Focus on Neurology and Psychiatry

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Beyond the Baby Blues: Depression Screening in the Pregnant Patient Sep 12, 2016

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Host: Patrice L Basanta-Henry, MD, MHSc, FACOG

According to the American Congress of Obstetricians and Gynecologists, between 14% and 23% of women will struggle with some symptoms of depression during their pregnancy. This condition often goes unrecognized and untreated in part because of safety concerns in using medications or other therapeutic methods during pregnancy.

Host Dr. Patrice Basanta-Henry talks with Dr. Nzinga Harrison, a board-certified physician in addiction medicine and psychiatry and Chief Medical Officer for Anka Behavioral Health, Inc about the current recommendations for depression screenings in the pregnant patient.

Device Reduces Risk of Brain Injury After Heart Valve Replacement Aug 09, 2016

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[Read the Article]

Patients who might benefit from a heart valve replacement but are too ill for open heart surgery can sometimes undergo a less invasive procedure known as transcatheter aortic valve implantation or "TAVI". About 10% of patients undergoing TAVI can experience small strokes and related brain injury as a complication. A new study found that the use of a cerebral protection device, which captures debris dislodged from blood vessels during the TAVI procedure, reduced the number and volume of brain lesions seen on MRI.
Researchers from the University of Leipzig Heart Center, Germany studied 100 patients with an average age of 80 who underwent TAVI. Half of the patients received the cerebral protection device and the other half did not. Patients underwent brain MRIs before the implantation and again at 2 and at 7 days after the procedure. The results found that using the filter device helped to decrease the number of brain lesions seen in the brain by about half.

[Watch more videos of The JAMA Report]

The Rise of Mood Tracking: How Big Data Can Transform Psychiatry Aug 08, 2016

Show notes

Host: Jennifer Caudle, DO

Mood tracking, a novel integration of technology with psychiatric care to track mental status changes over time, has the potential to fundamentally change how clinicians treat behavioral health disorders. Will smartphone apps become the vehicle for this technology to the wider masses?

Dr. Adam Kaplin, Principle Psychiatric Consultant to the Johns Hopkins Multiple Sclerosis and Transverse Myelitis Centers of Excellence, is the founder and inventor of Mood 24/7, a mobile app that allows people to record their mood daily and share this data with their health care providers to provide better accuracy in reporting mood symptoms. He joins Dr. Jennifer Caudle to discuss the emergence of mood tracking portals such as Mood 24/7 and the ways they can transform mental health care.

Time is Brain: Diagnosing and Treating Stroke in the Golden Window Aug 08, 2016

Show notes

Host: Jennifer Caudle, DO
Guest: Michael Mullen, MD

Every second counts for stroke patients. During a stroke, two-million brain cells die every minute, making the urgent administration of therapies and treatment vital to ensure a positive outcome.

Host Dr. Jennifer Caudle is joined by Dr. Michael Mullen, Assistant Professor of Neurology at Penn Medicine. They discuss the clinical hallmarks and priority treatment consideration for stroke.

How Information Technology Will Revolutionize Mental Health Care Aug 01, 2016

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Host: Matt Birnholz, MD

Psychiatry gets a bad rep for being one of the more "technophobic" fields in clinical medicine. This negative association stems in part to the difficulty in tracking changes in mood, cognition, and certain behaviors over time. But there is a growing contingency of psychiatric clinicians who are bringing technology into this specialty to help propel standards in mental health care.

Dr. Adam Kaplin, Assistant Professor of Psychiatry at Johns Hopkins School of Medicine and Principle Psyciatric Consultant to the Johns Hopkins Multiple Sclerosis and Transverse Myelitis Centers of Excellence, joins Dr. Jennifer Caudle to discuss ways in which technological innovations can enhance psychiatric care and decrease stigma surrounding mental illness.

Innovations in Diagnosis and Treatment of Multiple Sclerosis Aug 01, 2016

Show notes

Host: Jennifer Caudle, DO
Guest: Joseph Berger, MD, FACP, FAAN, FANA

Multiple sclerosis is a notoriously difficult disease to diagnose early on. With no singular confirmatory tests yet available, physicians often become reluctant to identify MS in their patients, leading to years of diagnostic and treatment uncertainty. But new innovations are helping doctors establish earlier diagnoses and start more targeted treatments for MS patients.

Dr. Jennifer Caudle welcomes Dr. Joseph Berger, Professor of Neurology at Penn Medicine, to explore some of these innovations advancing MS diagnosis and treatment.

4 Latest Advances in Epilepsy Treatment at Penn Jul 18, 2016

Show notes

Host: Jennifer Caudle, DO
Guest: Kathryn Davis, MD, MTR
Guest: Timothy Lucas, MD, PhD

According to the epilepsy foundation, epilepsy is the 4th most common neurological problem in the U.S. – only migraine, stroke and Alzheimer’s disease occur more frequently. The average incidence of epilepsy each year in the U. S is estimated at 150,000, or 48 for every 100,000 people.

Host Dr. Jennifer Caudle talks with Doctors Kathryn Davis and Timothy Lucas about advances in treatment for epilepsy at Penn Medicine. Dr. Davis is Assistant Professor of Neurology and Medical Director of the Epilepsy Monitoring Unit and Epilepsy Surgical Program. Dr. Timothy Lucas is Assistant Professor of Neurosurgery, Surgical Director at the Penn Epilepsy Center, and Director of the Penn Center for Laser Neurosurgery.

10% Happier: How a Journalist Found Self-Help That Actually Works Jun 21, 2016

Show notes

Host: John J. Russell, MD

After having a nationally televised panic attack, Dan Harris, co-anchor of “Nightline” and the weekend edition of “Good Morning America” on ABC News, knew he had to make some changes. Mr. Harris realized that the source of his problems was the very thing he always thought was his greatest asset: the incessant, insatiable voice in his head, which had propelled him through the ranks of a hypercompetitive business, but had also led him to make decisions that provoked his on-air panic attack.

Eventually Harris stumbled upon an effective way to rein in that voice, something he always assumed to be either impossible or useless: meditation, a tool that research suggests can do everything from lower your blood pressure to essentially rewire your brain.

10% Happier, an autobiographical account of Harris's discovery of meditation, takes readers on a ride from the outer reaches of neuroscience to the inner sanctum of network news to the bizarre fringes of America’s spiritual scene, leaving takeaway for readers to make meaningful changes in their lives.

Overcoming Destructive Anger: Strategies That Work Jun 06, 2016

Show notes

Host: Maurice Pickard, MD

Dr. Maurice Pickard speaks with psychologist Dr. Bernard Golden, an anger management specialist and author of Overcoming Destructive Anger: Strategies That Work.

Dr. Golden draws on both compassion-focused therapy―a model for change that encompasses and expands on cognitive behavioral therapy, mindfulness, and practices in compassion and self-compassion―and theories of emotional intelligence to offer concrete tools for turning destructive anger into healthy anger. This in turn can have positive health effects on a range of disease states, from cardiovascular disease to diabetes to depression.

Bernard Golden, PhD has been a practicing psychologist for almost forty years. He specializes in working with children, teens and adults on anger management issues, utilizing cognitive behavioral therapy, mindfulness techniques and practices in compassion and self-compassion. Dr. Golden is the author of Overcoming Destructive Anger: Strategies That Work (John Hopkins University Press, 2016), which teaches readers to recognize, sit with, and move beyond the triggers that cause destructive anger. Emphasizing anger’s link to the old brain (limbic cortex) and habits of mind, Dr. Golden offers multiple strategies for engaging the “rational brain” (prefrontal cortex) to overwrite established neural pathways and form new patterns of behavior.

Muhammed Ali's Death Prompts Questions Linking CTE and Parkinson's Disease Jun 06, 2016

Show notes

Host: Brian P. McDonough, MD, FAAFP

Muhammed Ali died on June 3rd, 2016. The cause of death was respiratory complications from septic shock, but his 30-year battle with Parkinson's disease played a major role in his declining health. Did a storied career in boxing contribute to and/or cause the development of this disease?

Dr. Brian McDonough previews the current clinical understandings and medical literature connecting chronic traumatic encephalopathy (CTE) with the development of Parkinson's disease.

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