We sit down with Chris Burke, MD about his role in the Multidisciplinary Thoracic Aortic Program (MTAP) and specifically his expertise in the Ross Procedure.  We also learn about how Fly Fishing offers him peace away from the operating room.Christopher R. Burke, MD, is a board-certified cardiothoracic surgeon, Associate Program Director of the Cardiothoracic Surgery Residency Program, Co-Director of the Multidisciplinary Thoracic Aortic Program, and an Assistant Professor of Cardiac Surgery who did a postgraduate aortic surgery fellowship under Dr. Joseph Bavaria, a world renowned expert in the surgical repair of the ascending aorta and aortic arch using open and “hybrid” approaches (where open surgery is combined with endovascular stenting at the same operation.) Dr. Burke brings a wealth of experience at new techniques for valve sparing root repair and open arch repair with and without concomitant stenting. He has a particular clinical interest in aortic valve preservation surgery (aortic valve repair).

In a new season of Coffee and Cardiology Podcast and to celebrate the International Day of Listening happening on September 21, 2023, Dr. Kirkpatrick and John Michael sit down with Lori Joubert and Dr. Nazem Akoum to discuss the topic of Listening.Lori is responsible  for managing administrative activities and program events for the Electrophysiology and Cardiac Imaging Subspecialty Programs across UW Medicine clinical sites.  She also utilizes her education and training in listening skill development to facilitate monthly listening circle cafés to build team connection and networking by creating safe spaces for dialogue and connection with our peers and the sharing of resources.In this episode she helps guide us through a conversation about the power of listening, especially in how professionals interact in meetings and how providers listening with patients can make significant impacts.Below are resources to support the conversation and deeper dives into the topic of listening. ILA is also hosting a free mini-series (for the public) in support of International Day of Listening https://listen.org/page-1860403Kate Murphy’s “You’re Not Listening: What You’re Missing and Why it Matters” https://www.journalistkatemurphy.com/Music: An Underutilized Tool In Neurocardiology? https://www.youtube.com/watch?v=7oSdvgv3JMQ - how listening to music may be similar or different then listening to (or reading) heart rhythm or how listening to music may improve one’s ability to listen beyond the “noise” in clinical settings from your perspectives.Perceptions of Health Care Providers Communication – This article emphasizes the connection between Uncertainty reduction theory (URT) and Patient Centered Communication (PCC). It highlights PCC behaviors that relate to satisfaction to include empathy and listening  (see pp 4-5).What is empathy and can it be taught? By Howard Spiro, MD 

Dr. Lorenzo Azzalini is an exciting addition to our star studded cast of complex coronary interventionalists.   Lorenzo Azzalini, MD PhD MSc FACC FSCAI is an interventional cardiologist and Director of Interventional Cardiology Research at UW Medical Center - Montlake.  He has published over 180 peer-reviewed manuscripts, received numerous international awards, is member of the editorial board of the Canadian Journal of Cardiology, Eurointervention, Cardiovascular Revascularization Medicine, and Minerva Cardiology and Angiology, and is guest reviewer for other twenty journals.  In his free time, Dr. Azzalini enjoys spending time with his family, traveling, cooking, and sailing.0:55 - A Global Perspective of Medicine9:55 - Passion for Research14:30 - Where is percutaneous interventional research today?22:30 - Era of the siloed interventionalist is over27:10 - Atherectomy 38:05 - Twitter and the Impact of Information Sharing51:00 - A word of advice for an aspiring researcher54:15 - Signing off in 4 LanguagesFollow or reach out to Dr. Azzalini on Twitter:@LAzzaliniMD

Paul Hlava Ceballos is one of UW Medicine Heart Institute's cardiac sonographers and also a National Book Critics Circle Award-nominated author of banana [ ] which reveals the extractive relationship the United States has with the Americas and its people through poetic portraits of migrants, family, and memory. 1:15 - The Journey to Sonography and Poetry5:00 - banana []19:30 - Sonography as Poetry28:00  - a reading from banana []35:00 - Connecting in conversation48:40 - a 2nd reading from banana [][email protected]

Gabriel Aldea, MD, FACS, FACC, is a board-certified cardiothoracic surgeon, Chief of Cardiac Surgery, the William K. Edmark Professor of Cardiothoracic Surgery, and the Surgical Director of the UW Medicine Heart Institute.  Dr. Aldea is a nationally recognized leader with expertise in cardiac valve replacement and repair, management of aortic aneurysms, as well as catheter-based minimally invasive valve and aortic therapies.0:46 - Dr. Aldea's Attraction to Cardiac Surgery2:44 - More than Technicians6:10 - Surgical Subspecialization9:30 - Excelling in Complex Care Collaboration and Innovation12:05 - Three Paradigm Shifts in Surgery18:40 - TAVR Cardiac Surgeon Resistance 20:20 - Forecasting Therapies in 10 years23:00 - Creativity in Cardiac Surgery26:30 - Maintaining Quality (Mitral Valve Reference Center)30:45 - Designation to Incentivize Implementation Science38:00 - Frailty and Pre-Hab45:30 - Endocarditis & Drug Use55:00 - A Reader, Swimmer and Father of a [email protected]

Alec J. Moorman, MD, FACC, is aAlec J. Moorman, MD, FACC, is triple board certified in Echocardiography, Cardiovascular Disease and Internal Medicine.  His clinical interests include primary and secondary prevention of coronary artery disease, heart failure, echocardiography, valvular heart disease, hypertension and lipid disorders. His research focus is serving as principal investigator for the International Study of Comparative Health Effectiveness with Medical and Invasive Approaches (ISCHEMIA), and ISCHEMIA-Chronic Kidney Disease clinical trials.0:43 - Medical School vs. Architecture4:35 - Why Cardiology10:00 - Role in Fellowships at UW Heart11:45 - What makes a great Clinical Cardiologist?14:00 - Preparing for Clinical Practice18:55 - Pre-Kidney Transplant Evaluations26:00 - Valvular Interventions in Pre-Kidney Transplant Patients29:30 - Imaging Innovations on the Horizon32:20 - Husky Superfan34:10 - Road [email protected]

The regular schedule for Coffee and Cardiology will be back in 2 weeks.  ------Dr. Bill Lombardi was our first episode guest on Coffee and Cardiology and is now expanding the UW Heart Institute media empire in a new format with live Q&A.The series will include special guests from around the country and focus on topics blending the technical and mental sides of healthcare.  Keep up to date for a live recordings on Twitter Spaces by following Dr. Bill Lombardi on twitter @DrBillLombardi or listen as a podcast every Friday morning www.DrJourneytoBetter.com

Larry Dean, M.D., F.A.C.C., M.S.C.A.I., is an expert in general cardiology, cardiac catheterization and interventional cardiology.  Dr. Dean is Founding Director of the UW Medicine Regional Heart Center and current Medical Director of Outreach and Clinical Integration of the UW Medicine Heart Institute.  1:00 - Roll Tide2:05 - Follow the Opportunities6:35 - A retrospective of UW Cardiology10:00 - Teaching Mission11:25 - Ready for Transcatheter Aortic Valve Replacement (TAVR) 13:15 - Collaboration in the Region17:30 - Bed Capacity & Certificate of Need (CON)26:10 - Workflow Crisis30:15 - Mental Health through the diversity of practice.31:15 - PNW Cyclist36:50 - https://www.theeatingplaces.com/41:15 - The Profession of Medicine46:15 - Hippocratic Oath 51:22 - Changes in Healthcare Tensions54:30 - Investing in Balance58:00 - IT as a [email protected]

Dr. Zachary Steinberg, MD, is a board-certified Interventional Cardiologist and Adult Congenital Heart Disease specialist with the UW Medicine's Heart Institute. Dr. Steinberg specializes in the care of adults born with heart defects and performs transcatheter intervention on this complex patient population.  He has a wide array of interventional expertise including complex coronary artery revascularization, transcatheter valve implantation, septal defect closure, and balloon pulmonary angioplasty for patients with chronic thromboembolic pulmonary hypertension (CTEPH).00:55 - Dr. Specialization13:00 - "A Profession of Lifelong Learning"15:10 - Intervention Cardiology First19:45 - A Day in the Life - Chronic thromboembolic pulmonary hypertension28.25 - Learning Chronic Pulmonary Angioplasty36:45 - Approaching Orphan Diseases37:30 - Our Interventional Team39:50 - Repairing Congenital [email protected]

Babak Nazer, MD directs the UW Translational Electrophysiology Laboratory, where his research focuses on the diagnosis and treatment of ventricular arrhythmias (premature ventricular complexes (PVCs) and ventricular tachycardia (VT). In collaboration with acoustic physicists and biomedical engineers, his laboratory develops new diagnostic and therapeutic ablation tools for the treatment of PVCs and VT, particularly those using ultrasound as an energy source.  As Director of the UW Multidisciplinary Ventricular Arrhythmia Program, he collaborates with psychologists to investigate the psychosocial symptoms associated with VT and defibrillator shocks, and therapies to alleviate these symptoms. [email protected]