Shows
BackTable Bone & SportsEp. 119 The TOUCH Procedure: An Innovative Approach in Hand Surgery with Dr. Jamie Alexander and Dr. Daniel TorresToday’s fifty-year-old deadlifts, plays pickleball, and does yoga. When pain starts at the base of her thumb and the X-ray looks normal, it is easy to call it tendinitis and miss early arthritis. On this episode of BackTable Bone & Sports, Dr. Larry Balle welcomes Dr. Jamie Alexander and Dr. Daniel Torres, orthopedic hand surgeons at Houston Methodist, to discuss how they diagnose and manage thumb carpometacarpal (CMC) osteoarthritis in active and younger patients. They explore why early disease often gets missed, which metabolic and inflammatory workups matter, and how a multidisciplinary team helps patients get the right care....
2026-10-201h 02
BackTable UrologyEp. 337 Advancements in Ureteroscopy for Stone Management with Dr. Karen SternHow is suction technology changing what it means to be “stone-free” after ureteroscopy? On this episode of BackTable Urology, Dr. Ruchika Talwar welcomes Dr. Karen Stern, endourologist at Mayo Clinic Arizona, for a practical discussion of how ureteroscopy is evolving in the era of suction. They discuss how thin-slice CT has revealed just how much stone typically remains after surgery, why dusting versus fragmenting is now a patient-dependent choice, and what to consider when selecting between suction sheaths, aspiration scopes, and traditional access.
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2026-10-2025 min
BackTable CardiologyEp. 57 Specialty Balloons in Interventional Cardiology with Dr. Ziad AliDrug-coated balloons and a head-to-head trial against lithotripsy have put cutting and scoring balloons back at the center of complex percutaneous coronary intervention (PCI). On this episode of BackTable Cardiology, Dr. Nyal Borges interviews Dr. Ziad Ali, director of the DeMatteis Cardiovascular Institute, for an in-depth look at the mechanics, selection, and technique behind cutting and scoring balloons in complex PCI. They cover how these devices create a controlled dissection in fibrolipidic plaque, why they only fracture calcium that sits right at the lumen, and how lesion type and imaging should guide the choice between a conventional balloon, a...
2026-10-2040 min
BackTable Bone & SportsEp. 118 Navigating Basketball Medicine: An Athletic Trainer’s Perspective with Matt Townsend, ATCWhen a college basketball player asks when he can go back in the game, the person making the call is rarely wearing a white coat. On this episode of BackTable Bone & Sports, Dr. Larry Balle welcomes Matt Townsend, ATC, head athletic trainer for Arkansas men’s basketball, for an inside look at basketball medicine from the training room. They walk through the basketball calendar, common injuries, and the return-to-play decisions that happen in real time, including movement screening, tendinopathy rehab, vitamin D supplementation, and the impact of name image and likeness (NIL) on athlete advocacy.
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2026-10-131h 05
BackTable Women's HealthEp. 136 Managing Adnexal Masses in GYN Practice with Dr. Mona Guo and Dr. Marcia CicconeIt is 4:50 on a Friday, and an ultrasound report lands in your inbox: six centimeter complex right ovarian mass, neoplasm cannot be excluded. What happens next? On this episode of BackTable Women’s Health, Dr. Mona Guo and Dr. Marcia Ciccone team up to discuss how general obstetrician gynecologists should evaluate, follow, and operate on adnexal masses and when to refer to gynecologic oncology. They walk through reading the imaging yourself, understanding what “complex” means on a report, ultrasound features and O-RADS, tumor marker selection, and when an MRI adds value beyond ultrasound.
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2026-10-1339 min
BackTable Vascular & InterventionalEp. 682 Liquid Embolization Techniques for Treating Hypervascular Tumors with Dr. Resmi Charalel and Dr. Milan PatelHow do you devascularize a hypervascular tumor when the vessels feeding it are too small to catheterize? On this episode of BackTable Podcast, Dr. Kavi Krishnasamy is joined by Dr. Resmi Charalel and Dr. Milan Patel to walk through seven real-world cases where non-adhesive hydrogel liquid embolics made the difference. They break down patient selection, case planning, and how to deploy these agents for safe, efficient devascularization when traditional approaches fall short.
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2026-10-091h 09
BackTable Vascular & InterventionalEp. 678 Medicare Audits Explained: Impact on Physicians & Practices with Jason GreisWhat do you actually do when a Medicare audit letter lands in your inbox? On this episode of BackTable Podcast, Dr. Ally Baheti interviews healthcare attorney Jason Greis, partner at Benesch, to demystify the audit process and the rising scrutiny on interventional practices. They discuss why audits are accelerating, which procedures are under the microscope, and how enforcement economics and AI-driven review are reshaping the landscape for OBLs and ASCs.
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2026-09-2532 min
BackTable ENT & AllergyEp. 293 Innovations in Pediatric Head & Neck Oncology Care with Dr. Anthony Sheyn and Dr. Sara HelmigTreating pediatric head and neck cancer means thinking far beyond the initial diagnosis to ensure healthy growth, function, and future quality of life. For Pediatric Cancer Awareness Month, BackTable ENT & Allergy spotlights the unique challenges and innovations in caring for children with head and neck cancer. Host Dr. Gopi Shah is joined by Dr. Anthony Sheyn, leader of the head and neck cancer program at St. Jude Children’s Research Hospital, and Dr. Sara Helmig, pediatric oncologist at St. Jude, to discuss how multidisciplinary teams, advanced diagnostics, and family-centered care are reshaping outcomes for young patients.
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2026-09-2238 min
BackTable Bone & SportsEp. 115 Understanding Platelet Poor Plasma in Orthobiologics with Dr. Ryan KruseCould platelet poor plasma be the missing link in muscle injury recovery? On this episode of BackTable Bone & Sports, Dr. Larry Balle welcomes Dr. Ryan Kruse, a sports medicine physician at the University of Iowa and team physician for the Iowa Hawkeyes and US Soccer, to explain what platelet poor plasma actually contains and why it has become his primary treatment for acute muscle injury.
They discuss how PPP differs from PRP, the challenges of defining the optimal dose, and the growing interest in exploring the bioactive components that make PPP worth keeping.
2026-09-221h 19
BackTable UrologyEp. 329 Surgical Approaches to Bladder Outlet Obstruction with Dr. John DiBiancoWith so many treatment options for bladder outlet obstruction, how do you select the best approach for each patient? On this episode of BackTable Urology, host Dr. Jose Silva is joined by Dr. John DiBianco for a practical discussion on evaluating lower urinary tract symptoms and matching patients with the right intervention. They emphasize confirming that symptoms are truly due to benign prostatic hyperplasia (BPH) before proceeding, and walk through triggers for intervention, including quality-of-life impact, UTIs, renal impairment, high post-void residual, bladder stones, and retention.
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2026-09-151h 00
BackTable IndustryEp. 108 Integrating Technology in Clinical Education with Dr. Satyan SreenathWhere is the line between what a surgeon needs to know and what technology can look up for them? On this episode of BackTable Industry, host Anish Parikh interviews Dr. Satyan Sreenath, rhinologist and skull base surgeon at Indiana University, about building operative comfort, lifelong learning, and the new role of artificial intelligence in clinical education. They discuss how surgical autonomy develops during residency, the resources that fill the gap after training, and the practical realities of staying current as technology and patient expectations evolve.
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2026-09-1542 min
BackTable Vascular & InterventionalEp. 674 Treatment Strategies for Acute and Chronic Limb Ischemia with Dr. Anahita Dua and Dr. Ripal GandhiHow do you choose between thrombolysis, mechanical thrombectomy, or open surgery for acute limb ischemia, and what options remain when there’s no vessel to open? On this episode of the BackTable Podcast, host Dr. Chris Beck is joined by vascular surgeon Dr. Anahita Dua (Massachusetts General Hospital) and interventional radiologist Dr. Ripal Gandhi (Miami Cardiac and Vascular Institute) to explore treatment strategies across the full spectrum of limb ischemia. They discuss presentation and referral patterns, the imaging and exam findings that start the clock, single-session mechanical thrombectomy, the evolving role of lysis, procedural endpoints, and deep vein arterialization fo...
2026-09-1156 min
BackTable IndustryEp. 107 Keeping Up With The Field in Interventional Radiology with Dr. Gregg KhodorovWhat does a personal learning system look like when you have to build it yourself, in your first year out of training? On this episode of the BackTable Industry Podcast, host Anish Parikh sits down with Dr. Gregg Khodorov, a newly graduated interventional radiologist joining IR Centers in South Jersey after his integrated IR/DR residency at Thomas Jefferson University Hospital, to discuss the realities of keeping up with the field in early practice. They explore the transition from the structure of residency to the challenge of self-directed learning, including board preparation, endovascular simulation, tumor boards, podcasts, and the...
2026-09-0135 min
BackTable Vascular & InterventionalEp. 670 Understanding IR Attrition: Causes & Solutions with Dr. David R. MittelsteinWhy do nearly half of IR residents consider leaving the specialty, and what can be done to change that? On this episode of the BackTable Podcast, Dr. Neil Jain interviews Dr. David Mittelstein, an integrated IR resident at UC San Diego and co-chair of the SIR RFS Recruitment Committee, about the findings of a national SIR survey on interventional radiology resident attrition. They discuss what drives uncertainty, from lifestyle and call burden to job market fears, and highlight the program features that encourage retention, such as structured training, high case volume, and a culture of camaraderie.
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2026-08-1845 min
BackTable ENT & AllergyEp. 286 What's The Big Deal With This BackTable App? with Dr. Aaron FrittsBackTable is moving beyond the traditional podcast experience and into a platform built specifically for clinicians. On this episode of the BackTable ENT & Allergy Podcast, hosts Drs. Gopi Shah and Ashley Agan welcome Dr. Aaron Fritts, interventional radiologist and BackTable CEO and Co-Founder, to discuss the history and future of BackTable, and what listeners can look forward to on the new BackTable App.
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Timestamps00:00 - Introduction00:51 - Meet the CEO and Co-Founder02:32...
2026-08-0427 min
BackTable ENT & AllergyEp. 285 Post-Operative Care & Complications in Coblation Intracapsular Tonsillectomy in Children with Dr. Kevin Huoh and Dr. Stephen ChorneyMost surgeons trained learning extracapsular tonsillectomies. What does the evidence say about intracapsular tonsillectomies? Two pediatric otolaryngologists explain why they made the switch and never looked back. On this episode of the BackTable ENT Podcast, hosts Dr. Ashley Agan and Dr. Gopi Shah sit down with pediatric otolaryngologists Dr. Stephen Chorney from UT Southwestern and Children's Health Dallas and Dr. Kevin Huoh from Children's of Orange County to examine post-operative complications after tonsillectomy and adenoidectomy, with a focus on coblation intracapsular tonsillectomy.
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2026-07-281h 03
BackTable IndustryEp. 105 Innovations in Interventional Radiology Training Practices with Dr. Sunny MurthyHow is AI reshaping the way radiology residents study, dictate reports, and summarize clinical courses? BackTable co-founder Anish Parikh catches up with Dr. Sunny Murthy, a PGY-2/R1 integrated interventional radiology (IR) resident at the University of Virginia (UVA).
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More about this episode
Dr. Murthy outlines the lecture structure (morning didactics, noon case-based sessions) and a curriculum shift toward on-demand video learning via Modality, alongside books, Radiopaedia, and targeted journal use. They...
2026-07-2843 min
BackTable Vascular & InterventionalEp. 663 Advancements in Tibial Artery Stenting & Scaffolding with Dr. Sahil ParikhWhat is the emerging role of bioresorbable scaffolds in treating tibial artery disease, and how do they compare with traditional stenting and drug delivery approaches? In this episode of the BackTable Podcast, Dr. Sabeen Dhand interviews interventional cardiologist Dr. Sahil Parikh at Columbia to explore the evolution of tibial artery stenting, drug-eluting technology, and the latest evidence behind bioresorbable scaffolds. The discussion highlights patient selection, treatment algorithms, technical considerations, and the impact of drug delivery choices on patient outcomes.
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2026-07-1454 min
BackTable CardiologyEp. 43 Advancements in Tibial Artery Stenting & Scaffolding with Dr. Sahil ParikhWhat is the emerging role of bioresorbable scaffolds in treating tibial artery disease, and how do they compare with traditional stenting and drug delivery approaches? In this episode of the BackTable Podcast, Dr. Sabeen Dhand interviews interventional cardiologist Dr. Sahil Parikh at Columbia to explore the evolution of tibial artery stenting, drug-eluting technology, and the latest evidence behind bioresorbable scaffolds. The discussion highlights patient selection, treatment algorithms, technical considerations, and the impact of drug delivery choices on patient outcomes.
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2026-07-1454 min
BackTable CardiologyEp. 34 Understanding Cardiac Mass Removal: Techniques Using Continuous Aspiration with Dr. Abdallah El SabbaghFrom clot to clear flow, minimally invasive aspiration devices are PAVE-ing the way for safer treatment of endocarditis and cardiac masses. In this BackTable Cardiology episode, host Dr. Hady Lichaa sits down with Dr. Abdallah El Sabbagh to discuss percutaneous continuous-flow aspiration for right- and select left-sided endocarditis and cardiac masses.
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This podcast is supported by
Angiodynamicshttps://9zfaiv.short.gy/cardiovascular-backtable
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Timestamps
2026-05-0557 min
BackTable Vascular & InterventionalEp. 637 Navigating Healthcare & Surgery in Conflict Areas with Dr. Ahmad HussainVascular trauma care looks a lot different when the OR is improvised, supplies are limited, and limb salvage decisions cannot wait. On this episode of the BackTable Podcast, host Dr. Sabeen Dhand interviews vascular surgeon Dr. Ahmad Hussain, a Southern California private-practice “hired gun” who volunteered on a WHO/UN-coordinated humanitarian mission to Gaza after an orthopedic colleague requested vascular surgeons due to widespread limb loss.
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Timestamps
00:00 - Introduction04:02 - Why Volu...
2026-04-2441 min
BackTable ENT & AllergyEp. 270 Management of Sinonasal Tumors with Skull Base Involvement: Part 2 with Dr. Zara Patel, Dr. JP Almeida and Dr. Garret ChobyCould that routine epistaxis actually be the first sign of a challenging skull base tumor? This week’s episode of the BackTable ENT Podcast is part two of the sinonasal tumor and skull base involvement discussion. Host Dr. Satyan Sreenath is joined again by Dr. Joao Paulo Almeida, Dr. Zara Patel, and Dr. Garret Choby for a case-based deep dive into the multidisciplinary management of complex sinonasal tumors.
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Timestamps
00:00 - Introduction 01:20...
2026-04-2145 min
BackTable Tumor BoardEp. 56 Breast Cancer Precision Medicine: Biomarkers & Treatments with Dr. Jessica Treviño JonesHere’s a practical guide on how biomarkers can guide treatment and cut costs for your breast cancer patients. In this episode of the BackTable Tumor Board Podcast, Dr. Lindsay Peterson and Dr. Jessica Trevino Jones review the role of precision medicine and biomarkers in early-stage and metastatic disease, specifically in breast cancer.
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Timestamps
00:00 - Introduction05:30 - Genomic Testing in the Metastatic Setting11:47 - Liquid vs Tissue Biopsy17:51 - Te...
2026-04-2155 min
BackTable Women's HealthEp. 113 Managing Surgical Complications with Surgical Coaching & Emotional Resilience with Dr. Joseph ChenWhat if we trained surgeons to recover from complications, not just avoid them? In this BackTable OBGYN episode, Dr. Joseph Chen, a complex benign gynecologic surgeon at Kaiser Permanente and certified surgical coach, joins host Dr. Nicole Faulkner to explore how surgeons process and recover from complications.
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Timestamps
00:00 - Introduction01:15 - Dr. Chen’s Origin Story06:34 - Coaching Framework08:08 - Second Victim Phenomenon10:10 - Four Phases Of...
2026-04-2150 min
BackTable Bone & SportsEp. 97 Minimally Invasive Lumbar Decompression (MILD): Techniques & Outcomes with Dr. Denis PattersonCaught between conservative care and a large spine surgery, the MILD procedure offers potential as the in-between. On this episode of the BackTable MSK Podcast, Interventional Radiologist Dr. Dana Dunleavy welcomes pain specialist Dr. Denis Patterson to explore the evidence, technique, and evolving role of Minimally Invasive Lumbar Decompression (MILD) procedure for lumbar spinal stenosis with neurogenic claudication.
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This podcast is supported by
Strykerhttps://www.stryker.com/us/en/interventional-spine...
2026-04-211h 07
BackTable CardiologyEp. 32 Coronary Microvascular Dysfunction: Optimizing Diagnosis & Management with Dr. Samit ShahSmall vessels can have a major impact. Are you missing the hidden culprit of chest pain? In this episode of BackTable Cardiology, host Dr. Hady Lichaa welcomes Yale Interventional Cardiologist Dr. Samit Shah to discuss Coronary Microvascular Dysfunction (CMD) and Angina with No Obstructive Coronary Arteries (ANOCA). Their discussion demonstrates how coronary function testing turns a historically vague diagnosis into actionable phenotyping that can dramatically improve treatment efficacy and patient symptoms.
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Timestamps
00:00...
2026-04-211h 00
BackTable UrologyEp. 299 Clinical Decision-Making in Urodynamics: From Stress Incontinence to Neurogenic Bladders with Dr. Howard Goldman and Dr. David GinsbergWhen does urodynamics actually change management and when is it unnecessary? In BackTable Urology’s latest collaboration with the Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU), Dr. Howard Goldman and Dr. David Ginsberg join Dr. Giulia Ippolito to discuss the evidence-based use of urodynamics across a range of clinical scenarios.
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Timestamps
00:00 - Introduction 05:04 - Case: Male Urinary Retention12:38 - Case: Failed Sling18:44 - Case: Parkinson’s OAB2...
2026-04-2152 min
BackTable Vascular & InterventionalEp. 636 Shoulder Embolization for Adhesive Capsulitis & Tendinopathy with Dr. Yan EpelboymFor patients who have exhausted conservative management but aren’t ready for the knife, shoulder embolization offers a minimally invasive intermediary option. In this episode of BackTable MSK, host Kavi Krishnasamy welcomes Dr. Yan Epelboym, an interventional radiologist trailblazing the MSK IR space. The doctors discuss the rapid development of musculoskeletal embolization applications with an emphasis on shoulder embolization.
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Timestamps
00:00 - Introduction 01:42 - Dr. Yan Epelboym’s Origin Story in MSK0...
2026-04-211h 12
BackTable Vascular & InterventionalEp. 635 Methodical Approach to Adrenal Vein Sampling with Dr. Zoe MillerYour guide to better planning, access, and sampling. In this episode of the BackTable Podcast, we revisit every IR’s favorite procedure with Dr. Zoe Miller, Assistant Professor of Clinical Interventional Radiology and Associate Program Director at the University of Miami. Together with host Dr. Ally Baheti, Dr. Miller walks through a methodical approach to adrenal vein sampling to help you overcome common procedural challenges and reliably point your patients towards the proper therapies.
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Timestamps...
2026-04-1742 min
BackTable Vascular & InterventionalEp. 634 Understanding Intravascular Lithotripsy in the OBL with Dr. Nicholas PetruzziWhat do the 2026 coding changes mean for the financial viability of IVL in the OBL? In this episode of the BackTable Podcast, host Dr. Ally Baheti sits down with Dr. Nicholas Petruzzi to break down how intravascular lithotripsy fits into OBL workflows, and how upcoming lower-extremity revascularization coding updates may impact outpatient economics.
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This podcast is supported by
Shockwave Medicalhttps://shockwavemedical.com/
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Timestamps
2026-04-1426 min
BackTable ENT & AllergyEp. 269 Management of Sinonasal Tumors with Skull Base Involvement: Part 1 with Dr. Zara Patel, Dr. JP Almeida, & Dr. Garret ChobyPathology, anatomy, and staging: how do these three pillars come together to guide sinonasal tumor management? In this episode of the BackTable ENT Podcast, host Dr. Satyan Sreenath is joined by Dr. Joao Paulo Almeida, Dr. Zara Patel, and Dr. Garret Choby to discuss a multidisciplinary approach to sinonasal tumors, emphasizing the triad of pathology, anatomy, and staging to guide treatment.
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Timestamps
00:00 - Introduction 02:04 - First Principles of Workup05:23...
2026-04-1443 min
BackTable Women's HealthEp. 112 Overactive Bladder Management: Updates and Guidelines with Dr. Jason KimWhat if we’re waiting too long to offer our OAB patients the treatments that actually work? In this episode of BackTable Urology, Dr. Jason Kim joins host Dr. Anjali Kapur to discuss updates in overactive bladder management and evolving guidelines, including a shift away from rigid stepwise care toward shared decision-making.
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Timestamps
00:00 - Introduction03:06 - 2024 AUA/SUFU Idiopathic OAB Guideline07:32 - Patient Experience with OAB11:59 - Beta-3 Agonists vs...
2026-04-1444 min
BackTable UrologyEp. 298 Saying Yes (and No): Strategic Career Decisions with Dr. Anne CameronIs your “yes” advancing your career or just adding to your workload? In collaboration with the Society of Women in Urology (SWIU), this episode of BackTable Urology features timely professional advice from Dr. Anne Cameron (University of Michigan, former SWIU president) and Dr. Helen Bernie (Indiana University) on how to approach yes and no decisions with intention across different stages of your medical career.
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Timestamps
00:00 - Introduction02:43 - How Yes Changes Over...
2026-04-1447 min
BackTable CardiologyBackTable Brief: COSIRA II: Coronary Sinus Reducer: A Tool in Angina Care with Dr. Jai KhatriSummary
This week, the coronary sinus isn’t the only thing getting reduced! Dr. Jai Khatri and Dr. Ziad Ali join this BackTable Brief to share strategies for reducing enrollment barriers for the COSIRA II coronary sinus reducer trial. They discuss refractory angina, emerging evidence for microvascular angina, and strategies to help patients achieve stable medical therapy and avoid resetting trial eligibility.
TIMESTAMPS
00:00 - Introduction
01:46 - Maintaining Patients Eligibility
04:20 - Treadmill Test Reproducibility
07:16 - Patient Stories And Outcomes...
2026-04-1423 min
BackTable CardiologyBackTable Brief: COSIRA II: Managing Refractory Angina in Clinical Practice with Dr. Jai KhatriCoronary sinus reducers: the hourglass-shaped stents that might be able to take patients back to angina-free times. In this BackTable Cardiology Brief, Dr. Jai Khatri and Dr. Ziad Ali discuss patient selection, treatment algorithms, and recent, clinical-trial backed technology for treating diffuse, multi-vessel atherosclerotic disease. They emphasize staged PCI, careful counseling, and setting realistic expectations when angiographic success doesn’t translate to symptom relief.
Notably, the episode introduces the coronary sinus reducer, tracing the stent’s roots back to the Beck procedure of the 1950s. Drs. Jai and Khatri review the stent’s mechanism in the...
2026-04-0722 min
BackTable Bone & SportsBacktable Brief: How to Prepare for Complex Pelvic MSK Interventions with Dr. Brandon KeyEvery new device and technique comes with a learning curve, and in this BackTable MSK Brief we’re navigating pelvic curves. Host Dr. Kavi Krishnasamy joins Dr. Brandon Key to dissect pelvic and sacral fixation techniques. They discuss patient positioning and prep to needle-guidance software, with procedural pearls scattered throughout the conversation.
Episode Outline
00:00 - Introduction
00:26 - Pelvic Positioning Strategy
04:00 - Need to Know: Needle Guidance
09:20 - Thermoablation in Pathologic Fracture Fixation
13:29 - The Photodynamic Nail by IlluminOss: An Overview
20:00...
2026-03-1724 min
BackTable Bone & SportsBacktable Brief: Multidisciplinary Approaches in Bone Stabilization with Dr. Brandon KeyIn orthopedic IR, confidence comes from exposure. It’s all about getting those reps in. In this BackTable MSK Brief, host Kavi Krishnasamy interviews Dr. Brandon Key from the Medical College of Wisconsin about implementing bone stabilization and fixation in interventional radiology for pathologic and non-pathologic fractures.
The doctors discuss key barriers which include limited training exposure and operational inefficiencies that discourage adoption. However, they highlight the evolving technology, vendor toolsets, and growing multidisciplinary collaboration that are mitigating these barriers. The discussion expands to cover trauma-related consults from orthopedic surgery, indications and evolving applications of...
2026-03-0321 min
BackTable Bone & SportsBacktable Brief: Sedation and Anesthesia in Bone Cancer Ablation with Dr. Damian DupuyFrom anesthesia decisions to ablation strategy, what really separates a good outcome from a great one in bone tumor ablation? This BackTable MSK Brief features an enlightening conversation between host Kavi Krishnasamy and bone ablation pioneer Dr. Damian Dupuy. They cover anesthesia choices for different patient scenarios, optimal procedural techniques and agent selection for bone ablations, and the combination of local and systemic therapies for oligometastatic and oligo-progressive diseases. The doctors also tackle myths and realities around thermal and cryoablation, examining both clinical trial data and real-world experiences.
Episode Outline
2026-02-2423 min
BackTable Bone & SportsBacktable Brief: Bone Tumor Interface & Treatment Techniques in Palliative Care with Dr. Damian DupuyBone tumor treatment: when do you burn it and when do you freeze it? In this BackTable MSK Brief, Dr. Damian Dupuy joins Host Dr. Kavi Krishnasamy to discuss the technical nuances of radiofrequency ablation (RFA) and cryoablation, patient selection criteria, procedural strategies, and the importance of setting appropriate patient expectations. Dr. Dupuy also shares insights on preventing complications like cryomyositis and myoglobinuria, underscoring the balance between aggressive treatment and patient safety.
Episode Outline
00:00 - Introduction
00:40 - Bone Tumor Interface and Time Under Treatment
05:10...
2026-02-1721 min
BackTable Bone & SportsBacktable 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 Bone & SportsBacktable 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
2025-10-2119 min
BackTable Bone & SportsBacktable 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
2025-10-1417 min
BackTable Women's HealthBackTable 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...
2025-09-3018 min
BackTable Women's HealthBackTable 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 Bone & SportsBacktable 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...
2025-08-1218 min
BackTable Bone & SportsBacktable 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 Women's HealthBackTable 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...
2025-08-0518 min
BackTable Women's HealthBackTable 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...
2025-07-2920 min
BackTable Women's HealthBackTable 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...
2025-07-2221 min
BackTable Bone & SportsBacktable 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 ENT & AllergyBacktable 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...
2025-03-0434 min
BackTable Women's HealthBackTable 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...
2025-02-1818 min
BackTable Bone & SportsEp. 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:
2025-02-1825 min
BackTable Women's HealthBackTable 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...
2025-02-1118 min
BackTable Bone & SportsEp. 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---
2025-02-1127 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/...
2025-02-0729 min
BackTable Bone & SportsBackTable 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 Women's HealthBackTable 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 Bone & SportsBackTable 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 ENT & AllergyEp. 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...
2024-12-2749 min
BackTable Women's HealthBackTable 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...
2024-12-2017 min
BackTable Bone & SportsBackTable 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 Women's HealthBackTable 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...
2024-12-0318 min
BackTable Bone & SportsBackTable 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 Bone & SportsBacktable 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 Women's HealthBackTable 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 Women's HealthBackTable 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...
2024-10-2240 min
BackTable Bone & SportsBacktable 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 Bone & SportsEp. 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...
2024-10-1544 min
BackTable Bone & SportsBacktable 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 Women's HealthBackTable 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 Bone & SportsEp. 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...
2024-09-2037 min
BackTable Bone & SportsBackTable 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 Women's HealthBackTable 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 Women's HealthBackTable 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 Bone & SportsBackTable 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 Bone & SportsBackTable 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 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...
2024-08-1347 min
BackTable Bone & SportsEp. 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---
2024-08-1338 min
BackTable Women's HealthBackTable 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 Bone & SportsBackTable 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 Bone & SportsBackTable 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 Women's HealthBackTable 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 Women's HealthBackTable 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 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 Bone & SportsBackTable 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 Women's HealthBackTable 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 Bone & SportsBackTable 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 Women's HealthBackTable 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 Women's HealthBackTable 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 Bone & SportsBackTable 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 Bone & SportsBackTable 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 ENT & AllergyEp. 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...
2024-04-2355 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 Bone & SportsEp. 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 06
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
2023-03-0143 min
BackTable Women's HealthEp. 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...
2022-11-1032 min