On 'Sound Medicine': Fat grafting, evolving HIV treatment, and Riley Mother Baby Hospital in Kenya
“Sound Medicine” covers controversial ethics topics, breakthrough research studies and the day-to-day application of recent advancements in medicine. It’s also available via podcast and Stitcher Radio for mobile phones and iPads and posts updates on Facebook and Twitter.
How can doctors combat violence? Gerado Gomez, M.D., chief of trauma services at Wishard Hospital, is a member of a team of doctors that established a violence-education program called Prescription for Hope at Wishard. Established in May 2009, Prescription for Hope approaches patients after hospital admission for injuries related to violence to encourage their enrollment. The program provides a mentor and a case worker to assess patients for their risk for violence and create interventions to decrease their personal risk factors. Gomez describes the barriers to preventing violence and the patients that he sees multiple times for gunshot and knife wounds. In the three years since its inception, Prescription for Hope has dramatically reduced the incidence of another violence-related injury in the patients enrolled in the program.
What role does fat grafting play in plastic surgery? Daniel Del Vecchio, M.D., plastic surgeon at Back Bay Plastic Surgery in Boston, explains how fat grafting is used to remove unwanted fat from areas such as thighs and hips and transplanted to areas where fat is desirable, including the face and breasts. Del Vecchio describes the different classifications of fat grafting, including volume expanders versus regeneration. In the future, Del Vecchio pictures growth and interest in the area of fat grafting in terms of “cell banking” for future use in fighting diseases.
Can a new care model improve outcomes for patients with Alzheimer’s disease? Christopher Callahan, M.D., director of the Indiana University Center for Aging Research, created a new model of Alzheimer's care at home to alleviate the burden on primary care physicians and reduce health care costs. Advanced practice nurses provided care at home for patients with dementia who face problems such as wandering, agitation and difficulty sleeping while concurrently administering medications. Patients continued to visit primary care physicians for the management of co-morbid conditions, such as diabetes. Callahan advocates widespread support for payers such as Medicare to support this kind of model.
How is HIV treated today? Marti Greenwald, N.P., discusses the evolving treatment of HIV she's witnessed from the 1980s to today in her former role as nurse in the intensive care unit and her current role as a nurse practitioner at the Methodist Hospital HIV Clinic. Greenwald says the rate of death from HIV has steadily declined with the advent of many new medications in recent years. Current treatment efforts are focused on prevention, and HIV educators advocate that everyone know their HIV status and that practitioners routinely provide screenings. At-home screening tests can be purchased at commercial pharmacies to provide screening for those who fear visiting a health care provider. Early HIV treatments consisted of 12 or more pills, often known as a medication cocktail. Treatment today may consist of only one pill.
How is the Riley Mother Baby Hospital in Kenya impacting mothers? Indiana University School of Medicine has partnered with Moi University in Kenya since 2001 to provide holistic health care to Kenyans. James Lemons, M.D., professor of pediatrics at IU School of Medicine, discusses his contribution to the creation of the Riley Mother Baby Hospital in Kenya. Lemons says the creation of the hospital was driven by the marginalization of mothers and babies in developing countries. Over 8,000 babies a year are delivered at the hospital, which is run by Kenyan physicians and nurses. Through their efforts, the rate of transmission of HIV between mothers and babies in Kenya has declined from 35 percent to less than 1 percent because of screening efforts by AMPATH and the IU School of Medicine and Moi University partnership. This is a monumental move toward eliminating the incidence of childhood HIV in Africa.
“Sound Medicine,” co-produced by the IU School of Medicine and WFYI Public Radio (90.1 FM) and underwritten in part by Indiana University-Purdue University Indianapolis, is aired on the following Indiana public radio stations: WBSB (Anderson, 89.5 FM), WFIU (Bloomington, 103.7 FM; Columbus, 100.7 FM; Kokomo, 106.1 FM; Terre Haute, 95.1 FM), WNDY (Crawfordsville, 91.3 FM), WVPE (Elkhart/South Bend, 88.1 FM), WNIN (Evansville, 88.3 FM), WBOI (Fort Wayne, 89.1 FM), WFCI (Franklin, 89.5 FM), WBSH (Hagerstown/New Castle, 91.1 FM), WFYI (Indianapolis), WBSW (Marion, 90.9 FM), WBST (Muncie, 92.1 FM), WBSJ (Portland, 91.7 FM), WLPR (Lake County, 89.1 FM) and WBAA (West Lafayette, 101.3 FM).
“Sound Medicine” is also broadcast on these public radio stations across the country: KSKA (Anchorage, Alaska), KTNA (Talkeetna, Alaska), KUHB (Pribilof Islands, Alaska), KUAF (Fayetteville and Fort Smith, Ark.), KIDE (Hoopa Valley, Calif.), KRCC (Colorado Springs, Colo.), KEDM (Monroe, La.), WCMU (Mount Pleasant, Mich.), WCNY and WRVO-1 (Syracuse, N.Y.), KMHA (Four Bears, N.D.), WYSU (Youngstown, Ohio), KPOV (Bend, Ore.) and KEOS (College Station, Texas).