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56 minutes | Oct 19, 2021
American Healthcare: A Hot Mess
Marion Mass (@mass_marion), MD, practicing pediatrician and co-founder of Practicing Physicians of America, joins the show to share her unique ideas about how to reduce healthcare costs while simultaneously improving access to care. She describes her “sentinel moment” in which she realized that physicians are no longer the primary medical advocates for their patients and how this led her to founding a grassroots physician organization dedicated to patient advocacy. The conversation takes interesting turns into hospital fines for price transparency, patient copays and premiums, Medicare, direct primary care, pharmacy benefit managers, and so much more. Read the Practicing Physicians of America’s position paper on their discussed legislative requests. https://www.physiciansforreform.org/files/5015/5406/4369/Reducing_Cost_and_Waste_in_American_Medicine.pdf Check out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/ Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA
54 minutes | Oct 12, 2021
The Medical Crisis in Lebanon: Is There a Solution?
Fadlo Khouri (@DrFadloKhuri), MD, hematologist and medical oncologist, and president of the American University of Beirut (Lebanon), is asked to join the show after a recent announcement from the University regarding a fuel shortage at its hospital. Dr. Khouri explains how Lebanon’s economic downturn is affecting hospitals – from the inability to supply hospitals with air conditioning to cancer therapies. He also gives a glimpse of a day in the life of the AUB president, how he approaches politics as a University president in the Middle East, the state of affairs of the University, and how the faculty and student body has changed and continues to change to this day. Check out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/ Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA
73 minutes | Oct 5, 2021
Diet, Exercise, and Obesity With Jerry Teixeira
Keeping up with the dietary theme in recent episodes, Chadi hosts Jerry Teixeira (@jerryteixeira), a strength and conditioning expert. He begins with a personal anecdote on how changing his eating habits along with continued regular exercise was necessary to losing weight, divulges exactly what goes into his low-carb diet, shares how alcohol and dessert consumption factors into the diet, explains the benefits of training your muscles to reach temporary muscle failure, breaks down the correlation between strength training and life longevity, and gets into more specifics on his idea of a healthy, sustainable, efficient lifestyle. Visit Jerry’s website for more information on his strength training ideas. https://bodyweightstrength.fit/ Check out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/ Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA
69 minutes | Sep 28, 2021
Reverse Engineering the Mystery of Cholesterol With Dave Feldman
Chadi is joined by Dave Feldman (@DaveKeto), senior software engineer and entrepreneur, who shares his counterintuitive experience with the ketogenic diet in 2015 and a healthy obsession with the study of lipids and cholesterol that led him to the founding of the “energy model.” Dave breaks down the scientific details of fat cell breakdown in the body, how this process translates in blood tests, and how the “energy model” can be used to elevate one’s health and consumption habits, among a host of other intriguing topics. View Dave’s website to learn more about the “energy model.” https://cholesterolcode.com/ Visit the Citizen Science Foundation website to learn about the lean mass hyper-responder study. https://citizensciencefoundation.org/ Check out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/ Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA
75 minutes | Sep 21, 2021
Debating the Single Payer Model and FDA Regulatory Processes
In a long overdue appearance, Saurabh Jha (@RogueRad), MD, radiologist in Philadelphia, makes his triumphant return to the show to pick apart the single payer model idea as well as FDA regulatory processes, this time with a worthy adversary: Adam Gaffney (@awgaffney), MD, MPH, pulmonary specialist and health policy researcher at Cambridge Health Alliance/Harvard Medical School. The conversation begins with discussion of a proposed federal single payer system in America, why it could not be modeled after a successful system like that in England, why significant health disparities exist geographically within a single payer system and whether such a system can provide the tools to address these disparities, and so much more. Then, the conversation swings to whether a health care system should be designed to afford high priced novel therapies because of failure to regulate these prices, on what basis the FDA should approve drugs, and other points of discussion. Things get testy in this spirited back-and-forth banter and you won’t want to miss it. Check out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/ Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA
74 minutes | Sep 14, 2021
Mid-Career Academic Transitions with Mikkael Sekeres and David Steensma
Mikkael Sekeres (@MikkaelSekeres), MD, chief of the division of hematology at the University of Miami Sylvester Comprehensive Cancer Center, and David Steensma (@DavidSteensma), MD, global hematology head at Novartis, share their recent experiences undergoing career transitions. The physicians dive into a discussion on how often fellowships are given to candidates who are pursuing academic careers, how and why the decisions were made to leave one institution for another (or an institution for industry), whether or not to interview for new positions discreetly, how to approach negotiating aspects of a new employment contract, and so much more. Read Dr. Sekeres' narrative about his move to Miami. https://ascopubs.org/doi/full/10.1200/JCO.21.01070 Check out Chadi’s website for all Healthcare Unfiltered episodes and other content. https://chadinabhan.com/ Watch all Healthcare Unfiltered episodes on Youtube. https://www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA
52 minutes | Sep 7, 2021
Challenges for Young Academicians and Trainees With Sonikpreet Aulakh
Sonikpreet Aulakh (@SonikpreetA), MD, assistant professor of medicine at West Virginia University, provides valuable perspective on the transition into the academic world just two years after her fellowship. Dr. Aulakh sheds light on the experience and details of applying for jobs post-fellowship, what types of challenges she may face as a new faculty member, struggles she may encounter as an immigrant and a woman in applying for residency and faculty positions, and plenty more.
56 minutes | Aug 31, 2021
The FDA: The Gift that Keeps on Giving
Aaron Mitchell (@TheWonkologist), MD, MPH, medical oncologist and health outcomes researcher at Memorial Sloan Kettering Cancer Center, comes on to discuss the shortcomings and pitfalls of the regulatory processes at the FDA, optimal trial endpoints that provide the strongest evidence for approval, whether the accelerated approval process is enforced as it is written, what power any advisory panel really has when it comes to FDA approvals, and so many more pain points today.
65 minutes | Aug 24, 2021
Revisiting COVID-19: Variants and Vaccines
Chadi is rejoined by Priya Sampathkumar (@PSampathkumarMD), MD, infectious disease specialist and hospital epidemiologist, Mayo Clinic, to provide a state of affairs for the current COVID-19 situation in America, including why the country has failed to get more of its people vaccinated, why myocarditis has been a frequent side effects in some people, why the delta variant and other future variants come about, whether booster shots should be administered to healthy individuals and those who have had COVID-19 in the past, how safe it is for kids to return to in-person school, and more of the important talking points surrounding the virus at this time.
62 minutes | Aug 17, 2021
A Precise Depiction of Precision Medicine
Vivek Subbiah, MD, associate professor in the department of investigational cancer therapeutics, MD Anderson, is the world-renowned guest on the show this week to tackle the world of precision medicine in cancer. He begins by explaining how precision medicine is more than simply a “fancier” mechanism of treatment than chemotherapy, why tumor sequencing is important even though there aren’t drugs available for every possible mutation, how much the field has advanced even in the past 10 years, the intricacies of designing clinical trials, and lots more.
57 minutes | Aug 10, 2021
Peripheral T-Cell Lymphoma: Monitor or Transplantation?
For another lively debate, Chadi brings on two lymphoma experts to talk about what to do with peripheral T-cell lymphoma (PTCL) patients after an achieved remission: Barbara Pro (@bpromd), MD, Northwestern University, and Mehdi Hamadani (@MediHumdani), MD, Medical College of Wisconsin. The two doctors share how they counsel and treat patients in uncertain situations, including the “right” circumstances to watch-and-wait, autologous transplant, allogeneic transplant, or maintenance chemotherapy.
62 minutes | Aug 3, 2021
Smoldering Multiple Myeloma: To Treat or Not to Treat?
Chadi welcomes back Rafael Fonseca, (@Rfonsi1), MD, interim director of Mayo Clinic Cancer Center, and Aaron Goodman (@AaronGoodman33), MD, hematologist, University of California San Diego, to debate whether smoldering multiple myeloma should be treated. They begin by agreeing on a definition of the disease, listing patient characteristics that may warrant consideration for early intervention, and stating the importance of improving the ability to predict progressing disease. The trio then debate treatment in specific example circumstances and the overall consensus within the myeloma world, the practicality of clinical trials for smoldering disease, and so much more in this testy and thought-provoking dialogue.
80 minutes | Jul 27, 2021
Docs Who Rock
Is it a coincidence that many clinicians are talented musicians? These doctors don’t believe so! In this exclusive roundtable pow-wow, Chadi hosts a range of crafty and passionate oncologists that share a similar dedication to music. Conversations on musical inspirations and favorite artists are interwoven with music samples and personal anecdotes in this truly lighthearted, uninhibited jam session like you’ve never heard.
60 minutes | Jul 20, 2021
The Whistleblower Who Changed Everything: Nancy Olivieri’s Story
In this captivating episode, Chadi shares the microphone with Nancy Olivieri (@DrNancyOlivieri), MD, professor of medicine, pediatrics, and public health science at the University of Toronto, to recount her famous clash with a pharmaceutical company (among other entities) that tried to silence her for reporting on adverse effects related to an experimental drug. Dr. Olivieri became famous for raising doubts about a drug that was being studied to treat patients with thalassemia. In great and juicy detail, Dr. Olivieri provides the timeline of events, including bouts with the company’s CEO as well as her own academic institution, and the legal battles that ensued.
67 minutes | Jul 13, 2021
R-CHOP versus DA-EPOCH-R for Double-Hit Lymphoma
Alan Skarbnik (@ASkarbnik), MD, director of the lymphoma and CLL program, Novant Health (Charlotte, NC), and Aaron Goodman (@AaronGoodman33), MD, hematologist, University of California San Diego, join the show for a long-awaited debate: treating double-hit lymphoma with R-CHOP vs dose-adjusted (DA)-EPOCH-R. The conversation gets testy when the trio describe double-hit lymphoma in terms of histology and phenotype, the limitations of retrospective analyses when it comes to establishing a standard of care for this type of lymphoma, an intense breakdown of the CALGB 50303 study as it relates to the treatment argument and toxicity profiles, and so much more.
55 minutes | Jul 6, 2021
Updates on NET and Diversity Research With Pamela Kunz
To tackle the complicated world of neuroendocrine tumors (NETs), Chadi is joined by Pamela Kunz (@PamelaKunzMD), MD, Director of the Center for GI Cancers at Yale Cancer Center; as well as the Vice Chief of Diversity, Equity, and Inclusion for medical oncology at Yale Cancer Center. Dr. Kunz begins by shedding light on potential reasons for higher incidence of NETs in the past three decades and the boom of FDA approvals in the last decade, as well as the latest therapies and clinical trials with the most potential to move the needle for patient care. Then, Chadi and Dr. Kunz highlight the priorities of a new committee she has helped form for diversity, equity, and inclusion within the institution – including data collection, increasing the diversity of the faculty, and creating a culture of respect.
50 minutes | Jun 29, 2021
Press Releases, Pre-Prints, Abstracts, and Papers: Reviewing the Peer-Review Process
Vincent Rajkumar (@VincentRK), MD, Mayo Clinic, and Editor-in-Chief of Blood Cancer Journal, rejoins the show to answer some critically important questions related to medical publications and information reliability in the pandemic and post-pandemic world. As a consumer of medical news, which sources of information should you take seriously? Should you ignore press releases and pre-prints in favor of abstracts or papers? Should peer-reviewed literature be your only source of reliable information? Together, Chadi and Dr. Rajkumar put on their critical appraisal hats to rate various sources and determine when to adapt new guidelines or recommendations for patient care.
56 minutes | Jun 22, 2021
What to Consider When Considering the Keto Diet
Chadi dives into the world of nutrition and dieting with Kevin Bass, MD, PhD student in Texas; Ethan Weiss, MD, cardiologist; and Aaron Goodman, MD, hematologist and current subscriber to the Ketogenic diet. The groups begins with a history of the “Keto” diet and how it has transformed into a popular diet for weight loss, what goes into the traditional Keto diet and how to do it effectively, controversy surrounding the diet and whether it is associated with adverse health effects, reasons to follow and not follow the diet, and numerous misconceptions about low-carb diets in general.
51 minutes | Jun 15, 2021
An Update on the COVID Situation in India
To provide an update on the COVID spike and response in India over the past 6 weeks since Chadi’s previous episode, Aju Mathew (@ajumathew_), MD, oncologist practicing in southern India, joins the show. Dr. Mathew begins by describing the tradeoffs of moving home to practice in India while leaving his academic career behind in the US, offers critical remarks on India’s government use of resources to combat COVID up to and during the “tsunami,” shares how vaccine hesitancy around the world bled into India’s population, provides a status on the current vaccine and resource availability in the country as well as the percentage of the population vaccinated, and plenty more.
69 minutes | Jun 8, 2021
Medical Bullying and Physician Suicide: Laura Silinskyte’s Story
In early May, a Lithuanian doctor named Laura Silinskyte committed suicide after facing constant bullying from her superiors at her regional hospital. To shed light on the issue of medical bullying and physician suicide, Chadi is joined by two friends of Dr. Silinskyte—Monika Arzanauskaite, a radiologist, and Gil Morgan, a medical oncologist—as well as a personal friend Laurie Gordon, an adult and child psychiatrist with experience treating healthcare workers. Monika and Gil share who Laura was as a person and some insight into her life leading up to her final days, how the outdated and hierarchical structure of the health system in Lithuania likely contributed to her final decision, explain the differences between “bullying” and “mobbing,” and wrap up with what can be done by the medical community to keep a tragedy like this from happening again.
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