Northwell Health cares for more than any other health care provider in New York. Hear from their experts -- some of the brightest minds in health care breaking down the latest news and developments.
Why — and how — surgeons are ditching opioids in the OR
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21:58Recovering from surgery can be difficult — and opioids actually make it tougher. In addition to side effects such as nausea, lethargy and potential breathing problems, this potent painkiller also carries the risk of addiction for about 3 to 4 percent of surgical patients. That number climbs to about 8 percent for bariatric surgery patients because they may also be battling joint pain stemming from their weight issues. On this episode of the podcast, two bariatric surgeons share how they are limiting, and in some cases even eliminating all together, the use of opioids during a patient's stay in the hospital and after discharge through their "enhanced recovery" initiative. They are: Dominick Gadaleta, MD, chair of surgery, South Shore University Hospital David Pechman, MD, bariatric surgeon, South Shore University Hospital And they’re joined by an expert in substance use disorder: Sandeep Kapoor, MD, assistant vice president of Emergency Medicine Addiction Services.
Regenerative medicine: Helping the body heal itself
20:31It sounds like science fiction, but researchers today are unlocking the body's natural healing ability as part of an emerging field of science called regenerative medicine. Although the field is relatively young, some regenerative treatments are already approved to help repair joints and relieve pain, allowing some patients to avoid surgery altogether. Two leaders in the field detail their research into current and future clinical applications within orthopedics. Kenneth Zaslav, MD, is director of The Center for Regenerative Orthopedic Medicine at Northwell/ and part of the Lenox Hill Orthopedic Institute Seth Sherman, MD, is a sports medicine and orthopaedic surgeon at Stanford Health Care. Learn more about Northwell Health's Center for Regenerative Medicine.
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How philanthropy is improving health equity
20:47Medical research often depends upon the generosity of donors: In this episode we talk to philanthropy experts about the role of donations in driving medical breakthroughs and achieving health equity across all zip codes. The panel includes: Brian Lally, senior vice president and chief development officer for Northwell Health and head of Northwell's Foundation. Mark Butler, PhD, assistant professor in the Institute of Health System Science, part of the Feinstein Institutes for Medical Research. He is leading a study using smart prescription pill bottles to help address medication adherence and reduce cardiovascular disease in the Black community. Emmet Conlon, senior vice president and group head of U.S. Healthcare and Higher Education at TD Bank, which funded Dr. Butler’s clinical trial. Support our nonprofit mission and save lives. Your generous gift will allow our clinical teams to remain at the forefront of care for people in our communities.
Injectable PrEP: Adding choice to HIV prevention
22:40An estimated 38,000 Americans are diagnosed with HIV annually. An important tool in the effort to end the ongoing epidemic is an injectable form of pre-exposure prophylaxis (PrEP), the first option to prevent HIV that does not involve taking a daily pill. The injectable form of the drug received FDA approval in late 2021 and has begun to hit the market. This is Part 2 of our conversation (Recorded May 16, 2022) with a panel of experts specializing in the HIV treatment and prevention. They discuss the benefits and what people at risk for HIV should know, challenges of implementation among providers and more. The panel includes: David Rosenthal, DO, PhD, medical director for the Center for Young Adult, Adolescent and Pediatric HIV. Demetre Daskalakis, MD, director of the Division of HIV/AIDS Prevention (DHAP) for the Centers for Disease Control and Prevention (CDC) Charles Gonzalez, MD, medical director for the New York State Department of Health's AIDS Institute More from the experts Dr. Rosenthal talks strengthening HIV prevention with PrEP and expanding the four key strategies to end AIDS by 2030.
Treating trans youth: Separating fact from fiction
22:55In recent months, more states have debated and even passed legislation that limits how health care is delivered to transgender individuals. In the last year alone, more than 20 such bills have been enacted nationwide. In Part 1 of this two-part episode (recorded May 16, 2022), we take a closer look at the impact these laws are having on transgender care with a panel of experts at the local, state and federal level. In part 2 (posting June 28) our experts discuss PrEP injectables, the newest treatment and prevention modality for HIV. Joining us for this panel discussion are: David Rosenthal, DO, PhD, medical director for Northwell’s Center for Transgender Care; as well as medical director for the Center for Young Adult, Adolescent and Pediatric HIV. Demetre Daskalakis, MD, director of the Division of HIV/AIDS Prevention (DHAP) for the Centers for Disease Control and Prevention (CDC) Charles Gonzalez, MD, medical director for the New York State Department of Health's AIDS Institute More from the experts Dr. Rosenthal shares his perspective as a physician treating transgender individuals on care being politicized and how health care can help.
Nerve blocks: Fighting opioid addiction with safer pain management
22:54The overuse of opioids in health care over the last two decades has had devastating effects. The development of the ultrasound-guided nerve block has revolutionized the field of anesthesia and is part of an important and necessary shift in the conversation about how we manage pain. Not only championing its use in the surgical setting, Joseph Marino, MD, Northwell’s senior vice president for anesthesia, is now expanding its use to emergency departments in Staten Island, Westchester and Long Island. The team responsible for implementing this approach at Staten Island University Hospital share their experiences using the femoral nerve block for certain painful ailments, like hip fractures. They include: Joshua Greenstein, MD, Assistant Medical Director, Department of Emergency Medicine Maria Tama, MD, co-director, division of emergency ultrasound in the hospital’s Department of Emergency Medicine Simone Rudnin, DO, co-director, division of emergency ultrasound, Department of Emergency Medicine and director, emergency medicine clerkship
Telemedicine in Ukraine: A system to support frontline healthcare workers
20:32On this episode of the podcast, we speak with two Northwell leaders who have led the effort to create and deploy a 24/7 consultation and support service to Ukraine. This real-time, doctor-to-doctor platform is now offering health care workers a vital resource, particularly for those displaced by the ongoing hostilities in the country. Eric Cioe-Pena, MD, director of Northwell's Center for Global Health, and Jonathan Berkowitz, MD, medical director for the Center for Emergency Medicine, discuss: Northwell's Ukraine Relief Fund The benefits of telemedicine in a conflict Adapting existing infrastructure for Ukraine Reactions from doctors in Ukraine and Northwell How technology is driving Global Health forward Support the Center for Global Health's Ukraine Relief Fund More from the experts Read more about standing up a telemedicine system in Ukraine from Dr. Cioe-Pena and Dr. Berkowitz. Listen to Dr. Berkowitz talk more about the overnight telemedicine platform, ER on Demand, which he helped to launch in summer 2021. Watch episodes of this health podcast on YouTube.
CCTA: Diagnosing chest pain just got a lot easier
24:55For the millions of US patients who go to an ER or medical office with chest pain every year, doctors have several options for screening. New national guidelines recommend a quick and non-invasive heart scan known as CCTA for stable chest pain. Our guests today are leading experts in the field of advanced cardiac imaging and discuss the history and many applications of this technology, which produces a 3D image of the heart and can be used to rule out several potentially deadly conditions. The updated guidelines come from the American College of Cardiology (ACC), American Heart Association (AHA), and other groups. Meet the experts Amar Shah, MD, is Northwell's chief of cardiac imaging Michael Poon, MD is director of advanced cardiac imaging, for Northwell's Western Region.
22:19Jaw-in-a-Day accomplishes in one surgery and one day what used to take three surgeries or more. Prior to this revolutionary procedure, the process to get dental implants could take months, or even years, forcing patients to live without teeth. Using virtual surgical planning, a team of doctors can not only pre-fabricate teeth to implant on the day of surgery, they can improve the accuracy and efficiency of this difficult process. On this episode of 20-Minute Health Talk, we speak with the pioneers of Jaw-in-a-Day: David Hirsch, MD, DDS, FACS, senior vice president of the dental medicine service line for Northwell Health, and chair of the newly established Department of Oral and Maxillofacial Surgery at Lenox Hill Hospital. Lawrence Brecht, DDS, a specialist in maxillofacial prosthetics They discuss how this new approach to jaw surgery came to be, evolving the technology behind it over that last 10 years, and expanding access.
Outsmarting endometriosis: How breakthrough research is leading the way
23:12Diagnosing a disease usually requires a test or blood sample. But for women with endometriosis, diagnosis requires an invasive surgery. For April Summerford, a 36-year-old from Fresno California, that surgery actually worsened her disease. Wanting to do her part, she joined the ROSE study, which stands for Research OutSmarts Endometriosis. Led by Christine Metz, PhD, and Peter Gregersen, MD, the ROSE research team has spent the last seven years trying to find better treatments and less invasive ways to detect endometriosis. Dr. Metz and Dr. Gregersen join April to discuss her decade-long battle, the ROSE study's innovative approaches to studying endometriosis, the medical gaslighting patients often face, and the problem of gender bias in research funding. Podcast transcript Watch episodes of this health podcast on YouTube. Meet our guests Dr. Christine Metz is co-director of the study and a professor in the Institute of Molecular Medicine at the Feinstein Institutes for Medical Research. Dr. Peter Gregersen is also co-director of the ROSE study, and director of the Feinstein’s Robert S. Boas Center for Genomics and Human Genetics. April Summerford, is an endometriosis patient and ROSE study participant, who also runs the popular support group, Beyond Endo; AND hosts the FemFuture podcast, which covers women’s health.