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VIDEO: Practical Considerations for Starting a Cardiac PET-CT Program

PET-CT | October 30, 2019

Rupa Sanghani, M.D., FASNC, associate professor, Rush Medical College, director of nuclear cardiology and stress laboratory, Rush University Medical Center, and associate director, Rush Heart Center for Women, explains how to create a high-volume cardiac positron emission tomography (PET) imaging program. She spoke on this topic at the 2019 meeting of the American Society Nuclear Cardiology (ASNC) and led a tour for attendees of the PET-CT system at Rush, which was located close to the conference. 

Sanghani said the advantages of PET myocardial perfusion imaging include faster exam times and allowing additional information from coronary reserve flow assessments to better understand if revascularization will help a patient's heart recover. The 16-slice CT scanner is used not only to attenuate the PET images, but to perform a CT calcium scoring exam to assess the patient's risk for future cardiovascular events. The Rubidium-82 radiotracer used for PET exams only has a 75 second half life, so it can help increase the number of exams a center is able to perform each day. At higher volume centers, PET is optimized to handle all the patients who require pharmacological stress exams. 

In the video, Sanghani  outlines what Rush did to design its room, covers basics on training, what to look for in a scanner and other considerations when creating a PET program.

Find more coverage of the ASNC

Find more news on nuclear imaging

 

 

Conference Videos

Cardiovascular Ultrasound | June 11, 2018

Thomas Porter, M.D., professor of medicine and director of the echocardiography lab at the University of Nebraska Medical Center, discusses potential therapeutic uses for microbubble contrast ultrasound at the 2017 American Society of Echocardiography (ASE) annual meeting.

Enterprise Imaging | April 26, 2018

Organizations who are embarking on an enterprise imaging journey share many of the same questions and concerns regarding how to best optimize workflow across providers, departments and facilities; which technologies will provide the best fit for achieving the future vision; and how to maximize value and accelerate return on investment by driving adoption and improving satisfaction among providers and healthcare consumers (patients).

We, Paragon Consulting Partners LLC (PCP Imaging), are a team of passionate healthcare professionals that bring over 100 years of collective clinical, technical and business leadership experience within the healthcare IT and imaging informatics industries. In this video we address the key challenges and considerations faced by organizations undertaking an Enterprise Imaging journey, and how a trusted partner can contribute valuable expertise and guidance that enable healthcare organizations and vendors of any size to successfully tackle even their most challenging enterprise imaging initiatives. For more information, visit pcpimaging.com.

Cath Lab | March 27, 2018

Roxana Mehran, M.D., FACC, FACP, FCCP, FESC, FAHA, FSCAI, professor of medicine and director of interventional cardiovascular research and clinical trials at the Zena and Michael A. Wiener Cardiovascular Institute at Mount Sinai School of Medicine. She spoke on how to avoid acute kidney injury (AKI) and contrast-induced nephropathy (CIN) using various strategies in the cath lab to reduce iodine contrast use at the American College of Cardiology (ACC) 2018 meeting. 

 

 

Related CIN Content:

Sliding Scale Hydration Washes Out Contrast-Induced Kidney Complications

Contrast-Induced Kidney Injury Prevented With RenalGuard in REMEDIAL III Trial

VIDEO: How to Avoid Acute Kidney Injury in the Cath Lab — Interview with Hitinder Gurm, M.D.

VIDEO: Combating Contrast Induced Nephropathy in the POSEIDON Trial — Presentation by Sonjot Brar, M.D.
 

 

Intravascular Imaging | March 27, 2018

A discussion with Ron Waksman, M.D., associate director of the division of cardiology and director of cardiovascular research and advanced education at MedStar Heart Institute, and professor of medicine (cardiology) at Georgetown University. He explained the ongoing clinical trials using near infrared spectroscopy to detect lipid rich plaque in the coronary arteries. He spoke to DAIC at the 2018 American College of Cardiology (ACC) meeting.

Find out the late-breaking results of the LRP Study in a VIDEO with Waksman at TCT 2018. 

 

Heart Failure | March 23, 2018

David Lanfear M.D., FACC, head of advanced heart failure and cardiac transplantation, Henry Ford Hospital, Detroit, discusses LVAD support technologies at the 2018 American College of Cardiology (ACC) meeting. Read the article “Device Technologies to Reduce Heart Failure Readmissions.” Watch the VIDEO “Technologies to Reduce Heart Failure Readmissions,” an interview with William Abraham, M.D., The Ohio State University Wexner Medical Center.

Additional articles and videos on Henry Ford Hospital 

ACC | March 21, 2018

DAIC Editor Dave Fornell takes a tour of some of the most interesting new technologies on the expo floor at the 2018 meeting of the American College of Cardiology (ACC). Find links to other videos and the ACC 2018 Late-Breaking Trials.
 

 

Womens Cardiovascular Health | March 21, 2018

A discussion with Doreen DeFaria Yeh, M.D., associate director, Massachusetts General Hospital Adult Congenital Heart Disease Program and MGH Cardiovascular Disease and Pregnancy Service, at the 2018 American College of Cardiology (ACC) meeting. Yeh explains the differences between men and women for the clinical presentation of heart attacks and other causes for chest pain.  

 

Related Women's Heart Health Content:

Diagnostic Differences in Women’s Heart Health

VIDEO: Differences in Cardiac Complications and Presentation Between Men and Women — Interview with Cindy Grines, M.D.

DAIC's Women's Cardiovascular Health Channel

VIDEO: How to Build a Successful Women’s Heart Center — Interview with Malissa Wood, M.D.

VIDEO: Creating a Cardio-Obstetrics Team — Doreen DeFaria Yeh, M.D.

Congenital Heart | March 20, 2018

A discussion with Ami Bhatt, M.D., director of the adult congenital heart program and outpatient cardiology, Massachusetts General Hospital, at the 2018 American College of Cardiology (ACC) meeting. Here is some additional related content on adult congenital heart disease:

Many People with Congenital Heart Disease Living Longer

Adult Congenital Heart Disease Designated as Subspecialty

VIDEO: How Transcatheter PFO Closure Can Reduce Cryptogenic Stroke

 

Cath Lab | March 15, 2018

A discussion with Hitinder Gurm, M.D., MBBS, FACC, professor, internal medicine, and associate chief clinical officer, University of Michigan Health System, at the 2018 American College of Cardiology (ACC) meeting.  For more information, read the article "Understanding Contrast-Induced Nephropathy." He discusses various strategies to help reduce iodine contrast use in the cath lab to better protect patients from CIN.

 

Related CIN Content:

Sliding Scale Hydration Washes Out Contrast-Induced Kidney Complications

Contrast-Induced Kidney Injury Prevented With RenalGuard in REMEDIAL III Trial

VIDEO: Strategies to Avoid Acute Kidney Injury Caused by Cath Lab Contrast — Interview with Roxana Mehran, M.D.

VIDEO: Combating Contrast Induced Nephropathy in the POSEIDON Trial — Presntation by Sonjot Brar, M.D.

 

Heart Valve Technology | March 15, 2018

Insights from the STS/ACC TVT Transcatheter Valve Registry, presented at the American College of Cardiology (ACC) 2018 meeting by Sammy Elmariah, M.D., MPH, interventional structural heart disease, Massachusetts General Hospital. See the following related content for other insights into transcatheter aortic valve replacement technology:

VIDEO: Clinical Outcomes With the Lotus TAVR Valve

CoreValve TAVR System Shows Strong Long-Term Performance in Clinical Trials

VIDEO: TAVR For Asymptomatic Severe Aortic Stenosis

VIDEO: Conscious Sedation for TAVR Procedures

VIDEO: Transcaval Access in TAVR Procedures

• VIDEO: TAVR for Degenerated Surgical Valves — Valve-in-Valve TAVR Procedures

FFR Technologies | March 15, 2018

An economic analysis of the DEFINE-FLAIR study comparing FFR vs. iFR, found a cost savings of nearly $900. The late-breaking session was presented at the 2018 American College of Cardiology (ACC) meeting by Manesh Patel, M.D., investigator and member of the study steering committee, and chief, division of cardiology, Duke University. Read more about the economic study.

 

Related FFR vs. iFR Content:

VIDEO on the 2017 results of the DEFINE-FLAIR and SWED-HEART iFR vs. FFR trials

iFR More Cost-Effective Than FFR in PCI Guidance 

Easier to Use iFR Equal to Outcomes of FFR in Coronary Lesion Evaluation

New Technology Directions in Fractional Flow Reserve (FFR)

VIDEO: iFR Equal to FFR Outcomes in Coronary Lesion Evaluation

European Society of Cardiology Incorporates iFR Technology Into Updated Revascularization Guidelines

 

Heart Valve Technology | March 02, 2018

Sammy Elmariah, M.D., MPH, interventional structural heart disease, Massachusetts General Hospital, discusses the progression of using transcatheter heart valves to replace surgical valves at ACC.17. See the following related content for other insights into transcatheter aortic valve replacement technology:

 VIDEO: Clinical Outcomes With the Lotus TAVR Valve

• CoreValve TAVR System Shows Strong Long-Term Performance in Clinical Trials

• VIDEO: TAVR For Asymptomatic Severe Aortic Stenosis

• VIDEO: Conscious Sedation for TAVR Procedures

• VIDEO: Transcaval Access in TAVR Procedures

 

Radial Access | February 16, 2018

The father of transradial artery access, Ferdinand Kiemeneij, M.D., Ph.D., interventional cardiologist, The Netherlands, explains how and why he first implemented the use of radial access and explains how the technique expanded beyond his cath lab to spread around the world. Read the article "Transradial Access Celebrates 25 Years". Watch the VIDEO "New Frontiers in Radial Access."

Keep up to date on radial access news with DAIC's radial access channel. 

Cath Lab | January 04, 2018

Bernadette Speiser, BSN, MSN, CCRN, RCIS, a cardiac cath/EP nurse at Palo Alto Veterans Hospital, Palo Alto, Calif., and former cardiology department manager at the cardiac cath lab at the Jesse Brown VA Medical Center in Chicago, offers insights from her SCAI Boot Camp presentation at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) conference. She discusses implementing new techniques and technologies, drawing from her experience implementing radial access programs. Here are links to a couple articles she wrote on the topic “Tips When Prepping for Radial Procedures” and “How to Contend With Transradial Artery Perforation.”

Heart Valve Technology | January 04, 2018

Adam Greenbaum, M.D., co-director, Center for Structural Heart Disease, Henry Ford Hospital, Detroit, explains how his center is already performing off-label transcatheter mitral valve implantations in patients who otherwise have no more options. He also discusses some of the new transcatheter mitral valve technologies in development. Watch the VIDEO “Mitral and Tricuspid Valve Repair Technologies.”  Watch a VIDEO of Greenbaum explaining his use of venous-to-aortic transcaval access in TAVR.

Additional articles and videos on Henry Ford Hospital 

Cardiac Imaging | December 29, 2017

ITN and DAIC Editor Dave Fornell takes a tour of some of the most interesting new medical imaging technologies on the expo floor at the 2017 Radiological Society of North America (RSNA) meeting. Watch the editor’s choice video for new health IT technologies at HIMSS 2017, new advances in cardiac ultrasound at ASE 2017, and CT advances at the SCCT 2017 meeting.

Magnetic Resonance Imaging (MRI) | December 13, 2017

Emanuel Kanal, M.D., director of MRI services and professor of radiology and neuroradiology at the University of Pittsburgh Medical Center, explains the new mobile application he developed, which lets users visually model the forces at work during an MRI exam on patients with implanted medical devices, at the 2017 Radiological Society of North America (RSNA) meeting.

Read the related article “The Changing Relationship Between MRIs and Pacemakers.”

Advanced Visualization | December 07, 2017

Dianna Bardo M.D., director of body MR and co-director of the 3-D Innovation Lab at Phoenix Children's Hospital, discusses how 3-D printing and other advanced imaging modalities can help improve outcomes in complex cases. Read the article “The Use of 3-D Printing in Cardiology.” Watch the WEBINAR “Innovation and Success in 3D-inspired Development of the Business and Clinical Practice,” presented by Bardo.

 

 

Angiography | November 22, 2017

Shimadzu demonstrated its Trinias Interventional X-ray System at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) conference. The system offers several features to enable improved patient access and procedural guidance at a lower radiation dose than previous generation angiography systems. For more information visit www.shimadzu.com/med/products/angio.

Radial Access | November 22, 2017

Mladen I. Vidovich, M.D., FACC, FSCAI, chief, section of cardiology, Jesse Brown VA Medical Center, Chicago, and associate professor of medicine at the University of Illinois at Chicago, discusses some of the current techniques and issues involved with radial artery access. DAIC spoke to him at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) conference. Read articles he authored, including “Radiation Exposure Related to Transradial Access” and “Vascular Closure Devices Aid Closure of Large Access Sites.”

Find more news and on transradial access technique and technology

 

Medical 3-D Printing | November 17, 2017

Dee Dee Wang, M.D., director, structural heart imaging at Henry Ford Hospital, Detroit, explains how her center uses 3-D printing and computer aided design (CAD) software to improve patient outcomes. She spoke to DAIC at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) annual meeting. Read the articles “The Use of 3-D Printing in Cardiology” and “Henry Ford Hospital Study Shows 3-D Imaging Improves Fixing Broken Hearts.”  

Additional articles and videos on Henry Ford Hospital 

Stents Bifurcation | November 15, 2017

Philippe Genereux, M.D., co-director of the structural heart program at the Gagnon Cardiovascular Institute at Morristown Medical Center, part of Atlantic Health System, explains his experience with the Tryton Side Branch stent in both clinical practice and as an investigator in the Tryton Pivotal IDE Trial. Read the article “Data Published for Pivotal Trial for Tryton Side Branch Stent,” and about the regulatory clearance “FDA Clears First Dedicated Coronary Bifurcation Stent.”

TCT | November 15, 2017

DAIC Editor Dave Fornell shows some of the innovations displayed on the expo floor at the 2017 Transcatheter Cardiovascular Therapeutics (TCT). Hear what Cardiovascular Research Foundation (CRF) President and CEO Juan Granada, M.D., feels are the hottest technologies to watch. 

FFR Technologies | November 15, 2017

A discussion with William Fearon, M.D. director of interventional cardiology, Stanford University Medical Center, about the FAST-FFR Trial he is heading. It is comparing wire-based fractional flow reserve (FFR) to angiography image-derived FFR. The technology may open the door to wider use of FFR by eliminating costs, disruption and extra time in the cath lab workflow, the use of pressure wires and eliminate the need for adenosine. 

 

Related FFR-Angio Content:

FAST-FFR Trial of FFR-angio Technology Meets Primary Endpoint, Exceeded Performance Goals at TCT 2018

CathWorks Receives CPT Code for Non-invasive FFRangio Measurements During PCI

Heart Valve Technology | November 15, 2017

Ted Feldman, M.D., MSCAI FACC FESC, director of the cardiac cath lab, Evanston Hospital, is the principal investigator for the Lotus valve’s U.S. pivotal trial. He explains what the clinical data to date has been for this new transcatheter aortic valve replacement (TAVR) device, which will likely become the third available on the U.S. market. Read the article "Lotus TAVR System Shows Superior Efficacy to CoreValve in Global REPRISE III Trial."

 

Left Atrial Appendage (LAA) Occluders | November 14, 2017

Vivek Reddy, M.D., director of cardiac arrhythmia services and professor of medicine, cardiology, Mount Sinai Hospital, N.Y., explains the latest Watchman left atrial appendage (LAA) occluder study data presented at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) conference. Watch the VIDEO “Post-FDA Approval Experience of LAA Occluders,” with David Holmes, M.D. Watch a VIDEO interview with Reddy at Heart Rhythm Society (HRS) 2017 on leadless pacing technologies

Cardiovascular Business | November 09, 2017

A discussion with Peter L. Duffy, M.D., MMM, FACC, FSCAI CPE, interventional cardiologist and former director of quality for the cardiovascular service line at FirstHealth of the Carolinas Reid Heart Institute, at Moore Regional Hospital in Pinehurst, N.C. Read the article with Duffy “Interventional Cardiologist Redefines Value for Everyday Medical Practice.” Read the article “Preparing Hospitals for Mandatory Medicare Cardiac Bundled Payments.”

Hemodynamic Support Devices | November 09, 2017

A discussion with William W. O’Neill, M.D., medical director, Center for Structural Heart Disease, Henry Ford Hospital, Detroit, about the creation of a national initiative to start percutaneous hemodynamic support first before beginning revascularization. O’Neill started the Detroit Cardiogenic Shock Initiative with several hospitals in 2016 and saw a 50 percent drop in mortality. Read the article “Detroit Cardiogenic Shock Initiative Goes National at TCT 2017.” Watch the VIDEO “Cardiogenic Shock Supported With Impella Shows Good Outcomes.”

 

Related Cardiogenic Shock Content:

VIDEO: How to Reduce Cardiogenic Shock Mortality by 50 Percent — Interview with h Babar Basir, D.O.

SCAI Releases New Consensus Document on Classification Stages of Cardiogenic Shock

VIDEO: The Importance of Ventricular Unloading in AMI and Cardiogenic Shock — Interview with Nevin Kapur, M.D.

10 Reasons Why it is Time to Learn More About Cardiogenic Shock — by Emmanouil S. Brilakis, M.D.

New Approaches to Reduce Cardiogenic Shock Mortality

 

Additional articles and videos on Henry Ford Hospital 

Structural Heart Occluders | November 08, 2017

John Rhodes, M.D., co-director of the adult congenital heart program, Medical University of South Carolina, is the principal investigator for the REDUCE Trial, the FDA pivotal study using the Cardioform for PFO closure to prevent cryptogenic stroke. He discusses some of the data showing benefit for patients and debate around all the trials for PFO closure.

The FDA cleared the additional indication for PFO in April 2018.

Read about the results of the REDUCE trial in the article “PFO Closure Shows Positive Results from REDUCE Clinical Study.” Read about the approval of the first PFO closure device in 2016.  Watch the VIDEO "Addressing Adult Congenital Heart Referrals."

 

Related PFO Closure Content:

SCAI Offers Recommendations for Safe Use of PFO Closure Technologies

VIDEO: An Overview of PFO Closure to Treat Cryptogenic Stroke — Interview with Karen Orjuela, M.D.

VIDEO: Transcatheter Closure of Holes in the Heart — Interview with Ziyad Hijazi, M.D.

VIDEO: Demonstration of a Transcatheter PFO Occluder Implantation

VIDEO: Addressing Adult Congenital Heart Referrals — Interview with Ami Bhatt, M.D.

 

 

Cath Lab | November 08, 2017

Juan Granada, M.D., Cardiovascular Research Foundation president and chief executive officer, shares his insights on what technologies he predicts will become main stream therapies in the coming years. DAIC spoke to him at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) conference. Read the article “The Future of Cardiology: 17 Technologies to Watch.” Watch other VIDEOS with Granada, “Transcatheter Mitral Valve Therapies in Development.” “The Evolution of TAVR Technology,” and “Bioresorbable Stent Failure Modes, Technique, Patient Selection and Future Development.”

Heart Valve Technology | November 08, 2017

Philippe Genereux, M.D., co-director of the structural heart program at the Gagnon Cardiovascular Institute at Morristown Medical Center, part of Atlantic Health System, explains the EARLY TAVR trial evaluating the use of transcatheter aortic valve replacement compared to surveilLance for patients With asymptomatic severe aortic stenosis. Genereux is the principal investigator for the trial. Read more about the EARLY TAVR trial

Heart Valve Technology | November 08, 2017

Stephen Worthley, MB, BS, Ph.D., director of cardiac catheterization, University of Adelaide, Australia, presents the MAVERIC Trial six-month outcomes using the Arto System at a press conferences at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) annual meeting. Read more about the trial in the article “Arto System Shows Promise as Less-Invasive Therapy for Heart Failure Patients.” Watch a VIDEO interview with Worthley on “Drug-Filled Stents as an Alternative to Polymer Drug Carriers.” 

Stents Bioresorbable | November 07, 2017

A discussion with Ajay Kirtane, M.D., SM, director of the cardiac catheterization laboratories at New York-Presbyterian Hospital/Columbia University Medical Center, on the ABSORB III 3-year outcomes and other Absorb data presented at TCT 2017. He explains more on the poor outcomes for the bioresorbable stent compared to the Xience metallic stent and procedural issues based on operator technique and experience.

Read the article “Abbott Will End Sales of Absorb Bioresorbable Stent.”

Watch the VIDEO “Bioresorbable Stent Comparable to Xience at Two Years, With Concerns,” with Stephen Ellis, M.D.

Watch the VIDEO “Poor Outcomes for Bioresorbable Stents in Small Coronary Arteries,” with Gregg Stone, M.D.

Heart Valve Technology | November 07, 2017

Ted Feldman, M.D., MSCAI FACC FESC, director of the cardiac cath lab, Evanston Hospital, explains the current state of transcatheter mitral valve technologies in development and in trials. He is involved in some of these trials and was the principal investigator for the pivotal MitraClip trial. Watch the VIDEO “Transcatheter Mitral Valve Technology, Anatomical Challenges” with Juan Granada, M.D.. Read the articles “Advances and Future Directions for Transcatheter Valves,” and “Transcatheter Mitral Valve Replacement Devices in Development.”

Heart Valve Technology | October 27, 2017

Adam Greenbaum, M.D., co-director of the structural heart program at Henry Ford Health System in Detroit, discusses the innovative approach to transcatheter aortic valve replacement (TAVR) being pioneered at HFHS. Read the article "How to Perform Transcaval TAVR Access."

Read "Henry Ford Hospital Cardiologist Receives National Award for Innovating Transcaval Heart Procedure." 

Heart Valve Technology | October 23, 2017

A discussion with Mario Goessl, M.D., Ph.D., director of research and education at the Minneapolis Heart Institute. He presented research at the American College of Cardiology (ACC) 2017 meeting on the cost savings and reduced patient recovery time achieved by using conscious sedation during transcatheter aortic valve repair (TAVR) procedures.

Learn more about the different aspects of the structural heart team at Minneapolis Heart Institute in these videos:

VIDEO: Transcatheter Mitral Valve Replacement Planning — Interview with Joao Cavalcante, M.D., director of structural heart CT and cardiac MRI

VIDEO: Minneapolis Heart Institute Saves With Analytics Software — Interview with Pam Rush, RN, clinical program director, cardiovascular service line, and Craig Strauss, M.D., MPH, medical director,

 

Related Articles on TAVR Conscious Sedation:

Conscious Sedation TAVR Reduced Length-of-Stay and Hospital Costs

Moderate Sedation Shows Promise for TAVR Patients

 

 

 

Cardiovascular Ultrasound | October 12, 2017

Sharon Mulvagh, M.D., FRCPC, FACC, FAHA, FASE, professor, Division of Cardiology, Department of Medicine, Dalhousie University, Nova Scotia Health Authority, Halifax, Canada, and emeritus professor at Mayo Clinic, discusses how ultrasound can be used to assess plaque burden at the 2017 American  Society of Echocardiography (ASE) annual meeting. Read the article highlighting new technologies at ASE 2017 "A Glimpse Into the Future of Cardiac Ultrasound." Watch her presentation on the use of point-of-care echo for plaque burden risk assessment from ASE 2017.
 

 

Chronic Total Occlusion (CTO) | October 09, 2017

Bill Lombardi, M.D., director of complex coronary artery interventions at the University of Washington, discusses the principles, training and technologies required for treating chronic total occlusions (CTOs) at the American College of Cardiology (ACC) 2017 meeting. Lombardi is an expert in CTOs and is among the top speakers in this area at cardiology conferences. 

 

Related Chronic Total Occlusion Content: 

VIDEO: New Technology to Treat Chronic Total Occlusions (CTOs), an interview with Farouc Jaffer, M.D., Ph.D.

When to Consider Revascularization of Coronary Chronic Total Occlusions

VIDEO: Treating Chronic Total Occlusions, an interview with Bill Lombardi, M.D.

Understanding the Design and Function of Guidewire Technology

VIDEO: Basics of Interventional Guidewire Design and Function, an interview with Dimitri Karmpaliotis, M.D., Ph.D., FACC

Study Examines Use of CrossBoss Catheter for Chronic Total Occlusion PCI

VIDEO: The Evolution of Complex PCI at University of Colorado  — Interview with John Messenger, M.D., and Kevin Rogers, M.D.

VIDEO: How to Treat CTOs and Complex PCI Cases — Interview with Khaldoon Alaswad, M.D.

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