On this episode of Advances in Care , host Erin Welsh and Dr. Craig Smith, Chair of the Department of Surgery and Surgeon-in-Chief at NewYork-Presbyterian and Columbia discuss the highlights of Dr. Smith’s 40+ year career as a cardiac surgeon and how the culture of Columbia has been a catalyst for innovation in cardiac care. Dr. Smith describes the excitement of helping to pioneer the institution’s heart transplant program in the 1980s, when it was just one of only three hospitals in the country practicing heart transplantation. Dr. Smith also explains how a unique collaboration with Columbia’s cardiology team led to the first of several groundbreaking trials, called PARTNER (Placement of AoRTic TraNscatheteR Valve), which paved the way for a monumental treatment for aortic stenosis — the most common heart valve disease that is lethal if left untreated. During the trial, Dr. Smith worked closely with Dr. Martin B. Leon, Professor of Medicine at Columbia University Irving Medical Center and Chief Innovation Officer and the Director of the Cardiovascular Data Science Center for the Division of Cardiology. Their findings elevated TAVR, or transcatheter aortic valve replacement, to eventually become the gold-standard for aortic stenosis patients at all levels of illness severity and surgical risk. Today, an experienced team of specialists at Columbia treat TAVR patients with a combination of advancements including advanced replacement valve materials, three-dimensional and ECG imaging, and a personalized approach to cardiac care. Finally, Dr. Smith shares his thoughts on new frontiers of cardiac surgery, like the challenge of repairing the mitral and tricuspid valves, and the promising application of robotic surgery for complex, high-risk operations. He reflects on life after he retires from operating, and shares his observations of how NewYork-Presbyterian and Columbia have evolved in the decades since he began his residency. For more information visit nyp.org/Advances…
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AACE Clinical Conversation Series - Podcast
American Association of Clinical Endocrinologists (c) 2006
Watch as Dr. Carlos Hamilton asks the tough questions in these 15 minute topical discussions. Each Conversation is a fast-paced discussion between leading experts and is focused on topics that are important to you. You'll hear leading experts explore new research and provide insights into how emerging data affects your clinical practice
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Clinical Features, Co-morbidities and Diagnosis of Acromegaly
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13:36In this conversation, two pediatric endocrinology specialists, David Cook, MD, FACE and Dr. Laurence Katznelson, MD, join Dr. Carlos Hamilton, Jr. to discuss Therapeutic Goals of Acromegaly.Door (c) 2006 American Association of Clinical Endocrinologists
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Therapeutic Goals of Acromegaly
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16:16In this conversation, two pediatric endocrinology specialists, David Cook, MD, FACE and Dr. Laurence Katznelson, MD, join Dr. Carlos Hamilton, Jr. to discuss Therapeutic Goals of Acromegaly.Door (c) 2006 American Association of Clinical Endocrinologists
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Evaluation and Treatment of Growth Failure in Children
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13:53
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13:53Within the last decade, there have been major advances in the understanding of growth hormone deficiency and its impact on stature, especially short stature. Experts suggest that up to 75% of the cases of growth hormone (GH) deficiency may be reversible. Physicians and endocrinologists now recognize that the growth effects of GH are mediated by a s…
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Role of IGF-1 in the Treatment of Growth Failure
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14:16In this conversation, two pediatric endocrinology specialists, Dr. Naomi Neufeld and Dr. Paul Saenger, join Dr. Carlos Hamilton, Jr. to discuss current issues surrounding the role of IGF-1 in the treatment of growth failure.Door (c) 2006 American Association of Clinical Endocrinologists
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The Management of Hypertension in Diabetic Patients
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12:20In this conversation, two endocrinologists, Dr. Joseph Torre and Dr. Addison Taylor, join Dr. Carlos Hamilton, Jr. to discuss current issues surrounding the management of hypertension in diabetic patients.Door (c) 2006 American Association of Clinical Endocrinologists
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Managing Hyperlipidemia in Patients with Diabetes
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14:16Dr. Paul Jellinger, Dr. Joseph Torre and Dr. Vijay Nambi, join Dr. Carlos Hamilton, Jr. to discuss current issues primarily surrounding the non-pharmacological management and control of hyperlipidemia in diabetic patients.Door (c) 2006 American Association of Clinical Endocrinologists
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Effects of Renal Disease in the Management of Diabetics
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14:45Dr. Joseph Torre and Dr. Addison Taylor, join Dr. Carlos Hamilton, Jr. to discuss current issues surrounding the effects of renal disease in the management of diabetes.Door (c) 2006 American Association of Clinical Endocrinologists
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Prevention of Vascular Complications in Patients with Diabetes Mellitus
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15:39Dr. Paul Jellinger, Dr. Joseph Torre and Dr. Vijay Nambi, join Dr. Carlos Hamilton, Jr. to discuss current issues primarily surrounding the prevention of vascular complications in diabetic patients.Door (c) 2006 American Association of Clinical Endocrinologists
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Focus on Inpatient Diabetes Management: Optimizing Glycemic Control
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15:30According to estimates, at least 15% to 30% of hospitalized patients have hyperglycemia or diabetes. A full 2/3 of critical care patients fall into this category, as do 1/3 of cardiac surgery patients. Hyperglycemia is associated with poor outcomes in the inpatient setting, including a higher rate of infection, delayed healing, and more procedure-r…
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Updates on Treatment Options in the Modern Management of Diabetes
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14:43The standard treatment paradigm for newly diagnosed patients with diabetes is counseling the patient about diet and exercise and starting them on an oral agent.Door (c) 2006 American Association of Clinical Endocrinologists
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Inpatient and Outpatient Insulin Therapy in Treating Diabetes Mellitus
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15:53There is a great deal of evidence that tight glycemic control in the intensive care unit after surgery, especially cardiovascular surgery, shortens the duration of hospitalization and prevents complications.Door (c) 2006 American Association of Clinical Endocrinologists
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Effectively Educating Your Newly Diagnosed Patient with Diabetes
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14:28For newly diagnosed patients with type 1 or type 2 diabetes, education about diabetes is critical and should start immediately. For the clinician, the major tasks are to provide key information in the context of a "partnership" approach to treatment without overwhelming the patient.Door (c) 2006 American Association of Clinical Endocrinologists
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Current issues surrounding initial treatment for Type 2 diabetes mellitus.
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14:48Treatment of type 2 diabetes begins with efforts to improve lifestyle factors, including diet and exercise. However, lifestyle intervention alone has had limited long-term success in maintaining glycemic goals for most patients with type 2 diabetes, and the majority of patients with type 2 diabetes will require medication over the course of their d…
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Treating Persistent Hyperglycemia in Patients with Type 2 Diabetes Mellitus
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14:48Initial treatment of patients with type 2 diabetes mellitus includes education, with emphasis on lifestyle changes including diet, exercise and weight reduction when appropriate. Oral monotherapy is often initiated as first-line therapy, though insulin may be indicated ...Door (c) 2006 American Association of Clinical Endocrinologists
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Glycemic Control and Potential Complications in Patients with Diabetes Mellitus
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14:08Diabetes mellitus is a chronic condition that can lead to complications over time. The long-term complications of diabetes result from the effects of hyperglycemia on blood vessels, causing microvascular and macrovascular disease. Fortunately, many complications can be prevented or minimized with a combination of regular medical care and tight bloo…
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Diet and Weight Management Strategies in Patients with Diabetes
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15:42Diet and physical activity are critically important in the treatment of type 1 and type 2 diabetes. Basic principles of nutritional management, however, are often poorly understood, both by both clinicians and their patients.Door (c) 2006 American Association of Clinical Endocrinologists
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Importance of Postprandial Glucose Control
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17:12Current recommendations of the American Diabetes Association (ADA), which have been used predominantly in the United States, present goals for fasting/preprandial and bedtime glucose levels but do not define a target for postprandial glucose. The ADA guidelines also present a glycated hemoglobin (A1C) goal of less than 7%. The International Diabete…
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