Beyond the Rounds

Banner Health

Welcome to Beyond the Rounds, a Banner Health podcast created by physicians, for physicians. This show brings the spirit of clinical collaboration straight to the mic — where colleagues discuss real cases, emerging trends and practical insights that shape everyday practice. Hosted by Dr. Nolan Fisher, a physical medicine and rehabilitation specialist with Banner – University Medicine, Beyond the Rounds takes you deeper into the clinical moments and multidisciplinary teamwork that define modern care.

  1. 1 MAJ

    Why Endometriosis Often Takes a Decade to Diagnose

    For patient referrals: call 602-521-5700What if one of the most common yet misunderstood gynecologic conditions could be diagnosed earlier—without surgery? In this episode of Beyond the Rounds, we explore endometriosis, a condition affecting nearly 190 million people worldwide that still takes an average of 7-10 years to diagnose. Dr. Nolan Fisher sits down with gynecologic surgeon and endometriosis specialist Dr. Rosanne Kho to discuss how advances in imaging, multidisciplinary care and minimally invasive surgery are reshaping the diagnostic and treatment paradigm.Endometriosis is often dismissed or normalized, leaving patients to navigate years of pain, infertility and missed diagnoses. But the field is evolving. With targeted ultrasound, MRI and a shift away from diagnostic laparoscopy as the first step, clinicians now have more effective tools to identify disease earlier and guide treatment based on symptoms, not just surgical findings.This episode explores how endometriosis presents, why it’s so frequently missed, and what clinicians can do to improve outcomes through earlier recognition, appropriate imaging and thoughtful referral.This episode is designed for physicians, advanced practice providers and clinicians seeking a practical understanding of endometriosis diagnosis, treatment pathways and multidisciplinary care.What We Cover• Why endometriosis is frequently underdiagnosed or misdiagnosed• The shift from surgical diagnosis to imaging-first approaches• How advanced ultrasound and MRI improve detection• Common symptoms, including pelvic pain, GI and urinary involvement• When to treat—and when not to intervene• Medical vs. surgical management strategies• Fertility considerations and treatment planning• The role of minimally invasive and robotic-assisted surgery• Multidisciplinary care, including pain management and specialty referral• How to identify patients who need earlier referralKey Topics for Clinicians• Endometriosis• Chronic pelvic pain• Minimally invasive gynecologic surgery (MIGS)• Diagnostic imaging in gynecology• Transvaginal ultrasound (sliding sign)• Pelvic MRI• Fertility and reproductive health• Multidisciplinary care models• Women’s health disparities• Early referral strategiesAbout Our GuestDr. Kho is a gynecologic surgeon and endometriosis specialist at Banner - University Medicine Phoenix, with extensive experience in minimally invasive gynecologic surgery and a national reputation for advancing endometriosis diagnosis and care. She previously led programs at both Mayo Clinic and Cleveland Clinic and has published more than 90 peer-reviewed papers focused on improving outcomes for patients with endometriosis. Her work has helped shift the field toward imaging-based diagnosis and multidisciplinary treatment models.She sees patients at:Banner - University Medicine Women's Institute1441 North 12th Street, Floor 3, Phoenix, AZ 85006Phone: 602-521-5700Fax: 602-521-5701How to Refer a PatientBanner Health providers: Use Cerner’s Ambulatory Referral Management (ARM) tool.Community providers: Fax referrals to 602-521-5701 or call 602-521-5700 to schedule a patient for evaluation.DisclaimerThis podcast is intended for educational purposes only and is designed for a clinical audience. Any patient scenarios discussed are modified and de-identified to protect privacy. No protected health information (PHI) is disclosed. The information presented should not replace independent medical judgment or individualized patient care decisions.Subscribe to Beyond the Rounds for physician-focused conversations on clinical innovation, specialty collaboration and evolving standards of care.

    42 min

  2. 16 APR.

    Not All Hernia Repairs are Created Equal

    For patient referrals: Call 602-521-5969 or 602-839-4242What if restoring a patient’s core function required more than just closing a defect? In this episode of Beyond the Rounds, we explore complex abdominal wall reconstruction—one of the most technically demanding areas in surgery—and why a multidisciplinary approach is essential for achieving optimal outcomes. Dr. Nolan Fisher sits down with plastic and reconstructive surgeon Dr. Jimmy Chim and general surgeon Dr. Priya Rajdev to discuss how collaboration, surgical innovation and thoughtful pre-operative planning are redefining what’s possible for patients with complex hernias and abdominal wall defects.Far beyond a “simple hernia repair,” these cases often involve loss of domain, prior surgical complications or missing abdominal wall components that significantly impact a patient’s function and quality of life. From minimally invasive techniques to advanced reconstructive procedures, today’s surgical approaches are focused not just on repair, but on restoring strength, stability and independence.This episode explores how these procedures work, which patients may benefit and why optimizing health before surgery is often just as important as the operation itself.This episode is designed for physicians, advanced practice providers and clinicians seeking a practical understanding of complex hernia repair, abdominal wall reconstruction and multidisciplinary surgical care.What We Cover-Why not all hernia repairs are the same—and when cases become “complex”-The concept of loss of domain and its impact on surgical planning-Differences between minimally invasive and open reconstruction techniques-How component separation restores abdominal wall function-The role of mesh—synthetic, biologic and bio-resorbable options-When and why plastic surgery and general surgery collaborate-Prehabilitation: weight loss, diabetes control and smoking cessation-Managing recurrence and why the first repair matters most-Surgical staging vs. single-stage reconstruction-Real-world cases highlighting decision-making and techniqueKey Topics for Clinicians-Complex abdominal wall reconstruction-Ventral and incisional hernias-Loss of domain-Component separation techniques-Minimally invasive hernia repair-Surgical mesh selection-Preoperative optimization (prehab)-Multidisciplinary surgical care-Plastic and reconstructive surgery collaboration-Hernia recurrence preventionAbout Our Guests-Dr. Jimmy Chim is a plastic and reconstructive surgeon specializing in complex abdominal wall reconstruction and advanced soft tissue reconstruction. His work focuses on restoring both form and function for patients with significant surgical defects, trauma or prior complications.-Dr. Priya Rajdev is a general surgeon specializing in minimally invasive foregut and complex abdominal wall surgery. She brings expertise in laparoscopic and robotic techniques to treat hernias and abdominal wall defects through smaller incisions while maintaining strong clinical outcomes.How to Refer a PatientBanner Health providers: Use Cerner’s Ambulatory Referral Management (ARM) tool.Community providers: Call 602-521-5969 or 602-839-4242 to schedule a patient for evaluation.DisclaimerThis podcast is intended for educational purposes only and is designed for a clinical audience. Any patient scenarios discussed are modified and de-identified to protect privacy. No protected health information (PHI) is disclosed. The information presented should not replace independent medical judgment or individualized patient care decisions.Subscribe to Beyond the Rounds for physician-focused conversations on clinical innovation, specialty collaboration and evolving standards of care.

    47 min

  3. 24 MARS

    Clipping the Forgotten Valve: New Options for Tricuspid Disease

    For patient referrals: call 602-521-3090What if one of the most overlooked heart valve conditions finally had a minimally invasive solution? In this episode of Beyond the Rounds, we explore tricuspid valve disease — often underdiagnosed and undertreated — and the emerging transcatheter therapies that are transforming care. Dr. Nolan Fisher sits down with interventional cardiologist Dr. Paul Sorajja to discuss how innovations like the TriClip procedure are improving quality of life for patients who previously had limited or high-risk treatment options.Often referred to as the “forgotten valve,” the tricuspid valve can quietly lead to significant symptoms, including fatigue, edema and organ dysfunction. With advances in catheter-based repair techniques, clinicians now have new tools to treat tricuspid regurgitation without open-heart surgery — offering meaningful symptom relief with low procedural risk.This episode explores how these therapies work, which patients may benefit, and how evolving data is shaping the future of valvular heart disease treatment.This episode is designed for physicians, advanced practice providers and clinicians seeking a practical understanding of transcatheter valve therapies and the management of tricuspid disease.What We Cover• Why tricuspid valve disease is frequently missed or undertreated• The difference between valve repair vs. replacement• How transcatheter therapies (like TriClip) work• Patient selection and when intervention is appropriate• The role of imaging and echocardiography in diagnosis• Understanding symptoms of tricuspid regurgitation• Cardiorenal syndrome and systemic effects of valve disease• Clinical trial insights, including the TRILUMINATE study• Why quality-of-life improvements matter — even without mortality benefit• The importance of a multidisciplinary “heart team” approachKey Topics for CliniciansTricuspid regurgitation (TR)Valvular heart diseaseStructural heart interventionsTranscatheter valve repairTriClip procedureCardiorenal syndromeRight-sided heart failureEchocardiography in valve diseaseInterventional cardiology innovationMultidisciplinary heart team careAbout Our GuestDr. Paul Sorajja is an interventional cardiologist and Director of Interventional Cardiology at Banner - University Medicine Heart Institute. He is a nationally recognized leader in structural heart disease and has been at the forefront of developing transcatheter valve therapies, including early work in tricuspid valve repair. Dr. Sorajja trained at Mayo Clinic, where he spent two decades advancing minimally invasive cardiovascular treatments and leading clinical research.He sees patients at:Banner - University Medicine Heart Institute755 East McDowell Road, Floor 4Phoenix, AZ 85006Banner Health Center plus at Arcadia4200 East Camelback Road, Suite 202Phoenix, AZ 85018Phone: 602-521-3090Fax: 602-521-3661How to Refer a PatientBanner Health providers: Use Cerner’s Ambulatory Referral Management (ARM) tool.Community providers:Fax referrals to 602-521-3661 or call 602-521-3090 to schedule a patient for evaluation.DisclaimerThis podcast is intended for educational purposes only and is designed for a clinical audience. Any patient scenarios discussed are modified and de-identified to protect privacy. No protected health information (PHI) is disclosed. The information presented should not replace independent medical judgment or individualized patient care decisions.Subscribe to Beyond the Rounds for physician-focused conversations on clinical innovation, specialty collaboration and evolving standards of care.

    46 min

  4. 5 MARS

    Liquefying Tumors? Histotripsy and the Future of Cancer Surgery

    For patient referrals: call 480-256-6444Can ultrasound liquefy tumors? In this episode of Beyond the Rounds, we explore histotripsy — a novel, non-thermal ultrasound therapy that can destroy tumors without surgery, heat, or radiation. Dr. Nolan Fisher sits down with surgical oncologist Dr. Michael Choti, Chief of Surgery at Banner MD Anderson Cancer Center, to discuss how this emerging technology may change the way liver tumors are treated.Using focused ultrasound energy to create microscopic cavitation bubbles, histotripsy mechanically breaks down tumor tissue while sparing critical structures like blood vessels and bile ducts. The result: precise tumor destruction in locations that may be difficult or impossible to treat with traditional surgery or thermal ablation.This episode explores how histotripsy works, where it fits in today’s treatment landscape, and why clinicians should remain both excited and cautious as the technology evolves.This episode is designed for physicians, advanced practice providers, and clinicians who want a practical understanding of emerging technologies in surgical oncology and liver tumor management.What We Cover• What histotripsy is and how cavitation-based ultrasound destroys tumors• Why histotripsy differs from thermal ablation techniques• The “heat sink effect” and why tumors near blood vessels are difficult to treat• How histotripsy may expand treatment options for liver tumors• Using histotripsy as a bridge to liver transplant• The potential immune effects of tumor liquefaction (abscopal effect)• When histotripsy is appropriate — and when it’s not• Current FDA approvals and ongoing research• Why careful patient selection and multidisciplinary evaluation matterKey Topics for CliniciansLiver tumorsColorectal liver metastasesHepatocellular carcinoma (HCC)Liver transplant bridging therapyImage-guided tumor ablationHistotripsy technologySurgical oncology innovationMultidisciplinary cancer careAbout Our GuestDr. Michael Choti is Chief of Surgery at Banner MD Anderson Cancer Center and a nationally recognized surgical oncologist specializing in gastrointestinal and hepatobiliary cancers. His career has focused on liver tumors, colorectal cancer metastases, and advancing surgical and minimally invasive treatments for complex cancers. He previously served as Chair of the Department of Surgery at UT Southwestern and trained at Yale, the University of Pennsylvania, and Memorial Sloan Kettering Cancer Center.How to Refer a PatientIf you believe a patient may benefit from evaluation at Banner MD Anderson Cancer Center:Banner Health providers: Use Cerner’s Ambulatory Referral Management (ARM) tool.Community providers:Fax referrals to 480-256-4607or call 480-256-6444 to schedule a patient for evaluation.DisclaimerThis podcast is intended for educational purposes only and is designed for a clinical audience. Any patient scenarios discussed are modified and de-identified to protect privacy. No protected health information (PHI) is disclosed. The information presented should not replace independent medical judgment or individualized patient care decisions.Subscribe to Beyond the Rounds for physician-focused conversations on clinical innovation, specialty collaboration, and evolving standards of care.

    46 min
  5. Here's What Could Replace Chemotherapy

    17 FEB.

    Here's What Could Replace Chemotherapy

    What could replace chemotherapy?In this episode of Beyond the Rounds, we explore cellular therapy, CAR-T cell therapy, tumor-infiltrating lymphocytes (TIL), and how modern immunotherapy is reshaping cancer treatment. Dr. Nolan Fisher sits down with hematologist and cellular therapy specialist Dr. Yazan Samhouri of Banner MD Anderson Cancer Center to break down how immune-based cancer treatments differ from traditional chemotherapy — and why the “last resort” label for CAR-T is quickly becoming outdated.This episode is designed for physicians, advanced practice providers, and clinicians who want a practical understanding of where cellular therapies fit in today’s oncology landscape.What We Cover:• The difference between chemotherapy, immunotherapy, and cellular therapy• How CAR-T cell therapy works (Chimeric Antigen Receptor T-cells explained)• Tumor-infiltrating lymphocyte (TIL) therapy for solid tumors• Stem cell transplant vs. CAR-T — complementary or competing?• Cytokine release syndrome (CRS) and neurologic toxicity• Patient selection and referral timing• Why earlier referral matters in relapsed/refractory disease• Next-generation CAR-T and multi-antigen targeting• Off-the-shelf cellular therapies and the future of accessKey Topics for Clinicians:Hematologic malignanciesLymphoma and leukemiaMetastatic melanomaRelapsed/refractory cancerBridging therapy during CAR-T manufacturingFDA-approved immunotherapiesCancer clinical trialsMultidisciplinary cancer careAbout Our GuestDr. Yazan Samhouri is a specialist in hematology and cellular therapy at Banner MD Anderson Cancer Center. His clinical focus includes CAR-T therapy, stem cell transplantation, and advanced immunotherapeutic approaches for blood cancers and select solid tumors.DisclaimerThis podcast is intended for educational purposes only and is designed for a clinical audience. Any patient scenarios discussed are modified and de-identified to protect privacy. No protected health information (PHI) is disclosed. The information presented should not replace independent medical judgment or individualized patient care decisions.Subscribe to Beyond the Rounds for physician-focused conversations on clinical innovation, specialty collaboration, and evolving standards of care.

    43 min
  6. Understanding brain surgery: Clear signals and realistic outcomes

    2025-12-17

    Understanding brain surgery: Clear signals and realistic outcomes

    In this first episode of Beyond the Rounds, host Dr. Nolan Fisher sits down with internationally recognized neurosurgeon Dr. Dilan Ellegala to break down some of the most common conditions in cranial neurosurgery. Together, they walk through real clinical cases and discuss what every clinician should know about indications, imaging, surgical decision-making and how to avoid low-value neurosurgical care.Dr. Ellegala shares insights from his extensive training (University of Washington, University of Virginia, Brigham & Women’s/Harvard) and global health work, offering a grounded, practical lens for both primary care providers and specialists.What we cover in this episode:Meningioma evaluation & management– How vague headaches present– When to image– What MRI findings matter– Treatment pathways and realistic surgical outcomesPituitary tumors– Visual changes, hormonal symptoms & incidental findings– When surgery is indicated– Expected results from modern techniquesAneurysm case (subarachnoid hemorrhage)– Differentiating dangerous headaches from migraine– How CTA findings drive intervention– Red flags not to missTrigeminal neuralgia– Classic symptom patterns– Vascular compression on imaging– Medical vs. surgical managementMyth vs. MedicineDr. Ellegala addresses common patient fears — “brain tumors are always fatal,” “my head will be shaved,” “minimally invasive options don’t exist” — and reframes them with facts, outcomes data and modern neurosurgical approaches.Systems & ReferralsWe also break down:• What multidisciplinary neurosurgical care actually looks like• How coordinated pathways improve outcomes• What makes a high-quality referral (and where patients fall through the cracks)About Our Guest:Dilan Ellegala, MD, is a neurosurgeon specializing in cerebrovascular, skull base and microneurosurgery, with more than 50 publications and international work advancing global neurosurgical care.📌 Subscribe for upcoming episodes featuring real cases, practical insights and collaborative conversations across the spectrum of patient care.

    44 min
  7. From athletes to aging joints: One surgeon’s approach to shoulder and elbow care

    2025-06-04

    From athletes to aging joints: One surgeon’s approach to shoulder and elbow care

    During this episode of Banner Health’s Making the Rounds podcast, we'll discuss shoulder and elbow surgical innovations, from joint-sparing techniques to the latest in recovery and treatment strategies. We'll cover both open and arthroscopic surgery, why surgery might not always be the right approach, and the critical relationship between the referring physician and the surgeon in positive patient outcomes. You'll hear from Dr. Midhat Patel, a shoulder and elbow orthopedic surgeon at Banner – University Orthopedic and Sports Medicine Institute in Phoenix and Banner Sports Medicine Scottsdale, and clinical assistant professor at the University of Arizona College of Medicine – Phoenix, Department of Orthopedics. To learn more about these topics or other orthopedic-related offerings at Banner Health, please visit BannerHealth.com/orthopedics.

    16 min
  8. From fractures to growing bones: Advancing pediatric orthopedic care in Southern Arizona

    2025-05-19

    From fractures to growing bones: Advancing pediatric orthopedic care in Southern Arizona

    During this episode of Banner Health’s Making the Rounds podcast, we’ll explore the world of pediatric orthopedic surgery, from treating complex fractures and limb deformities to innovative solutions for congenital disorders and neuromuscular conditions. We’ll discuss the latest surgical advancements, the importance of early diagnosis, and how collaborative care between pediatricians and orthopedic specialists leads to better outcomes for young patients. You'll hear from Dr. Ahmed Elabd, a pediatric orthopedic surgeon at Banner - University Medicine Tucson and assistant professor of orthopedics at the University of Arizona College of Medicine - Tucson. Dr. Elabd specializes in treating complex pediatric musculoskeletal conditions, including fractures, hip disorders, limb deformities, congenital abnormalities and more.To learn more about these topics or other pediatric orthopedic services at Banner Health, please visit BannerHealth.com/pediatrics.

    19 min
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Om

Welcome to Beyond the Rounds, a Banner Health podcast created by physicians, for physicians. This show brings the spirit of clinical collaboration straight to the mic — where colleagues discuss real cases, emerging trends and practical insights that shape everyday practice. Hosted by Dr. Nolan Fisher, a physical medicine and rehabilitation specialist with Banner – University Medicine, Beyond the Rounds takes you deeper into the clinical moments and multidisciplinary teamwork that define modern care.

Information

  • Skapad av
    Banner Health
  • Aktiva år
    2021 - 2026
  • Avsnitt
    61
  • Åldersgräns
    Barnvänligt
  • Copyright
    © Banner Health
  • Programmets webbplats
    Beyond the Rounds

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