMarche, VP of Professional Relations at Life University came by to talk about the undergraduate and graduate programs available at their Marietta, GA-based campus. They offer a number of health, wellness, and sports-related degrees ranging from chiropractic medicine, to vitalistic nutrition, functional kinesiology, and others. He shared their approach to wellness, applying the philosphy of “vitalism” allows their graduates to help their clients/patients by helping the body to heal itself; as it is ideally capable of doing when interfering factors are removed.

Special Guests:

Steven Hickson, CFO, Intellimedix

MBA, Global Executive MBA Program, IESE Business School, Barcelona Spain
BA Accounting, NC State University
Previous Senior Auditor, Turner Broadcasting System
Former SVP, New Media & Premium Channels, Fox International Channels- Asia

Jeff Skolnick, PhD, Chief Science Officer, Intellimedix

Director, Center for Study of Systems Biology, Georgia Institute of Technology
PhD, Chemistry, Yale University
Mary and Maisie Gibson Chair in Computational Systems Biology
Associate Director, Integrated Biosystems Institute, Georgia Institute of Technology

Gilles Lamarche, DCM, VP, Professional Relations, Life University

Doctor of Chiropractic Medicine, Canadian Memorial Chiropractic College
Certified Six Advisors Coach, 6 Advisors Coaching Academy
Former Vice President, Parker College of Chiropractic
Fluent in French

Some backing music provided by: www.pacdv.com/sounds/

Start Exercise Fitness Training Without Injury – Top Docs Radio

March 20, 2015 by angishields

Top Docs Radio

Start Exercise Fitness Training Without Injury - Top Docs Radio

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Start Exercise Fitness Training Without Injury

This week, our new monthly partner, Dr. Andrew Pugliese stopped by to introduce us to Randy Nicholson, of Fitness Firm Studio. He’s a certified trainer who shared some very helpful information on how folks who have not previously trained or former athletes who haven’t trained in a while start exercise fitness training without injury.

As a former athlete who has experience in high intensity and high volume cardiovascular and weight/resistance training, I know too well what it’s like to resume working out after a prolonged layoff and experience overuse injuries. These come from a burst of activity with or without heavy weight/resistance. Too much exercise too soon can easily result in a incapacitating measure of pain or even injury that prevents continuing without another break to recover.

Randy shared what a person who’s motivated to start or resume training should ask a prospective personal trainer to determine what their philosophy is regarding the initial training phase. He also shared the value of using a roller to help facilitate muscle recovery as well as releasing trigger points that can cause muscle spasm.

We talked about the best way to approach beginning training in a step-wise fashion to insure that muscular imbalances, postural weaknesses, and flexibility have been improved upon before moving on to more intense training moves/activities. If you or someone you care about is thinking about resuming or wants to start exercise fitness training without injury they need to check out this week’s episode.

Special Guests:

Randy Nicholson Fitness Firm Studio

NASM
EGOUSE
4th Degree Black Belt in Tae Kwon Do
BS Engineering, University of Chattanooga

Andrew Pugliese, MD, Infectious Disease Consultants

Doctorate in Medicine, St. George University School of Medicine
Fellowship, Infectious Disease, Winthrop University Hospital
Triple Board Certified in Internal Medicine and Infectious Disease
Pioneer in non-surgical treatment of acute and chronic sinusitis
President of Sinus Solutions

Medical Reserve Corps – Top Docs Radio

March 12, 2015 by angishields

Top Docs Radio

Medical Reserve Corps - Top Docs Radio

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Medical Reserve Corps

The U.S. Department of Health and Human Services (HHS) has approved MAG’s request to form the nation’s first medical society-sponsored statewide volunteer medical reserve corps (MRC). MAG and the Georgia Department of Public Health would oversee MAG’s MRC. MAG is now eligible for limited federal capacity building funds and has in fact received a 2015 grant for $2,500 – though the MAG MRC will require funding from private sources to fully maximize its vision.

The MAG MRC will train physicians to respond to declared emergencies in Georgia, and it will establish a system to coordinate the deployment of those physicians during any such emergencies. The MAG MRC will supplement the official medical and public health and emergency services resources that are available in the state. MAG MRC units will be capable of setting up mobile hospital systems. And under extreme circumstances (e.g., a shortage of health care providers in a given area), MAG MRC units can be called upon to perform some of the functions that would otherwise be performed by the full-time emergency medical response personnel in the state. MAG formed the MRC as a result of 2013 House of Delegates meeting action.

The MRC is a national network of volunteers, organized locally to improve the health and safety of their communities. The MRC network comprises 993 community-based units and 207,783 volunteers located throughout the United States and its territories. Georgia has 19 approved MRCs.

MRC volunteers include medical and public health professionals, as well as other community members without healthcare backgrounds. MRC units engage these volunteers to strengthen public health, improve emergency response capabilities and build community resiliency. They prepare for and respond to natural disasters, such as wildfires, hurricanes, tornados, blizzards, and floods, as well as other emergencies affecting public health, such as disease outbreaks. They frequently contribute to community health activities that promote healthy habits.

The designated point of contact is the Director of Health Protection with DPH. The MAG MRC may also be activated by MAG MRC leadership team as necessary. The MAG MRC Unit will supplement the State of Georgia Public Health Emergency Preparedness’ and Response Unit. The unit will not replace or supplant the existing emergency medical response system or its resources including locally based MRC units.

Special Guests:

John S. Harvey, M.D.

Chief of Surgery, Gwinnett Medical Center
Acting Colonel and Command Surgeon, Georgia State Defense Force
MAG’s President-elect.
Missions have included the Katrina/Rita hurricane and Haiti earthquake victim airlifts. He dealt with the Centennial Park bombing that took place during the 1996 Olympics as a medical command officer.
Doctor of Medicine, Medical College of Georgia

Susan Moore

Susan Moore has been MAG’s Director of Health Policy and Third Party Payer Advocacy since 2013. She helps MAG members resolve third party payer claim disputes and grievances. She has spent 30 years in the health care industry – more than half of those focused on patient safety and health care quality. Moore has a degree in nursing from the Emory University School of Nursing and a Master’s Degree in Public Health from the Yale School of Public Health at Yale University.

Paul Hildreth

Paul Hildreth is the emergency management coordinator/grant coordinator for REMS for the Fulton County School District. He has 14 years of experience in emergency response and crisis management. He is a certified emergency manager and master certified emergency manager. He has been an integral part of the Georgia State Defense Force for 10 years. He has a degree in business operations from DeVry University and an MBA from the University of Phoenix.

Peripheral Arterial Disease – Top Docs Radio

March 6, 2015 by angishields

Top Docs Radio

Peripheral Arterial Disease - Top Docs Radio

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Peripheral Arterial Disease

As many as 12 million Americans are dealing with peripheral arterial disease (PAD), a progressive blockage of the blood vessels that carry blood to the lower extremities. For many of these patients, amputation is the outcome, leaving them without a foot, or in others, half or more of their leg. Medical literature has shown that in these patients, their risk of death within 1 to 5 years of their amputation they have a 40% likelihood of amputation of the remaining leg and a significant risk of death. It’s clearly a serious problem.

But we can reduce the rate of amputation among these patients and we can also reduce the severity of intervention required to address the problem if we catch it early. Dr. Joseph Ricotta, vascular surgeon and director of the Northside Hearth & Vascular program, stopped by the studio to talk about what can be done to improve patient outcomes for those with PAD. We talked about the troublesome statistics around peripheral arterial disease, including the fact that among diabetics with PAD who develop a non-healing wound resulting in amputation, as many as 50% of them never receive a non-invasive study that could prevent the loss of their leg.

That means we need our partners in primary care and foot/ankle surgery to take an aggressive stance when presented with patients who are at risk for PAD or who have a poorly-healing wound on their leg or foot. There are numerous non-invasive studies that take only minutes in the vascular surgeon’s office that can readily identify patients who have blockage affecting blood flow to their feet. In these cases, if caught early, surgeons like Dr. Ricotta have more options and greater probability they can reestablish adequate blood flow that helps a wound to heal, preventing or mitigating extent of amputation.

We talked about the fact that Northside offers access to 2 of the country’s 10 robotic devices that significantly improves the effectiveness of minimally-invasive procedures by allowing the vascular surgeons to access and treat previously-inaccessible locations. Additionally, with the assistance of the robot, the surgeons are able to reduce damage that can occur on the inside of the vessel being treated, which reduces the likelihood that scarring after the procedure will block the vessel off again (a leading cause of reocclusion in PAD lesions).

I also spoke with foot and ankle surgeon, Dr. Michael Bednarz of Ankle & Foot Centers of Georgia, whose office is located in Woodstock, just north of Marietta. He talked about treating PAD patients with wounds from the perspective of the specialist who is tasked with managing the wound and ultimately, treating it surgically as necessary (including amputation when efforts to heal the wound fail and serious infection is a risk).

We talked about the fact that amputation should be viewed as a last-ditch option. And Mike shared that no patient should face amputation without having had a vascular study to determine if poor flow is contributing to the wound not healing. He talked about the fact that when he’s presented with a poorly-healing wound, particularly in a patient with PAD risk factors such as diabetes, one of the first things he does is request a vascular study to assess blood flow. He also utilizes Transcutaneous Oximetry, a non-invasive test that shows how well the tissue at the surface where a wound is located is getting oxygen.

With the results of those studies, he is able to address poor blow flow by referral to a vascular surgeon and/or to hyperbaric medicine (readily available in Atlanta and surrounding suburbs) to address poor oxygen levels in the skin. He also evaluates other risk factors such as glucose levels and presence of infection, often resulting in consults with infectious disease and/or endocrine specialists to help heal the limb-threatening wound. We talked about the fact that a multi-specialty approach insures that more patients can avoid amputation and the resultant high mortality rates that come with them.

Early involvement with an experienced wound specialist, vascular diagnostics/intervention, infection control, and endocrinology are all vital in helping patients avoid an amputation that might also cost them their life.

Special Guests:

Joseph Ricotta, MD, Medical Director, Heart & Vascular Institute, Northside Hospital

Doctor of Medicine, Thomas Jefferson University School of Medicine
Surgical Residency, Johns Hopkins University School of Medicine
Fellowship, Vascular Surgery, Mayo Clinic
Fellowship, Advanced Endovascular Surgery, Cleveland Clinic Foundation
Associate Professor of Surgery, Georgia Regents University, University of Georgia School of Medicine

Michael Bednarz, DPM, Ankle & Foot Centers of Georgia

Doctor of Podiatric Medicine, Kent State University School of Podiatric Medicine
Residency, Department of Veteran Affairs Medical Center, Miami
Board Certified, American Board of Foot/Ankle Surgery
Recognized as a “Top Doc” in the WellStar Health System