Shows
BackTable MSKBacktable Brief: Pain Management Strategies in Spine Oncology with Dr. Ran Lador and Dr. Mark AmsbaughLiving in the best of both worlds: balancing pain management and quality of life. In this BackTable MSK Brief, Dr. Mark Amsbaugh and Dr. Ran Lador discuss multidisciplinary approaches to treating spinal tumors with a particular focus on pain management. They explore the complexities of defining and treating pain related to spinal tumors, differentiating between mechanical instability, tumor burden, and neuropathic pain.
The conversation delves into the roles of various treatments including opioids, radiation, nerve blocks, cryoablation, and surgical interventions. They highlight the evolving landscape of spine oncology, emphasizing the need for holistic approaches and the promising f...
2025-11-0412 min
BackTable MSKBacktable Brief: Surgical and Radiation Strategies in Spine Oncology with Dr. Ran Lador and Dr. Mark Amsbaugh“There is always constant review and constant learning”. In this BackTable MSK Brief, Dr. Mark Amsbaugh and Dr. Ran Lador discuss comprehensive treatment strategies for spinal tumors, highlighting the critical interplay between surgical and radiation oncology.
The doctors explain the complex planning required based on tumor characteristics, including surgical options like en bloc resection and minimally invasive techniques, as well as the advancements in radiation therapy. The conversation emphasizes the importance of collaboration across disciplines to optimize patient outcomes, improve quality of life, and adapt to new medical advancements.
Episode Outline
00:00 - Introduction
2025-10-2118 min
BackTable MSKBacktable Brief: Multidisciplinary Care Approaches for Spinal Tumors with Dr. Ran Lador and Dr. Mark AmsbaughCheck your ego at the door! In this BackTable MSK Brief, Dr. Mark Amsbaugh and Dr. Ran Lador share their multidisciplinary approach to the treatment of spinal tumors at the University of Texas and Memorial Hermann in Houston.
They highlight the distinctive aspects of their practice, including their extensive collaboration and support system for patients, the intricate process of managing spinal tumors, and the unique challenges and solutions they encounter. The doctors emphasize the importance of teamwork, minimally invasive techniques, and comprehensive patient-centered care to improve treatment outcomes for patients with spinal tumors.
Episode Outline
2025-10-1416 min
BackTable OBGYNBackTable Brief: Endometriosis Treatment: The Role of MRI & Multidisciplinary Planning with Dr. Wendaline VanBuren and Dr. Tatnai BurnettWhen radiology meets surgery, endometriosis care becomes more precise, personalized, and proactive. In this BackTable OBGYN Brief, host Dr. Mark Hoffman is joined by Dr. Wendaline VanBuren, an associate professor of radiology at Mayo Clinic, and Dr. Tatnai Burnett, a minimally invasive GYN surgeon at Mayo Clinic, to discuss the complexities of diagnosing and managing endometriosis.
The discussion covers the roles of advanced imaging techniques like MRI and ultrasound, the importance of pre-surgical planning, and the need for multidisciplinary collaboration. They share their approach to managing symptomatic and asymptomatic patients, the use of hormonal...
2025-09-3017 min
BackTable OBGYNBackTable Brief: Imaging and Surgical Strategies in Endometriosis with Dr. Wendaline VanBuren and Dr. Tatnai BurnettWhen radiology meets surgery, endometriosis care becomes more precise, personalized, and proactive. In this BackTable OBGYN Brief, host Dr. Mark Hoffman is joined by Dr. Wendaline VanBuren, an associate professor of radiology at Mayo Clinic, and Dr. Tatnai Burnett, a minimally invasive GYN surgeon at Mayo Clinic, to discuss the complexities of diagnosing and managing endometriosis.
The discussion covers the roles of advanced imaging techniques like MRI and ultrasound, the importance of pre-surgical planning, and the need for multidisciplinary collaboration. They share their approach to managing symptomatic and asymptomatic patients, the use of hormonal treatments, and the...
2025-09-1616 min
BackTable Vascular & InterventionalEp. 573 BackTable Tricks Competition 2025What tricks do you have up your sleeve to help you get through tough cases? In this special episode of the BackTable Podcast, Drs. Ally Baheti, Mike Barraza, and Chris Beck spotlight the most creative and practical pearls from the 2025 BackTable Tips & Tricks competition, showcasing standout submissions and clever techniques shared by their peers.
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SYNPOSIS
Guests include leading interventional radiologists like Dr. Aaron Fischman from Mount Sinai, who reveals his unique wire-shaping method—bending it like a question mark to navigate challenging, angulated vessels during prostate artery embolization. From Je...
2025-09-1531 min
BackTable Vascular & InterventionalEp. 572 How to Perform Mesocaval Shunts: Techniques & Outcomes with Dr. Omar Chohan and Dr. Harris ChengaziBefore the advent of TIPS, mesocaval shunts were considered a less popular option for managing portal hypertension. But today, could they serve as a lifeline when no other choices remain? This week on BackTable, Drs. Omar Chohan and Harris Chengazi (Great Lakes Medical Imaging) join host Dr. Chris Beck to discuss the evolving role of endovascular mesocaval shunts, covering patient selection, clinical decision-making, and technical pearls.
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SYNPOSIS
In this episode, the hosts delve into the specialized procedure of meso-caval shunts, focusing on its applications for patients with portal hypertension...
2025-09-121h 12
BackTable MSKBacktable Brief: Embolic Choice for Genicular Artery Embolization with Dr. Sid Padia and Dr. Osman Ahmed
What is the optimal embolization technique in GAE? In this BackTable Brief, Dr. Osman Ahmed and Dr. Sid Padia, MD discuss the embolization of abnormal vessels, debating between targeting any abnormal vessel versus only the painful side. They reference studies and papers, including the Landers 2023 paper, to explore best practices.
They consider the use of temporary resorbable embolics compared to permanent embolics, examining safety profiles, efficacy, and potential complications. The conversation then shifts towards the size of embolic particles and endpoints for different embolization materials. They discuss specific techniques and their i...
2025-08-1217 min
BackTable MSKBacktable Brief: Catheter Selection for Genicular Artery Embolization in the OBL with Dr. Sid Padia and Dr. Osman AhmedWhich imaging and treatment techniques are optimal for GAE in the OBL? In this BackTable Brief, Dr. Osman Ahmed and Dr. Sid Padia explore instrument selection and CT techniques in the OBL for genicular artery embolization (GAE).
Dr. Ahmed and Dr. Padia discuss the importance of not compromising on patient safety, and the careful selection of their approach to treatment. They further elaborate on the use of cone beam CT for more precise treatment planning, sharing insights on catheter selection, contrast solutions, and best practices for ensuring high-quality patient care, especially in the OBL (o...
2025-08-0515 min
BackTable OBGYNBackTable Brief: Understanding Facility Fees in Healthcare Economics with Dr. Barbara LevyWhere you perform a procedure could cost your patient thousands or save them just as much. In this Backtable OBGYN Brief, Dr. Mark Hoffman and Dr. Amy Park sit down with Dr. Barbara Levy to discuss the economic challenges and implications of performing medical procedures in various settings such as hospitals, ambulatory surgery centers (ASCs), and office environments.
They explore how hospitals have leveraged billing structures for financial gain, often driving up patient costs, and highlight how procedures like hysteroscopies and endometrial ablations can be performed more efficiently and cost-effectively in office settings. The c...
2025-08-0517 min
BackTable OBGYNBackTable Brief: Understanding Medical Facility Fees in Practice with Dr. Barbara LevyOBGYN Briefs - Understanding Medical Facility Fees in Practice
The way you code and calculate costs might be affecting your practice more than you realize. In this episode of BackTable OBGYN, hosts Dr. Mark Hoffman and Dr. Amy Park welcome back Dr. Barbara Levy, a clinical professor at George Washington University and UCSD. They discuss the complexities of practice expenses and coding in medical specialties, emphasizing the differences between direct and indirect expenses which vary by geography and specialty.
The conversation covers the challenges in surveying costs, the importance o...
2025-07-2919 min
BackTable OBGYNBackTable Brief: Understanding the RUC's Role in Healthcare Costs with Dr. Barbara LevyOBGYN Briefs - Understanding the RUC's Role in Healthcare Costs
Every procedure has a price, but how is it set? In this BackTable OBGYN Brief, Dr. Mark Hoffman and Dr. Amy Park welcome back Dr. Barbara Levy, a clinical professor at George Washington University and UCSD, to discuss her work with the key organizations influencing medical billing and reimbursement.
They explore Dr. Levy's extensive involvement with ACOG, AMA's CPT Editorial Panel, and the RBRVS Update Committee (RUC), offering an overview of the complex systems governing coding and reimbursement in medicine. From how new procedures receive...
2025-07-2220 min
BackTable MSKBacktable Brief: Workup and Patient Selection for Genicular Artery Embolization with Dr. Sid Padia and Dr. Osman AhmedShownotes
Who is the ideal candidate for genicular artery embolization (GAE)? In this BackTable Brief, Dr. Osman Ahmed and Dr. Sid Padia share how they work up and select GAE patients.
Dr. Padia and Dr. Ahmed discuss the challenges of patient selection in genicular artery embolization, specifically debating the necessity and utility of MRI with contrast. The discussion also explores the pros and cons of femoral vs. pedal access techniques, considering patient characteristics such as BMI and the practicality of these approaches in various clinical settings.
Episode Outline
00:00 - Introduction
2025-07-1514 min
BackTable IndustryEp. 91 Winding Down Neuwave: Impact on Interventional Radiology with Dr. Joshua KubanIt’s official — NeuWave is exiting the market. In this episode, Dr. Christopher Beck hosts a conversation with Dr. Josh Kuban, an interventional radiologist at MD Anderson Cancer Center, to discuss the impact that NeuWave's microwave tumor ablation technology has had on the field of interventional oncology and the recent announcement of its discontinuation, scheduled for March 2026.
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This podcast is supported by:
Medtronic Emprint
https://www.medtronic.com/emprint
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SYNPOSIS
Dr. Kuban reflects on NeuWave’s innovative beginn...
2025-05-3031 min
BackTable Vascular & InterventionalEp. 548 Winding Down Neuwave: Impact on Interventional Radiology with Dr. Joshua KubanIt’s official — NeuWave is exiting the market. In this episode, Dr. Christopher Beck hosts a conversation with Dr. Josh Kuban, an interventional radiologist at MD Anderson Cancer Center, to discuss the impact that NeuWave's microwave tumor ablation technology has had on the field of interventional oncology and the recent announcement of its discontinuation, scheduled for March 2026.
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This podcast is supported by:
Medtronic Emprint
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SYNPOSIS
Dr. Kuban reflects on NeuWave’s innovative beginnings in microwave ablation, which expanded to inc...
2025-05-3031 min
BackTable ENTBacktable Brief: Diagnosing Sleep Apnea in WomenWhat if the most common symptoms of obstructive sleep apnea in women aren’t the ones doctors are trained to recognize? In this episode, Dr. Megan Durr, an otolaryngologist from the University of California San Francisco, discusses obstructive sleep apnea in women with host Dr. Gopi Shah. The doctors explore how symptoms in women differ from men, leading to missed diagnoses. They delve into the lack of literature on the topic and the potential for underrepresented groups to be overlooked. The conversation highlights the need for more inclusive screening tools and the long-term cardiovascular ris...
2025-03-1113 min
BackTable UrologyEp. 218 BackTable Resident Edition: Optimizing Resident Education in Clinic with Dr. Allison Keenan and Dr. Nick KochWhy is clinic experience important in urology residency training? In this edition of the BackTable Urology PGY Playlist, guests Dr. Alison Keenan and resident Dr. Nicholas Koch join host Dr. Gina Badalato to discuss the significance of clinic exposure as a trainee.---This podcast is supported by:Photocurehttps://www.photocure.com/---SYNPOSISExtended clinic exposure can facilitate better clinical decision-making, improve understanding of pathology...
2025-03-0433 min
BackTable ENTEp. 212 Allergy Immunotherapy and the Microbiome with Dr. Jennifer VillwockCould the key to more effective allergy therapies lie in the nasal microbiome? In this episode of BackTable ENT, Dr. Jennifer Villwock from Kansas University Medical Center discusses the intricacies of treating allergies and sinus issues with hosts Dr. Ashley Agan and Dr. Gopi Shah.---SYNPOSISDr. Villwock begins by highlighting the importance of personalized medicine and the role of the microbiome in immunotherapy. Topics include topical and oral probiotics, the nasal microbiome, intralymphatic immunotherapy, and the significance of accurate allergy testing. Dr...
2025-02-2546 min
BackTable OBGYNBackTable Brief: Diagnosing Female Urinary Incontinence with Dr. Sarah BoylesHow can we streamline the proper diagnosis and treatment of female urinary incontinence? The solution often lies in bridging comprehensive patient workup to pelvic floor physical therapy. Learn more in this BackTable OBGYN brief with Dr. Sarah Boyles and host Dr. Suzette Sutherland! Key topics include what to look for during a pelvic exam, the importance of external skin inspection, prolapse evaluation, urethra assessment, and pelvic floor muscle strength testing. The doctors also address effective treatment options, the necessity (or lack thereof) of specific diagnostic tests, the significant role of bladder diaries, and the b...
2025-02-1817 min
BackTable ENTEp. 211 Aging Voice: The Science and the Art with Dr. Neel BhattWe often think about exercising to stay fit as we age–but what about keeping our voices in shape? In this episode of BackTable ENT, Dr. Neel Bhatt, a laryngologist from the University of Washington in Seattle, discusses the intricacies of the aging voice with hosts Dr. Gopi Shah and Dr. Ashley Agan.---SYNPOSISDr. Bhatt sheds light on the pathophysiology behind vocal fold atrophy, the role of glottic image capture, and the innovative use of the GlottIC (Glottal Image Capture) in measuring vo...
2025-02-181h 03
BackTable MSKEp. 69 Intradiscal Augmentation and Frontiers in Back Pain Treatment with Dr. Olivier ClerkVertebral augmentation for degenerative disc disease has traditionally been performed using cement injections. However, new biomaterials are emerging that may offer more precise targeting of the vertebral discs, potentially leading to higher patient satisfaction. In this episode of Backtable MSK, Dr. Olivier Clerk-Lamalice discusses significant advances in the treatment of degenerative disc disease, with a particular focus on disc augmentation using intradiscal hydrogel. This episode marks the third and final installment in our series on degenerative disc disease with Dr. Clerk-Lamalice.---This podcast is supported by:
2025-02-1824 min
BackTable OBGYNBackTable Brief: Understanding Female Urinary Incontinence with Dr. Sarah BoylesUrinary incontinence can greatly impact our patients’ quality of life. It’s essential to recognize the different types and treat them appropriately. In this BackTable OBGYN Brief, Dr. Sarah Boyles and Dr. Suzette Sutherland provide an overview of female urinary incontinence for their general practice and specialized physician colleagues.The conversation dives into the different types of incontinence, including stress, urgency, mixed, and overflow incontinence, and the importance of accurate diagnosis and appropriate treatment plans. The discussion also emphasizes essential diagnostic steps, including urinalysis and measuring post-void residuals, and points out the importance of pati...
2025-02-1117 min
BackTable ENTEp. 210 Rethinking OSA: Role of the Nose with Dr. Keith Matheny and Dr. Ashwin AnanthIs nasal obstruction the hidden culprit behind CPAP failure in obstructive sleep apnea (OSA) patients? In this episode of BackTable ENT, host Dr. Ashley Agan discusses nasal airway obstruction’s impact on OSA with guests Dr. Keith Matheny and Dr. Ashwin Ananth.---This podcast is supported by:Aerin Medicalhttps://aerinmedical.com/---SYNPOSISThe doctors emphasize the crucial role otolaryngologists play in diagnosing and treating na...
2025-02-1154 min
BackTable MSKEp. 68 BackTable Basics: Lumbar Disc Access and Discography with Dr. Olivier ClerkThe lumbar discogram is a cornerstone of musculoskeletal (MSK) radiology, as it enables interventionalists to pinpoint the exact level of discogenic back pain. In this episode of Backtable MSK, the Dr. Olivier Clerk-Lamalice and host Dr. Jacob Fleming explore the techniques and applications of the discogram, a procedure highly valued for its effectiveness in both diagnosis and pain management.---This podcast is supported by:Medtronic Interventionalhttps://www.medtronic.com/interventional---
2025-02-1126 min
BackTable UrologyEp. 214 BackTable Resident Edition: Engaging in Peer Review During Residency with Dr. Katherine DwyerAre you a resident that’s interested in getting involved in research, or a residency program leader looking to equip your trainees with practical research skills? In this episode of BackTable Urology, Dr. Kate Dwyer from Vanderbilt joins guest host Dr. Gina Badalato from Columbia to discuss training urology residents in effective peer review as a way to start contributing to clinical research and academic medicine.---This podcast is supported by:Photocurehttps://www.photocure.com/...
2025-02-0728 min
BackTable ENTEp. 208 ENT Education for APPs and Other Healthcare Partners with Dr. Jeffrey LaCourAre you interested in learning basic ENT diagnostics and treatments? In this episode of BackTable ENT, the hosts welcome Dr. Jeffrey LaCour who discusses how he created Compassio Medical Education, an ENT educational platform for advanced practice providers. Dr. LaCour, an otolaryngologist from Hammond, Louisiana, elaborates on his efforts to educate primary care specialists and advanced practice providers through online courses and live webinars.---SYNPOSISDr. LaCour describes the structure and impact of his ENT courses, which include dynamic content...
2025-01-2837 min
BackTable ENTEp. 207 Innovations in Bioresorbable ENT Packing Materials with Dr. Satyan SreenathWhat role does bioresorbable packing play in improving outcomes for ENT patients? In this episode of BackTable ENT, hosts Dr. Ashley Agan and Dr. Gopi Shah are joined by Dr. Satyan Sreenath, a rhinologist at Indiana University, to discuss the use of bioresorbable packing in ENT surgeries.---SYNPOSISFirst, Dr. Sreenath offers insights into the advancements in sinus and skull base surgery, the types of packing materials available (such as HemoPore, NasoPore, and chitosan-based products), and their application for hemostasis, scar prevention, and...
2025-01-211h 09
BackTable Vascular & InterventionalIntroducing Backtable Tumor BoardWelcome to the first episode of BackTable Tumor Board, and our first recording session at our new in-person studio! Guest host Dr. Tyler Sandow (interventional radiologist) leads a multidisciplinary discussion about patient care coordination in hepatocellular carcinoma (HCC) diagnosis and treatment, with insights from his colleagues at Ochsner Health– Dr. Steven Young (hepatologist), Dr. Jonathan Mizrahi (medical oncologist), and Deondra Bonds-Adams (patient navigator).---This podcast is supported by an educational grant from:AstraZenecahttps://www.astrazeneca.com/our-therapy-areas/oncology.html...
2025-01-1602 min
BackTable ENTEp. 206 ENT Hospitalists: Transforming Inpatient Care Models with Dr. Annie WangHow can a dedicated ENT hospitalist improve patient care? In this episode of Backtable ENT Podcast, Dr. Annie Wang, an otolaryngologist at Houston Methodist Hospital, discusses her experience as a hospital-based ENT, also known as an ENT hospitalist, with hosts Dr. Gopi Shah and Dr. Ashley Agan.---SYNPOSISDr. Wang talks about the inception and development of her position, the daily responsibilities and challenges she faces, and the positive impact of having a dedicated inpatient ENT service. She also delves into the historical...
2025-01-1449 min
BackTable MSKBackTable Brief: Genesis 2 Trial Design and Challenges for GAE with Dr. Mark LittleWhat evidence is currently available regarding the use of genicular artery embolization (GAE) for treating knee osteoarthritis? Principal investigator Dr. Mark Little discusses the GENESIS 2 trial, a large randomized controlled study aimed at assessing the outcomes of embolizing abnormal genicular arteries to reduce pain in patients with mild to moderate knee osteoarthritis.Dr. Little explains the trial’s design, methodology, and the significance of key data points such as the Knee Injury and Osteoarthritis Outcome Score (KOOS), cost-effectiveness, and quality of life measures. He also covers the materials and techniques used in both the GE...
2025-01-0715 min
BackTable ENTEp. 205 Weight Loss Medications & Impact on OSA with Dr. John Carter and Dr. Michael WeberHow are weight loss medications, like Ozempic, reshaping obstructive sleep apnea care? In this episode of the BackTable ENT podcast, host Dr. Gopi Shah discusses emerging weight loss medications and their impact on obstructive sleep apnea (OSA) with Dr. John Carter, a neurologist and sleep specialist, and Dr. Michael Weber, an otolaryngologist.---SYNPOSISThe doctors examine optimal candidates for GLP-1 medications, their side effects, and how these drugs integrate into current OSA treatment pathways. The conversation delves into patients’ experiences, new research findings, an...
2025-01-0739 min
BackTable OBGYNBackTable Brief: Bridging the Orgasm Gap: A Dialogue on Female Sexual Wellness with Dr. Kelly CaspersonOBGYN Briefs - Bridging the Orgasm GapFemale sexual wellness is a topic that deserves more research, education, and attention, both for our patients and for providers. In this BackTable OBGYN Brief, Dr. Kelly Casperson speaks with host Dr. Suzette Sutherland about a range of issues related to women's sexual health.The conversation highlights the disparities between men's and women's sexual health resources and focuses on the gaps in sex education, communication, and healthcare training. Dr. Casperson emphasizes the biological, psychological, and social aspects of female sexual dysfunction and...
2024-12-3112 min
BackTable MSKBackTable Brief: Getting Started with MSK Embolizations with Dr. Mark LittleFor patients suffering from intractable pain due to knee osteoarthritis, genicular artery embolization (GAE) offers a minimally invasive treatment with potential long-term benefits. Dr. Mark Little, an interventional radiologist at Royal Berkshire NHS Foundation Trust, joins us to provide an introduction to GAE. He shares his experience with the procedure and compares it to other treatments, such as steroid injections and surgery. Dr. Little also discusses the disease process of osteoarthritis and explains how GAE targets abnormal blood vessels to reduce inflammation and alleviate pain.TIMESTAMPS00:00 - Introduction
2024-12-3115 min
BackTable ENTEp. 204 Best of Backtable ENT: 2024 Year in ReviewThe BackTable ENT show is closing out 2024 with gratitude, reflections, and plans for the year to come! In this episode of the Backtable ENT Podcast, hosts Dr. Ashley Agan and Dr. Gopi Shah celebrate a year of growth and milestones, including reaching 200 episodes and expanding their audience.---SYNPOSISThey highlight key episodes from 2024, covering various discussions like eustachian tube dilation in children, gender diversity in ENT, and unique aspects of treating OSA in women. Featuring guests Dr. Anthony Law, Dr. Jill D’Souza, Dr...
2024-12-2748 min
BackTable OBGYNBackTable Brief: Effective Strategies for Getting Access to Non-Opioid Analgesics in OBGYN Surgery with Dr. Steven McCarus and Dr. Paula BilicaProper pain management after surgery is essential to promote healing and improve patient satisfaction. In this BackTable OBGYN Brief, Dr. Steven McCarus and Dr. Paula Bilica discuss how to advocate for non-opioid analgesia following OBGYN surgery.The discussion focuses on the importance of reducing opioid use in women's health through various strategies, including the use of Exparel and ERAS protocols. Dr. McCarus and Dr. Bilica share compelling arguments for covering costs and enhancing patient satisfaction, and also touch on hospital administration's role in adopting non-opioid analgesics. The doctors emphasize the need for a team...
2024-12-2016 min
BackTable MSKBackTable Brief: Why Cryoneurolysis to Treat Pain? with Dr. Aron CharyWith the breadth of minimally invasive pain management techniques that are now available, it can be challenging to sort through the options and determine the most appropriate treatment for your patient. In this BackTable Brief, Dr. Aron Chary provides an overview of cryoneurolysis and its role in interventional pain management. He describes the advantages of cryoneurolysis compared to other methods, including its potential for longer-term pain relief and unique ability to promote nerve regeneration. He also delves into procedural protocols, including the use of diagnostic nerve blocks before cryoneurolysis, and the importance of managing patient expectations and follow-up care.
2024-12-1014 min
BackTable Vascular & InterventionalEp. 500 Celebrating 500 Episodes of BackTable with the BT Hosts500 episodes of BackTable calls for a special reunion! The original hosts—Dr. Aaron Fritts, Dr. Chris Beck, Dr. Ally Baheti, Dr. Sabeen Dhand, Dr. Mike Barraza, and producer Kieran Gannon—come together to celebrate by reminiscing about the podcast’s origins and evolution. They discuss the challenges of improving the podcast, share funny behind-the-scenes moments, and highlight their favorite episodes. The team also offers insights into how they choose topics and reflects on their experiences with both virtual and in-person recordings. Finally, they introduce the new BackTable Studio and highlight the upcoming Creator Weekends.---
2024-12-0653 min
BackTable OBGYNBackTable Brief: The Role of Non-Opioid Pain Management in Surgery with Dr. Paula Bilica and Dr. Steven McCarusPostoperative pain control is an essential aspect of patient recovery and satisfaction. While pain management is important in all surgical settings, C-sections, hysterectomies, and myomectomies are particularly frequent, accentuating the need for reliable non-opioid alternatives in OBGYN. Dr. Steven McCarus and Dr. Paula Bilica discuss the efficacy of multimodal pain control options in gynecologic and obstetric surgeries, including Exparel, a non-opioid liposomal bupivacaine.The doctors highlight the opioid epidemic and the need for alternative pain relief methods. They share insights on how the introduction of Exparel has transformed their practices by reducing the reliance...
2024-12-0317 min
BackTable Vascular & InterventionalEp. 496 Ensuring Safety and Quality in ASCs with Kristen RichardsInterested in setting up an Ambulatory Surgery Center (ASC) or Outpatient Based Lab (OBL)? Special guest Kristen Richards sits down with host Dr. Aaron Fritts to discuss the importance of establishing and tracking safety and quality metrics in the outpatient space to achieve success. Kristen is Vice President of Ambulatory Care at Cardiovascular Logistics in Chicago, IL.---This podcast is supported by:Philips Image Guided Therapy Solutionshttps://www.usa.philips.com/healthcare/solutions/image-guided-therapy/all-products...
2024-11-1936 min
BackTable MSKBackTable Brief: Building a Cryoneurolysis Service Line with Dr. Aron CharyLearn how your patients might benefit from new pain management therapies. Dr. Aron Chary and host Dr. Michael Barraza discuss the role of cryoneurolysis as an emerging therapy for knee and cancer-related pain. The doctors also discuss other practical applications and evolutions of cryo treatments in both non-cancer and cancer-related pain management.TIMESTAMPS00:00 - Introduction05:08 - Expanding Pain Interventions07:02 - Techniques and Procedures09:28 - Understanding and Diagnosing Pain11:34 - Art of Patient WorkupCHECK OUT THE...
2024-11-1914 min
BackTable MSKBacktable Brief: Effective Strategies for Managing Diabetic Neuropathy in Vascular Clinics with Dr. Blake ParsonsIf your patients are living with painful diabetic neuropathy that is refractory to medications, spinal cord stimulation (SCS) may be an option. Dr. Dana Dunleavy interviews interventional radiologist Dr. Blake Parsons about managing diabetic neuropathy in a multidisciplinary setting and the role of SCS. They also discuss new research findings that support the use of spinal cord stimulators and their broader impact on quality of life, including reduced fall risks and improved foot sensation for patients with diabetes.TIMESTAMPS00:00 - Understanding Diabetic Neuropathy02:06 - Establishing a Neuropathy...
2024-11-0513 min
BackTable OBGYNBackTable Brief: Genitourinary Syndrome of Menopause: Mitigating Risks and Enhancing Treatment with Dr. Rachel RubinHow can we address barriers to care for women with genitourinary syndrome of menopause? In this episode, host Dr. Suzette Sutherland and Dr. Rachel Rubin discuss the challenges and misconceptions around Genitourinary Syndrome of Menopause (GSM).They identify the severity of symptoms such as pain, urinary issues, and recurrent infections that are often inadequately addressed. Dr. Rubin advocates for the use of vaginal estrogen, emphasizing that its benefits outweigh any perceived risks, contrasting it with other treatments like tamoxifen. The discussion includes the efforts to create guidelines for GSM through the American Urological Association...
2024-10-2511 min
BackTable OBGYNBackTable Brief: Debunking Estrogen Myths with Dr. Rachel RubinHow can we educate women about vaginal estrogen for genitourinary syndrome of menopause, especially given the black box warning? In this Brief, Dr. Rachel Rubin and host Dr. Suzette Sutherland discuss misconceptions around the use of estrogen creams and suppositories, particularly focusing on dosage and application for safe, effective treatment.They address common factors leading to inadequate results and the safety of low-dose vaginal estrogen. The doctors emphasize the importance of patience with treatment, correct understanding of hormone products, and education of patients to combat misinformation. Dr. Rubin and Dr. Sutherland also challenge misleading...
2024-10-2213 min
BackTable UrologyEp. 195 BackTable Resident Edition: Tips for Virtual and In-Person Urology Residency Interviews with Dr. Mihir Shah, Dr. Lindsay Hampson, Dr. Gina Badalato, and Yash ShahAre you a 2025 Urology Match applicant or a residency program faculty member? In this week’s episode of the BackTable Urology podcast, guests Dr. Mihir Shah, Dr. Gina Badalato, and Dr. Lindsay Hampson provide guidance on navigating urology residency interviews. Their discussion offers insights from a residency leadership, department faculty, and medical student’s point of view with host Yash Shah.---SYNPOSISThe episode covers tips for both virtual and in-person interviews, strategies for conversational engagement, and advice for how applicants should evaluate prog...
2024-10-2239 min
BackTable MSKBacktable Brief: Techniques for Spinal Cord Stimulator Placement with Dr. Blake ParsonsSpinal cord stimulation can be a useful tool for treating chronic low back and leg pain. In this BackTable Brief, Drs. Dana Dunleavy and Blake Parsons discuss the specifics of implanting lumbar spinal cord stimulation. They explore patient positioning, anesthesia, needle angulation, and the importance of targeting spinal levels correlated to pain.TIMESTAMPS00:00 - Pre-Operative Setup02:10 - Obtaining Access and Placing Leads05:05 - Postoperative Considerations08:43 - Evaluation of Patient CandidacyCHECK OUT THE FULL EPISODE
2024-10-2211 min
BackTable Vascular & InterventionalEp. 489 Improving Public Awareness of Interventional Radiology with Dr. Mina MakaryHistorically, public recognition and understanding of IR has been limited, with a significant portion of patients unaware of interventional procedures and the field as a whole. How can we improve awareness of IR and minimally invasive treatment options? Dr. Mina Makary discusses this and his recent study on public perceptions of IR, with host Dr. Michael Barraza. Dr. Makary is a vascular and interventional radiologist and an Associate Professor of Radiology at The Ohio State University.---This podcast is supported by:PearsonRavitz
2024-10-1828 min
BackTable MSKEp. 61 Ablation Techniques for Acetabular Lesions with Dr. Jason LevyAcetabular lesions present unique challenges for interventionalists due to their location within the pelvis. In this episode of the BackTable Podcast, host Dr. Jacob Fleming interviews Dr. Jason Levy, an experienced practitioner in musculoskeletal interventional oncology based in Atlanta, Georgia, about techniques for ablating acetabular lesions.---This podcast is supported by an educational grant from Medtronic.---SYNPOSISThe doctors discuss the unique considerations involved in treating the acetabulum, including its susceptibility to...
2024-10-1543 min
BackTable Vascular & InterventionalEp. 488 Ablation Techniques for Acetabular Lesions with Dr. Jason LevyAcetabular lesions present unique challenges for interventionalists due to their location within the pelvis. In this episode of the BackTable Podcast, host Dr. Jacob Fleming interviews Dr. Jason Levy, an experienced practitioner in musculoskeletal interventional oncology based in Atlanta, Georgia, about techniques for ablating acetabular lesions.---This podcast is supported by an educational grant from Medtronic.---SYNPOSISThe doctors discuss the unique considerations involved in treating the acetabulum, including its susceptibility to...
2024-10-1544 min
BackTable MSKBacktable Brief: Spinal Cord Stimulators, Trials to Permanents with Dr. Blake ParsonsInterventional radiologists can play a vital role in pain management and palliative care through spinal cord stimulation (SCS). In this BackTable Brief, Dr. Dana Dunleavy speaks with Dr. Blake Parsons about this technology and the learning opportunities it presents.Dr. Parsons reflects on his introduction to outpatient spinal cord stimulation during his training at the Medical College of Wisconsin, where he gained exposure to both palliative care and interventional oncology. He discusses the technical aspects and challenges associated with permanent SCS procedures, including accessing the epidural space and the risks of nerve injury. Additionally...
2024-10-0813 min
BackTable Vascular & InterventionalEp. 486 Winning the Revenue Cycle Game with Teri YatesIs your practice profitable? The success of a private medical practice often hinges on effective revenue cycle management (RCM). In this episode of the BackTable Podcast, private practice consultant Teri Yates and host Dr. Ally Baheti share best practices in revenue cycle management for physicians. Teri Yates is the CEO of Accountable Physician Advisors and President of DocCentric.---This podcast is supported by:SAccountable Physician Advisorshttp://www.accountablephysicianadvisors.com/Reflow Medicalhttps...
2024-10-081h 01
BackTable OBGYNBackTable Brief: Managing Genitourinary Syndrome of Menopause with Dr. Rachel RubinOBGYN Briefs - Managing Genitourinary Syndrome of MenopauseFrequent UTIs and vaginal atrophy/dryness are common signs of genitourinary syndrome of menopause (GSM). In this Brief, Dr. Rachel Rubin discusses the management of GSM and why estrogen is so vital to these tissues.They address the lack of information and awareness about GSM among urologists and gynecologists while emphasizing its impact on the urinary and genital symptoms experienced by menopausal women. Dr. Rubin details how GSM is not just a matter of vaginal atrophy but involves broader symptoms like...
2024-10-0812 min
BackTable MSKEp. 58 Genicular Artery Embolization: How I Do It with Dr. Osman AhmedGenicular artery embolization (GAE) is quickly emerging as a treatment option for knee osteoarthritis when other therapies have failed. In this episode of the BackTable Podcast, Dr. Osman Ahmed discusses the origins of GAE and how he employs it in his practice.---This podcast is supported by an educational grant from Guerbet.---SYNPOSISDr. Ahmed, an interventional radiologist at the University of Chicago, shares details about the procedure, his journey in adopting...
2024-09-2036 min
BackTable Vascular & InterventionalEp. 481 Genicular Artery Embolization: How I Do It with Dr. Osman AhmedGenicular artery embolization (GAE) is quickly emerging as a treatment option for knee osteoarthritis when other therapies have failed. In this episode of the BackTable Podcast, Dr. Osman Ahmed discusses the origins of GAE and how he employs it in his practice.---This podcast is supported by an educational grant from Guerbet.---SYNPOSISDr. Ahmed, an interventional radiologist at the University of Chicago, shares details about the procedure, his journey in adopting...
2024-09-2037 min
BackTable IndustryEp. 80 World of Hurt: A New Film About Medical Malpractice with Viknesh KasthuriIn a society where discussions about medical malpractice are often concealed from the public eye, this episode of BackTable shines a spotlight on the powerful documentary ‘A World of Hurt: How Medical Malpractice Fails Everyone,’ produced by Viknesh Kasthuri, a fourth-year medical student at Brown University. Released earlier this year, the film explores how the American medical malpractice system harms and disconnects patients and providers through three compelling case studies.---SYNPOSISWe delve into Viknesh’s motivations and the process behind creating the docume...
2024-09-1336 min
BackTable Vascular & InterventionalEp. 479 World of Hurt: A New Film About Medical Malpractice with Viknesh KasthuriIn a society where discussions about medical malpractice are often concealed from the public eye, this episode of BackTable shines a spotlight on the powerful documentary ‘A World of Hurt: How Medical Malpractice Fails Everyone,’ produced by Viknesh Kasthuri, a fourth-year medical student at Brown University. Released earlier this year, the film explores how the American medical malpractice system harms and disconnects patients and providers through three compelling case studies.---CHECK OUT OUR SPONSORRADPAD® Radiation Protectionhttps://www.radpad.com/...
2024-09-1337 min
BackTable MSKBackTable Brief: Decisions that Prioritize Patient Welfare with Dr. Sean TuttonDecisions that prioritize patient welfare can often be challenging with our physician bias toward action. Interventional radiologists Dr. Eric Keller and Dr. Sean Tutton highlight the importance of education in discussions about end-of-life care and futility. Dr. Tutton shares a poignant story illustrating the necessity of team-based approaches to futile procedures. They also discuss ethical considerations of IR procedures, the significance of proper consent, and the true costs of ‘expensive hope.’ TIMESTAMPS00:00 - Importance of Training in End-of-Life Conversations02:15 - Case Study: Ruptured AAA in a High Risk...
2024-09-1010 min
BackTable OBGYNBackTable Brief: Do Cranberry Supplements Work for UTI Prevention? and Other Recommendations with Dr. Anne CameronCan cranberry juice prevent UTIs? In this BackTable OBGYN Brief, Dr. Suzette Sutherland and Dr. Anne Cameron discuss various strategies for preventing recurrent UTIs, including which supplements are effective. They cover the efficacy of cranberry supplements, emphasizing the importance of quality and proper compound concentration in products like Ellura. The discussion also addresses the limitations of cranberry juice and the resurgence of methenamine hippurate as a non-antibiotic preventive measure, supported by recent studies. Additionally, they outline comprehensive approaches, including lifestyle modifications, hydration, vaginal estrogen, and hygiene practices, while aiming to destigmatize the condition.TIMESTAMPS
2024-09-1013 min
BackTable OBGYNBackTable Brief: Definition and Diagnosis of Recurrent UTI's with Dr. Anne CameronOBGYN Brief - Definition and Diagnosis of a Clinical UTICultures are key when it comes to managing UTIs. In this brief, Dr. Anne Cameron discusses the definitions, symptoms, prevalence, and management of urinary tract infections (UTIs). They delve into the differences between bladder infections and kidney infections, the importance of symptomatology along with bacterial evidence for proper diagnosis, and the higher susceptibility of women to UTIs compared to men. The brief emphasizes the complexities of recurrent UTIs, including the challenges in treatment due to improper antibiotic use, persistence of infection, and anatomical or...
2024-08-2710 min
BackTable MSKBackTable Brief: What is Palliative Care vs Hospice? with Dr. Sean TuttonWhat is the difference between palliative care and hospice? Dr. Sean Tutton clarifies the distinctions and interactions between the two. He explains that palliative care focuses on symptom management and improving quality of life, while addressing common misconceptions about it. Dr. Tutton also provides insights on the role of palliative care physicians and emphasizes the importance of integrating palliative care into treatment plans for patients with terminal or chronic diseases. Additionally, the conversation offers practical advice for interventional radiologists on how to communicate effectively with patients about their conditions and treatment goals.TIMESTAMPS
2024-08-2712 min
BackTable MSKBackTable Brief: Probe Options and Technique for Genicular Nerve Ablation with Dr. John SmirniotopoulosIntentional probe selection is an important part of any ablative procedure. This MSK Brief focuses on tools for genicular nerve ablation. Dr. John Smirniotopoulos shares his perspectives on radiofrequency ablation (RFA) and cryoablation probes, including the Cool Leaf probe and its benefits. He goes on to explain the procedure, including ablation techniques, motor stimulation tests, and handling potential complications such as synovitis and hemarthrosis.TIMESTAMPS00:12 - Choosing the Right Probe01:29 - Cryoablation vs. RFA: Pros and Cons02:32 - Ablation Techniques and Strategies04:42...
2024-08-2012 min
BackTable MSKEp. 56 BackTable Basics: Transforaminal, Cervical, and Thoracic Epidural Injections with Dr. Chris BeckCervical and thoracic epidural steroid injections (ESIs) can offer relief for patients with chronic pain; however, these procedures can carry serious risks. Providers should be well-trained to anticipate and mitigate these risks before treating patients with ESIs. In this episode of the Backtable MSK Podcast, co-hosts Dr. Chris Beck and Dr. Jacob Fleming dive deep into various techniques and considerations for performing ESIs.---CHECK OUT OUR SPONSORStryker Interventional Spinehttps://www.strykerivs.com---
2024-08-1337 min
BackTable UrologyEp. 184 Coping with Surgical Complications During Residency with Dr. Chloe PetersBeyond patient morbidity, complications can have a significant impact on surgeon health and relationships outside of medicine. In this episode of the PGY Pearls Series of BackTable Urology, hosts Dr. Lindsay Hampson (UCSF) and Dr. Gina Badalato (Columbia University) discuss the “second victim phenomenon” with special guest Dr. Chloe Peters, a fifth-year urology resident at the University of Washington.---SYNPOSISThe “second victim phenomenon” refers to the negative emotional response a healthcare worker endures after a traumatic patient care event. The conversation explores the psyc...
2024-08-1346 min
BackTable OBGYNBackTable Brief: Exam Techniques and Advanced Imaging for Endometriosis with Dr. Ted LeeOften the first practical thing we’re taught in medical school is the importance of taking a thorough patient history. In this BackTable OBGYN Brief, Dr. Mark Hoffman and Dr. Ted Lee bring us back to the basics and emphasize the importance of conducting a quality patient interview to elucidate symptoms of endometriosis.The physicians first explore the limitations and practicalities of patient surveys, and move on to discuss the importance of thorough history taking along with specific symptoms to look for. The conversation also delves into the diagnostic challenges and delay of diagnosis in...
2024-07-3014 min
BackTable MSKBackTable Brief: Anatomy and Setup for Genicular Nerve Ablation with Dr. John SmirniotopoulosGenicular nerve ablation is becoming more common for patients with osteoarthritis, underscoring the preference for nonsurgical,minimally invasive treatment. Our host Dr. Michael Barraza welcomes Dr. John Smirniotopoulos to discuss his experience performing genicular nerve ablation, including a detailed ‘how-to’ on his procedure technique. The conversation delves into the anatomy and key nerves targeted during the procedure, based on recent cadaveric dissections. Dr. Smirniotopoulos also highlights the use of fluoroscopy and ultrasound for precise needle placement.TIMESTAMPS00:12 - Genicular Nerve Anatomy01:06 - Procedure Techniques and Tools03...
2024-07-3008 min
BackTable MSKBackTable Brief: What is the Role of Genicular Nerve Ablation for Knee Osteoarthritis? with Dr. John SmirniotopoulosIntentional probe selection is an important part of any ablative procedure. This MSK Brief focuses on tools for genicular nerve ablation. Dr. John Smirniotopoulos shares his perspectives on radiofrequency ablation (RFA) and cryoablation probes, including the Cool Leaf probe and its benefits. He goes on to explain the procedure, including ablation techniques, motor stimulation tests, and handling potential complications such as synovitis and hemarthrosis.TIMESTAMPS00:12 - Choosing the Right Probe01:29 - Cryoablation vs. RFA: Pros and Cons02:32 - Ablation Techniques and Strategies04:42...
2024-07-2310 min
BackTable Vascular & InterventionalEp. 464 Minimizing Complications for Challenging Lung Biopsies with Dr. Venkatesh KrishnasamyDr. Venkatesh Krishnasamy shares techniques and specific cases for challenging lung biopsies, his insights on mentorship, importance of multidisciplinary tumor boards, and the evolution of lung biopsy practices. Dr. Krishnasamy is an interventional radiologist and Director of Interventional Oncology at the University of Alabama Birmingham.---CHECK OUT OUR SPONSORMerit Biopsy Solutionshttps://www.merit.com/solutions/biopsy-solutions/---SYNPOSISThe doctors cover practical advice on...
2024-07-1640 min
BackTable OBGYNBackTable Brief: Diagnosis and Management of Endometriosis with Dr. Ted LeeIn this BackTable OBGYN Brief, Dr. Mark Hoffman and Dr. Ted Lee discuss the clinical approach to diagnosing endometriosis through physical exam and imaging, and the collaborative surgical approach to treating it. Dr. Lee explains the importance of detailed patient history and various examination techniques, including palpation and rectovaginal exams, to identify potential signs of endometriosis. He emphasizes the specificity of these exams in differentiating endometriosis pain from other causes. The discussion also covers the role of imaging, such as MRI, particularly in advanced cases, and the collaborative approach with colorectal surgeons for bowel-related c...
2024-07-1612 min
BackTable UrologyEp. 177 Latest Approaches to Treat High-Risk NMIBC with Dr. Ashish KamatIn this episode of the BackTable Urology Podcast, Dr. Ashish Kamat discusses contemporary management of high-risk, non-muscle-invasive bladder cancer (NMIBC) and his thoughts into the future of this arena.---CHECK OUT OUR SPONSORSiemens Healthineers Theranosticshttps://www.siemens-healthineers.com/en-us/clinical-specialities/theranostics---SYNPOSISDr. Kamat explores the evolving role of BCG and potential alternative therapies such as gemcitabine and docetaxel. He also covers effective...
2024-07-0954 min
BackTable OBGYNBackTable Brief: vNOTES IV with Dr. Jan BaekelandtIn this BackTable OBGYN Brief, host Dr. Mark Hoffman interviews Dr. Jan Baekelandt from Belgium about vNOTES (vaginal natural orifice transluminal endoscopic surgery) incision placement to allow future vaginal deliveries and prevent dyspareunia. First, Dr. Hoffman discusses the nuances of laparoscopy, particularly the preference for smaller incisions to reduce hernia rates and postoperative pain. The conversation covers the specifics of performing colpotomy and the risks associated with different types of incisions, including vaginal and abdominal. Dr. Baekelandt emphasizes the importance of proper training and starting with simpler cases when introducing new surgical techniques like v...
2024-07-0509 min
BackTable Vascular & InterventionalEp. 461 Advanced Radial to Peripheral Interventions with Dr. Sameh SayfoDr. Sameh Sayfo discusses advanced techniques in radial to peripheral (R2P) interventions, the importance of having multiple techniques, the role of different devices, troubleshooting tips, and the evolving landscape of R2P interventions. Dr. Sayfo is an interventional cardiologist at the Baylor Heart Hospital, and serves as program director for the endovascular fellowship and pulmonary embolism response team (PERT) program.---CHECK OUT OUR SPONSORAngioDynamics Auryon Systemhttps://www.auryon-system.com/---
2024-07-0258 min
BackTable IndustryEp. 78 Making Healthcare Accessible and Affordable Using Deep Learning with Dr. Samir ShahDr. Samir Shah and our host, Dr. Aaron Fritts, discuss upcoming disruptions in radiology due to artificial intelligence (AI), including AI's role in making healthcare more accessible and affordable.---SYNPOSISDr. Shah outlines his career trajectory, from his interventional radiology (IR) training to his entry into teleradiology. He describes his first encounter with AI through natural language processing for encoding radiology reports. Currently, he serves as the Chief Medical Officer of Qure AI, a platform that utilizes deep learning to aid in diagnosing...
2024-07-0255 min
BackTable MSKBackTable Brief: Basivertebral Nerve Ablation II: Technique with Dr. Olivier Clerk-LamaliceBasivertebral nerve ablation is a potential solution for anterior column spine pain. Dr. Olivier Clerk-Lamalice outlines a typical ablation procedure and discusses alternative approaches for challenging target locations.The procedure generally uses a transpedicular approach with an 8-gauge introducer needle, visualized under fluoroscopy. The needle angle should ensure that the probe can later be placed in the center of the vertebral body. The basic technique is similar to that of vertebral augmentation, employing an aneural and avascular approach. A bipolar ablation probe is aimed 1-cm ventral to the posterior wall of the vertebral body...
2024-07-0212 min
BackTable OBGYNBackTable Brief: vNOTES III with Dr. Jan BaekelandtIn this BackTable OBGYN Brief, host Dr. Mark Hoffman speaks with Dr. Jan Baekelandt about the specific challenges and complications associated with vNOTES, as well as contraindications to be mindful of.They discuss the nuances of uterine artery management and the benefits and risks of the Alexis ring, especially for hemostasis. The doctors go on to discuss contraindications for vNOTES, including complex endometriosis and pelvic scarring. Dr. Baekelandt also shares insights on avoiding ureteric and bladder injuries and future direction of vNOTES.TIMESTAMPS00:00...
2024-07-0214 min
BackTable Vascular & InterventionalEp. 459 Transitioning from Academia to Private OBL Practice with Dr. Jafar GolzarianDr. Jafar Golzarian shares his experiences with co-founding an outpatient-based lab (OBL), obtaining the right equipment, handling staffing, negotiating with insurance companies, and marketing his new practice. Dr. Golzarian is an interventional radiologist at his OBL in Minneapolis, Minnesota and he is the former Division Head and Program Director for the interventional radiology program at the University of Minnesota.---CHECK OUT OUR SPONSORGE Healthcare Allia Image Guided Systemshttps://www.gehealthcare.com/products/interventional-image-guided-systems/allia...
2024-06-2548 min
BackTable MSKBackTable Brief: Basivertebral Nerve Ablation I: Procedure Basics with Dr. Olivier Clerk-LamaliceThe basivertebral nerve has gained recognition over the past decade as a source of vertebrogenic pain. Dr. Olivier Clerk-Lamalice explains both the anatomy of the nerve and his treatment algorithm for basivertebral nerve ablation.The basivertebral nerve is intraosseous, non-myelinated, and located in the central portion of the vertebral body within the basivertebral canal. It does not regenerate after ablation. This nerve transmits afferent pain signals to the central spinal cord, and MRI is the primary diagnostic tool used for evaluation.During the physical exam, back pain originating from...
2024-06-2510 min
BackTable Vascular & InterventionalEp. 455 Evolving TIPS Procedures Using New Tools and ICE with Dr. Dylan Suttle and Dr. Harris ChengaziDr. Dylan Suttle and Dr. Harris Chengazi delve into recent advancements in transjugular intrahepatic portosystemic shunt (TIPS) procedures, highlighting the significant reduction in procedural time and improvements in outcomes due to the introduction of Intracardiac Echo (ICE) and the Scorpion Portal Vein Access Series.---CHECK OUT OUR SPONSORArgon Medicalhttp://www.argonmedical.com/---SYNPOSISThe doctors share their experiences, techniques, and the evolution of...
2024-06-181h 12
BackTable OBGYNBackTable Brief: vNOTES II with Dr. Jan BaekelandtIn this BackTable OBGYN Brief, host Dr. Mark Hoffman and Dr. Jan Baekelandt explore the benefits of vNOTES, especially in certain patient populations – obese patients, patients with a history of multiple abdominal surgeries, and those with a large uterus.Dr. Baekelandt highlights the aesthetic advantages of minimized scarring in vNOTES alongside clinical benefits such as reduced postoperative pain, lower analgesia use, and shorter hospitalization times. They discuss the outcomes of randomized controlled trials that compare vNOTES with laparoscopy and the specific groups of patients who benefit most from vNOTES. The episode also delves into th...
2024-06-1413 min
BackTable OBGYNBackTable Brief: vNOTES I with Dr. Jan BaekelandtIn this BackTable OBGYN Brief, host Dr. Mark Hoffman interviews Dr. Jan Baekelandt about the basics and history of vaginal natural orifice transluminal endoscopic surgery (vNOTES), including its learning curve for surgeons.Dr. Baekelandt explains the benefits of performing gynecological operations through the vagina rather than the abdominal wall, allowing for quicker recovery and reduced invasiveness. They discuss the historical context of vNOTES, the integration of laparoscopic tools, and the challenges and learning curves associated with mastering this dual-skillset procedure.TIMESTAMPS00:00 - Introduction
2024-06-1111 min
BackTable MSKBackTable Brief: Desmoid Tumors II with Dr. Jack JenningsMusculoskeletal radiologists can be highly involved in cryoablation for desmoid tumors. Interventional radiologist Dr. Jack Jennings from Washington University in St. Louis shares the finer points of his approach to this procedure. Desmoid tumor cryoablation cases require varying numbers of cryoablation probes, dependant on tumor morphology. The usual number of probes ranges from 5 to 10. To mitigate the risk of rhabdomyolysis, which increases with more than 10 probes, Dr. Jennings typically divides the procedure into two sessions. His patients are generally admitted for pain control, monitoring for rhabdomyolysis, and management of in...
2024-06-0413 min
BackTable MSKBackTable Brief: Desmoid Tumors I with Dr. Jack JenningsDesmoid tumors are a type of benign sarcoma that can be locally aggressive and extremely morbid. Dr. Jack Jennings from Washington University in St. Louis discusses his experience in treating this condition.Surgical resection is considered the gold standard for treatment; however, the aggressive nature of these tumors can make resection challenging. To address this, Dr. Jennings’ institution began offering ablation for non-surgical candidates, becoming a major referral center for these cancers.Cryoablation has become the preferred option. It is particularly effective for uncomplicated desmoid tumors that are likely to...
2024-05-2812 min
BackTable ENTEp. 168 The Art of Negotiation: Securing Worth for Clinicians with Dr. Mark RoyerIn this episode, Dr. Mark Royer, private practice otolaryngologist and medical director of ENTLocums.com, joins BackTable to discuss salary negotiation for physicians.Dr. Royer begins by using his personal career journey to highlight the importance of negotiation skills. Then, he describes how to develop these skills. Throughout the episode, Dr. Royer emphasizes the importance of knowing one’s value as a surgical subspecialist and tailoring your strategy to best suit your employer’s perspective and your needs. Relevant topics covered include selecting a practice, starting salaries, RVUs, locums, and non-compete agreements. Dr. Royer conc...
2024-04-2354 min
BackTable Vascular & InterventionalEp. 438 Creative Solutions to OBL Misadventures with Dr. Omar Saleh and Dr. Mike WattsIn this episode, Dr. Omar Saleh and Dr. Mike Watts discuss the challenging aspects of vascular interventions in the OBL setting, focusing on ‘oh $#!%’ moments and how to address various complications. Both Dr. Saleh and Dr. Watts are vascular and interventional radiologist, practicing in Southern California and New Jersey, respectively.The doctors share specific, challenging cases they’ve encountered, including device malfunctions and unexpected outcomes during procedures. Additionally, Dr. Saleh and Dr. Watts discuss the advantages of having hybrid OBL and hospital practices, the importance of being prepared for complications by having the right tools...
2024-04-2353 min
BackTable Vascular & InterventionalEp. 437 Pulmera’s Journey: From Concept to Clinical Impact with Dr. Bryan HartleyIn this episode, host Dr. Bryan Hartley takes us on a deep dive into the origin story and mission of Pulmera, a medtech company dedicated to transforming the field of bronchoscopic lung cancer diagnosis by retrofitting existing fluoroscopy machines into cone beam CT-like scanners. Dr. Hartley is a vascular and interventional radiologist and co-founded Pulmera, alongside interventional pulmonologist Dr. Harmeet Bedi at Stanford.Pulmera is developing a novel approach to enhance physicians’ ability to diagnose lung nodules accurately through innovative technology. Dr. Hartley shares insights into the challenges of existing diagnostic methods, the inspiration be...
2024-04-1934 min
BackTable IndustryEp. 74 Pulmera’s Journey: From Concept to Clinical Impact with Dr. Bryan HartleyIn this episode, host Dr. Bryan Hartley takes us on a deep dive into the origin story and mission of Pulmera, a medtech company dedicated to transforming the field of bronchoscopic lung cancer diagnosis by retrofitting existing fluoroscopy machines into cone beam CT-like scanners. Dr. Hartley is a vascular and interventional radiologist and co-founded Pulmera, alongside interventional pulmonologist Dr. Harmeet Bedi at Stanford.Pulmera is developing a novel approach to enhance physicians’ ability to diagnose lung nodules accurately through innovative technology. Dr. Hartley shares insights into the challenges of existing diagnostic methods, the inspiration be...
2024-04-1933 min
BackTable Vascular & InterventionalEp. 431 OBL or ASC for Your Private Practice? How to Decide with Teri YatesIn this episode of the BackTable Podcast, Teri Yates explores the nuances of choosing between an Office-Based Lab (OBL) and Ambulatory Surgery Center (ASC) for private practices. Teri is the CEO of Accountable Physician Advisors, a consulting firm which specializes in OBLs, ASCs, and hybrid models for private-practice physicians. She is also President of DocCentric, a company focused on supporting physicians building and leading their own ASCs.The discussion includes a comprehensive analysis of the financial, regulatory, and operational considerations for physicians contemplating this decision. This includes insights into reimbursement models, Medicare regulations, and...
2024-04-0246 min
BackTable Vascular & InterventionalEp. 429 Tackling Upper GI Bleeds: Techniques and Tools with Dr. Osman AhmedIn this episode of the BackTable Podcast, host Dr. Aaron Fritts interviews Dr. Osman Ahmed about treatment algorithms and new technologies for upper gastrointestinal (GI) bleed embolization. Dr. Ahmed is an interventional radiologist at the University of Chicago.The doctors dive into various embolization techniques, microcatheters, and embolic materials that are ideal for managing upper GI bleeds. Dr. Ahmed highlights the importance of understanding the etiology of bleeding, differences between arterial vs. venous bleeding, and first-line therapies such as endoscopy. Dr. Ahmed also discusses the utilization of new embolic materials like Obsidio Embolic, which...
2024-03-2637 min
BackTable Vascular & InterventionalEp. 426 Managing Pelvic Venous Disease: From Diagnosis to Treatment with Dr. Neil KhilnaniIn this episode of the BackTable Podcast, host Dr. Aaron Fritts interviews Dr. Neil Khilnani about the management of pelvic venous disorders, focusing on embolization practices for treating conditions such as chronic pelvic pain and pelvic venous syndrome. Dr. Khilnani is an interventional radiologist at Weill Cornell Medicine in New York Presbyterian Hospital.---CHECK OUT OUR SPONSORCook Medical Embolizationhttps://www.cookmedical.com/embobacktable---SYNPOSIS
2024-03-191h 09
BackTable Vascular & InterventionalEp. 420 The Art and Science of Declotting the Dialysis Circuit with Dr. Omar Chohan and Dr. Harris ChengaziIn this episode of the Backtable Podcast, host Dr. Chris Beck interviews guests Dr. Omar Chohan and Dr. Harris Chengazi about dialysis fistula declot procedures and their own experiences with various devices and strategies, including usage of pre-procedure ultrasound, heparinization, and closure techniques. Both Dr. Chohan and Dr. Chengazi are interventional radiologists at Great Lakes Medical Imaging in Buffalo, New York.The doctors dive into treatment of anastomosis stenosis, stressing the importance of technique refinement, physical examination, and thoughtful pre-procedure planning. The discussion concludes with an invitation for listeners to share their experiences with...
2024-02-2756 min
BackTable MSKEp. 43 Cutting Edge Techniques in MSK Oncology: Cryoablation and Beyond with Dr. Alan SagIn this BackTable MSK episode, host Dr. Jacob Fleming interviews Dr. Alan Sag about techniques and advancements in bone cryoablation. Dr. Sag is an interventional radiologist at Duke University Medical Center.To start, Dr. Sag discusses his current practice and collaboration with orthopedic surgeons. He highlights IlluminOss, a new photodynamic bone stabilization system that uses similar concepts to endovascular balloons. Then, the doctors move onto discussing cryoablation, which was recently cleared by the FDA for use in pain palliation in bone metastases. Dr. Sag describes the procedural steps of cryoablation, pneumodissection with carbon dioxide...
2024-02-271h 05
BackTable ENTEp. 152 Understanding Health Equity Research with Kevin Sykes, PhD, MPHIn this episode, Dr. Kevin Sykes, PhD, MPH, director of clinical research at Baylor Scott & White Health in Dallas, explores health equity research in otolaryngology with host Dr. Gopi Shah.First, Dr. Sykes underscores how historical injustices contribute to health disparities seen today, using differences in life expectancy as an example. He then addresses challenges with assessing head & neck cancer outcomes, including small sample sizes, limited community participation, and data aggregation. Speaking to study design, Dr. Sykes shares his experience working with community health workers, whom he finds invaluable for their ability to build...
2024-01-021h 02
BackTable ENTEp. 150 ENT and Gender Diversity: Breaking Down Barriers in Patient Care with Dr. Daniel Knott and Dr. Rahul SethIn this episode, Dr. Gopi Shah discusses the role of ENT in gender-affirming care with facial plastic surgeons Dr. Daniel Knott of UCSF and Dr. Rahul Seth of Golden State Plastic Surgery. This episode is the second half of a two-part series featuring Drs. Knott and Seth.First, the surgeons emphasize the importance of understanding terms related to gender identity and using patients’ correct pronouns. Relative to the general population, transgender individuals face higher rates of poverty, unemployment, and serious mental illness, all of which shape their interaction with the healthcare system. Then, using Ca...
2023-12-2144 min
BackTable ENTEp. 140 Unpacking DEI: Advancing Patient Care in Otolaryngology with Dr. Erynne FaucettIn this episode of BackTable ENT, Dr. Gopi Shah sits down with pediatric Otolaryngologist, Dr. Erynne Faucett at the University California Davis-Sacramento to discuss diversity, equity, and inclusion (DEI) in the field in Otolaryngology and its importance.---SHOW NOTESThe episode begins with Erynne breaking down what DEI means to her. She mentions how there is a misconception in grouping diversity, equity, and inclusion all together but instead needing to look at each element individually for what they mean, instead of just “checking of...
2023-11-0242 min
BackTable UrologyEp. 84 Novel approach to PCNLs with Dr. Jason WynbergIn this episode of BackTable Urology, Dr. Jose Silva interviews Dr. Jason Wynberg, director of endourology at NYU Langone Health in Brooklyn, about his percutaneous nephrolithotomy (PCNL) technique and innovations.---CHECK OUT OUR SPONSORReviveRXhttps://reviverx.com/urology/---EARN CMEReflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/LmSqn0
2023-03-0142 min
BackTable Vascular & InterventionalEp. 294 How to Implement Advanced Vascular Ultrasound Techniques in Your Practice with Dr. Mary Costantino and Dr. Miguel Montero-BakerIn this episode, guest host and vascular technologist Jill Sommerset interviews Dr. Mary Costantino (interventional radiologist) and Dr. Miguel Montero-Baker (vascular surgeon) about their perspectives on an ultrasound-first approach to diagnosing and planning treatment for critical limb-threatening ischemia (CLTI).---CHECK OUT OUR SPONSORSReflow Medicalhttps://www.reflowmedical.com/Boston Scientific Drug Elutionhttps://www.bostonscientific.com/en-US/medical-specialties/vascular-surgery/drug-eluting-therapies.html?utm_source=oth_site&utm_medium=native&utm_campaign=pi-at-us-de_portfolio-hci&utm...
2023-02-2259 min
BackTable ENTEp. 79 Building a Microtia Program in Thailand with Dr. Dhave SetabutrIn this episode of BackTable ENT, Dr. Gopi Shah interviews Dr. Dhave Setabutr, assistant professor of otolaryngology at Thammasat University, about building a microtia repair program in Bangkok, Thailand.The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/Jz2h8d---SHOW NOTESFirst, Dr. Setabutr explains his path through otolaryngology and microtia training and his motivation to move his family and practice to Thailand. Then, he explains how he...
2022-12-0650 min
BackTable OBGYNEp. 1 Introducing BackTable OBGYN with Dr Mark HoffmanBackTable began five years ago as a podcast for the field of Interventional Radiology. Since then, the podcast has developed additional series for various areas of medicine, such as ENT/Otolaryngology, Urology, Med Tech Innovation, and now Obstetrics and Gynecology (OBGYN). On this inaugural episode, Dr. Aaron Fritts introduces one of the BackTable OBGYN hosts, Dr. Mark Hoffman, a minimally invasive gynecologic surgeon at the University of Kentucky.---EARN CMEReflect on how this Podcast applies to your day-to-day and earn AMA PRA...
2022-11-1031 min
BackTable Vascular & InterventionalEp. 235 The Right Job for You with STAT Careers Founders Drs. Kasie and Rockford AdkinsIn this episode, our host Dr. Aaron Fritts interviews physician-entrepreneur couple Drs. Kasie and Rockford Adkins about the path to starting their healthcare recruiting platform, STAT Careers.---CHECK OUT OUR SPONSORSRapidAIhttp://rapidai.com/?utm_campaign=Evergreen&utm_source=Online&utm_medium=podcast&utm_term=Backtable&utm_content=SponsorAthletic Greenshttps://www.athleticgreens.com/backtablevi---EARN CME
2022-08-191h 00
BackTable ENTEp. 32 BackTable ENT First Year Podiversary!Join us to celebrate BackTable ENT's First Year Podiversary with co-hosts Dr. Gopi Shah and Dr. Ashley Agan! We take a look back at the year and discuss some of our favorite episodes as well as progress towards wellness since our first episode. Thank you to our amazing guests and loyal listeners!---EARN CMEReflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs: https://earnc.me/Ca6702---
2021-09-2819 min
BackTable Vascular & InterventionalEp. 154 Discussing the Complications Survey Results with The BackTable TeamThe BackTable hosts get together to discuss the results of the recent complications survey, including some stories from the audience as well some of their own experiences.---EARN CMEReflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs: https://earnc.me/beC0Z4---SHOW NOTESTwo months ago, we invited our listeners to participate in an anonymous Complications Survey. Our goal...
2021-09-1348 min
BackTable Vascular & InterventionalSpecial 100th Episode Tribute Interview with Dr. Mary CostantinoDr. Mary Costantino interviews the BackTable Team in honor of hitting the 100th episode mark. We had a great time telling the origin story of BackTable, reminiscing the early days of the podcast, and where we hope to go in 2021. It doesn't happen without all the amazing guests and guest hosts along the way.---SHOW NOTESIn this special episode, Dr. Mary Constantino interviews Dr. Aaron Fritts, Dr. Christopher Beck, and Dr. Michael Barraza to discuss the journey of the BackTable Podcast. Co-founder...
2020-12-311h 04