UWTV: Health & Medicine

Working Together: People with Disabilities and Computer Technology

Mon, 06 Oct 2008 00:00:00 GMT

Featuring participants in the DO-IT program at the University of Washington, this video demonstrates adaptive technology and computer applications for people with disabilities. (Series: DO-IT (Disabilities, Opportunities, Internetworking and Technology))

Constrictive Pericarditis

Thu, 04 Dec 2008 00:00:00 GMT

Patient case studies focusing on Constrictive Pericarditis. (Series: Regional Heart Center Grand Rounds)

Mitral Valve Repair

Thu, 04 Dec 2008 00:00:00 GMT

Patient case studies focusing on mitral valve repair. (Series: Regional Heart Center Grand Rounds)

College: You Can DO IT!

Wed, 14 Nov 2007 00:00:00 GMT

College students with disabilities, guidance professionals, and faculty share advice for success in college. This video features participants in the DO-IT program at the University of Washington. (Series: DO-IT (Disabilities, Opportunities, Internetworking and Technology))

Refractive Surgery: Patient Information

Tue, 09 Dec 2008 00:00:00 GMT

Find out what every patient needs to know about refractive surgery. Dr. Tueng T. Shen, Medical Director of UW Medical Center’s Refractive Surgery Center, explains what modern eye surgery can do for patients seeking improved vision. Meet several patients who have had laser eye surgery share their experiences firsthand. Dr. Shen also discusses a variety of advanced surgical techniques now available, from LASIK to refractive lensectomy allowing viewers to learn which treatment options are available to them, appropriate questions to ask their surgeon, and an overview of the surgical and post-surgical experience. (Series: Cosmetic and Ophthalmic Surgery)

Retinal Surgery

Fri, 05 Dec 2008 00:00:00 GMT

This session focuses on the treatment of diseases of the retina and vitreous including macular degeneration, diabetic retinopathy, and retinal degenerations. (Series: Cosmetic and Ophthalmic Surgery)

Controversies in Cardiology

Thu, 04 Dec 2008 00:00:00 GMT

The University of Washington Regional Heart Center presents patient case studies focusing on the controversies in cardiology. For more information, see the University of Washington Regional Heart Center Web site. (Series: Regional Heart Center Grand Rounds)

Valve Replacement: Aortic Valve Disease

Thu, 04 Dec 2008 00:00:00 GMT

The UW Medicine Regional Heart Center presents patient case studies focusing on valve replacement. (Series: Regional Heart Center Grand Rounds)

Cardiac Transplantation

Thu, 04 Dec 2008 00:00:00 GMT

Cardiology Specialist Daniel Fishbein gives a medical review of surgical techniques for transplanting tissue. (Series: Regional Heart Center Grand Rounds)

Restenosis

Thu, 04 Dec 2008 00:00:00 GMT

Patient case studies focusing on restenosis. For more information, see the University of Washington Regional Heart Center Web site. (Series: Regional Heart Center Grand Rounds)

Innovative Surgical Strategies

Thu, 04 Dec 2008 00:00:00 GMT

Patient case studies focusing on innovative surgical strategies. (Series: Regional Heart Center Grand Rounds)

A Pain in the Knee

Thu, 15 Mar 2007 00:00:00 GMT

Should you see the doctor for your knee pain? Trey Green, an orthopaedic surgeon from the University of Washington Department of Orthopaedics and Sports Medicine, provides practical tips on caring for your knee and when to seek help. (Series: Healthy Lifestyles)

Arthroscopic Shoulder Stabilization

Fri, 16 Mar 2007 00:00:00 GMT

What happens when a shoulder dislocates? Dr. Chris Wahl, an orthopaedic surgeon, talks with University of Washington Huskies basketball player Mike Jensen, who severely dislocated his left shoulder and tore ligaments just before his senior season. In the program, Wahl and Mike Jensen discuss the decisions that led to surgery, the procedure itself, and the physical therapy that allowed Jensen to play in the second half of the season. Footage of the arthroscopic procedure accompanies their conversation. (Series: Talk Medicine)

The Regional Heart Center

Fri, 16 Mar 2007 00:00:00 GMT

Follow three doctors and their patients through a day at the University of Washington Medical Center. One patient has major heart surgery. Another has a pacemaker implanted. The third patient, a lifelong cardiac patient, gets a checkup.

To view 2-minute versions of this program, go to:

Inside Access Preview: Regional Heart Center

Inside Access Preview: Heart Arrhythmia

(Series: Inside Access)

Anterior Cruciate Ligament Surgery

Thu, 15 Mar 2007 00:00:00 GMT

Dr. Roger Larson explains the new medical techniques used to repair knee injuries. The program focuses on ACL injuries featuring four patients who suffered knee and joint pain or damage. The discussion with the patients includes how the knee was injured and which surgery and rehabilitation treatments were used to bring back pain-free movement and use of the knee. (Series: Orthopaedic Grand Rounds)

The Total Shoulder Replacement: Partnering with the Patient

Tue, 09 Dec 2008 00:00:00 GMT

Orthopaedics and Sports Medicine Professor Chair, Dr. Frederick A. Matsen III, addresses conditions requiring shoulder reconstructive surgery and demonstrates the surgical techniques involved. Dr. Matsen, along with physical therapist Sarah Jackins, describes the process of postoperative rehabilitation with a former patient. (Series: Orthopaedic Grand Rounds)

Atrial Fibrillation: A Surgical Perspective

Tue, 23 Dec 2008 00:00:00 GMT

Dr. Gabriel Aldea outlines the latest in surgical techniques to repair the irregular rhythms, rapid heart beats, blood clots and ineffective heart muscle contractions associated with atrial fibrillation. He also discusses the restoration of normal cardiac function using catheters, pacemakers and gives insight on the surgical MAZE technique and innovations in ultrasound, laser and cryothermal tools. (Series: Regional Heart Center Grand Rounds)

Common Running Injuries

Mon, 02 Apr 2007 00:00:00 GMT

Part of a healthy lifestyle often includes running, which can help to increase aerobic capacity and leg strength. However, the repetitive motions of running can lead to knee and ankle pain and injury. Orthopaedic specialist, Dr. John O’Kane and physical therapist, Lori Sabado, discuss conservative management, with a review of the mechanisms of injury and prevention techniques, as well as injury treatment options. (Series: Orthopaedic Grand Rounds)

Anterior Cervical Spine Surgery

Fri, 16 Mar 2007 00:00:00 GMT

Anterior neck surgery allows for a very meaningful and complete surgical decompression of a compromised spinal cord and nerve roots. Limitations of this technique, however, exist in terms of its potential to achieve a successful fusion, loss of alignment and bone graft donor site morbidity. Recent advances in techniques under utilization of cages and improved plate designs have shown encouraging improvements in patient outcomes. (Series: Treatment of Cervical Spine Disorders)

Motion-preserving Surgery of the Spine

Fri, 16 Mar 2007 00:00:00 GMT

In the reconstruction efforts of non-traumatic, non-malignant conditions of the cervical spine, increasing efforts are underway to avoid fusion surgery, in order to avoid potential propagation of disc degeneration while utilizing minimally invasive procedures to increase patient comfort and expedite recovery. This program demonstrates endoscopic cervical nerve decompression, the technique of laminoplasty as well as early results of arthroplasty in the spine as examples of these efforts. (Series: Treatment of Cervical Spine Disorders)

Complex Cervical Conditions

Fri, 16 Mar 2007 00:00:00 GMT

Our increasingly aging population is inherently afflicted with a rising incidence of systemic ailments, such as tumor disease, inflammatory diseases and osteoporosis. In this lecture, doctors review clinical and radiographic risk factors for patients with inflammatory disease who should be considered for surgical stabilization. Doctors also review patients with a loss of physiologic lordosis of their neck and the management options. (Series: Treatment of Cervical Spine Disorders)

Update on Spinal Cord Injuries

Mon, 02 Apr 2007 00:00:00 GMT

Current strategies to counter spinal cord injury revolve around prevention through education, streamlined diagnostic process, and early decompression and stabilization of the traumatized spinal cord and surrounding structural elements. This session provides a comprehensive review of pathophysiology of cord injury and a critical review of current and experimental pharmacologic and surgical treatment approaches. (Series: Treatment of Cervical Spine Disorders)

Non-pharmacologic Therapy for Atrial Fibrillation

Fri, 24 Jul 2009 00:00:00 GMT

More than two million Americans have atrial fibrillation, a condition in which the the heart's upper atria chambers beat irreqularly when blood is not efficiently pumped out of the heart. Learn more about this condition, non-pharmacologic therapy, and theories for repair. (Series: Regional Heart Center Grand Rounds)

Angioplasty and Stenting

Tue, 23 Dec 2008 00:00:00 GMT

This program’s discussion focuses on the management of an individual suffering from an acute myocardial infarction, or heart attack, and includes an analysis of areas of controversies. These controversies include the role of emergent angioplasty and stent implantation, where this should be done, and what type of stents should be used. The conference concludes with a remarkable patient recovery. (Series: Regional Heart Center Grand Rounds)

Carpal Tunnel Syndrome: Advances in Treatment

Tue, 09 Dec 2008 00:00:00 GMT

A presentation on hand injuries and related surgical management. Included is a review of the anatomy of the hand and a demonstration of surgical procedures that repair injury and restore function. (Series: Orthopaedic Grand Rounds)

Congenital Heart Disease in Adults

Fri, 24 Jul 2009 00:00:00 GMT

UW cardiology specialists discuss surgical treatments and drug therapy for congenital heart disease in adults. The condition includes any type of congenital heart malformation existing since birth, and requires a lifetime of multidisciplinary care. (Series: Regional Heart Center Grand Rounds)

Autism: New Advances in Understanding and Treatment

Tue, 17 Apr 2007 00:00:00 GMT

Professor Dawson discusses the latest research on the diagnosis and treatment of one of the most puzzling and challenging of childhood disorders—autism. Dawson, working with funding from the National Institute of Child Health and Human Development, has brought together many researchers at the University into a collaborative effort to understand autism. (Series: Science Forum)

Cardiac Defect Closure as Treatment for Stroke

Tue, 23 Dec 2008 00:00:00 GMT

Steven Cramer, M.D., Steven L. Goldberg and Tom Jones, M.D., physicians with the University of Washington Regional Heart Center, review the medical evaluation and surgical procedures for stroke treatment. (Series: Regional Heart Center Grand Rounds)

Aortic Surgical Treatment: Marfan Syndrome

Tue, 23 Dec 2008 00:00:00 GMT

Chris King, M.D., Peter H. Byers, M.D., and Gabriel S. Aldea, M.D., physicians with the University of Washington Regional Heart Center, review the medical evaluation and surgical techniques for the treatment of a unique heart defect known as Marfan Syndrome. (Series: Regional Heart Center Grand Rounds)

Valve Surgery in the Young Adult

Thu, 04 Dec 2008 00:00:00 GMT

Dr. Ed Verrier presents a patient case study outlining surgical procedures to repair the heart valve. Pre- and post-operative echocardiograms illustrate a procedure using surgical aortic root enlargement. The lecture also highlights valve replacement options for the young adult, beginning with valve repair or reconstruction. Valvular heart disease improved by prosthesis includes several replacement options: mechanical prosthesis, stented bioprosthesis and stentless valves. (Series: Regional Heart Center Grand Rounds)

Hand and Wrist Arthritis

Thu, 15 Mar 2007 00:00:00 GMT

University of Washington Bone & Joint Center specialist, Dr. Thomas Trumble, explains surgical treatment and physical therapy management for arthritis of the hand. He reviews the anatomy of fingers and wrist, as well as surgical procedures that repair the injury, improve hand function, and reduce pain. (Series: Orthopaedic Grand Rounds)

Tumors and Related Conditions

Mon, 02 Apr 2007 00:00:00 GMT

University of Washington Bone & Joint Center specialist, Dr. Ernest Conrad discusses the treatments for cancerous tumors. (Series: Orthopaedic Grand Rounds)

Minimally Invasive Total Knee Replacement Surgery

Tue, 30 Jan 2007 00:00:00 GMT

Orthopaedic surgeon Dr. Seth Leopold demonstrates minimally invasive knee replacement surgery and discusses the benefits to patients. This University of Washington program follows a patient through the whole process, from pre-op to post-op. (Series: Inside Access)

Sports Injuries: Spine and Head, Part 2

Tue, 09 Dec 2008 00:00:00 GMT

Doctors talk to doctors about diagnosis and treatment of sports-related injuries to the spine and head. Surgeons present cases and answer questions.

Sports Injuries: Spine and Head, Part 1

Tue, 09 Dec 2008 00:00:00 GMT

Doctors talk to doctors about diagnosis and treatment of sports-related injuries to the spine and head. Surgeons present cases and answer questions.

Surgical Treatment for Ankle Arthritis

Thu, 15 Mar 2007 00:00:00 GMT

Dr Bruce Sangeorzan, University of Washington professor and chief of Harboview Orthopedic Service and Traumatology, and Dr. Sigvard Hansen, University of Washington professor and director of Sig T. Hansen Foot and Ankle Institute, discuss surgical options and the outcomes of treatment for ankle arthritis. (Series: Harborview Orthopaedic Grand Rounds)

Laser Treatment of Varicose Veins

Tue, 09 Dec 2008 00:00:00 GMT

The University of Washington Center for Endovascular Therapy fosters interdisciplinary collaboration, providing patients with vascular treatments based on the latest techniques. The UW Division of Vascular Surgery has expertise in the clinical assessment, non-invasive evaluation, and surgical management of patients with a wide variety of vascular problems, while Interventional Radiology has extensive experience with catheter-based techniques, including endovascular grafts. In this program, a doctor profiles one patient’s diagnosis and treatment for varicose veins.

New Horizons in Venous Insufficiency

Tue, 09 Dec 2008 00:00:00 GMT

Drs. Torrance Andrews and Mark Meissner, who have a combined expertise in clinical assessment, non-invasive evaluation, and surgical management of patients with a variety of vascular problems, focus this lecture on the latest diagnosis and treatment for varicose veins of the leg.

Osteoporosis of the Spine

Tue, 17 Apr 2007 00:00:00 GMT

The loss of healthy bone structure is an expected effect of aging, but it also affects many other segments of the population due to a variety of factors such as nutrition and diseases. Osteoporosis and its ill-effects have reached epidemic proportions with significant impact on individual well-being and health care costs. In this program, University of Washington doctors discuss the need for greater osteoporosis awareness and prevention among the general population and more pragmatic diagnostic and treatment approaches among health car providers. (Series: The Aging Spine)

Improving Regional Smiles

Mon, 04 Aug 2008 00:00:00 GMT

Eighty percent of dental disease in the state of Washington is found in twenty percent of the population, a population that is largely rural, poor, and young. A variety of community outreach experiences comprises the UW School of Dentistry’s 4-year curriculum, providing students with opportunities to serve patient populations that experience significant barriers to receiving dental care. Significant research programs have been developed to understand the biological and behavioral components that contribute to oral health disparities in this region.

Next Generation Scientists: Minority Outreach in Genome Sciences

Mon, 04 Aug 2008 00:00:00 GMT

Mapping the human genome was an amazing feat, but now that critical data needs to be put to use. How does each cell use the information contained within? What can we learn about genetic mutation and treatment of disease by studying genomics? These questions are being explored through collaboration between UW Medicine and the College of Engineering, a partnership fusing biomedicine and engineering for the advancement of health care. Students play an active role in this cutting-edge research, and the Genomics Outreach for Minorities program encourages minority students to become members of the genomics research team.

Glaucoma

Thu, 04 Dec 2008 00:00:00 GMT

Clinical case studies focusing on surgical techniques for the treatment of Glaucoma. Viewer Discretion is Advised -- videotape of a surgical eye procedure is included in the broadcast. (Series: Cosmetic and Ophthalmic Surgery)

Shoulder Arthroscopy and Rotator Repair

Fri, 16 Mar 2007 00:00:00 GMT

Dr. Christopher Wahl, University of Washington Sports Medicine specialist, discusses treatments for damage to the shoulder rotator cuff and ligaments. Arthroscopic medical equipment gives medical specialists the ability to look at the injured area from several angles to determine the best approach to repairing the injured area. (Series: Healthy Lifestyles)

Minimally Invasive Joint Replacement

Fri, 16 Mar 2007 00:00:00 GMT

University of Washington Dr. Seth Leopold discusses less-invasive knee and hip replacement surgery. A patient who had minimally-invasive knee replacement joins Dr. Leopold to share his experiences. Minimally-invasive partial knee replacement surgery results in faster recovery and less post-operative pain than traditional knee replacement. Newer hip replacement approaches are offered as minimally invasive, but some of those claims are more marketing than science. (Series: Healthy Lifestyles)

Cosmetic Surgery: A Multidisciplinary Approach

Tue, 09 Dec 2008 00:00:00 GMT

Cosmetic techniques for coping with weight-loss issues, such as the loss of skin elasticity, hair loss, nose reconstruction, and the use of botulinum toxin, among other aesthetic solutions. (Series: Cosmetic and Ophthalmic Surgery)

The Painful Adult Flat Foot

Thu, 15 Mar 2007 00:00:00 GMT

A significant number of people have what is described as flat feet, but a small portion of them have a type of flat foot condition that limits functional abilities and manifests into clinical problems. In this program, Dr. Bruce Sangeorzan, Harborview, University of Washington, discusses factors that contribute to this affliction and how to alleviate them. (Series: Harborview Orthopaedic Grand Rounds)

I Want To Be

Thu, 24 Apr 2008 00:00:00 GMT

Hear stories of three individuals who have prospered in spite of living with a serious mental illness. Demonstrating the value of meaningful work and supportive employers, "I Want To Be" will inspire those who are living with a mental illness to know they can succeed, employers to appreciate that hiring people with a mental illness is good for business and professionals in the mental health and vocational rehabilitation fields that their partnership with people striving to make a better life can pay dividends. An Introduction to the Film by Governor Christine Gregoire establishes the commitment of the state of Washington to become a leader in the employment of individuals living with a mental illness and that their success benefits us all.

"I Want To Be" was developed as part of the Mental Health Division’s Systems Transformation Initiative from the WA State Department of Social and Health Services and was a joint effort by the Mental Health Division, Washington Institute on Mental Health Research and Training, the University of Washington, Harborview Medical Center, and the film’s production company Hero Labs, with funding support from SAMHSA. (Series: I Want To Be)

Challenges in Understanding and Preventing HIV Transmission

Thu, 09 Apr 2009 00:00:00 GMT

Dr. Julie Overbaugh, a member of the Human Biology Division of the Fred Hutchinson Cancer Research Center, shares HIV prevention approaches, explains why a cure is so challenging and explores potential immunization against HIV. Overbaugh discusses her ongoing research in Kenya to analyze HIV variants early in infection, especially in women and infants. These early HIV strains represent critical targets for vaccine design, and provide important insights into how HIV is transmitted. (Series: Molecular Medicine 2009 Public Lecture Series)

Stem Cell Therapy in Cardiac Disease - Charles Murry, MD, Ph.D.

Thu, 09 Apr 2009 00:00:00 GMT

How can we harness the power of stem cells to repair the heart or other damaged organs? Dr. Chuck Murry, Dept. of Pathology; Director, Center for Cardiovascular Biology at the University of Washington describes a spectrum of approaches, ranging from understanding the basic science of stem cell differentiation, to using stem cells to create new tissues. (Series: Laboratory Medicine Grand Rounds)

Laboratory Diagnosis of Bacterial and Fungal Diseases - Brad Cookson, MD, Ph.D.

Fri, 13 Apr 2007 00:00:00 GMT

Dr. Brad Cookson from the University of Washington addresses how molecular biology has impacted clinical laboratory utilization, such as the speed, cost and efficiency of diagnosing infectious diseases caused by bacteria and fungi. Cookson also discusses the ability of the best hospitals to more effectively deliver patient care. (Series: Laboratory Medicine Grand Rounds)

Adolescent Brain Development

Thu, 16 Apr 2009 00:00:00 GMT

Dr. Fran Lexcen, forensic examiner at the University of Washington’s Child Study and Treatment Center, shares research on adolescent brain development. This presentation was part of a larger exploration of issues affecting youth advocates sponsored by the UW School of Law’s Court Improvement Training Academy (CITA), in partnership with the Washington Defender Association. (Series: Issues for Youth Advocates and the Systems in which They Work)

Immunopathogenesis and Epidemiology of Malaria - Patrick Duffy, MD

Thu, 17 Apr 2008 00:00:00 GMT

Malaria caused half a billion clinical illnesses and a million or more deaths in 2007. Measuring the burden of malaria is difficult because clinical features overlap with other diseases, diagnosis is imperfect, and many of its sequelae are masked by the complex relationship of parasite to host to disease. The remarkable life cycle of the parasite offers many targets for intervention, and vaccines being developed against different stages of the life cycle have different objectives. Learn more about malaria from Patrick Duffy, professor, University of Washington department of Global Health, and director of the Malaria Program at the Seattle Biomedical Research Institute. (Series: Laboratory Medicine Grand Rounds)

From Lab Medicine Resident to Pharmaceutical CEO: The Story of Syntrix Biosystems - John Zebala, MD, Ph.D.

Thu, 17 Apr 2008 00:00:00 GMT

This University of Washington grand rounds will be of interest to potential and current entrepreneurs in the biomedical sciences and those considering alternative career paths in medicine. Dr. John Zebala, CEO of Syntrix Biosystems gives an overview of the elements necessary to forming an early stage biotechnology company, including conventional and alternative sources of financing, strategies for developing a strong intellectual property portfolio and other first-hand lessons learned during the formation process of a biotechnology business. (Series: Laboratory Medicine Grand Rounds)

Daniel's Story: Craniofacial and Neurosurgery

Fri, 20 Apr 2007 00:00:00 GMT

Daniel was born with part of his brain outside his skull. His face didn't look like other people's. At Seattle Children's Hospital, a team of craniofacial and neurosurgeons sealed the opening to Daniel's brain to protect him from disease and injury. Learn more about this very complicated procedure in this University of Washington program, where doctors give Daniel the face he should have been born with.

This program has earned an Emmy nomination from the Northwest Chapter of the National Academy of Television Arts and Sciences for its outstanding production. It has already received a New York Festivals International Film and Video Competition bronze award earlier in 2008. (Series: Inside Access)

The Personal Genome: Consequences for Society

Mon, 23 Jun 2008 00:00:00 GMT

Originally webcast April 23, 2008, the University of Washington Department of Genome Sciences presents the panel discussion moderated by Maynard Olson, University of Washington professor of medicine and a pioneer in human genome discoveries. Speakers included George Church, professor of genetics at Harvard Medical School and director of the Center for Computational Genetics; Bill Gates III, Microsoft; Eric Lander, founder of Broad Institute and one of the leaders of the Human Genome Project, exploring the molecular mechanisms underlying the basis of human disease; and Leona Peltonen of Wellcome Trust Sanger Institute, a pioneer in the use of genetically isolated populations in the identification of disease genes. (Series: The Personal Genome: Consequences for Society)

Cardiovascular Disease, Part 1

Mon, 23 Jun 2008 00:00:00 GMT

Dr. Jeanne Poole reviews the common supraventricular tachyarrhythmias, along with evaluation, management and treatment approaches. Medical vs. non-medical, rate vs. rhythm control approaches will also be discussed during this program. (Series: Innovations in Treatment)

Cardiovascular Disease, Part 2

Mon, 23 Jun 2008 00:00:00 GMT

Dr. Wayne Levy, creator of the Seattle Heart Failure model, gives a detailed explanation of how his model makes accurate predictions of survival rates among congestive heart failure patients. And Dr. William Shuman examines the benefits of 64-slice imaging as a practice in cardiact CT angiography. (Series: Innovations in Treatment)

Cardiovascular Disease, Part 3

Mon, 23 Jun 2008 00:00:00 GMT

Take a closer look at one of the most deadly diseases in America, coronary artery disease. Dr. Larry Dean explains the history of the disease and how to manage the associated risks. (Series: Innovations in Treatment)

Musculoskeletal and Spine Conditions, Part 1

Mon, 23 Jun 2008 00:00:00 GMT

Three doctors from three different specialities examine the cause and basic approaches for diagnosing back pain. (Series: Innovations in Treatment)

Musculoskeletal and Spine Conditions, Part 2

Wed, 25 Jun 2008 00:00:00 GMT

Three doctors from different specialties examine non-surgical treatment strategies for managing low back pain. Dr. Marla Kaufman discusses anesthetic agents and corticosteroids. Dr. Michael Lee looks at the latest evidence based-approaches and recent advances in spinal surgery. Dr. Virany Huynh Hillard reviews minimally-invasive techniques, including advantages and disadvantages of lumbar microendoscopic discectomy, lumbar decompressive laminotomy, Lumbar Fusion, and interspinous decompression devices. (Series: Innovations in Treatment)

The Jekyll and Hyde of Regulatory Issues: Effects on the Evidence-Based Medicine of Laboratory Tests - Larry Kessler, Sc.D.

Thu, 30 Apr 2009 00:00:00 GMT

Some research has suggested that up to 80% of the US health care dollar is driven by diagnostic tests. The world of in vitro diagnostic testing though is often a hidden part of clinical medicine. In this talk, Dr. Larry Kessler from the School of Public Health and Community Medicine at the University of Washington describes the US Food and Drug Administration’s approach to classification of in vitro diagnostic devices FDA and their regulatory pathways. (Series: Laboratory Medicine Grand Rounds)

Oral Cancer: Treatment and Reconstruction

Tue, 15 May 2007 00:00:00 GMT

For months Carolyn Coogan pursued dental solutions for the pain in her jaw. Then an MRI revealed cancer. Coogan and Dr. Neal Futran, director of Otolaryngology – Head and Neck Surgery at the University of Washington Medical Center, recount the diagnosis and her available treatment options. Coogan’s treatment crossed medical disciplines, involving surgeries to remove cancer and reconstruct the jaw, and installation of the dental prosthesis. The program includes still images from Coogan’s jaw surgeries and models of the bones involved. (Series: Talk Medicine)

SBRI's 5th Annual Passport to Global Health Celebration Featuring Dr. Paul Farmer

Thu, 30 Apr 2009 00:00:00 GMT

Dr. Paul Farmer joins Seattle Biomedical Research Institute (SBRI) for an evening of learning about global health. Farmer discuss the global burden of infectious disease, his personal endeavors to end health care inequities in the world's poorest communities, and the importance of infectious disease research. (Series: SBRI's 5th Annual Passport to Global Health Celebration Featuring Dr. Paul Farmer)

The Psychology of Blink: Understanding How Our Minds Work Unconsciously - Part 1 of 2

Mon, 05 May 2008 00:00:00 GMT

Recent psychological research has revealed widely held unconscious thought patterns that most people would rather not possess. Dr. Anthony Greenwald, psychology professor at the University of Washington, describes his research developing the method (described in Malcolm Gladwell's Blink) that reveals this unconscious mental content, demonstrates the method and describes how the unconscious mental content that it reveals affects our behavior. (Series: Allen L. Edwards Psychology Lectures)

The Psychology of Blink: Understanding How Our Minds Work Unconsciously - Part 2 of 2

Mon, 05 May 2008 00:00:00 GMT

Recent psychological research has revealed widely-held unconscious thought patterns that most people would rather not possess. In this program from the University of Washington psychology department, MacArthur awardee Dr. Lisa Cooper, John Hopkins University School of Medicine, describes her research on how patient race influences patient-physician communication and physician clinical decision making. She also includes her efforts to design interventions to negate these undesired racial and ethnic health care disparities. (Series: Allen L. Edwards Psychology Lectures)

Saving Your Life: Medical Miracles and Heroes, Part 1

Fri, 01 May 2009 00:00:00 GMT

Technological breakthroughs and hybrid approaches to repairing abdominal aortic and brain aneurysms can mean the difference between life and death. These emergent, life-threatening conditions have been successfully treated by UW Medicine physicians who are leading the way surgically repairing these once devastating anomalies. University of Washington professors Drs. Joann G. Elmore, Laligam Sekhar, Hugh M. Foy and Benjamin W. Starnes explore the topic in the first half of this two-part program. (Series: Mini-Medical School 2009)

Saving Your Life: Medical Miracles and Heroes, Part 2

Fri, 08 May 2009 00:00:00 GMT

Technological breakthroughs and hybrid approaches to repairing abdominal aortic and brain aneurysms can mean the difference between life and death. These emergent, life-threatening conditions have been successfully treated by UW Medicine physicians who are leading the way surgically repairing these once devastating anomalies. University of Washington professors Drs. Joann G. Elmore, Laligam Sekhar, Hugh M. Foy and Benjamin W. Starnes explore the topic in the second half of this two-part program. (Series: Mini-Medical School 2009)

The Road to Becoming a Doctor, Part 1

Thu, 30 Apr 2009 00:00:00 GMT

Explore the process of becoming a doctor from application to admission, from the first and second years of basic science education to the third year of clinical education and “clerkships.” University of Washington School of Medicine professors Dr. Lawrence Robinson and Dr. Hugh M. Foy give an insider’s perspective. Just what happens in a medical student’s final years as an intern, resident and fellow? Learn surgical principles and skills and try your hand at simulated surgery. (Series: Mini-Medical School 2009)

The Road to Becoming a Doctor, Part 2

Thu, 30 Apr 2009 00:00:00 GMT

In the second part of this two-part program, continue exploring the process of becoming a doctor. University of Washington School of Medicine professors Dr. Lawrence Robinson and Dr. Hugh M. Foy give an insider’s perspective on the long road from admission into medical school to residency and beyond. Learn surgical principles and skills and try your hand at simulated surgery. (Series: Mini-Medical School 2009)

Dangerous Business: Workplace Hazards, Part 1

Thu, 30 Apr 2009 00:00:00 GMT

A myriad of causes lead to environmental illness. Some 100,000 chemicals are commonly used in the workplace today. University of Washington School of Medicine professors Drs. Joann G. Elmore, Hugh M. Foy, Christopher H. Allan and Matthew Keifer explain how workplace hazards are identified and what solutions are available to prevent or reduce injuries and health concerns. Also explore the most common of occupational injuries – carpal tunnel syndrome – and its related disorders. (Series: Mini-Medical School 2009)

Dangerous Business: Workplace Hazards, Part 2

Thu, 30 Apr 2009 00:00:00 GMT

In the second half of this two-part program, continue to learn about dangers in the workplace. University of Washington School of Medicine professors Drs. Joann G. Elmore, Hugh M. Foy, Christopher H. Allan and Matthew Keifer explain how workplace hazards are identified and what solutions are available to prevent or reduce injuries and health concerns. Also explore the most common of occupational injuries – carpal tunnel syndrome – and its related disorders. (Series: Mini-Medical School 2009)

The Eyes Have It: The Modern Medicine of Vision, Part 1

Fri, 01 May 2009 00:00:00 GMT

Diseases of the eye substantially degrade the quality of life for hundreds of millions of people worldwide. University of Washington School of Medicine professors Drs. Joann G. Elmore, Tueng Shen, Hugh M. Foy and Russ Van Gelder discuss leading causes of blindness, its symptoms and current and emerging treatments. (Series: Mini-Medical School 2009)

The Eyes Have It: The Modern Medicine of Vision, Part 2

Fri, 01 May 2009 00:00:00 GMT

Diseases of the eye substantially degrade the quality of life for hundreds of millions of people worldwide. In the second half of this two-part program, University of Washington School of Medicine professors Drs. Joann G. Elmore, Tueng Shen, Hugh M. Foy and Russ Van Gelder discuss leading causes of blindness, its symptoms and current and emerging treatments. (Series: Mini-Medical School 2009)

Breathtaking Advances: A Better Life for Those with Lung Injury and Lung Cancer, Part 1

Fri, 01 May 2009 00:00:00 GMT

Survival and quality of life has vastly improved for those fighting Acute Respiratory Distress Syndrome (ARDS) and lung cancer. Learn how physicians at UW Medicine, part of the University of Washington, have made great strides in managing these diseases. UW School of Medicine professors Drs. Joann G. Elmore, Hugh M. Foy, Len Hudson and Renato Martins share new and promising treatments being developed in the Northwest. (Series: Mini-Medical School 2009)

Breathtaking Advances: A Better Life for Those with Lung Injury and Lung Cancer, Part 2

Fri, 01 May 2009 00:00:00 GMT

Survival and quality of life has vastly improved for those fighting Acute Respiratory Distress Syndrome (ARDS) and lung cancer. In the second half of this two-part program, learn how physicians at UW Medicine, part of the University of Washington, have made great strides in managing these diseases. UW School of Medicine professors Drs. Joann G. Elmore, Hugh M. Foy, Len Hudson and Renato Martins share new and promising treatments being developed in the Northwest. (Series: Mini-Medical School 2009)

Prescription for Change at the FDA: A View from the Other Washington, Part 1

Fri, 08 May 2009 00:00:00 GMT

Professors at the University of Washington ask: Does the Food and Drug Administration need more rigorous reviews and trials before approving drugs and devices? Should the agency change the process for evaluating safety and effectiveness after products hit the market? What are the political and scientific forces that shape the context for FDA decision-making and how can the clinical and public health communities be included in the discussion? (Series: Mini-Medical School 2009)

Prescription for Change at the FDA: A View from the Other Washington, Part 2

Fri, 08 May 2009 00:00:00 GMT

Sport Nutrition Game Plan

Tue, 11 Aug 2009 00:00:00 GMT

How much do you consider the health benefits of the food on your plate at each meal time? Learn how to make smart decisions when planning a meal and how those choices can impact your performance as an athlete. (Series: WINForum)

New Approaches to Pain Management

Tue, 18 Aug 2009 00:00:00 GMT

Pain is impossible to measure, often making it difficult for physicians to diagnose and treat. Patients seeking treatment for pain may face prejudice and distrust. But Dr. Alex Cahana and Dr. David J. Tauben of the Center for Pain Relief at the University of Washington Medical Center believe in taking a new and more comprehensive approach to treating patients with pain. The Center for Pain Relief offers specialists in psychiatry, psychology, neurology, physical rehabilitation and alternative therapies. Through patient John Milchenko’s story, learn how the Center for Pain Relief finally helped him overcome the stigma that surrounds pain, and find comfort. (Series: Talk Medicine)

Serum Protein Quantification by Mass Spectrometry: Is There Hope? - Andrew Hoofnagle, MD, PhD

Thu, 03 Dec 2009 00:00:00 GMT

Protein immunoassays have played a central role in the clinical laboratory for decades. In many patients, these assays have important limitations that can lead to inappropriate or delayed treatment. Dr. Andy Hoofnagle from the University of Washington discusses how liquid chromatography-tandem mass spectrometry provides an alternative platform that may avoid common analytical issues with the immunoassay of clinical specimens using thyroglobulin as a case study. (Series: Laboratory Medicine Grand Rounds)

Hand and Microsurgery Team

Mon, 18 Dec 2006 00:00:00 GMT

This University of Washington program features UW Medicine's Orthopaedic and Sports Medicine surgeons who specialize in treatments for a wide variety of hand, wrist and arm problems, with the goal of returning patients to full function. We take a behind-the-scenes look at Drs. Doug Hanel, Thomas Trumble, Nicholas Vedder and Paul Martineau as they work with patients suffering from stiff elbow, radius malunion, carpal tunnel syndrome and thumb arthritis.

To view 2-minute versions of this program, go to:

Inside Access Preview: Carpal Tunnel Syndrome

Inside Access Preview: Stiff Elbow Trauma & Treatment

Inside Access Preview: Thumb Joint Replacement

(Series: Inside Access)

Sharing Medical Records with Patients- James D. Ralston, MD, MPH

Tue, 22 Dec 2009 00:00:00 GMT

Electronic medical records are being shared with patients over the Web, revolutionizing how patients and clinicians communicate. Dr. James D. Ralston, affiliate assistant professor in Health Services at the University of Washington and assistant investigator with Group Health Research Institute, provides an overview of the motivation for sharing medical records with patients: Interactive, real-time and prospective information is key to the patient-clinician relationship. He also uses the Institute of Medicine’s quality framework to discuss how sharing electronic medical records affects the quality of care. (Series: Laboratory Medicine Grand Rounds)

Breast Cancer Screening - The New Guidelines: Can we make sense out of the controversy?

Mon, 11 Jan 2010 00:00:00 GMT

In November 2009 the U.S. Preventive Services Task Force released new guidelines for breast cancer mammography screening. Coupled with intense media attention, these new guidelines spurred a national debate and generated confusion among patients, health care professionals and lawmakers.

An interdisciplinary panel of experts from the University of Washington attempts to bring order to the discussion and make sense out of the controversy surrounding the new breast cancer screening guidelines.

The event is part of the Institute of Translational Health Sciences Interdisciplinary Grand Rounds series. (Series: ITHS Interdisciplinary Grand Rounds)

Women's Health: What's Security Got to Do With It?

Tue, 22 Dec 2009 00:00:00 GMT

Part of the Washington Global Health Alliance Discovery Series, the University of Washington’s Department of Global Health presents Kavita N. Ramdas, president and CEO of the Global Fund for Women. Ramdas has dedicated herself to empowering women worldwide with the financial resources to increase girls' access to education, defend women's right to health and reproductive rights, prevent violence against women and advance women's political participation, as well as other vital issues. Ramdas delivered this lecture at the University of Washington on Oct. 5, 2009. (Series: Women's Health: What's Security Got to Do With It?)

Disclosing Harmful Medical Errors to Patients: What Is the Data Telling Us? - Thomas Gallagher, MD

Thu, 20 Dec 2007 00:00:00 GMT

Expectations are growing that physicians openly disclose harmful medical errors to patients, but at present such disclosure appears to be uncommon. In this University of Washington program, hear Dr. Thomas Gallagher talk about current research in the disclosure process and future developments. (Series: Laboratory Medicine Grand Rounds)

Update on Markers for Cardiovascular Disease Risk - Kevin O'Brien, MD

Thu, 20 Dec 2007 00:00:00 GMT

Cardiovascular disease remains the leading cause of death in Americans. In this University of Washington program, Dr. Kevin O'Brien teaches you how to identify the risk for deadly medical problems leading to this disease. (Series: Laboratory Medicine Grand Rounds)

Pharmacogenomic Testing and Breast Cancer: The Example of Cyp2D6 and Tamoxifen - Dr. Hannah Linden

Thu, 20 Dec 2007 00:00:00 GMT

Genomic heterogeneity is emerging as an important factor in determining tamoxifen benefit in breast cancer. Dr. Hannah Linden, Associate Professor of Medicine at the University of Washington, and a breast cancer oncologist at the SCCA and HMC will review recent laboratory and clinical trial evidence regarding tamoxifen metabolism and the impact of CYP2D6 pharacogenomic profiling. (Series: Laboratory Medicine Grand Rounds)

Adult Stem Cells from Skeletal Muscle and Heart - Morayma Reyes, MD, PhD

Tue, 22 Dec 2009 00:00:00 GMT

Take a closer look at adult stem cells with the University of Washington’s Dr. Morayma Reyes. How do these cells differ in highly regenerative tissues like skeletal muscle and poorly regenerative tissues like heart? Reyes discusses tissue repair and regeneration, and illustrates how stem cells interact with the microenvironment to respond to injury. (Series: Laboratory Medicine Grand Rounds)

Health Care Reform: The Real Story

Tue, 22 Dec 2009 00:00:00 GMT

How can the medical community deliver high-quality and cost-effective health care? David Cutler, the Otto Eckstein Professor of Applied Economics at Harvard University Department of Economics, examines some solutions at the 19th Hogness Symposium on Health Care lecture, entitled “Health Care Reform: The Real Story.” Ultimately, Cutler says, health care reform will depend on the participation of everyone: patients, health care providers, insurers and government. (Series: John R. Hogness Symposium on Health Care)

Planning Psychosocial Services for Families in Child Welfare

Wed, 23 Dec 2009 00:00:00 GMT

What are the right strategies for families involved with child welfare? Dr. Mark Chaffin, professor of pediatrics, clinical associate and professor of psychiatry and behavioral sciences at the University of Oklahoma Health Sciences Center, leads a Foster Care Assessment Program (FCAP) seminar that explores an evidence-based method for creating a service plan for individual families involved in child welfare. Chaffin, and experts from the Harborview Center for Sexual Assault and Traumatic Stress, considers an approach that includes basic triage principles, the precedence of focus over breadth of coverage, the phenomenon of a rising tide raising all boats, the idea that more is sometimes less, distinctions between mission critical vs. optional services and issues of client burden, motivation and preference in service selection. Speakers also present new research on modifications that may need to be made for chronic neglect cases. (Series: Planning Psychosocial Services for Families in Child Welfare)

History of Multiple Sclerosis

Thu, 04 Mar 2010 00:00:00 GMT

The second program in the Multiple Scleroses From A to Z series is presented by the distinguished MS researcher and clinician, Dr. Jock Murray. Dr. Murray is acknowledged as the world’s leading expert on the history of MS. He is from Halifax, Nova Scotia, where he has served as dean of Dalhousie Medical School, chairman of the Department of Neurology, and founder and director of the MS Clinic. (Series: Multiple Sclerosis from A to Z)

Quadriceps-Sparing Knee Replacement

Mon, 23 Feb 2009 00:00:00 GMT

Quadriceps-sparing total knee replacement is a less invasive procedure for inserting knee replacement implants, involving a shorter incision and less recovery time than the traditional approach. UW Medicine orthopaedic surgeon Dr. Seth Leopold specializes in this technique, helping patients with painful arthritis return to the activities they enjoy. .

To view the full Inside Access program, go to Inside Access: Advances in Joint Replacement: Total Hip Resurfacing and Quadriceps-Sparing Knee Replacement.

(Series: Inside Access Preview)

Sports and Spine Physicians

Mon, 23 Feb 2009 00:00:00 GMT

Active lifestyles range from hard-driving athletes to parents playing ballwith their kids. When injury or illness takes away the ability to pursue those activities, it affects both physical and emotional health. The UW Medicine Sports and Spine Physicians team is dedicated to restoring maximum function so their patients can be fit for life. .

To view the full Inside Access program, go to Inside Access: Regaining an Active Life.

(Series: Inside Access Preview)

The Role of Nanotechnology in the Clinical Laboratory - Steven C. Kazmierczak, Ph.D.

Mon, 23 Feb 2009 00:00:00 GMT

Nanotechnology is a term widely used today that describes man’s ability to control the manufacture of functional “nanosystems”, or to deliberately create structures at the nano scale that exhibit unique properties. Dr. Steven C. Kazmierczak provides a basic understanding of the concepts underlying nanotechnology, and describes how materials function differently at the nano level compared with the macro scale. The importance of nanotechnology as it relates to medical technology is the primary focus. (Series: Laboratory Medicine Grand Rounds)

The Diagnosis Tipping Point: To Change or Not to Change? - Brian Budenholzer, MD

Mon, 23 Feb 2009 00:00:00 GMT

New tests to diagnose disease often entice clinicians. What should be the tipping points that move a doctor to embrace the new and abandon the old way? In this presentation, "The Diagnostic Tipping Point. To Change or Not to Change?" Dr. Brian Budenholzer will show how he approaches this decision. (Series: Laboratory Medicine Grand Rounds)

Malaria: Hot Times for a Bad Disease

Thu, 27 Mar 2008 00:00:00 GMT

Dr. Wesley Van Voorhis, acting head of UW’s allergy and infectious diseases division, talks about the ongoing battle against malaria — one of the world’s most common infectious diseases. (Series: Molecular Medicine 2008 Public Lecture Series)

UW Medicine - Neighborhood Clinics

Mon, 25 Feb 2008 00:00:00 GMT

UW Medicine Neighborhood Clinics offer patients convience and extraordinary primary care with seven locations throughout King County.

Advances in Cervical Cancer - Laura Koutsky, Ph.D., MSPH

Mon, 19 Mar 2007 00:00:00 GMT

Learn more about human papillomavirus and how to prevent related diseases in "Advances in Cervical Cancer." Laura Koutsky, epidemiology professor in the University of Washington School of Public Health and Community Medicine, assesses new technologies such as vaccines that have the potential to dramatically reduce the risk of cervical cancer. (Series: Laboratory Medicine Grand Rounds)

New Lungs: A Gift of Life

Thu, 05 Apr 2007 00:00:00 GMT

Lung disease can lead to transplantation in some patients. It takes an entire team of medical professionals to assist a patient from the initial diagnosis into day-to-day treatment and finally surgery and recovery. University of Washington's Dr. Ganesh Raghu discusses the care and treatment of patients before and after transplantation. Dr. Mike Mulligan and the UW Medical Center transplantation team work against the clock to procure and transplant a set of lungs in this complicated, multiple surgery procedure.

To view a 2-minute version of this program, go to Inside Access Preview: Lung Transplant.

(Series: Inside Access)

Perspectives on Evidence-Based Medicine in Spine Surgery

Thu, 04 Mar 2010 00:00:00 GMT

This show is hosted by Jens R. Chapman and Rand Chesnut and concentrates on the impact of the concept of Evidence Based Medicine on Spine care. The concept of Evidence Based Medicine (EBM) has brought about a new interpretation of the evaluation of clinical practices based on evaluation of scientific research in an organized fashion. Its introduction has drawn interest for its potential of using rational based principles in health care and diminishing costs, but has been criticized for its use of impersonal statistical means in delivering patient care and negating personal experiences of physicians.

Dr. Randall Chesnut, Professor of Neurological Surgery and Orthopaedic Surgery at Harborview Medical Center, University of Washington, introduces and discusses principles of Evidence Based Medicine as they apply to spine surgery and the importance of introducing these concepts now. His lecture is followed by a review of the experiences with a pioneering Washington State wide concept of practice improvement in General surgery presented by Dr. David Flum, Professor of Surgery at University of Washington Medical Center in Seattle of Washington. Dr. Peter Fritzell, Professor of Orthopaedic Surgery presents the experiences of the Swedish Spine Registry and its potential for changing practice habits. It also demonstrates in an unprecedented fashion the positive health impact of spine surgery on patient well being. Calls for further research are common when reviewing scientific literature on any given topic. Dr. Mike Janssen, D.O. from the Colorado Spine Group in Thornton, CO, presents the real world difficulties of performing prospective research under FDA supervision and offers helpful hints in how to be successful in a demanding environment.

(Series: Eighth Annual Harborview Spine Symposium: Resolving Ongoing Controversies in Spine Surgery Using an Evidence-Based Medicine Approach)

Update on Management of Common Pediatric Spinal Deformities

Thu, 04 Mar 2010 00:00:00 GMT

Moderated by Dr. Ted Wagner, Dr. Walter Krengel, Associate Clinical Professor at the University of Washington Department of Orthopaedic Surgery and Chief of Spine Service at Seattle Children’s Hospital, offers evidence supporting either surgical or nonoperative care of adolescent idiopathic scoliosis, a progressive spinal deformity affecting mainly young female patients at puberty. Dr. Chris Standaert, Clinical Associate Professor of Rehabilitation Medicine, Neurological Surgery and Orthopaedic Surgery, also provides a comprehensive analysis of “spondylolysis,” which usually represents a stress fracture of the arch of the fifth lumbar vertebra and can affect a fair number of physically active patients around adolescence. He provides a critical review of clinical signs, appropriate diagnostic work-up and nonsurgical as well as operative treatment using currently available evidence. (Series: Eighth Annual Harborview Spine Symposium: Resolving Ongoing Controversies in Spine Surgery Using an Evidence-Based Medicine Approach)

Diagnostic Injections in the Lumbar Spine

Thu, 04 Mar 2010 00:00:00 GMT

Examine a variety of injection techniques used to help diagnose spinal conditions as well as expedite their treatment. Dr. Scott Laker, Assistant Clinical Professor of Rehabilitation Medicine at the University of Washington and at Puget Sound Sports and Spine at the Spine Center at Harborview Medical Center, presents the current state of literature comparing these various modalities and outlines the need for further research in this area. Dr. Ray Baker, Adjunct Clinical Professor with the UW Department of Anesthesiology and President of Washington Interventional Spine Associates, also presents his findings on provocative lumbar discography, an injection test used to diagnose a painful lumbar disc condition called “internal disc disruption.” This test has been used for more than 50 years, but it remains controversial. Dr. Jens R. Chapman of the the University of Washington hosts this program, the third of seven programs in the Eighth Annual Harborview Spine Symposium. (Series: Eighth Annual Harborview Spine Symposium: Resolving Ongoing Controversies in Spine Surgery Using an Evidence-Based Medicine Approach)

Reconstructive Surgery for Degenerative Neck Disorders

Thu, 04 Mar 2010 00:00:00 GMT

Degenerative disorders of the neck are usually manifested by disc herniations or overgrowth of bone spurs and can result in compression of the spinal cord or exiting nerve roots. Dr. Michael Lee, Assistant Professor of Orthopaedic Surgery at the University of Washington, discusses results of the perceived gold standard of treatment for this condition. The undeniably excellent results achievable in the short run are balanced by a concern for adjacent disc levels being subjected to a premature rate of failure due to changes in neck mobility. Dr. Michael Janssen, Clinical Associate Professor of Orthopaedic Surgery at the University of Colorado and CEO of the Spine Education and Research Institute, offers an update on cervical disc arthroplasties (artificial disc replacements), including the results of the FDA studies and more recent, not yet published long-term follow-up. Despite having gained FDA approval of two devices, and showing favorable results in the scientific medical literature, insurance coverage for these devices has remained inconsistent. Janssen critically reviews the latest findings and discusses possible causes for the current limitations placed on cervical disc replacements. This is the fourth of seven programs in the Eighth Annual Harborview Spine Symposium. (Series: Eighth Annual Harborview Spine Symposium: Resolving Ongoing Controversies in Spine Surgery Using an Evidence-Based Medicine Approach)

Optimal Surgical Treatment of Degenerative Lumbar Spondylolisthesis

Thu, 04 Mar 2010 00:00:00 GMT

Dr. Carlo Bellabarba, Associate Professor at the University of Washington Department of Orthopaedic Surgery and Chief of the Orthopaedic Spine Service at Harborview Medical Center, discusses the results of conventional open decompression and fusion techniques for a disorder described as degenerative lumbar spondylolisthesis and stenosis using evidence-based medicine techniques. This condition is increasingly common in elderly and active patients and is characterized by a slippage of one vertebra relative to the next lower vertebra. This translation results in a progressive narrowing of the spinal canal and usually requires some form of surgical intervention. Dr. Trent Tredway, Assistant Professor of Neurological Surgery at the University of Washington Medical Center, also shares his experiences using minimally invasive surgery for the treatment of this same condition. This new option appears to offer some advantages in terms of decreasing blood loss and infection rates, however, may lead to higher reoperation rates due to a number of circumstances, which are openly presented. Moderated by Dr. Jens R. Chapman of the University of Washington, this is the fifth of seven programs in the Eighth Annual Harborview Spine Symposium. (Series: Eighth Annual Harborview Spine Symposium: Resolving Ongoing Controversies in Spine Surgery Using an Evidence-Based Medicine Approach)

Evidence-Based Management of Common Lumbar Spine Conditions

Fri, 26 Feb 2010 00:00:00 GMT

Theories differ over preferred management of low back conditions. Dr. Jerry Jarvik, Professor of Radiology at the University of Washington, discusses important improvements of the interpretation of lumbar MRI scans. Dr. Michael Lee, Assistant Professor of Orthopaedic Surgery at the University of Washington Medical Center, also presents a series of studies comparing conventional surgical decompression techniques for lumbar spinal stenosis to more recently developed techniques. Dr. Rick Bransford, Assistant Professor at the Department of Orthopaedic Surgery and Adjunct Assistant Professor of Neurological Surgery at UW, reviews implants intended to relieve spinal stenosis, known as “interspinous spacers.” Finally, Dr. Randall Chesnut, Professor of Neurological Surgery and Adjunct Professor of Orthopaedic Surgery at Harborview Medical Center, addresses one of the more long-standing controversies in spine surgery: the realignment of lumbar spondylolisthesis (lower back slippage). This is the sixth of seven programs in the Eighth Annual Harborview Spine Symposium. (Series: Eighth Annual Harborview Spine Symposium: Resolving Ongoing Controversies in Spine Surgery Using an Evidence-Based Medicine Approach)

Evidence on Lumbar Disc Replacements

Thu, 04 Mar 2010 00:00:00 GMT

Lumbar disc replacement remains a contentious issue despite increasing evidence these devices may improve the quality of life of patients if used correctly. Dr. Mike Janssen, Clinical Associate Professor of Orthopaedic Surgery at the University of Colorado and CEO of the Spine Education and Research Institute, presents the most current insights available for this surgical technique and makes comparisons to fusion surgery. The University of Washington’s Dr. Jens R. Chapman addresses the primary reservations about lumbar disc replacement. Hosted by Dr. Carlo Bellabarba, Associate Professor at the University of Washington Department of Orthopaedic Surgery and Neurological Surgery and Chief of the Orthopaedic Spine Service at Harborview Medical Center, this is the seventh of seven programs in the Eighth Annual Harborview Spine Symposium. (Series: Eighth Annual Harborview Spine Symposium: Resolving Ongoing Controversies in Spine Surgery Using an Evidence-Based Medicine Approach)

Novel Ways to Construct and Use Nanoscale Devices for Biochemical Analysis - Babak Parviz, Ph.D.

Mon, 25 Feb 2008 00:00:00 GMT

Recent advances in the electronics industry have enabled access to a number of sophisticated technologies at low costs. Univesersity of Washington's associate professor of Electrical Engineering, Dr. Babak Parviz, discusses a few aspects of the use of these technologies in detecting biomolecules of interest, such as direct nano-scale electronic detection of biomarkers and construction of low-cost disposable biosensors. (Series: Laboratory Medicine Grand Rounds)

Innovations in Spine Care

Wed, 11 Mar 2009 00:00:00 GMT

Physicians at the University of Washington Medical Center’s Bone and Joint Surgery Center use state-of-the-art research and technology to expand treatment options for spine patients. Hear directly from three UW Medicine doctors, Dr. Virany Hillard, Dr. Marla Kaufman and Dr. Michael Lee, and their patients as each are treated for spine ailments. In one case, surgery was the solution for getting a rancher back in the saddle again. For another patient suffering from stenosis, a steroid injection and physical therapy was the right course of action. A third patient with a herniated disc first chose less invasive treatment, then found surgery was ultimately the answer for regaining his active lifestyle.

To view 2-minute versions of this program, go to:

Inside Access Preview: Surgical Spine Repair

Inside Access Preview: Herniated Disc Repair

Inside Access Preview: Back In Action

(Series: Inside Access)

Tumor Vaccine Group 2008 Open House

Wed, 07 Jan 2009 00:00:00 GMT

Dr. Mary L. "Nora" Disis, professor of medicine at the University of Washington, joins Dr. Kathleen Tietje, administrative director at the Tumor Vaccine Group, to discuss the group and its mission of being a multidisciplinary group of investigators focused on the diagnosis, prevention and treatment of cancer with novel, immune-based therapies. Involving scientists, doctors, nurses, and patients, our translational research works to bring the most innovative treatments from the bench to the bedside and to harmonize scientific study with patient care. (Series: Tumor Vaccine Group 2008 Open House)

MRSA - The Bug Stops Here - Ferric Fang, MD

Wed, 07 Jan 2009 00:00:00 GMT

Dr. Ferric Fang, professor of laboratory medicine at the University of Washington presents the novel and problematic Methicillin-Resistant Staphylococcus aureus (MRSA) strains. These strains have emerged as highly virulent drug-resistant pathogens in both community and hospital settings. This lecture will review current knowledge regarding the epidemiology and pathogenesis of this dangerous microbe and provide guidance with regard to the detection, prevention and treatment of MRSA infections. (Series: Laboratory Medicine Grand Rounds)

Advances in Understanding Susceptibility to Infectious Diseases - Thomas Hawn, MD, Ph.D.

Tue, 13 Jan 2009 00:00:00 GMT

Through the use of two case studies, Dr. Thomas Hawn, Professor of Medicine from the Department of Allergy and Infectious Disease at the University of Washington, provides a brief history of innate immunity, genetics and the potential for personalized medicine to address infectious diseases in the future. (Series: Laboratory Medicine Grand Rounds)

Overview and Current Concepts of Multiple Sclerosis

Thu, 04 Feb 2010 00:00:00 GMT

The first in a series of programs exploring Multiple Sclerosis from A to Z, this program takes a broad view of the autoimmune disease which affects the brain and central nervous system. UW researchers as well as nationally- and internationally-renowned experts define MS and explore current concepts of the disease. (Series: Multiple Sclerosis from A to Z)

Real-Time Continuous Glucose Monitoring: Revolutionary or Another Fad? - Irl Hirsch, MD

Tue, 13 Jan 2009 00:00:00 GMT

The management of diabetes, particularly type 1 diabetes, is on the verge of substantial change. Irl Hirsch, professor of medicine at the University of Washington, uses the results of recently published controlled trials and examples to illustrate how a new system of continuous glucose monitoring may change the way in which diabetes patients are treated. (Series: Laboratory Medicine Grand Rounds)

End-of-life Decision Making

Tue, 19 Jan 2010 00:00:00 GMT

Leaders in pediatric bioethics discuss the often difficult and complex issues related to end-of-life decision making. Presented by the Treuman Katz Center for Pediatric Bioethics at Seattle Children’s Hospital, the 2009 Pediatric Bioethics Conference explored ethical issues in adolescent health care. Dr. Douglas Diekema, director of education at the Treuman Katz Center and adjunct associate professor of Bioethics and Humanities at the University of Washington, is joined by Dr. Lainie Friedman Ross, professor of Clinical Medical Ethics at the University of Chicago, and Dr. Ellen Clayton, director of the Center for Biomedical Ethics and Society at Vanderbilt University Medical Center. (Series: Pediatric Bioethics Conference 2009)

Everyday Ethics

Tue, 19 Jan 2010 00:00:00 GMT

Explore the mind of the adolescent and what motivates decisions about their health care with leaders in pediatric bioethics at the 2009 Pediatric Bioethics Conference presented by the Treuman Katz Center for Pediatric Bioethics at Seattle Children’s Hospital. Dr. Lesly Walker, chief of the Division of Adolescent Medicine at Seattle Children's/University of Washington School of Medicine, and Julie Giesy Metzger, RN, MN, co-founder of Great Conversations, lead the discussion. (Series: Pediatric Bioethics Conference 2009)

Adolescents as Parents: Ethical and Legal Considerations

Tue, 19 Jan 2010 00:00:00 GMT

Leaders in pediatric bioethics explore the medical and legal challenges that arise when assisting an adolescent parent with health care decisions for both themselves and their children in this video from the University of Washington. Presented by the Treuman Katz Center for Pediatric Bioethics at Seattle Children’s Hospital, the 2009 Pediatric Bioethics Conference explored ethical issues in adolescent health care. Dr. Mark Mercurio, director of the Yale Pediatric Ethics Program at Yale University School of Medicine is joined by Jessica Berg, JD, MPH, professor of Law and Biomedical Ethics at Case Western Reserve University, and Abigail English, JD, director of the Center for Adolescent Health and the Law at Chapel Hill, North Carolina. (Series: Pediatric Bioethics Conference 2009)

Eat to Impact Performance

Thu, 17 Jan 2008 00:00:00 GMT

The Washington Interscholastic Nutrition Forum is an organization dedicated to promoting better nutrition education for young athletes. The WINForum's goal is to reinforce the connection between good nutrition and peak performance. (Series: WINForum)

Rate Your Plate to Score

Fri, 16 Jan 2009 00:00:00 GMT

Building a Community-based Health Care Movement

Thu, 18 Jan 2007 00:00:00 GMT

The subject of Tracy Kidder's book "Mountains Beyond Mountains: The Quest of Dr. Paul Farmer, a Man Who Would Cure the World," Farmer is a renowned infectious-disease specialist, anthropologist, the recipient of a MacArthur "genius" grant, and co-founder of Partners in Health, a nonprofit organization bringing healthcare to impoverished parts of the world. Farmer's visit to the University of Washington was part of the inaugural year of the UW Common Book, a project aiming to engage all entering University of Washington students in a common intellectual experience of reading the same book. In 2006, the selection was "Mountains Beyond Mountains." (Series: UW Common Book)

Laboratory Testing Needs in Developing Countries - Matthew Steele, Ph.D., M.P.H.

Thu, 07 Feb 2008 00:00:00 GMT

Dr. Matthew Steele talks about the efforts by Seattle-based PATH(Program for Appropriate Technology in Health) to develop diagnostic tests targeted for use in third-world countries in settings with limited resources. Clinical care settings in the developing world are characterized by chronic shortfalls in human, financial, and infrastructure resources related to diagnosis of disease in the laboratory or in the field. The PATH Diagnostics Group develops diagnostic test systems for these settings, improving delivery and implementation of such. (Series: Laboratory Medicine Grand Rounds)

Biomarkers and Early Cancer Detection - Peter Nelson, MD

Thu, 07 Feb 2008 00:00:00 GMT

See how UW Medicine’s Division of Oncology is contributing to scientific advances that are producing potential new biomarkers for the early detection of cancer and improved disease management. Advances in genomics, proteomics and molecular pathology have produced many candidate biomarkers with the potential to impact clinical care. Dr. Peter Nelson tells us about the current status of biomarkers for the early detection of cancer, and for predicting disease outcomes, and how the methods for such discovery are being used in personalized medicine. (Series: Laboratory Medicine Grand Rounds)

The Changing Human Genome: Implications for Disease and Evolution

Thu, 27 Mar 2008 00:00:00 GMT

Dr. Evan Eichler, UW genome sciences professor and investigator with Howard Hughes Medical Institute, examines what current human genome research reveals about disease. (Series: Molecular Medicine 2008 Public Lecture Series)

Water, Energy, and Life: Fresh Views From the Water's Edge

Mon, 25 Feb 2008 00:00:00 GMT

Dr. Gerald Pollack, UW professor of bioengineering, has developed a theory of water that has been called revolutionary. The researcher has spent the past decade convincing worldwide audiences that water is not actually a liquid. Pollack explains his fascinating theory in this 32nd Annual Faculty Lecture. (Series: Annual Faculty Lectures )

Center for Endovascular Therapy

Mon, 12 Feb 2007 00:00:00 GMT

UW Medicine's Center for Endovascular Therapy offers a unified, multidisciplinary approach to patient care at both Harborview Medical Center and UW Medical Center. This University of Washington program explores how surgeons and interventional radiologists work together to choose the best individualized treatment for each patient as well as giving viewers an in-depth look at three endovascular procedures: carotid stenting, vein ablation, and thoracic aortic stent grafts.

To view a 2-minute version of this program, go to Inside Access Preview: Treating Varicose Veins.

(Series: Inside Access)

Causation of Scoliosis and Natural Course History

Tue, 30 Jan 2007 00:00:00 GMT

Spinal deformity has fascinated as well as frightened human kind since the advent of recorded history. The causation of spinal deformity remains multi-factorial and incompletely understood. In this show a brief introduction to the history of scoliosis management is followed by a state of the art review of our current understanding of etiology and non-operative care. In an interactive format questions and commentaries of a number of scoliosis surgeons pose commonly asked general questions to University of Washington experts in the field of scoliosis surgery. (Series: Fifth Annual Harborview Spine Symposium)

Scoliosis Assessment and Classification

Tue, 30 Jan 2007 00:00:00 GMT

Systematically assessment of patients with spinal deformity and predicting the physiologic impact on cardiopulmonary function in both pediatric and adult patients can influence the quality of life for of spinal deformity patients considerably. Classification of scoliosis allows for some prediction of its risk of deterioration over time and can influence treatment. Severe curves can have a known adverse effect on lung and heart function. University of Washington dcotors review the correlation of spinal deformity and cardiopulmonary function, as well the influence of surgery in limiting cardiopulmonary impairment. (Series: Fifth Annual Harborview Spine Symposium)

Scoliosis Surgery

Tue, 30 Jan 2007 00:00:00 GMT

Surgical management of scoliosis has undergone dramatic changes over a 50year period. Starting with relatively simple posterior systems such as the Harrington and Luque rods, it evolved to concepts of anterior only procedures and combined procedures from a patient’s front and back. Recently introduced implant systems allow for unprecedented deformity correction from back-sided (posterior) only surgery. Experts from the University of Washington and elsewhere outline the relative merits and drawbacks of these various surgical approaches. They present modern techniques of anchoring a spinal deformity construct to the pelvis with the goal of preventing deformity recurrence. (Series: Fifth Annual Harborview Spine Symposium)

Deformity Reduction with Pedicle Screws

Tue, 30 Jan 2007 00:00:00 GMT

Realignment of spinal deformities has been greatly enhanced by the use of pedicle screw based implant systems. University of Washington doctors present the safety and utility of screw fixation in the thoracic spine, followed by a discussion of application of these devices for patients with lumbo-sacral spondylolisthesis. (Series: Fifth Annual Harborview Spine Symposium)

Neuromuscular Scoliosis and Neural Element Lesions

Tue, 30 Jan 2007 00:00:00 GMT

Disruption of integrity of neural elements through a variety of congenital, developmental and neoplastic conditions can lead to a unique disruption of the natural balance of the spinal column. Correct identification of the cause and the underlying pathology is helpful in managing the lesion. In presence of spinal cord lesions, timing of surgical treatment these conditions as opposed to correction of the spinal deformity remains an unanswered question and is debated in this program by University of Washington doctor Marcelo Vilela of Harborview and Dr. Mohammad Diab from University of California – San Francisco. (Series: Fifth Annual Harborview Spine Symposium)

Recurrent Spinal Deformity Above Spinal Fusion

Tue, 30 Jan 2007 00:00:00 GMT

Spinal deformity commonly is associated with a forward bending (kyphotic) malposition of the spine. Current surgical techniques allow for virtually complete deformity correction. Sadly, there are a number of factors, which may lead to recurrent forward-bending deformity. Causation, possible prevention and surgical correction strategies are presented by University of Washington doctor Jens Chapman and Dr. James Wilson-MacDonald from the University of Oxford, United Kingdom. (Series: Fifth Annual Harborview Spine Symposium)

Spinal Column Failure Below Fusion

Tue, 30 Jan 2007 00:00:00 GMT

One of the goals of deformity surgery in the spine is to minimize the length of a fusion to preserve best possible motion of non-affected spine segments. A number of factors can contribute to premature recurrence of deformity and failure of motion segments below a fusion. In this University of Washington program, learn how anticipation of spinal balance and adherence to surgical principles can minimize risk for early breakdown of motion segments below a fusion. (Series: Fifth Annual Harborview Spine Symposium)

Motion-Preserving Treatment of Spinal Deformity

Tue, 30 Jan 2007 00:00:00 GMT

While fusion remains a key method for treatment of spinal deformity correction, ultimately some patients may be treated with motion-preserving surgery. University of Washington doctors discuss the potential of future use of mechanical disc replacement devices adjacent to fusions or as stand-alone treatment. The risk of spine fractures around previously fused patients may also be decreased by use of new non-fusion approaches. (Series: Fifth Annual Harborview Spine Symposium)

Modulating Spine Deformity with Non-Fusion

Tue, 30 Jan 2007 00:00:00 GMT

Very young patients with spinal deformity pose major treatment challenges due to their potential to develop major spinal deformity with ongoing growth. Understanding the nature of a scoliosis and detecting patients with potentially serious deformity early may allow for life-changing deformity correction. The role of motion-preserving surgical techniques for young patients with stapling, banding and the potential for recently introduced “growing” rods systems, which allow for indirect deformity correction, has changed the potential for meaningful intervention in these at-risk patients. By re-expanding the spinal column and modulating its growth, major fusion surgery can possibly be delayed until the major overall patient growth has been completed. University of Washington doctor Theodore Wagner and others address recent results reported with these techniques. (Series: Fifth Annual Harborview Spine Symposium)

Future Trends in Spinal Deformity Surgery

Wed, 25 Apr 2007 00:00:00 GMT

Starting from very humble, largely manipulative non-operative beginnings, spinal deformity surgery has risen to making positively life-changing differences possible, even in the most severely affected patients. The implementation of spinal deformity surgery for more cosmetic rather than functional concerns has emerged as a new application for such procedures but requires further study. In this keynote lecture, University of Washington doctors and Dr. James Wilson-MacDonald from the University of Oxford weigh the potential of non-surgical or non-fusion treatment against the results of treatment with more conventional fusion techniques. A patient who received major reconstructive deformity surgery is demonstrated several years after surgery. (Series: Fifth Annual Harborview Spine Symposium)

UW/FHCRC China Health Initiative: Research and Training - Dr. Tuofu Zhu

Fri, 29 Jan 2010 00:00:00 GMT

The University of Washington’s Dr. Tuofu Zhu reviews his collaborative research, as well as the building of critical research infrastructure, in areas of infectious and non-communicable diseases impacting China, the Pacific Northwest region and the world. Supported by the leadership of the UW, Fred Hutchinson Cancer Research Center and a network of top Chinese institutes, the UW/FHCRC Health Initiative is creating a state-of-the-art research and training/education environment in China for UW investigators and students. (Series: Laboratory Medicine Grand Rounds)

Update on Cord Blood Transplantation - Dr. Colleen Delaney

Fri, 29 Jan 2010 00:00:00 GMT

The University of Washington’s Dr. Colleen Delaney reviews current clinical practices of cord blood transplantation with a focus on outcomes and improvements in the last decade with this stem cell source. Current research methodologies are discussed, as are clinical approaches for overcoming delayed engraftment seen in cord blood transplant recipients. (Series: Laboratory Medicine Grand Rounds)

Assessing Competency in Health Care Workers: Can We Assess Ourselves? How Can We Assess Others? - Dave Davis, MD

Sat, 31 Jan 2009 00:00:00 GMT

Dr. Dave Davis' presentation focuses on aspects of assessment of health professional competence and performance, addressing the question of self-assessment, and the means to assure more objective measurements of competence and performance. It also attempts to develop applications of findings about assessment to continuing education, undergraduate and graduate training, and to the workplace. (Series: Laboratory Medicine Grand Rounds)

Genomic Abnormalities in Schizophrenia - Dr. Tomas Walsh

Fri, 05 Feb 2010 00:00:00 GMT

Several recent studies are shedding light on the genetics of schizophrenia. Among the implicated mutations are rare copy number variants, including large genomic deletions and duplications. The University of Washington's Dr. Tomas Walsh describes each of these mutations and their underlying genomic architecture. He also shares how new sequencing technologies can facilitate mutation discovery in psychiatric diseases. (Series: Laboratory Medicine Grand Rounds)

The Promise of Plasma Proteomics in the Clinical Laboratory: Fact and Fiction - N. Leigh Anderson, Ph.D.

Thu, 07 Feb 2008 00:00:00 GMT

The striking shortfall in new protein diagnostics emerging from proteomics research reflects a lack of critical biomarker verification capacity, in combination with other factors underlying the conservative stance of the in-vitro diagnostics (IVD) industry. In order to bridge the gap between biomarker discovery and clinical use, a new approach to verification is proposed: multiplexed panels of specific candidate assays based on hybrid immuno-mass spectrometric detection. By combining high-sensitivity, throughput, and precision with use of very small plasma samples, a platform for systematic verification of hundreds of candidates in thousands of samples can be implemented. Dr. N. Leigh Anderson shares the potential role of mass spectrometry for protein measurement in the routine clinical laboratory. (Series: Laboratory Medicine Grand Rounds)

Combing the Evidence for Support of Lab-based Screening Tests: An Update From the US Preventive Services Task Force - David Grossman, MD, MPH

Mon, 02 Feb 2009 00:00:00 GMT

The use of evidence-based guidelines is gaining renewed interest as an approach toward the rational use of health care dollars in Europe and the US. Dr. David Grossman, professor or Public Health & Community Medicine at the University of Washington, focuses on how the US Preventive Services Task force, a national independent body of primary experts sponsored by the Agency for Healthcare Quality and Research, uses evidence-based approaches in making its recommendations regarding screening tests for the US population. We will focus on the recent controversies around recommendations regarding cholesterol screening in children to exemplify the methods of the Task Force and contrast them to other organizations with similar recommendations. (Series: Laboratory Medicine Grand Rounds)

DAISY Graft

Mon, 06 Jul 2009 00:00:00 GMT

Professional women's motocross racer Sydney Babcock dislocated her shoulder several times. She sought treatment at the UW Sports Medicine Clinic, with orthopaedic surgeon Dr. Christopher Wahl, who pioneered the DAISY graft procedure. This minimally invasive surgery was developed to restore a patient's normal anatomy after repeated shoulder dislocations. For Sydney, it put her back on the racetrack quickly and with full mobility.

To view the full Inside Access program, go to The Athlete's Shoulder: Leading Edge Surgical Repair.

(Series: Inside Access Preview)

Collarbone

Mon, 06 Jul 2009 00:00:00 GMT

Triathlete Brian Davis turned to orthopaedic surgeon Dr. Winston Warme to treat his fractured collarbone. Dr. Warme, of the University of Washington Medical Center's Bone and Joint Surgery Center, used minimally invasive surgery to allow Brian to get back to a competitive level quickly, with minimal scarring. Today, Brian is swimming, biking and running as though his injury never happened.

To view the full Inside Access program, go to The Athlete's Shoulder: Leading Edge Surgical Repair.

(Series: Inside Access Preview)

Restoring Vision: A Look Into UW Medicine Eye Institute

Wed, 08 Jul 2009 00:00:00 GMT

When Anne Beidler began to notice changes in her vision, she feared the worst: she'd watched her mother lose her sight from macular degeneration. But physicians at the UW Medicine Eye Institute were able to treat Anne by injecting a new drug into her eye that began to improve her vision within hours. With 22 ophthalmologists on staff, the institute is known for multidisciplinary collaborative care of both common and complex eye conditions. Watch as a diabetic patient undergoes cataract surgery, and a woman has micrographic surgery to remove cancerous tissue from her eyelid. The institute is leading research efforts to improve treatment for eye diseases and also training the next generation of ophthalmologists at the University of Washington's School of Medicine.

To view 2-minute versions of this program, go to:

Inside Access Preview: Macular Degeneration

Inside Access Preview: Cataract Surgery (Series: Inside Access)

Macular Degeneration

Wed, 08 Jul 2009 00:00:00 GMT

When Anne Beidler began to notice changes in her vision, she feared the worst: she'd watched her mother lose her sight from macular degeneration. But Dr. Atma Vemulakonda, at the UW Medicine Eye Institute, was able to treat Anne by injecting a new drug into her eye that began to improve her vision within hours. The institute is leading research efforts to improve treatment for eye diseases and also training the next generation of ophthalmologists at the University of Washington's School of Medicine.

To view the full Inside Access program, go to Restoring Vision: A Look into UW Medicine Eye Institute.

(Series: Inside Access Preview)

Cataract Surgery

Wed, 08 Jul 2009 00:00:00 GMT

Joe Fernandes loves to travel, but as he developed cataracts, the world became blurry. He turned to Dr. Thellea Leveque, at the UW Medicine Eye Institute, for lens replacement surgery. Mr. Fernandes had other health concerns which could make his surgery more complicated, including diabetes and a heart condition. Dr. Leveque specializes in treating patients with complex cases, and she monitored him closely during his successful surgery. With 22 ophthalmologists on staff, the institute is known for multidisciplinary collaborative care of both common and complex eye conditions.

To view the full Inside Access program, go to Restoring Vision: A Look into UW Medicine Eye Institute.

(Series: Inside Access Preview)

Treating Meniscus Tears

Mon, 13 Jul 2009 00:00:00 GMT

The rubbery meniscus cushions the knee like a shock absorber, but a twist or pivot while running can tear this cartilage. Physicians with the University of Washington Medical Center treat patients with a wide array of knee injuries, including meniscus tears. Physical therapist Dr. Susanne Michaud of UW Medicine Orthopaedics and Sports Medicine works to understand her patients' specific goals, then matches their personalized physical rehabilitation program to the activities they love to do. Sports medicine specialist Dr. Brian J. Krabak explains how flexibility, strength training and balance and can help prevent subsequent injury.

To view the full Inside Access program, go to Inside Access: Treating Meniscus Tears.

(Series: Inside Access Preview)

Descending Thoracic and Thoracoabdominal Aortic Aneurysm Repair

Fri, 24 Jul 2009 00:00:00 GMT

This program describes the minimally-invasive technique that repairs an aortic aneurysm, a condition where the aortic artery is weakened, causing it to expand like an over-inflated balloon and risk rupture and internal bleeding. (Series: Regional Heart Center Grand Rounds)

Refractive Eye Surgery

Tue, 17 Jul 2007 00:00:00 GMT

Laser eye surgery allows many people to enjoy life without glasses. At UW Medical Center's Refractive Surgery Center, Dr. Tueng T. Shen and her University of Washington team offer the latest form of this surgery, called LASEK. This procedure can be done without cutting a flap in the cornea, as the older and more familiar LASIK surgery did, which means less chance for complications in the future. We profile three patients who have had or are preparing to have this procedure, including the contact lens trials that will allow them to choose the best level of correction for their own lifestyles.

To view a 2-minute version of this program, go to Inside Access Preview: Life Changing LASEK.

(Series: Inside Access)

Substance Abuse Treatment for Child Welfare Families: Part 2

Thu, 24 Jul 2008 00:00:00 GMT

A large percentage of parents who abuse, neglect or abandon their children have drug and alcohol problems. Learn about recent research about substance abuse in the context of the child welfare system, both from the perspective of front-line professionals as well as overall policy. This program is sponsored by the University of Washington School of Law's Court Improvement Training Academy (CITA). (Series: Substance Abuse Treatment for Child Welfare Families)

New Heart, New Life

Thu, 16 Aug 2007 00:00:00 GMT

UW Medicine Regional Heart Center’s transplant program is one of the most successful in the country. In this University of Washington program, follow a young man through his heart transplant and recovery. Hear from another transplant patient who developed a relationship with the family of his heart donor. And learn about the case of an older man who is using an LVAD (left ventricular assist device) as he waits for a donor heart to become available.

To view a 2-minute version of this program, go to Inside Access Preview: New Heart, New Life.

(Series: Inside Access)

Early Learning and the Brain

Mon, 04 Aug 2008 00:00:00 GMT

The University of Washington Institute for Learning and Brain Sciences is an interdisciplinary center conducting innovative research on lifelong learning and the brain. The center’s scientific studies on children and adults have had a far-reaching impact on cognitive science, neuroscience, artificial intelligence, and education.

One area of research focuses on how infant and adult brains process language, and has advanced our understanding of critical periods in learning. Another important area of research focuses on cognitive development and social understanding in infants, children, and adults. This pioneering work has demonstrated the importance of role models in human development and their profound effect on learning.

UW Medicine Neighborhood Clinics "Health Checklist"

Wed, 03 Jun 2009 00:00:00 GMT

Do you know the six tips for a healthier life? Primary care physicians from UW Medicine Neighborhood Clinics share important tips for preventing illness. Exercise is important for good health, but so is sleep, nutrition and a strong relationship with your health care provider. See how these and other simple steps from UW Medicine Neighborhood Clinic physicians can help you maintain good health. (Series: UW Medicine Neighborhood Clinics "Health Checklist")

Post Cancer Breast Reconstruction

Fri, 05 Jun 2009 00:00:00 GMT

Physicians at the Center for Reconstructive Surgery at the University of Washington Medical Center treat patients to restore both functionality and aesthetic conditions following treatment for trauma, cancer, and other diseases. Drs. Peter Neligan and Otway Louie discuss options for breast reconstruction following cancer surgery, including a procedure that uses a patient's own abdominal tissue to create natural implants, the options for matching breast shape after a single mastectomy, and nipple reconstruction for a more natural appearance. Cindy Perry, a cancer patient who had breast reconstruction with Dr. Otway Louie, talks about her experience with using her own tissue for an implant. (Series: Talk Medicine)

Facial Reconstructive Surgery

Fri, 05 Jun 2009 00:00:00 GMT

Encephalitis, an acute inflammation of the brain, severely damanged Kirsten Evasovich’s ability to swallow, blink and communicate. She turned to Dr. Peter Neligan, an internationally known specialist in microvascular reconstruction at the Center for Reconstructive Surgery at the University of Washington Medical Center. Dr. Neligan used several innovative procedures, including transplanting muscles and tendons from her leg and arm to her face, to help Kirsten begin to smile and enjoy food again.

To view the full Inside Access program, go to Center for Reconstructive Surgery.

(Series: Inside Access Preview)

Breast Reconstruction

Fri, 05 Jun 2009 00:00:00 GMT

When Valerie Pingel had a double mastectomy, her breast reconstruction took place at the same time. Dr. Peter Neligan and Dr. Hakim Said, from the Center for Reconstructive Surgery at University of Washington Medical Center, used Ms. Pingel's own abdominal tissue to create natural implants. She woke up from surgery with new breasts already in place, and because they're her own tissue, the implants won't have to be replaced in the future.

To view the full Inside Access program, go to Center for Reconstructive Surgery.

(Series: Inside Access Preview)

Suicidal Individuals: Evaluation, Therapies, and Ethics – Part 1

Thu, 07 Jun 2007 00:00:00 GMT

There is no area of research that brings a complex array of ethical issues into sharp focus more than conducting treatment trials when the focus is on decreasing suicidal behavior and preventing suicide. Historically, suicidal individuals have been excluded from treatment studies because their inclusion was thought to be unethical, unsafe or too difficult to manage clinically. In this lecture, Dr. Linehan will discuss the development and evaluation of therapies used to treat individuals with suicidal behaviors. (Series: Allen L. Edwards Psychology Lectures)

Suicidal Individuals: Evaluation, Therapies, and Ethics – Part 2

Thu, 07 Jun 2007 00:00:00 GMT

There is no area of research that brings a complex array of ethical issues into sharp focus more than conducting treatment trials when the focus is on decreasing suicidal behavior and preventing suicide. Historically, suicidal individuals have been excluded from treatment studies because their inclusion was thought to be unethical, unsafe or too difficult to manage clinically. In this lecture, Dr. Stanley will explore the history of excluding suicidal individuals from clinical treatment trials because including them was considered to be unethical, unsafe or too difficult to manage clinically. (Series: Allen L. Edwards Psychology Lectures)

Vision and the Brain: Unseen Complexities – Part 1

Thu, 07 Jun 2007 00:00:00 GMT

Why do we need vision? As it turns out, there are two answers to this question. On the one hand, we need vision to give us detailed knowledge of the world beyond ourselves, knowledge that allows us to recognize things from minute to minute and day to day. On the other hand, we also need vision to guide our actions in that world at the very moment they occur. These are two quite different job descriptions, and nature seems to have given us two different visual systems to carry them out. Dr. Murray explores the problems in the context of object size and brightness perception, and discusses computational challenges in sight that require extensive neural processing. (Series: Allen L. Edwards Psychology Lectures)

Vision and the Brain: Unseen Complexities – Part 2

Thu, 07 Jun 2007 00:00:00 GMT

Why do we need vision? As it turns out, there are two answers to this question. On the one hand, we need vision to give us detailed knowledge of the world beyond ourselves, knowledge that allows us to recognize things from minute to minute and day to day. On the other hand, we also need vision to guide our actions in that world at the very moment they occur. These are two quite different job descriptions, and nature seems to have given us two different visual systems to carry them out. Dr. Goodale discusses how separate but interacting visual systems have evolved for the perception of objects on the one hand and the control of actions directed at those objects on the other, examining how both systems process information but each using the information in different ways. (Series: Allen L. Edwards Psychology Lectures)

Medical Applications of Array CGH and the Transformation of Clinical Cytogenetics - Bassem Bejjani, MD

Fri, 13 Jun 2008 00:00:00 GMT

As research about array Comparative Genomic Hybridization (aCGH) unfolds, its applications are becoming an increasingly important part of the practice of medical genetics and laboratory clinical cytogenetics. Bassem Bejjani, a research professor at the Health Research & Education Center at Washington State University, examines the methodology of aCGH, recently developed platforms and numerous clinical applications of this innovative method of analysis. (Series: Laboratory Medicine Grand Rounds)

Part 01: Course Overview and Introduction to Commingling Analysis

Tue, 19 Jun 2007 00:00:00 GMT

Karen L. Edwards introduces commingling analysis and describes genetic epidemiology software resources available on the Web. This lecture was taped at the 2006 Epidemiology, Biostatistics and Clinical Research Methods Summer Session by the Seattle VA Epidemiologic Research and Information Center (ERIC) in collaboration with the University of Washington. (Series: Epidemiology: Genetic Epidemiology)

Part 02: Commingling Analysis: Applications, Challenges and Software

Fri, 22 Jun 2007 00:00:00 GMT

Karen L. Edwards describes commingling analysis applications and challenges and demonstrates NOCOM commingling analysis software. This lecture was taped at the 2006 Epidemiology, Biostatistics and Clinical Research Methods Summer Session by the Seattle VA Epidemiologic Research and Information Center (ERIC) in collaboration with the University of Washington. (Series: Epidemiology: Genetic Epidemiology)

Part 03: Twin Studies and Familial Correlations

Fri, 22 Jun 2007 00:00:00 GMT

Karen L. Edwards discusses study designs that utilize twin data and familial correlations and outlines their limitations. This lecture was taped at the 2006 Epidemiology, Biostatistics and Clinical Research Methods Summer Session by the Seattle VA Epidemiologic Research and Information Center (ERIC) in collaboration with the University of Washington. (Series: Epidemiology: Genetic Epidemiology)

Part 04: Segregation Analysis

Fri, 22 Jun 2007 00:00:00 GMT

Karen L. Edwards describes segregation analysis concepts, value, limitations and data interpretation. This lecture was taped at the 2006 Epidemiology, Biostatistics and Clinical Research Methods Summer Session by the Seattle VA Epidemiologic Research and Information Center (ERIC) in collaboration with the University of Washington. (Series: Epidemiology: Genetic Epidemiology)

Part 05: Linkage Analysis and Pedigree Checking

Tue, 26 Jun 2007 00:00:00 GMT

Karen L. Edwards describes linkage analysis and relevant statistical approaches and discusses pedigree structure and checking. This lecture was taped at the 2006 Epidemiology, Biostatistics and Clinical Research Methods Summer Session by the Seattle VA Epidemiologic Research and Information Center (ERIC) in collaboration with the University of Washington. (Series: Epidemiology: Genetic Epidemiology)

Part 06: Non-Parametric Linkage Analysis

Tue, 26 Jun 2007 00:00:00 GMT

Karen L. Edwards emphasizes the big picture behind genetic epidemiology and linkage analysis and compares parametric and non-parametric Linkage Analysis. This lecture was taped at the 2006 Epidemiology, Biostatistics and Clinical Research Methods Summer Session by the Seattle VA Epidemiologic Research and Information Center (ERIC) in collaboration with the University of Washington. (Series: Epidemiology: Genetic Epidemiology)

Part 07: Genetic Association Studies: Pitfalls and Challenges

Wed, 27 Jun 2007 00:00:00 GMT

Karen L. Edwards discusses genetic association studies and compares them to family based tests of association. This lecture was taped at the 2006 Epidemiology, Biostatistics and Clinical Research Methods Summer Session by the Seattle VA Epidemiologic Research and Information Center (ERIC) in collaboration with the University of Washington. (Series: Epidemiology: Genetic Epidemiology)

Part 08: Genetic Association Study Types and Family-Based Tests of Association

Tue, 26 Jun 2007 00:00:00 GMT

Karen L. Edwards discusses genetic association study types and family based tests of association. This lecture was taped at the 2006 Epidemiology, Biostatistics and Clinical Research Methods Summer Session by the Seattle VA Epidemiologic Research and Information Center (ERIC) in collaboration with the University of Washington. (Series: Epidemiology: Genetic Epidemiology)

Part 09: Linkage Disequilibrium

Wed, 27 Jun 2007 00:00:00 GMT

Karen L. Edwards discusses linkage disequilibrium and examines its value and measures. This lecture was taped at the 2006 Epidemiology, Biostatistics and Clinical Research Methods Summer Session by the Seattle VA Epidemiologic Research and Information Center (ERIC) in collaboration with the University of Washington. (Series: Epidemiology: Genetic Epidemiology)

Part 10: SNP Selection and Haplotype Analysis

Tue, 26 Jun 2007 00:00:00 GMT

Karen L. Edwards discusses approaches to single nucleotide oolymorphisms (SNPs) selection approaches and haplotype map (HapMap) project. This lecture was taped at the 2006 Epidemiology, Biostatistics and Clinical Research Methods Summer Session by the Seattle VA Epidemiologic Research and Information Center (ERIC) in collaboration with the University of Washington. (Series: Epidemiology: Genetic Epidemiology)

Minimally Invasive Treatment for Spinal Stenosis

Fri, 22 Jun 2007 00:00:00 GMT

On the day that June Ogawa underwent minimally invasive spinal surgery, she went home and walked for an hour. Gone was the pain and numbness that had stemmed from spinal stenosis, or narrowing. “Now I feel so free,” she said. Ogawa and another patient, Robin DiGeorgio, talk with Drs. Virany Huynh Hillard and Trent Tredway, neurosurgeons at the University of Washington Medical Center. Spine models, diagnostic images, and surgical footage complement the discussions. (Series: Talk Medicine)

Global Health Discovery Through the Lens

Mon, 22 Jun 2009 00:00:00 GMT

A love for travel inspired author and photographer Phil Borges' striking portraits of indigenous peoples around the world, but his work with various humanitarian organizations, and the creation of the non-profit Bridges to Understanding to bring digital storytelling to teens around the world, is truly moving. Through his photography and stirring personal accounts, Borges details his efforts with organizations that surgically repair cleft palates and severe burns of children and adults living in remote areas around the world. His multimedia pieces tell the powerful stories of a woman in Ethiopia who is changing perceptions within her own culture about female genital mutilation, Peruvian women working to decrease maternal mortality and a Bangladeshi prostitute who is improving conditions within her community. (Series: Global Health Discovery Through the Lens)

Treating Meniscus Tears

Mon, 22 Jun 2009 00:00:00 GMT

It’s estimated that knee injuries account for one-third of all medical visits in the United States. Physicians with the University of Washington Medical Center work to correctly diagnose and individually treat patients with a wide array of knee injuries, including torn ligaments, runner's knee and meniscus tears. After telemark skier Andrew Etringer heard a telltale "pop" in his knee, he visited sports medicine specialist Dr. Brian J. Krabak. A brace and strengthening exercises were the right course of action for Andrew's bruised meniscus. Competitive tennis player Adam Rogers needed surgery to treat the acute meniscus tear in his knee. Dr. John R. Green performed arthroscopic surgery to ensure Adam would be able to keep his active lifestyle, and physical therapist Dr. Susanne Michaud helped Adam regain mobility and return to the tennis court.

To view a 2-minute version of this program, go to Inside Access Preview: Treating Meniscus Tears.

(Series: Inside Access)

Breakthroughs in Sinus Care

Mon, 22 Jun 2009 00:00:00 GMT

Doug York was leaking cerebral spinal fluid through his nose. Leland Bull's nasal polyps kept him from getting a good night's sleep – ever. Stephanie Rowe's sinus infection caused her to lose a tooth implant, and soccer player Hannah Greig's deviated septum made breathing through her nose nearly impossible. Watch as Drs. Greg Davis and Ernie Weymuller, of the University of Washington Medical Center's Otolaryngology Head and Neck Surgery Center, use innovative techniques and the newest technologies to successfully treat patients for a wide variety of both routine and complex sinus conditions. Physicians at UWMC also participate in ongoing research to improve options for patient care.

To view a 2-minute version of this program, go to Inside Access Preview: Chronic Sinusitis.

(Series: Inside Access)

Part 01: Postwar Syndromes and 1991 Gulf Experience

Tue, 19 Jun 2007 00:00:00 GMT

Introduces Gulf War veteran syndromes and provides an overview of popular theories regarding them. (Series: Epidemiologic Aspects of Military Post-Deployment Health Conditions, Natural Disasters and Terrorism)

Part 02: Gulf War Veterans: Symptom Studies

Tue, 19 Jun 2007 00:00:00 GMT

Introduces Gulf War veteran symptom studies: design, strength, and problem issues. (Series: Epidemiologic Aspects of Military Post-Deployment Health Conditions, Natural Disasters and Terrorism)

Part 03: Gulf War Veterans: Healthcare Utilization

Tue, 19 Jun 2007 00:00:00 GMT

Introduces Gulf War veterans’ healthcare utilization studies and data. (Series: Epidemiologic Aspects of Military Post-Deployment Health Conditions, Natural Disasters and Terrorism)

Part 04: Gulf War Veterans: Mortality and Reproduction

Tue, 19 Jun 2007 00:00:00 GMT

Introduces Gulf War veteran mortality and reproduction studies, and their respective data. (Series: Epidemiologic Aspects of Military Post-Deployment Health Conditions, Natural Disasters and Terrorism)

Part 05: Why Study Natural Disasters and Terrorism?

Tue, 19 Jun 2007 00:00:00 GMT

Defines disasters, introduces the population-based epidemiological approach and outlines consequences of natural disasters and terrorism. (Series: Epidemiologic Aspects of Military Post-Deployment Health Conditions, Natural Disasters and Terrorism)

Part 06: Natural Disasters and Terrorism Consequences: Theories and Study Sampling

Tue, 19 Jun 2007 00:00:00 GMT

Provides theories explaining consequences of natural disasters and terrorism and introduces study sampling design and issues. (Series: Epidemiologic Aspects of Military Post-Deployment Health Conditions, Natural Disasters and Terrorism)

Part 07: Natural Disasters and Terrorism: Telephone Surveys and Study Examples and Issues

Tue, 19 Jun 2007 00:00:00 GMT

Introduces effective telephone survey method designs for studying natural disasters and terrorism and evaluates relevant example studies. (Series: Epidemiologic Aspects of Military Post-Deployment Health Conditions, Natural Disasters and Terrorism)

Part 08: Factors to Consider in Natural Disasters and Terrorism Studies

Fri, 22 Jun 2007 00:00:00 GMT

Introduces "A Gene x Environment Epidemiology Study" of natural disasters and factors that influence natural disasters and terrorism studies. (Series: Epidemiologic Aspects of Military Post-Deployment Health Conditions, Natural Disasters and Terrorism)

Part 09: A Hospital's Immediate Response to Mass Casualties Due to a Terrorist Attack

Fri, 22 Jun 2007 00:00:00 GMT

Narrates a hospital’s immediate response to mass casualties due to a terrorist attack in Tokyo, Japan. (Series: Epidemiologic Aspects of Military Post-Deployment Health Conditions, Natural Disasters and Terrorism)

Part 10: Lessons from a Hospital's Response to Mass Casualties Due to a Terrorist Attack

Fri, 22 Jun 2007 00:00:00 GMT

Narrates a hospital’s management of Sarin Nerve Gas (SNG) victims in Tokyo, Japan, showing the impact of the incident on hospital staff and emergency response providers. (Series: Epidemiologic Aspects of Military Post-Deployment Health Conditions, Natural Disasters and Terrorism)

The Athlete's Shoulder: Leading Edge Surgical Repair

Mon, 22 Jun 2009 00:00:00 GMT

For UW Medicine physicians Dr. Christopher Wahl and Dr. Winston Warme, it’s the time they spend in the lab that truly makes a difference to their patients. Wahl and Warme develop innovative new surgical procedures to help their patients heal quickly and with enough mobility to continue their active lifestyles after surgery. Go inside the surgery suite as Dr. Wahl, Huskies team physician and orthopaedic surgeon at UW Sports Medicine Clinic, treats a professional motocross racer with a DAISY graft to repair her repeatedly dislocated shoulder. Follow along as Dr. Warme, an orthopaedic surgeon at UW Medical Center’s Bone and Joint Surgery Center, uses new techniques to help two very active athletes with broken collarbones get back in the game.

To view 2-minute versions of this program, go to:

Inside Access Preview: Daisy Graft

Inside Access Preview: Collarbone.

(Series: Inside Access)

Obesity: The Plague of the 21st Century

Mon, 22 Jun 2009 00:00:00 GMT

Dr. D. Scott Weigle, University of Washington School of Medicine professor, calls obesity the plague of the 21st Century. See how American waistlines have expanded along with our portion sizes and television viewing, and also explore the environmental and genetic components of obesity. Understand the science behind obesity, including leptin's effects on the brain. (Series: Molecular Medicine 2009 Public Lecture Series)

Your Medical School Journey: Training in Medical Professionalism, Part 2

Fri, 29 Jun 2007 00:00:00 GMT

Health-care delivery systems threaten the very nature of medical professionalism. What we’re doing to teach ethical, professional behavior, dedication to competence and service, and most importantly, commitment to the patient. (Series: Mini-Medical School 2007)

Preserving Limbs and Surviving Limb Loss: Resuming an Active and Productive Life, Part 1

Fri, 29 Jun 2007 00:00:00 GMT

Whether the focus is advancing function for the amputee or preserving a limb at risk, learn about the remarkable enhancements in prevention, prosthetics, rehabilitation and patient care. (Series: Mini-Medical School 2007)

Preserving Limbs and Surviving Limb Loss: Resuming an Active and Productive Life, Part 2

Wed, 27 Jun 2007 00:00:00 GMT

Unwired: When the Brain’s Circuits Fail, Part 1

Tue, 10 Jul 2007 00:00:00 GMT

Find out the latest news in neurology: delivering the best possible care to people with headaches, multiple sclerosis, epilepsy, stroke, and brain tumors. (Series: Mini-Medical School 2007)

Understanding a Chronic Killer: Kidney Disease, Part 1

Tue, 10 Jul 2007 00:00:00 GMT

Twenty million Americans have chronic kidney disease. That's one in nine adults. Another 20 million are at risk. Are you one of those at high risk? Find out what causes kidney disease and how we can prevent it and treat it. (Series: Mini-Medical School 2007)

Understanding a Chronic Killer: Kidney Disease, Part 2

Tue, 10 Jul 2007 00:00:00 GMT

Who’s Protecting Public Health? Part 1

Tue, 10 Jul 2007 00:00:00 GMT

Local E. coli scares and a measles outbreak are fresh reminders that infectious diseases continue to be major causes of sickness and death. Bioterrorism and biological disaster are on everyone’s mind. Keeping one step ahead of these killers is one of the greatest challenges facing medicine and public health. (Series: Mini-Medical School 2007)

Who’s Protecting Public Health? Part 2

Tue, 10 Jul 2007 00:00:00 GMT

Innovations and Discoveries in Medicine, Part 1

Tue, 10 Jul 2007 00:00:00 GMT

From the gene connection to deep brain stimulation, robotics, high intensity focused ultrasound (HIFU) and simulation, hear about our current and anticipated medical and biotechnological achievements. (Series: Mini-Medical School 2007)

Innovations and Discoveries in Medicine, Part 2

Tue, 10 Jul 2007 00:00:00 GMT

Your Medical School Journey: Training in Medical Professionalism, Part 1

Wed, 27 Jun 2007 00:00:00 GMT

Inflammation: The Difference Between Medicine and Poison is the Dose

Mon, 29 Jun 2009 00:00:00 GMT

Dr. Brad T. Cookson, professor in the Department of Laboratory Medicine and head of the Clinical Microbiology Division at the University of Washington, explains the relationship between cell death and inflammation. Cookson leads a research team at UW focused on the mechanisms of cell destruction.When a potentially dangerous cell, such as a cell infected with Salmonella, dies, it spills chemical signals and triggers protective response. The resulting inflammation, which the body launches in self-defense, can at times backfire and damage vital tissues. Cookson's team named this type of cell death "pyroptosis," Greek for going down in flames. (Series: Molecular Medicine 2009 Public Lecture Series)

Degenerative Conditions of the Spine

Mon, 29 Jun 2009 00:00:00 GMT

A traumatic car accident left hang gliding expert Larry Jorgenson with severe shoulder pain and numbness in his arms. Unsatisfied with answers from numerous physicians, he turned to Dr. Michael Lee, an orthopedic spine surgeon at the University of Washington Medical Center. Lee determined Jorgenson needed surgery for degenerative disc disease of the cervical spine. Using video from the surgery suite, Lee carefully details how he surgically removed bulging discs from Jorgenson’s spine that were pinching his nerve roots. A bone graft enabled his vertebrae to fuse together. Lee also explains how cervical disc replacement surgery can help other patients preserve movement after surgery. (Series: Talk Medicine)

Current Status of Ventricular Assist Devices for Chronic Heart Failure

Mon, 29 Jun 2009 00:00:00 GMT

Examine mechanical devices used to keep patients’ hearts pumping. Dr. Nahush A. Mokadam, assistant professor of surgery in the University of Washington’s School of Medicine and the surgical director at the Heart Transplant and Mechanical Circulatory Support at UW Medical Center, discusses many kinds of Ventricular Assist Devices, or VADs. When should a patient receive one of these devices? What are the benefits and risks of each type? Learn what drives the University of Washington Medical Center’s high success rates for patients who receive these devices. (Series: Grand Rounds)

Complex Percutaneous Coronary Intervention

Mon, 06 Jul 2009 00:00:00 GMT

Why has angioplasty garnered more news attention in recent years? Dr. Steven L. Goldberg, professor of medicine in the division of cardiovascular diseases at the University of Washington School of Medicine and director of the UW Cardiac Catheterization Laboratory at the UW Medical Center, examines coronary angioplasty, also known as Complex Percutaneous Coronary Intervention, or PCI. Goldberg considers one patient case to demonstrate the decision-making process behind a procedure like a PCI. See inside the heart to understand what heart conditions may lead to a PCI, and how a PCI is performed. Further examination of studies on PCIs lead Goldberg to his closing conclusions on the subject. (Series: Grand Rounds)

Chronic Sinusitis

Mon, 06 Jul 2009 00:00:00 GMT

Leland Bull's nasal congestion kept him from getting a good night's sleep -- ever. He's one of many people who suffer the pain, pressure and stuffiness of chronic sinusitis. Watch as Drs. Greg Davis and Ernie Weymuller, of the University of Washington Medical Center's Otolaryngology Head and Neck Surgery Center, use innovative techniques and the newest technologies to successfully treat patients for a wide variety of both routine and complex sinus conditions.

To view the full Inside Access program, go to Breakthroughs in Sinus Care.

(Series: Inside Access Preview)

Non-surgical Sports Medicine

Mon, 06 Jul 2009 00:00:00 GMT

When it comes to finding a fix for injured high-performance athletes, the answers may not always be easy. Dr. Nelson Hager with UW Medicine Sports and Spine works with patients like Erin Aas, a competitive triathlete, to not only resolve pain, but to return to a high performance level. Dr. Hager considers all aspects of a patient’s injury, using tools like musculoskeletal ultrasound to examine soft tissue structures and gait analysis to determine if mechanics are to blame. Learn how Hager and Aas worked together to put Aas back on track for an Ironman in 2010. (Series: Talk Medicine)

Storage Lesions in Cellular Blood Components - James AuBuchon, MD

Mon, 06 Jul 2009 00:00:00 GMT

While we often talk about getting better with age, this generally applies only to fine red wines. Even then, there’s a limit to improvement before deterioration wins out. But what about blood? In this video from the University of Washington’s Laboratory Medicine Grand Rounds series, Dr. James AuBuchon, president and CEO of the Puget Sound Blood Center explains how biochemical changes in platelets and red cells with ex vivo storage are many and varied, including surface changes as well as reductions in functional capabilities. The extent to which these changes reduce the effectiveness of transfusions, or possibly even harm transfusion recipients, remains unclear. Retrospective clinical studies have certainly raised concerns about “old blood,” but prospective trials have failed to corroborate the incrimination. So what’s best for the patient? (Series: Laboratory Medicine Grand Rounds)

Surgical Spine Repair

Tue, 03 Mar 2009 00:00:00 GMT

Dr. Virany Hillard, a neurosurgeon specializing in spine care at the University of Washington Medical Center, helps a hard-working rancher return to the lifestyle she loves through a surgical procedure called an anterior cervical discectomy and fusion.

To view the full Inside Access program, go to Innovations in Spine Care.

(Series: Inside Access Preview)

Herniated Disc Repair

Tue, 03 Mar 2009 00:00:00 GMT

Dr. Michael Lee, an orthopaedic spine surgeon at the University of Washington Medical Center’s Bone and Joint Surgery Center, removes a herniated disc from the spine of patient Chad Oishi, who wakes up from surgery feeling “instant relief.”

To view the full Inside Access program, go to Innovations in Spine Care.

(Series: Inside Access Preview)

Dopamine: Motivation, Salience and Learning - A Genetic Perspective

Mon, 08 Mar 2010 00:00:00 GMT

Explore dopamine’s effect upon learning from a genetic perspective with Dr. Richard Palmiter, University of Washington Department of Biochemistry professor and investigator at Howard Hughes Medical Institute. (Series: Molecular Medicine 2010 Public Lecture Series)

HDL: When Good Cholesterol Goes Bad

Wed, 11 Mar 2009 00:00:00 GMT

Dr. Jay Heinecke, professor in the University of Washington's Department of Medicine, reveals how new research suggests HDL, the "good" cholesterol, may also have a harmful side. Renowned for its ability to protect against heart disease, scientists have found the protein composition of HDL plays an important role in whether this kind of cholesterol is helpful or dangerous. A better understanding of these proteins could lead to new, more accurate tests for predicting or evaluating heart disease. (Series: Molecular Medicine 2009 Public Lecture Series)

Developing Sustainable Clinical Laboratory Systems In Limited-Resource Settings - Dr. Robert Martin

Tue, 09 Mar 2010 00:00:00 GMT

Explore recent efforts to promote sustainable laboratory systems in resource-limited countries with Dr. Robert Martin, acting professor and director of laboratory systems in the Department of Global Health at the University of Washington. Disease-specific funding has failed to develop sustainable laboratory systems in most settings. While those programs have provided valuable research and health services, until recently they were not designed to address sustainability. (Series: Laboratory Medicine Grand Rounds)

Cervical Cancer Screening and HPV Testing in the Era of the HPV Vaccine - Dr. Nancy Kiviat

Tue, 09 Mar 2010 00:00:00 GMT

Now that woman can receive an HPV vaccine, how should they be screened for cervical cancer and HPV? Dr. Nancy B. Kiviat, Professor and Chief of Anatomic Pathology/Cytopathology at Harborview Medical Center, looks at the molecular biology, epidemiology and clinical manifestations of HPV infections and their association with cancers. Kiviat also discusses HPV molecular diagnosis and the role of HPV testing in cervical cancer screening. (Series: Laboratory Medicine Grand Rounds)

Innovations in Shoulder Surgery

Wed, 11 Mar 2009 00:00:00 GMT

Physicians at the University of Washington Medical Center’s Bone and Joint Surgery Center use innovative and proven surgery techniques designed for quick recovery and optimal outcomes to treat patients with shoulder injuries. Dr. Rick Matsen uses an alternative to a traditional shoulder replacement called a “ream and run” to help a 65-year-old racquetball player keep swinging hard on the court. The pioneer of this procedure, Dr. Matsen discovered that the ream and run allows cartilage to rebuild itself, recreating a smooth joint surface. Dr. Winston Warme repairs a torn rotator cuff to keep a very active construction manager rock climbing and doing Bikram yoga. Dr. Warme also uses arthroscopic surgery to perform a Bankart repair on a college student who suffered multiple shoulder injuries..

To view 2-minute versions of this program, go to:

Inside Access Preview: Shoulder Surgery: Ream and Run

Inside Access Preview: Shoulder Surgery: Rotator Cuff (Series: Inside Access)

Restoring the Human Voice

Wed, 11 Mar 2009 00:00:00 GMT

The University of Washington Medical Center’s laryngology team is dedicated to providing patients with state-of-the-art multidisciplinary care in the management of voice, swallowing and airway disorders. Dr. Albert Merati, Dr. Allen Hillel and speech language pathologist Ginger Hamilton with UWMC Otolaryngology Head and Neck Surgery work together to treat their patients using the newest technology and treatments. See how they’ve helped a laryngeal cancer patient continue his singing career, improved a 94-year-old former schoolteacher’s aging voice, made breathing easier for a woman with tracheal stenosis and retrained a student to use good “vocal hygiene."

To view 2-minute versions of this program, go to:

Inside Access Preview: Laryngeal Laser Surgery

Inside Access Preview: Windpipe Repair. (Series: Inside Access)

Shoulder Surgery: Ream and Run

Wed, 11 Mar 2009 00:00:00 GMT

Dr. Rick Matsen of UW Medical Center's Bone and Joint Surgery Center is the pioneer of a procedure called a “ream and run,” an alternative to a traditional shoulder replacement surgery. The ream and run helps active individuals, like 65-year-old racquetball player Jim Rockstad, remain competitive by allowing the body to rebuild its own cartilage, recreating a smooth joint surface.

To view the full Inside Access program, go to Innovations in Shoulder Surgery.

(Series: Inside Access Preview)

Shoulder Surgery: Rotator Cuff

Wed, 11 Mar 2009 00:00:00 GMT

You don't have to be a pro athlete to sustain a rotator cuff tear, a very common injury. Jon Tipp’s shoulder injury placed severe and painful limitations on his active lifestyle. But after rotator cuff surgery performed by Dr. Winston Warme of the University of Washington Medical Center's Bone and Joint Surgery Center, Jon is on his way to a full recovery.

To view the full Inside Access program, go to Innovations in Shoulder Surgery.

(Series: Inside Access Preview)

Understanding the Appropriate Use of Lipid Testing - John Brunzell, MD

Mon, 16 Mar 2009 00:00:00 GMT

Dr. John Brunzell, MD, Professor Emeritus, Medicine/Division of Metabolism, Endocrinology and Nutrition at the University of Washington, discusses issues related to measurement of lipoprotein subfractions, what to measure when plasma triglyceride is elevated and the value of non-lipoprotein estimates of cardiovascular risk. (Series: Laboratory Medicine Grand Rounds)

Point of Care Diagnostics for the Developing World - Paul Yager, Ph.D.

Mon, 17 Mar 2008 00:00:00 GMT

The University of Washington department of bioengineering has led the development of many new microfluidic approaches to miniaturization of common biological assays with applications to medical diagnostics. The same group is leading a Seattle-based team of investigators from the University of Washington, the nonprofit PATH, and the companies Micronics and Nanogen in a collaborative research and development project under funding by the Bill and Melinda Gates Foundation. Dr. Paul Yager tells us about the aim of the project is to develop an inexpensive system that can bring sophisticated modern medical diagnostic techniques from centralized laboratories to those furthest from those laboratories and with the least ability to pay for the tests. (Series: Laboratory Medicine Grand Rounds)

Beyond ROC Curves: Recent Statistical Advances in the Evaluation of Diagnostic and Prognostic Tests - Dr. Amalia Magaret

Thu, 27 Mar 2008 00:00:00 GMT

ROC curves are used to evaluate the accuracy of markers for disease detection or prognosis. They provide a graphical means of comparing one or many continuous markers to a binary measure of disease, allowing determination of an optimal marker cutoff for positivity. Amalia Magaret, assistant professor in the department of laboratory medicine at the University of Washington, presents recent adaptations to the standard ROC curves, allowing for consideration of cost, inclusion of additional predictors of disease, and comparison and combination of predictive markers. Dr. Margaret Pepe in the department of biostatistics at the University of Washington developed many of these advances. (Series: Laboratory Medicine Grand Rounds)

Recovering from Spinal Cord Injury: What Prevents Recovery?

Fri, 27 Mar 2009 00:00:00 GMT

What prevents recovery of Spinal Cord Injury (SCI)? Hear a general overview of SCI as well as personal accounts of spinal cord injury, followed by an examination of SCI recovery obstacles. Dr. Michael Fehlings, professor of neurosurgery at the University of Toronto and medical director of the Krembil Neuroscience Center in Toronto, provides an insightful overview of regeneration obstacles to SCI recovery. One of the biggest areas of controversy lies in the applicability of animal research to the actual human clinical reality, termed “translational research.” Such application of animal research results to their human counterparts can provide false hope. A clinical SCI researcher also reviews the results of translational research into SCI care. (Series: Seventh Annual Harborview Spine Symposium: Improving Outcomes of Spinal Injury)

Identifying and Classifying Spinal Injury

Fri, 27 Mar 2009 00:00:00 GMT

Timely identification of Spinal Cord Injury (SCI) is vital to streamline treatment and optimize outcomes. Missed spinal injuries may cause additional disability, and even death. Improved imaging techniques allow for unprecedented diagnosis of spine injures. But effective implementation of these available imaging techniques remains a less than straightforward undertaking due to many variable factors that affect trauma patients. Examine how the application of a risk-adjusted approach may prevent doctors from overlooking spine injuries, and also consider new approaches in classifying spine trauma. (Series: Seventh Annual Harborview Spine Symposium: Improving Outcomes of Spinal Injury)

Acute Spinal Cord Injury

Fri, 27 Mar 2009 00:00:00 GMT

Consider new techniques for recognizing and treating acute spinal trauma. Review emergent management strategies being used by organized sports leagues, as well as early intervention means, such as pharmacologic treatment, hypothermia and surgery. Advances in neurophysiolologic technology allow for unprecedented insight in disruption of key pathways within the spinal cord. (Series: Seventh Annual Harborview Spine Symposium: Improving Outcomes of Spinal Injury)

Cervical Spine Trauma

Fri, 27 Mar 2009 00:00:00 GMT

The human cervical spine is a complex and relatively fragile structure, particularly exposed to trauma due to its location and relatively poor ligamentous support mechanisms. Understanding the potential for occult injuries and looking for such injuries enhances chances for early diagnosis and better treatment outcomes. Learn about patients who have survived an “internal decapitation” (atlanto-occipital dissociation) injury and their outcomes. The current use of Halo-vest –immobilization, which remains the most powerful nonsurgical form of cervical spinal column immobilization, is reviewed based upon the largest to date clinical study on these devices. Also, explore early data from an ongoing North American multi-center study that offers insight into the difficult diagnosis of elderly patients with upper cervical spine fractures. (Series: Seventh Annual Harborview Spine Symposium: Improving Outcomes of Spinal Injury)

Thoraco-lumbar Spine Injury

Fri, 27 Mar 2009 00:00:00 GMT

Learn about an integrated approach in caring for patients with spine trauma, as well as a new evaluation of the relationship of spinal trauma and survival. Hear new insights into the diagnosis and treatment of thoraco-lumbar spine injuries with a bending injury mechanism (flexion-distraction injuries). Review the complex care needs of patients who suffer from a spine injury as well as conditions which lead to a stiffening of the spinal column, such as ankylosing spondyliti’, disseminated idiopathic skeletal hyperostosis and endstage degenerative disc disease with ankylosis. (Series: Seventh Annual Harborview Spine Symposium: Improving Outcomes of Spinal Injury)

Brain Aneurysm Coiling

Fri, 27 Mar 2009 00:00:00 GMT

Cora Anderson's brain aneurysm was in danger of rupturing, which would have had catastrophic results. Surgeons at the UW Medicine Brain Aneurysm Center used a procedure called endovascular coiling, filling the aneurysm with small platinum wire coils to eliminate the risk of bleeding.

To view the full Inside Access program, go to Brain Aneurysms.

(Series: Inside Access Preview)

Laryngeal Laser Surgery

Fri, 27 Mar 2009 00:00:00 GMT

When diagnosed with laryngeal cancer, a country music crooner turns to physicians at the University of Washington Medical Center. Laryngology specialist Dr. Albert Merati uses minimally invasive transoral laser surgery to remove the tumor and keep his patient in tune.

To view the full Inside Access program, go to Restoring the Human Voice.

(Series: Inside Access Preview)

Windpipe Repair

Fri, 27 Mar 2009 00:00:00 GMT

Dr. Al Hillel of the University of Washington Medical Center corrects a patient’s tracheal stenosis, or narrowing of the windpipe, through tracheal resection surgery. After removing part of Carol Smetheram’s trachea and reattaching it to her larynx, Dr. Hillel finds his patient is speaking and breathing easier.

To view the full Inside Access program, go to Restoring the Human Voice.

(Series: Inside Access Preview)

Back in Action

Fri, 27 Mar 2009 00:00:00 GMT

Jonathan Young's back pain affected his entire life. He could barely walk, sit or drive a car. And his great love, sailing, was impossible. At UW Medicine Sports and Spine Physicians at the University of Washington Medical Center, Dr. Marla Kaufman treated Jonathan with a combination of steroid injections and physical therapy, enabling him to return to an active lifestyle..

To view the full Inside Access program, go to Innovations in Spine Care.

(Series: Inside Access Preview)

Chronic Spinal Cord Impairment: Stenosis and Syrinx Formation

Mon, 30 Mar 2009 00:00:00 GMT

Spinal cord injury (SCI) is usually thought of in the context of an acute injury event. But within an increasingly aging population, excessive narrowing of the spinal column (spinal stenosis) can lead to the emergence of a chronic spinal cord impairment analogous to a subacute spinal cord injury (cervical spondylotic myelopathy). Identifying spinal stenosis both by clinical and radiographic means provides an important foundation for informed care delivery. Understanding the dynamics of cysts within and surrounding the spinal cord may also considerably impact functioning neural elements and can cause secondary loss of neurologic function. Finally, the role of surgery in treating cervical spondylotic myelopathy – a chronic deterioration of spinal cord function – is discussed, along with data emerging from a large North American trial. (Series: Seventh Annual Harborview Spine Symposium: Improving Outcomes of Spinal Injury)

Recovering from Spinal Cord Injury: Rehabilitation Efforts

Fri, 27 Mar 2009 00:00:00 GMT

Key developments in rehabilitation medicine for those patients who have sustained Spinal Cord Injury (SCI) are presented in a compelling review of end results of SCI patient treatment programs. The program concludes with a compelling patient testimonial demonstrating the ongoing challenges to a patient with SCI, even in presence of considerable recovery from the initial neurologic injury. (Series: Seventh Annual Harborview Spine Symposium: Improving Outcomes of Spinal Injury)

Controversies in Spine Trauma: Injury Prevention and Treatment

Fri, 27 Mar 2009 00:00:00 GMT

Though a cure for Spinal Cord Injury (SCI) remains elusive, a strong emphasis should rightfully be placed on injury prevention efforts, especially since so many of these injuries affect young patients injured under commonly avoidable circumstances. As demonstrated in several case examples, legislative actions have demonstrably shown reduction of injury rates. The controversies of choosing a specific type of surgical intervention in patients with complex cervical spine fractures are addressed in the second portion of this program. (Series: Seventh Annual Harborview Spine Symposium: Improving Outcomes of Spinal Injury)

Predicting and Preventing Autoimmune Diabetes

Tue, 22 Apr 2008 00:00:00 GMT

What causes our body's immune system to error and lead to disease? It could be inherited genes, infections, chemicals, toxins and drugs, or random chance. Gerald Nepom, director of Benaroya Research Institute at Virginia Mason and affiliate professor at the University of Washington, discusses when the body’s immune system attacks itself by mistake and how that leads to disease such as diabetes. (Series: Molecular Medicine 2008 Public Lecture Series)

Is There a Role for Laboratory Testing in Pain Medicine? or How to Objectify the Subjective? - Alex Cahana, MD

Fri, 27 Mar 2009 00:00:00 GMT

Pain patients can be difficult. They have a tendency to be angry, mistrustful, anxious and depressed. In return this provokes among clinicians negative feelings of frustration, resentment and dislike, challenging the therapeutic dialogue. It seems that “more-or-less” similar patients, with “more-or-less” similar symptoms and diagnosis, with “more-or-less” similar treatments, manifest radically different outcomes. Why is this? Is there a way to explore the Subjectivity of Pain? Is there a way to ‘Objectify the Subjective’? Dr. Alex Cahana, Chief, Division of Pain Medicine, Anesthesiology, at the University of Washington begins to grapple with these troubling questions in this presentation. (Series: Laboratory Medicine Grand Rounds)

Minimally Invasive Approaches to Cardiac Surgery

Fri, 27 Mar 2009 00:00:00 GMT

This reviews advances in cardiac surgical procedures including new therapeutic approaches to treat valvular disease, heart failure/heart transplantation, and aortic disease. Discussion will include application of new minimally invasive techniques and potential for stem cell application to treat essential and complex cardiovascular conditions. (Series: The Stanford University Medical Center Health Hour)

UW Sports Medicine For Every Athlete

Tue, 24 Apr 2007 00:00:00 GMT

UW Sports Medicine Clinic physicians discuss the team approach they take in treating their most physically active patients - from Olympic medalists to Husky athletes, professional dancers to weekend warriors. This University of Washington program profiles these athletes and the physicians who help them regain their physical strength and agility. Both surgical and non-surgical approaches are examined.

To view 2-minute versions of this program, go to:

Inside Access Preview: Sports Medicine: Dislocated Shoulder

Inside Access Preview: Sports Medicine: ACL Repair (Series: Inside Access)

Microarrays for the Detection of Chromosomal Anomalies - Dr. Karen Tsuchiya

Fri, 30 Mar 2007 00:00:00 GMT

Until recently, the identification of chromosome abnormalities that are responsible for congenital disorders and cancer has relied on the use of banded chromosome preparations and fluorescence in situ hybridization. The introduction of array-based comparative genomic hybridization (aCGH) is revolutionizing the field of cytogenetics. Dr. Karen Tsuchiya of the department of laboratory medicine at the University of Washington highlights some of the recent discoveries made using aCGH, and addresses the advantages and disadvantages of this technology, particularly with regard to its use in the clinical cytogenetics laboratory. (Series: Laboratory Medicine Grand Rounds)

Molecular Testing in Breast Cancer: Will it Become Standard Practice? - Kimberly Allison, MD

Wed, 08 Apr 2009 00:00:00 GMT

How has gene expression profiling impacted the way we diagnose and treat breast cancers? Kimberly Allison, MD, Assistant Professor, Department of Pathology at the University of Washington discusses how research using gene expression signatures have been used to identify specific subtypes of breast cancer and how these are integrated into traditional classification schemes. In addition, we will explore the development of clinically available gene expression array-based tests that are designed to give prognostic and predictive information tailored to individual breast cancer patients and discuss current limitations of these tests." (Series: Laboratory Medicine Grand Rounds)

New Developments in Syphilis and HIV Testing - Matthew Golden, MD

Thu, 08 May 2008 00:00:00 GMT

Recent changes in testing technologies for syphilis and HIV present diagnostic laboratories new opportunities and challenges. Matthew Golden, division of allergy and infectious disease at the University of Washington, discusses newly available enzyme immunoassays for syphilis and new approaches to testing for HIV, including rapid point-of-care tests and pooled HIV RNA testing. Golden emphasizes how laboratories can help clinicians interpret test results and choose the most appropriate test for their environment. (Series: Laboratory Medicine Grand Rounds)

Addiction and the Mind #1

Fri, 22 May 2009 00:00:00 GMT

Addiction is one of the nation's major health problems, as evidenced by high rates of smoking and drinking as well as the widespread use of legal and illegal drugs. Dr. Alan Marlatt, psychology professor at the University of Washington, discusses treatment and relapse-prevention techniques. (Series: Allen L. Edwards Psychology Lectures)

Addiction and the Mind #2

Fri, 22 May 2009 00:00:00 GMT

Addiction is one of the nation's major health problems, as evidenced by high rates of smoking and drinking as well as the widespread use of legal and illegal drugs. In the second half of this two-part program, Dr. Judson Brewer, assistant professor of psychiatry at Yale University, discusses treatment and relapse-prevention techniques. (Series: Allen L. Edwards Psychology Lectures)

Language and the Brain #1

Fri, 22 May 2009 00:00:00 GMT

Human language allows us to convey a seemingly unlimited set of meanings to other people. This remarkable ability underlies many of our species' most distinctive behaviors. Dr. Lee Osterhout, psychology professor at the University of Washington, explores the inner-workings of the human brain. (Series: Allen L. Edwards Psychology Lectures)

Language and the Brain #2

Fri, 22 May 2009 00:00:00 GMT

In the second half of this two-part video from the University of Washington Department of Psychology’s Allen L. Edwards Psychology Lecture Series, Dr. Karen Emmorey, Professor, School of Speech, Language and Hearing Sciences at San Diego State University, explores language and the inner-workings of the human brain. (Series: Allen L. Edwards Psychology Lectures)

Total Laboratory Automation - Michael Bissell, MD, Ph.D.

Tue, 22 May 2007 00:00:00 GMT

In this University of Washington program, Dr. Michael Bissell of Ohio State University discusses James Reason's concept of "system opaqueness" to highly automated clinical lab operations. Dr. Bissell also covers the types of human error seen in the automated lab context, and the typical organizational response to lab patient safety issues. (Series: Laboratory Medicine Grand Rounds)

The Antiphospholipid Syndrome - Dr. Michael Linenberger

Tue, 22 May 2007 00:00:00 GMT

Associate Professor Dr. Michael Linenberger reviews the clinical, laboratory, and diagnostic features of antiphospholipid syndrome, how the pathological antibodies might cause these problems, and the various treatment approaches when vascular or pregnancy complications occur. (Series: Laboratory Medicine Grand Rounds)

Center for Reconstructive Surgery

Fri, 22 May 2009 00:00:00 GMT

Physicians at the Center for Reconstructive Surgery at the University of Washington Medical Center treat patients to restore both functionality and aesthetic conditions following treatment for cancer and other diseases. Follow along as Dr. Peter Neligan, an internationally known specialist in microvascular reconstruction, treats a patient whose speech, swallowing and facial mobility were damaged by encephalitis. Through innovative transplants of muscles and tendons from her leg and arm to her face along with other procedures, Kirsten can again smile, blink and enjoy food. Listen to Dr. David Mathes discuss how current research will improve future patient care. You’ll also see how this multidisciplinary team collaborates to perform breast reconstruction surgery during a double mastectomy procedure for a breast cancer patient. The procedure uses the patient’s own abdominal tissue to create natural implants. Finally, Dr. Hakim Said performs nipple reconstruction surgery on a breast cancer survivor."

To view 2-minute versions of this program, go to:

Inside Access Preview: Facial Reconstructive Surgery

Inside Access Preview: Breast Reconstruction.

(Series: Inside Access)

Screening for Medical Diseases: The Good, the Bad and the Unexpected - Part 1

Wed, 28 May 2008 00:00:00 GMT

Screening is a common part of routine medical care. How do physicians decide what tests to give? What are the risks and benefits? Are some tests more effective than others? University of Washington School of Medicine doctors address these issues, using breast cancer and high blood pressure as examples. (Series: Mini-Medical School 2008)

Screening for Medical Diseases: The Good, the Bad and the Unexpected - Part 2

Wed, 28 May 2008 00:00:00 GMT

Battling Superbugs: The Challenge of Resistance - Part 1

Wed, 28 May 2008 00:00:00 GMT

Many bacterial infections in the United States and throughout the world are developing resistance to the most commonly prescribed antibiotic treatments. University of Washington School of Medicine doctors discuss how you can protect yourself and family. (Series: Mini-Medical School 2008)

Battling Superbugs: The Challenge of Resistance - Part 2

Wed, 28 May 2008 00:00:00 GMT

Health Care and a Healthy Society - Part 1

Wed, 28 May 2008 00:00:00 GMT

Will changing our national health-care system provide health care for more people? Can any health care system make a population healthy? What is the biggest deterrent to good health in our nation? Join in the debate with UW School of Medicine doctors. (Series: Mini-Medical School 2008)

Health Care and a Healthy Society - Part 2

Wed, 28 May 2008 00:00:00 GMT

Will changing our national health-care system provide health care for more people? Can any health-care system make a population healthy? What is the biggest deterrent to good health in our nation? Join in the debate with University of Washington School of Medicine doctors. (Series: Mini-Medical School 2008)

Healthcare: Finding, Managing and Using Quality Medical Information

Wed, 23 May 2007 00:00:00 GMT

Laura Schildkraut talks with Andrew Schorr, founder of Health Talk, host and founder of Patient Power and a leading patient information advocate. Information professionals can play a vital role in helping people make decisions about their healthcare options. Wanda Pratt, Associate Professor at the University of Washington Information School and School of Medicine, discusses how people find, manage and use medical information. (Series: Information Matters)

Early Detection and Prognosis for Ovarian Cancer - Elizabeth Swisher, MD

Wed, 28 May 2008 00:00:00 GMT

Ovarian cancer has the highest mortality of all gynecologic cancers. Most women with ovarian cancer are diagnosed after the cancer has already spread to other organs when the cure rate is low. Much effort has been applied to improving the early detection of ovarian cancer. Elizabeth Swisher, Associate Professor, Dept. of Obstetrics and Gynecology reviews the evidence and methods for current and future technologies for ovarian cancer screening. She reviews risk factors and identification of women at high risk of ovarian cancer and describes novel hypotheses for the origin of ovarian cancer that may impact future prevention strategies. (Series: Laboratory Medicine Grand Rounds)

Neurogenetics of Huntington’s Disease - Albert La Spada, MD Ph.D.

Wed, 28 May 2008 00:00:00 GMT

Albert La Spada, MD, Ph.D., Associate Professor in the Department of Laboratory Medicine at the University of Washington explores a novel and uniquely human genetic disease mechanism whose discovery has revolutionized the way we think about neurons and how they function. Huntington's disease and spinocerebellar ataxia type 7 are two inherited neurological disorders caused by expansion of the same type of trinucleotide repeat. Genetic studies coupled with genomics technology advances have permitted us to uncover how and why neurons die in these diseases. The challenge now is to use this knowledge to develop new therapies for these diseases. (Series: Laboratory Medicine Grand Rounds)

The Team Physician and Controversies in Sports Medicine - Part 2

Wed, 28 May 2008 00:00:00 GMT

Defining the duties and responsibilities of team physicians and how they balance player and team interests. How do team physicians manage concussions, a challenging injury that catches a lot of media attention? (Series: Mini-Medical School 2008)

Imagery and Interpretation in International Medicine - Part 1

Wed, 28 May 2008 00:00:00 GMT

Learn how a large institution like Harborview Medical Center has overcome language barriers and learned to recognize cultural expressions of illness to treat non-English-speaking communities. Hear how a dermatologist in Seattle “sees” patients in South Africa, diagnosing and treating skin diseases that are often the first sign of HIV. Phil Borges will present his photographs of cultures from around the world. (Series: Mini-Medical School 2008)

Imagery and Interpretation in International Medicine - Part 2

Wed, 28 May 2008 00:00:00 GMT

Twin Epidemics: Obesity and Diabetes - Part 1

Wed, 28 May 2008 00:00:00 GMT

Many different approaches – from personal to societal – are needed to prevent and control obesity rates and diabetes prevalence. Hear from three leading researchers from the University of Washington School of Medicine with clinical and public health perspectives. (Series: Mini-Medical School 2008)

Twin Epidemics: Obesity and Diabetes - Part 2

Wed, 28 May 2008 00:00:00 GMT

Twin Epidemics: Obesity and Diabetes - Part 3

Wed, 28 May 2008 00:00:00 GMT

The Team Physician and Controversies in Sports Medicine - Part 1

Wed, 28 May 2008 00:00:00 GMT

Early Childhood Development: Early Learning, the Brain and Society

Tue, 12 Jun 2007 00:00:00 GMT

How does a child’s capacity to learn relate to the central debate about nature or nurture? As part of the Early Childhood Development lecture series, Dr. Patricia Kuhl talks about children’s ability to learn effortlessly and the importance of social interaction in the learning process. Kuhl, professor of Speech and Hearing Sciences and co-director for the UW Institute for Learning and Brain Sciences, is internationally recognized for her research on early language and brain development. (Series: Provost Distinguished Lectures)

Symbolic Understanding in Infants and Young Children: Challenges and Benefits – Part 1

Thu, 07 Jun 2007 00:00:00 GMT

Nothing is more important in early human development than learning to use the symbols through which we communicate with one another. In this lecture, Dr. DeLoache reviews her research on the challenges that infants and very young children face as they become symbol-minded-- as they figure out the nature and use of a variety of everyday symbolic objects. (Series: Allen L. Edwards Psychology Lectures)

Symbolic Understanding in Infants and Young Children: Challenges and Benefits – Part 2

Thu, 07 Jun 2007 00:00:00 GMT

Nothing is more important in early human development than learning to use the symbols through which we communicate with one another. In this lecture, Dr. Carlson examines the benefits of symbolic understanding, including iconic and non-iconic symbols, pretense, and language for cognitive and social development with an emphasis on self-control and problem solving. (Series: Allen L. Edwards Psychology Lectures)

The Golden Age of Global Health: An Ethnology in Progress

Tue, 12 Jun 2007 00:00:00 GMT

Learn how conflict situations, refugees, health and the environment are connected in this program, which is part of the Fifth Western Regional International Health Conference. Hear about the latest developments in HIV vaccine research, new health systems, water quality and oral health disparities around the globe—including health consequences of the Iraq war. Speakers include Jim Yong Kim, chair of the department of social medicine at Harvard, and King Holmes, head of infectious diseases at Harborview Medical Center. (Series: Western Regional Health Conference)

Living With Traumatic Brain Injury

Tue, 19 Jun 2007 00:00:00 GMT

People with traumatic brain injuries may experience physical, cognitive or personality changes that affect their work and relationships. In this program from the University of Washington, hear stories of people who are rebuilding their lives and readjusting to family, careers and everyday life. This program is sponsored by the Washington State Department of Social and Health Services/Aging and Disability Services Administration, University of Washington Traumatic Brain Injury Model System, and Harborview Medical Center. (Series: Living With Traumatic Brain Injury)

Nonfusion Lumbar Spine Reconstruction Surgery

Fri, 13 Jun 2008 00:00:00 GMT

Attempts to avoid fusion surgery, the intentional stiffening of formerly mobile lumbar motion segments, are under way as developments in less invasive procedures emerge. Dr. John Devine, Lt. Col. and associate professor of surgery of the Armed Health Services, discusses the latest research in replacing diseased facet joints. Also, Dr. Jens Chapman, professor of orthopaedic and neurological surgery at the University of Washington, reviews interspinous spacers aimed at reducing symptoms of spinal stenosis. (Series: Sixth Annual Harborview Spine Symposium: Arthritic Disorders of the Spine)

Surgical Challenges in Rheumatoid Arthritis

Fri, 13 Jun 2008 00:00:00 GMT

Patients who require reconstructive spine surgery frequently face major challenges. Dr. Alan Crockard, a consultant neurosurgeon based in London, discusses the very contentious theory that a fusion procedure may not be the most desirable for patients with certain rheumatologic disorders. Dr. Rick Sasso, associate professor of orthopaedic surgery at University of Indiana, delves into novel approaches in reconstructing the failing spine of patients with significant bone loss of the spinal column. (Series: Sixth Annual Harborview Spine Symposium: Arthritic Disorders of the Spine)

Upper C-spine Problems in Rheumatoid Arthritis

Mon, 23 Jun 2008 00:00:00 GMT

The upper cervical spine with its two bone segments is the most complicated and vulnerable region of the human spinal column, making it a target for a number of arthritic disorders. Dr. Randy Chesnut, professor of neurological and orthopaedic surgery at the University of Washington, presents the results of intriguing research investigating the fate of patients who have not had surgical intervention and those have. This topic is further examined by Dr. Alan Crockard, a consultant neurosurgeon based in London, and Dr. Rick Sasso, associate professor of orthopaedic Surgery at the University of Indiana. (Series: Sixth Annual Harborview Spine Symposium: Arthritic Disorders of the Spine)

Fractures in Patients with Ankylosing Spinal Conditions

Fri, 13 Jun 2008 00:00:00 GMT

As the aging population grows, certain types of fractures are becoming more common. These fractures involve arthritic conditions in which the spinal column loses its motion process and eventually fuses, making the patient vulnerable to complex spine fractures. Dr. Rick Bransford, assistant professor of orthopaedic surgery at the University of Washington, examines a number of such arthritic disorders and their influence on outcomes following spine fractures. This program also explores emerging research into less invasive ways of surgical spine care. (Series: Sixth Annual Harborview Spine Symposium: Arthritic Disorders of the Spine)

Cranio-Cervical Surgery

Fri, 13 Jun 2008 00:00:00 GMT

Certain arthritic conditions, such as rheumatoid arthritis, often manifests at the junction of the skull to the neck, as well as its upper two motion segments. Dr. Virany Hillard, assistant professor of neurological surgery at the University of Washington, demonstrates techniques of decompression of the spinal cord, cerebellum and indications for surgical stabilization. Dr. Carlo Bellabarba, associate professor of orthopaedic and neruological surgery at the University of Washington, presents a variety of surgical fixation techniques to maximize the healing of the cranium to the cervical spine. (Series: Sixth Annual Harborview Spine Symposium: Arthritic Disorders of the Spine)

Primer on Arthritic Disorders

Mon, 09 Jun 2008 00:00:00 GMT

Learn about the arthritic conditions of Ramses II as Dr. Greg Gardner, professor of rheumatology at the University of Washington, provides an overview of various arthritic orders and what types of interventions have been used over the centuries. Dr. Mark O’Callahan, assistant professor of radiology at the University of Washington, demonstrates helpful pointers to identifying various types of arthritis. (Series: Sixth Annual Harborview Spine Symposium: Arthritic Disorders of the Spine)

Management of Common Low Back Disorders

Fri, 13 Jun 2008 00:00:00 GMT

Low back pain is a common but unspecific symptom for arthritis sufferers. There are, however, a number of pathologic conditions, which may require even further attention. The University of Washington’s Dr. Ray Baker, Dr. Christopher J. Standaert and Dr. Theodore Wagner explore recent insights on anomalies of facet joints in the lumbar spine, nonoperative treatment for patients experiencing pain in the sacroiliac joints and neural decompression surgery for spinal stenosis in an arthritic spine. (Series: Sixth Annual Harborview Spine Symposium: Arthritic Disorders of the Spine)

Lower C-spine Deformity Correction

Fri, 13 Jun 2008 00:00:00 GMT

A variety of arthritic disorders may cause the lower cervical spine to become susceptible to progressive collapse and deformity. Dr. Jens R. Chapman, professor of orthopaedic and neurological surgery at the University of Washington, discusses a complex series of surgeries that are the only solutions for patients with fixed deformities. Other topics included in this program are surgical care from an anterior or posterior approach and chin or chest deformities. (Series: Sixth Annual Harborview Spine Symposium: Arthritic Disorders of the Spine)

Managing Complications in Complex Spine Surgery

Fri, 13 Jun 2008 00:00:00 GMT

Complications are rare but real risks of any medical or surgical intervention. This program takes a look into complications that may arise for patients with arthritic conditions, including intraoperative injuries to the vertebral artery during surgery and perioperative infections. Featured speakers include Dr. Kees Poelstra, assistant professor of orthopaedic surgery at the Shock Trauma Hospital in Baltimore, Dr. Michael Lee, assistant professor of orthoapedic surgery at the University of Washington and Dr. Alan Crockard, a consultant neurosurgeon based in London. (Series: Sixth Annual Harborview Spine Symposium: Arthritic Disorders of the Spine)

International Medicine: What Do Developing Countries Need? - King Holmes, MD, Ph.D.

Mon, 01 Jun 2009 00:00:00 GMT

All countries in the world are closely interconnected: by travel, commerce, the Internet, media, the common environment and, of course, global health. Global health knows no borders. As Africa, Asia and the Pacific, Latin America and the Caribbean all have aging populations and confront chronic diseases and climate change, the threat of emerging infectious diseases like swine influenza and exceptionally drug-resistant tuberculosis also grows, driven in part by uncontrolled growth of mega cities, water shortages and poor sanitation. Dr. King Holmes shows how clinical and public health laboratories play a central role in preserving global health. (Series: Laboratory Medicine Grand Rounds)

Engraftment Monitoring Following Human Stem Cell Transplantation - Shalini Pereira, Ph.D.

Mon, 01 Jun 2009 00:00:00 GMT

Chimerism is an extremely rare disorder that mixes the chromosomal population in a single organism. Chimerism may manifest as the presence of two sets of DNA, or organs that do not match the DNA of the rest of the organism. In some cases, hermaphroditic characteristics can be signs of chimerism. Contemporary use of the term chimerism derives from the idea of a “mixed” entity, referring to someone who has received a transplant of genetically different tissue. Engraftment monitoring, also called chimerism testing, by DNA utilizes methodology commonly used in human identity testing. Dr. Shalini Pereira talks about how this new testing technology identifies genetic profiles of a recipient and donor(s) after a stem cell transplant, and can be used to evaluate the extent of mixture in the recipient's peripheral blood, bone marrow or other tissue. (Series: Laboratory Medicine Grand Rounds)

Substance Abuse Treatment for Child Welfare Families: Part 1

Thu, 24 Jul 2008 00:00:00 GMT

HPV and Cervical Cancer: 25 Years from Discovery to Vaccine

Fri, 13 Jun 2008 00:00:00 GMT

Dr. Denise Galloway, Head of the Cancer Biology program at Fred Hutchinson Cancer Research Center, discusses her investigation into the natural history of HPV, a virus that has the potential to lead to cancer in “HPV and Cervical Cancer: 25 Years from Discovery to Vaccine.” (Series: Molecular Medicine 2008 Public Lecture Series)

Point-of-Care Diagnostics for the Developing World

Fri, 13 Jun 2008 00:00:00 GMT

People living in the developing world suffer greatly from many illnesses, many of them caused by infectious agents. These people usually do not have access to stable power or clean water, let alone the best diagnostic tools. What can we do to bring the high-tech diagnostic methods used in the developed world to those with fewer resources? Dr. Paul Yager, Professor and Acting Chair in the Department of Bioengineering, explains how microfluidics, a new technology for manipulating small volumes of fluids, is enabling the development of a small portable and inexpensive system for detecting pathogens far from the centralized laboratory. This system could soon have an impact on global health. (Series: Molecular Medicine 2008 Public Lecture Series)

VATS Lobectomy for the Treatment of Non-Small Cell Lung Cancer

Thu, 06 Nov 2008 00:00:00 GMT

Dr. Michael Mulligan, thoracic surgeon and lung transplant specialist at UW Medical Center, presents his lecture, VATS Lobectomy for the Treatment of Non-Small Cell Lung Cancer. Mulligan details the thoracoscopic lobectomy procedure including technical and safety aspects. He also discusses the advantages of VATS compared to traditional methods. Dr. Mulligan is a UW associate professor in the Division of Cardiothoracic Surgery and director of Minimally Invasive Thoracic Surgery at UW Medical Center. (Series: Grand Rounds)

Moving Forward After Spinal Cord Injury: A Video Profile of Billy Price

Wed, 05 Nov 2008 00:00:00 GMT

This seven-minute video features Billy Price, whose life was upended 12 years ago when he sustained a C-6 complete spinal cord injury as a freshman in college. As he narrates his journey with quadriplegia —the traumatic early days, the challenges and achievements—we see the images of his present day life: driving to his full-time engineering job, living in his condo, tailgating with friends before a football game, and continuing his passion for skiing.

Trends in Autoantibody Testing - Mark H. Wener, MD

Tue, 12 Dec 2006 00:00:00 GMT

Dr. Mark Wener from the University of Washington discusses recent trends in autoantibody testing, which includes testing for such conditions as lupus, rheumatoid arthritis, and other autoimmune diseases. (Series: Laboratory Medicine Grand Rounds)

Trends in Newborn Screening - Michael Glass, MS

Tue, 12 Dec 2006 00:00:00 GMT

In this University of Washington program, Michael Glass, of the Washington State Department of Health, presents the latest in newborn screening trends in Washington state and across the nation. He describes how certain tests were developed, such as the PKU blood spot test performed on all newborns in this state. He also talks about the outcome for children when certain conditions are not tested early enough to be effectively treated. (Series: Laboratory Medicine Grand Rounds)

Partnerships for Pandemic Influenza Preparedness: The APEC EINet

Wed, 12 Nov 2008 00:00:00 GMT

This symposium describes how private and public sectors in the APEC region can cooperate and work effectively to prepare for and respond to pandemic influenza. Seventeen APEC economies participated in this videoconference organized by APEC EINet, based at the University of Washington. The videoconference brings together economies in a dynamic, real-time discussion through the collaboration of the health and the business sectors with a focus on critical systems continuity to enhance pandemic preparedness. (Series: Partnerships for Pandemic Influenza Preparedness: The APEC EINet)

Experience and Problems in Laboratory Medicine in Developing Countries - Jack H. Ladenson, Ph.D.

Wed, 12 Nov 2008 00:00:00 GMT

Dr. Jack H. Ladenson will present the lessons of 12 years experience of Pathologists Overseas in working to upgrade clinical laboratories and training in a variety of developing countries, especially Eritrea and Bhutan. Dr. Ladenson describes ways in which we can allow the country to set its own priorities plus systems to allow country-wide standardization of laboratory values, simplified inventory control, and training and monitoring in quality assurance. (Series: Laboratory Medicine Grand Rounds)

Molecular Assays for Colorectal Cancer Care - William Grady, MD

Wed, 12 Nov 2008 00:00:00 GMT

Molecular assays for risk stratification for cancer and for the early detection of cancer are currently being developed and are beginning to be used in clinical care. Likewise, molecular assays are being developed as predictive and prognostic markers for cancer. The state-of-the art of currently available risk stratification assays and molecular screening assays for colorectal cancer will be discussed. Dr. William Grady discusses recent developments in the generation of predictive and prognostic markers for colorectal cancer will also be discussed. Finally, future directions for molecular assays for colorectal cancer will be reviewed. (Series: Laboratory Medicine Grand Rounds)

Minimally Invasive Total Hip Replacement

Tue, 12 Dec 2006 00:00:00 GMT

Schoolteacher Janice Isner, a former marathon runner and recreational cyclist, was determined to “get back her life, pain-free” after learning that the cartilage in her right hip had deteriorated completely. Her physician, Paul Manner, is an orthopaedic surgeon at the University of Washington Medical Center. The two discuss Isner’s total hip-replacement surgery. The program includes footage of her successful procedure, in which Manner’s minimally invasive approach avoided cutting muscle tissue, and promoted rapid recovery. (Series: Talk Medicine)

Lymphoproliferative Disorders Following Solid Organ Transplant - Virginia Broudy, MD

Mon, 24 Nov 2008 00:00:00 GMT

Dr. Virginia Broudy will discuss the increased risk of lymphoma in patients who have received a solid organ transplant. The talk will include the risk factors for lymphoma, and the clinical presentation and treatment of lymphoma in solid organ transplant recipients. (Series: Laboratory Medicine Grand Rounds)

Trends in Multiparameter Flow Cytometry in Hematology - Dr. Brent Wood

Wed, 14 Nov 2007 00:00:00 GMT

Flow cytometry is increasingly utilized as primary tool for the diagnosis of hematopoietic neoplasia in a clinical laboratory setting. The use of increased numbers of simultaneous fluorochromes offers the following potential advantages: increased accuracy of population identification, the ability to make better use of small specimens where cell number is a limiting factor, the processing of fewer tubes with the consequent reduction in reagents, technologist time and instrument time, the more efficient analysis of large numbers of cells which is important for the detection of small cell populations, and ultimately improved standardization. Brent Wood, associate professor of the hematology division in the department of laboratory medicine at the University of Washington discusses practical issues surrounding the implementation of high-level multicolor flow cytometry in a clinical laboratory setting and illustration of the power of the technology. (Series: Laboratory Medicine Grand Rounds)

HSV As A Successful Pathogen: The Quest for Developing A Vaccine - Dr. Lawrence Corey

Wed, 14 Nov 2007 00:00:00 GMT

Learn more about herpes simplex virus (HSV) and research efforts to develop a vaccine. Dr. Lawrence Corey from the University of Washington presents recent data on HSV reactivation and shedding, along with a short history of HSV vaccine development. (Series: Laboratory Medicine Grand Rounds)

Trends in the Clinical Laboratory Industry - Dr. Thomas Tiffany

Wed, 14 Nov 2007 00:00:00 GMT

The United States Clinical Lab Industry represents $50 billion of the $1.7 trillion dollars spent on health care in 2006. The Lab Industry represents less than 3% of the health care budget yet provides more that 70 % of the diagnostic information leading to medical decisions on patients. In this University of Washington program, learn as Dr. Thomas Tiffany talks about industry trends including the market, key environmental factors, labs and integrated health delivery networks, and the role of clinical labs in the integrated health delivery networks to include quality assurance, information technology, and new testing direction. (Series: Laboratory Medicine Grand Rounds)

Regaining an Active Life

Mon, 24 Nov 2008 00:00:00 GMT

To view 2-minute versions of this program, go to:

Inside Access Preview: Sports and Spine Physicians.

(Series: Inside Access)

Advances in Joint Replacement: Total Hip Resurfacing and Quadriceps-Sparing Knee Replacement

Mon, 24 Nov 2008 00:00:00 GMT

Total hip resurfacing arthroplasty is a bone-sparing alternative to hip replacement for very active younger patients. Quadriceps-sparing total knee replacement is a less invasive procedure for inserting knee replacement implants, involving a shorter incision and less recovery time. We profile UW Medical Center patients who have had these procedures and discuss the techniques with physicians who treated them.

To view 2-minute versions of this program, go to:

Inside Access Preview: Quadriceps-Sparing Knee Replacement

(Series: Inside Access)

The Use and Misuse of Laboratory Tests for Nutritional Status - Edward Lipkin, MD, PhD

Fri, 20 Nov 2009 00:00:00 GMT

Dr. Edward Lipkin, associate professor of Medicine, Nutrition, Metabolism and Endocrinology at the University of Washington, offers both a historical and current perspective of the laboratory evaluation of nutritional status. Look at examples of mass measurement of blood constituents that correlate with nutritional status, as well as technological advances that may change the way we assess nutrition. (Series: Laboratory Medicine Grand Rounds)

HIV-1 Infection: Laboratory Diagnosis and Utility of Rapid Testing - A Tiresian Odyssey - Robert Coombs, MD, PhD

Fri, 20 Nov 2009 00:00:00 GMT

In the United States, current HIV diagnostic algorithms based solely on serologic criteria for infection are inadequate for the timely diagnosis of acute or early HIV infection. Dr. Robert Coombs, professor of Laboratory Medicine and Medicine at the University of Washington, advises that future diagnostic algorithms should embrace simple/rapid antibody and HIV nucleic acid testing to support efforts to incorporate the concept of “presumptive HIV infection” into the early reporting of HIV test results. These simple/rapid test devices for detecting HIV infection will be very useful for point-of-care HIV testing in both resource-rich and resource- limited settings, but the limitations of these tests must be considered. A greater effort should be made to educate health care providers about the need for HIV diagnostic algorithms that incorporate these simple/rapid HIV test devices. (Series: Laboratory Medicine Grand Rounds)

Distinguished Faculty Lecture with Christopher Murray

Fri, 15 Feb 2008 00:00:00 GMT

Dr. Christopher Murray is the director of the University of Washington's Institute for Health Metrics and Evaluation and professor of Global Health at the UW School of Medicine and School of Public Health and Community Medicine. In this program, he evaluates the performance of national medical care and public health systems. A physician and health economist, Dr. Murray's early work focused on tuberculosis control and developing a new metric to compare death and disability from various diseases and the contribution of risk factors to the overall burden of disease in developing and developed countries. This pioneering effort has been hailed as a major landmark in public health and an important foundation for policy formulation. From 2003 until 2007, he was the director of the Harvard University Initiative for Global Health. (Series: 2007 Distinguished Faculty Lecture with Christopher Murray)

Back Pain

Mon, 06 Oct 2008 00:00:00 GMT

Dr. Stan Herring, Director UW Medicine Spine Center, sits down with best selling author, UW professor and patient, David Shields, to discuss his history with back pain. For many years Shields was plagued with severe back pain that had begun to change how he lived his life. Dr. Herring illustrates how treatment for back pain comes down to individualized care and how he and his team at the UW Medicine Spine Center, partner with each patient on the road to recovery. (Series: Talk Medicine)

Assessing Prenatal Risk: Current State of the Art - Dr. Edith Cheng

Mon, 15 Oct 2007 00:00:00 GMT

The term prenatal diagnosis has historically been synonymous with amniocentesis and the prenatal detection of Down Syndrome. In the 1970s, a woman’s choice in assessing her fetus for birth defects and chromosome or genetic conditions was limited. However, continued technical advances in fetal imaging and molecular genetics coupled with the identification of biochemical markers in maternal serum which could be associated with fetal chromosome and/or genetic disorders have drastically changed and expanded the topography of prenatal diagnosis/screening. Edith Cheng, from University of Washington obstetrics and gynecology, summarizes the history and evolution of prenatal diagnosis to its current state with examples of the myriad of choices now available to all women. (Series: Laboratory Medicine Grand Rounds)

Predicting Our Future: Genetic Testing in Children and Their Families, Part 1 of 2

Thu, 16 Oct 2008 00:00:00 GMT

In this one hour program, nationally known bioethicists discuss the controversial and ethical questions surrounding mandatory newborn screening, which currently lack federal oversight and are managed by each state. Wide variations in this testing exist throughout the United States; nine states currently test for more than 50 genetic diseases, while others test for fewer than 10. For many bioethicists, it is controversial whether or not to routinely screen all newborns for conditions we may not yet be able to treat, capturing genetic information for research or future registries in the event treatment later becomes possible. Bioethicists have related concerns about whether parental consents should be obtained for each test, as well as whether testing should be uniform from state-to-state. A variety of opinions were expressed at the conference, as experts weighed in on these questions. (Series: Pediatric Bioethics Conference 2008)

Predicting Our Future: Genetic Testing in Children and Their Families, Part 2 of 2

Thu, 16 Oct 2008 00:00:00 GMT

In this one hour program, bioethicists explore the challenges and ethical implications of genetic testing of children for adult-onset diseases. They’ll discuss whether there is any clear medical benefit to the child as a result of having test results early and if not, might it be best to wait until the child is old enough to make their own choice, to protect their individual right not to know and also to decide for themselves. In an emotional discussion of their own medical stories, mother and daughter Rebecca and Kate Fisher revealed personal insights gained from their long family history of related cancers, as well as Kate’s test results for the BRCA+1 mutation, an indicator for breast cancer risk. (Series: Pediatric Bioethics Conference 2008)

Ideas to Innovation: Health

Tue, 12 Dec 2006 00:00:00 GMT

The University of Washington connected with business leaders on campus Sept. 18, 2006 at the Ideas to Innovation summit for CEOs. The first meeting of its kind at the UW, one of the summit’s goals is to position the state of Washington as the epicenter for global health, environmental sustainability and technology in the 21st century. Governor Christine Gregoire and UW President Mark Emmert spoke, along with area business leaders and researchers.

23rd Annual Alzheimer's Disease Public Forum: Alzheimer's Care in the 21st Century

Thu, 23 Oct 2008 00:00:00 GMT

Explore advancements in Alzheimer’s care, both from pharmacological and non-pharmacological approach, and how these approaches can work together. (Series: 23rd Annual Alzheimer's Disease Public Forum: Alzheimer's Care in the 21st Century)

Uncommon Sense & Innovation

Thu, 23 Oct 2008 00:00:00 GMT

Dr. William Brody, president of Johns Hopkins University presents his lecture, "Uncommon Sense and Innovation." Brody is the 13th president of Johns Hopkins University. With his extensive education in electrical engineering and medicine, Brody knows the importance of discovery and innovation in science. With that in mind, he discusses the role of reasoning and problem solving in the real world and emphasizes how to apply it to science. (Series: Albert A. Moss Lectureship in Imaging Sciences)

Brain Tumor

Thu, 16 Oct 2008 00:00:00 GMT

Deborah Kelley thought she had another migraine, but an MRI showed a brain tumor. With the news, Kelley underwent an “awake” surgery in which the neurosurgeon, Dr. Dan Silbergeld of the University of Washington Medical Center, used stereotactic navigation to precisely locate the tumor, a cancerous glioma, while monitoring Kelley’s language skills. This helped Silbergeld and his team know the greatest amount of potential tumor removal. After surgery, Kelley opted for radiation therapy, too.

To view the full Inside Access program, go to Inside Access: Brain Tumor Surgery.

(Series: Inside Access Preview)

Carpal Tunnel Syndrome

Thu, 16 Oct 2008 00:00:00 GMT

When Sharon Bosse arrived at a Uganda mission, her right hand was already weak. Peeling hundreds of potatoes left her hand tingling and numb – signs of carpal tunnel syndrome. The disorder often stems from repetitive motions such as typing or operating a cash register. Seeking surgery, Bosse turned to Dr. Nicholas Vedder at Harborview Medical Center. He performed the minimally invasive procedure that made her hand useful again.

To view the full Inside Access program, go to Inside Access: Hand and Microsurgery Team.

(Series: Inside Access Preview)

Heart Arrhythmia

Thu, 23 Oct 2008 00:00:00 GMT

Patricia Awisus was experiencing arrhythmia – irregular heart rhythm – and couldn’t be as active as she wanted. “I’m so glad that I’m living in a time when [doctors] can do something,” she said. Awisus sought care at UW Medicine’s Regional Heart Center, where Dr. Robert Rho installed a permanent pacemaker. Cardiac electrophysiology expertise enables physicians here to improve patients’ longevity and quality of life.

To view the full Inside Access program, go to Inside Access: The Regional Heart Center.

(Series: Inside Access Preview)

Life Changing LASEK Procedure

Thu, 16 Oct 2008 00:00:00 GMT

Brian Finrow started wearing glasses when he was 12. As an adult, he said, they got in the way of skiing – goggles over glasses? – and other activities. A pal referred him to Dr. Tueng Shen, a refractive surgery specialist at the University of Washington Medical Center. Finrow opted to have his vision corrected via LASEK, which involves no cutting of the cornea, so is less prone to complications than the older LASIK procedure. One of Finrow’s favorite activities now is buying sunglasses.

To view the full Inside Access program, go to Inside Access: Refractive Eye Surgery.

(Series: Inside Access Preview)

Lung Transplant

Thu, 16 Oct 2008 00:00:00 GMT

Lung disease can lead to transplantation in some patients. It takes an entire team of medical professionals to assist a patient from the initial diagnosis into day-to-day treatment and finally surgery and recovery. UW Medical Center’s Dr. Ganesh Raghu discusses the care and treatment of patients before and after transplantation. Dr. Mike Mulligan and the UW Medical Center transplantation team work against the clock to procure and transplant a set of lungs in this complicated, multiple surgery procedure.

To view the full Inside Access program, go to Inside Access: New Lungs: A Gift of Life.

(Series: Inside Access Preview)

New Heart, New Life

Thu, 16 Oct 2008 00:00:00 GMT

Heart transplant is as formidable a challenge as any surgeon faces. UW Medicine Regional Heart Center’s transplant program is one of the most successful in the United States. This program follows a teenager through his heart transplant and recovery. Another transplant patient develops a relationship with the family of his heart donor. Get a behind-the-scenes view of the emotions and challenges involved in a heart transplant procedure.

To view the full Inside Access program, go to Inside Access: New Heart, New Life.

(Series: Inside Access Preview)

Regional Heart Center

Thu, 16 Oct 2008 00:00:00 GMT

A look at the in surgical techniques to repair the irregular rhythms, rapid heart beats, blood clots and ineffective heart muscle contractions associated with atrial fibrillation. Restoration of normal cardiac function using catheters, pacemakers, and the surgical MAZE technique, as well as innovations in ultrasound, laser and cryothermal tools are discussed.

To view the full Inside Access program, go to Inside Access: The Regional Heart Center.

(Series: Inside Access Preview)

Sports Medicine: Dislocated Shoulder

Thu, 16 Oct 2008 00:00:00 GMT

Bill Christiansen, a “weekend warrior” athlete, loves basketball’s flow and energy. But for months he couldn’t play because his shoulder kept painfully dislocating. Bill was referred to Dr. John Green, an orthopedist at the University of Washington Sports Medicine Clinic. He performed a minimally invasive arthroscopic repair, moving the labrum back to normal position and holding it in place against the glenoid with absorbable suture anchors. With rehab, Christiansen got his game back.

To view the full Inside Access program, go to Inside Access: UW Sports Medicine for Every Athlete.

(Series: Inside Access Preview)

Stiff Elbow Trauma & Treatment

Thu, 16 Oct 2008 00:00:00 GMT

Initially, a motorcycle crash sent Warren Henderson to Harborview Medical Center. As he healed, bone spurs developed in his right elbow, which made the elbow stiff and also pressed against a nerve, diminishing sensation in two fingers and his forearm. At Harborview Medical Center, Dr. Doug Hanel performed the delicate surgery, removing scarred bone and scarred elbow capsule, and reconstructing the anatomy. “It’s beyond what I had hoped for,” Henderson said.

To view the full Inside Access program, go to Inside Access: Hand and Microsurgery Team.

(Series: Inside Access Preview)

Thumb Joint Replacement

Thu, 16 Oct 2008 00:00:00 GMT

Advanced arthritis in Linda Holland’s left thumb was a disability, and a painful one. “You can’t imagine the things you can’t do without a thumb,” she said. Dr. Thomas Trumble at Harborview Medical Center performed surgery, removing parts of the arthritic bone where cartilage had worn away, and inserting a biological cartilage graft to cushion the bone-contact point. Some patients, Trumble said, are better suited to synthetic spacers. Holland, now pain-free, calls Trumble a “miracle worker.”

To view the full Inside Access program, go to Inside Access: Hand and Microsurgery Team.

(Series: Inside Access Preview)

Treating Varicose Veins

Thu, 16 Oct 2008 00:00:00 GMT

Varicose veins can develop anywhere in the body, but the big, ropey vessels typically emerge in the leg, and aren’t only a cosmetic issue. They can cause itching, skin ulcers and tremendous pain. Wanda Alexis sought treatment from Dr. Torrey Andrews of the University of Washington Medical Center. Guided by ultrasound and making only a tiny puncture near Alexis’ knee, Andrews performed laser ablation to seal shut the faulty vessels. After the procedure, Alexis walked out the door.

To view the full Inside Access program, go to Inside Access: Center for Endovascular Therapy.

(Series: Inside Access Preview)

Brain Aneurysm

Thu, 16 Oct 2008 00:00:00 GMT

Roxie Phillips knew that her brain aneurysm – a ballooning of a blood vessel wall – had a risk of rupture akin to a ticking bomb. Dr. Laligam Sekhar, a neurosurgeon, and the team at Harborview Medical Center performed a procedure that bypassed the brain's blood vessels with a graft from the radial artery in her arm. Sekhar then closed off the aneurysm with a titanium clip. A year after surgery, Phillips was well on the road to recovery.

To view the full Inside Access program, go to Inside Access: Brain Aneurysms.

(Series: Inside Access Preview)

Sports Medicine: ACL Repair

Thu, 16 Oct 2008 00:00:00 GMT

She won a silver medal in soccer at the 2000 Olympics. Now Michelle French plays soccer for the Seattle Sounders, and that’s how she tore her right knee’s anterior cruciate ligament (ACL). She was treated by Dr. Chris Wahl, an orthopedic surgeon at the University of Washington Medical Center. Minimally invasive arthroscopic surgery removed the damaged ligament, and French’s knee was reconstructed with graft tendons from her hamstring. Rehabilitation helped French return to the field quickly.

To view the full Inside Access program, go to Inside Access: UW Sports Medicine for Every Athlete.

(Series: Inside Access Preview)

Quality and Efficiency Solutions for Anatomic Pathology - Rodney Schmidt, MD

Wed, 28 Oct 2009 00:00:00 GMT

Anatomic pathology deals with the analysis of tissue samples and Pap smears. University of Washington professor of pathology Dr. Rodney Schmidt reviews how UW’s anatomic pathology lab works, how specimens are labeled and how samples are used to make microscopic slides. With the appropriate application of barcoding technology and innovative software, both the accuracy of sample identification and the efficiency of the lab can be improved dramatically. Software developed at UW is at the leading edge the upcoming transformation of AP labs throughout the country. (Series: Laboratory Medicine Grand Rounds)

Interdisciplinary Geriatric Research Forum: Closing Address by Dr. Eric B. Larson

Tue, 23 Oct 2007 00:00:00 GMT

The UW Interdisciplinary Geriatric Research Forum is an event co-sponsored by the UW Center for Interdisciplinary Geriatric Research and the Institute on Aging. Dr. Eric Larson’s closing lecture focuses on his research program with older adults as a way to illustrate key themes and issues in doing interdisciplinary research. (Series: Interdisciplinary Geriatric Research Forum: Closing Address by Dr. Eric B. Larson)

Laboratory Medicine: Back to the Future - James Fine, MD

Mon, 27 Oct 2008 00:00:00 GMT

The development of laboratory testing to diagnose and treat human disease has progressed steadily from mere observation of bodily fluids in ancient times to the 17th century invention of the microscope and the discovery of microscopic organisms and structures. Today the specialty of clinical pathology, or laboratory medicine, plays an increasingly major role in clinical care. Physicians rely on the timely and accurate testing of their patients’ fluids to assist them in diagnosing an ever-expanding range of pathologies. Dr. James Fine takes a look at the development of university programs in medical technology and residency programs in clinical pathology have supported this development. The University of Washington is a leader in the field. (Series: Laboratory Medicine Grand Rounds)

18th Annual GHEC Conference and 7th Annual Western Regional International Health Conference - Transcending Global Health Barriers: Education and Action

Mon, 02 Nov 2009 00:00:00 GMT

“Transcending Global Health Barriers: Education and Action” was the theme of The 18th Annual Global Health Education Consortium (GHEC) Conference and the 7th Annual Western Regional International Health Conference hosted by the University of Washington Department of Global Health April 3-5, 2009. Among the highlights: Keynote speaker Harriet Fulbright, director of the Fulbright Center, received the GHEC Distinguished Service Award and answered questions on the “Peace Index.” Speaker Dr. Fortunato L. Cristobal gave a great example of a global health program in his talk, "Roles of Universities in Global Health: The Philippine Experience." Dr. Christopher Elias, president and CEO of PATH; UW’s Dr. Stephen Gloyd, executive director of Health Alliance International; and UW’s Dr. Christopher Murray, director of the Institute for Health Metrics and Evaluation, offered a hard look at “Looking into the Future: What is government's role in public health interventions?”

The conference was organized by an interdisciplinary team of more than 20 undergraduate and graduate students along with faculty and staff from UW's Global Health Resource Center and GHEC.

(Series: 18th Annual GHEC Conference and 7th Annual Western Regional International Health Conference - Transcending Global Health Barriers: Education and Action)

Fairness and Factions in Health

Tue, 12 Dec 2006 00:00:00 GMT

In this panel discussion, University of Washington faculty examine how issues of access, culture, trade, finance and regulation affect health care to world citizens. Panel members share research results regarding the challenges and opportunities involved and consider the issues of human rights and health inequities in providing care. (Series: A Just Cause: Bringing Health Care to All)

The Threat of Pandemic Influenza: How Can We Stop the Spread?

Tue, 12 Dec 2006 00:00:00 GMT

Upwards of 500 million people travel internationally every year as global trade and tourism flourish. The resulting health risks and vulnerabilities force acceptance of the fact that we are only as healthy as the people with whom we interact. In this lecture, University of Washington faculty discuss models of response to worldwide pandemics and examine the health-related realities of living in the 21st century. (Series: A Just Cause: Bringing Health Care to All)

The Promise of Health for All: Are U.S. Policies Making it Harder to Achieve?

Tue, 12 Dec 2006 00:00:00 GMT

Each year, inadequate health care and conditions result in millions of deaths from preventable diseases. In Africa less than ten percent of the people dying from AIDS have adequate treatment, due to a shortage of doctors and nurses. In the U.S. there are 600 doctors per 100,000 citizens; in Cuba there are 800; and in Mozambique there are two. In this lecture, University of Washington faculty explore the forces which impact our ability to provide basic health care to citizens in a global society. (Series: A Just Cause: Bringing Health Care to All)

HIV: In your Global Neighborhood

Tue, 12 Dec 2006 00:00:00 GMT

Featured speaker King Holmes, director of the Center for AIDS and STD at the University of Washington, is joined by William Gates Sr. to discuss the efforts of the Bill and Melinda Gates Foundation in working toward better health conditions for humanity across the globe. More than any other single health issue, HIV/AIDS threatens the development and stability of many nations, disproportionately affecting those in developing countries. King Holmes discusses viable options for treatment and prevention, and the policy implications of those choices. (Series: A Just Cause: Bringing Health Care to All)

Top 10 Tips For Peak Performance

Thu, 25 Sep 2008 00:00:00 GMT

Because an athlete's schedule is often so busy, good nutrition can often take a back seat. UW Medical Center Dietician, Alysun Deckert, provides 10 easy nutrition tips to help athletes stay on track and reach their peak performance. (Series: WINForum)

The Promise and Perils of Herbal Remedies - Chihiro Morishima, MD

Mon, 28 Sep 2009 00:00:00 GMT

Herbal remedies are widely used by the U.S. population in the form of over-the-counter dietary supplements. Dr. Chihiro Morishima of the University of Washington will review regulatory and potential safety issues associated with these products, as well as the potential for future drug discovery. Morishima will also share recent research results on silymarin, derived from the milk thistle plant and used by many individuals with chronic liver disease. (Series: Laboratory Medicine Grand Rounds)

Healing Young Bones and Joints: Orthopedics & Sports Medicine at Seattle Children's

Mon, 22 Sep 2008 00:00:00 GMT

The Orthopedics and Sports Medicine Department at Seattle Children’s addresses the special needs of growing bones, joints and connective tissue in children and adolescents. Meet a high school basketball hopeful after a knee injury on the court, and his pediatric orthopedic and sports medicine surgeon Dr. Greg Schmale, along with physical therapist Janet Morton. Together they get him back in the game.

The department also offers around-the-clock emergency care in pediatric orthopedics and sports medicine. Follow along as surgeon Dr. Klane White meets patients in the Children’s Emergency Department and performs a late-night repair on the broken femur of an ambitious young tree climber.

(Series: Inside Access)

Rebuilding the Baby Boomer: Replacement Parts for the 21st Century

Thu, 27 Dec 2007 00:00:00 GMT

Bionic Man has bounded from science fiction to 21st century reality. Today's engineers are developing "smart" materials and frontier-blazing technology to grow new human tissue, build entire organs, target drug delivery and even use the brain to control artificial limbs. These innovations will help save lives and improve our journey from cradle to grave. University of Washington professor and biomaterials pioneer Buddy Ratner discusses the amazing advances on the health care horizon that may someday earn "medical miracle" status. (Series: Engineering Lecture Series 2007: Boomers, A Bridge and the Boeing 787)

Detecting Circulating Tumor Cells - Dr. Daniel Sabath

Mon, 15 Oct 2007 00:00:00 GMT

Successful cancer therapy is intended to eliminate all traces of cancer from the patient. If cancer cells survive the therapy, they may eventually grow back, resulting in relapse. Numerous studies, especially in the setting of hematological malignancies, have shown that the presence of even small numbers of residual cancer cells can increase the risk of relapse. Thus, the development of sensitive methods to detect minimal residual disease may help predict which patients are at risk of relapse, and the hope is that therapies will be developed to eliminate residual cancer cells. Dr. Daniel Sabath, associate professor in the University of Washington department of laboratory medicine, explores the concept of minimal residual disease in cancer, reviews the methods used to detect small numbers of cancer cells, and discusses new technology for detecting minimal residual disease in breast cancer. (Series: Laboratory Medicine Grand Rounds)

Part 01 - Navigating Conflicts When Parents and Providers Disagree about Medical Care

Mon, 08 Oct 2007 00:00:00 GMT

Dr. Norm Fost addresses the controversies of "Parental Requests for Futile Treatment." Dr. Benjamin speaks on the controversies of funding extraordinary medical treatments for pediatric patients. This University of Washington program was taped at the 2007 Pediatrics Bioethics Conference sponsored by the Treuman Katz Center for Pediatric Bioethics at Seattle Children's Hospital. (Series: Pediatric Bioethics Conference 2007)

Part 02 - Navigating Conflicts When Parents and Providers Disagree about Medical Care

Mon, 08 Oct 2007 00:00:00 GMT

Dr. Laine Friedman Ross speaks about the controversial issues that arise when parents resist medical care their children's physicians recommend. This University of Washington program was taped at the 2007 Pediatrics Bioethics Conference sponsored by the Treuman Katz Center for Pediatric Bioethics at Seattle Children's Hospital. (Series: Pediatric Bioethics Conference 2007)

Skull Base Tumors

Tue, 23 Oct 2007 00:00:00 GMT

University of Washington neurosurgeons and neuro-otologists talk about working together to perform surgeries in a complex area of the cranium. Acoustic neuromas are tumors that grow in the temporal bone and affect hearing, balance and sometimes facial nerves. The doctors also discuss ongoing research that enhances patient care. (Series: Inside Access)