Expert Interviews

Dr Nancy Reau, presents the case of a 59-Year-Old male, who was admitted to the ICU after his family was unable to wake him and comments on the role of TIPS and SPSS shunting in the management of hepatic encephalopathy.

Nancy Reau, MD presents the case of a 64-Year-Old female, who presented to the clinic after a recent car accident and discusses how she approached her treatment plan.

Arun Jesudian, MD, details key findings from a study he recently presented at The Liver Meeting 2023.

Physiatrist Saloni Sharma, MD, stresses the essential role of coordinated, multidisciplinary care for a person with neuropathic pain—and any person with limited function.

An expert in the management of hypothyroidism discusses the circumstances that might warrant a referral to an endocrinologist. She further focuses on how to set the appropriate visit frequency and emphasizes how to empower patients to actively participate in their care.

Dr. Lizzy McAninch, comments on the intricate details of LT4 medication administration, including the need for dose titration to normalize hormone levels and achieve treatment goals. She highlights the need for flexibility in accommodating patients' individual preferences and lifestyles regarding the timing and manner of LT4 medication ingestion, all while stressing the critical importance of consistent laboratory monitoring

Lizzy McAninch, MD discusses primary therapy goals for patients with hypothyroidism, highlighting the importance of normalizing serum TSH, alleviating symptoms, and avoiding overmedication. She emphasizes that symptoms can persistent even when target TSH levels have been met; necessitating discussions between patients and healthcare providers to set treatment expectations, with a focus on symptom relief and personalized treatment optimization due to the lifelong nature of this condition.

Chiadi Ndumele, MD, PhD, MHS, offers 3 thoughts for primary care on incorporating CKM syndrome screening into daily clinical practice.

An obesity specialist discusses the importance of using a weight-first approach when educating patients about obesity's role in the development and worsening of hypertension.

According to physical medicine and rehabilitation physician Saloni Sharma, MD, treatment for neuropathic pain draws on PM&R's many strengths.

"Primary care physicians... really are like the quarterbacks" for initiating multidisciplinary care for CKM syndrome, says Dr Chiadi Ndumele.

Patients with obesity and hypertension need to be aggressively treated in order to decrease their risk of cardiovascular complications, says Dr Jonathan Parker, President of the Alabama Obesity Society.

Managing cardiovascular-kidney-metabolic syndrome on a population-wide basis requires that social determinants of health be treated like any other risk factor, according to Ndumele.

Dr Chiadi Ndumele explains the need for the more comprehensive and also nuanced qualitative approach to estimating long-term CVD risk.

Chiadi Ndumele, MD, PhD, MHS, of Johns Hopkins University, details features of the new 4-stage construct that guides CKM diagnosis and promotes early disease intervention.

Ndumele chairs the American Heart Association committee that characterized the syndrome and wrote the statement of evidence for its assessment and management.

Which hypertension treatment options should be used as first-line therapy in patients with obesity? A clinician's answer and explanation, here.

President of the Alabama Obesity Society, Dr Jonathan Parker, discusses obesity as a risk factor for hypertension.

Experts wrap up their discussion of emerging chronic kidney disease tests and treatments with key takeaways for providers and patients.

Robert Busch, MD, provides his approach on implementing artificial intelligence (AI) testing for chronic kidney disease and offers success stories of this testing and treatment approach.

Collaboration among care team members is a key ingredient to effective support for children with disabilities and this specialist says her welcome mat is out for her neighbors.

To close this series, experts explore the challenges and guideline gaps in multi-cancer early detection while considering its potential impact on patient care, accessibility, and improved outcomes.

Experts explore strategies for efficient patient care coordination through early cancer detection, highlighting cost challenges while ensuring timely diagnoses and treatments.

Mylynda Massart, MD, PhD, nuances of blood-based screening (BBS) in early cancer detection and how doctors can respond to various results.

For a child with disabilities, the family system is the primary mechanism that supports all forward momentum and growth, says pediatric rehabilitation doctor Amy Houtrow, MD, PHD, MPH.

Experts discuss a new artificial intelligence (AI) tool for earlier staging and management of chronic kidney disease (CKD). They also discuss several studies where this tool was utilized and its overall clinical significance.

Dhiren Patel, PharmD, and Robert Busch, MD, discuss emerging technologies to test and treat patients with chronic kidney disease (CKD) and why these treatments are currently being underutilized.

Pediatric rehabilitation doctors are specialists at a premium in the US; Dr Amy Houtrow talks with Patient Care about how they reach beyond geographic barriers.