Surgeons Christina Jackson, César Briceño, and Jennifer Douglas of Penn Neurosurgery, Oculoplastics, and ENT discuss their combined roles in the transorbital approach (TOA) to tumors of the skull base. The TOA reaches meningiomas and other deep-seated tumors through the orbit of the eye to avoid craniotomy and its after-effects.
Penn Orthopaedics surgeon Charles Nelson, MD, reflects on his role as recently elected President of the American Board of Orthopaedic Surgery, as well as the organization’s history, its role in the development of orthopaedic surgeons, and the looming challenges of AI.
Abdominal wall hernias appear at points of congenital or acquired weakness in the abdominal muscle wall, and their correction involves an understanding of both the nature of the precipitating flaw and the character of the abdominal wall. In this podcast, Lancaster-based surgeon Kelly Janke, DO, discusses these elements in the context of advanced hernia surgery. and reviews the factors that predispose individuals to either good or less-than-optimal outcomes following intervention.
Lisa Dobruskin., MD, reviews the management of obesity at Penn Princeton Bariatrics with a focus on continuity of patient-oriented care and the pathophysiology of weight gain and loss. Dr. Dobruskin reviews current minimally invasive surgical offerings, offers guidance on weight-loss medications, and discusses the timing of intervention and other concerns for those considering bariatric surgery.
For more than two decades, advanced practice providers at the Penn Surveillance Clinic have monitored and counseled patients with bicuspid aortic valve (BAV) disease. A congenital disorder, BAV is associated with the connective tissue syndromes and in these and other affected populations is a leading cause of irreversible aortic root dilation, aneurysm, rupture, and dissection. Affiliated with the Center for Bicuspid Aortic Valve Diseases at Penn Medicine, the APP-led Surveillance Clinic follows patients as they progress from dilation to aneurysm to monitor the size of their aortic diameter via imaging, adjust treatment plans, and, when needed, prepare patients for surgery and recovery.
Obstetrician-gynecologist Dr. Sarita Sonalkar provides an insightful review of the Penn Pregnancy Early Access Center, or PEACE Program, an integrated family planning and urgent pregnancy care center. In her engaging discussion, Dr. Sonalkar highlights the various benefits and services of the Program, including shared decision-making, timely appointments, contraception, counseling, ultrasound and surgical services, and much more.
Aortic aneurysms contribute to thousands of aortic dissections and ruptures every year in the United States, and are virtually undetectable in the general population. In this podcast, cardiac surgeon Jeremy McGarvey, MD, describes the effort to detect aortic aneurysms and their multidisciplinary management at PennMedicine.
Drs Timothy Markman and Keith Cengel review the devices, medications and surgical approaches to ventricular tachycardia (VT), an arrhythmia linked to sudden death, our current understanding of the origins of VT, and clinical research into new approaches at Penn, including RADIATE VT, which compares radioablation to radiofrequency for VT ablation.
Is there a surgical answer to intractable hypertension? Drs. Taisei Kobayashi and Debra Cohen offer their clinical insights (surgery and nephrology, respectively) on catheter-based renal denervation and its indications for patients with refractory hypertension, as well as supporting evidence for efficacy and precautions for eligibility.
The second most common hematologic malignancy, multiple myeloma has an incidence of ~35,000 new cases a year in the United States. In this episode, Drs. Adam Cohen and Shivani Kapur convene to lay out a roadmap for the treatment journey for patients with the disease, from early treatment options, particularly autologous transplant, to recent advances in immunotherapy, combination maintenance therapies, and clinical trials.
Dr. Leonid Emerel reviews the management of non-small cell and small cell lung cancer at the multidisciplinary cancer clinic in the Medical Arts Pavilion at Penn Medicine Princeton Thoracic Surgery. Dr Emeril reviews diagnostics, chemotherapy, immunotherapy and surgery, and the value of rapid access to the surgeons on staff.
Alexander W. R. Bridges, MD, offers the insight of a cardiothoracic surgeon to an engaging discussion of atrial fibrillation, its causes, risk factors, pathophysiology, populations affected, and treatments. The object of therapy, Dr. Bridges attests, is to stabilize the heart rhythm and reduce the lifetime risk of stroke and heart failure. Dr Bridges reviews the Cox-Maze 3 procedure, left atrial appendage removal, percutaneous ablation, and other advances for atrial fibrillation at Penn Medicine Lancaster General Health.
Heritability has long been known to play a role in aortic aneurysm and dissection for individuals with the Marfan and Loeys-Dietz syndromes. Recent research at Penn Medicine and elsewhere has revealed the presence of genetic variants linked to these syndromes in non-syndromic disease. In this podcast, clinical genetics specialist Staci Kallish, DO, discusses this phenomenon, reviews ongoing studies to determine the risk for aortic aneurysm and dissection in the general population, and the protocols for candidates for genetic evaluation and testing in at- risk populations.
Electrocardiologist Matthew A. Bernabei, MD, examines the history of ablation for atrial fibrillation and its latest iteration, pulsed field ablation, or PFA. Now available at Penn Medicine, PFA uses an electrical field rather than radiofrequency or cryotherapy to treat the aberrant signals that are the source of Afib. Unlike other ablation modalities, PFA is cardio-selective, and thus poses little risk to structures near the heart, including the esophagus.
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Cancer and surgery specialists Drs. Kara Maxwell, Daniel Lee, Jennifer Zhang, and Bryson Katona delve into the nuances of BRCA-positive breast, prostate, and pancreatic cancers in men. This wide-ranging discussion encompasses BRCA heritability, diagnostics, screening, risks, and treatment options.
Dr. Jonathan Nahas offers a concise overview of alcohol-related liver diseases, addressing their causes, consequences, and effects on the liver, and examines the importance of thorough assessment and management strategies, including liver transplantation.
Kendall Lawrence, MD, a specialist in aorta surgery, examines the physiology, symptomatology, types, and causes of acute aortic dissection and describes the management of these events at the Penn Aorta Center—including Center’s direct-to-OR program for patients presenting with acute aortic emergencies.
Dr. Nawar Latif offers a nuanced overview of heated intraperitoneal chemotherapy, or HIPEC, as an adjunct to surgery in women with ovarian cancer. The introduction of heated chemotherapy at the peritoneum greatly increases its absorption and minimizes the toxicity of therapy.
Dr. E. John Wherry, Director of the Colton Center for Autoimmunity at Penn Medicine, offers his insight on the Center’s therapeutic and novel research missions to revolutionize awareness, diagnosis and treatment of autoimmune diseases through collaborative, transformative, and translational science.
Penn radiation oncologist Karishima Khullar, MD, offers an overview of low-dose radiation therapy for patients who have not responded to medications, steroid injections, and other standard treatments for osteoarthritis.